05000361/FIN-2009005-05

Finding

Title

Failure to Follow the Operability Determination Process

Description

The inspectors identified three examples of a noncited violation of 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and Drawings, for the failure of operations and engineering personnel to follow procedures and adequately evaluate degraded conditions to support operability decision making. Specifically, on October 29, 2009, engineering personnel failed to adequately evaluate the operability of the Unit 3 containment emergency sump when an unanalyzed styrofoam material was identified, which had not been previously analyzed for impact to the containment emergency sump. Additionally, on November 17 and December 18, 2009, operations and engineering personnel failed to adequately evaluate the operability of emergency diesel generator train B when a lube oil leak was identified on a flexible hose for the dc auxiliary turbo pump. And finally, on December 19, 2009, operations and engineering personnel inappropriately applied Code Case N-513-2 to justify the operability of the emergency core cooling system train A, in that, the flaw geometry was only assumed and not characterized by volumetric inspection methods or by physical measurements. This finding was entered into the licensees corrective action program as Nuclear Notifications NNs 200673198, 200699833, and 200718673. The finding is greater than minor because the failure to perform timely and adequate evaluations of degraded, nonconforming, and unanalyzed conditions for operability, if left uncorrected, would have the potential to lead to a more significant safety concern. The finding is associated with the equipment performance attribute of the Mitigating Systems Cornerstone and affects the associated cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Using the Manual Chapter 0609, Significance Determination Process, Phase 1 Worksheets, the finding is determined to have very low safety significance because the finding did not result in a loss of safety function for greater than the technical specification allowed outage time, and did not screen as potentially risk significant due to a seismic, flooding, or severe weather initiating event. This finding has a crosscutting aspect in the area of problem identification and resolution associated with corrective action program because operations and engineering personnel failed to thoroughly evaluate problems such that the resolutions addressed the cause and extent of condition. This includes properly classifying, prioritizing, and evaluating for operability conditions adverse to quality P.1(c) (Section 1R15)

05
Site:	San Onofre
Report	IR 05000361/2009005 Section 1R15
Date counted	Dec 31, 2009 (2009Q4)
Type:	NCV: Green
cornerstone	Mitigating Systems
Identified by:	NRC identified
Inspection Procedure:	IP 71111.15
Inspectors (proximate)	L Ricketson G Guerra R Lantz P Elkmann J Adams J Reynoso G Warnick C Osterholtz A Fairbanks M Bloodgood R Schmitt
CCA	P.2, Evaluation
INPO aspect	PI.2
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v • d • e

Finding - San Onofre - IR 05000361/2009005

6(0)2(7)3(9)4(5)5(13)7(2)8(0)9(2)301(0)302(0)401(0)402(2)403(0)

