05000461/FIN-2015004-03
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Finding | |
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Title | Failure to Follow Station Procedures for Plant Activities |
Description | The inspectors identified a finding of very low safety significance and an associated Non-Cited Violation of Title 10 Code of Federal Regulations (CFR), Appendix B, Criterion V, Instructions Procedures and Drawings, for the failure to ensure that activities affecting quality were accomplished in accordance with the appropriate instructions, procedures and drawings. Specifically, the inspectors identified two examples where the licensee failed to perform activities affecting quality in accordance with prescribed procedures. The licensee entered this issue into their corrective action program as AR 02600726 and planned to perform an apparent cause evaluation to address the trend. Separate action requests were also written and immediate corrective actions were taken for each identified example to address the nonconformances created by the failure to follow procedures. The inspectors determined that the failure to ensure that activities affecting quality were accomplished in accordance with the appropriate instructions, procedures and drawings as required by 10 CFR 50, Appendix B, Criterion V, was a performance deficiency. The performance deficiency was more than minor in accordance with IMC 0612, "Power Reactor Inspection Reports," Appendix B, "Issue Screening," dated September 7, 2012, because, if left uncorrected the performance deficiency had the potential to lead to a more significant safety concern. Specifically, by not performing activities affecting quality in accordance with a procedure the licensee could manipulate equipment and challenge the operators by causing unexpected transients or impact safety-related equipment. Using IMC 0609, Appendix G, Shutdown Operations Significance Determination Process, Attachment 1, issued May 9, 2014, the finding was screened against the Mitigating Systems cornerstone and determined to be of very low safety significance because the finding did not represent a loss of system safety function, it did not represent an actual loss of function of a single train or two separate trains for greater than its allowed outage time, it did not represent an actual loss of safety function of one or more non-TS trains of equipment during shutdown for equipment designated as risk significant for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, and it did not degrade a functional auto-isolation of residual heat removal on low reactor vessel level. The inspectors determined this finding affected the cross-cutting area of human performance in the aspect of challenging the unknown which states, Individuals stop when faced with uncertain conditions. Risks are evaluated and managed before proceeding. Contrary to this, when challenged with uncertain conditions, the licensee did not stop and properly evaluate the issues before proceeding, resulting in adverse impacts to safety-related equipment and activities. |
Site: | Clinton |
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Report | IR 05000461/2015004 Section 4OA2 |
Date counted | Dec 31, 2015 (2015Q4) |
Type: | Finding: Green |
cornerstone | Mitigating Systems |
Identified by: | NRC identified |
Inspection Procedure: | IP 71152 |
Inspectors (proximate) | B Palagi D Reeser E Sanchez-Santiago G Hansen K Stoedter R Elliott S Bell S Mischke W Schaup G Edwards |
CCA | H.11, Challenge the Unknown |
INPO aspect | QA.2 |
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Finding - Clinton - IR 05000461/2015004 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Clinton) @ 2015Q4
Self-Identified List (Clinton)
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