IR 05000244/2018011

LLC - NRC Biennial Problem Identification and Resolution Inspection Report 05000244/2018011

ML18137A043
Person / Time
Site:	Ginna
Issue date:	05/16/2018
From:	Michelle Catts Reactor Projects Branch 1
To:	Bryan Hanson Exelon Generation Co, Exelon Nuclear
References
IR 2018011
Download: ML18137A043 (19)

Text

May 17, 2018

SUBJECT:

R.E. GINNA NUCLEAR POWER PLANT, LLC - NRC BIENNIAL PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000244/2018011

Dear Mr. Hanson:

On March 22, 2018, the U.S. Nuclear Regulatory Commission (NRC) completed on-site inspection activities at your R.E. Ginna Nuclear Power Plant, LLC (Ginna) and discussed the results of this inspection with Mr. William Carsky, Site Vice President, and other members of the Ginna staff. During that discussion your staff requested to provide additional information for consideration. In-office review of the additional information continued by the NRC, and a telephonic exit meeting was conducted on April 19, 2018, with Kyle Garnish, Ginna Regulatory Assurance Manager and other members of the Ginna staff. The results of this inspection are documented in the enclosed report.

The NRC inspection team reviewed the stations corrective action program and the stations implementation of the program to evaluate its effectiveness in identifying, prioritizing, evaluating, and correcting problems, and to confirm that the station was complying with NRC regulations and licensee standards for corrective action programs. Based on the samples reviewed, the team determined that your staffs performance in each of these areas adequately supported nuclear safety. The team identified two findings in the area of Corrective Action Program, Problem Identification.

The team also evaluated the stations processes for use of industry and NRC operating experience information and the effectiveness of the stations audits and self-assessments.

Based on the samples reviewed, the team determined that your staffs performance in each of these areas adequately supported nuclear safety.

Finally the team reviewed the stations programs to establish and maintain a safety-conscious work environment, and interviewed station personnel to evaluate the effectiveness of these programs. Based on the teams observations and the results of these interviews, the team found no evidence of challenges to your organizations safety-conscious work environment.

Your employees appeared willing to raise nuclear safety concerns through at least one of the several means available.

NRC inspectors documented two findings of very low safety significance (Green) in this report.

Both of these findings involved violations of NRC requirements and are being treated as non-cited violations (NCVs) consistent with Section 2.3.2.a of the Enforcement Policy. If you contest the violations or significance, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington DC 20555-0001; with copies to the Regional Administrator, Region I; the Director, Office of Enforcement, U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001; and the NRC Resident Inspectors at Ginna. In addition, if you disagree with a cross-cutting aspect assignment or a finding not associated with a regulatory requirement in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington DC 20555-0001; with copies to the Regional Administrator, Region I, and the NRC Resident Inspectors at Ginna.

This letter, its enclosure, and your response (if any) will be made available for public inspection and copying at http://www.nrc.gov/reading-rm/adams.html and the NRC Public Document Room in accordance with Title 10 of the Code of Federal Regulations (10 CFR), Part 2.390, Public Inspections, Exemptions, Requests for Withholding.

Sincerely,

/RA/

Michelle Catts, Acting Chief Reactor Projects Branch 1 Division of Reactor Projects

Docket Number: 50-244 License Number: DPR-18

Enclosure:

Inspection Report 05000244/2018011

Inspection Report

Docket Number:

50-244

License Number:

DPR-18

Report Number:

05000244/2018011

Licensee:

Exelon Generation Company, LLC (Exelon)

Facility:

R.E. Ginna Nuclear Power Plant, LLC (Ginna)

Location:

Ontario, New York

Dates:

March 5 to April 19, 2018

Inspectors:

J. Hawkins, Senior Resident Inspector, Team Leader

C. Lally, Reactor Inspector

L. McKown, Resident Inspector

S. Obadina, Project Engineer

Observer(s):

A. Rosebrook, Senior Project Engineer

Approved By:

M. Catts, Acting Chief

Reactor Projects Branch 1

Division of Reactor Projects

SUMMARY

The U.S. Nuclear Regulatory Commission (NRC) continued monitoring Exelons performance at

Ginna by conducting the biennial problem identification and resolution inspection in accordance with the Reactor Oversight Process. The Reactor Oversight Process is the NRCs program for overseeing the safe operation of commercial nuclear power reactors. Refer to https://www.nrc.gov/reactors/operating/oversight.html for more information.

Based on the samples selected for review, the inspection team concluded that Exelon was generally effective in identifying, evaluating, and resolving problems and that the Exelon effectively used operating experience and self-assessments. The inspectors found no evidence of significant challenges to Exelons safety conscious work environment at Ginna and concluded that the staff are willing to raise nuclear safety concerns through at least one of the several means available.

NRC identified and self-revealing findings and violations are summarized in the table below.

List of Findings and Violations

Potential Preconditioning of Turbine Driven Auxiliary Feedwater Surveillance Testing Cornerstone Significance Cross-Cutting Aspect Report Section Reactor Safety -

Mitigating Systems Green NCV 05000244/2018011-01 Closed None.

71152B The NRC identified a Green non-cited violation (NCV) of Title 10 of the Code of Federal Regulations (10 CFR) Part 50, Appendix B, Criterion XI, Test Control, because Exelon established unevaluated preconditioning, with a reasonable doubt of whether the preconditioning was acceptable, prior to testing of the turbine driven auxiliary feedwater pump.

