IR 05000335/1995014

From kanterella
Jump to navigation Jump to search
Informs That Insp Repts 50-335/95-14 & 50-389/95-14 Have Been Issued to Prevatte for Insp Scheduled to End 950805
ML20137R947
Person / Time
Site: Saint Lucie  NextEra Energy icon.png
Issue date: 07/07/1995
From:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
To: Prevatte
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
Shared Package
ML20137Q937 List:
References
FOIA-96-485 NUDOCS 9704140305
Download: ML20137R947 (70)


Text

{{#Wiki_filter:__ __ _ . _. . _ . _ _. . p .. , ' ENCLOSURE 4 L o MEMORANDUN FOR: J reI?(h . NOTE: This form must be returned to IMS no later than 48 ' hours after returning from the inspection.

FROM: ,,,,,,,iornation Management Section (IMS) - . SUBJECT: INSPECTION REPORT DATA SHEET The following inspection report number (s) has (have) been issupd Jto you (or Headquarters) for an inspection scheduled to end on f/S/66~ , Facility Docket Report No(s).

x'sc, l2.5 $b~$$ $$f W~/$ s In order to track and trend inspection correspondence timeliness, upon returning from the inspection, it is required that this form be submitted with the following information:

ENFORCENENT: N Clear (no violations)

Potentially Non-Escalated (Severity Levels [SL) 4 or 5 or , deviation) Potentially Escalated (SL 1-SL 3) TYPE OF INSPECTION REPORT: . N Individual (including Resident staff inspection reports) Team (3 or more inspectors - excluding Resident staff inspection reports) Headquarters Inspection

Systematic Assessment of Licensee Performance (SALP) b Did the inspection ending date change? (Y or N) New ending date: ~~/ 2 9 M ' I - J AQ A&CL signature of person completing this rom

9704140305 970327 - PDR FOIA ' BINDER 96-485 P DR.,, __.

_ _

. _... . _ _ - - _. _ _ . _. __ .. _ _ _. _ _ - _ _.

_ _. _. _ - .. .. INSPECTION FOLs /UP SYSTEM (IFS) - SPEED CLOSEOUT / UPDATE FORM . E O - 0 3 3 5 RESPONSIBLE INDIVIDUAL: kicAAd l-8rewt1t mCm i S O O 3 W

REVIEWED BY: NUMBERS - I.aEELJikkh-- _ . .. - - CLOSEOUT / AFFECTED UNITS ITEM INSPECTION ITEM UPDATE INSPECTION ITEM (1/2/3) TYPE' NUMBER REPORT NO.

END DATE STATUS * _ X L.- E R 4 4 O O 3 O f 9 5 - O I 4 9/.24l'5~ C.LoSEb - - O I 4 ^i}29 }<ls-CLOSEb X L-k R 9 4 0 0 lo O \\ 9 5~ - - - _ _ _ , - -

. .- t . . . ! . - - < . - - - ~

i I MMM MMMMMMbMM Mmmmme m M ' (FOR ESCALATED ITEMS ONLY) ' CLOSEOUT / AFFECTED UNITS ITEM UPDATE INSPECTION ITEM , (1/2/3) TYPE EA NUMBER NOV ID NUMBER REPORT NO.

END DATE STATUS * VIO - - VIO - - VIO - - ' NOTE: See back for codes , ereciner rwe . - . --- -- - - - - ----- ---


- - - - - - - - - - - - - -

.. NRC EXIT NzR 9T-/4/ DATE ? ~27 'if NAME pogITION pp, s ,( c g T r L ~ /I / / - - .. Jir.. knou) Oog /h w [,r>2 s _es.

W'\\ \\ * su > I/" ^!k)I fee / Si,o my;-g cae w Y s'P Kris P,A4 K moHidhA00 ht$ M7/ doe Marske+e.

Mf.

\\ ue w s me gA.u o y oc.som C6 . -7do"?U b^ ' xic.,4g g $cTe ,. $'Al d&A V95. []LA-Dct~ ~ y <i a G <b c p..:. I : k i m. i; ~ - y & L, &a ncl.n $10."I hpA M4 Wat-aec MF hid ' gg kkdk 6 K-E' & Jeep - . - .Lxwu; 4,s<< n C ,\\ _ l'!. Dr q.; a n.q,,z ~ I

.# ~

w- .ar ITEM DETAIL REPORTS IF5 IN5PECTION FOLLOW-UP SYSTEM DATE: 08/24/95 OPEN ITEMS SUMMARY REPORT BY SITE TIME: 8:47:34 PAGE:

SITE: STL ST LUCIE- , UNIT RPT/IF5/ SEO-NO ITEM REF NBR / SEVERITY SALP REPORT / STS CREATE CLOSE00T CLSOUT CLSOUT UPDATI?G ABBR EA/ NBR NOV-ID TYPE EA-NBR SUPLMNT AREA EVENT DT DATE PRJ/ACT* ORG NO EMP INSPECTION REPORTS .................................................................................................................................... STL2 I 93-025 01 IFI 12/01/93 0 12/07/93 2313 TITLE: REVIEW OPEPABILITY OF UNIT 2 MOV MV-08-13 DURING THE . COMMENTS: REVIEW OPERABILITY OF UNIT 2-MOV MV-08-13 DURIfG THE PERIOD JULY 20 TO OCTOBER 19. 1993.

STL1 I 94-008 03 URI ENG 04/08/94 0 04/13/94 2312 JVL TITLE: CUALITY LEVEL OF PORV AND SRV DISCHARGE PIPING STL1 I 94-010 01 VIO 4l1 ENG 04/28/94 0 05/03/94 2312 BRC TITLE: FAILURE TO MEET WELD PREP DIMENSIONAL TOLERANCES ON COMMENTS: CONTRARY TO 10 CFR 5. APPENDIX R. CRITERION V AND XI. ON APRIL 7. 1994. ACTIVITIES AFFECTING QUALITY WERE NOT ACCOMPLISHED IN ACCORDANCE WITH PRESCRIBED PROCEDURES AND THE PROGPAM FOR INSPECTION OF ACTIVITIES AFFECTING OUALITY WAS NOT EXECUTED TO VERIFY CONF 0PMNCE WITH DOCUMENTED PROCEDURES IN THAT. THE J-WELD PREP BEVEL ANGLES WERE GROUND TO 50 - 52 DEGREES FOR N0ZZLE 'C' AND 38 - 45 DEGREES FOR N0ZZLE *B' THE PREP 5 WERE INSPECTED AND ACCEPTED BY OC.

STL1 I 94-011 01 VIO 4/1 ENG 06/02/94 0 06/08/94 2313 TITLE: INADE0uATE CORRECTIVE ACTION FOR MOV5 WHICH STALLED STL1 I 94-011 02 IFI ENG 06/02/94 0 06/08/94 2313 TITLE: INADECUATE RECOGNITION OF MOV TEST PRESSURE AND FLOW STL1 I 94 011 03 IFI ENG 06/02/94 0 06/U8/94 2313 TITLE: LACK OF INSTRUCTIONS OR GUIDANCE FOR TRENDItG STL1 I 94-019 02-URI OPS 10/20/94 0 10/21/94 2321 TITLE: ACCEPTABILITY OF MAINTAINING AN SRO A5 AN RO IN REOL COMMENTS: DETERMINATION OF ACCEPTABILITY OF MAINTAINING LICENSED SRO IN REQUALIFICATION TRAINING AS AM RO.

STL2 I 94-019 02 URI OPS 10/20/94 0 10/21/94 2321 STL1 I 94-019 03 IFI OPS 10/20/94 0 10/21/94 2321 TITLE: CONFLICTING PROCEDURAL GUIDANCE FOR ACTIVE LICENSES COMMENTS: CONFLICTING PROCEDURAL GUIDANCE CONCERNING MAINTAINING THE LICENSE STATUS OF THE OPERATIONS SUPERVISCR.

STL2 I 94-019 03 IFI OPS 10/20/94 0 10/21/94 2321 [ d .

-, - j . .k

bU

. , Y ^% w .m ' ITEM DETAIL REPORT 5' IF5. INSPECTION FOLLOW-UP SYSTEM. - "DATEi08/24/95 ' .OPEN ITEMS.5UMMARY' ' REPORT BY SITE:

TIME:.6:47:34 PAGE:

3- ' SITE:.-5TL ST LUCIE UNIT' RPT/IF5/ SEO-NO ITEM. REF NBR / SEVERITY SALP REPORT / STS CREATE' CLOSEOUT CL500T'-CL500T: .. UPDATIE ABBR EA/ NBR NOV-ID TYPE EA-NBR-SUPLMNT AREA EVENT OT DATE PRl/ACT* ! ~0RG NO EMP -INSPECTION REPORTS ... ................................'..........................................._.............................7.........................- - ' STL1 - I 94 300"01 IFI OPS 11/17/94 0 11/28/94 '2321 TIRE: . PROCEDURAL GUIDANCE FOR REMOVAL OF RCPS PRIOR TO 500 .ComENT5f PROCEDURAL GUIDANCE 15 LACKING FOR REMOYAL OF AN RCP FROM ~ SERVICE PRIOR TO RCS TEMPERATURE DECREASING BELOW 500 DEGREES ' ~ FAlftENHEIT. PLANT PARAMETERS CAN CHANGE FAST ENOUGH SUCH JTHAT PROCEDURAL GUIDANCE IS NOT OBTAINED UNTIL AFTER THE RCS ' TEMPERATURE HAS DECPIASED BELOW THE~ 500 DEGREES FAHRENHEIT.

- $ d $ 7-l@ gh oN. STL2 N 94-332' 01 LER 94-006-01 07/14/94 0 10/11/94 ~ TITLE: TRIP CIRCUIT BREAKER FAILURE DUE TO A BROKEN PIECE OF STL1 .N 94-376 02 LER 94-008-00 . 11/04/94. 0 12/15/94' 2232 TITLE: INADVERTENT CONTAlfMENT ISOLATION SIGNAL Cl--Mb 1g CamENTS:' INADVERTENT CONTAl MENT ISOLATION SIGNAL (CIS) CAUSED BY FAILURE OF THE B INSTRUMENT INVERTER CONCURRENT WITH CHANNEL D CIS IN . TRIPPED COWITION.

STL1 I 95-001 J01 VIO 4/1 OPS 02/23/95 0 03/06/95 2232-TITLE: FAILURE TO PERFORM TS-REQUIRED SAMPLING OF THE lAl SIT STL2 I 95-001 02 VIO 4/1 . MAINT 02/23/95 0 03/06/95 2232 TITLEi FAILURE TO FOLLOW PROCEDURE 2-LOI.T-89 gyMd %.o } ~ .STL1 N 95-004 -01 LER 94-010-00 11/24/94 0 01/04/95 2 32 TITLE: INADVERTENT B TRAIN ENGINEERED SAFEGUARDS FEATURES ACTU ComENTS: INADVERTENT B TRAIN ENGINEERED SAFEGUARDS FEATURES ACTUATION SIGNAL (ESFAS) DUE TO A DEFICIENT INSTRUMENT A W CONTROL TEST PROCEDURE.

g[qd. h<.)y' STL1-N 95-005 01 LER 94-009-00 11/22/94 0 01/04/95 TITLE: INADVERTENT SAFETY IM ECTION ACTUATION SIGNAL /CONTAl m E COMMENTS: INADVERTENT SAFETY 10 ECTION ACTUATION SIGNAL / CONTAINMENT ISOLATION SIGNAL DUE TO AN INVALID HIGH PRE 55URIZER PRESSURE SIGNAL.

_ STL2 I 95-005 01 VIO 4/1 ENG 06/05/95 0-06/19/95 2313 95-005 TITLE: FAILURE TO IMPLEMENT DESIGN REQUIREMENT SPECIFIED IN PC/M 039-29 ComENTS: CONTRARY TO 10 CFR 50. APPE E IX B. CRITERIA III A W V A5 0F A'RI L.26.1995. DESIGN CHANGE ACTIVITES WERE NOT PERFORMED IN ACCORlA NCE WITH REQUIREMENTS IN THAT OVERLOAD HEATERS MODEL NO.123F1M-C WERE INSTALLED IN MCC 2A. COMPARTMENT NO. OR3 FOR BATTERY CHAR GED 2AA. INSTEAD OF THE REQUIRED MODEL NO. 123F114C. THE INSTALL ED OVERLOAD HEATERS WERE LESS CONSERVATIVE THAN WERE FOUPO TO BE LESS CONSERVATIVE THAT THE MODEL SPECIFIED BY THE PC/M.

_

.m - s.

- - f . ~ , q . y., . . - ~ h - ' _ _

_. TEMDETAILREPORT51 " ' IFS - INSPECTION FOLLOW-UP SYSTEM- 'DATE:'08/24/95~ REPORT BY SITE : '~ -TIME:.B:47:34 .' ?OPEN ITEMS StM %RY.

~ -PAGE:-

' i _ 1SITEi STL. ST~LUCIE:. . . - ... J' ' UNIT- -RPT/IF5/ SE0-NO ITEM REF NBR / SEVERITY' 5 ALP REPORT / STS CREATEL CLOSE00T ' CL50UTc CLSOUT - uPOAt PG -

ABER.

EA/ NBR !NOV.ID TYPE EA-NBR SUPLMNT AREA EVENT DT DATE PRJ/ACT* EORG NO ~ EMP.. IMPECTION REMRTS - ' u.--...........-...........................-.....-...................----..................-............................'........... . -STL1' .~I 95-005' 02 URI ENG 06/05/95 0 06/19/95 2313 95-005- - i TITLE: POWER SUPPLY UPGPADE FOR THE EXISTIE STEAM GENERATOR WIDE RANGE - t ' STL2 ~ I-95-005. 02?, URI: ENG 06/05/95 0- 06/19/95-2313 95-005~ SR2' -I 95-005 03' URI' . . EE 06/05/95 0 06/19/95 2313 '95-005 - ' t TITLEi . INCORE ' INSTRUMENT WIRIE ERRORS.

> STL1' 'I 95-010 01 NCV ' MAINT 06/23/95 0 07/06/95 2232 95-010 g ( g ~ g _ y TITLE: MISSED SURVEILLANCE ON IB EMERGENCY DIESEL GENERATOR.

. , ~

STL1 N 95-061? 02 LER % -001 00-02/16/95 0 03/21/95 2232

- 1A3 4160 VOLT BUS LOAD SHED DURIE REPLACEMENT OF FAILE ~ TITLEi < CG99ENTS: 1A3 4160 VOLT BUS LOAD SHED DURING REPLACEMENT OF FAILED 2X-5 " RELAY DUE TO PROCEDURAL DEFICIENCY.

y l STL2 . N 95-080 03 LER - 95 002 00-02/21/951 0 03/31/95 2232 i; TITLEt .AUTW mTIC REACTOR TRIP DN LOW STEAM GENERATOR WATER

' . COPMENTS: AUTOMATIC REACTOR TRIP DN LOW STEAM GENERATOR WATER LEVEL'DUE

TO A FAILED LEVEL TRANSMITTER.

' ~ LER 95-001 00 02/21/95 0 03/31/95 2232

.STL2 N 95-081 TITLE: LOW PRESSURE SAFETY INJECTION PtMP FOUPC TO BE INOP COPMENT5r LOW PRESSURE SAFETY IlOECTION PUMP FOUPO TO BE INOPERABLE ' DURING ASME QUARTERLY CODE RUN DUE TO AIR BINDIE.

.5TL2 .N 95 127' 03. LER 95-003-00 04/10/95 0 06/08/95 2232 " TITLE: MISSED TECHNICAL SPECIFICATION SCHEDULED SURVEILLANCE DUE TO COMMENT 5; DUE TO PROCEDURAL DEFICIENCY.

m , STL1 - N 95 150 03 LER 95-002-00 05/26/95 0 06/27/95 2232 95 002: TITLE: MISSED EMERGENCY DIESEL GENERATOR SURVEILLANCE l COMMENTS:. DUE TO PROCEDURAL DEFICIENCY.

> STL1-N 95 181 02 LER 95 003-00 07/08/95 0 08/10/95 2232 95-003 ' TITLE: AUTOMATIC REACTOR TRIP DURING TURBINE OVERSPEED SURVEILLANCE COPMENTS: SURVEILLANCE TESTIE DUE TO PERSONNEL ERROR.

NOTE: DEFINITION FOR CHARACTER PRECEEDING REPORT NO: I - INSPECTION REPORT NUMBER. E - EA NUMBER (ENFORCEMENT / NOV ITEM)- N - IFS NUMBER NUMBER USED TO IDENTIFY NON. INSPECTION ITEMS -................. - -......................... - - - -....... - -.. -........ - - - - - -.... - - - - -......... - - - - -........ -............... - -...... TOTAL OPEN ITEMS

==- w

  • IF ITEM 15 OPEN. PRCLIECTED CLOSE0VT DATE 15 REPORTED i

TOTAL.0 PEN REPORT SEQUENCES --- '

IF ITEM 15 CLOSED. ACTUAL CLOSE0VT DATE 15 REPORTED ' t t . l ) . . -... - -... - - =. - - - - . - -. . . . . -. ...-w, -n.w._,.--,..----m . x. - . =.x

-. s < u-=, - s.v vs,.-.-- , . n+ ve. -s,vr-w um w w-4 + v ev 4-o wn . -

, <4 c ' --m . s.

SY

, MbkSJ_1 N ~ p , .2 _; . . . 3 ITEM DETAIL REPORTS IFS - INSPECTION FOLLOW-UP SYSTEM DATEi 06/26/95- . ?OPEN ITEMS SUPE %RY - ' REPORT BY SITE.

' l TIME: 12:24:29 - + .x

PAGE-

.2' _ t

SITE: STL ST LUCIE-4 -

,

UNIT-

.RPT/IF5/ SEO-No ITEM.REF NBR / SEVERITY 'SALP REPORT / STS CREATE CLOSE00T CL500T CL500T.

UPDATING:

  • '

" ABBR 'EA/ NBR NOV-10 TYPE EA-NBR -SUPLMNT AREA EVENT DT" DATE PRJ/ACT* OE NO. FN : INSPECTION REPORTSJ ,..................................................................................................................................

L ~ST12 .?I 93-025 01 t IFI. , . 12/01/93 0 12/07/93- -2313 -

TITLE:

REVIEW OPERABILITY OF UNIT 2 MOV MV-08-13 DURING THE - COPMENTS: -- REVIEW OPERABILITY OF UNIT 2 MOV MV-08-13 DURIE THE PERIOD - J JtPJ 20 _TO OCTOBER 19.-1993.

