05000361/FIN-2009009-01
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Finding | |
|---|---|
| Title | Failure to Follow a Level 1 Quality Assurance Program Affecting Human Performance Procedure |
| Description | The inspectors identified a non-cited violation of 10 CFR Part 50, Appendix B, Criterion V, \"Instructions, Procedures, and Drawings,\" for the failure of training personnel to ensure activities affecting quality shall be prescribed by documented instructions, procedures, or drawings, of a type appropriate to the circumstances and shall be accomplished in accordance with these instructions, procedures, or drawings. Specifically, between September 27, 2009 and November 17, 2009, training personnel failed to follow Level 1 Quality Assurance Program Affecting Procedure SO123-XXI-1.11.23, \"Human Performance Training Program Description,\" Revision 0, to ensure workers received human performance training before hands-on work was performed in the plant, which resulted in over 80 employees not receiving human performance training and contributed to at least two human performance events. This finding was entered into the licensees corrective action program as Nuclear Notification NN 200670169. The finding is greater than minor because, if left uncorrected, the failure to follow procedures to provide human performance training, would have the potential to lead to more significant safety concerns as is evidenced by the two human performance events that occurred by untrained individuals. This finding is associated with the Initiating Events Cornerstone. Using Manual Chapter 0609.04, \"Phase 1 Initial Screening and Characterization of Findings,\" 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 cross-cutting aspect in the area of problem identification and resolution associated with the corrective action program because the licensee failed to take appropriate corrective actions to address safety issues and adverse trends in a timely manner, commensurate with their safety significance and complexity P.1(d) (Section 4OA2). |
| Site: | San Onofre  |
|---|---|
| Report | IR 05000361/2009009 Section 4OA2 |
| Date counted | Mar 31, 2010 (2010Q1) |
| Type: | NCV: Green |
| cornerstone | Initiating Events |
| Identified by: | NRC identified |
| Inspection Procedure: | IP 71152 |
| Inspectors (proximate) | R Lantz S Garchow C Osterholtz A Fairbanks M Catts T Pate M Vasquez |
| CCA | P.3, Resolution |
| INPO aspect | PI.3 |
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Finding - San Onofre - IR 05000361/2009009 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (San Onofre) @ 2010Q1
Self-Identified List (San Onofre)
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