This results in the loss of as-found conditions which challenge the capability of the test to assure that the turbine driven auxiliary feedwater pump will perform satisfactorily in service.

Failure to Procedurally Verify Fuel Transfer Cart Results in Fuel Interference Event Cornerstone Significance Cross-Cutting Aspect Report Section Reactor Safety -

Barrier Integrity Green NCV 05000244/2018011-02 Closed H.12 - HU -

Avoid Complacency 71152B A self-revealing Green non-cited violation (NCV) of Technical Specification 5.4.1.a,

Procedures, was identified for the failure of Exelon to operate refueling equipment in accordance with technical procedures in April and May of 2017, which resulted in a fuel interference event, damage to the rod cluster control assembly, and the need for a detailed inspection of a fuel assembly.

INSPECTION SCOPES

This inspection was conducted using the appropriate portions of the inspection procedures (IPs)in effect at the beginning of the inspection unless otherwise noted. Currently approved IPs with their attached revision histories are located on the public website at http://www.nrc.gov/reading-rm/doc-collections/insp-manual/inspection-procedure/index.html. Samples were declared complete when the IP requirements most appropriate to the inspection activity were met consistent with Inspection Manual Chapter (IMC) 2515, Light-Water Reactor Inspection Program - Operations Phase. The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel to assess Exelons performance and compliance with Commission rules and regulations, license conditions, site procedures, and standards.

71152 - Problem Identification and Resolution

Biennial Team Inspection (1 Sample)

The inspectors performed a biennial assessment of Exelons corrective action program, use of operating experience, self-assessments and audits, and safety conscious work environment. The assessment is documented below.

(1) Corrective Action Program Effectiveness - The inspection team evaluated Exelons effectiveness in identification, prioritization and evaluation, and correcting problems, and verified the station complied with NRC regulations and Exelons standards for corrective action programs.

(2) Operating Experience - The team evaluated Exelons effectiveness in its use of industry and NRC operating experience information and verified the station complied with Exelons standards for the use of operating experience.

(3) Self-Assessments and Audits - The team evaluated the effectiveness of Exelons audits and self-assessments and verified the station complied with Exelons standards for the use of operating experience.

(4) Safety Conscious Work Environment - The team reviewed Exelons programs to establish and maintain a safety-conscious work environment, and interviewed station personnel to evaluate the effectiveness of these programs.

INSPECTION RESULTS

Evaluation of the Ginna PI&R Program 71152B The NRC inspection team reviewed the stations corrective action program and the stations implementation of the program to evaluate its effectiveness in identifying, prioritizing, evaluating, and correcting problems, and to confirm that the station was complying with NRC regulations and licensee standards for corrective action programs. Based on the samples reviewed, the team determined Exelon staffs performance in each of these areas adequately supported nuclear safety. The team identified two findings in the area of Corrective Action Program, Problem Identification, and identified some weaknesses in the implementation of the stations Maintenance Rule (MR) program.

The team also evaluated the stations processes for use of industry and NRC operating experience information and the effectiveness of the stations audits and self-assessments.

Based on the samples reviewed, the team determined that Exelons performance in each of these areas adequately supported nuclear safety.

Finally, the team reviewed the stations programs to establish and maintain a safety-conscious work environment, and interviewed station personnel to evaluate the effectiveness of these programs. Based on the teams observations and the results of these interviews the team found no evidence of challenges to Exelons safety-conscious work environment. Site employees appeared willing to raise nuclear safety concerns through at least one of the several means available.

Potential Preconditioning of Turbine Driven Auxiliary Feedwater Surveillance Testing Cornerstone Significance Cross-Cutting Aspect Report Section Reactor Safety - Mitigating Systems

Green NCV 05000244/2018011-01 Closed None.

71152B The NRC identified a Green NCV of 10 CFR Part 50, Appendix B, Criterion XI, Test Control,"

because Exelon established unevaluated preconditioning, with a reasonable doubt of whether the preconditioning was acceptable, prior to testing of the turbine driven auxiliary feedwater pump. This results in the loss of as-found conditions which challenge the capability of the test to assure that the turbine driven auxiliary feedwater pump will perform satisfactorily in service.

Description:

The inspectors observed implementation of licensee Procedure STP-O-16-COMP-T, Auxiliary Feedwater Turbine Pump - Comprehensive Test, on March 7, 2018.

During review of licensee Procedure STP-O-16-COMP-T and the quarterly test, Procedure STP-O-16QT, Auxiliary Feedwater Turbine Pump - Quarterly, the inspectors found that immediately prior to the cold pump start, Exelon altered, manipulated, and adjusted a number turbine driven auxiliary feedwater pump train components as directed by the surveillance procedures. These included flushing the condensate storage tank water aligned to the pump suction through the pump to a drain at the pump discharge for approximately 30 minutes, removing and cleaning the auxiliary feedwater pump lubricating oil cooling water (service water) strainer, validating the functionality of the lubricating oil cooling water (service water)strainer bypass valve and bypass valve controlling differential pressure pressure switch, stopping and starting the alternating current and direct current lubricating oil pumps, and verifying the low oil pressure trip functionality of the turbine trip and throttle valve which fully cycles the trip and throttle valve as well as the governor control valve under no load conditions. Consistent with NRC Inspection Manual Part 9900: Technical Guidance, Maintenance - Preconditioning of Structures, Systems and Components before Determining Operability, the inspectors identified these activities, executed immediately prior to cold pump start, as potential preconditioning and discussed the observations with Exelon staff.

