05000282/FIN-2009009-01

Finding

Title

Failure to Follow Procedures for Heater Drain Pump Swaps

Description

The inspectors identified a finding of very low significance and non-cited violation (NCV) of Technical Specification 5.4.1.a for the licensee failing to obtain a temporary or permanent procedure change, as required by their Procedure Use and Adherence procedure, prior to implementing a procedure when it was determined that they could not complete a required swap of two heater drain pumps using the section of the appropriate operating procedure. Once identified, the licensee took actions to correct the issue and entered the issue into their corrective action program. The inspectors determined the finding to be more than minor because if left uncorrected, this finding had the potential to lead to a more significant safety concern. The inspectors evaluated the finding using Inspection Manual Chapter (IMC) 0609, Appendix A, Attachment 1, Significance Determination of Reactor Inspection Findings for At-Power Situations, using the Phase 1 Worksheet for the Initiating Events Cornerstone. Since the finding did not contribute to both the likelihood of a reactor trip and the likelihood that mitigation equipment or functions will not be available, the inspectors concluded that the finding was of very low safety significance. The inspectors determined that the performance deficiency affected the cross-cutting area of Human Performance, having work practices components, and involving aspects associated with personnel following procedures.

01
Site:	Prairie Island
Report	IR 05000282/2009009 Section 4OA2
Date counted	Sep 30, 2009 (2009Q3)
Type:	NCV: Green
cornerstone	Initiating Events
Identified by:	NRC identified
Inspection Procedure:	IP 71152
Inspectors (proximate)	R Winter M Phalen K Stoedter S Thomas R Lerch D Betancourt J Giessner
CCA	H.8, Procedure Adherence
INPO aspect	WP.4
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v • d • e

Finding - Prairie Island - IR 05000282/2009009

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 05000282/2009009: 1 2 3

Finding List (Prairie Island) @ 2009Q3

CCA Matrix: 2009Q3

	Q	CCA	Title
05000282/FIN-2008005-04	2008Q4	H.13	Operator Manipulates Incorrect Component due to Failure to Follow Procedures
05000282/FIN-2008008-01	2008Q4	H.7	11 TDAFWP Inoperable for a Time Period Which Significantly Exceeded Time Allowed by TS
05000282/FIN-2008007-01	2008Q4	H.14	Failure to Perform a 10 CFR 50.59 Evaluation for Bulk Hydrogen Storage Facility
05000306/FIN-2008005-06	2008Q4		Abnormal Operating Procedure Entry Conditions
05000282/FIN-2008005-05	2008Q4	H.13	Decrease in Reactor Power due to Failure to Follow Procedures
05000282/FIN-2008005-03	2008Q4	H.2	Control Rod Bent due to Contractors Failure to Follow Procedures
05000282/FIN-2008005-01	2008Q4	H.2	Failure of Contractors to Follow Welding Procedures
05000282/FIN-2008005-07	2008Q4	H.13	Respirator Qualification Deficiency Results in Non-Compliance with 10 CFR Part 50, Appendix R
05000282/FIN-2008005-02	2008Q4		Component Cooling Water Susceptible to High Energy Line Break Interaction
05000282/FIN-2008009-01	2009Q1	H.5	Radioactive Material Shipment Package Radiation Levels Exceeded
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-2009002-02	2009Q1	H.14	Failure to Follow Procedures During Performance of Operability Evaluations
05000282/FIN-2009002-01	2009Q1	H.7	Failure to Protect Fire Protection Equipment from Effects of Extreme Cold Temperatures
05000282/FIN-2009002-03	2009Q1	P.1 P.1(a)	Failure to Follow Procedure During D5 Post-Maintenance Testing
05000282/FIN-2009003-08	2009Q2	H.14	Failure to Ensure Turbine Valve Testing Procedure was Adequate
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-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-2009007-01	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-2009003-05	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-2009004-05	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-2009004-01	2009Q3	H.7	Inadequate Work Instruction for Weld Repairs on the 11 component Cooling Heat Exchanger
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

Self-Identified List (Prairie Island)

	Q	Title
05000282/FIN-2008005-08	2008Q4	Licensee-Identified Violation
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

[Prairie Island Findings full list]

05000282/FIN-2009009-01

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