- . 5TLI L I 94-008 03 URI ENG 04/08/94 0 04/13/94 2312 -. JVL " . 4T2TLEf .0UALITY LEVEL OF PORY APO SRV DISCHAEE PIPING . STL1. - I 94-010 '01' - ' VIO-4/1 ENG 04/28/94- 0 05/03/94 2312 BRC TITLE: .' FAILURE TO MEET WELD PREP DIMENSIONAL TOLERANCES ON

.CarttENTS

CONTRARY TO 10 CFR 5. APPEEIX R. CRITERION V APO XI; ON APRIL 7.11994 ACTIVITIES AFFECTING QUALITY WERE NOT.

-ACCOMPLISHED IN ACCORDANCE WITH PRESCRIBED PROCEDURES = ' APO THE PROGRAM FOR INSPECTION OF ACTIVITIES AFFECTING QUALITY WA5 NOT EXECUTED TO VERIFY CONFORMANCE WITH-DOCUMENTED PROCEDURES IN THAT. THE J-WELD PREP BEVEL ANGLES WERE GROUND TO 50 52 DEGREES FOR N0ZZLE *C" ' A E 38 - 45 DEGREES FOR N0ZZLE *B" THE PREPS WERE INSPECTED APO ACCEPTED BY QC, 'STL1-I 94-011 01-VIO All ENG 06/02/94 0 06/08/94-2313' TITLE: ' INADEQUATE CORRECTIVE ACTION FOR MOV5 WHICH STALLED STL1' I 94 011 02 'IFI ENG 06/02/94 0 06/08/94 2313 .TITLEi INADEQUATE RECOGNITION OF MOV TEST PRESSURE APO FLOW STL1 1 94-011 03-IFI - ENG 06/02/94 0 06/08/94 2313 TITLE: LACK OF INSTRUCTIONS OR GUIDANCE FOR TRENDING

'

5TL1

. 1.94-019 02 URI OPS 10/20/94 0 10/21/94.

2321 TITLE: ACCEPTABILITY OF MAINTAINING AN SRO A5 AN RO IN REOL COPetENTS:. DETERMINATION OF ACCEPTABILITY OF MAINTAINING LICENSED SRO .. IN REQUALIFICATION TRAINING A5 AN RO.

. . .STL2 1 94-019 02 URI OPS 10/20/94 0 10/21/94 2321 '

STL1 -

I 94 019 03 IFI OPS - 10/20/94- 0 10/21/94 2321- -

TITLE: . CONFLICTING PROCEDURAL GUIDANCE FOR ACTIVE LICENSES - . t CDPHENTS: -CONFLICTING PROCEDURAL GUIDANCE CONCERNING MA[NTAINING THE - LICENSE STATUS OF THE OPERATIONS SUPERVISOR.

L, , STL2.- I 94-019 03 IFl.

OPS 10/20/94 0 10/21/94 2321 , . ' STL1 1 94-300 01 IFI . OPS 11/17/94 0 11/28/94 2324 TITLE: PROCEDURAL GUIDANCE FOR REMOVAL OF RCP5 PRIOR TO 500 A4.. . , - . ... . m .. . . ...

hA,

ITEM DETAIL REPORTS - IF5 - INSPECTION FOLLOW-UP SYSTEM DATE: 06/26/95' " OPEN ITEMS SUMMARY-REPORT BY SITE TIME: 12:24:29 J_ PAGE:

SI1L ? -ST LUCIE UNIT: RPT/IF5/ SEO-NO litJ "4 NBR / SEVERITY SALP REFORT / STS CREATE CLOSE0VT CLSOUT CLSOUT UPDATING . _ ABBR- .EA/ NBR N0blD TYPE EA-h SUPLMNT AREA EVENT DT DATE PRJ/ACT* ORG NO EMP INSPECTION REPORTS ............................................. ................................_................................................. COMENT5; PROCEDURAL GUIDANCE IS LACKING FOR RLrws?1 0F AN RCP FROM SERVICE-PRIOR TO RCS TEMPERATURE DECREASING Bt C 4 0 DEGREES FAHRENHEIT. PLANT PARAMETERS CAN CHAEE FAST ENDUGH '>C THAT PROCEDURAL GUIDANCE IS NOT OBTAINED UNTIL AFTER THE RCS TEMPERATURE HAS DECREASED BELOW THE 500 DEGREES FAHRENHEIT.

STL2 N 94-332 01 LER 94-006-01 07/14/94 0 10/11/94 2232 TITLE: TRIP CIRCUIT BREAKER FAILURE DUE TO A BROKEN PIECE OF $TL1 N 94-376 03 ' LER W.c= pa - 11/04/94 0 12/15/94 2232 g e-n TITLE: INADVERTENT CONTAI M ENT 150lW it'a7 5!r.NAL y.

v COMMENTS:. INADVERTENT CONTAlfMENT ISOLATION SIGNAL (C Q CAUSED BY FAILURE OF THE B INSTRUMENT INVERTER CONCURRENT WITH CHANNEt. C !!S IN TRIPPED CONDITION.

STL1 I 95-001 01 VIO 4/1 OPS 02/23/95 0 03/06/95 2232 " TITLE: FAILURE TO PERFORM T5-REQUIRED SAMPLI E OF THE IAI SIT STL2 I 95 001 02 VIO 4/1 MAINT 02/23/95 0 03/06/95 2232 r.wrr it** -e-thS t.em** W M TITLE: FAILURE TO FOLLOW PROCEDURE 2-LOI-T-89 WhwNe

  • o3T t:,eAss e<W c mend meant. tenetedh STL1 N 95-004 01 LER 94-010-00 11/24/94 - 0 01/04/95 2232 L'b2co's ww w ra m pgs,c,.

TITLE: . INADVERTENT B TRAIN E EINEERED SAFEGUARDS FEATURES ACTU COMMENTS: INADVERTENT B TRAIN EEINEERED SAFEGUARDS FEATURES ACTUATION N to S41,2. 5 -S67

SIGNAL (E5FAS) DUE TO A DEFICIENT INSTRUMENT AND CONTROL TEST PROCEDURE.

STL1 'N 95-005 ' LER 94-009-00 11/22/94 0 01/04/95 2232 TITLE: INADVERTENT SAFETY INJECTION ACTUATION SIGNAL /CONTAINME COMMENTS: INADVERTENT SAFETY INJECTION ACTUATION SIGNAL / CONTAINMENT ISOLATION SIGNAL DUE TO AN INVALIO HIGH PRESSURIZER PRES 5URE SIGNAL.

- STL2 I 95-005 01 VIO 4/1 EE 06/05/95 0 06/19/95 2313 95-005 TITLE: FAILURE TO IMPLEMENT DESIGN REQUIREMENT SPECIFIED IN PC/M 039-29 COMMENTS: CONTRARY TO 10 CFR 50. APPENDIX B. CRITERIA III AND V A5 0F APRI L 26.1995. DESIGN CHANGE ACTIVITES WERE NOT PERFORMED IN ACCORDA NCE WITN REQUIREMENTS IN THAT OVERLOAD HEATERS MODEL NO. 123F104 C WERE INSTALLED IN MCC 2A. COMPARTMENT NO. DR3 FOR BATTERY CHAR GED 2AA. INSTEAD OF THE REQUIRED MODEL NO. 123Fil4C. THE INSTALL ED OVERLOAD HEATERS WERE LESS CONSERVATIVE THAN WERE FOUND TO BE LES5 CONSERVATIVE THAT THE MODEL SPECIFIED BY THE PC/M.

, . m u - a. s e-m . m m u w . 4-- < . m . m u __m_ _ _ _ _ _ ", - - - ~ - - - - - - - - -

~ ' . ~W e~. .y -

LITEM DETAIL REPORTS - IFS - INSPECTION FOLLOW-UP SYSTEM DATEi 06/26/95 10 PEN ITEMS SUP91 ART. REPORT BY SITE TIME: 12:24:29 ' 'PAGE:

SITE: STL ST LUCIE . UNIT.

RFT/IF5/.% 0-N0 ITEM REF NBR / SEVERITY 5 ALP REPORT / STS CREATE ~CLOSECUT CLSOUT CLSOUT UPDATING ABBR EA/ NBR NOV-ID TYPE EA-NBR SUPLMNT AREA EVENT DT DATE PRJ/ACT* ORG NO EMP INSPECTION REPORT 5' -................................................--................----.......--..............................................-- STL1" I 95 005 02 ' URI ENG 06/05/95 0 06/19/95 2313 95-005 . TITLE: ~ POWER SUPPLY UPGRADE FOR THE ExtSTIE STEAM GENERATOR WIDE RANGE STL2 - ' I 95-005 02 URI EE 06/05/95 0 06/19/95 2313 95-005- -. STL2 . I 95-005 03 URI EE 06/05/95 0 06/19/95 2313 95-005 TITLE: -INCORE INSTRUMENT WIRING ERRORS.

g-((~ - 7 ' ~ M% -5".2 I % 000 0' PY EE M!05fM C 05/19/95 2013 ^5 MS - y ved4 vm1 mmE vn -=== --m c== .,es ... ,,___ .STL1 ' N 95-061 LER '95-001 00 02/16/95 0 03/21/95 2232 TITLE: _ IA3 4160 VOLT BUS LOAD SHED DURING REPLACEMENT OF FAILE CDPf!ENTS: 1A3 4160 VOLT BUS LOAD SHED DURING REPLACCMENT OF FAILED 2X-5 RELAY DUE TO PROCEDURAL DEFICIENCY.

-STL2 N 95-080 05 LER 95-002-00 02/21/95 0 03/31/95 2232 Tl?LE: AUTOMATIC REACTOR TRIP 04 LOW STEAM GENERATOR WATER. C0rttENTS: AUTOMATIC REACTOR TRIP DN LOW STEAM GENERATOR WATER LEVEL DUE TO A FAILED LEVEL TRANSMITTER.

STL2 N 95-081 01-LER 95-001-00 02/21/95 0 03/31/95 2232 TITLE: ' LOW PRES 5URE SAFETY INJECTION PUMP FOUND TO BE INOP COMMENTS: LOW PRESSURE SAFETY IPLIECTION PUMP F0VW TD BE INOPERABLE DURING ASME QUARTERLY CODE RUN DUE TO AIRfBIW ING, STL2 N 95 127 03 LER 95-003-00 04/10/95 0 06/08/95 2232 TITLE: MISSED TECHNICAL SPECIFICATION SCHEDULED SURVEILLANCE DUE TO C0PetENTS: DUE TO PROCEDURAL DEFICIENCY.

. NOTE: DEFINITION FOR 0%RACTER PRECEEDING REPORT NO: I --INSPECTION REPORT NUMBER. E - EA NUMBER (ENFORCEMENT / NOV ITEM) N = IFS N' MBER. NUMBER USED TO IDENTIFY NON-INSPECTION ITEMS J ......................................... - -........ - -.. - - - - -.... - - - -........... - -. - - -...................................... - -...


n

  • It ITEM IS OPEN. PROJECTED CLOSE00T DATE 15 REPORTED

' TOTAL OPEN ITEMS ' TOTAL OPEN REPORT SEQUENCES ---n

If ITEM IS CLOSED. ACTUAL CLOSEOUT DATE 15 REPORTED , n ...m . s i m ___;.___u_._a .u mm.

. . . . . . . r.m-. .m -- u.

- .. mur-

m-- w-r -e

,. -.. 4l..,% - .a fage Ms.-

01/11/% - ST LUCIE SALP iMPUT FEEDERS UPDATE . SAiP DATE RPT # UNIT ' ISSUE EXMPLES ASSESSMENT INSPECTOR MEA NO.

    • SALP /JtEA EM EM 01/05/96 95-022 0 SA0V 50.59 PROGRAM - 6 EVALS REVIEWED 2 DISCREPANCIES ASSOCIATED WITH ADEQUACY OF BASES FOR CONCLUSID E SMITH IDENTIFIED AND RESO.YED.

EE 01/05/96 95-022 0 SACV '. 59 PROGRAM TRAINIE PROG 00ES NOT REQUIRE PROOF 0F ATTAINMENT OF SKILLS F01 SMITH 50.59 PRACTICIONERS EE " 01/05/% 95-022 0 SA0V 50.59 PROGRAM FROCEDURAL GUIDANCE ESTABLISHED SMITH E$ > P O A b P & et

s .s <m - _ _ -~ .. - .. -. _ --,.-% - . .s , < .m m _ .g . ___m _.

. . .u '

e

'*f.

L ' _ , a ...

~_ .,. ,t Page No!-

~ ' 01/11/% ' ~ ST LUCIE SALP INPUT FEEDERS UPDATE , SALP DA?E. -RPT # 10 NIT' ' ISSUE-DAMPLES ASSESSMENT INSPECTURJ ~ 1! AREA - '- NO.

~ . : ' . . ,

    • SALP AREA MS

_. . . MS =12/31/94 95-001 1 CORRECTIVE ACTION FAILURE TO SArfLE SIT SIMILAR TO EVENT IN IR 93-023. INATTENTION TO DETAll BY CPERATORS - PREVATTE

'

' VID 95-01-01

M5 02/03/95 95 4 01 1. ' CORRECTIVE MINTEENCE CALIBRATIGI 0F CONT PARTICULATE MONITCt TECHNICIANS KNOWLEDGEABLE. CAL IM PROCEDURE .PREVATTE

. M5 02/03/95 95 091 2'.CURRECTIVE MAINTEMNCE 2C AFP INSPECTION / REPAIR WELL-COURDINATED TRAIN OUTAGE. ONE DRAWlE DEFICIENCY INVOLVIE AN. PREVATTEE

INACCURATE INFO-0NLY DRAWIE IN WORK PACKAGE WHICH COMPLICATED - REASSY t i" - MS 02/03/95 95 001 2-CORRECTIVE MAINTENANCE CALIBRATION OF PZR LEVEL OiANNELS THOROUGH PRE-JOB BRIEF. I&C WELL-PREPARED EXECUTION PROFESSIONAL PREVATTE 5. 12/01/95 95-021 0 CORRECTIVE MAINTENANCE REVIEW OF FREEZE SEAL PRACTICES IN AGREEMENT WITH MC 9900 PREVATTE' MS ~12/01/95 95 021 '2 CORRECTIVE MAINTENANCE WIDt RANGE SG LEVEL UPGRADE FOR POST WELL MANAGED MODIFICATION PREVATTE -

ACCIDENT CONDITIONS { I MS 12/01/ % 95-021 2 CORRECTIVE MAINTENANCE REPLACEMENT OF 3 PZR WATER SPACE AM) 9 MANAGED VERY EFFECTIVELY PREVATTE ' RCS LOOP N0ZZLES , M5 01/05/ % 95-022 2 CORRECTIVE MAINTENANCE RX VESSEL HEAD 0-RIE LEAK PROPER DISPOSITION. PRE-JOB BRIEF FOR HONIE POOR.

PREVATTE i M5 01/05/ % 95-022 2 CORRECTIVE MAINTENANCE T/R OF FCV-25-14 SAT MAINTENANCE. BUT POOR PRACTICE OF SITTING ON 5-R DUCTWC9K PREVATTE ~ '! - M5 01/05/% 95-022 2. CORRECTIVE MAINTENANCE 2A2 RCP SEAL PACKAGE REPLACEMENT ROOT CAUSE/ CORRECTIVE ACTIONS DETAILED. THOROUGH.

PREVATTE M5 02/03/95 95-001 2 DIAGNOSTIC MAINTENANCE TROUBLE 900 TING OF INSTABILITIES IN FAILURE OF IV PROCESS RESULTED IN VALVE CYCLIE SHUT DUE TO ROLLED PREVATTE ' LETDOWN CONTROL VALVES LEADS - VIO 95-01-02

M5 12/01/95 95-021 2 DIAGNOSTIC MAINTENANCE U-2 SG ED0Y CURRENT TESTING f0NSERVATIVELY CONOUCTED PROPERLY OUALIFIED EXMt!NERS. WELL-WRITTEN PREVATTE- , . PROC

l . I M5 01/05/ % 95-022 2 OUTAGE ACT!vlTIES U-2 POST-RfD CONTAINMENT CLOSEGUT NUMBER OF DEFICIENCIES IDENTIFIED INDICATED A DECLINE OVER - PREVATTE =[ ' PREVIOUSLY MONITORED CLOSE0UTS. POSSIBLE IMPROVIE TREW IN - EFFECTIVENESS OF CLEANUP-M5 01/05/ % 95-022 2 OUTAGE ACTIVITIES ICI FLANGE WORK DEFICIENCIES ADDRESSED APPROPRIATELY. KNOWLEDGEABLE WORKERS. POOR PREVATTE

FME CONTROLS DISPLA)ED BY OC INSPECTOR ., t - MS - 01/05/ % % -022 2 OUTAGE ACTIVITIES U 2 RF0 SCOPE ACTIVITIES SHOWED 115% INCREASE OVER THOSE PLANNED. INDICATIVE OF 'PREVATTE L MGti ADDRESSING EXISTIE DEFICIENCIES TO IMPROVE PLANT PERFORMANCE .I M5 02/03/ % 95 001 1 PREDICTIVE MAINTENANCE 1A CEA MG PHASE CONNECTION FAILURE PREDICTIVE MAINT PROGRAM A STREETH. COMPETENT AND MOTIVATED STAFF PREVATTE IDENTIFIED PRIGR TO MG FAILURE t MS 02/03/95 95-001 2 PREVENTIVE MAINTENANCE PM5 ON UNIT 2 FW1V NO DEFICIENCIES IDENTIFIED .PREVATTE- !

, I .; l -. .- .. . - -. ... .. . . ...

e 74 .y.

. .,.. . .x_,. m... ..m.

, u .,__.m,m ,.m.. ..m.._m... ,,- ,. .a . y . ._ i

.

.-

' i.; e - l

  • .

s , !' l N , 1:. - . h.h,h h. h h. h h h k h...... ' z g.<52 55- - " ' g: e< g LE E h E' k E h. EE 'E E ' L h-i -- !- -

j

! D

i

- . . e g g' % . . -g R 'j t - ' ES. :;; W g "

g

- QQ :5.slg-g g.- - g . l g

-

eBg _g e"g3 E ' u,, ga a

w . I~W - Wg-c an s-ei . _ = .A A .1 s -

' c 5 Ey- -8 h g* t - go wg g2 g- -l H.gg W E:k-8e es , W' br$'b-

. u - -.s L s " - h $" "". {. ${5 k w' E N w.

i Sw g r.g o , o n.

e - '. - $_m, gw

g.s.s .l m gb

. m m g.5_ e$ . gW.

g.

