05000324/FIN-2016003-03
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Finding | |
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Title | Inadequate Procedure for the 2B RHRSW Subsystem Operability Test |
Description | A self-revealing Green NCV of 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, was identified for the failure of the licensee to have an adequate procedure for the 2B RHRSW pump operability test. Specifically, from July 12, 2001, to August 2, 2016, licensee procedure 0PT-08.1.4A(B), RHR Service Water System Operability Test, did not contain sufficient information to maintain plant status control for the Unit 2 RHRSW subsystem B pressure switch instrument isolation valves, 2-SW-PS-1176B-3 and 2-SW-PS-1176D-3. This resulted in the valves being found mispositioned (closed) and the inoperability of the 2B RHRSW subsystem from June 4 - 15, 2016. This finding resulted in a violation of TS 3.7.1, RHRSW System, since the 2B RHRSW subsystem was inoperable for greater than the TS allowed outage time (AOT). As immediate corrective actions, the licensee opened the 2-SW-PS-1176B(D)-3 valves and ensured the subsystem A pressure switch instrument isolation valves were open. Additionally, the licensee revised procedure 0PT-08.1.4A(B) to maintain plant status control by throttling the drain valves versus the pressure switch instrument isolation valves, and included an independent verification step to ensure the valves are returned to the correct position. The licensee entered this issue into the CAP as NCR 2037920. The inspectors determined the licensees failure to have an adequate procedure for the 2B RHRSW subsystem operability test to ensure configuration control was a performance deficiency. The finding was more than minor because it was associated with the procedural quality attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the inadequate procedure resulted in the inoperability of the 2B RHRSW subsystem. Using IMC 0609, Appendix A, issued June 19, 2012, the SDP for Findings At-Power, Exhibit 2, Mitigating Systems Screening Questions, the inspectors determined the finding screened to a more detailed risk evaluation, since the finding represented an actual loss of safety function of a single train for greater than its TS AOT. A regional Senior Risk Analyst (SRA) performed a detailed risk evaluation for the finding by setting the exposure period for 11 days, and assuming recovery actions that could be taken to mitigate the event. In addition, another later recovery was possible for the dominant sequences because service water, in sufficient quantity, could be pushed through the inoperable pumps to provide adequate cooling in non-loss-of-coolant accident (LOCA) sequences. The dominant contributor involved loss of the heat sink through common cause failure. The risk analysis resulted in a finding that is characterized as very low safety significance (Green). The finding had a cross-cutting aspect in the area of human performance associated with the challenge the unknown attribute because the licensee did not stop when faced with uncertain conditions, and risks were not evaluated and managed before proceeding. Specifically, the licensee continued through the April 2016 2B RHRSW system operability test, even when the procedure was not clear on which valve to manipulate to adjust for flow fluctuations. |
Site: | Brunswick ![]() |
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Report | IR 05000324/2016003 Section 1R22 |
Date counted | Sep 30, 2016 (2016Q3) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71111.22 |
Inspectors (proximate) | J Dodson M Catts M Schwieg S Rose |
Violation of: | 10 CFR 50 Appendix B Criterion V |
CCA | H.11, Challenge the Unknown |
INPO aspect | QA.2 |
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Finding - Brunswick - IR 05000324/2016003 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Brunswick) @ 2016Q3
Self-Identified List (Brunswick)
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