05000282/FIN-2009005-01

Finding

Title

Valve technician became internally and externally contaminated when he breached the RH-2-1 valve contrarty to the requirements of the RWP.

Description

A self-revealed finding of very low safety-significance and an NCV of Technical Specification 5.4.1 was identified for the failure to implement written procedures in the area of radiation protection. Specifically, the licensee failed to meet radiation work permit requirements during a valve breach. As a result, a valve technician became internally and externally contaminated. Corrective actions for this issue included performance management of the personnel involved. This finding was more than minor because it was associated with the program and process attribute of the Occupational Radiation Safety cornerstone. In addition, the finding impacted the cornerstone objective of protecting worker health and safety from exposure to radiation. The inspectors determined that the finding was of very low safety significance, because the finding did not involve As-Low-As-Is-Reasonably Achievable planning or work controls, there was no overexposure or substantial potential for an overexposure, nor was the licensee\'s ability to assess worker dose compromised. The inspectors concluded that this finding was cross-cutting in the Human Performance, Work Practices area because personnel failed to follow procedures during the valve breach (H.4(b)). (Section 2OS1.1

01
Site:	Prairie Island
Report	IR 05000282/2009005 Section 2OS1
Date counted	Dec 31, 2009 (2009Q4)
Type:	NCV: Green
cornerstone	Or Safety
Identified by:	Self-revealing
Inspection Procedure:	IP 71121.01
Inspectors (proximate)	R Jickling M Phalen K Stoedter L Haeg P Zurawski D Betancourt F Tran C Tilton
CCA	H.8, Procedure Adherence
INPO aspect	WP.4
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v • d • e

Finding - Prairie Island - IR 05000282/2009005

1(0)1(0)2(6)3(11)4(5)5(7)6(0)7(5)8(0)9(3)10(3)11(0)12(1)13(0)14(0)15(0)402(0)403(0)404(2)406(0)501(0)13(0)

