05000341/FIN-2016004-05

Finding

Title

Failure to Lock an Area Meeting Locked High Radiation Area Conditions

Description

A finding of very low safety significance with an associated NCV of TS 5.7.2, High Radiation Area, was self-revealed when a locked high radiation area (LHRA) was found to be unlocked. The licensee immediately locked the LHRA and performed follow-up surveys. Subsequent actions included providing additional training for radiation protection technicians. This issue was entered into the licensees CAP as CARD 16-28186. The inspectors determined the performance deficiency was more than minor because it impacted the program and process attribute of the Occupational Radiation Safety cornerstone and adversely affected the cornerstone objective to ensure adequate protection of worker health and safety from exposure to radiation from radioactive material during routine civilian nuclear reactor operation. Specifically, not locking LHRAs could lead to inadvertent worker entry into high dose rate areas without knowledge of the radiological conditions. The finding was determined to be of very low safety significance because it did not involve as-low-as-reasonably-achievable planning for work controls, there was no overexposure nor substantial potential for an overexposure, and the licensees ability to assess dose was not compromised. The inspectors determined the finding affected the cross-cutting area of human performance and the cross-cutting aspect of avoid complacency because individuals did not plan for the possibility of mistakes and implement appropriate error reduction tools. Specifically, the radiation protection technician did not ensure a lock verification was performed on the padlock as required by station procedures [IMC 0310, H.12].

05
Site:	Fermi
Report	IR 05000341/2016004 Section 2RS1
Date counted	Dec 31, 2016 (2016Q4)
Type:	NCV: Green
cornerstone	Or Safety
Identified by:	Self-revealing
Inspection Procedure:	IP 71124.01
Inspectors (proximate)	B Kemker G Hansen I Hafeez K Pusateri K Riemer M Beilby T Briley V Myers
Violation of:	Technical Specification
CCA	H.12, Avoid Complacency
INPO aspect	QA.4
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v • d • e

Finding - Fermi - IR 05000341/2016004

8(0)1(12)2(7)3(3)4(6)5(0)6(0)7(16)201(1)403(0)404(0)405(0)406(1)502(0)