Exelon established processes associated with the assessment of preconditioning under Procedures IP-IIT-2, Inservice Testing Program for Pumps and Valves, and CTP-IST-001, Corporate Technical Position - Preconditioning of Inservice Testing Program Components, which states in part, Preconditioning SHALL be avoided unless an evaluation has been performed to determine that the preconditioning is acceptable. The inspectors asked the licensee if a preconditioning evaluation for Procedures STP-Q-16-COMPT or STP-O-16QT was conducted.

After the pump run on March 7, Exelon chose to perform an evaluation of preconditioning acceptability for the flushing of the pump. The justification for acceptability of this preconditioning was protection of the steam generators from low quality water sitting within the pump. Exelon asserted that impact on the pump test results are negligible without providing the details of the potential as-found conditions masked, failure mechanisms against which the activity was evaluated, or why the lower quality water, which is always with the pump while in a standby lineup, is acceptable for event mitigation.

Exelon discovered a preconditioning evaluation had been performed for the cycling of the turbine trip mechanism on April 13, 2010. The inspectors determined this 2010 preconditioning evaluation was narrowly focused on governor control valve stem binding and did not address any other pump parameters or failure modes that could be masked due to cycling the low oil trip or the cycling of the trip mechanism prior to the surveillance test.

Since Exelon performed a technically inadequate preconditioning evaluation associated with low oil trip testing of the turbine trip function and Exelon had not performed preconditioning evaluations of the impact of flushing water through the pump, the lubricating oil cooling water (service water) activities, or stopping and starting of the lubricating oil pumps in advance of the surveillance as of the end of the inspection, the inspectors have concluded that the activities performed immediately prior to cold pump start during comprehensive and quarterly turbine driven auxiliary feedwater pump surveillance testing are examples of unevaluated preconditioning with a reasonable doubt of whether the preconditioning was acceptable, consistent with NRC Inspection Manual Part 9900 Technical Guidance and Exelon program guidance.

Corrective Actions: Exelon entered this concern into the corrective action program for prioritization, assessment, and resolution. This included a preconditioning evaluation of all of the identified issues. Exelon concluded there was no unacceptable preconditioning and that the operability of the turbine driven auxiliary feedwater system was not adversely affected.

The inspectors have no current operability concerns. This evaluation will be fully reviewed under the baseline inspection program.

Corrective Action Reference: Action requests (ARs) 4111709 and 04119043

Performance Assessment:

Performance Deficiency: The inspectors determined that Exelon did not adequately evaluate pre-test activities for the turbine driven auxiliary feedwater pump comprehensive and quarterly tests for preconditioning as discussed in NRC Inspection Manual Part 9900 Technical Guidance, and required by Ginnas Inservice Test Program guidance and Exelons corporate technical position on preconditioning; and failed to identify that those activities may have constituted unacceptable preconditioning. This performance deficiency was reasonably within the licensees ability to foresee and correct and should have been prevented.

Screening: This finding was more than minor in accordance with IMC 0612, Power Reactor Inspection Reports, Appendix B, Issue Screening, dated January 1, 2018, because the performance deficiency is associated with the Equipment Performance attribute of the Mitigating Systems cornerstone and adversely affects the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. This is also similar to IMC 0612 Appendix E, Examples of Minor Issues, examples 3J and 3K. Specifically, preconditioning of components could mask the actual as-found conditions of the system resulting in an inability to verify operability of the system.

Significance: The inspectors assessed significance of this condition using IMC 0609, 4, Phase 1 - Initial Screening and Characterization of Findings worksheet, which directs the user to IMC 0609 Appendix A, The Significance Determination Process (SDP) for Findings At-Power. In accordance with IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions, Section A, Mitigating Systems, Structures or Components and Functionality, the finding screened to be of very low safety significance (Green), because the performance deficiency did not affect system design or qualification, did not result in a loss of safety function, and did not result in the turbine driven auxiliary feedwater train to be out of service for greater than its technical speciation allowed outage time.

Cross Cutting Aspect: No cross cutting aspect was assigned to this finding because the inspectors determined the finding did not reflect present licensee performance.

Enforcement:

Violation: Title 10 CFR Part 50, Appendix B, Criterion XI, Test Control, states, in part, that a test program shall be established to assure that all testing required to demonstrate that structures, systems, and components will perform satisfactorily in service is identified and performed in accordance with written test procedures which incorporate the requirements and acceptance limits contained in applicable design documents.

Contrary to the above, from April 13, 2010 to present, Exelon did not establish an adequate test program, which assured that all testing required to demonstrate the turbine driven auxiliary feedwater system will perform satisfactorily in service, due to potential preconditioning.

Disposition: This violation is being treated as a NCV, consistent with Section 2.3.2 of the Enforcement Policy.

Failure to Procedurally Verify Fuel Transfer Cart Results in Fuel Interference Event Cornerstone Significance Cross-Cutting Aspect Report Section Reactor Safety - Barrier Integrity

Green NCV 05000244/2018011-02 Closed H.12 - HU - Avoid Complacency 71152B A self-revealing Green NCV of Technical Specification 5.4.1.a, Procedures, was identified for the failure of Exelon to operate refueling equipment in accordance with technical procedures in April and May of 2017, which resulted in a fuel interference event, damage to the rod cluster control assembly, and the need for a detailed inspection of a fuel assembly.

Description:

The inspectors identified two examples of failure to follow a required procedure.

Specifically, Exelon Procedures RF-200, Fuel Handling System Checkouts, and RF-302, Fuel Handling Tool Checkout and Operation in Containment, were not followed as discussed below.

