05000286/FIN-2009005-05
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Finding | |
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Title | Inadequate Post-Maintenance Testing and Resultant Failure of 6.9kV Breaker Auto-Transfer Following Plant Trip |
Description | A self-revealing finding (FIN) of very low safety significance was identified because Entergy personnel did not perform adequate post-maintenance functional testing to ensure 6.9kV breakers were able to perform intended safety functions. Specifically, in July 2009, during a planned maintenance activity, maintenance personnel installed a 6.9kV breaker without adequate post-maintenance testing. As a result, on August 10,2009, following an automatic plant trip, a 6.9kV breaker failed to operate due to a bent lever and prevented the automatic transfer of a 480-Volt safety bus from its onsite electrical power source to its appropriate off-site electrical sources, as required. The finding was more than minor because the finding is associated with the procedure quality performance attribute of the Mitigating Systems cornerstone and affected the associated cornerstone objective to ensure the reliability of systems that respond to initiating events to prevent undesirable consequences. The finding was considered to be of very low safety significance (Green) in accordance with IMC 0609, Attachment 4, Phase 1 - Initial Screening and Characterization of Findings, because the finding was not a design or qualification deficiency, did not result in the loss of a safety function, and was not risk significant due to external events. The inspectors determined that this finding had a cross-cutting aspect in the area of Human Performance because Entergy personnel did not ensure adequate planning (work control) was performed to ensure post-maintenance functional testing was appropriate for the 6.9kV bus tie breakers. H.3(a) per IMC0305 |
Site: | Indian Point |
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Report | IR 05000286/2009005 Section 4OA3 |
Date counted | Dec 31, 2009 (2009Q4) |
Type: | Finding: Green |
cornerstone | Mitigating Systems |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71153 |
Inspectors (proximate) | T Fish C Crisden D Orr G Newman J Commiskey J D'Antonio J Schoppy M Gray M Halter P Cataldo |
CCA | H.5, Work Management |
INPO aspect | WP.1 |
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Finding - Indian Point - IR 05000286/2009005 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Indian Point) @ 2009Q4
Self-Identified List (Indian Point)
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