05000315/FIN-2017001-03
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Finding | |
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Title | Failure to Control Nonconforming Delivery Valve Holders on Emergency Diesel Generators |
Description | Green . A self -revealed finding of very low safety significance with an associated NCV of Title 10 of the Code of Federal Regulations (CFR) Part 50, Appendix B, Criterion XV, Nonconforming Materials, Parts, or Components, occurred when the delivery valve holder (DVH) on a fuel injection pump failed during a run of the 1AB emergency diesel generator ( EDG ). Each cylinder on an EDG has a fuel injection pump. The DVH is the part of the fuel injection pump where the high pressure fuel line meets the pump discharge. A thru- wall crack developed from a machined portion inside the DVH that had too sharp of a corner. This same phenomenon occurred onsite and caused a leak in 2013 as well. In 2013, the licensee identified the tight radius as an issue and also identified a particular manufacturing lot of DVHs that might have the tight radius. Contrary to their commercial grade dedication (CGD) procedures, the licensee did not 3 update their CGD plan for these parts to include the radius as a critical characteristic. Further, the licensee relied on informal communications from the commercial grade supplier of the parts to conclude only a certain subset of the suspected lot of DVHs were susceptible to cracking. Finally, several management -approved actions to remove all affected DVHs of the lot were not performed, as there was the belief by some that only certain DVHs were affected. As a result, the licensee installed many DVHs from the suspect lot they thought were acceptable. However, in December 2016, one of the DVHs thought to be acceptable developed a leak during an EDG run. The radius was discovered to be out of tolerance, as were numerous other radii in DVHs across all of the EDGs which were from the suspect manufacturing lot. The licensee declared three of the four onsite EDGs inoperable, replaced DVHs, and commenced a root cause evaluation to address the issue. The issue was more- than -minor because it adversely affected the Design Control attribute of the Mitigating Systems cornerstone. Specifically, allowing nonconforming parts to be installed on safety -related equipment without proper controls or evaluation adversely affects the cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. The finding screened as Green because performance testing of representative DVHs and engine analysis demonstrated that the EDGs in the as -found condition would have been able to perform their safety functions for the required lengths of time. The inspectors determined the issue had a cross -cutting aspect in the Problem Identification and Resolution area, specifically, P.2, Evaluation. Despite identifying a defect on a safety related part due to a failure in 2013, the licensee failed to properly evaluate the condition and ensure all susceptible parts were accounted for. Specifically, the failure to follow station processes for corrective action and CGD resulted in a defective part causing a leak on an EDG |
Site: | Cook |
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Report | IR 05000315/2017001 Section 4OA2 |
Date counted | Mar 31, 2017 (2017Q1) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71152 |
Inspectors (proximate) | G Edwards J Ellegood K Riemer M Holmberg T Go T Taylor |
Violation of: | 10 CFR 50 Appendix B Criterion XV |
CCA | P.2, Evaluation |
INPO aspect | PI.2 |
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Finding - Cook - IR 05000315/2017001 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Cook) @ 2017Q1
Self-Identified List (Cook)
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