(1) In advance of the Spring 2017 refueling outage on April 20, 2017, Exelon implemented a modification to the fuel transfer system to improve fuel moves between containment and the spent fuel pool. This modification changed the alignment of the transfer cart rails, which resulted in a change to the match-mark locations where the encoder stops the fuel assembly.

The licensee failed to perform adequate post modification testing including verification of fuel transfer cart to rail alignment at these match-marked locations in accordance with Steps 6.2.4.16 and 6.2.4.20 of licensee Procedure RF-200.

(2) During the Spring 2017 refueling outage, Exelon performed a complete core offload of all 121 fuel assemblies using the modified fuel transfer system in accordance with Procedure RF-302, Attachment 3, Fuel Transfer System Operating Instructions. The licensee did not perform Step 4.6.4 of Procedure RF-302, Attachment 3, which required the operators to verify pointer and target match-marks to confirm fuel transfer cart to rail alignment on the spent fuel pool side. During core reload on May 4, 2017, upon sending the fifth fuel assembly, which was a new fuel assembly, from the spent fuel pool to the reactor side, the fuel transfer system operator confirmed location of the fuel assembly using the encoder position as provided by a lit indication instead of the pointer and target match-marks as required by Step 4.5.4 of Procedure RF-302, Attachment 3. When the fuel transport system operator up-ended the fuel assembly on the reactor side, the rod cluster control assembly installed with the fuel assembly struck the fuel transport tube. The fuel assembly and rod cluster control assembly were immediately sent back to the spent fuel pool for evaluation of potential damage.

Exelon found the affected rod cluster control assembly to be damaged and was removed from service. The licensee performed a detailed inspection of the associated fuel assembly and determined the fuel cladding remained operable. The NRC inspectors reviewed Exelons apparent cause evaluation for this issue and determined that while applicable sections of Procedures RF-200 and RF-302 were documented as completed, fuel handlers did not use cart alignment match-marks to verify fuel assembly position. They had instead relied upon the encoder position of the cart as provided by a lit indication.

Corrective Actions: Exelon revised Procedures RF-200 and RF-302 requiring verification of match-marks via remote visual observation (e.g., camera), including staff signatures for all steps that verify cart fuel and target match-marks, and added a caution identifying the lit encoder position indication as not a valid indication of cart position.

Corrective Action Reference: AR 04006765

Performance Assessment:

Performance Deficiency: Inspectors found that Exelon did not operate refueling equipment in accordance with l Procedures, RF-200 and RF-302, during pre-outage activities, core offload, and core reload in April and May of 2017, which resulted in a fuel interference event, damage to the rod cluster control assembly, and the need for a detailed inspection of a fuel assembly.

This performance deficiency was reasonably within the licensees ability to foresee and correct and should have been prevented.

Screening: This finding was more than minor in accordance with IMC 0612, Power Reactor Inspection Reports, Appendix B, Issue Screening, dated January 1, 2018, because if left uncorrected, the performance deficiency would have the potential to lead to a more significant safety concern. Specifically, the repetitive failure to perform the procedurally required fuel transfer cart position verifications, which resulted in the interference event, the actual damage sustained by the rod cluster control assembly, and the need for a detailed inspection of the fuel assembly, if left uncorrected, would have the potential to result in actual damage to a spent fuel assembly which could challenge the ability of the fuel cladding to remain intact.

Significance: The inspectors assessed significance of this condition using IMC 0609, 4, Phase 1 - Initial Screening and Characterization of Findings worksheet, which directs the user to IMC 0609 Appendix G, Shutdown Operations Significance Determination Process. However, criteria for evaluating fuel handling issues are only contained in IMC 0609 Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Since no criteria exist to evaluate this issue in IMC, Appendix G, the inspectors used the most applicable screening criteria available to make a bounding case and characterize this finding as allowed by IMC 0609, Appendix M, Significance Determination Process Using Qualitative Criteria. The inspectors assessed significance of this fuel handling event in accordance with IMC 0609, Appendix A, Exhibit 3, Barrier Integrity Screening Questions, Section D, Spent Fuel Pool. The finding was determined to be of very low safety significance (Green), because the performance deficiency did not affect fuel pool temperature or level, did not affect neutron absorber capability or result in a fuel bundle being misplaced, and although the performance deficiency resulted in fuel handling errors, it did not cause mechanical damage to fuel clad and a detectible release of radionuclides.

Cross Cutting Aspect: This finding in accordance with IMC 0310, Aspects within the Cross-Cutting Areas, dated December 04, 2014, has a cross-cutting aspect in the area of Human Performance associated with Avoid Complacency, in that Exelon fuel transfer system operators did not recognize and plan for the possibility of mistakes, latent issues, and inherent risk, even while expecting successful outcomes. Specifically, operators failed to recognize the latent issues associated with misalignment of the fuel transfer cart and the inherent risk incurred by the inappropriate cart position verification method used, and did not complete the appropriate procedure step a number of times prior to the interference event occurring. (H.12)

Enforcement:

Violation: Technical Specification 5.4.1.a, Procedures, states in part, Written procedures shall be established, implemented, and maintained covering the following activities: The applicable procedures recommended in Regulatory Guide 1.33, Revision 2, Appendix A, February 1978. Regulatory Guide 1.33, Revision 2, Appendix A, Section 2.k, identifies Refueling Equipment Operation, as a recommended procedure. Exelon Procedures RF-200, Fuel Handling System Checkouts, and RF-302, Fuel Handling Tool Checkout and Operation in Containment, implement this requirement.

