05000361/FIN-2010003-05

Finding

Title

Failure to Follow Work Control Procedures

Description

A self-revealing noncited violation of Technical Specification 5.5.1.1 was identified for the failure of maintenance and construction services personnel to follow procedures for performing work on safety-related components. Specifically, between November 12, 2009, and March 30, 2010, maintenance personnel failed to implement the requirements of Procedure SO123-MA-1, Maintenance and Construction Division, Revision 7, Section 4.14, and Procedure SO123-I-1.7, Work Order Preparation and Processing, Revision 36, Section 6.4.10, to ensure that work on safety-related components had an approved work order to direct the activity. On March 31, 2010, the licensee restored drain valves MR042 and MR264 using approved work orders to direct the valve reassembly. This issue was entered into the licensees corrective action program as Nuclear Notification NN 200856112. This 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, the continued failure of the licensee to follow authorized work orders when performing work on safety-related components could impact structure, system, or component operability. The finding is associated with the Mitigating Systems Cornerstone. Manual Chapter 0609, Appendix M, Significance Determination Process Using Qualitative Criteria, was used since Manual Chapter 0609, Appendix G, Shutdown Operations Significance Determination Process, does not specifically address the particular condition of hot shutdown (Mode 4), in which time to boil is greater than 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />. The NRC management review was performed using the Manual Chapter 0609, Appendix G, Attachment 1, Phase 1 guidance, to establish a bounding analysis. Using the bounding analysis, the finding is determined to have very low safety significance because the finding did not represent a loss of any shutdown safety functions. 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 procedure compliance for work on safety-related equipment such that personnel follow work order procedures H.4(b)

05
Site:	San Onofre
Report	IR 05000361/2010003 Section 1R15
Date counted	Jun 30, 2010 (2010Q2)
Type:	NCV: Green
cornerstone	Mitigating Systems
Identified by:	Self-revealing
Inspection Procedure:	IP 71111.15
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)0(0)

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-2009004-02	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-2009004-01	2009Q3	P.3	Failure to Submit Complete Revisions to Updated Final Safety Analysis Report for Penetration Seal Changes
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-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-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
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-2009005-09	2009Q4	H.2	Failure to Implement Fire Protection Plan Requirements Related to Hot Work Activities
05000361/FIN-2010002-04	2010Q1	H.8	Failure to Assess and Manage risk for Electrical Switchyard Impacting Maintenance
05000361/FIN-2010002-03	2010Q1	H.13	Failure to Enter Operating Experience into Corrective Action Program for Timely Evaluation
05000361/FIN-2010002-05	2010Q1	P.2	Failure to Follow Procedure Results in an Inadequate operability Determination
05000361/FIN-2010002-06	2010Q1	H.8	Failure to Perform an Adequate Postmaintenance Test
05000361/FIN-2010002-12	2010Q1	P.1	Failure to Enter Conditions Adverse to Quality into the Corrective Action Program
05000361/FIN-2009009-02	2010Q1	P.2	Failure to Maintaing Written Procedures Covered in Regulatory Guide 1.33
05000361/FIN-2010002-14	2010Q1	H.12	Failure to Follow Operations Procedure to Monitor Component Cooling Water Surge Tank Pressure
05000361/FIN-2010002-13	2010Q1	H.2	Failure to Adequately Implement Station Work Order
05000361/FIN-2010002-08	2010Q1		Failure to Appropriately Control Access to a Locked High Radiation Area
05000361/FIN-2010002-07	2010Q1	H.8	Failure to Adequately Implement Foreign Material Exclusion Controls
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-2010006-11	2010Q2	H.5	Failure to Secure Loose Items in the Electrical Switchyard
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-2010006-08	2010Q2	P.2	Failure to Maintain Written Procedures Covered In Regulatory Guide 1.33
05000361/FIN-2010006-03	2010Q2	H.6	Lack of Preventive Maintenance Results in Valve Failure and Inoperable Condensate Storage Tank
05000361/FIN-2010006-12	2010Q2	P.1	Failure to Maintain Design Basis Information
05000361/FIN-2010006-02	2010Q2	P.5	Failure to Translate Design Basis Information for Turbine-Driven Auxiliary Feedwater Pump Steam Admission Valves
05000361/FIN-2010006-04	2010Q2	P.2	Failure to Report Conditions That Could of Prevented Fulfillment of Safety Function
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-2010006-06	2010Q2	H.2	Failure to Provide Adequate Procedure for Boron Dilution Activities
05000361/FIN-2010006-05	2010Q2	H.2	Control Room Operators\' Failure to Adhere to Conduct of Operations Procedural Requirements
05000361/FIN-2010003-10	2010Q2		Failure to Assure Circuit Breakers Were Qualified for Installation
05000361/FIN-2010003-09	2010Q2	H.8	Failure to Appropriately Identify and Classify Degraded Voltage on a Class 1E Battery
... 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-2010003-05

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