05000346/FIN-2014004-01
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Finding | |
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Title | Failure to Properly Perform Required Fire Watch |
Description | An NRC-identified finding of very low safety significance (Green) and associated NCV of Technical Specification (TS) 5.4.1(d) were identified when the licensee failed to properly implement station procedures for fire protection impairments and fire watches. Specifically, a required compensatory fire watch on numerous occasions did not enter a room for which fire impairments had existed because of a door problem. Upon identification the licensee entered the issue in the corrective action program and implemented corrective actions including modification of fire protection software to track administrative impairments and placing a camera in the room until the door was repaired. This finding was determined to be of more than minor safety significance because it was associated with the Initiating Events cornerstone attribute of Protection Against External Factors (Fire) and adversely affected the cornerstone objective of limiting the likelihood of those events that upset plant stability and challenge critical safety functions during plant operations. Specifically, required fire watches established as compensatory measures should have been maintained for the duration of the impairments so that the sites ability to promptly detect and suppress a fire would be maintained. The inspectors evaluated the finding using IMC 0609, Attachment 4, Phase 1Initial Screening and Characterization of Findings. Because the finding involved fire protection, the inspectors transitioned to IMC 0609, Appendix F, Fire Protection Significant Determination Process. The finding was characterized according to IMC 0609, SDP, Appendix F, Attachment 1, "Fire Protection SDP Phase 1 Worksheet," dated September 20, 2013. This issue screened as low safety significance per Attachment 1, Question 1.3.1.A, because it did not affect the ability of the reactor to reach and maintain safe shutdown. This finding had a cross-cutting aspect in the area of human performance associated with conservative bias such that individuals use decision making practices that emphasize prudent choices over those that are simply allowable. In particular, the shift manager made an inaccurate assessment of existing fire impairments by only checking the fire protection software and not the fire watch log, which was readily available. The shift manager also made the decision to not document the approval for modifying how the compensatory fire watch was being performed such that on-coming personnel would be aware of the change. |
Site: | Davis Besse |
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Report | IR 05000346/2014004 Section 1R05 |
Date counted | Sep 30, 2014 (2014Q3) |
Type: | NCV: Green |
cornerstone | Initiating Events |
Identified by: | NRC identified |
Inspection Procedure: | IP 71111.05 |
Inspectors (proximate) | D Kimble J Cameron M Mitchell P Smagacz T Briley |
Violation of: | Technical Specification - Procedures Technical Specification |
CCA | H.14, Conservative Bias |
INPO aspect | DM.2 |
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Finding - Davis Besse - IR 05000346/2014004 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Davis Besse) @ 2014Q3
Self-Identified List (Davis Besse)
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