Contrary to the above, from April 20, 2017 to May 4, 2017, Exelon staff did not properly implement written procedures RF-200 and RF-302, which resulted in a fuel interference event on May 4, 2017, damage to the rod cluster control assembly, and the need for a detailed inspection of a fuel assembly.

Disposition: This violation is being treated as a NCV, consistent with Section 2.3.2 of the Enforcement Policy.

Observations and Minor Violations/Performance Deficiencies 71152B Corrective Action Program: The team concluded that Exelons corrective action program was generally effective. However, some observations were noted; particularly, a number of issues in the MR program. Specifically,

1. The inspectors reviewed maintenance preventable functional failures (MPFFs) that

occurred on the service air system since 2016. The inspectors noted that diesel driven service air compressor failures on January 12 and December 27, 2017, were documented by Ginna to be the result of vendor guidance not being used correctly in the development of online monitoring of equipment. Based on Ginnas documentation, the inspectors determined that Ginnas basis for the December 2017 failure not being a repetitive MPFF was not adequately justified. Ginna presented the inspectors additional analysis and evaluation of the failure from December 2017, that had not been documented originally, which showed that the maintenance related cause was different than the cause of the failure in January 2017. Therefore, the issue was not a repetitive MPFF and did not constitute a violation of 10 CFR 50.65 (a)(2). Exelon documented the inspectors observation concerning adequate documentation of MPFF causes in AR 04122176. This observation is related to the assessment of the Corrective Action Program Area of Problem Evaluation.

2. The inspectors reviewed 22 maintenance rule functional failures (MRFFs) that

occurred over the last two years, 13 of which were determined to be not maintenance preventable, 9 MPFFs, and zero were repetitive MPFFs. The inspectors determined that three of the 13 issues that Exelon determined were not MPFFs, were maintenance preventable (ARs 02625128, 02630466, and 02633768). The inspectors also noted inconsistencies regarding Exelons documented basis for why MPFFs were or were not determined to be repeat MPFFs. The inspectors determined that all of these MR issues represented performance deficiencies because Exelon was not following their MR performance monitoring Procedure, ER-AA-310-1004. Exelon documented the issue in ARs 04117878 and 04118265. The inspectors determined that these issues do not constitute a violation of 10 CFR 50.65 (a)(2) per the guidance in the NRC Enforcement Manual because the additional MPFFs did not cause any of Exelons MR systems to exceed their performance criteria and the performance deficiency was minor because the issues did not represent a significant programmatic deficiency within the MR program This observation is related to the assessment of the Corrective Action Program Area of Problem Evaluation.

3. The inspectors reviewed two failures of the B containment hydrogen monitor

(ARs 02630466 and 02633768) that occurred in February 2016. The failures were the result of failed 480 VAC current voltage transformers that had internal non-electrolytic capacitors fail due to age. Exelons evaluation of the failures determined that their procurement procedure for the tracking of component shelf-life, PES-S-002, had not been revised to include updated industry guidance that would ensure the appropriate shelf-life of safety-related and augmented quality components are appropriately tracked. The inspectors determined that Exelons corrective action to revise the procedure had not been completed yet and had been extended multiple times leaving the program vulnerable to the same failure mode. The inspectors also determined that no extent of condition had been performed on other components tracked by the shelf-life program. This performance deficiency is of minor risk significance because the aged components either were not yet installed in the plant, failures were identified during post maintenance testing, and the equipment failures did not impact the Barrier Integrity cornerstone objective. Exelon documented these issues in ARs 02657276 and 02657285. This observation is related to the assessment of the Corrective Action Program Area of Problem Evaluation.

4. The inspectors reviewed corrective actions associated with NCV

05000244/2015002-02, Inadequate Procedure Implementation Results in Inadvertent Entry into 72-Hour Technical Specification Action Statement. Exelons evaluation of the event determined that improper tool usage, while lifting leads to support a power supply replacement, caused the inverter swap. Exelons corrective actions included revising Procedure M-71.4, Removal and/or Installation of Modules Within Defeated or Out of Service Instrument Loops, to provide clear direction that only nonconductive tools should be used to perform the activity. The inspectors determined that the 2015 procedure included the caution, however subsequent versions did not include this caution, and that there were no procedure change request forms that accounted for the revisions not including the caution. The inspectors reviewed this issue using IMC 0612, Appendix B, Issue Screening, and determined this issue was a minor violation of Technical Specification 5.4.1.a, Procedures, because the issue was administrative in nature, workers had knowledge of the precaution due to previously completed corrective actions, and the issue had not repeated. Exelon documented the issue in AR 04114953. This observation is related to the assessment of the Corrective Action Program Area of Timely and Effective Corrective Actions.

Observation and Minor Performance Deficiency 71152B Operating Experience: The team identified some issues in Exelons incorporation of lessons learned from industry and NRC operating experience into station programs, processes, and procedures. This observation also supports the assessment of the MR.

The inspectors reviewed two equipment failures in the service air system (ARs 02639792 and 03962433) both of which had similar industry operating experience that were determined to have not been reviewed by Exelon prior to each failure. Exelon documented the issue in the ARs noted above. For these failures, Exelon identified that valid operating experience had not been evaluated; however, the failures were appropriately classified as MRFFs when this fact was identified. The failures did not result in a loss of system or train function. Therefore this does not constitute a violation of NRC requirements and the performance deficiency is minor.