. - . y gm g w , - .. - a .R cm.5

E m E j M s-- w m m - m m

, - $ d WSE e5

-b H.

'- i E i 5 d~ w-d rd E.

a

" clg d d" W' g5 .,g_ .g.

j

e g $* $ erg E 5 m e 's gg W u - = ww 5$ -, s3~E 1gWb W: WP

st - -. - e 6. g". e wge.

i ., :B-W c e=, m w

- e . a ,

- R ,e ,

t' ss2

  • 8&

e 8._ E s. as , s i - c-eE-d- -d i - -- p E WEC 5.82 5M555 - $5 W-4-i g

.e i S - 5 .g.

e-e _ -- - s g . - t E -! E e s ' 5-g .E E - n o - - w $ e5 - m - - s sm E -9d !

3 E ,_

ee Rc we d s a w .w s - o " u l ~ * - , _ W" u G $ ww 8 gg m 8o a m w . .- m i ge "' 3 E555A e!EN5 gg" .i e e b g- ,egge e e-se-l - ge5 %. 8'b' * $ g- -e - - e

m mo m, U9 e 8 B< 5 5g > w n-m - g m-m . - -25 5 - E55 HEE E EE E E5 'I e I ws'E SE8SEE sew w w - l W c nggngm mga a a E' W W - W.- W W-W W W.

' l f f f I

k .k h w w w w m naaaca a-{@ @ g i W W.

E gl I w w; w e a b b b i g.

w .w w w w w w ww - E - '5 $ $ $ $ 5.5 5$$

5 -

_1 - 9'. .W ~am' N m-N u m.

-a o a j

B. -. o.. N ~B.

8.. 8. ' 8 8 2 a.

3..3 5 ' - -- ' - - - - '._ ' - E.

E.

W- ' 'h -., ..h h h h hhh h 'h' ' -"'

  • *:",a a"h h h h h g h-h.

h .h hh g-a-n.a :

2

2 a' " x . - .2 - ..g

W R

- .R R.'" 'R'R

  • -R"OI - C C

. ire 5 2- ~ B J s.- '3 3 9 2 2 'u 2 2 2.

2 us; cd.5f : * E.'. W - WWW W W..W WEW:.W W 2 - @ :W. j i ' .] - '

' i , . . . . . _ . ,

. a- , lfj -. E E E:E .E ~E - gE ~E E E:E'T E E - e. E". E. e

5' E E

E

- E;.3 - g ' E 5:e.. - g : - *. e e-e e.e E-e .e-m - - e s $- N e g3

6 _ -- m g j-l g-l9 "E E c-E e< g n .e .$. g8 E ' W.

.. a - s-s . e

gg gg v e p - g= n < e Es e.

~. E g .e

  • E M 1-E

E R-e Es

8 E d~5

E e$8

35W w -

"

o E I l B E'sQg*

- s v_ s e c.< e - - - N g [ B .E We 5

E (9 ss i b g !58-llIl@lg - em - c - e m le.g3 g ..

8 E E e g E .w a es gi8 w - - e s $' Tsg

9 E os s e e i E.

ele E "- - E-

j

) a g ge g e m e $ wg -

gg g e w .

  • s"!Eg5!S

. eh

2 8 !!Ofe S E sEs Ew e

ne bu -; g.

g g gng E u e e e e e B $5=@'wRwrs =

sw & e8 sw . - x-w e e s at E-Q e ~ s E s s E - E .1 gg e s l. e s e g-EgEs - gm E,

8 g

ETED ~lgg*E

  • M s

s E.

~ I, ew E E g E g GE

$- 99 W ag,S E $ E sE 5< m-

~o o- - . ~s Ew - ~

4 Es Ew $wes6 !5 e & gg eg g6 E a: WE us E E D I! gg @ a !E

ge38 8Ea R

-: I=f a E E5

~ e

*$

E

e - = sc eo sg l

8 e es != p gl e 8N g - e me - ce Em 5 E, e W El d 5 Gs as E5 E. ! " Es 2 25 Bah 8 w w - m EM ! e E

E B B e e e e H

E E E E Eg Eg3 s s s s a !!!! EE E ~ Il $ c s c w w. w Qc w.H R

8 g - w g E E E E E Mg Mg E8 WE B

wSg$g

e

9-E'9.DEDEDEDE: gtgt 8' E

6

E8'E$ E0 E$ E h ! Es us I e.

5s ~ ~ .- o o ~ ~ ~ ~ ~ ~ - - o ~-

5 5. S E

5 S S

55

5 - .. E gb & b bb b b i b b b bb b b . sE E-E E E.E E E E E E EE E E e 'E E E E .E

E-E E E-E E E-E

.iE a.

2.=' s =

.=

s s a.

== = s i=s 'a@. $n.= ' E E E.. E - E EEE E- - - .

E' E i E' E' E

.' $ .

> ', ' d h $h k' b k b b b bbb bbb b < s a < s e<g a 5m <s5 s . g <g a c < am m m m m m m m m E E E E E E E E E E E E E E E - @

, _ 'g

$ p

o

W G $ d v

~ sb a a g m $ $ d R

5 W= e d e e ~ e ,

e g e = ,, ,

E E o C W . ~W $ e$9hb l "

d W ' < a d b d eg < = g . $eg m

49

W 9-m - W relm 5 a j . geW8 e . W e e ge-e e - - m W f g d

" as gc 5 E < e ag-m - e-e < v e 8g 28 o g

e g -

w csw$e eG 3e Es g

- me e g a m sw.$:e-5ee - - W< e a

a z -ayo s- - as W $ s s = c c . . aw f ER ew W w e a g 8g5 $ " J ~* o u 85 e ws 9v8 sE s" 5 _ e-8m-y = m g n-s

8 zso se E

  • 5, c; g

em e - - d

C g Q* w~ W@ "-0W$h:lM MW

E m-g g = d b E g g, Mb 9 ce mb, R.

$B ~ -= n.

m m av e rw d-g, e E aae a-s mm - m - -- s

5.

e o.

' " E 5 l u-$ e 5e W { $dE

b"Es 6 W s

! WQsd E e g -- ~ ' - ~ gets - e d -- a gg l

e $

m =se g Cro C o g g - a e w - o$5h g e *g S

m - m " - W W

o u 5oum

a S< o Eo sed > o - s ~ W e 8w"

  • e 05E

- " - g E gh h o ys S o O N

$ $5"o-y E""kg g G

b a b g < e.

eee c w-~ 8=gt t g g s 5-ae g - c w w wagg 4; m

==g 5~8 g!E

m a w g E - m g W ge g W- -u - gge - egm g g8 - - m g ed m o-e u n - gggbem ~ g @

r.

a w m - e e~ - MEse we E ~ Ea " 3 @m@; g- - s sE s B M EE w e E

E

c = c c N b N b bbb bhb b b e b

www w-w w .

a g , e p lm l 555 555

, eaa een a m aa e a s $ 3 A d

5 $ m m aa a a m e C.

e o o o a ~ ~ ~ ~ ~ ~o o o o o a A M N N C n N = = N N mM N . o ? o ?

? ? o ?

o-e $ $$ $ $ $ $ $ $ $$$ $$$ $ I

g a m m m m m .6 g6 g g w w w

0 t R R R R R t

s s s s a = $ $ $ = s = $ = as

a

$ - s s3 % O

s R

s4 s sss

I$' s ~ s . - o o o - - - o o o - --- o g: Mk b bb bb b b b b bbb bbb b m< ab

D ,e ' ' k.. $ E- -. m as

I ! ! S Y '

m LJ U .g

$ $ e9

.lN

,_ e w . m E e= - $ " e e . k' = sd " l i

! s a

5 - m . $.

=> B - E A

g.

N6 '.W ' - e

G g=- -3 2G $!lf 8- ,

.3 w . .- Page 86..

01/11/ % ST LUCIE SALP INPUT FEEDERS UPDATE SALP DATE RPT f UNIT ISSUE EIAMPLES ASSESSMENT INSPECTOR AREA NO.

    • SALP MEA PS PS 02/03/ % 95-001 0 FIRE PROTECTION MONTHLY CBSERVATIONS SATISFACTORY PREVATTE-PS.12/01/% 95-021 O FIRE PROTECTION MONTHLY OBSERVATIONS SATISFACTORY PPIVATTE PS' 02/03/95 95-001 0 PHYSICAL SECURITY MONTHLY DBSERVATIONS SATISFACTORY PREVATTE PS 12/01/95 95-021 0-PHYSirAL SECURITY MONTHLY CBSERVATIONS SATISFACTORY PREVATTE~

PS 01/05/ % 95-022 O PHYSICAL SECURITY. RADIATION MONTHLY OBSERVATIONS SATISFACTORY PREVATTE PROTECTION. FIRE PROTECTION PS 02/03/95 95-001 0 RAD CONTROLS MONTHLY OBSERVATIONS SATISFACTORY FREVATTE PS _ 12/01/95 95-021. 0 RN) CONTROLS MONTHLY OBSERVATIONS SATISFACTORY PREVATTE ~ .

.. m - -. m -.. m . - .-.. . -- - m-L.

- - -. -m-m m.

-- m-1- . - .- - -. . - . .. . - - y='_-_ w __, a m w a .2 - m

. - _. _ _ . _ _... _ .. _. _. _. _ _ _._.. .._ ,.. . _

. $LT(Lit *Rl.hk l , .

-St..Lucie' Trip Summary- . "l Revision 1 1/10/96.. a . New Information Shaded' ! - . y ( ' Unit Date-LER Auto / Manual Description J

1. ' '1/9/94' 94-001 Hanual Tripped due to low SGWL due to i , trip of one MFP. Cause for MFP , trip not conclusively i

established.

!

- l' 3/28/94 94-003 Auto Maintenance supervisor opened j generator exciter breaker on

.;- wrong unit.

! ' 1 4/3/94' 94-004 Auto Trip due to l overcurrent/undervoltage through

-

L TCBs due to CEDM MGs fed by out-l of-sync AC sources.

4/23/94 94-003 Auto Trip during RPS functional , testing due to preexisting ! wiring deficiency in RPS cabinet - bypass switch.

  • 6/6/94 94-005 Auto Main generator differential i

current trip due to debris blown ' , ' across 1A main transformer output terminals during severe ' thunderstorm.

10/26/94 94-007 Auto Loss of load trip due to i flashover in a switchyard I potential transformer.

z.

2/21/95 95-002 Auto Low SGWL trip due to failed level transmitter.

7/8/95 95-003 Auto Turbine overspeed trip due to operator error while performing surveillance test.

. 1-11/17/95 95-004 Manual Tripped due to low SGWL when FRV failed to mid position.

1/5/96 Pending' Manual Tripped on high main' generator - gas temperature when valve.

regulating cooling water to hydrogen coolers went closed., . . . , e -, -- -... . - - -,. .. - . -

-.. - . - - - .- , -. - -. -. -. . -. -. - -. - ..

St. Luci nfo Sumary @M ). ATX '

New Entries Shaded , f UNIT NUMBER SV ITEM DESCRIPTION: SALP LVL TYPE.

AREA STL2 95-21-1 IV.

VIO FAILURE TO FOLLOW CLEARANCE.

.0PS PROCEDURE STL2 95-21-2 IV VIO FAILURE TO FOLLOW EQUIPMENT OPS. ~ CLEARANCE ORDER PROCEDURE AND i REQUIRE INDEPENDENT VERIFICATION.

0F A TECHNICAL SPECIFICAT!ON.

L RELATED COMPONENT STL2 95-21-3'

.IV VID FAILURE TO PERFORM REACTOR' OPS COOLANT SYSTEM BORON .

SURVEILLANCE STL1 95-20-1 IV VIO FAILURE TO TAKE PROMPT ENG i STL2 CORRECTIVE ACTION ON RELIEF i j VALVE DEFICIENCIES STL2 95-18-3 IV VIO FAILURE TO ADE0UATELY DESIGN AND ENG TEST THE EMERGENCY DIESEL , GENERATOR 2 A/B ENGINFERED - ! ' SAFETY FEATURE CONTROL LOGIC STLl~ 95-18-2 IV VIO FAILURE TO FOLLOW CLEARANCE OPS , PROCEDURE STL1 95-18-1 IV VIO FAILURE TO FOLLOW PROCEDURES AND OPS MAINTAIN CURRENT AND VALID LOG ENTRIES IN THE RACK LOG AND VALVE SWITCH DEVIATION LOG i STL1 95-17-1 IV .VIO FAILURE TO FOLLOW PROCEDURES FOR MS STL2 MATERIAL CONTROLS !' STL1 95-16-1 III VIO LTOP IN0PERABILITY DUE TO PORV MS STL2 CP FAILURE STL1 95-15-7 IV VIO FAILURE TO FOLLOW PROCEDURES OPS DURING VENTING OF ECCS

STL1 95-15-6 IV VIO FAILURE TO INITIAL MAINTENANCE MS PROCEDURE STEPS AS WORK WAS ' PERFORMED STL1 95-15-5 IV VIO FAILURE TO FOLLOW PROCEDURE AND OPS DOCUMENT A DEFICIENCY ON STAR STL1' 95-15-4 IV VIO FAILURE TO FOLLOW PROCEDURES OPS , DURING ALIGNMENT OF SDC STL1 95-15-3 IV VIO FAILURE TO FOLLOW PROCEDURE AND OPS < i DOCUMENT ABNORMAL VALVE POSITION STL1 95-15-2 IV VIO TWO EXAMPLES-OF FAILURE TO OPS FOLLOW PROCEDURES DURING RCP RESTAGING

. .. . .

-. T St. Lucie Enforcement Sumary

a Rev~1 1/10/96 ] New Entries Shaded UNIIJ ' NUMBER SV . ITEM DESCRIPTION SALPL i LVL-TYPE: AREA STL1 .95-15-1 IV VIO FAILURE TO FOLLOW PROCEDURES AND OPS BLOCK HSIS ACTUATION ! STL2-95-05-1 IV VIO FAILURE TO IMPLEMENT DESIGN ENG , REQUIREMENT SPECIFIED IN PC/M i 039-29 . STL2 95-01-2 IV-VIO FAILURE TO FOLLOW PROCEDURE 2-MS L01-T-89 STL1' 95-01-1 IV VIO FAILbdE TO PERFORM TS-REQUIRED OPS SAMPLING OF THE 1A1 SIT STL1 94-24-02 IV VIO INADEQUATE PROCESS FOR CHANGES MS ' STL2 TO VENDOR TECH MANUALS

STL1 94-13-02 DEV INADE0VATE EMERGENCY SUPPLIES IN PS STL2 CONTROL ROOMS STL1 94-22-02 IV VIC IMPROPER MODIFICATION OF CONTROL OPS ROOM LOGS J . STL1 94-22-01 IV VIO INADEQUATE CORRECTIVE ACTIONS T0.

OPS NRC VIOLATION - STL2 94-15-01 IV VIO FAILURE TO PERFORM TS REQUIRED OPS SHUTDOWN STL1 94-12-01 IV VIO INADEQUATE CORRECTIVE ACTION FOR ENG l STL2 PREVIOUS VIOLATION STL1 94-11-01 IV VIO INADEOUATE CORRECTIVE ACTION FOR ENG MOVS WHICH STALLED STL1 94-10-01 IV VIO FAILURE TO MEET WELD PREP ENG DIMENSIONAL TOLERANCES ON . STL2 94-08-02 IV VIO INADE0UATE INSPECTION & ENG EVALUATION OF WATERHAMMER EVENT STL2 94-08-01 IV VIO FAILURE TO FOLLOW CORRECTIVE MS ' ACTION PROCEDURE STL1 93-24-01 IV VIO FAILURE TO FOLLOW AND MAINTAIN OPS RESIN TRANSFER i Sumary i SL I-SL II SL III SL IV DEV

0

29 '1 - 2-l

- -- ...- . -.- -..-..- .- -. - - . -_. .-- F .St. Lucie LER Summary.

LERRl.MTy

.- Revision 1 1/10/96 New Information Shaded j i UNIT: NUMBER ~ DESCRIPTION RPT. REF .SALP.

DATE: RPT AREA-STL1 96-002-00! MANUAL REACTOR TRIP DURING UNIT 2/22/96 OPS j SHUTDOWN FOLLOWING DROPPED CONTROL ELEMENT ASSEMBLY , STL2' 96-001-00 MANUAL REACTOR TRIP DUE TO HIGH 1/5/96" OPS.

t MAIN GENERATOR COLD GAS i , TEMPERATURE STL1 95-010-00 MANUAL REACTOR TRIP DUE TO LOW 1D16/95-OPS

STEAM GENERATOR WATER LEVEL.

CAUSED BY MAIN FEEDWATER - ' REGULATING VALVE-CLOSURE STL1 95-009-00 MISSED TECHNICAL SPECIFICATION 10/19/95 MS ! SCHEDULED SURVEILLANCE DUE TO PERSONNEL ERROR.

STL2 95-004-00 REACTOR COOLANT SYSTEM 10/10/95 ENG ' INSTRUMENT N0ZZLE LEAKAGE CAUSED BY PRIMARY WATER STRESS ' CORROSION CRACKING.

STL1 95-008-00 HIGH PRESSURE SAFETY INJECTION ' 08/28/95 OPS . PUMP OPERATION DURING PLANT l CONDITIONS NOT ALLOWED BY TECHNICAL SPECIFICATIONS DUE TO PERSONNEL ERROR.

STL1 95 007-00 . INADVERTENT CONTAINMENT SPRAY 08/17/95 OPS VIA 1A LOW PRESSURE SAFETY INJECTION.' CMP WHILE VENTING THE ' EMERGENCY CORE COOLING SYSTEM . DURING STARTUP DUE TO INADE0VATE PROCEDURE.

STL1 95-006-00 LOSS OF REACTOR COOLANT 08/10/95 ENG

INVENTORY THROUGH A SHUTDOWN COOLING RELIEF VALVE DUE TO LACK OF DESIGN MARGIN.

, STL1 95-005-00 PRESSURIZER POWER OPERATED 08/09/95 MS RELIEF VALVES (PORV) IN0PERABLE DUE TO PERSONNEL ERROR.

