05000275/FIN-2010004-03

Finding

Title

Inadequate Risk Assessment during Planned Maintenance Activities

Description

The inspectors identified a noncited violation of 10 CFR 50.65 after Pacific Gas and Electric failed to perform a risk assessment after plant conditions had changed. On July 13, 201 0, Pacific Gas and Electric identified that station personnel failed to complete Technical Specification Surveillance Requirement 3.3.4.2, Remote Shutdown System, within the specified frequency for both Units. As provided by Surveillance Requirement 3.0.3, the licensee performed a risk evaluation to extend the required surveillance completion time beyond twenty-four hours. The licensee initiated the missed surveillance tests and identified results were outside acceptance criteria. On July 26, 2010, Operations personnel declared several remote shutdown system functions inoperable because reasonable expectation no longer existed that remote shutdown system could perform its safety function. Pacific Gas and Electric failed to reassess the effect on plant risk resulting from inoperable remote shutdown system functions before continuing with scheduled maintenance. A subsequent risk assessment concluded that plant risk was in a higher risk category due to planned maintenance activities conducted during this time frame. The licensee entered the performance deficiency into the corrective action program as Notification 501331 841. The inspectors determined that the performance deficiency is more than minor because the performance deficiency affected the Mitigating Systems Cornerstone attribute of human performance and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Also, the finding is similar to Example 7.e in Inspection Manual Chapter 0612, Appendix E, Examples of Minor Issues, because the overall elevated plant risk would put the plant into a higher licensee-established risk category. The inspectors concluded that the finding is of very low safety significance (Green) based on an actual incremental core damage probability deficit of less than 1x10-6 and an evaluation using Flowchart 1 of Appendix K of Inspection Manual Chapter 0609, Maintenance Risk Assessment and Risk Management Significance Determination Process. This finding had a crosscutting aspect in the area of human performance associated with the work practices component because the licensee failed to follow its maintenance risk procedure and reassess plant risk due to changing plant conditions H.4(b).

03
Site:	Diablo Canyon
Report	IR 05000275/2010004 Section 1R13
Date counted	Sep 30, 2010 (2010Q3)
Type:	NCV: Green
cornerstone	Mitigating Systems
Identified by:	NRC identified
Inspection Procedure:	IP 71111.13
Inspectors (proximate)	G Guerra M Brown M Peck P Elkmann D Allen E Schrader
CCA	H.8, Procedure Adherence
INPO aspect	WP.4
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Finding - Diablo Canyon - IR 05000275/2010004

1(0)2(6)3(4)4(5)5(12)6(5)7(11)8(0)201(7)301(0)402(2)403(2)501(0)

