05000440/FIN-2016004-01
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Finding | |
|---|---|
| Title | ECC B Heat Exchanger Flow Root Valves Out of Position |
| Description | Green. A finding of very-low safety significance and associated NCV of TS 5.4.1, Procedures, was self-revealed for the licensees failure to follow valve lineup procedure restoration requirements after an emergency service water (ESW) pump B and valve operability test. Specifically, incorrect valve manipulations of the root valves for 1P42R043B and 1P42R043A flow indicators caused the emergency closed cooling (ECC) heat exchanger B flow to read zero with flow through the heat exchanger. The incorrect flow indication rendered the remote shutdown panel inoperable. The licensee subsequently re-positioned the root valves, 1P42R043B and 1P42R043A, and restored the remote shutdown panel to operable. The licensee entered this issue into the CAP as CR 201612935. The inspectors determined that the performance deficiency for failure to follow procedure was more than minor and thus a finding because it was associated with the Mitigating Systems cornerstone attribute of human performance. The performance deficiency adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. The finding has a cross-cutting aspect in the area of human performance, avoid complacency because the licensee failed to ensure that individuals follow processes, procedures, and work instructions. Specifically the individual performing the surveillance did not utilize all the required human performance tools to prevent the error [H.12]. |
| Site: | Perry |
|---|---|
| Report | IR 05000440/2016004 Section 1R04 |
| Date counted | Dec 31, 2016 (2016Q4) |
| Type: | NCV: Green |
| cornerstone | Mitigating Systems |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71111.04 |
| Inspectors (proximate) | A Dahbur G Hansen J Cameron J Nance J Robbins M Bielby M Doyle M Jones M Marshfield N Feliz-Adorno R Baker R Ng S Bell T Briley V Petrella |
| Violation of: | Technical Specification |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - Perry - IR 05000440/2016004 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Perry) @ 2016Q4
Self-Identified List (Perry)
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