05000361/FIN-2010003-04

Finding

Title

Failure to Define the Control Room as Required by Technical Specifications

Description

The inspectors identified a noncited violation of Technical Specification 5.1.3 for the failure of licensee management to appropriately define the Control Room Area as depicted in the Licensee Controlled Specifications. Specifically, prior to June 2010, licensee personnel were not specific in the definition of the control room in work instructions and procedures such that, when personnel were directed by procedure to contact the control room, the expectation of station management in most cases was that workers would instead contact the work process area, which is outside the boundaries of the control room as defined in the Licensee Controlled Specifications and other plant procedures. The licensee initiated Nuclear Notification NN 200972596 to evaluate this issue and identify corrective actions. The performance deficiency is more than minor because if left uncorrected, it would have the potential to lead to a more significant safety concern, and is therefore a finding. Specifically, changes to critical plant parameters monitored in the control room may not be appropriately anticipated by control room operators; this may lead to misdiagnosis of plant conditions by control room operators. The finding is associated with the Initiating Events Cornerstone. Using Manual Chapter 0609, Significance Determination Process, Phase 1 Worksheets, the finding is determined to have very low safety significance because the finding does not contribute to both the likelihood of a reactor trip and the likelihood that mitigation equipment or functions will not be available. This finding has a crosscutting aspect in the area of human performance associated with the component of work practices because the licensee failed to define and effectively communicate expectations regarding procedural compliance such that personnel follow procedures H.4(b)

04
Site:	San Onofre
Report	IR 05000361/2010003 Section 1R13
Date counted	Jun 30, 2010 (2010Q2)
Type:	NCV: Green
cornerstone	Initiating Events
Identified by:	NRC identified
Inspection Procedure:	IP 71111.13
Inspectors (proximate)	R Lantz P Elkmann J Reynoso G Warnick E Ruesch I Anchondo T Buchanan
CCA	H.8, Procedure Adherence
INPO aspect	WP.4
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v • d • e

Finding - San Onofre - IR 05000361/2010003

7(0)1(0)2(17)3(12)4(3)5(7)6(13)8(0)10(1)11(0)301(0)402(0)403(1)404(0)501(0)9(1)

