05000461/FIN-2009005-04
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Finding | |
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Title | Failure to Correctly Install Relays Inside of the Division 3 Diesel Generator Control Panel |
Description | A finding of very low safety significance with an associated Non-Cited Violation of 10 CFR 50, Appendix B, Criteria V, Instructions, Procedures, and Drawings, was self-revealed on September 23, 2009, when the Division 3 diesel generator (DG) was found to have had two components installed incorrectly. Electrical maintenance technicians had incorrectly replaced time delay relays K-8A and K-32 on September 24, 2007, essentially swapping the locations of the two relays. This rendered the Division 3 DG inoperable for about two years and resulted in a loss of safety function for the Division 3 DG and high pressure core spray system under a certain sequence of initiating events. As immediate corrective action, the licensee restored the two time delay relays to the correct configuration and immediately verified that the remaining time delay relays inside the Division 3 DG Control Panel were in their proper locations. The finding was of more than minor significance because, if left uncorrected, it would potentially lead to a more significant safety concern (i.e., the inoperability of risk-significant plant safety systems). In addition, based on review of Example 5c in Inspection Manual Chapter 0612, Power Reactor Inspection Reports, Appendix E, Examples of Minor Issues, the issue would be considered to be of more than minor significance because the incorrect relays were installed in the control panel. Although the finding resulted in a loss of safety function for the Division 3 DG and high pressure core spray system, it was determined to be of very low safety significance during a Phase 2 Significance Determination Process review considering the very limited conditions (i.e., only for 45 seconds following shutdown of the engine concurrent with a design basis accident) when the Division 3 DG was incapable of performing its safety function. The resultant exposure time was estimated to be about 27 minutes during the 2-year period. The inspectors concluded that this finding affected the cross-cutting area of human performance because the licensee did not effectively communicate expectations regarding procedural compliance and; as a result, maintenance technicians did not follow their procedures by installing nonconforming components and restoring the safety system to service. (IMC 0305 H.4(b) |
Site: | Clinton |
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Report | IR 05000461/2009005 Section 4OA3 |
Date counted | Dec 31, 2009 (2009Q4) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71153 |
Inspectors (proximate) | D Reeser E Coffman G Roach J Bozga J Draper M Ring S Mischke B Kemker D Lords D Mcneil |
CCA | H.8, Procedure Adherence |
INPO aspect | WP.4 |
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Finding - Clinton - IR 05000461/2009005 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Clinton) @ 2009Q4
Self-Identified List (Clinton)
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