05000298/FIN-2012002-08

Finding

Title

Failure to Follow Station Procedure Results in Inadequate Work Instructions

Description

The inspectors documented a self-revealing finding associated with the licensees failure to ensure the requirements of Station Procedure 0-CNS-52, Control of Switchyard and Transformer Yard Activities at CNS, Revision 22, were implemented. Specifically, on February 2, 2012, the work order issued for use by transmission and distribution personnel for modification work in the stations 161 kV switchyard failed to thoroughly evaluate the work scope and provide sufficient detail for the workers to prevent affecting operating equipment. This inadequate work order resulted in tripping the startup station service transformer which resulted in an unplanned down power. This issue was entered into the licensees corrective action program as Condition Report CR-CNS-2012-00777. The failure to follow the requirements of Station Procedure 0-CNS-52 and generate a work order with sufficient level of detail above skill of the craft which referred to appropriate references to provide necessary guidance for the work task was a performance deficiency. The performance deficiency was determined to be more than minor because it affected the procedure quality attribute of the Initiating Events Cornerstone, and it directly affected the cornerstone objective to limit the likelihood of those events that upset plant stability during power operations, 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 (Green) because the finding did not contribute to both the likelihood of a reactor trip and the likelihood that mitigation equipment or functions would not be available. This finding had a cross-cutting aspect in the area of human performance associated with the work practices component, because the licensee failed to ensure that supervisory and management oversight of contractor work in the station 161 kV transformer yard was sufficient to ensure that nuclear safety was supported

08
Site:	Cooper
Report	IR 05000298/2012002 Section 4OA3
Date counted	Mar 31, 2012 (2012Q1)
Type:	Finding: Green
cornerstone	Initiating Events
Identified by:	Self-revealing
Inspection Procedure:	IP 71153
Inspectors (proximate)	C Henderson J Josey J Laughlin S Garchow V Gaddy
CCA	H.2, Field Presence
INPO aspect	LA.2
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v • d • e

Finding - Cooper - IR 05000298/2012002

1(0)2(9)3(16)4(13)5(12)6(0)7(6)8(0)301(1)403(0)404(4)501(0)503(0)801(0)31(0)

IR 05000298/2012002: 1 2 3 4 5 6 7 8 1

Finding List (Cooper) @ 2012Q1

CCA Matrix: 2012Q1

	Q	CCA	Title
05000298/FIN-2011004-01	2011Q3	H.7	Failure to Place the Essential Service Water System Strainers in (a)(1)
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-2011004-03	2011Q3	H.8	Failure to Assess and Manage Risk for Maintenance Near Electrical Towers That Could Impact Initiating Events
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-2011004-05	2011Q3	H.12	Failure to Follow Procedure Results in Personnel Contamination
05000298/FIN-2011004-06	2011Q3	P.2	Failure to Identify, Correct, and Prevent Recurrence of a Significant Condition Adverse to Quality
05000298/FIN-2011004-07	2011Q3		Inadequate Procedure Results in Inoperable Essential Pump
05000298/FIN-2011005-07	2011Q4	H.14	Failure to Perform Required 10 CFR 50.59 Evaluations for Changes
05000298/FIN-2011202-02	2011Q4		Security
05000298/FIN-2011005-06	2011Q4	P.2	Failure to Correctly Translate Design Requirements into Installed Plant Configuration
05000298/FIN-2011005-05	2011Q4	P.1	Failure to Identify Deficient Performance During a Single-Facility Drill
05000298/FIN-2011005-03	2011Q4	H.12	Failure to Follow Procedures for Dose Rate Alarms Received by Two Individuals
05000298/FIN-2011005-02	2011Q4	H.2	Failure to Maintain Control and Continuous Coverage of a Posted Locked High Radiation Area
05000298/FIN-2011005-01	2011Q4	H.2	Failure to Conspicuously Post a High Radiation Area
05000298/FIN-2011005-04	2011Q4		Failure to Provide Complete and Accurate Solid Radwaste Shipment Information in Annual Reports
05000298/FIN-2012002-01	2012Q1	P.2	Failure to Maintain Design Control for Internal Flooding
05000298/FIN-2012002-02	2012Q1	P.2	Failure to Scope Required Components in the Stations Maintenance Rule Monitoring Program
05000298/FIN-2012002-03	2012Q1	H.12	Failure to Appropriately Manage Risk for Maintenance in the Stations Switchyard
05000298/FIN-2012002-04	2012Q1		Failure to Maintain Design Control of Standby Liquid Control System
05000298/FIN-2012002-05	2012Q1	H.7	Unevaluated Pre-conditioning for Core Spray Motor-operated Valves prior to Conducting As Found In-service Surveillance Testing
05000298/FIN-2012002-06	2012Q1	H.14	Failure to Follow Radiation Work Permit Requirements
05000298/FIN-2012002-07	2012Q1		Failure to Furnish Evidence of an Activity Affecting Quality
05000298/FIN-2012002-08	2012Q1	H.2	Failure to Follow Station Procedure Results in Inadequate Work Instructions

Self-Identified List (Cooper)

	Q	Title
05000298/FIN-2011005-08	2011Q4	Licensee-Identified Violation
05000298/FIN-2011005-09	2011Q4	Licensee-Identified Violation

[Cooper Findings full list]

05000298/FIN-2012002-08

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