IR 05000361/2010003: 1 2 3 4 5 6 7 8 9 10 11 12

Finding List (San Onofre) @ 2010Q2

CCA Matrix: 2010Q2

	Q	CCA	Title
05000361/FIN-2009004-04	2009Q3	P.1 P.1(a)	Failure to Notify the NRC within Required Timeframe
05000361/FIN-2009004-01	2009Q3	P.3	Failure to Submit Complete Revisions to Updated Final Safety Analysis Report for Penetration Seal Changes
05000361/FIN-2009004-02	2009Q3	P.3	Failure to Assess and Manage Risk for Maintenance that Could Impact Offsite Power Components
05000361/FIN-2009004-03	2009Q3	P.1 P.1(a)	Failure to Follow Corrective Action process for an Inadequate Postmaintenance Test
05000361/FIN-2009004-05	2009Q3		Failure to Specify Appropriate Requirements in Procurement Documents
05000361/FIN-2009404-01	2009Q3	H.7	Security
05000361/FIN-2009007-01	2009Q4	H.2	Failure to Adequately Store and Preserve Materials for Used in Safety-Related Concrete
05000361/FIN-2009005-09	2009Q4	H.2	Failure to Implement Fire Protection Plan Requirements Related to Hot Work Activities
05000361/FIN-2009007-02	2009Q4	H.2	Incorrect Mixing and Batching Associated with Concrete
05000361/FIN-2009402-01	2009Q4	P.1	Security
05000361/FIN-2009402-02	2009Q4	H.12	Security
05000361/FIN-2009005-01	2009Q4	P.1 P.1(a)	Failure to Initiate a Notification in a Timely Manner
05000361/FIN-2009005-02	2009Q4	H.14	Failure to Adequately Identify Problems in Correction Action Program
05000361/FIN-2009005-03	2009Q4	P.2	Failure to Correct Problems with Emergency Diesel Generator Train B
05000361/FIN-2009005-04	2009Q4	H.7	Failure to Correct Problems with Emergency Diesel Generator Train A
05000361/FIN-2009005-05	2009Q4	P.2	Failure to Follow the Operability Determination Process
05000361/FIN-2009005-06	2009Q4	H.13	Failure to Adequately Implement Compensatory Measures to Maintain Equipment Operable
05000361/FIN-2009005-10	2009Q4	H.7	Inadequate Design Control for Safety-Related Electrical Connections
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-2010002-07	2010Q1	H.8	Failure to Adequately Implement Foreign Material Exclusion Controls
05000361/FIN-2010002-12	2010Q1	P.1	Failure to Enter Conditions Adverse to Quality into the Corrective Action Program
05000361/FIN-2010002-13	2010Q1	H.2	Failure to Adequately Implement Station Work Order
05000361/FIN-2010002-14	2010Q1	H.12	Failure to Follow Operations Procedure to Monitor Component Cooling Water Surge Tank Pressure
05000361/FIN-2010002-06	2010Q1	H.8	Failure to Perform an Adequate Postmaintenance Test
05000361/FIN-2010002-05	2010Q1	P.2	Failure to Follow Procedure Results in an Inadequate operability Determination
05000361/FIN-2010002-03	2010Q1	H.13	Failure to Enter Operating Experience into Corrective Action Program for Timely Evaluation
05000361/FIN-2009009-02	2010Q1	P.2	Failure to Maintaing Written Procedures Covered in Regulatory Guide 1.33
05000361/FIN-2010002-08	2010Q1		Failure to Appropriately Control Access to a Locked High Radiation Area
05000361/FIN-2010002-04	2010Q1	H.8	Failure to Assess and Manage risk for Electrical Switchyard Impacting Maintenance
05000361/FIN-2010002-02	2010Q1		Failure to Appropriately Scope Auxiliary Feedwater Pump Trench Eductors in the Maintenance Rule Monitoring Program
05000361/FIN-2010002-01	2010Q1	H.8	Failure to Implement Fire Protection Plan Requirements Related to Hot Work Activities
05000361/FIN-2009009-01	2010Q1	P.3	Failure to Follow a Level 1 Quality Assurance Program Affecting Human Performance Procedure
05000361/FIN-2010002-11	2010Q1		Failure to Obtain a License Amendment for a Technical Specification Basis Change
05000361/FIN-2010002-10	2010Q1		Failure to Report a Safety System Functional Failure
05000361/FIN-2010002-09	2010Q1	P.2	Failure to Notify the NRC Within Eight Hours of a Nonemergency Event
05000361/FIN-2010003-04	2010Q2	H.8	Failure to Define the Control Room as Required by Technical Specifications
05000361/FIN-2010006-08	2010Q2	P.2	Failure to Maintain Written Procedures Covered In Regulatory Guide 1.33
05000361/FIN-2010006-09	2010Q2	H.13	Failure to Establish Goals And Monitor for A(A) Auxiliary Feedwater Trains
05000361/FIN-2010006-10	2010Q2	H.14	Failure to Identify and Correct Use of Deficient Relays
05000361/FIN-2010006-12	2010Q2	P.1	Failure to Maintain Design Basis Information
05000361/FIN-2010006-03	2010Q2	H.6	Lack of Preventive Maintenance Results in Valve Failure and Inoperable Condensate Storage Tank
05000361/FIN-2010006-02	2010Q2	P.5	Failure to Translate Design Basis Information for Turbine-Driven Auxiliary Feedwater Pump Steam Admission Valves
05000361/FIN-2010006-01	2010Q2	H.14	Inadequate Operability Determination for Turbine-Driven Auxiliary Feedwater Pump Steam Admission Valves
05000361/FIN-2010006-04	2010Q2	P.2	Failure to Report Conditions That Could of Prevented Fulfillment of Safety Function
05000361/FIN-2010003-11	2010Q2	H.11 H.12	Failure to Follow Station Procedures on Written Instruction Use and Adherence
05000361/FIN-2010003-01	2010Q2	H.14	Unavailability Time for Component Cooling Water Incorrectly Counted
05000361/FIN-2010003-03	2010Q2	H.7	Improper Risk Assessment and Management for Work Activities
05000361/FIN-2010006-13	2010Q2	H.12	Failure to Meet Action Plan for Substantive Crosscutting Issues
05000361/FIN-2010006-11	2010Q2	H.5	Failure to Secure Loose Items in the Electrical Switchyard
... further results

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
05000361/FIN-2010002-15	2010Q1	Licensee-Identified Violation
05000361/FIN-2010002-16	2010Q1	Licensee-Identified Violation
05000361/FIN-2010002-17	2010Q1	Licensee-Identified Violation
05000361/FIN-2010003-12	2010Q2	Licensee-Identified Violation

[San Onofre Findings full list]

05000361/FIN-2010003-04

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