05000277/FIN-2009005-03
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Finding | |
|---|---|
| Title | Inadequate Verification Practices while Handling Fuel and Fuel Components |
| Description | A Green self-revealing NCV of 10 CFR 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, was identified when PBAPS inadequately implemented human performance tools and verification practices for fuel handling and fuel component handling activities, resulting in a dropped fuel channel in the spent fuel pool (SFP) and a mispositioned fuel bundle in the reactor core during the P3R17refueling outage (RFO). The inspectors verified that corrective actions were promptly performed, including an operability evaluation and video inspection of the SFP racks, and reactor engineering evaluation for the mispositioned fuel bundle. Additionally, the issues were entered into the PBAPS CAP. This finding was more than minor because it was associated with the human performance attribute of the Barrier Integrity cornerstone, and adversely affected the cornerstone objective of providing reasonable assurance that physical design barriers protect the public from radionuclide release cause by accidents or transients. This finding was determined to be of very low safety significance (Green) in accordance with IMC 0609, Appendix M, SDP Using Qualitative Criteria, because evaluations performed by PBAPS, and verified by the inspectors, determined that there was no actual degradation to the physical barrier integrity. This finding had a cross-cutting aspect in the area of Human Performance, Work Practices, because PBAPS management and personnel did not effectively communicate human error prevention techniques commensurate with the risk of the assigned tasks, such that the work activities were performed safely H.4(a). Specifically, PBAPS management and personnel did not adequately reinforce the importance of using human performance tools and verification practices, including self-check (STAR), concurrent verification, and independent verification, prior to performance of activities involving fuel component handling. |
| Site: | Peach Bottom  |
|---|---|
| Report | IR 05000277/2009005 Section 4OA2 |
| Date counted | Dec 31, 2009 (2009Q4) |
| Type: | NCV: Green |
| cornerstone | Barrier Integrity |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71152 |
| Inspectors (proximate) | P Krohn G Johnson S Mccarver A Rosebrook R Nimitz F Bower A Ziedonis J Tomlinson |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - Peach Bottom - IR 05000277/2009005 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Peach Bottom) @ 2009Q4
Self-Identified List (Peach Bottom)
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