IR 05000275/2010004: 1 2 3 4 5

Finding List (Diablo Canyon) @ 2010Q3

CCA Matrix: 2010Q3

	Q	CCA	Title
05000275/FIN-2009005-03	2009Q4	P.2	Inadequate 50.59 Evaluation for Steam Generator Tube Rupture Analysis
05000275/FIN-2009005-05	2009Q4	P.2	Less than Adequate Change Evaluation to the Facility as Described in the Final Safety Analysis Report Update
05000275/FIN-2009005-02	2009Q4	H.5	Failure to Properly Plan a Maintenance Activity
05000275/FIN-2009005-01	2009Q4	H.4 H.9	Less Than Adequate Work Planning Resulted in the Release of Two Gas Decay Tanks
05000275/FIN-2009005-04	2009Q4	P.1 P.1(a)	Less than Adequate Replacement Reactor Head Modification Design Control
05000275/FIN-2010002-04	2010Q1	P.2	Less Than Adequate Evaluation Following a Failure of Both Motor Driven Auxiliary Feedwater Trains
05000275/FIN-2010402-02	2010Q1		Security
05000275/FIN-2010402-01	2010Q1		Security
05000275/FIN-2010002-01	2010Q1	P.3	Failure to Effectively Implement the Seismically-Induced Systems Interaction Program
05000275/FIN-2010002-05	2010Q1	P.2	Failure to Submit a LERE for a Common-Cause Inoperability of Independent Trains or Channels
05000275/FIN-2010002-03	2010Q1		Failure to Report a Condition That Could Have Prevented the Fulfillment of a Safety Function
05000275/FIN-2010002-02	2010Q1	P.2	Failure to Update the Final Safety Analysis Report with the Current Plant Design Bases
05000323/FIN-2009009-03	2010Q1	P.2	Failure to Evaluate a Change to the Facility as Described in the Final Safety Analysis Report Update Associated with the Addition of Manual Actions in the Safety Analysis
05000323/FIN-2009009-02	2010Q1	P.2 P.1(a)	Failure to Conduct an Adequate Post-Modification Test
05000323/FIN-2009009-01	2010Q1	P.2	Failure to Follow Design and Configuration Control Requirements
05000275/FIN-2010007-03	2010Q2	H.14	Non-Conservative Decision Making resulted in a Violation of Technical Specification
05000275/FIN-2010003-03	2010Q2	P.2	Failure to Report a Condition that Could Have Prevented the Fulfillment of a Safety Function
05000275/FIN-2010007-01	2010Q2	H.14	Less than Adequate Change Evaluation to the Facility as Described in the Final Safety Analysis Report Update
05000275/FIN-2010007-02	2010Q2	P.2	Failure to Adequately Evaluate Changes to the Diesel Testing as Described in the Final Safety Analysis Report Update
05000275/FIN-2010007-04	2010Q2	P.2	Failure to Update the Final Safety Analysis Report Update with the Current Plant Design Bases Section
05000275/FIN-2010007-09	2010Q2		Failure to Update Feedwater Rupture Accident Analysis in the Final Safety Analysis Report Update
05000275/FIN-2010007-10	2010Q2		Failure to Update Text to Reflect Credited Design Class I Makeup Flowpath to Component Cooling Water Expansion Tank in the Final Safety Analysis Report Update
05000275/FIN-2010007-07	2010Q2		Nonconservative Inputs into Motor Operated Valve Calculation
05000275/FIN-2010003-01	2010Q2	P.2	Failure to Perform Unit 1 Containment Concrete Inspections
05000275/FIN-2010007-05	2010Q2	P.2	Inadequate Operability Determination Associated With the Offsite Degraded Voltage Protection Scheme
05000275/FIN-2010007-06	2010Q2		Second Level Undervoltage Relay Time Delay to Initiate Load Shed and Sequencing Upon the Diesel Generator is Adequate to Assure Plant Safety
05000275/FIN-2010007-08	2010Q2	P.2	Inadequate Drawings and Procedures to Align Emergency Makeup Water Supply from Diablo Canyon Creek to Support the Auxiliary Feedwater System
05000275/FIN-2010003-02	2010Q2		Inadequate Corrective Actions Following Identification of a Nonconservative Technical Specification
05000275/FIN-2010004-04	2010Q3	P.2	Inadequate Operability Determination
05000275/FIN-2010004-05	2010Q3		Inadequate Design Control for the Auxiliary Saltwater System
05000275/FIN-2010004-03	2010Q3	H.8	Inadequate Risk Assessment during Planned Maintenance Activities
05000275/FIN-2010004-02	2010Q3	P.3	Inadequate Risk Management during a Planned Auxiliary Saltwater Pump Outage
05000275/FIN-2010004-01	2010Q3	P.1	Failure to Identify a Degraded Fire Barrier
05000275/FIN-2010201-07	2010Q3		Security
05000275/FIN-2010201-06	2010Q3		Security
05000275/FIN-2010201-05	2010Q3		Security
05000275/FIN-2010403-02	2010Q3		Security
05000275/FIN-2010403-01	2010Q3	P.1	Security
05000275/FIN-2010201-04	2010Q3		Security
05000275/FIN-2010006-05	2010Q3	P.2	Failure to Appropriately Evaluate Failed Residual Heat Removal Surveillance Test
05000275/FIN-2010006-04	2010Q3	H.14	Untimely and Inadequate Corrective Actions for the Emergency Diesel Generators
05000275/FIN-2010006-02	2010Q3	H.14	Failure to Maintain Proficiency of Operators to Meet the Time Critical Operator Actions
05000275/FIN-2010006-01	2010Q3	H.14	Inadequate Design Control for the Emergency Diesel Generator
05000275/FIN-2010006-03	2010Q3	P.2	Failure to Submit Complete and Accurate Information for a Requested License Amendment
05000275/FIN-2010201-03	2010Q3	P.6	Security
05000275/FIN-2010201-02	2010Q3	H.12	Security
05000275/FIN-2010201-01	2010Q3	H.14	Security

Self-Identified List (Diablo Canyon)

	Q	Title
05000275/FIN-2009403-01	2009Q4	Licensee-Identified Violation
05000275/FIN-2009005-06	2009Q4	Licensee-Identified Violation
05000275/FIN-2010002-06	2010Q1	Licensee-Identified Violation
05000275/FIN-2010007-11	2010Q2	Licensee-Identified Violation
05000275/FIN-2010003-04	2010Q2	Licensee-Identified Violation

[Diablo Canyon Findings full list]

05000275/FIN-2010004-03

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