05000334/FIN-2008003-03

Finding

Title

Failure to Properly Implement Operating Procedure During Plant Startup

Description

A Green self-revealing NCV of TS 5.4.1.(a) was identified in that the licensee failed to take appropriate action to trip the main turbine as specified in 2OM-52.4.A, Raising Power from 5% to Full Load Operation, Rev. 13 during an unexpected main turbine load increase that resulted in average reactor coolant temperature below the operational limit of 541F. The licensee has developed and implemented an operations department rapid improvement plan. This finding was more than minor because it can be reasonably viewed as a precursor to a significant event. Traditional enforcement does not apply because the issue did not have an actual safety consequence or the potential for impacting NRCs regulatory function, and was not the result of any willful violation of NRC requirements. In accordance with Inspection Manual Chapter (IMC) 0609, Attachment 609.04, Phase 1 - Initial Screening and Characterization of Findings, the finding was determined to be of very low risk significance. The cause of this finding is related to the cross-cutting area of human performance, in that FENOC failed to properly communicate critical parameters and limitations for personnel to perform work safely in a timely manner [H.1.(c)]

03
Site:	Beaver Valley
Report	IR 05000334/2008003 Section 4OA3
Date counted	Jun 30, 2008 (2008Q2)
Type:	NCV: Green
cornerstone	Initiating Events
Identified by:	Self-revealing
Inspection Procedure:	IP 71153
Inspectors (proximate)	T Moslak D Werkheiser P Kaufman A Ziedonis D Kern D Spindler R Bellamy
CCA	H.10, Bases for Decisions
INPO aspect	CO.2
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v • d • e

Finding - Beaver Valley - IR 05000334/2008003

1(0)2(1)3(5)4(2)5(0)6(0)7(0)8(1)9(0)402(0)502(1)301(0)5(0)1(0)

IR 05000334/2008003: 1 2 3 4 5

Finding List (Beaver Valley) @ 2008Q2

CCA Matrix: 2008Q2

	Q	CCA	Title
05000334/FIN-2007005-06	2007Q4		Inadequate 10 CFR 50.59 Review Results in Condition Beyond Design Basis During Test
05000334/FIN-2007005-02	2007Q4		Weld Overlays on Pressurizer Safety Nozzles Not Initially Qualified for P-1 Materials
05000334/FIN-2008002-01	2008Q1	H.11 H.12	Incorrect Jumper Placement During Testing Renders Quench Spray Chemical Addition Inoperable
05000334/FIN-2008003-01	2008Q2	H.7	Inadequate Maintenance Procedure Results in Unexpected Terry Turbine Speed Increase
05000334/FIN-2008003-02	2008Q2	H.4 H.5	Deficient Control of Clearance Posting Interrupts Reactor Coolant Charging Path While Vessel Water Level Drained Below the Flange
05000334/FIN-2008003-03	2008Q2	H.10	Failure to Properly Implement Operating Procedure During Plant Startup
05000334/FIN-2008003-04	2008Q2	H.13	Failure to Properly Implement Abnormal Operating Procedure During Plant Startup

Self-Identified List (Beaver Valley)

	Q	Title
05000334/FIN-2008003-05	2008Q2	Licensee-Identified Violation

[Beaver Valley Findings full list]

05000334/FIN-2008003-03

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