05000458/FIN-2016009-04
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Finding | |
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Title | Failure to Adequately Assess Risk During Motor Generator Set Unavailability |
Description | The team identified a non-cited violation of 10 CFR 50.65, Requirements for Monitoring the Effectiveness of Maintenance at Nuclear Power Plants, for the licensees failure to adequately assess the increase in risk that may result from proposed maintenance activities. Specifically, the team identified that since 2012, the licensee failed to adequately assess the risk of simultaneously powering both reactor protection system buses from the alternate power sources, which resulted in an increased risk of a reactor scram due to grid instabilities. This issue was entered into the licensees corrective action program as Condition Report CR-RBS-2016-3176. Corrective actions included revising Procedure SOP-0079, Reactor Protection System, to include precautions to address the increased risk associated with supplying both reactor protection system buses from the alternate power source. The team determined that the licensees failure to adequately assess the increase in risk associated with simultaneously powering both reactor protection system buses from the alternate power sources was a performance deficiency. The performance deficiency is more than minor, and therefore a finding, because it is associated with the design control attribute of the Initiating Events Cornerstone and adversely affected the cornerstone objective of limiting the likelihood of events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, the performance deficiency resulted in an increased risk of a reactor scram due to grid instabilities. The team performed an initial screening of the finding in accordance with NRC Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Using Inspection Manual Chapter 0609, Appendix A, Exhibit 1, Initiating Events Screening Questions, a detailed risk evaluation was required since the finding resulted in a reactor scram and main steam isolation valve closure. The finding was evaluated using Inspection Manual Chapter 0609, Appendix K, Maintenance Risk Assessment and Risk Management Significance Determination Process, Flowchart 1, Assessment of Risk Deficit, dated May 19, 2005, to assess the significance of the finding. A senior reactor analyst estimated the incremental core damage probability deficit to be 2.0E-7 and the incremental large early release probability deficit to be 4.0E-8. Since this incremental core damage probability deficit was less than 1E-6 and the incremental large early release probability deficit was less than 1E-7, the analyst used Flowchart 1 to determine the finding was of very low safety significance (Green). This finding has a conservative bias cross-cutting aspect within human performance area because the licensee determined that powering both reactor protection system buses from the alternate source instead of the motor generator sets was safe even though the motor generator sets are the preferred source and provide protection against grid perturbations [H.14]. |
Site: | River Bend |
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Report | IR 05000458/2016009 Section 4OA5 |
Date counted | Mar 31, 2016 (2016Q1) |
Type: | NCV: Green |
cornerstone | Initiating Events |
Identified by: | NRC identified |
Inspection Procedure: | IP 93812 |
Inspectors (proximate) | B Parks C Cowdrey G Warnick M Bloodgood R Deese S Makor |
Violation of: | 10 CFR 50.65(a)(4) |
CCA | H.14, Conservative Bias |
INPO aspect | DM.2 |
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Finding - River Bend - IR 05000458/2016009 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (River Bend) @ 2016Q1
Self-Identified List (River Bend)
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