STL1 95-004-00 HURRICANE ERIN AT ST. LUCIE 08/01/95 OPS STL1.

95-003 01 REVISION TO: AUTOMATIC REACTOR 07/08/95 MS ' TRIP DURING TURBINE OVERSPEED SURVEILLANCE TESTING DUE TO PERSONNEL ERROR.

STL1 95-003-00 AUTOMATIC REACTOR TRIP DURING 07/08/." 95-003 MS TURBINE OVERSPEED SURVEILLANCE h TESTING DUE TO PERSONNEL ERROR.

1- . .

._ - - -. _- -. -. -

St. Lucie LER Sumary

Revision 1 1/10/96.

New Information Shaded , UNIT.

NUMBER-DESCRIPTION RPT REF SALP.

DATE RPT AREA STL1 95-002-00 MISSED EMERGENCY DIESEL 05/26/95 95-002 MS , GENERATOR SURVEILLANCE DUE TO - , PROCEDURAL DEFICIENCY.

j STL2 95-003-00 MISSED TECHNICAL SPECIFICATION 04/10/95 MS SCHEDULED SURVEILLANCE DUE TO PROCEDURAL DEFICIENCY.

STL2 95-002-00 AUTOMATIC REACTOR TRIP ON LOW 02/21/95 MS STEAM GENERATOR WATER LEVEL DUE TO A FAILED LEVEL TRANSMITTER.

  • STL2 95-001-00 LOW PRESSURE SAFETr INJECTION 02/21/95 MS

. PUMP FOUND TO BE INOPERABLE DURING ASME QUARTERLY CODE RUN DUE TO AIR BINDING.

STL1 95-001-00 1A3 4160 VOLT BUS LOAD SHED 02/16/95 MS DURING REPLACEMENT OF FAILED i 2X-5 RELAY DUE TO PROCEDURAL DEFICIENCY.

' STL1 94-010-01 REVISION TO: INADVERTENT B TRAIN 11/24/94 95-009 MS ENGINEERED SAFEGUARDS FEATURES * ACTUATION SIGNAL (ESFAS) DUE TO A DEFICIENT INSTRUMENT AND CONTROL TEST PROCEDURE.

STL1 94-010-00 INADVERTENT B TRAIN ENGINEERED 11/24/94 MS ' SAFEGUARDS FEATURES ACTUATION SIGNAL (ESFAS) DUE TO A DEFICIENT INSTRUMENT AND CONTROL TEST PROCEDURE.

STL1 94-009-01 REVISION T0: INADVERTENT SAFETY 11/22/94 95-009 MS INJECTION ACTUATION SIGNAL / CONTAINMENT ISOLATION SIGNAL DUE TO AN INVALID HIGH ~ PRESSURIZER PRESSURE SIGNAL.

STL1 94 009-00 INADVERTENT SAFETY INJECTION 11/22/94 MS ACTUATION SIGNAL / CONTAINMENT ISOLATION SIGNAL DUE TO AN INVALID HIGH PRESSURIZER l PRESSURE SIGNAL.

STL1 94-008-01 REVISION TO: INADVERTENT 11/04/94 95-009 MS CONTAINMENT ISOLATION SIGNAL (CIS) CAUSED BY FAILURE OF THE B INSTRUMENT INVERTER CONCURRENT WITH CHANNEL D CIS IN TRIPPED CONDITION.

I i

. . . _

St. Lucie LER Summary Revision 1 1/10/96 New Information Shaded ,- UNIT NUMBER DESCRIPTION RPT REF SALP' . DATE-RPT AREA STL1 94-008-00 INADVERTENT CONTAINMENT 11/04/94 MS ISOLATION SIGNAL (CIS) CAUSED BY FAILURE OF THE B INSTRUMENT INVERTER CONCURRENT WITH CHANNEL D CIS IN TRIPPED CONDITION.

STL1 94-007-00 AUTOMATIC REACTOR TRIP DN LOSS 10/26/94 MS OF ELECTRICAL LOAD DUE TO FLASH 0VER ON 240 KV SWITCHYARD - POTENTIAL TRANSFORMER.

STL1 94-006-01 REVISION T0: CONTAINMENT 10/23/94 94-025 ENG INTEGRITY OUTSIDE OF FSAR ASSUMPTIONS UNDER LIMITED CIRCUMSTANCES DUE TO DESIGN ERROR.

STL1 94-006-00 CONTAINMENT INTEGRITY OUTSIDE OF 10/23/94 94-025 ENG

FSAR ASSUMPTIONS UNDER LIMITED CIRCUMSTANCES DUE TO DESIGN j ERROR.

STL2 94-006-01 REVISION TO: TRIP CIRCUIT 07/I4/94 MS BREAKER FAILURE DUE TO A BROKEN PIECE OF PHENOLIC BLOCK LODGED IN THE TRIP LATCH MECHANISM.

STL2 94-006-00 TRIP CIRCUIT BREAKER FAILURE DUE 07/14/94 94-024 MS TO A BROKEN PIECE OF PHENOLIC BLOCK LODGED IN THE TRIP LATCH MECHANISM.

[ STL2 94-005-00 TECHNICAL SPECIFICATION 3.0.3 07/08/94 94-024 OPS e ENTERED WHEN EMERGENCY CORE ' COOLING SYSTEMS LIMITING CONDITION FOR OPERATION WAS NOT MET DUE TO PERSONNEL ERROR.

STL2 94-004-00 PLANT VENT WIDE RANGE GAS 06/28/94 95-007 MS " MONITOR OUT OF SERVICE DUE TO PERSONNEL ERROR.

STL1 94-005-00 AUTOMATIC REACTOR TRIP CAUSED BY 06/06/94 OPS 1A MAIN TRANSFORMER DIFFERENTIAL ' . CURRENT TRIP DUE TO CONTACT WITH METAL FACIA DISLODGED FROM A NEARBY BUILDING DURING INCLEMENT WEATHER.

STL2 94-003-00 AUTOMATIC REACTOR TRIP DURING 04/23/94 95-007 OPS FUNCTIONAL TESTING OF THE REACTOR PROTECTIVE SYSTEM DUE TO BYPASS CIRCUIT HISWIRING DURING ORIGINAL CONSTRUCTION.

'

,-, . . -. . .- . . -.. _ -. -. - --. .. - - - -. _ .. _. - .

St. Lucie LER Summary l 1 ** Revision 1 1/10/96 New Information Shaded I UNIT, NUMBER DESCRIPTION.

RPT.

REF SALP I DATE: RPT~ AREA STL1-94-004-00 AUTOMATIC REACTOR TRIP CAUSED BY-04/03/94 94-024-OPS ! CONTROL ELEMENT DRIVE MECHANISM ' BUS OVERCURRENT AND UNDERVOLTAGE , TRANSIENT DUE TO PROCEDURAL ERROR.

' STL1 94-003-00 AUTOMATIC REACTOR TRIP CAUSED BY 03/28/94 95-007 MS MANIPULATION OF THE MAIN . GENERATOR EXCITER FIELD BREAKER l DUE TO COGNITIVE PERSONNEL ERROR.

STL2 94-002-00 PRESSURIZER INSTRUMENT N0ZZLE 03/16/94 95-004 ENG WELD CRACKING DUE TO FABRICATION DEFECTS.

STL2 94-001-00 PRESSURIZER AUXILIARY SPRAY OUT 02/17/94 95-007 OPS l 0F SERVICE CAUSED BY A MISPOSITIONED ISOLATION VALVE DUE TO PERSONNEL ERROR.

. STL1 94-002-00 INADVERTENT LOAD SHED OF THE 1A3 01/13/94 95-004 MS 4160 VOLT BUS DUE TO PROCEDURAL-INADEOUACY.

STL1 94-001-00 MANUAL REACTOR TRIP DUE TO THE 01/09/94 94-024 OPS LOSS OF THE IB STEAM GENERATOR FEEDWATER PUMP CAUSED BY EQUIPMENT FAILURE.

.

__ - _ )

_ .-,, . Page No.

I 11/15/95 ST LUCIE SALP INFUT FEEDERS SALP CATE.

RPT # UNIT ISSUE EXAMPLES ASSESSMENT INSPECTOR AREA 80.

m 5 ALP AREA ENG E % 01/20/95 94-025 1 CONFIGURATION MANAGEMENT MADH RELIEF VALVES ENGINEERING ANALYSIS THOROUGH AND APPROPRIATE DEPTH - LER 335-94-006 PREVATTE EG 07/01/95 95-012 1 CONFIQJRATION MANAGEMENT EVAL FM NI CH D TEMP IOD SK'ISFACTORY PREVATTE EG 07/29/95 95-014 2-CONFIGURATION MANAGEMENT 2B EDG FO XFER MANUAL ISOLATION EVAL SUBJECT OF TIA PREVATTE EG / / 95-018 0 DESIGN BASIS INFO AND DETAILS OF nESIGN ON UNIT 1 SFP COOLING UNCLEAR DESCRIPTIONS PREVATTE - RETRIEVAL EG 03/24/95 95-005 0 DESIGN BASIS INFURMATION AND DBD PROGRAM PROVIDED USEFUL INFORMATION. GOCD MANAGEMENT SUPPORT EVIDENT THWAS RETRIEVAL EG 03/25/94 94-006 2 DESIGN CONTROL PCIM PLACING CHPP'S ON ZERO SECOND LON) INADEQUATE REVIEW - NCV 94-06-02 MACDONALD BLOCK INTRODUCED COMMON MODE FAILURE MECH EG 06/27/94 94-013 0 DESIGN CONTROL YTM CONTROL CONTROL WEAKNESSES IDENTIFIED. FRG APPROVAL OF VTM'S NOT TIMELY.

ELROD REVISION CONTROL RESULTED IN MORE THAN 1 TRANSMITTAL WITH SAME REV NO ENG 06/27/94 94-013 0 DESIGN CONTROL CONTROL OF DRAWING UPDATES STRONG CONTROL. TIMELY ISSUANCE ELROD EG 00/31/94 94-018 1 DESIGN CONTROL LACK OF DRAWINGS FOR REFUELING TOOLS ELROD EG 12/14/94 94-024 0 DESIGN CONTROL VENDOR TECHNICAL MANUALS TECHNICAL f%NUAL CHANGES NOT REVIEWED AND APPROVED PRIOR TO USE - PREVATTE SLIV 94-24-02 EG 02/17/95 95 002 0 DESIGN CONTROL . CONCPETE EXPANSION ANCHOR BOLTS IN COMPLIANCE WITH NRC REQUIREMENTS LENAHAN ENG 03/24/95 95-005 0 DESIGN CONTROL 11 JLLs REVIEWED RO DEFICIENCIES IDENTIFIED IN J/LLs THOMAS EG 03/24/95 95 005 0 DESIGN CONTROL DESIGN CHANGE PACKAGES ADEQUATE /SUFFICIENTLY DOCUMENTED THOMAS EG 03/24/95 95-005 0 DESIGN CONTROL PROCEDURES ADEQUATE GUIDELINES THOMAS i EG 03/24/95 95-005 0 DESIGN CONTROL TEMPORARY MODIFICATIONS WEAKNESS IN GUIDANCE FOR HOW CONTROL R0 m DRAWINGS WOLtD REFLECT THOMAS M005 EG 10/12/ % 95-018 2 DESIGN CONTROL INADEQUATE DESIGN / INADEQUATE TESTS EDG GOVERNOR SHIFT TO 150CHRONOUS MODE ON CSAS AND CIAS WHILE PREVATTE T PARALLELED TO OSP - SLIV 95-18-04 EG 03/25/94 94-006 0 DESIGN INSTALLATION STATION BLACKOUT MODS IMPLEMENTATION SATISFACTORY MACDONALD ENG 03/25/94 94 006 0 DESIGN INSTALLATION PULL-TO-LOCK MODIFICATIONS - ICW/CCW CONTROL SCHEME / INSTALLATION ADEQUATE MACDONALD o6 h &4 C .- . . - -

. . . Pa9e No.

-11/15/95 ST LUCIE SALP INDUT FEEDERS SALP DATE RPT I UNIT ISSUE EXAMPLES ASSESSMENT INSPECTOR AREA NO.

E E 05/20/94 94-011 2 - DESIGN INSTALLATION POST ACCIDENT EXCORE NEUTRON FLUX NO DISCREPANCIES IDENTIFIED ELRCI) MONITORIE SYSTEM INSTALLATION ENG 05/20/94 94-011 2 DESIGN INSTALLATION U-2 PZR SAFETY VALVE DISCHARGE PIPIE NO DISCREPANCIES IDENTIFIED ELROD MOD E G - 05/20/94 94 011 2 DESIGN INSTALLATION SG A & B WR LEVEL XMTR REPLACEMENT NO DISCREPANCIES IDENTIFIED ELRG) EG 05/20/94 94-011 2 DESIGN INSTALLATION GL E9-10 SPRIE PACK REPLACEMENT / LIMIT NO DISCREPANCIES IDENTIFIED ELRG) SWITCH ADJU5TMENTS EG 03/19/94 94-016 2 DESIGN INSTALLATION MINOR E EINEERING PACKAGE FOR N2 SIFPLY WELL WRITTEN AND COMPLETE ' CARRION TO RAB EG 12/14/94 94-024 1 DESIGN INSTALLATION FIVE PLANT RF0 MODS AUDITED /OE00ATELY PERFORMED PREVATTE EE 12/14/94 94 024 1 DESIGN INSTALLATION PCM 182-193 (PTC SWITCHES). SG LEVEL MODIFICATIONS WELL DESIGNED. INSTALLED AND TESTED PREVATTE TRANSMITTER UPGRADES. CAVITY SEAL RING EG 03/24/95 95-005 0 DESIGN INSTALLATION 15 PC/Ms PEVIEWED GOOD OUALITY IN DESIGN WORK. TECHNICALLY ADE00 ATE. 50.59s THOMAS SATISFACTORY. 1 INSTALLATION RELATED DISCREPANCY IDENiiFIED - SLIV 95-05-01 EG 04/01/95 95-007 0 DESIGN INSTALLATION MODIFICATION OF KLF RELAYS SATISFACTORY PREVATTE EE 06/03/95 95-010 0 C(SIGN INSTALLATION ATWS RULE IMPLEMENTATION ATWS MODIFICATION REVIEW SATISFACTORY PREVATTE EG 10/20/94 94-020 1 ENGINEERIE SUPPORT TECHNICAL SUPPORT SYSTEM WALKDOWNS TO USEFUL FOR LIMITING CONTAMINATION PREVATTE IDENTIFY PACKING AND UNION LEAKS EZ 12/14/94 94 024 1 EEINEERING SUPPORT S/G TUBE PLUG REPAIRS [EINEERIE SUPPORT WAS TIMELY AND EFFECTIVE PREVATTE G5 10/18/94 94-020 0 ENGINEERIE SUPPORT TO USE AND KNOWLEDGE OF PRA PLANT PERSONNEL NOT TRAINED IN IPE - IPE NOT USED IN PLANNIE AND PREVATTE MAINTENANCE SCHEOULING OF WORK EG 12/14/94 94-024 1 EEINEERIE SUPPORT TO REPAIR TO RWT EFFECTIVE PRCLIECT MANAGEMENT AND TIMELY ASSISTANCE IN DEVELOPIE AND PREVATTE MAINTENANCE IMPLEMENTIE ALTERNATIVE REPAIR TO TANK BOTTOM EE 03/24/95 95-005 0 EEINEERIE SUPPORT TO PPA SUPPORT TO ONLINE MAINTENANCE ADEQUATE TH0ms NAINTENANCE EG 03/24/95 95 005 0 EEINEERIE SUPPORT TD SUPPORT TO m!NTENANCE SUPPORT TIMELY THOMAS MAINTENANCE EG 03/24/95 95-005 0 E EINCERI E SUPPORT TO EVALUATIONS SUPPORTING PM BASIS PROGRAM ADEQUATE TH0mS MAINTENANCE AND ONLINE MAINTENANCE

. .o . , Page No.

11/15/95 . " ST LUCIE SALP INPUT FEEDERS SALP DATE RPT f tMIT IS5UE EXAMPLES ~ ASSESSMENT-INSPECTOR AREA NO.

, ~ EG 03/24/95 95-005 0' EEINEERIE SUPPORT TO INVOLVEMENT IN BACKLOG REDUCTION CONSIDERED A STRENGTH THOMAS MAINTENANCE EFFORTS EG 10/16/ % 95-015 1 EEINEERIE SUPPORT TO DG WORK SUPPORT OF MAINTENANCE AND ROOT CAUSE EVALUATION TIMELY AND HELPFUL PREVATTE MAINTENANCE EG 10/26/% 95-020 0 EEINEERIE SUPPORT TO REVIEW / MODIFICATION OF PLANT RELIEF COMPREHENSIVE AND SOUND CORRECTIVE ACTIONS PREVATTE MAINTENANCE VALVE SETPOINTS EE 11/25/94 94-022 1 EEINEERING SUPPORT TO DESIGN PROBLEM ON NADH PIPING SYSTEM ENGINEFRING PROVIDED TIMELY SHORT AND LOE TERM RESOLUTION - STRONG ' PREVATTE OPERATIONS MAN EEMENT ltWOLVEMENT IN DEVELOPI E INTERIM AND LONG TERM FIX ' ENG 03/24/% 95-005 0 EEINEERING SUPPORT 'O EEINEERIE TEAM INSPECTION CONCLUSION SUPPORT TIMELY TO OPERATIONS AND MAINTENANCE THOMAS OPERATIONS EG 03/31/ % 95 004 2 EEINEERING SUPPORT TO RCGVS REALIGNMENT HIGH QUALITY DOCUMENT (50.59) WITH LITTLE LEAD TIME PREVATTE OPERATIONS EG 03/24/95 95-005 0 PROCUREMENT ACTIVITIES EQ MOTOR REWIND ACTIVITIES ACCEPTABLE PROCESS. SOME DEFICIENCIES NOTED THOMAS EG 03/17/94 94-005 0 SAQV 50.59 AUDIT OF 6 EVALUATIONS EVALUATIONS WELL WRITTEN ELROD EG 06/27/94 94 013 0 SA0V 50.59 AUDITS NO DISCREPANCIES ELROD ENG 03/24/95 95-005 0 SAQV INDEPENDENT TECHNICAL REVIEWS ISEG FUNCTIONS SUCCESSFULLY TRANSFERRED TO 04 THOMAS EG 03/24/95 95-005 0 SA0V SELF ASSESSMENT ACTIVITIES CONSIDERED A STREETH THOMAS EG 03/24/93 95-005 0 SAQV NCR/ STAR GUIDANCE FOR OPERABILITY GUIDANCE DID NOT ADDRESS EVALUATING PAST OPERABILITY THOMAS ASSESSMENTS , EG C3/24/95 95-005 0 SA0V 2 ROOT CAUSE EVALUATIONS REVIEWED THOROUGH AND IN-DEPTH EVALUATIONS THOMAS EG 03/24/95 95-005 0 SA0V ICI FLANGE B WIRIE DISCREPAEIES FAILURE TO DOCUMENT NONCONFORMANCE - NCV 95-05-04 THOMAS EE D3/20/94 94-011 2 SUPPORT FOR TESTI E AND MSSV BINDIE DURIE TESTING E E EVAL WEAK IN THAT IT DID NOT THOROUGHLY EVALUATE ROOT CAUSE OF ELROD SURVEILLANCE BINDIE EG 11/25/94 94-022 0 SUPPORT OF TESTIE AND DEVEL0fHENT OF NEW INTEGRATED EXCELLENT StPPORT PREVATTE SURVEILLANCE SAFEGUARDS TEST .. - . - - .. - -- -

. . _. _ _ _. . _... __ _.. . -. _. _.. _ _ _ _ _._.

