05000416/FIN-2014003-01
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Finding | |
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Title | Failure to Promptly Reinstate an Essential-Critical Preventative Maintenance Task for a High-Critical Component |
Description | The inspectors reviewed a self-revealing non-cited violation of 10 CFR Part 50, Appendix 8, Criterion XVI, Corrective Action, for the failure to promptly reinstate an essential-critical preventative maintenance task after they identified that it had been improperly retired. Specifically, the licensee did not reinstate and complete Preventive Maintenance Task PMRQ 50024451-04 prior to the failure of diode CR6 on May 21, 2013, which resulted in the division 2 diesel generator failing its monthly functional test and the licensee declaring it inoperable. The operators secured the diesel generator and wrote Condition Report CR-GGN-2013-03423 documenting the issue. The licensee performed a Failure Modes Analysis evaluation to determine the possible cause for the observed conditions. During troubleshooting efforts, the licensee addressed the potential transformer (PT1 ), the potential transformer's fuses, inline fuses, and the voltage regulator circuit bridge diodes. The Failure Modes Analysis evaluation showed that all of the listed components were in satisfactory condition, except that one of the six diodes used in the voltage regulator circuit diode bridge, Diode CR6, had shorted. The licensee replaced the shorted diode and returned the diesel generator to operational status on May 24, 2013. The licensee's failure to implement PMRQ 50024451-04 after discovering it had been improperly retired was a performance deficiency, in that it represented a failure to promptly correct a condition adverse to quality. The performance deficiency is more than minor and therefore a finding because it is associated with the equipment performance attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone's objective of ensuring the availability, reliability, and capability of systems that respond to prevent undesirable consequences. Specifically, Diode CR6 remained in the voltage regulator circuit bridge until it failed, thereby triggering a failure of the division 2 diesel generator, which caused the diesel generator to be inoperable. Using NRC Inspection Manual Chapter 0609, Attachment 4, Initial Characterization of Findings, dated June 19, 2012, the inspectors determined that the issue affected the Mitigating Systems Cornerstone. In accordance with NRC Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process (SDP) for Findings at Power, dated June 19, 2012, the inspectors determined that the issue required a detailed risk evaluation because the finding represents an actual loss of function of a singl,e train for greater than its Technical Specification allowed outage time. The total exposure period was 15 days. The allowed outage time was 14 days. The senior reactor analyst performed a detailed risk analysis and determined the de!ta-CDF was less than 1.0 x 10-6 and the delta-LERF was less than 1.0 x 1 o-7 , therefore this finding was of very low safety significance (Green). The apparent cause of this finding was that the licensee did not recognize the risk of not performing the preventive maintenance task, which ied to the decision to exclude the task from the division 2 allowed outage time schedule. Therefore, the finding has a cross-cutting aspect in the human performance area associated with conservative bias because the licensee did not use decision-making practices that emphasize prudent choices over those that are simply allowable. |
Site: | Grand Gulf |
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Report | IR 05000416/2014003 Section 1R15 |
Date counted | Jun 30, 2014 (2014Q2) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | NRC identified |
Inspection Procedure: | IP 71111.15 |
Inspectors (proximate) | B Rice D Allen R Smith |
Violation of: | Technical Specification 10 CFR 50 Appendix B Criterion XVI |
CCA | H.14, Conservative Bias |
INPO aspect | DM.2 |
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Finding - Grand Gulf - IR 05000416/2014003 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Grand Gulf) @ 2014Q2
Self-Identified List (Grand Gulf)
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