05000361/FIN-2011010-06
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Finding | |
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Title | Failure to Adequately Control Document Changes |
Description | The team identified a Green non-cited violation, with multiple examples, of 10 CFR 50, Appendix B, Criterion VI, Document Control, which states in part: Measures shall be established to control the issuance of documents, such as instructions, procedures, and drawings, including changes thereto, which prescribe all activities affecting quality. These measures shall assure that documents, including changes, are reviewed for adequacy and approved for release. Specifically, on June 23, 2011, the team identified numerous drawing inconsistencies where changes to certain components were not changed on all affected drawings and procedural errors where changes were not made to all affected documents. The licensee has entered the errors into their corrective action program under numerous Nuclear Notifications listed in section 4AO2. The team identified that collectively, from a program perspective, the failure to properly incorporate design changes of components in the plant to all affected drawings, procedures, or instructions, was a performance deficiency. The finding was more than minor because if left uncorrected, the performance deficiency had the potential to lead to a more significant safety concern. In accordance with Inspection Manual Chapter 0609, Attachment 4, Phase 1 Initial Screening and Characterization of Findings, the team determined that the finding was of very low safety significance (Green) because it did not represent a design issue resulting in the loss of function, did not represent an actual loss of a system safety function, did not result in exceeding a Technical Specification allowed outage time, and did not affect external event mitigation. Specifically, none of the documents with the identified errors had been used in response to any events or plant perturbations. This finding did not have a crosscutting aspect because the most significant contributor did not reflect current licensee performance. |
Site: | San Onofre |
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Report | IR 05000361/2011010 Section 4OA2 |
Date counted | Sep 30, 2011 (2011Q3) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | NRC identified |
Inspection Procedure: | IP 71152 |
Inspectors (proximate) | J Watkins R Kopriva S Pindale T Farnholtz W Sherbin S Kobylarz |
INPO aspect | |
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Finding - San Onofre - IR 05000361/2011010 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (San Onofre) @ 2011Q3
Self-Identified List (San Onofre)
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