. e.. . L

..

.

@2 o

. i c c.

E E E E: g c .:

9 I. 9 -! E-e E 9 8 a99Bge-

2

g-g: - e e a e r: a ee eW e -e e e o - - O >

$.EJ l

g.

$ Wg $ , ' e-g g g b'

ew

. I d.

. m.

c Qc g5 g

" . , - - --s.

Eg g g - , ~m-e -

e gg =

m' sg Ee

W o ' @g - 9 Ewge n- = s .

gg E.

o - . e, ' y "R

l-l . t Q Ws Q o 3-E4 w g Is W 5 ! . w se ge we ex c-e- s, y- . gs s E ! m - - e= w f.

-

m , -. M d8 e e e-e os b e- ' .w ms a e wg e we - - m .E' g 5g. 4 y gm-O de

e

- $g

mog m es w c

. ' - > p3

ga a = W - sag a sw-g g g e-e w - , .= o s , , c eg D . gg ea.e, me m ww o.

g Ed g R -- 55--g5e j s-w eEd = go 5" g $ 's $$eg - - -- ww0Qcl5

"* i e g mB* 8 g g e w t - aa g eg m-s-W wE e m sm5 - E aagaem eR es ex Ee Q ecc & p e. gsaw r e.w W =5 a w s Er s s e ea e-u.

m c = -s c $e d .e w - e J

$ " e i h h9

h k'm h_

E E

g

m w w e =a c - g . . m

- o _.

m n![ m -

$ B - s - l g

gg a ' ' w - m g . r cgm s w-

- - s $ W b m -

1 "g g wm%

i M: Ig

i - a

- , w g a w - , =G g xoz, e- - m sm ww - m a g ,.J - - $m - m-m

- - e-e og s-

ug, am 8 ma s - s e ewe e m - - vg - - g e5 B" R b, 5 wa e e em a e ~9

- - gg me g ggmg)e up -_ u e g-eg g c se eg g

ams)m J g n-y,s g _, u gn e- - m r > =- - go - e n.

= gs ak sw p g eE a s d 29 m G n a E I$ eee,e.

g x- -s e! e E

_ . = - - e Ei s

M e5 29 BW e9 sE

.

, had khi LeJ 4eJ baJ baJ beJ %eJ baJ baJ EI EI EIE EI E

5

5

5

ag wW we"

W eg eeam$ s

s-c a c.

p p 9c - - w w.w w w Q w ee ae eaeea n

- ww w w w w = w w= ww wwwww e l g; C 9, -- c = c cc cg ccccc s. 9e e-s ee - c - > eeee t e s, @B d $ B, e u Ew----B-B B B 8 5 - ~ w

8

85

-- a - , b.

'59- ..~ ~. ~ o .o - - -~ -o ~~~~~ ~ -. s =, =~ = a e-a ee gg ssgge =

g.

e e g.

g g g ee .. e= ..e .W a. a a a a s-s ss aa aaaaa - g > - a-

' '.- m.-

" , ,-, e m , ,, i k' D '@ C D D R'e 'C R . a

w.

w w Lun s js1 g .A 4. =e a n a e s eeaee . g' 3 - gg g

' ' .t A 4 4 4 0 0

i - y . go ' a o o - o o a o a. o o o

gc !. 5@.se:w v.

s s. s ' e e.

rs ee e s e e.e s-

'- m=. . -- , w s , ,(i .gi r m - - - + - w-p

O e

e . me eg se ee eg n e e zee s e g E Be a a 11 a a e E E E EEE E E e S B-e, g - l l c-m w ta w 5W g g d, b $ e -

$E5 nee $9, s y " ia I

e a m

= ae g . -m

8 g 5 W E B"EC" g ' . $-, g , E e1 f wt " - ee wg - - y $ -E ei s

s ye g mE E8

g $ $58C

ea - ags m g e ee sq - - - s k $o 3 l

  • Q5d b

"k g g mg "EMre - ~

- o w e ee e rs-r - s r0 Es E s$ Eo 7 55 l-e $> $~ 9y

s es-

  • 6

$5 - m & ma 9l 'a Em W-5 = e q se gs e-9g - y g, s[w - Es - I" = g .l a - - g e - ya t Y

m - M" 8

  • w e

". = e v

c 5-m g W d

d B s W - g$ m W.

E E ' Ed $WE 8 e* d i ~ d M ~ g @*a

D so e w m-e - e me w Q-225 mW m - =e w g a e* r h,e - e e m m En 8% gg a sE" as ~5:W Mg W

0 r "W ! se s we s $ g - .s$eusem$g$5 s teg te = s w -

- - 's G d5 d E g. W U-09m EE o u - i s s ee s

= a e m g S s x e I t 8-W ' g h w m

8 p

g5 E G b

' O

5 E &- R.

s-E- en S $ V $ c i - -

4 5 W @3 m m ~ "e W w E ' ERs E e s E . s a-e w e5 s- = ms - W3 g - - - s - m

3 >- ae - e - -e

E - eeheE g ys m W H-er m

ga . gm ~u m-

g a# e gg.e1tga e.aw s e wg ma = , -sg,slsn~ m ed W

$ m -_ g-g-E gg,# g2 " - 4 g~ W e m

E

g=s - e - m g gs -. gg 52 g: s - o s-em gm en $e8 g e3 < e g = m ts w W-s m 2 e

s d-W-m e-we!sge

g

s8 - - = g3 x-E Es e e me m ee an m m m m m m m m m-m m m m m g m m m

=

= e=- = = - - w= ww =, G E G , =

= = G

= z

55

55

5

555

5

W W W W W W W W W W W W W W W W W $ p C C p p p C E D C C p ~ ~ ~ ~ S b S S S ' C bb U M S. S " S S g"S - ua s m a a wg wa - a a a m m Es ~~ -~ ~ ~ ~ ~ - - - o - - o - -

=z

:

s e n n n n n n n . g g g g g g g g g g g eee e e v

n & E & EE EE E E E E E EE E E E E j

EE EE EE EE E E E EEE E E E na en nn am = = n n: n a n n ^ m . N$. 8 E3 > R R R A 2

3

A s

2 - o o o o o o o o - - - -- o o o o y g "$$ s s ee rr er e e e ees e r e i m= - i J

. g: .

w Fage No..

'11/15/95 - ST LUCIE SALP INPUT FEEDERS - '5 ALP DATE I RPT f UNIT ~ ISSUE EXAMPLES ASSESSMENT ~ INSPECTOR . MtEA NO.

MS ' 02/17/95 95 002 2 CORRECTIVE MAINTENANCE 2B CCW HX REPAIRS OF DEFECTIVE WELDS COMPLIED WITH GOOD I E USTRY PRACTICES A E NRC REQUIREMENTS LENAHAN' MS '03/31/95 95-004 1 CORRECTIVE MAINTENANCE DEGRADED GRID VOLTAGE RELAY REPLACEMENT LICENSEE DISPLAYED APPROPRIATE PLANNING. IMPLEMENTATION AW MEVATTE CAUTION. OPS PREPARATION Gu@. PROCEDLRAL WEAKNESS IDEMilFIED ' M5 04/01/95 95-007 '1 CORRECTIVE MAINTENANCE ECCS VENTILATION DAMPER REPAIR POOR CONFIGURATION MANAGEMENT. J/LL LEFT IN SYSTEM - NCV 95-C'-02.PREVATTE

M5. 04/29/95 95-009 2 CORRECTIVE MAINTENANCE DEH POWER SUPPLY REPLACEMENT WORK DIRECTION /ECINEERIE SUPPORT EXCELLENT PREVATTE.

.M5 06/03/95 95-010 2 CORRECTIVE MAINTENANCE TCB REPLACEMENT TIMELY. SATISFACTORY PREVATTE - M5 06/03/95 95-010.1 CORRECTIVE MAINTENANCE B TRAIN ECCS Cf91 ELECTRICAL MAINTENANCE TRAINIE WEAKNESS IDENTIFIED ' PREVATTE' ' MS - D6/03/95 95-010 1 CORRECTIVE MAINTENANCE IB EDG GOVERNOR REPAIR POOR COP 9tJNICATION LED TD IMPROPER INSTALLATION PREVATTE . MS -06/03/95 95-010 1 CORRECTIVE MAINTENANCE CEDM POWER SUPPLY REPLACEMENT KN WLEDGEABLE WORKERS. NO DEFICIENCIES MEVATTE - MS 01/01/95 95-012 1 CORRECTIVE MAIMENANCE IB MS DRAIN LINE REPAIR SATI5 FACTORY PREVATTE M5 ;07/29/95 95-014 2 CORRECTIVE MAINTENANCE PLANT VENT WRGM T/R METHODICAL AND THOROUGH PREVATTE' M5 10/16/95 95-015 2 CORRECTIVE MAINTENANCE 9 HEATER DRAIN PUMP TRIPS IN PAST YEAR FAILED TD IMPLEMENT AVAILABLE DESIGN MODIFICATION UNTIL TRIPS BECAME PREVATTE EXCESSIVE MS-10/16/95 95-015 1 COPRECTIVE MAINTENANCE EDG REPAIRS ROOT CAUSE INVESTIGATION TEM 1 AND E EINE REPAIR CREWS WELL QUALIFIED PREVATTE - DETAILED INVESTIGATION EXPANDED REPAIRS - GOOD ENGINEERIE AND VENDOR SUPPORT MS -10/16/ % 95-015 1 CaraECTIVE MAINTENANCE HISTORY OF MAINTENANCE PROBLEM Dr FCV USE OF OWA DN POORLY DESIGNED AND MAINTAINED VALVE .PREVATTE FOR CS ! M5 10/16/95 95-015 2 CORRECTIVE MAINTENANCE POWER RED' CTIONS (2) POWER REDUCED FOR CONDEN5ER WATERBOX CLEANING PREVATTE-J MS-10/16/95 95-015 1 CORRECTIVE MAINTENANCE 4 FWO'S AUDITED MINOR DEFICIENCIES PLUS ONE VIOLATION AND ONE EXAMPLE OF 000D WORK - PREVATTE ~ .5 LIV 95-15-06 MS : 10/16/95 95-015 1 CORRECTIVE MAINTENANCE - LEAKIE PZR SAFETY VALVE INLET FLAEE NOT INITIALLY IDENTIFIED A W INCLUDED IN OUTAGE SCOPE - RESULTED IN PREVATTE PLANNIE AND SCHEDULING DELAYING RESTART M5 ~10/IB/94 94-020 -1 DIAGNOSTIC MAINTENANCE MAINTENANCE STARTED VOTES TESTING ON DUE TO LESS THAN EFFECTIVE WORK CONTROL AE COP 91UNICATIONS PREVATTE WRDE ECCS VALVE M5 03/31/95 % -004 2 DIAGNOSTIC MAINTENANCE 2B LPSI PUMP AIR BINDIE . LICENSEE RESPONSE METHODICAL A W CONSERVATIVE. GOOD PLANT ~ PREVATTE MANAGEMENT INVOLVEMENT M5 07/01/95 95-012 1 DIAGNOSTIC MAINTENANCE IB BATTERY CELL JUMPER INSTALLATION P00R J/LL CONTROL - NCV 95-12-01 PREVATTE , k s I ! ,. _.. _.. - - _ . _, ... -. . .. - . . -.. . . -

r' r w t ' O a -, .. 0; e e ' a e - _.e h k h- ' ' $.h 'h h.eh -h-h b.h $' - w w w < .< g g< g < < . $- - a a m lEBd EgE

E ue w (g

m m g8

e e-n at s s a g g a "N 3 g E g g l5 - e e -

9 sg l - c s o- - , s-

m - _ a n f =8 s w p a e g g e - e= e s , , m s W e-e a e - s - $8 . !

e s 5' - W e-t e gs!e lti= = s eg.

g g s g - 8m gog - W w-g- - g m - Nr Es e m r e - = - s - - = eg [ ge-B e e g g , w - 8-s-hw-l %

-, e a = - $R 8m e e g5"*g

d "r $ o E -

Ee e .m eB

- < e g g

c .$ sgE W E e < e a e

g Wg e g gg w g - - g e = e em o - m o - - e gm 13 g g Em - e ee E s - e u c d Sg l - E e-m m - = a a3gN g $ e m ~ .E g @ Ie SEmm=m - s e e a e w =- m m m e

- e e $ e E B s e a - m'y $ g e M - E.

-

V E $$ m" .8 a: a e - a g $

Y e g g -- e - . - . - g

bd

8 d e "l ~ - . g - "e #a E Se

a d' - w - z-l

n a a u - - m - m

A e e - ~ . e sm[' E, E "

5

E I E b . g$ s s E a W - m w W W Em a s g ge - g g - s e e9 - - ss .s c e - - m m

E E

8

8

8

s m o

8

s s s s s s s

[ g e o c-p = g g a g g s em - - " "

e

t .e e-e S & W t m m - r u u a -- g g g g $ $ $ $ $ $' N. b EE -- Y

8 Y

~ ~ ~ s g,_g' E - u -- e. e e m m m m = g wg wg wg u u ee eg -g ug g e MW N ~ g g -g g e e e e'h3 h5 @ N N Eh5 s:f$- ". hE k@ =h5ehEh3 e=- gn ms - - ze z- = , _-

o

-- o o o -

-

- - - - o N N 2 R $' =

E S s a .s =. $

.c 2 *8 . < 'E $d 'N S.

d S $d d d 'd d., , o o o .o o o o o o o- --, d

$ $'s ' ' E-E ELE E EE E' E E' E E E E E E s a = e.

- =-

==--s

s = - - m s's O'

.s

s A A

4-A '.s . R' * : . ' '8 o.

- 2s - -- 3'- o o o - - -- - , - - a 3_ , gt. N" 5 ~ -E: 2 WT

P.

E f W W W W 2' W W E9 ,. E- - a. 01

.. . = _ g.

,. . . ~ Page No.

11/15/95 ST LUCIE SALP INNT FEEDERS SALP DATE - RPT #. UNIT ISSUE EIAMPLES ASSESSMENT INSPECTOR - I MLA. No, = MS: 12/14/94 94 024 1 OUTAGE ACTIVITIES KDIFICATIONS-FIVE PLANT RF0 M005 ADEQUATELY PERFORMED - PREVATTE-MS' 04/06/94 94-008 0 PHYSICAL CO WITION OF PLANT HOUSEKEEPIC AND MATERIAL CONDITION IN CONSIDERED STREETHS CROWLEY U-2 RB. RAB. STM TRESTLE..lNTAKE STR'JCTURES AND U-l AND 2 CCW STRUCTURES MS 04/28/94 94-009 0 FHYSICAL CONDITION OF PLA4T 6 AREA WALK!XMIS ^ SATISFACTORY ELROD MS-10/20/94 94-020 1 THYSICAL CONDITION OF PLANT SYSTEM WALKDOWN 23 MINOR EQUIPMENT A E PROCEDURAL DEFICIENCIES IDENTIFIED FREVATTE MS 01/20/95 94-025 1 PHYSICAL CONDITION OF PLANT PLANT RESTART WLKD0l4 AFTER RF0 11 NINOR DEFICIENCIES IDENTIFIED - LEAKS - MISSIE INSULATION - PREVATTE HOSES ROUTED TO FLOOR DRAINS . MS 02/17/95 95-002 0 PHYSICAL CONDITION OF PLANT UNIT 1/2 CCW AREAS NUMEROUS AREAS OF CORROSION IDENTIFIED LENAHAN MS 03/31/95 95-004 0 PHYSICAL CONDITION OF PLANT LHIT 1/2 CCW AREAS ffJMBER OF AREAS WITH LOCALIZED CORROSION .PREVATTE-MS 03/31/95 95-004 2 PHYSICAL CONDITION OF PLANT UNIT 2 FUEL POOL AREA - LOOSE SHOE WEAK HOUSEKEEPI E PREVATTE

COVERS NEAR EDGE. CLEAR PLASTIC IN AREA.

tG 07/29/95 95-014 2 PHYSICAL CONDITION OF PLANT LWIT 2 AT-POWER CONTAINMENT INSPECTION THOROUGH SATISFACTORY PREVATTE M5 10/16/95 95-015 1 PHYSICAL CONDITION OF PLANT 40 DEFICIENCIES IDENTIFIED LINE FUNCTION GROUPS NOT IDENTIFYlE AND CORRECTING DEFICIENCIES PREVATTE j M5-10/16/95 95-015 1 PLANT RESTART EQUlmENT PROBLEMS / PERSONNEL NIJMEROUS EQUIPMENT PROBLEMS AND PERSONNEL ERRORS RESULTED IN PREVATTE PERFORMANCE EXTENDED PLANT GUTAGE MS 05/20/94 94-011. 2 POST MAINTENANCE TESTING . PMT OF MV-08-13 EXCELLENT TEST CONTROL ELROD . MS - 08/31/94 94 018 2 POST MAINTENANCE TESTI E PMT PROCEDURE ADEQUATE TO VERIFY PCM IMPLEMENTATION ELROD MS 09/07/95 95-016 1 POST NAINTENANCE TESTI E UNIT 1 PORV INOPERABILITY FAILURE TO PERFORM ADEQUATE PMT. SURVEILLANCE TESTIE AND POST TRIP PREVATTE.

