05000361/FIN-2009005-08
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Finding | |
|---|---|
| Title | Unit 2 Heat Treat Pre-Job Brief Not Performed in Accordance with Procedural Requirements |
| Description | The inspectors identified a finding for the failure of operations personnel to perform an adequate pre-job brief in accordance with procedural requirements for a planned Unit 2 heat treat evolution. Specifically, on September 13, 2009, operations personnel failed to provide a thorough pre-job brief in preparation for the performance of the heat treat evolution which contributed to a delay in operator actions which ultimately resulted in a turbine and reactor trip on low condenser vacuum due to escalated circulating water temperatures. This finding was entered into the licensees corrective action program as Nuclear Notification NN 200580999. The finding is greater than minor because the performance deficiency was a precursor to a significant event (reactor trip). 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 contribute to both the likelihood of a reactor trip and the likelihood that mitigation equipment or functions would not be available. The finding has a crosscutting aspect in the area of human performance associated with resources because the licensee failed to provide adequate procedural guidance to ensure that operations personnel could safely perform plant evolutions H.2(c) (Section 4OA3) |
| Site: | San Onofre  |
|---|---|
| Report | IR 05000361/2009005 Section 4OA3 |
| Date counted | Dec 31, 2009 (2009Q4) |
| Type: | Finding: Green |
| cornerstone | Initiating Events |
| Identified by: | NRC identified |
| Inspection Procedure: | IP 71153 |
| 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 | H.7, Documentation |
| INPO aspect | WP.3 |
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Finding - San Onofre - IR 05000361/2009005 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (San Onofre) @ 2009Q4
Self-Identified List (San Onofre)
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