05000529/FIN-2015002-02
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Finding | |
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Title | Failure to Take Timely Corrective Actions to Prevent Charging Pump Discharge Bladder Failure |
Description | The inspectors reviewed a self-revealing non-cited violation of 10 CFR Part 50 Appendix B, Criterion XVI for the failure to take timely corrective actions associated with failure of the discharge pulsation dampener poppet valves in the positive displacement charging pump. The charging system. is designated as quality related for its function to provide a boration flowpath to the reactor coolant system. Specifically, following the investigation of a degrading discharge dampener bladder on the Unit 2 charging pump E and the discovery that the poppet valve stem was galled and stuck in the poppet valve seat, the licensee incorrectly concluded that routine monthly monitoring and the 5-year bladder replacement maintenance would identify further failures in the other charging system trains. The licensee entered this issue into the corrective action program as Condition Report 15-4230. Failure to take timely corrective actions to replace the charging pump discharge dampener poppet valve assemblies was a performance deficiency. The performance deficiency was more-than-minor and is a finding because it is associated with the equipment performance attribute and directly affected the Initiating Event Cornerstone objective to limit the likelihood of events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, the failure to correct this condition adverse to quality resulted in a reactor coolant system transient and challenged normal plant operations. Using Manual Chapter 0609, Appendix A, "Significance Determination Process (SDP) for Findings At Power," the inspectors determined the finding was of very low safety significance (Green) because the finding did not result in a reactor trip and the loss of mitigating equipment relied upon to transition the plant from the onset of the trip to a stable shutdown condition. This finding has an evaluation cross-cutting aspect in the area of problem identification and resolution because the organization did not thoroughly evaluate issues to ensure that resolutions address causes and extent of condition commensurate with their safety significance. Specifically, the corrective actions taken in response to the January 2014 poppet galling event included a number of engineering judgements and assumptions regarding both the degradation mechanism, and the internal workings of the sytem components were used to justify not performing additional poppet assembly inspections. These assumptions were known to be incorrect by uninvolved technical experts inside the licensee and vendor organization. Had those assumptions been properly vetted and verified by vendor or other industry experts at the time, the extent-of-condition inspections likely would have been accelerated [P.2]. |
Site: | Palo Verde |
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Report | IR 05000529/2015002 Section 4OA2 |
Date counted | Jun 30, 2015 (2015Q2) |
Type: | NCV: Green |
cornerstone | Initiating Events |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71152 |
Inspectors (proximate) | N Greene P Hernandez P Jayroe A Sanchez C Peabody D Reinert D You G George G Miller G Replogle J Reynoso L Brandt L Carson |
Violation of: | 10 CFR 50 Appendix B Criterion XVI |
CCA | P.2, Evaluation |
INPO aspect | PI.2 |
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Finding - Palo Verde - IR 05000529/2015002 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Palo Verde) @ 2015Q2
Self-Identified List (Palo Verde)
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