05000298/FIN-2011004-06

Finding

Title

Failure to Identify, Correct, and Prevent Recurrence of a Significant Condition Adverse to Quality

Description

The inspectors identified a noncited violation of 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action, for the licensees failure to implement adequate corrective actions to preclude recurrence of a significant condition adverse to quality. Specifically, during the root cause evaluation performed for a previous issue where a hazard barrier was disabled which resulted in the inoperability of both emergency diesel generators, the licensee failed to adequately implement corrective actions to prevent recurrence of this significant condition adverse to quality. This resulted in multiple repeat instances where the licensee breached hazard barriers for routine monthly maintenance from October 2010 through March 2011, without either; assessing the risk incurred to the station, declaring the protected equipment inoperable, or providing an equivalent level of protection for the equipment being protected by the barriers. This issue was entered into the licensees corrective action program as Condition Reports CR-CNS-2011-0684 and CR-CNS-2011-9217. The failure to implement adequate corrective actions to preclude recurrence of a significant condition adverse to quality was a performance deficiency. The performance deficiency was determined to be more than minor because it was associated with the design control attribute of the Mitigating Systems Cornerstone, and affected the associated cornerstone objective to ensure availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences, and is therefore a finding. Using Manual Chapter 0609, Attachment 4, Phase 1 - Initial Screening and Characterization of Findings, the finding was determined to have very low safety significance because the finding: (1) was not a design or qualification issue confirmed not to result in a loss of operability or functionality; (2) did not represent an actual loss of safety function of the system or train; (3) did not result in the loss of one or more trains of nontechnical specification equipment; and (4) did not screen as potentially risk significant due to a seismic, flooding, or severe weather initiating event. This finding had a cross-cutting aspect in the area of problem identification and resolution associated with the corrective action component, in that, the licensee failed to; 1) thoroughly evaluate problems such that the resolutions addressed causes, and 2) for significant conditions, conduct effectiveness reviews of corrective actions to ensure that the problems were resolved.

06
Site:	Cooper
Report	IR 05000298/2011004 Section 4OA3
Date counted	Sep 30, 2011 (2011Q3)
Type:	NCV: Green
cornerstone	Mitigating Systems
Identified by:	NRC identified
Inspection Procedure:	IP 71153
Inspectors (proximate)	J Josey V Gaddy M Chambers N Okonkwo
CCA	P.2, Evaluation
INPO aspect	PI.2
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Finding - Cooper - IR 05000298/2011004

1(0)2(6)3(12)4(7)5(9)6(5)7(0)8(6)9(1)10(0)201(0)202(1)301(0)403(0)501(0)

