05000334/FIN-2010002-01

Finding

Title

Human Performance Error Results in Disabling a Control Room Annunciator

Description

A self-revealing finding was identified for FENOCs failure to properly implement a station procedure. Specifically, work order instructions were not properly followed, as specified in NOP-WM-4006, Conduct of Maintenance, causing leads to be inadvertently lifted for an alarm to the main control room control board. This annunciator is used by operators in the Loss of Main Feedwater Abnormal Operating Procedure. The leads were reconnected and this issue was entered into the licensees corrective action program as CR 10-72654. The finding is more than minor because it is similar to example 2.f in IMC 0612, Appendix E. 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 IMC 0609.04 (Table 4a), Phase 1 - Initial Screening and Characterization of Findings, the finding was determined to be of very low safety significance. The cause of this finding relates to the cross-cutting aspect of Human Performance, Work Practices, in that FENOC personnel did not follow procedures, resulting in a control room annunciators leads being inadvertently lifted. [HA.(b)

01
Site:	Beaver Valley
Report	IR 05000334/2010002 Section 4OA2
Date counted	Mar 31, 2010 (2010Q1)
Type:	Finding: Green
cornerstone	Mitigating Systems
Identified by:	Self-revealing
Inspection Procedure:	IP 71152
Inspectors (proximate)	T Moslak D Werkheiser D Spindler R Bellamy E Bonney
CCA	H.8, Procedure Adherence
INPO aspect	WP.4
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v • d • e

Finding - Beaver Valley - IR 05000334/2010002

1(0)2(1)3(0)4(1)5(6)6(0)201(1)402(0)403(1)502(1)301(0)22(0)

IR 05000334/2010002: 1

Finding List (Beaver Valley) @ 2010Q1

CCA Matrix: 2010Q1

	Q	CCA	Title
05000334/FIN-2009008-01	2009Q3	P.3	Containment Isolation Valve System 10 CFR 50.65 (a)(2) Performance Demonstration Not Met.
05000334/FIN-2009007-01	2009Q3		Failure to Evaluate the Impact of Spurious Volume Control Tank Outlet Valves Closure During Alternative Shutdown
05000334/FIN-2009007-02	2009Q3		Failure to Evaluate the Affects of a Spurious Safety Injection Signal During Alternative Shutdown
05000334/FIN-2009007-03	2009Q3		Failure to Ensure RCPs were Tripped and Remain Tripped Prior to Securing Reactor Coolant Pump Seal Cooling
05000334/FIN-2009005-01	2009Q4	H.8	Failure to Properly Verify Valve Line-up Results in an Overpressurization of the Isolated CIS\" Reactor Coolant Loop.
05000334/FIN-2009005-02	2009Q4	H.9 H.2(b)	Inadequate RHS Shutdown Procedure Results in Unusual Event Declaration.
05000334/FIN-2010002-01	2010Q1	H.8	Human Performance Error Results in Disabling a Control Room Annunciator
05000334/FIN-2010201-01	2010Q1	H.12	Security

Self-Identified List (Beaver Valley)

[Beaver Valley Findings full list]

05000334/FIN-2010002-01

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