REVIEW - SLIII 95-16 1/CP MS 06/13/94 94 011 1 PREDICTIVE MAINTENANCE MOV TRENDING ND PROCEDLRE DOCUMENTING WHO WAS RESPONSIBLE. PERIODICITY. WHO GIRARD RECOMMENDED ACTIONS. ETC MS 03/24/95 95-005 0 PREDICTIVE MAINTENANCE VIBRATION TRENDI E. THERM 0 GRAPHY CONSIDERED A STREETH THOMAS TRENDIE AND OIL SAMPLE ANALYSIS MS / / 95-018 1 PREVENTIVE MAINTENANCE DG GOVERNOR CONTROLS POOR PAST MAINTENANCE PRACTICES ON EDG CONTROLS RESULTS IN NEED FOR PREVATTE EXTENSIVE WORK - OPERATIONS NOT FORCING HIGH STANDARDS MS 03/25/94 94-006 2 PREVENTIVE MAINTENANCE PROTECTIVE RELAY REFURBISHMENT WELL CONTROLLED BY PROCEDURES. ADEQUATE QC HOLD POINTS UTILIZED MACDONALD MS 04/28/94.94-009 2 PREVENTIVE MAINTENANCE 2A HPSI PP MOTOR CHANGEOUT SATISFACTORY ELROD , =.. - - - v1 .e,-nwrw-c.. w.r - -e n .w,. ..vmm.- .- - - - - -.- +. r+-+nw ---n---,-e~-e-. - - - - - - .-----,&,.- .-.w -...--w

= -, ,,.w-.w w-,,--vr.m-.-e.4-n +m- .,ue,-.- - ...m m.

m a -

- . -g w w w w w w w ww w w w w cc c t 5w ccccccccp t u

W

5a8 $

5

5 5 5 55e*55555 g u w w w w m w w w w w w w w w dd G d d EE E E E E E E E EE E E EE - a4

s w-y E W e w - g B r e E W W h $ E8

2 e

o r , o c E g" gE lE w

e a , a w s m aa wa w $ o p de ee W B~ s g Q$ Wo u O $g l6 Es r e - a]n a Es w E w ea e e Ee a e - ss = s-e sW a gm - $ ,5 < - g sC W M-a g b E

a $5 W ss - ~ 5 "- e

gB

-ea M e g8 w g g g===s a 5-g ee

E= e - - gs-m - - Es - . -s s m 5g g e We s gBsg - m - d[ as 5g sa ea -- - e g W ge - eW - e g e a=,aees5 a ex -- --w.5 "o a-8ggwf " > 3" e-ge W W ve = k-a g g W- - g ! *s a m - ms W g- - m u.

g w eWw m 8W = 5- = - u 2aw E g me , $e g 85 B - = Bm 3gE - W

w e - w s-es

e us 55.syeeelw5 ny em a

  • B2 g

8-ggeag W - - - s Es e ms w wa wm w - m

e . w w e I -

e g Y Y ,a w - m-u $ e5 e-a

g s - a 5, s e m g 5% d w = - rW e C 4 y g

9 B!g MS2 C w - - n s ws6 sag s aW h ! gsa"E

bbbb E

5f6 b ggge,e<h

= s jg , egw gg,e e w er_gg ae g - r ge g a - - ms - o s n - -r gg = G gg ya - 5E-gGm m _ -w as g e *a ssa = =- - - g =s we x w w - < Mo E R ~- do %= - m sm mr e W o o. w w w w w w w w w w w w w w w w w w w w w=

e w= = = www=====w-=

==

=

== = =

=

55

55

5 55555555555 W W WW W WW W W WWW WW WW WW WW w gy y 5-5 g

55533p5555E5

p p p p p p p p p p C -- - g p p

a - ee em ec e e==eeeeeeee w w E E E E E EE E E E E E E E E E E E E E 2.

Es ~~ o - ~ o o o o - ~ ~~~~~~-- '$ $ =0 $ R A

Raa$a = S $I E e . o a

  • ?

o

  • 9

= - & .E E &E E EE E E E$$$$$$$$$$

R R E.n.

n n n - - n n n w m ge w gm R E RR R R R RR R R ~R R RE m m w ee =n 'e n-= = n

aae===aaee s

j$

~ 4 4 gg R 2 3.

s44 4 33 3 R R R 3 o o o o - - - - o o o o o o o o o - y gr "$4

2P WW W E2 E E E 2 9 9 W W E 9 E 912 .mp

i

., W W W

s C C C C d

%. 5

%

8

8

g .8 @ g

s s - s e s s d - s w-E E - m m m E E w w w w w w w w w m - h

_ -n n.

p 8E E @. g-h5

$

$ - e $ ee e-E o- - g M ? E -

> -= $4 5 $ JE

s" " - p a d w- - w-E s s g

s $ e sw

g $$ 2 - - 8-g-2 - W m8

$3

- y

  • e a

w- -

g - s - t W Eg .-

8 Sdl

~ $

== w s a e w E - e-a

a w c - - - m Mm

-@ I g - = EW @ a be u E g ~ m - ow og a

I8

6 - g e m = g g g

_ E $

a6 5 g n.

E

- - w S av - sg m - - Rg g.

C 8-g l

on

-

> ' -e m E - . s

g f8 "8 g gu -

"s $ g !

eW 5 m sg - - m E 5e * '

$ e e - -- e ea - g5 E su V - m e ss - s E W s W e " - m

ms be e se e g m a m mv g s gw a v -

5 d 4" # g8 5"

5

8

Es b

6'2 G c =

bd w d wf C w d E 5 v5 0

- e h e & e - - _ B

"$ m g B

9 " P b c - - - g S " C - C G D

5 W w e W ~ ~ W

m g e = 5 g< hy = m E $ - e" 5g [

a " i - - g e a

e e < _a M M "e e $" $ $

8 " 5" E - > p =* $ g eg # W u u m b SC b$ M $ ah o w w g e a a - E E E b g o - W

d O 8g g s mW s g s - s g =- a

8

o ' ~c c ~ 2--u, a kC - e m m - - = m < = @ e s e C f-W d e o o r - z r-

- - - ~ W W W W W W W W W W W W W W p

C C = =

C C C C C C C C C C C C C C - - - - - - - - - - - - - - W W W W W W W W W W W W W W W d W N

======== e=ene=e=e=ec==e===en C s cc gs =s a:== c: =s as c:== az =c =s h,=$"UW $"OW $W $";W $"CW $: $"OW $"; $"OW $" ;W $" ;W $" O $ C

$ W W W

t.

- -~ ~ . - - ~ ~ ~ ~ ~ ~ - - ~

C S S S = s

8

8

8

8

. ? ? =. = = = a

o a ? o =

- & $ $$ $ $ E E E E E E E E & E E S g m - C t E E E g n n n n n n R R R R R R s s s s sa e S e = = = = = = m e e m

4 s' s % A A A A A A A

4 ~ ' ' R

o - o e o o o o o o o o o y kt '5 2:

9

P W W f E, C

2

E W W W . - - - - - - - -

q - -_p... as.ae .m ,ns.

>, + n.m.

a m ., a +,.e,s.e-e >e,<x---a-ua.

-m...a:. anu _ .

'

7 .

4

+ ' w ' w w w

U

.

$ $ $ $ $$ $' $ $ I'

$ $ $' ' d G d 'd d d d.

d d E Jd. 5-E E E E _ o o . ~ at o e W -

. $ s-p . - . o ,

< -- w ,- .h-E l $ [ ~

c r - w - W W t -

.$ g.v.

. g-w - u , , g- . . g gg g ' < . o.

$ E-a- a s.

_

. -. g gg-w g.

' $ , . u-i o , _

.-

c' m E S gg &

g e = g et g' e , ~ - - _

U E _3 a g w e . c: . _ d% -a p . a e m - - a w > - d gr Wg C

I > !

W W

e w-e + ., - s -.

h g% 5. )al- - - s =h g s ei

!

. w e g aeg gm . e

p g a e n i -

g eg s - = e e

- c m

, w3 , N $w E s-e e d d zw e ge==g- - = o . W w w

gs - - = g - me es 8.e e vs

- _ w - o e g e v w a s e sw s-e t r usvmIEs n{a ,ws- - - s-a s v m-d g-a e oE m-a ,$ " $$O & & g ' c & < a s e .e su a .e w e h' s g

m e

s e - " e ~ . E

~l $

g . $ ' v

- w - S - I s

~ d w - . e p

M M " " , ' M d M $ . :' W " ' .- a "s 8' " M' W

W "

o W I!

' W . M " w e e a s e s e g e w m - mse gg E ! g!"s !s e-E

e E8 s - e

so s a s $

se w e e . - - - me n e-gb e e m s s - $$, $ s

$ WI s aee eE WE : lDG E8 b G e hE > d50 . E O = " -

- . W W W W W W W W W W W W W W W W

p = p p p p p p p - p p p p p p p 'LO C $ $ $

0 W"

$

'O O C O d - - - - - - - - - - - - - w w w w w w w w w w w w w w .m - w.- 6.h ~ b

== ec .= e===

ece=e=e===e==

= e

gs = ,= as gs gs gs as-=s== cs gs gs as , e _w a"Cv m0v a#v ms a"C'a*Cv m"Cv a'"?v mCe apv a"; p"Oav mP , s av mw ls E

~ 0.

v v w - NN ' m' - ~ m m, m o o o - m - - = = = a a a-e = = e e e a - e e e

a a.

a.

,a = = = .= = a - = o a o a - k' K

.5: 5& 5' 5. 5 'O K.

5

5-

5

K' K

E'~* K

  • K K

& K K E a l

b'. A R.. R R R R R g 'A 't 3.

6' b R '

b'

R t' 0' R 0-t

sf. Ws.

s-s::s .s s s; O sa= s = e-e = e.

~ s . : a

. e.

m S

-T-'E Wl = f

E W-M.

W W E' E

9 9.

f . ...

s' .. ' Pag [C3. - 12 11/15/ % ST LUCIE SALP INPUT FEEDERS SALPIMTE RPT I UNIT ISSUE EXAMPLES ASSESSMENT INSPECTOR' NtEA ND.

M5 11/25/94 94-022 0 SWVEILLANCE TESTIE SIX SURVEILLANCE TESTS SATISFACTORY - GOCD PRE 308 BRIEFIC - GOOD PROCEDURAL USE - G000 PREVATTE ACTIVITIES REPEAT BACK C0ttMICATION - SUPERVISORY OVERSIGHT MS 12/14/94 94-024 1 SURVEILLANCE TESTIE TWO EQUIPMENT OPERABILITY TESTS TEST SATI5 FACTORY - CWA AS A RESULT OF COMMUNICATION EQUIFNENT PREVATTE ACTIVITIES INADEOUACY AND LEAKIE TEST EQUIPMENT M5 01/20/95 94 025 1 SURVEILLANCE TESTIE AT POWER DETERMINATION OF MTC AND POWER TEST WELL EXECUTED. GOOD CQttNICATION AND COORDINATION WIm OP5 FREVATTE ACTIVITIES CC{FFICIENT M5 03/31/ % 95-004 1 SURVEILLANCE TESTIE TURBINE TRIP TESTIE GOOD C0rtimICATIONS AND COORDINATION PREVATTE ACTIVITIES M5 03/31/ % 95-004 1 SURVEILLANCE TESTING 1A EDG PERIODIC TEST GOOD COORDINATION BETWEEN RCO AND ANPS AT SYNCHRONIZATION PREVATTE /ITIVITIES M5 04/01/95 95-007 2 SURVE!LLANCE TESTING AFP OUARTERLY TEST SATISFACTORY PREYATTE ACTIVITIES M5 04/01 95 95-007 2 SURVEILLANCE TESTIE ESF RELAY TEST SATISFACTORY PREVATTE AC1tVITIES MS 04/01/95 95-007 2 SURVEILLANCE TESTING 2B EDG MONTHLY TEST SATISFACTORY PREVATTE ACTIVITIES M5 ' 04/29/95 95-009 2 SURVEILLANCE TESTING CONTAINMENT AIRLOCK TESTING NOT IMPRESSIVE SCOPE / DEPTH OF CORRECTIVE ACTIONS - NCV 95-09-01 PREVATTE ACTIVITIES CONOUCTED WITHIN T5 PERIODICITY M5 06/03/ % 95 010 2 SURVEILLANCE TESTIE V3659 DELTA P TEST SATISFACTORY PREVATTE ACTIVITIES MS 06/03/95 95-010 2 SURVEILLANCE TESTIE 2A LPSI PUMP SECTION XI RUN $ATI5 FACTORY PREVATTE ACTIVITIES M5 06/03/95 95 010 1 SURVE!LLANCE TESTING FAILURE TD RECOGNIZE NEED FOR INCREASED TECH STAFF DVERSIGHT - NCV 95-10-01 PREVATTE ACT!v! TIES EDG TEST FREQUENCY M5 07/01/95 95-012 1 SURVEILLANCE TESTIE IB EDG T5 5URVEILLANCE SATI5 FACTORY PREVATTE ACTIVITIES MS 07/29/95 95-014 2 SURVEILLANCE TESTING 2B EDG PERIODIC TEST PERFORMED SATISFACTORILY PREVATTE ACTIVITIES M5 07/29/95 95-014 1 SURVEILLANCE TESTIE IB AFP SECTION XI TEST PERFORMED SATISFACTORILY PREVATTE ACTIVITIES M5 07/29/95 95-014 2 $URVEILLANCE TESTING EDG DAY TANK LEVEL TEST WEAK PROCEDURE. INA0 EQUATE PRETEST CHECK 5 PREVATTE ACTIVITIES - -,

.1 ..T. , . .',$ 's - . < < $' d.

E E ' ~. , .5 s M % .c 5~ , C b- - m h* l a - w & W s a B B E

r J t - b ' ' =8 . M - W D [ mm a _ EI w w p

h b b_ b- 'g pe=S Ws4 WE WE " $k $$ - ' ene - ' 5.

$

  • -

b' N N.

- - 2 g g .@.;s ds n:s..- a .,- - <g-

  • . 5 -

2: '$t. W: M , m .

.. -. . . --- -. -.. rM, s . 'Page No.

- 11/15/95 ST LUCIE SALP INPUT FEEDERS = I "SALP DATE RPTl UNIT ISSUE ~ EXAMPLES ASSESSMENT , INSPECTOR AREA NO.

CD SALP AREA OPS OPS 12/14/94 94-024 1 ' CONTROL ROOM PROFESSIONALISM ' RF0 AND STARTUP CONTROL ROOM OVERCROWDED DURING FREP FOR RESTART - PAPERWORK CLO5URE PREVATTE - DID CONTROL FOR CRITICAL EVENTS - ROD PULL, ETC, 3 0PS : 10/20/94 94-019 0 INITIAL AN REQUALIFICATION PERMITTED LICENSED SRO TO BE ASSIGNED URI ? M00RM4N TRAINING OF OPERATORS R0 DUTIES AND MAINTAIN RO QUALIFICATIONS ' OPS.10/20/94 94-019 0 INITIAL AE REQUALIFICATION LICENSEE POLICY ALLOWS OPS SUPERVISOR IFI? MOORMAN ' TRAINIE OF OPERATORS SRO LICENSE TO REMAIN ACTIVE BY VIRTUE ~ OF HIS POSITION OPS -10/20/94 94-019 0 INITIAL AND REQUALIFICAT!DN NPS EXHIBITED TECHNICALLY INADE00 ATE WEAKNESS MOORMAN TRAINIE OF OPERATORS PERFORMANCE AND DISREGARD FOR , MANAGEMENT GUIDANCE ON PROPER USE OF E0P OPS 10/20/94 94-019 0 INITIAL AND REQUALIFICATION REQUALIFICATION PROGRAM ADEOUATE TO ENSURE SAFE PLANT OPERATION - ENSURES THAT INDIVIDUALS MOORMAN TRAINIE OF OPERATORS SATISFY THE CONDITIONS OF THEIR LICENSE - OPS 10/20/94 94 019 0 INITIAL AND REQUALIFICATION EDICAL COEITIONS TRACKIM VERY LITTLE PROCEDURAL GUIDANCE TO ENSURE LICENSE MEDICAL COEITIONS MOORMAN ' TRAIN! E OF OPERATORS ARE TRACKED - OPS.10/20/94 94-019 0 INITIAL AND REQUALIFICATION CHANGE IN MEDICAL CONDITION OF A FAILED TO NOTIFY FC + VIO? M00RM48 TRAINING OF OPERATORS LICENSED OPERATOR ' - OPS 10/20/94 94-019 0 INITIAL AND REQUALIFICATION TRAINIE DEPARTMENT GENERALLY EFFECTIVE IN ADMINISTRATIE EXAM AE EVALUATIE OPERATOR MOORMAN TRAINIE OF OPERATORS PERFORMANCE - OPS 11/07/94 94-300 0 INITIAL AND REQUALIFICATION WEAK GUIDANCE FOR REENERGIZATION OF PROCEDURAL HEAKNESS BALOWIN TRAINING OF OPERATORS ELECTRICAL BU5ES AND ONE PROCEDURAL STEP CONTAINED TWO ACTION STATEMENTS OPS 11/07/94 94-300-0 INITIAL AND REQUALIFICATION WRITTEN EXAM WEAKNESSES IN OPERATOR KNOWLEDGE - BALDWIN TRAINING OF OPERATORS OPS 11/07/94 94 300 0 INITIAL AND REQUALIFICATION SIMULATOR.ENAMS WEAKNESS IN CREW COMUNICATION BALOWIN TRAINIE OF OPERATORS OPS 11/17/94 94-300-0 INITIAL AND REQUALIFICATION PROCEDURES Ed NOT PROVIDE GUIDANCE TO PROCEDURAL WEAKNESS BALDWIN TRAINIE OF OPERATORS - RINDVE RCP FROM SERVICE WHEN RCS FALLS EELOW 500 DEGREES F ' OPS 00/23/94 94 015 1 MANIPULATI E REACTOR AND RESIN REPLACEMENT (HIGH RAD) GOOD INTERFACE AND COMUNICATION - GOOD PERFORMANCE, OPS AE HP PREVATTE AUXILIARY CONTFdLS OPS /. /. 95-018 1 MONITORIE AND LOGGING PLANT DID NOT DOCUMENT LOGLEEPIE LOGKEEPING WE.AKNESS PREVATTE CONDITIONS DEFICIENCIES , .. m.