Observation 71152B Self-Assessments and Audits: The team identified some issues in Exelons use of audits and self-assessments. These issues support the observation of weakness in the MR program.

1. Maintenance Rule Program Focused Area Self-Assessment (FASA) dated

June 30, 2016 (FASA 02565710) - The inspectors noted that the FASA did not meet Objective #3 of the self-assessment, to review equipment failures of two MR systems since the last FASA, specifically only one system was reviewed. Exelon documented the issue in AR 04117874.

2. Nuclear Oversight (NOS) Corrective Action Program Audit dated March 29, 2017

(AR 3977544) - The inspectors noted the audit did not include a review of the MR program and that the audits corrective actions did not address that three of eight operating experience reviews contained errors related to accurate documentation.

Exelon documented the issue in AR 04117882.

Observation 71152B Safety Conscious Work Environment: The team found no evidence of challenges to Exelons organizations safety-conscious work environment. Site employees appeared willing to raise nuclear safety concerns through at least one of the several means available.

Observation 71152B Review of Corrective Actions Related to Greater-than-Green Findings That Were Not Completed by the End of the Associated Supplemental Inspection: The team reviewed the corrective actions, open at the time of completion of the documented IP 95001 Supplemental Inspection (ML16333A024), dated November 28, 2016, associated with a White NOV in the Emergency Preparedness Cornerstone. The team verified these corrective actions had been completed as scheduled. The team did not identify any new performance deficiencies and did not document any additional observations.

EXIT MEETINGS AND DEBRIEFS

On March 22, 2018, the inspectors presented the biennial problem identification and resolution initial inspection results to Mr. William Carsky, Site Vice President, and other members of the Ginna staff. During that discussion your staff requested to provide additional information for consideration. In-office review of the additional information continued by the NRC, and a telephonic exit meeting was conducted on April 19, 2018 with Kyle Garnish, Ginna Regulatory Assurance Manager and other members of the Ginna staff. Inspectors verified no proprietary information was retained or documented in this report.

THIRD PARTY REVIEWS

Inspectors reviewed Institute on Nuclear Power Reactor reports that were issued during the inspection period.

DOCUMENTS REVIEWED

71152B

Procedures

CC-AA-211, Fire Protection Program, Revision 8

CC-AA-501-1008, Exelon Nuclear Welding Program Welding General Requirements

CTP-IST-001, Corporate Technical Position - Preconditioning of IST Program Components,

Revision 1

EI-AA-1, Safety Conscious Work Environment, Revision 4

EI-AA-101, Employee Concerns Program, Revision 11

EI-AA-101-1000, Employee Concerns Program Process, Revision 15

EP-AA-112-400, Emergency Operations Facility Activation and Operation, Revision 13

EP-CE-111, Emergency Classification and Protective Action Recommendations, Revision 4

EP-CE-111-F-03, Ginna Protective Action Recommendation Flowchart, Revision B

EP-CE-114-100, Emergency Notifications, Revision 6

EPG-EPAC, Emergency Preparedness Advisory Committee Subcommittee for Excellence in

Emergency Preparedness Guideline, Revision 00000

EPJA-0, Ginna Station Event Evaluation and Classification, Revision 2

ER-AA-310, Implementation of the Maintenance Rule, Revision 11

ER-AA-310-1004, Maintenance Rule - Performance Monitoring, Revision 14

ER-AA-310-1005, Maintenance Rule - Dispositioning Between (a)(1) and (a)(2), Revision 7

ER-AA-310-1006, Maintenance Rule-Expert Panel Roles and Responsibilities, Rev. 7

ER-AA-310-1007, Maintenance Rule - Periodic (a)(3) Assessment, Revision 5

ER-INST.3, Instrument Bus Power Restoration, Revision 01200

GMM-24-02-ISFSI01A, ISFSI Operations using Areva equipment

GMM-24-02-ISFSI15, ISFSI abnormal events and recovery actions

HU-AA-104-101, Procedure Use and Adherence, Revision 5

IP-IIT-2, Inservice Testing Program for Pumps and Valves, Revision 016

M-71.4, Removal and/or installation of modules within defeated or out of service instrument

loops, Revision 02501, 02600, 02700

MA-AA-716-003, Tool Pouch / Minor Maintenance, Revision 10

MA-AA-716-004, Conduct of Troubleshooting, Revision 15

MA-AA-716-234, FIN Team Process, Revision 12

NO-AA-21, Nuclear Oversight Audit Process Descriptions, Revision 9

OP-AA-108-115, Operability Determinations, Revision 20

OP-AA-108-115-1002, Supplemental Consideration for on-shift Immediate Operability

