05000266/FIN-2013003-05
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Finding | |
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| Title | Failure to Implement Risk Management Actions During Bus D-40 Outage |
| Description | A self-revealed finding of very low safety significance and an associated non-cited violation of 10 CFR 50.65(a)(4) occurred on April 29, 2013, as a result of the licensees failure to properly manage and assess risk during a scheduled maintenance outage for emergency diesel generator G-04. Specifically, not all ongoing maintenance activities had been taken into account in the risk assessment for the in-progress maintenance activities and an unplanned entry into yellow risk occurred when they isolated bus D-40. The licensee entered this issue into the CAP as action request AR01870208. Corrective actions for this issue included restoring bus D-40 to service and initiating an evaluation of the issue through the condition reporting process. The inspectors determined the finding to be more than minor because it was similar to Example 7.e of IMC 0612, Appendix E, Example of Minor Issues, dated August 11, 2009, and because it was associated with the Design Control attribute of the Mitigating Systems Cornerstone. The finding also affected the Cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. The inspectors evaluated the finding using IMC 0609, Significance Determination Process, Attachment 0609.04, Initial Characterization of Findings, Tables 2 and 3, and Appendix K, Maintenance Risk Assessment and Risk Management Significance Determination Process. The inspectors determined that the finding was a mitigating systems contributor; evaluated the risk deficit for each instance; and found that the issue screened as having very low safety significance. The inspectors determined that the finding has a cross-cutting aspect in the area of human performance, work control, because the licensee failed to appropriately plan and coordinate work activities. Specifically, when the licensee attempted to remove bus D-40 isolation work from the work schedule, the work package was not updated to reflect the change; and there was a failure to communicate and/or coordinate the changes in the work scope to the appropriate groups (H.3(b)). |
| Site: | Point Beach  |
|---|---|
| Report | IR 05000266/2013003 Section 1R13 |
| Date counted | Jun 30, 2013 (2013Q2) |
| Type: | NCV: Green |
| cornerstone | Mitigating Systems |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71111.13 |
| Inspectors (proximate) | M Holmberg P Pelke S Burton J Laughlin D Betancourt K Barclay J Gilliam M Thorpe-Kavanaugh J Beavers E Sanchez V Myers J Steffes |
| Violation of: | 10 CFR 50.65(a)(4) 10 CFR 50.65 |
| CCA | H.5, Work Management |
| INPO aspect | WP.1 |
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Finding - Point Beach - IR 05000266/2013003 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Point Beach) @ 2013Q2
Self-Identified List (Point Beach)
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