. .. m .- m s. -.,-..__.___2 - m.

. a . . . . .... m.

f.

_ i -,.,, u,wi a .. - - = m .n.

r-ee - -

. " ~ - -; ; .1 , _ . .. _ . _ -

Page No-.

:11/15/95? s ST LUCIE SALP INPUT FIEDERS LSALP DAVE' - RPT # UNIT ISSUE EXAMPLES : ASSESSENT - INSPECTOR: "

AREA No.

- OPS ' /- / - 95-018 0 MONITORIE AND LOGGING PLANT DID NOT ENTER BYPASS SWITCH IN PROCEDURE VIOLATION - VIO LEVEL IV PREVATTE ' CONDITIONS DEVIATION LOG - DID NOT LOG OUT KEYS , J0PS' 10/18/94 94-020 1 'MONITORIE AE LOGGIC PLANT NLO ROUNDS ' GOOD PRACTICES BY NLO'S OURIE ROUNDS - KNOWLEDGEABLE, CONSCIENTIOUS PREVATTE : CONDITIONS' AND MOTIVATED - OPS 11/25/94 94-022' 1 - MONITORIE AND LOGGIE PLANT CR LOG ENTRIES NOT MADE IN POOR LOGKEEPIE PRACTICES / PROCEDURES VIOLATION '- SLIV 94-22-02 PREVATTE CDP 0ITIONS Oft 0N0 LOGICAL DRDER AND NOT PRECEDED BY LATE ENTRY" OPS 03/31/95 95-004 1 MONIT(RIE AND LOGGIE PLANT OUENCH TANK IN-LEAKAGE DUE TO CODE ACTIONS METHODICAL. TECHNICALLY SOU E. FOCUSED ON PLANT / WORKER - PREVATTE CONDITIONS SAFETY VALVE LEAK-SAFETY ' OPS 03/31/ % 95-004 2 MONITCAING AND LOGGING PLANT SLIGHT INCREASE IN RX CAVITY IN LINKAGE GOOD ATTENTION TO CONTROL BOARD INDICATIONS. APPROPRIATE EMPHASIS ON PREVATTE CONDITIONS PROMPTED CONTAINMENT ENTRY / INSPECTION SAFETY . OPS 04/01/95 95-007 1 MONITORING AND LOGGIE PLANT LOSS OF SHUTDOWN COOLING - WEAK OPERATOR RESPONSE TO ANNUNCIATORS. OPERATOR ERROR ROOT CAUSE.

PREVATTE CONDITIONS TIMELY. OBJECTIVE CORRECTIVE ACTIONS OPS 07/01/95 95-012 1 MONITORING A E LOGGING PLANT 005 LOGKEEPING FOR CCW LOADS WEAK PREVATTE CONDITIONS OPS 01/01/95 95-012 1 MONITORING AND LOGGING PLANT IB BATTERY CELL JUMPER INSTALLATION WEAK LOG KEEPING RE BATTERY COWITIONS PREVATTE CONDITIONS . OPS 07/01/95 95 014 2 MONITORING AND LCGGING PLANT ICW OPERABILITY WITH ELEVATED SEA WATER GOOD NPS INVOLVEMENT - CLEAR INSTRUCTIONS TO OPERATORS PREVATTE COWITIONS TEMP .0PS 10/16/95 95 015. 1 MONITORING AND LOGGING PLANT 2 EXAMPLES OF POOR LOGKEEPING POOR LOGKEEPIE - NCV %-15-08 - PREVATTE CONDITIONS . DS 10/16/95 95-015.I MONITORI C AND LOGGING PLANT FAILED TO ENTER VALVE POSITION IN PROCEDURE VIOLATION - VIO LEVEL IV PREVATTE' CONDITIONS DEVIATION LOG OPS -/ / ~ 95 018 1 PLANT SHUTDOWN OPERATOR PERFORMANCE-SHUTDOWN DELAYED BY LARGE NLMBER OF PROCEDURE CHANGES BUT PROCEEDED 'PREVATTE SLOWLY AND METHODICALLY WITHOUT INCIDENT OPS / / 95-018 1 ' PLANT STARTUP OUTAGE RESTART STARTUP SLOW. CAUTIOUS. AND METHODICAL PREVATTE.

!- OPS 02/1B/94 94-001 1 PLANT STARTUP CRITICALITY ACHIEVED WITHOUT VALID ECC INSUFFICIENT PLANNIE. PROCEDURAL WEAKNESS IDENTIFIED ELROD WORKSHEET

OPS-02/18/94 94-001 1 PLANT STARTUP UNIT 1 FAILURE TO ACHIEVE CRITICALITY CURVES HAD BEEN CONSERVATIVE rROM SDM PERSPECTIVE. RESOLUTION.

- ELROD DUE TO INADEQUATE CORE PHYSICS CURVES TE ROUGH A E TECHNICALLY SOU E. . PPS 05/20/94 94-011 2 PLANT STARTUP POWER INCREASE FROM 26% TO 31t DUE TO WEAK ATTENTION TO DETAIL BY OPERATORS . ELROD POSITIVE MTC - .m.

.- m - m . a m . m.

- m - -. . . . - . w a i.m-uwn e m

  • em.-e wo 9
  • e Wtu.a.e-e r-

- .was-1.

e"t Mr.,,e r ,,n g,, gy..- mg2_,,__-__,,,,y-

.. . ~ . . . .. .. .. - - .- -. . i .. - .- .. _ % , Page No..

-11/15/95 ST LUCIE SALP INPUT FEEDERS SALP.DATE 'RPT I ' UNIT. ISSUE EXMPLES ASSESSMENT INSPECTOR: . AP".A ~

NO.

OPS 05/20/94 94-012 2. PLANT STARTUP U-2 POST-RF0 STARTUP COPNUNICATIONS. C&C. STRONG'DURING FILL AND VENT AND STARTUP ELROD . OPS- 06/27/94 94-013 2 ~ PLANT STARTUP U-2 STARTUP TRANSPOSITIOML PROCEDURE ERROR IDENTIFIED. OTHERWISE SATISFACTDRY ELROD .0P5 iv7/29/94 94-014 '1 PLANT STARTUP U-l S/U NEW RE 1/M PLOTS GOOD INITIATIVE. WELL CONTROLLED EVOLUTION.

ELROD CONSERVATIVE DECISION TO WAIT UNTIL 1A MAIN XFRMR REPAIRS WERE COMPLETE BEFORE SYNCHING TO GRID OPS:-.12/14/94 94-024 a -. ' '

PLANT STARTUP . REFUELING OLITAGE GOG) PROCEDURAL CCNPLIANCE EFFECTIVE C09%ND AND CONTROL. GOOD PREVATTE' COPNUNICATION. G000 PREJOB BRIEFINGS. AND APPROPRIATE SUPERVISORY OVERSIGHT RESULTED IN WELL EXECUTED PLANT RESTART OPS. 03/31/95 95-004' 2 PLANT STARTUP STARTUP FOLLOWING UNIT TRIP DUE TO ' GOOD COPNUNICATION AND TEAMWOM PREVATTE FAILED SGLT OPS '04/01/95 95-007 1 PLANT STARTUP UNIT I STARTUP PROFESSIONAL /WELL CONTROLLED PREVATTE~ OPS 07/11/95 95-014 1 PLANT STARTUP UNIT I STARTUP PERFORMED IN A PROFESSIONAL MANNER PREVATTE.

. OPS 10/16/95 95-015 2 PLANT START'JP PERSONNEL AND EQUIPMENT PERFORMANCE RESTART FROM HURRICANE WITHOUT SIGNIFICANT Mt0BLEMS PREVATTE OPS 10/16/95 95-015 0 PLANT STARTUP, SHUTDOWN AND OPERATOR PERFORMANCE NLMEROUS OPERATOR ERRORS INDICATED DECLINING. M NCE PREVATTE.

  • PCWER OPS OPS 04/28/94 94-009 1 POWER OPERATION EDG FUEL OIL TRANSFERS BETWEEN UNITS RESULTED IN NON-CONSERVATIVE ENTRY INTO TS AS ELROD OPS 08/23/94 94-015 2 POWER OPERATION STARTUP/5 HUT 00WN/ POWER MANEUVERS WELL CONTROLLED AND PROFESSIONAL PREVATTE-OPS 10/20/94 94-020 11 POWER OPERATION NIGHT ORDERS DID NOT ACCURATELY CONVEY NEGATIVE REPCRT FINDS AND NEEDED ACTION TO PREVATTE OPERATORS

. OPS 01/20/95 94-025 1 POWEP. OPERATION MONITORI E AND LOGGI E PLANT CONDITION OPERATOR FAILED TO IDENTIFY INCORRECT INDICATION ON LPSI PRESSURE PREVATTE DURIE CONTROL BOARD WALKDOWN 2 WK5 0P5 - 11/25/94 94-022 1 RADIOLOGICAL EFFLUENT CONTROL WASTE gas RELEASE WITH METEOROLOGICAL OPERATOR ERROR PREVATTE TOWER INSTRUMENTATION OUT OF SERVICE OPS 08/.31/94 94-018 1 REFUELIE FUEL RECEIPT PROCEDURES PROVIDED CENTRALIZED CONTROL OF REQUIRED PREPARATIONS AND F1tEVENTIVE ELROD MAINTENANCE OPS 12/14/94 94-024 2 REFUELIE STAFFIE FOR REFUELIE SINGLE LICENSED OPERATOR USED ON REFUELING BRIDGE - (CORRECTED)PREVATTE OPS 0Q/23/94 94415 2 RESPONSE TO OFF-NORMAL INOPERABLE TCB FAILURE TO COMPLY WITH T5 REQUIRED SHUTDOWN - VID 94-15-01 PREVATTE

COEITIONS OPS '02/18/94 94-001 1-RESPONSE TD TRANSIENTS AND UNIT 1 MANUAL TRIP DUE TO LOSS OF MFW OPERATORS ALERT, ADEQUATE POST-TRIP REVIEW ELROD l

OFF-NORMAL COEITIONS PlNP ,

,

'\\ . - . . - . . - . .

. .. Page No.

11.

L 11/15/95 ST LUCIE SALP INPUT FEEDERS , SALP DATE RPT f UNIT ISSUE EXAMPLES ASSESSMENT INSPECTOR AREA NO.

l OPS 05/20/94 94-012 1 RESPONSE TO TRANSIENTS AND U-l TRIP DUE TO OPENING OF EXCITER PROPER OPERATOR RESPONSE. HUMAN ERROR ROOT CAUSE ELROD OFF-NORMAL CONDITIONS OUTPUT BKR OPS 05/20/94 94-011 1 RESPONSE TO TRANSIENTS AND U-l TRIP DUE TO IMADEQUATELY PLANNED INADEQUATE PRIOR REVIEW ELR(X) OFF-NORMAL CONDITIONS ELECTRICAL LINEUP OPS 05/20/95 94-011 2 PESPONSE TO TRANSIENTS AND UNIT 2 TRIP DURING POST-RF0 POWER EXCELLENT OPERATOR RESPONSE. ROOT CAUSE (PRE-EXISTING WIRI E ELROD OFF NORMAL CONDITIONS ASCENSION PROBLEM) EFFORT WELL-FOUNDED OPS 07/29/94 94-014 1 RESPONSE TO TRANSIENTS AND U-l TRIP 00E TO DEBRIS BLOWN ACROSS OPERATOR RESPONSE GOOD ELROD OFF-NORMAL CON 0lil0NS MAIN TRANSFORMER OUTPUT BREAKER OPS 08/23/94 94-015 2 RESPONSE TO TRANSIENTS AND INOPERABLE TCB FAILURE TO COMPLY WITH TS REQUIRED SHUTDOWN - VIO 94-15-01 PREVATTE OFF-N(FMAL CONDITIONS OPS 08/23/94 94-015 2 RESPONSE TO TRANSIENTS AND APPARENT RCP OIL LEAK OPERATORS RESPONDED WELL TO RCP OIL LEAK, CONSERVATIVE DOWNP0kTR ELROD i OFF-NORMAL CONDITIONS OPS 11/25/94 94-022 1 RESPONSE TO TRANSIENTS AND HEATER ORAIN PUMP TRIP AND RX TRIP DUE OPERATORS RESPONDED WELL - ACTUALLY INADEQUATE MAINTENANCE OF PREVATTE.

OFF-NORMAL CONDITIONS TO LIGHTIE STRIKE POTENTIAL TRANSFORMER IN SWITCHYARD OPS 03/31/95 $5-004 1 RESPONSE TO TRAN5IENTS AND 1A LPSI SUCTION RELIEF VALVE LIFT PROMPT COMMUNICATION PREVATTE OFF-NORMAL CONDITIONS OPS 03/31/95 95-004 2 RESPONSE TO TRANSIENTS AND UNIT 2 TRIP DUE TO FAILED SGLT CREW PERFORMANCE / COMMUNICATIONS GOOD PREVATTE OFF-NORMAL CONDITIONS OPS 04/29/95 95-009 2 RESPONSE TO TRANSIENTS AND DEH POWER SUFPLY REPLACEMENT OFF-LINE REPAIR DEMONSTRATED CONSERVATIVE APPROACH TO SAFETY PREVATTE OFF-NOR M CONDITIONS 'AUTIOUS PROPER REVIEW / EXECUTION PREVATTE OPS 07/01/95 95-012 1 RESPONSE TO TRANSIENTS AND IB BATTERY CELL JUMPER INSTALLATION C OFF-NORMAL CONDITIONS OPS 07/29/95 95-014 1 RESPONSE TO TRANSIENTS AND UNIT 1 HIGH PRESSURE TRIP OPERATOR RESPONSE EXCELLENT PREVATTE OFF-NORt%L CONDITIONS OPS / / 95-018 0 $AFETY REVIEWS FRG MEETIE ADOPTED SUBC0mITTEE CHAIRMAN POSITION DELEGATED TO SERVICES MANAGER FREVATTE OPS / / 95-018 'O SA0V QA/0C AUDITS (2) AUDITS / INSPECTIONS DETAILCD AND THOROUGH. RESULTS WELL DOCUMENTED PREVATTE OPS 03/17/94 94-005 0 SA0V 3 QA AUDITS REVIEWED CROSS SECTION OF ACTIVITIES COVERED. NO DEFICIENCIES IDENTIFIED.

ELROD OPS 04/28/94 94-009 2 SA0V 6 REFUELIE RELATED AUDITS REVIEWED SATISFACTORY ELR00 OPS 05/20/94 94-011 1 SA0V NEW FUEL QUALITY ASSURANCE PROGRAM ACTIONS THOROUGH IN SCOPE AN3 EXECUTION ELROD OPS 10/20/94 94-020 0 SAQV FRG MEETING PROFESSIONAL WITH STA!0ARDS BUT SET BY PGM PREVATTE - - . - - - . . . -- - - -. - - . - - -. . - -

A

4,

W W W W W W W W W W W W W - Y Y N N Y U Bw 4 ' 5"

5s % m* %5 %%*# "%5% W 5 *

Cw N Ea E E EE EE $EE EE EE E EEEEE a w w , m o w w w w w w i E - e ! $ - a , g-g b E

Q R 5g

-

G t

5 we e

aje 8"

g-W - b e o " b e 5 e W w$55 w E a < z

w - - w r bw D b % $g 5E $$ W l-

s

W e s w h_y he U d g w w d C , e w < w - W - . = = G Wo

9 e E - b W " Ed $

ep W g

-

e eglF g[=e B.cl - O g cg W e a - w-e d.

s g = 4 b H

g ) wsae ,. s yu R

ggIa

, m , g a: .eW e ' a . . m E e eE aa . -3 p-s gG - - - g l b" -- c g g -@ e G MM E g

w w e

1 g eme&W=eIg e# a - e m e w a - - .m e.E w

- ge v v b e g s n =* e-eeege ew - -

et

s V w

s aa e eeee e

egz =cw~ecla caa*ma ae ., = 5w@svv2 a.

ws89E8 '

8e E v , e . E -

R E - -

s r eI a b - - r m .

m W m e ge 3 =g - - e - M

-e e c m E H = -

9 e= =m = - g3 g a g E# s ! ag g95 S S g - -

<ggen- ' s,w - aag = s s Q < g< m . Kg 9 O Oc " $ '@E g g= g

g w

d m m eW be p --w

t L- - g me E g - ec e - --aw5g-se * w r - l g p e-te m -- e us wg 58 1 - e @r=.gw weg.. i <

-* sw. :- 0: s ! E 8 a s E e 89 ~ 8 8 ~g. 3 - B WM s5 as E E W~

i e

RRRRRRRRRRRRRRRRRRRRR i is..._.-.....,~.~....._.

~ , ,, , ,, ~. ...~,,

2~ n.

8 aB B J,~8 8 8 88 88 5 G sag 5

b $$ $ $ $$ dd$$$$$$N N$$$N$ ,. K& & & E& E********

- 6y y

0 0 c 6' 2

:

g A A A 2 C 0 0 C ees R R R R R 6' e c cO - #8 s-

== =

.e

= saaaa a ssaaaa ~ ~ e .

$ $$ $ b b$ $$$$$$$$$ $$$$$$

' ' ,. .. . . w Page No.

191.

I . ' ' 11/15/95 ST LUCIE SALP INPUT FEEDERS.

SALP DATE .RPT f - UNIT ISSUE 'EIAMPLES' ~ A55ESSENT INSPECTOR. AREA- ' NO.

n OPS 10/16/95 95-015 1 SA0V-CONTAINMENT SPRAYDOWN CA ASSESSMENT DETAILED ASSESSMENT WITH GOOD RECOP98ENDATIONS PREVATTE i OPS ' /. /.- 95-018' 2-SHUTDOWN OPERATIONS RPV DISASSEMBLY AND DEFUELI M PERFORMED WELL WITH ONLY MINCR EQUIFNENT PROBLOt5 PREVATTE - OPS 03/17/94 94-005' 2 SHUTDOWN OPERATIONS ~ U2 REDUCED INVENTORY GOG) OPERATOR KNOWLEDGE ELROD- - OPS 04/28/94 94 009 2 SHUTDOWN OPERATIONS U-2 REDUCED INVENTORY OPERATIONS EXCELLENT OPERATOR KNOWLEDGE OF Eva.UTION - ELROD OPS 04/28/94 94-009_ 2 SHUTDOWN OPERATIONS U 2 REFUELING AND CORE SHUFFLE - PROCEDURAL ERROR /0PERATOR ERROR (NCV) ELROD INCORRECT GRAPPLING OF FUEL A55Y _ OPS 04/28/94 94 009 2 SHUTDOWN OPERATIONS CORE LOAD VERIFICATION ADEQUATE ELROD yOP3 08/31/94 94-018 0 SHUTDOWN ODERATIONS NEW FUEL MOVEMENT.