IR 05000282/2009005: 1 2 3 4 5 6 7

Finding List (Prairie Island) @ 2009Q4

CCA Matrix: 2009Q4

	Q	CCA	Title
05000282/FIN-2008009-01	2009Q1	H.5	Radioactive Material Shipment Package Radiation Levels Exceeded
05000282/FIN-2009002-03	2009Q1	P.1 P.1(a)	Failure to Follow Procedure During D5 Post-Maintenance Testing
05000282/FIN-2009002-01	2009Q1	H.7	Failure to Protect Fire Protection Equipment from Effects of Extreme Cold Temperatures
05000282/FIN-2009002-02	2009Q1	H.14	Failure to Follow Procedures During Performance of Operability Evaluations
05000282/FIN-2008009-02	2009Q1	H.5	Failure to Perform Formal Job Planning to Evaluate the Radiological Hazards
05000282/FIN-2009002-05	2009Q1	H.8	Failure to Follow Procedure Use and Adherence Procedure Following Receipt of Abnormal Operating Procedure Entry Condition
05000282/FIN-2009002-04	2009Q1	H.7 H.13	Failure to Adhere to Licensed Power Level Specified in Operating License
05000282/FIN-2009003-02	2009Q2	H.7	Failure to Positively Control Compensatory Measures
05000282/FIN-2009003-07	2009Q2	H.14	122 Air Compressor Rendered Non-Functional During Clearance Order Activities
05000282/FIN-2009003-03	2009Q2	H.8	Failure to Maintain Control of Unit 1 Containment Personnel Airlock Configuration
05000282/FIN-2009003-04	2009Q2	H.7	Failure to Control Maintenance Activities to Ensure Plant Equipment is Not Unnecessarily Challenged
05000282/FIN-2009007-04	2009Q2		Unanalyzed Condition Due to Manual Actions that Do Not Comply with 10 CFR Part 50, Appendix R
05000282/FIN-2009007-02	2009Q2		Failure to Ensure Fire Door Would Consistently Close
05000282/FIN-2009007-01	2009Q2		Combustibles Materials Present Within Safety-Related Fire Area
05000282/FIN-2009007-03	2009Q2		Sequential Starting of Fire Pumps
05000282/FIN-2009003-01	2009Q2		Potential Turbine Building Flooding Issue
05000282/FIN-2009003-08	2009Q2	H.14	Failure to Ensure Turbine Valve Testing Procedure was Adequate
05000282/FIN-2009003-05	2009Q2	H.11 H.12	23 Inverter Rendered Inoperable During Training Activities
05000282/FIN-2009003-06	2009Q2	H.8	22 Battery Charger Rendered Inoperable During Maintenance on 22 Inverter
05000282/FIN-2009009-01	2009Q3	H.8	Failure to Follow Procedures for Heater Drain Pump Swaps
05000282/FIN-2009004-01	2009Q3	H.7	Inadequate Work Instruction for Weld Repairs on the 11 component Cooling Heat Exchanger
05000282/FIN-2009004-05	2009Q3		Failure to Have Work Instructions Appropriate to the Circumstance for Performing Maintenance on the Generator Bearing Oil Sight Class for the D1 Emergency Diesel Generator
05000282/FIN-2009004-02	2009Q3	H.5	Failure to Perform Adequate Risk Assessment Prior to Performing Troubleshooting Activities Renders Instrument Inverter Unavailable and Causes Unplanned Shutdown Safety Color Change
05000282/FIN-2009009-03	2009Q3	P.5 P.2(b)	Failure to Qualify Safety-Related Molded Case Circuit Breakers
05000282/FIN-2009009-02	2009Q3	H.7	Inadequate Technical Support Center (TSC) Ventilation System Testing
05000282/FIN-2009010-01	2009Q3	H.13	Failure to Ensure Design Measures Were Appropriately Established for the Unit 1 Component Cooling Water System
05000282/FIN-2009004-04	2009Q3		Potential Non-Compliance for Emergency Action Levels RA1.1 and RA1.2
05000282/FIN-2009004-03	2009Q3		Potential Testing Emergency Response Organization Callout and Augmentation Process Performing Deficiency
05000282/FIN-2009012-01	2009Q3		Failure to Provide Complete Information to the NRC which Impacted a Licensing Decision
05000306/FIN-2009010-02	2009Q3	H.13	Failure to Ensure Design Measures Were Appropriately Established for the Unit 2 Component Cooling Water System
05000282/FIN-2009005-05	2009Q4	H.13	Failure to Follow Procedures Results in Failure to Identify Adverse Trend Regarding Cooling Water Pump Right Angle Drive Fouling.
05000282/FIN-2009005-04	2009Q4	H.14	12 Circulating Water Pump Trip and Unit 1 Automatic Reactor Trip
05000282/FIN-2009005-02	2009Q4	P.2	Radioactive waste building ventilation system and the associated radiation detector being out of service for extended periods of time without instituting compensatory actions.
05000282/FIN-2009005-01	2009Q4	H.8	Valve technician became internally and externally contaminated when he breached the RH-2-1 valve contrarty to the requirements of the RWP.
05000282/FIN-2009404-01	2009Q4	H.7	Security
05000282/FIN-2009404-02	2009Q4	H.8	Security
05000282/FIN-2009005-03	2009Q4	H.4 H.5	Failure to Provide Complete and Accurate Information for LER 05000306/2008-001-00

Self-Identified List (Prairie Island)

	Q	Title
05000282/FIN-2009002-06	2009Q1	Licensee-Identified Violation
05000282/FIN-2009003-09	2009Q2	Licensee-Identified Violation
05000282/FIN-2009003-10	2009Q2	Licensee-Identified Violation
05000282/FIN-2009003-11	2009Q2	Licensee-Identified Violation
05000282/FIN-2009007-05	2009Q2	Licensee-Identified Violation
05000282/FIN-2009005-06	2009Q4	Licensee-Identified Violation
05000282/FIN-2009005-07	2009Q4	Licensee-Identified Violation

[Prairie Island Findings full list]

05000282/FIN-2009005-01

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