05000400/FIN-2015003-04
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Finding | |
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Title | Loss of A ESW Train |
Description | A self-revealing green NCV of 10 CFR 50, Appendix B, Quality Assurance Criteria for Nuclear Power Plants and Fuel Reprocessing Plants, Criterion III, Design Control, was identified for failure to implement design control measures that verify adequacy of design. Specifically, EC 83681 involved the installation of a new pump bearing with different wear characteristics but the EC failed to evaluate the impact of the bearing replacement on alignment sensitivity of the pump shaft. The licensee took immediate action to align the Normal Service Water system to provide cooling to the heat loads affected by the loss of the A ESW pump. Failure to incorporate alignment requirements for the pump shaft in the work instructions associated with EC 83681 was a performance deficiency. The performance deficiency was related to the equipment performance attribute of the initiating events cornerstone. The performance deficiency was determined to be more than minor because the performance deficiency adversely affected the cornerstone objective to limit the likelihood of events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, the failure of the ESW pump shaft resulted in a loss of service water which ultimately led to the loss of the A train of shutdown cooling for a period of twelve minutes. Inspectors evaluated the finding using IMC 0609, Significance Determination Process, Attachment 4 and Appendix G (June 19, 2012), Shutdown Operations Significance Determination Process. The inspectors determined the finding was associated with the Initiating Event cornerstone and required a detailed risk evaluation because the finding involved a loss of safety function. A detailed risk evaluation was completed by a regional Senior Reactor Analyst (SRA). The regional SRA performed a detailed risk review of the finding. The SRA performed the analysis by increasing the maintenance unavailability for the pump, and evaluating it versus the base case. This method was chosen because the pump was in standby service, and the dominant method of determining there was a failure would have been during testing, or operation under non accident conditions. The additional time for the unnecessary repair was used to adjust the base case maintenance unavailability. Online and shutdown risk were evaluated. The total impact was determined to be low enough for the finding to be GREEN for SDP purposes The finding had a cross-cutting aspect in the Human Performance area of Design Margin (H.6). |
Site: | Harris |
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Report | IR 05000400/2015003 Section 1R18 |
Date counted | Sep 30, 2015 (2015Q3) |
Type: | NCV: Green |
cornerstone | Initiating Events |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71111.18 |
Inspectors (proximate) | B Caballero G Hopper J Austin J Dodson M Bates M Riches |
Violation of: | 10 CFR 50 Appendix B Criterion III, Design Control |
CCA | H.6, Design Margins |
INPO aspect | WP.2 |
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Finding - Harris - IR 05000400/2015003 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Harris) @ 2015Q3
Self-Identified List (Harris)
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