05000272/FIN-2014002-01
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Finding | |
|---|---|
| Title | Failure to Follow Fire Protection Test Procedure Resulted in Fuel Oil Spill |
| Description | The inspectors determined there was a Green, self-revealing violation of Technical Specification (TS) 6.8.1, Procedures and Programs, as described in Regulatory Guide 1.33, Revision 2, February 1978, when PSEG failed to adequately implement procedure steps associated with fire protection hose flow verification testing on March 6, 2014. Consequently, a fuel oil day tank was overfilled, resulting in approximately 3000 gallons of fuel oil on the pump house roof, leaks through the roof onto the fire pumps, and Salem fire water suppression system unavailability for approximately two days. PSEG stopped the leak, entered this issue in their CAP, and completed a Prompt Investigation. The inspectors determined that the performance deficiency was more than minor because it was associated with the Protection Against External Factors attribute of the Mitigating System cornerstone and adversely its cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events (fire) to prevent undesirable consequences. The inspectors determined that the finding was of very low safety significance (Green) because it did not impact the ability of Salem Units 1 or 2 to achieve and maintain safe shutdown. The inspectors determined that this finding had a cross-cutting aspect in the area of Human Performance, Avoid Complacency, because PSEG fire protection operators did not recognize and plan for the possibly of mistakes, latent issues, and inherent risk, even while expecting successful outcomes of procedure steps to refill the fuel oil day tank. Further, they did not implement appropriate error reduction tools. |
| Site: | Salem  |
|---|---|
| Report | IR 05000272/2014002 Section 1R05 |
| Date counted | Mar 31, 2014 (2014Q1) |
| Type: | NCV: Green |
| cornerstone | Mitigating Systems |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71111.05 |
| Inspectors (proximate) | A Ziedonis E Burket G Dentel J Schoppy P Finney R Barkley R Nimitz |
| Violation of: | Technical Specification - Procedures Technical Specification |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - Salem - IR 05000272/2014002 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Salem) @ 2014Q1
Self-Identified List (Salem)
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