IR 05000361/2009005: 1 2 3 4 5 6 7 8 9 10 11 12 13

Finding List (San Onofre) @ 2009Q4

CCA Matrix: 2009Q4

	Q	CCA	Title
05000361/FIN-2009002-03	2009Q1	H.11 H.12	Failure to Properly Inspect Scaffolding in Safety-Related Areas
05000361/FIN-2009002-02	2009Q1	H.14	Failure to Properly Implement the Operability Determination Process
05000361/FIN-2009002-01	2009Q1	H.8	Failure to Follow Procedures when Performing Maintenance on the Auxiliary Feedwater System
05000361/FIN-2009002-04	2009Q1	H.5	Inadequate Procedure for Reactivity Manipulations
05000361/FIN-2009002-05	2009Q1	H.14	Failure to Properly Evaluate Boric Acid Leakage from the Reactor Coolant Pump Vapor Seal
05000361/FIN-2009002-06	2009Q1	H.4 H.5	Failure to Follow Procedures to Reassemble a Reactor Coolant System Pressure Retaining Component
05000361/FIN-2009002-07	2009Q1	H.11 H.12	Failure to Follow Procedure for Aligning a Reactor Coolant System Ion Exchanger
05000361/FIN-2009003-08	2009Q2		Failure to Establish Adequate Scaffolding Erection Procedures
05000361/FIN-2009003-09	2009Q2	P.2	Failure to Maintain Written Procedures Covered in Regulatory Guide 1.33
05000361/FIN-2009003-04	2009Q2	H.7	Failure to Assess and Manage Risk for Electrical Switchyard Impacting Maintenance
05000361/FIN-2009003-07	2009Q2	H.2	Failure to Follow Procedures for Safety-Related Painting Activities
05000361/FIN-2009003-06	2009Q2	H.8	Improper Controls for Electrical Test Equipement
05000361/FIN-2009003-03	2009Q2	P.3	Risk Assessment Performed Using Risk Assessment Tools with Known Errors
05000361/FIN-2009003-02	2009Q2	H.14	Failure to Implement Corrective Actions to Prevent Repeat Safety-related 480V Breaker Failures
05000361/FIN-2009003-05	2009Q2	P.2	Failure to Perform Operability Determination in a Timely Manner on Safety-related Equipment
05000361/FIN-2009003-01	2009Q2	H.11 H.12	Failure to Evaluate the Impact of Temporary Scaffolding on Installed Fire Protection Systems
05000361/FIN-2009004-05	2009Q3		Failure to Specify Appropriate Requirements in Procurement Documents
05000361/FIN-2009404-01	2009Q3	H.7	Security
05000361/FIN-2009004-03	2009Q3	P.1 P.1(a)	Failure to Follow Corrective Action process for an Inadequate Postmaintenance Test
05000361/FIN-2009004-02	2009Q3	P.3	Failure to Assess and Manage Risk for Maintenance that Could Impact Offsite Power Components
05000361/FIN-2009004-01	2009Q3	P.3	Failure to Submit Complete Revisions to Updated Final Safety Analysis Report for Penetration Seal Changes
05000361/FIN-2009004-04	2009Q3	P.1 P.1(a)	Failure to Notify the NRC within Required Timeframe
05000361/FIN-2009005-09	2009Q4	H.2	Failure to Implement Fire Protection Plan Requirements Related to Hot Work Activities
05000361/FIN-2009005-07	2009Q4	H.4 H.5	Inadequate Circulating Water System Maintenance Procedures Contribute to Unit 2 Inadvertent Reactor Trip
05000361/FIN-2009005-08	2009Q4	H.7	Unit 2 Heat Treat Pre-Job Brief Not Performed in Accordance with Procedural Requirements
05000361/FIN-2009005-10	2009Q4	H.7	Inadequate Design Control for Safety-Related Electrical Connections
05000361/FIN-2009005-06	2009Q4	H.13	Failure to Adequately Implement Compensatory Measures to Maintain Equipment Operable
05000361/FIN-2009005-05	2009Q4	P.2	Failure to Follow the Operability Determination Process
05000361/FIN-2009005-04	2009Q4	H.7	Failure to Correct Problems with Emergency Diesel Generator Train A
05000361/FIN-2009005-03	2009Q4	P.2	Failure to Correct Problems with Emergency Diesel Generator Train B
05000361/FIN-2009005-02	2009Q4	H.14	Failure to Adequately Identify Problems in Correction Action Program
05000361/FIN-2009005-01	2009Q4	P.1 P.1(a)	Failure to Initiate a Notification in a Timely Manner
05000361/FIN-2009402-02	2009Q4	H.12	Security
05000361/FIN-2009402-01	2009Q4	P.1	Security
05000361/FIN-2009007-02	2009Q4	H.2	Incorrect Mixing and Batching Associated with Concrete
05000361/FIN-2009007-01	2009Q4	H.2	Failure to Adequately Store and Preserve Materials for Used in Safety-Related Concrete

Self-Identified List (San Onofre)

	Q	Title
05000361/FIN-2009005-11	2009Q4	Licensee-Identified Violation
05000361/FIN-2009005-12	2009Q4	Licensee-Identified Violation
05000361/FIN-2009005-13	2009Q4	Licensee-Identified Violation

[San Onofre Findings full list]

05000361/FIN-2009005-05

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