IR 05000341/2016004: 1 2 3 4 5 6

Finding List (Fermi) @ 2016Q4

CCA Matrix: 2016Q4

	Q	CCA	Title
05000341/FIN-2016001-10	2016Q1		Failure to Satisfy 10 CFR 50.72 and 10 CFR 50.73 Reporting Requirements for Primary Containment Isolation Valve Actuations
05000341/FIN-2016001-05	2016Q1		Failure to Satisfy 10 CFR 50.73 Reporting Requirements for a Condition Prohibited by the Plants Technical Specifications
05000341/FIN-2016001-03	2016Q1		Failure to Satisfy 10 CFR 50.72 and 10 CFR 50.73 Reporting Requirements for Loss of RPS Trip Safety Functions
05000341/FIN-2016001-04	2016Q1	P.4	Failure to Incorporate Operating Experience into Preventive Maintenance Activities Associated with the TBCCW System
05000341/FIN-2016001-09	2016Q1	H.1	Inadvertent Reactor Water Low Level Reactor Protection System Actuation Due to Operator Error
05000341/FIN-2016001-08	2016Q1		Failure to Follow Apparent Cause Evaluation Procedure
05000341/FIN-2016001-07	2016Q1		Inadequate Test Criteria in SGTS Flow/Heater Operability Surveillance Test
05000341/FIN-2016001-06	2016Q1		Failure to Translate Design Requirements of the RHRHVAC System into Procedures
05000341/FIN-2016001-02	2016Q1	H.14	Failure to Correctly Interpret and Implement TS Requirements for RPS Trip Functions
05000341/FIN-2016001-01	2016Q1		Failure of the Plant-Referenced Simulator to Demonstrate Expected Plant Response for Safety Relief Valves
05000341/FIN-2016002-02	2016Q2		Inadequate Test Procedure Used for Measuring and Determining Average Silt Levels in the Service Water Reservoir
05000341/FIN-2016406-01	2016Q2	H.13	Security
05000341/FIN-2016002-01	2016Q2	H.12	Failure to Control Combustible Materials
05000341/FIN-2016002-03	2016Q2	H.9	Loss of Power Instrumentation TS 3.3.8.1 Applicability Following Bus 64C Potential Transformer Fuse Failures
05000341/FIN-2016201-01	2016Q2		Security
05000341/FIN-2016002-04	2016Q2	P.2	Failure to Control the Work Hours of Covered Workers
05000341/FIN-2016002-05	2016Q2		Failure to Use Correct Material in a Feedwater Heater Level Control Valve Resulted in a Loss of Feedwater Heater Drains and a Reactor Recirculation System Runback
05000341/FIN-2016002-06	2016Q2		Failure to Implement Adequate Preventive Maintenance on Spare Terminals in Safety-Related Motor Control Centers
05000341/FIN-2016007-03	2016Q3	H.4	Failure to Verify the Ability to Manually Throttle Safety-Related MOVs during a DBA
05000341/FIN-2016007-02	2016Q3	P.6	Failure to Verify the Adequacy of the Voltage Supplied to Transformer #64 Load Tap Changer
05000341/FIN-2016007-07	2016Q3	P.6	Failure to Ensure that Protective Devices for the Loads Required at the Beginning of a LOCA Would Not Trip Under Degraded Voltage Conditions
05000341/FIN-2016007-13	2016Q3	P.2	Failure to Identify a CAQ Associated with Over-Dutied 480V Safety-Related Switchgear Breakers
05000341/FIN-2016003-01	2016Q3	P.2	Failure to Perform an Operability Determination for Division 1 RPV Reference Leg Backfill System Not Providing Adequate Flow
05000341/FIN-2016003-02	2016Q3		Fluctuating Background Effect on Accident Range Noble Gas Monitor
05000341/FIN-2016007-11	2016Q3	H.6	Failure to Apply Design Control Measures to a Design Change Associated with NIAS Accumulator Capability
05000341/FIN-2016007-01	2016Q3		Inadequate Procedure for Addressing Non-Functional MDCT Fan Motor Brake System
05000341/FIN-2016007-04	2016Q3		Failure to Periodically Test the EDG Capability to Start and Accelerate All of the Sequenced Loads Within the Applicable Limits
05000341/FIN-2016007-05	2016Q3		Failure to Leak Test All Division 2 NIAS Boundary Isolation Valves
05000341/FIN-2016007-06	2016Q3		Failure to Ensure that the MSIVs Would Close Within the TS Required Timeframe and as Described in the UFSAR
05000341/FIN-2016007-08	2016Q3		Inadequate Containment Debris Inspections Acceptance Criteria
05000341/FIN-2016007-09	2016Q3		Failure to Evaluate the Acceptability of Drywell Coatings with Respect to Potential ECCS Suction Strainer Blockage
05000341/FIN-2016007-10	2016Q3		Non Conservative ECCS Suction Strainer Min-K Combined Generation and Transport Factors
05000341/FIN-2016007-12	2016Q3	H.4	Failure to Identify an Out-of-Specification Pressure Reading on the Nitrogen Supply to the A MDCT Fan Motor Brake System
05000341/FIN-2016007-14	2016Q3		Failure to Identify that an Inadequate Minimum MSIV Accumulator Air Pressure Setpoint Was CAQ
05000341/FIN-2016007-15	2016Q3	H.14	Failure to Identify that a Non-Conservative Min-K Insulation Volume Calculation Error Was Nonconforming to the ECCS Suction Strainer Licensing Basis
05000341/FIN-2016007-16	2016Q3	H.13	Failure to Timely Identify, Document, and Evaluate Conditions that Challenge Operability
05000341/FIN-2016003-03	2016Q3	H.8	Failure to Follow Procedures During Concrete Placement of Flexible Storage Facility Buildings
05000341/FIN-2016004-05	2016Q4	H.12	Failure to Lock an Area Meeting Locked High Radiation Area Conditions
05000341/FIN-2016004-01	2016Q4		Inadequate Work Instructions for Maintenance on Flexible Couplings for EDGs
05000341/FIN-2016004-02	2016Q4	H.9	Failure to Correctly Interpret and Implement TS Requirements for LOP Instrumentation and AC Electrical Power Functions
05000341/FIN-2016004-03	2016Q4		Failure to Satisfy 10 CFR 50.73 Reporting Requirements for Loss of LOP Instrumentation and AC Electrical Power Safety Functions
05000341/FIN-2016004-04	2016Q4		Inadequate Testing of SGTS Filters

Self-Identified List (Fermi)

	Q	Title
05000341/FIN-2016001-11	2016Q1	Licensee-Identified Violation
05000341/FIN-2016001-12	2016Q1	Licensee-Identified Violation
05000341/FIN-2016002-07	2016Q2	Licensee-Identified Violation
05000341/FIN-2016004-06	2016Q4	Licensee-Identified Violation

[Fermi Findings full list]

05000341/FIN-2016004-05

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