Determination, Revision 3

OP-AA-112-101, Shift Turnover and Relief, Rev 13

OU-AA-630-1000 R007, Spent Fuel Loading Campaign Management

PES-S-002, Shelf Life, Revision 8

PI-AA-1012, Safety Culture Monitoring, Revision 1

PI-AA-115, Operating Experience Program, Revision 2

PI-AA-115-1001, Processing of Level 1 OPEX Evaluations, Revision 2

PI-AA-115-1002, Processing of Level 2 OPEX Evaluations, Revision 3

PI-AA-115-1003, Processing of Level 3 OPEX Evaluations, Revision 3

PI-AA-120, Issue Identification and Screening Process, Revision 8

PI-AA-125, Corrective Action Program (CAP) Procedure, Revision 6

PI-AA-125-0004, Effectiveness Review Manual, Revision 2

PI-AA-125-001-F-01, CAPCO Indoctrination Guide, Revision 1

PI-AA-125-1001, Root Cause Analysis Manual, Revision 3

PI-AA-125-1003, Corrective Action Program Evaluation Manual, Revision 4

PI-AA-125-1006, Investigation Techniques Manual, Revision 3

PI-AA-126, Self-Assessment and Benchmark Program, Revision 2

PI-AA-126-1001, Self-Assessments, Revision 2

PI-AA-126-1006, Benchmark Program, Revision 2

PI-AA-127, Passport Action Tracking Management Procedure, Revision 2

RE-100, Preparation, Review, and Approval of Fuel Movement Sequence Sheets and

Document Closeout, Rev. 3

RF-200, Fuel Handling System Checkouts (Dry and Wet), Revision 015

RF-302, Fuel Handling Tool Checkout and Operation in Containment, Revision 011

RF-602, Irradiated Fuel Assembly Visual Inspection, Revision 00200

S-16.2, Nitrogen Make-up to the SI Accumulators, Revision 034

SA-AA-129-2118, Management and Control of Temporary Power, Revision 9

SM-AA-3019, Parts Quality Initiative (PQI), Revision 6

SM-AA-4003, Supply Critical Spare Guideline, Revision 10

STP-O-16-COMP-T, Auxiliary Feedwater Turbine Pump - Comprehensive Test, Revision 024

STP-O-16QT, Auxiliary Feedwater Turbine Pump - Quarterly, Revision 013

STP-O-36-COMP-C, Standby Auxiliary Feedwater Pump C - Comprehensive Test, Revision 18

STP-O-36-COMP-D, Standby Auxiliary Feedwater Pump D - Comprehensive Test, Revision 16

STP-O-R-19(-20), Diesel Generator A(B) - Auto-Start Undervoltage Logic Test, Revision 2

STP-O-R-2.1A, Safety Injection Functional Test Alignment/Realignment, Revision 9

STP-O-R-2.2-TR-A, Diesel Generator Load and Safeguard Sequence Test - Train A, Revision 0

STP-O-R-2.2-TR-B, Diesel Generator Load and Safeguard Sequence Test - Train B, Revision 1

STP-O-R-2.3A, Diesel Generator A Trip Testing, Revision 5

STP-O-R-22, Feedwater Pump DC Oil Pump Time Delay Relay Test, Revision 2

STP-O-R-27, A & B Hydrogen Recombiner Testing, Revision 2

WC-AA-101, On-line Work Control Process, Revision 27

WC-AA-101-1005, Work Scheduling and Grading, Revision 3

WC-AA-106, Work Screening and Processing, Revision 17

Condition Reports (*initiated in response to inspection)

