05000528/FIN-2008003-08
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Finding | |
|---|---|
| Title | Failure to Evaluate Design Change Leads to Manual Reactor Trip |
| Description | A self-revealing finding of Procedure 81DP-0DC13, \"Deficiency Work Order,\" Revision 13, was identified for the failure of engineering personnel to ensure modifications do not inadvertently affect design basis plant conditions. Specifically, between January 23, 2001 and October 6, 2007, engineering personnel failed to ensure material compatibility of the condenser air removal system seal water cooler tube plugs to prevent corrosion. This resulted in sodium ingress into the condenser hotwell and steam generators due to a corroded tube plug that failed in the condenser air removal system D seal water cooler, and consequently a manual reactor scram. This issue was entered into the licensee\'s corrective action program as Condition Report/Disposition Request 3074272. The finding is greater than minor because it is associated with the design control attribute of the initiating events cornerstone and affects the cornerstone objective to limit the likelihood of those events that upset plant stability and challenge critical safety functions during shutdown and power operations. Using Manual Chapter 0609.04, \"Phase 1 Initial Screening and Characterization of Findings,\" the finding is determined to have very low safety significance because the finding did not result in exceeding the technical specification limit for identified reactor coolant system leakage, did not affect other mitigation systems, did not contribute to both the likelihood of a reactor trip and the likelihood that mitigation equipment or functions will not be available; and did not increase the likelihood of a fire or internal/external flood. This finding was evaluated as not having a crosscutting aspect because the performance deficiency is not indicative of current performance (Section 4OA3) |
| Site: | Palo Verde |
|---|---|
| Report | IR 05000528/2008003 Section 4OA3 |
| Date counted | Jun 30, 2008 (2008Q2) |
| Type: | Finding: Green |
| cornerstone | Initiating Events |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71153 |
| Inspectors (proximate) | G Apger G George G Miller J Adams J Bashore J Melfi J Razo L Ricketson M Catts M Hay P Elkmann R Treadway W Sifre |
| INPO aspect | |
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Finding - Palo Verde - IR 05000528/2008003 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Palo Verde) @ 2008Q2
Self-Identified List (Palo Verde)
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