05000346/FIN-2016003-01
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Finding | |
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Title | Inadequate Instructions to Correctly Assemble Electrical Conductor Seal Assemblies |
Description | A self-revealed finding of very low safety significance and an associated NCV of 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, were identified for the licensees failure to provide adequate instructions to correctly assemble electrical conductor seal assemblies (ECSAs) used to provide an environmental barrier for resistance temperature detectors (RTDs). Specifically, the midlock ferrules inside two ECSAs were installed backwards during the 18th refueling outage (RFO) in 2014 which rendered multiple post accident monitoring system (PAMS) indications required by Technical Specification (TS) 3.3.17 inoperable. This issue was entered into the licensees corrective action program (CAP). Corrective actions by the licensee included, but were not limited to, replacement of the two dual element RTDs impacted and their associated ECSAs during the 2016 RFO, performance of an extent of condition review, development of enhanced procedural guidance, and implementation of additional training on ECSA components. This finding was of more than minor significance because it was associated with the cornerstone attribute of equipment performance, and adversely affected the cornerstone objective: "To ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage)." The inspectors determined the finding to be of very low safety significance because it did not represent a deficiency affecting design or qualification of a mitigating system, structure, and component (SSC); it did not represent a loss of system and/or function; it did not represent an actual loss of function for at least a single train for more than its TS allowed outage time; and it did not represent an actual loss of function of one or more non-TS trains of equipment designated as high safety-significant in accordance with the licensees maintenance rule program. The inspectors determined that the finding had a cross-cutting aspect in the area of human performance. Specifically, the cross-cutting aspect of Training was assigned to the finding because a job task analysis was performed prior to the 2014 RFO and determined that the procedural guidance to correctly assemble the ECSAs was adequate; thus no training or procedural changes were required. But the as-found condition of the RTDs during the 2016 RFO identified that a knowledge gap and procedure deficiency existed. (H.9) |
Site: | Davis Besse |
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Report | IR 05000346/2016003 Section 1R15 |
Date counted | Sep 30, 2016 (2016Q3) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71111.15 |
Inspectors (proximate) | D Kimble J Cameron J Cassidy J Rutkowski M Garza N Valos T Briley |
Violation of: | 10 CFR 50 Appendix B 10 CFR 50 Appendix B Criterion V Technical Specification |
CCA | H.9, Training |
INPO aspect | CL.4 |
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Finding - Davis Besse - IR 05000346/2016003 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Davis Besse) @ 2016Q3
Self-Identified List (Davis Besse)
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