05000361/FIN-2008004-01
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Finding | |
|---|---|
| Title | Failure to Follow Procedure to Move Nuclear Fuel in the Spent Fuel Pool |
| Description | Two examples of a self-revealing noncited violation of 10 CFR 50, Appendix B, Criterion V, were identified for the failure of engineering personnel to follow procedures for the movement of nuclear fuel in the spent fuel pool. Specifically, on July 3, 2008, and again on August 26, 2008, spent fuel assemblies were placed into storage locations that were different than the evaluated and approved locations specified on Procedure SO23-X-7.2, Attachment 4. This finding was entered into the licensees corrective action program as Nuclear Notification 200116680. The finding is greater than minor because it would become a more significant safety concern if left uncorrected in that nuclear fuel could be inadvertently placed in an unanalyzed location. Manual Chapter 0609, Appendix M, Significance Determination Process Using Qualitative Criteria, was used since the Significance Determination Process methods and tools were not adequate to determine the significance of the finding. This finding affects the initiating events cornerstone and is determined to have very low safety significance by NRC management review because the incorrect fuel storage locations were determined to be acceptable storage locations for the fuel assemblies in question. This finding has a crosscutting aspect in the area of human performance associated with work practices because engineering personnel failed to use human error prevention techniques commensurate with the risk of the assigned task, such that work activities were performed safely [H.4.(a)] (Section 4OA3.2) |
| Site: | San Onofre  |
|---|---|
| Report | IR 05000361/2008004 Section 4OA3 |
| Date counted | Sep 30, 2008 (2008Q3) |
| Type: | NCV: Green |
| cornerstone | Initiating Events |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71153 |
| Inspectors (proximate) | G Warnick M Hay A Fairbanks J Bashore M Catts M Baquera T Buchanan R Treadway J Reynoso |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - San Onofre - IR 05000361/2008004 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (San Onofre) @ 2008Q3
Self-Identified List (San Onofre)
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