05000331/FIN-2016002-01
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Finding | |
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Title | Failure to Accomplish a Surveillance Test Procedure in Accordance with Instructions Resulting in Safety System Inoperability |
Description | A self-revealing finding of very low safety significance (Green) and associated NCV of Title 10 of the Code of Federal Regulations (CFR) Part 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, was identified for the licensees failure to accomplish surveillance test procedure (STP) 3.3.6.1-28, [Reactor Core Isolation Cooling] RCIC Steam Line Flow HI Channel Functional Test. Specifically, on April 28, 2016, licensee personnel placed a relay block on the incorrect relay finger which when the relay was actuated, in accordance with the procedure, caused the steam supply to the RCIC system to isolate which resulted in an unplanned RCIC inoperability. Corrective actions included ceasing the performance of the STP, restoring the RCIC system to an operable status and performing an apparent cause evaluation. The apparent cause evaluation corrective actions included updated and expanded training on the proper implementation of place keeping and error reduction techniques. Blocking the wrong relay contacts was a performance deficiency. The finding was more than minor because it affected the mitigating systems cornerstone objective to ensure availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Although the finding constituted a loss of safety function, the finding was determined to be of very low safety significance (Green) because the three hours of system unavailability was less than the Technical Specification allowed outage time. Corrective actions included ceasing the performance of the STP, restoring the RCIC system to an operable status and performing an apparent cause evaluation. The apparent cause evaluation corrective actions included updated and expanded training on the proper implementation of place keeping and error reduction techniques. The finding was associated with the cross-cutting aspect of avoid complacency in the area of human performance because individuals failed to implement appropriate error reduction tools. [H.12] |
Site: | Duane Arnold |
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Report | IR 05000331/2016002 Section 1R22 |
Date counted | Jun 30, 2016 (2016Q2) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71111.22 |
Inspectors (proximate) | C Norton C Phillips J Steffes J Wojewoda K Carrington K Stoedter |
Violation of: | 10 CFR 50 Appendix B 10 CFR 50 Appendix B Criterion V |
CCA | H.12, Avoid Complacency |
INPO aspect | QA.4 |
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Finding - Duane Arnold - IR 05000331/2016002 | |||||||||||||||||||||||||||||||||||||||
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Finding List (Duane Arnold) @ 2016Q2
Self-Identified List (Duane Arnold)
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