04114953*

04114953*

04111374*

04111322*

04111374*

04111669*

04111709*

04112168*

04112392*

04112598*

04112750*

04112800*

04112812*

04116888*

04110783*

04117873*

04117874*

04117878*

04117880*

04117882*

04118265*

04119043*

01701238

01701311

01933869

01938885

01948599

01950285

01956230

01961032

01962316

01962318

01963575

2132702

2178745

2397449

2399951

2405851

2409910

2424722

2429230

2434592

2434979

2439937

2449963

2458481

2458739

2465416

2470437

2471785

2473775

2475400

2476668

2483272

2492151

2494125

2494412

2500256

2502343

2502359

2506563

2509756

2512443

2514628

2514655

2514772

2516547

2516554

2516978

2523193

2528317

2530555

2535825

2535895

2535900

2535909

2544137

2546188

2573642

2574211

2575341

2577596

2577698

2580574

2582826

2585574

2592360

2601330

2609057

2609137

2610810

2612275

2615048

2617579

2618563

2619403

2620316

2620792

2620843

2625128

2626369

2628278

2629046

2630625

2630722

2631153

2633355

2633728

2634523

2634583

2634645

2635546

2636117

2636164

2638320

2639723

2639792

2640633

2640712

2640720

2641476

2646017

2646791

2648547

2649359

2655409

2657276

2657285

2659732

2661766

2664538

2664640

2665131

2665316

2665838

2666602

2666793

2666866

2669156

2669354

2670975

2671948

2673198

2674062

2674062

2679127

2680604

2681417

2682945

2683617

2684098

2684215

2684662

2684850

2685880

2693831

2695299

2695445

2695917

2695937

2696733

2696981

2698012

2698549

2702341

2702383

2702771

2703675

2706311

2707246

2707249

2709964

2710347

2711117

2711794

2712688

2713354

2714782

2715246

2715731

2716996

2724064

2730010

2730711

2732752

2735369

2735697

2735709

2735815

2736095

2736152

2736383

2736488

2736494

2736495

2736543

2736798

2737109

2737173

2737475

2738390

2739509

2741463

2742213

2742444

2769127

03943647

03949351

03950704

03952606

03954743

03960291

03961753

03962433

03963060

03963193

03964222

03964471

03965151

03965439

03966140

03970849

03970993

03972024

03973119

03973323

03973710

03975046

03977182

03980222

03982757

03985259

03988081

03988754

03994820

03996769

03997830

03998922

03999507

03999538

04001424

04002200

04004545

04005936

04005948

04006292

04006765

04007556

04007570

04009546

04009869

04009990

04010037

04010823

04011557

04011603

04014045

04020146

04020622

04021265

04022430

04028605

04029298

04029514

04034008

04035608

04045306

04049372

04050245

04050403

04057555

04059218

04063272

04064822

04065573

04065575

04070378

04070436

04074362

04074792

04074828

04074961

04075248

04075866

04077758

04078493

04084880

04084950

04086960

04087519

04087990

04091114

04091598

04092244

04092597

04092735

04093825

04094539

04096206

04096294

04097001

04097005

04097015

04097056

04097393

04111709

2009-003680

2009-002332

2011-000411

Self-Assessment and Audits

Maintenance Rule Program Focused Area Self-Assessment dated June 30, 2016

Nuclear Oversight (NOS) Corrective Action Program Audit dated March 29, 2017

QA-NOSA-GIN-17-03 GINNA EMERGENCY PREPAREDNESS AUDIT REPORT, PLAN AND

TECHNICAL SPECIALIST ORIENTATION GUIDE dated 4/12/17

QA-NOSA-GIN-16-03 EMERGENCY PREPAREDNESS AUDIT REPORT AND PLAN dated

4/28/16

Maintenance Rule (a)(3) Periodic Maintenance Effectiveness Assessment, November 7, 2015 -

May 14, 2017

PI&R FASA dated December 29, 2017

2016 Self-Assessment: Pre-NRC 95001 Inspection (EAL Basis)

26359732-23, Effectiveness Revie for Root Cause Evaluation 02659732, EAL Classification

Inaccuracy

277135, Operability Evaluation Focused Area Self-Assessment, dated May 16, 2010

2434592

2434979

2458481

2575250

2575290

2582826

2583237

2592360

03974705

04031441

Maintenance Orders/Work Orders

C20805095

C20805095

C90640029

C92925824

C92925829

C92939169

C93051676

C93641214

C93765443

Calculations

201-0102, 120V AC Instrument Bus One-Line Diagram

ES-4.003, 125 Volt DC Short Circuit and System Voltage Drop Calculation, Revision 10

Engineering Changes / Evaluations

70108834, Change Current 6Y Replacement Scope of all Thirty Three SW Expansion Joint to

2Y Evisive Scan Testing and Visual/Physical Inspections, dated June 24, 2010

ECP-14-000942-103-C-01, Fuel Transfer System Modification, Revision 0002

G1-MSPI-001, MSPI Basis Document, Revision 2

PCAQ 92-035, Assessment of Block Wall Impact on Safety Related Service Water Piping during

a Seismic Event

RE-100, Preparation, Review, and Approval of Fuel Movement Sequence Sheets and

Document Closeout, Revision 018

Drawings

201-0102, 120V AC Instrument Bus One-Line Diagram

211630-B-9532 Sheet 1, No. 1 Unit No. 1A, 1B and 1C Vital Buses Safeguard Equipment

Control System Schematic Controls, Revision 8

33013-1237, Auxiliary Feedwater, Revision 73

Operating Experience

2016-57-0152324 (EN 52324) - PART 21 - Potential Issue with Seismic Qualification of Type

546ns Electro-Pneumatic Transducers (Emerson Fisher Controls, Intl. LLC) 11/28/16

2016-44-0152216 (EN 52216) - PART 21 - Potential Failure of Battery System Connections

(ENERSYS) 9/2/16

2015-34-00, Related to Possible Cracking in KCR-13 Standby Battery Jars (C&D Technologies)

6/8/15

2458739

2470437

2470437

2473775

2475400

2494125

2500256

2509756

2516978

2546188

2605068

2605068

2605068

2626369

2639792

2645234

2664538

2673403

2684864

2685880

2695299

2702977

2703851

2704389

2714782

2714782

2714782

2720218

2723588

2725362

03962433

03962443

03977602

03979499

04013155

04018594

04038690

04040386

04043070

04045306

04059150

04087519

04096294

Miscellaneous

ALCO-MI-11272C (Ginna VTD-A0152-4070) Engine Maintenance Schedule Nuclear Standby

Engines, Rev. 3

Auxiliary Feedwater System, Health Group Issues/Action Plan, presented March 7, 2018

Emergency Preparedness Advisory Committee Subcommittee for Excellence in Emergency

Preparedness, meeting minutes, February 5, 2018, October 16, 2017, and August 14,

2017

Emergency Preparedness Command and Control Transition Project, Change Management

Plan, presented January 22, 2018

Exelon Generation Company, LLC, Quality Assurance Topical Report (QATR), NO-AA-10,

Revision 92

GIN-16-0078, Ginna Auxiliary Transformer Replacement Plan, dated December 5, 2017

Ginna Maintenance Rule (a)(1) Action Plans dated between January 1, 2016, and February 1,

2018

MRC and SOC Agendas dated March 5-8, and 19-22, 2018

NRC IMC Part 9900: Technical Guidance, Maintenance - Preconditioning of Structures,

Systems and Components before Determining Operability

Ginna Surveillance Frequency Control Program (SFCP), Revision 7

Ginna Updated Final Safety Analysis Report

Ginna ECP Logs dated from January 1, 2015, through February 1, 2018

Ginna Safety Culture Monitoring Panel Meeting Minutes dated from January 1, 2015, through

February 1, 2018

Transition North East Sites Command and Control Structure along with select Exelon

Emergency Response Organization Checklist adoption, presented February 2, 2018

TRM 3.9.1, Fuel Storage in Spent Fuel Pool (SFP), Rev. 43

Updated Final Safety Analysis Report, Revision 27

VTD-D0245-4001, Worthington WT Multistage Centrifugal Pump, Revision 004

Westinghouse Technical Bulletin 15-01, Reactor Coolant System Temperature and Pressure

Limits for No. 2 Reactor Coolant Pump Seal