IR 05000298/2011004: 1 2 3 4 5 6 7

Finding List (Cooper) @ 2011Q3

CCA Matrix: 2011Q3

	Q	CCA	Title
05000298/FIN-2010005-06	2010Q4		Failure to Update Flood Protection for Safety Related Buildings
05000298/FIN-2010006-02	2010Q4	H.14	Failure to Monitor the Performance of the Emergency Lights Against the Maintenance Rule Criteria
05000298/FIN-2010006-01	2010Q4	P.1	Inadequate Post-Fire Safe Shutdown Procedures
05000298/FIN-2010005-03	2010Q4	P.5	Failure to Adequately Assess and Manage Risk During Maintenance Activities
05000298/FIN-2010005-02	2010Q4	H.14	Failure to Assess and Manage Risk for Electrical Switchyard Impacting Maintenance
05000298/FIN-2010005-05	2010Q4		Diesel Generator Overspeed Governor Loose Bolting Issue
05000298/FIN-2010005-01	2010Q4	H.14	Failure to Implement Fire Protection Plan Requirements Related to Hot Work Activities
05000298/FIN-2010005-04	2010Q4	P.3	Failure to Have Guidelines for the Choice of Protective Actions During an Emergency Consistent with Federal Guidance
05000298/FIN-2010007-01	2010Q4	H.7	Failure to Translate Design and Operating Requirements into Procedures
05000298/FIN-2010007-06	2010Q4	S.2	Faulty General Electric Switches
05000298/FIN-2010007-02	2010Q4	H.14	Failure to promptly Correct Conditions Adverse to Quality
05000298/FIN-2010007-03	2010Q4	H.7	Inadequate Test Control
05000298/FIN-2010007-05	2010Q4	H.14	Ice Deflector Pontoon Barge Storage in Service Water Discharge Canal
05000298/FIN-2010007-07	2010Q4		URI 05000298/2007011-07, Fuel Oil Storage Tank Required Submergence To Prevent Vortexing And Available Volume Are Marginal Without Accounting For Instrument Uncertainties
05000298/FIN-2010007-08	2010Q4		URI 05000298/2007011-08, High Pressure Coolant Pump Swap-Over from Emergency Condensate Storage Tank to Torus Vortex Calculation
05000298/FIN-2010007-04	2010Q4	P.5	Inadequate Design Control
05000298/FIN-2011009-01	2011Q1	P.2	Inadequate Post-Fire Safe Shutdown Procedures
05000298/FIN-2011002-04	2011Q1	P.3	Repeat Failure to Follow Procedure for Initiating Condition Reports
05000298/FIN-2011002-03	2011Q1	H.8	Failure to Adequately Implement Foreign Material Exclusion Controls
05000298/FIN-2011002-02	2011Q1	P.3	Failure to Assess and Manage Risk for Maintenance That Could Impact Initiating Events
05000298/FIN-2011002-01	2011Q1	H.14	Failure to Properly Evaluate All Senior Operator License Holders during Annual Operating Test
05000298/FIN-2011002-05	2011Q1	H.14	Failure to Notify the NRC within Eight Hours of a Nonemergency Event
05000298/FIN-2011008-01	2011Q2	H.8	Unclear Work Instructions
05000298/FIN-2011006-05	2011Q2	H.14	Failure to Correctly Translate Design Requirements into Installed Plant Configuration
05000298/FIN-2011006-04	2011Q2	P.2	Failure to Take Action for an Ineffective Corrective Action
05000298/FIN-2011006-01	2011Q2	P.1	Failure to Promptly Identify and Correct Conditions Adverse to Quality
05000298/FIN-2011003-05	2011Q2	H.11 H.12	Failure to Follow Radiation Work Permit Requirements
05000298/FIN-2011008-02	2011Q2	H.5	Failure to Recognize Work Order Risk
05000298/FIN-2011008-03	2011Q2	H.12	Failure to Implement Human Performance Procedure
05000298/FIN-2011008-04	2011Q2	H.14	Failure to Revise Unclear Work Instructions
05000298/FIN-2011008-05	2011Q2	H.5	Failure to Perform an Adequate High Radiation Area Briefing
05000298/FIN-2011008-06	2011Q2	H.12	Failure to Follow Radiation Protection Job Coverage Procedures
05000298/FIN-2011003-04	2011Q2		Communication of an NRC Inspectors Presence by Station Personnel
05000298/FIN-2011006-02	2011Q2	P.2	Failure to Report Conditions Prohibited by Technical Specifications and Safety System Functional Failures
05000298/FIN-2011006-03	2011Q2	P.2	Failure to Perform 10 CFR 50.59 Evaluation for Design Change
05000298/FIN-2011003-01	2011Q2	H.14	Failure to Assess Potential Adverse Effects on Internal Flooding Analysis
05000298/FIN-2011003-02	2011Q2	P.2	Failure to Follow Procedure Results in Inadequate Operability Determinations
05000298/FIN-2011003-03	2011Q2	H.4 H.5	Failure to Follow Procedure Results in Personnel Contaminations
05000298/FIN-2011003-06	2011Q2		Failure to Correctly Translate Design Requirements into Installed Plant Configuration
05000298/FIN-2011003-07	2011Q2		Failure to Adequately Assess and Manage Risk When Disabling A Hazard Barrier
05000298/FIN-2011003-08	2011Q2	H.12	Failure to Follow Procedure Results in Degraded Emergency Diesel Generator
05000298/FIN-2011003-09	2011Q2	H.6	Failure to Initiate Condition Reports for Nonconformances Identified During System Walk Downs
05000298/FIN-2011003-10	2011Q2	P.1	Failure to Promptly Correct an Adverse Condition Related to Emergency Core Cooling System Venting
05000298/FIN-2011004-02	2011Q3		Failure to Scope Reactor Building Drain Components and Steam Exclusion Doors that Affect Safety-related Systems in the Maintenance Rule Monitoring Program
05000298/FIN-2011004-01	2011Q3	H.7	Failure to Place the Essential Service Water System Strainers in (a)(1)
05000298/FIN-2011004-07	2011Q3		Inadequate Procedure Results in Inoperable Essential Pump
05000298/FIN-2011004-06	2011Q3	P.2	Failure to Identify, Correct, and Prevent Recurrence of a Significant Condition Adverse to Quality
05000298/FIN-2011004-05	2011Q3	H.12	Failure to Follow Procedure Results in Personnel Contamination
05000298/FIN-2011004-04	2011Q3	P.3	Failure to Assess and Manage Risk for Maintenance Near an Operating Reactor Feed Pump That Could Impact Initiating Events
05000298/FIN-2011004-03	2011Q3	H.8	Failure to Assess and Manage Risk for Maintenance Near Electrical Towers That Could Impact Initiating Events

Self-Identified List (Cooper)

	Q	Title
05000298/FIN-2010403-01	2010Q4	Security
05000298/FIN-2011002-06	2011Q1	Licensee-Identified Violation
05000298/FIN-2011003-11	2011Q2	Licensee-Identified Violation
05000298/FIN-2011003-12	2011Q2	Licensee-Identified Violation

[Cooper Findings full list]

05000298/FIN-2011004-06

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