PERFORMED ttRY WELL ELROD' i - OPS ~ 08/31/94 94-018 1 $HUTDOWN OPERATIONS REFUELING STAFF EXPERIE.MCEP AND COMPETENT - FUEL HANDLED WITH GREAT CARE AM) ELROD ACCURATELY P0 CsNED - OPS 11/25/94 94-022 1 SHUTDOWN OPERATION 5 REDUCED RCS INVENTORY OPERATIONS OPERATORS ATTENTIVE - GOOD MNAGEMENT OVERSIGHT PREVATTE : , OPS 11/25/94 94-022 1 SHUTDOWN OPERATIONS PROCEDURES. SUPERVISORY AND MANAGEMENT A STRENGTH PREVATTE- , CONTROLS IN REDUCED RCS INVENTORY l DPS 11/25/94 94-022! I SHUTDOR 'IPERATIONS FLANT ENTERED OUTAGE 5 DAYS EARLY AS STILL COMPLETED OUTAGE IN LESS THEN SCHEDULED TIME PREVATTE RESULT OF RX TRIP OPS 12/14/94 94-024 1 SHUTDOWN OPERATIONS RCS REDUCED INVENTORY MIDLOOP OPERATION MANAGED WELL WITHOUT INCIDENT PREVATTE

OPS 12/14/94 94-024 1 SHUTDOWN OPERATIONS . UNIT I RF0 OUTAGE ACCOMPLISHED WELL WITHIN SCHEDULE WITHOUT SIGNIFICANT PREVATTE ' PERSONNEL OR EQUIPMENT PROBLEMS. ~ STRONG MANAGEMENT - GOOD i SUPERVISORY SUPPCRT AM) TEAmf0RK OPS 12/14/94 94 024 1 5HUTDOWN OPERATIONS REFUELING ACTIVITIES CREWS ADEQUATELY STAFFED AND WELL QUALIFIED - FREQUENT MANAGEMENT PREVATTE: PRESENCE i.

OPS 03/31/95 95-004 1 SHUTDOWN OPERATIONS UNIT 1 COOLDOWN (RATE. SYSTEM C00LDOWN REQUIREMENTS SATISFIED PREVATTE . ALIGif1ENTS) i OPS 10/16/95 95-015 1 SHUTDOWN OPERATIONS FAILED TO BLOCK M515 FAILURE TO FOLLOW PROCEDURES - SLIV 95-15-01 PREVATTE OPS 10/16/95 95 015' 1 SHUTDOWN OPERATIONS RCS MIDLOOP OPERATION EVOLUTION CONTROLLED WELL PREVATTE

' OPS 10116/95 95-015 1 SHUTDOWN OPERATIONS RCP SEAL FAILURE DUE TO RESTAGING AT TO FAILED TO FOLLOW PROCEDURE - SLIV 95-15-02 PREVATTE HIGH TEMP , OPS 10/16/95 95-015.1 SHUTDOWN OPERATIONS RCP SEAL FAILURE DUE TO FAILURE TO FAILED TO FOLLOW PROCEDLRE - SLIV 95-15-03 .PREVATTE

INITIATE SEAL INJECTION

f L & L . ,.-.- - ----..--- ~...-.~. - - --,., - - - ~ ~ ~ - - ~ ~ ~ ~ - ~ - - - - - '

,. .. . Page No.

11/15/95 ST LUCIE SALP INPUT FEEDERS i ' SALP OATE~ RPT $ UNIT ISSUE EXAMPLES ASSESSMENT . INSPECTOR AREA NO.

UPS 10/16/95 95-015 1 SHUTUOWN OPERATIONS NUMEROUS EQUIPMENT PROBLEMS AND EQUIPMENT / PERSONNEL PERFORMNCE PROBLEMS PREVATTE PERSONNEL ERRORS RESULTED IN EXTENDED PLANT GUTME OPS 10/16/95 95 015 1 SHUTDOWN OPERATIONS FAllED TO FOLLOW PROCEDURES RESULTED IN FAILURE TD FOLLOW PROCEDURES - SLIV 95-15-04 PREVATTE STARTED LPSI PUMP FOR SDC WITH SUCTION VALVE SHUT-OPS 10/16/ % 95-015 0 SYSTEM ALIGNMENT 2 SYSTEM WALKDOWNS CORRECTLY ALIGNED MINOR EQUIFNENT DEFICIENCIES PREVATTE OPS / / 95-018 0 SYSTEM LINEUPS 4 SYSTEM WALKDOWNS SYSTEMS ALIGNED CORRECTLY - MINOR HOUSEKEEPING DEFICIENCIES - ONE PREVATTE PROCEDURAL WEAKNESS OPS - / / 95-018 2 SYSTEM LINEUPS FAILURE TO USE CLEARANCE DURING PROCEDURE VIOLATION - VIO LEVEL IV PREVATTE CONDENSER WATERBOX CLEANING RESULT IN PERSONNEL INJURY OPS / / 95-018 I SYSTEM LfC G OPERATOR USED INCORRECT PROCEDURE FOR OPERATOR ERROR PREVATTE SGBD. WHEN IDENTIFIED, DID NOT BACK OUT OF PROCEDURE CORRECTLY OPS 02/18/94 94-001 1 SYSTEM LINEUPS I CLEARANCE AUDITED NO DEFICIENCIES NOTED ELROD OPS 02/18/94 94 001 0 SYSTEM LINEUPS 5 SYSTEMS AUDITED NO DEFICIENCIES IDENTIFIED ELROD OPS 03/11/94 94 005 2 SYSTEM LINEUPS MISPOSITIONED PZR AUX SPRAY VALVE THOROUGH INVESTIGATION AND CORRECTIVE ACTION (NCV) ELROD GPS 03/17/94 94-005 1 SYSTEM LINEUPS 1 CLEARANCE AUDITED NO DEFICIENCIES ELROD OPS 03/17/94 94-005 0 SYSTEM LINEUPS 2 SYSTEMS AUDITED NO DEFICIENCIES IDENTIFIED ELROD

OPS 04/28/94 94 009 2 SYSTEM LINEUPS 6 CLEARANCES AUDITED NO DEFICIENCIES IDENTIFIED ELROD OPS 04/28/94 94-009 2 SYSTEM LINEUPS SPILL DUE TO INADEQUATE VENTING WHEN CLEARANCE FOR EVOLUTION WAS DEFICIENT ELROD PLACING FREEZE SEAL OPS 05/20/94 94 012 2 SYSTEM LINEUPS 2 CLEARANCES AUDITED SATISFACTORY ELROD OPS 05/20/94 94-012 0 SYSTEM LINEUPS 2 SYSTEMS AUDITED SATISFACTORY ELROD CPS 06/27/94 94-013 0 SYSTEM LINEUPS 4 CLEARANCES AUDITED NO DISCREPANCIES ELROD OPS 06/27/94 94-013 0 SYSTEM LINEUPS 4 SYSTEMS AUDITED NO DISCREPANCIES IDENTIFIED ELROD OPS 07/29/94 94-014 0 SYSTEM LINEUPS 3 CLEARANCES AUDITED SATISFACTORY ELROD OPS 07/29/94 94-014 0 SYSTEM LINEUPS 4 SYSTEMS AUDITED NO DISCREPANCIES ELROD - _. _ - - - - -.. _

-. = _.

. -. ...._... . __ . _.. .. __ . .. --T - . Page No.

21 ' 311/15/95- _ ST LUCIE SALP INPUT FEEDERS . AREA ND.

. ISSUE EXAMPLES ASSESSMENT INSPECTOR-SALP DATE RPT # UNIT OPS' 07/29/94 94-014 2 SYSTEM LINEUPS' - FAILURE TO TC OP PROC FOR FCV-07-1B PERSONNEL ERROR ELROD, , BEING LEFT OPEN . :0PS -08/23/94 94-015 2' SYSTEM LINEUPS ENTRY INTO 3.0.3 CLEARANCE RESULTED IN SIMULTANEOUS INOPERABILITY OF 2A LPSI AND 28. FREVATTE~ CHARGIE FUMP ' " OPS '08/23/94 94-015' O SYSTEM LINEUPS ESF SYSTEM WALKDOWMS SYSTEMS CORRECTLY ALIGNED AND IN SATISFACTORY tmTERIAL CONDITION - ' PREVATTE ' OPS 08/23/94 94-015 2 - SYSTEM LINEUPS ENTRY TS AS FOR CONTAINMENT TEMPERATURE TEMPERATURE INSTRUMENTS INADVERTENTLY TAKEN 005 PREVATTE

OPS 10/18/94 94-020 1 SYSTEM LINEUPS OWA CONYROL ROOM VENTILATION DECOMMISSIONED SYSTEM LINEUP NOT IN PREVATTE

, PROCEDURE BUT VALVE NEEDED TD BE CLOSED ' . OPS : 11/25/94 94-022 ' 1 - ' 5YSTEM LINEUPS 2 CLEAPANCES INSPECTED ALL TAGS AND BREAKERS CORRECT PREVATTE OPS 11/25/94 94 022.'I.

SYSTEM LINEUPS ELECTRICAL DISTRIBUTION SYSTEM PLACED CORRECTIVE ACTION VIOLATION - SLIV 94-22-01 PREVATTE - IN UNTESTED ALIGNMENT (SWING , COMPONENTS) - OPS 12/14/94 94 024 0 SYSTEM LINEUPS SYSTEM WALKDOWNS SDC A/B AW C5 A/B AW CONTROL ROOM AIR CONDITIONING SYSTEMS ALIGNED PREVATTE CORRECTLY OPS 01/20/95 94-025 1. SYSTEM LINEUPS CLEARANCES-REVIEWED (2) ND PROBLEMS IDENTIFIED-PREVATTE OPS 01/20/95 94 025 0-SYSTEM LINEUPS SYSTEM WALKDOWNS 4 SY5TEMS CORRECTLY ALIGNED - MINOR HOUSEKEEPING DEFICIENCY PREVATTE OPS 03/31/95 95-004' 0 SYSTEM LINEUPS S SYSTEMS AUDITED MINOR DEFICIENCIES PREVATTE , OPS 03/31/95 95-004 0 SYSTEM LINEUPS 2CLEARANCESAUDITED NO DEFICIENCIES PREVATTE . ' PRE ATTE 0P5 04/01/ % 95 007 0 SYSTEM LINEUPS 2 SYSTEMS AUDITED NO DEFICIENCIES IDENTIFIED V OPS 04/01/95 95-007 0 SYSTEM LINEUPS * 2 CLEARANCES AUDITED NO DEFICIENCIES IDENTIFIED PREVATTE OPS 04/29/95 95-009 0 SYSTEM LINEUPS: 3 CLEARANCES AUDITED NO DEFICIENCIES IDENTIFIED . PREVATTE SYSTEM LINEUPS.

6 SYSTEMS AUDITED _ ' ALIGNED CORRECTLY. BUT NUMEROUS MINOR DEFICIENCIES IDENTIFIED PREVATTE- ' DPS 04/29/95 95-009 0 t > OPS 06/03/95 95-010 0. SYSTEM LINEUPS .HVAC WALKDOWNS HVAC SYSTEMS FOUND IN CORRECT LINEUPS, POOR COICITION MINOR PREVATTE , PROCEDURE DEFICIENCIES )'OP5'06/03/9595-010 0 SYSTEM LINEIPS 6 CLEARANCES AUDITED MINOR DEFICIENCIES (ADMIN) NOTED-PREVATTE-OPS 07/01/95 95-012 0 SYSTEM LINEUP 5 3 SYSTEMS AUDITED ONLY MINOR DEFICIENCIES NOTED PREVATTE OPS 07/01/ % 95-012 0 SYSTEM LINEUPS 2 CLEARANCES #JDITED NO DEF!CIENCIES PREVATTE , __-,u.

_..m,_-.*_m,..mwu_ arm.__.wamm_m.___m_-_a: ._,Ai.a_.:c-mm_ua-___ m.

.. --- - . . a-m. -m - fuwwww-e'reJ*m -huisemm + i set '

a - . M 555

5*

5 u $- EEE EE E E-d m w w w w

a w B

8

8 GE

8 g8 g" E A E

E h.E

m es E e & E C" " n b a-v

N5 "g - e g ag e v s

e $ " E e egn s . w

-2 w mE B e $ "

  1. 8 s $8 5i

- gd * $d gw c a w g5 s g "

b w e E"$ y a .- m s 8 ws a m - a e e, ! "= g. e $ W " " d e eg e a -e a ge $ g - E r s gd " wd w" b~ j g~ w -

-

8 D8 g se w a w-r we

.5

I B" g g - M Ed w w EEE GW W W

  • 8-5 E

Bes Is ElI e i e s = _ 58g R U vm a =s ~ gs g

GM g gg m g - E

e

sa 9-_5 Y

m " 4

ct5 u C " U $ db d 5$b B e , sss sf $s g E$$ h ss - .n = R e sss ss ss nam gg ag e MMa o e Gm

2Es o a - N - o - ~ 2 3 2 ec $ $ $ . o a a a o a a ? -n 8$$ $$ $$ E M g~g

g m m m m-t t 0 t ~ s s m eee ee ee = $$- 6 ~- R R 3 ee 3 3 A

a a - - - - - a g- =-

. ,. _ _ _ _ _.. -._. _. -.. __ . .._ -.. ._,..._.,......~ -._m._ - - , i.- t, .i

. ! i V . l

w

" i a

"

ELN 855 8'8.88.88 e m- = 5 5 w.5 " m - -.5 555-

5

55 d

55 55E --- - -- -- - - a w w .

-- ' B.

h "f e C

, S

- > p a , g a s u- < e-E R E '

g . w a w - g-3 gW g- . g-d ! .m $ g w.

. g e - _w . t n.

g . , W h = w

-f

..$' - w e a c-g g.- a - e:

3 - .g' l 'c b h $ $ ! $* = y a w g e > - s - e-W- 'S ' eig-9 e

y w w B g uE y - ,

g* m e3b E

- Wc - w g B.g , m a 5, . e e S - d

d - g $' g @ _* < - w5I,

--! i .

E k.

S E8 W e[ - a h g' Wgh"w

$0 x $' 5 'b

W E =0 W.

. lg-W 58 W 3 '

e b g-i C l g .ew gw - - -- e - w

5

.

5' W$ C .- d. p g C' N

l W

. .g k" W.h "o -' b- .C e b

E"" bO

C $ 9W a ' 56 S E-Q-m b Jg w

o M d5 e-Ea w .v E aw - - eMwgs,g - 55BwEae-s g

3 m: -u - s-s

- 8g 5 5 g Ee k.

-w M 8 mv e= .M e w e W8 - -5 d 8M >% m w W w a _, .I E $ $ U E

  • 5 BE E

e " W e e e da a g - gud . c "2 = g8 E-5g g s = - ~ W e e sv g =S = - - gg ga ge

- w w a nw w - M

W 9sW wW EW cE-R Ws

- M 5EGaEE

E WE EB

$3 sg aW ,M h ,3. Og C " . . . . . .. w" Mw wC w g g b O w w w w w w w e es e g e en e e eg e e me d_ ee-@ys e e u u= w w u u= u u u-u u gg u WE WE W W Wg "W W g W W5 W a 5g S EWE ' ho8c-C W s

" S "s "

" - " - a "# n"a 5a=gwg e5a" - - w ga - w a g - o

E e us - w-Wb $6 - i i M.M "M l'E k 8 E k" M ME.E k s l sg M "M M MM MM"kk llk"" i ~ .E:w 4 W W W W E E E E E E EE E Ww i w w w w w m m w w

E .E6 E E:E E E" S6 S S S S " S' S - S S

S S S.

S " " E E E EE E E E .$ E E E E N Q:s 10 Q s E s 's.s s Q s s s s-s s s Q-

5-W 1#- W10 W - W-WJ W W :W W W 10 W WWWWW

E E E E E E 'E E E-E E EEE EEEEE

-

59) - o' o o o o o o o o e o oo I o a.

-.o a: o \\ w n n-n n n-n n n n n m m m m m m m o

8 8. -. 8 8. 8.'.8

8 8 8 8 s.

8, 8 8.'8 8 8.. s.

' .-. { . h - ,@ m @ m - h % E E~ & E *~ K E E& 'E & &

  • *
    • s' R *

g.; '; 4 4' gg g;

;

= =~n

k ;; R' R R R.

R C C-R C.- O OO C-c R '" - g-s =ss a s. = s aas aa = a a a s-s s s-s-s : j. =: = , ; Law ye.

. J a.01-ER !C:C.- ' C L C lC C O, C C, CC C C :C .2-.C C C C.

-.. - - -. - .. - - - - -

-_ p .. . PageNo[

11/15/95 ST LUCIE SALP INPUT FEEDERS SALP DATE RPT f UNIT ISSUE EIAMPLES ASSESSMENT INSPECTOR MEA - NO.

PS.. 10/15/95 95-015 0 EMERGENCY PREPAREDNESS PLANT SHUTDOWN FOR HURRICANE ERIN PREPARATION AND STAFFING. PLANNING. AND SHUTDOWN WAS EXCELLENT PREVATTE PS 02/18/94 94-001 0 FIRE PROTECTION MONTHLY OBSERVATIONS SATISFACTORY ELROD L PS 03/17/94 94-005 0 FIRE PROTECTION K)NTHLY OBSERVATIONS SATISFACTORY ELROD PS 04/28/94 94-009 2 FIRE PROTECTION MONTHLY OBSERVATIONS SATISFACTGtY ELROD PS 05/20/94 94-011 0 FIRE PROTECTION MONTHLY OBSERVATIONS NO DISCREPANCIES IDENTIFIED ELROD PS 06/27/94 94-013 0 FIRE PROTECTION NONTHLY OBSERVATIONS SATISFACTORY ELROD PS 07/29/94 94-014 0 FIRE PROTECTION MONTHLY OBSERVATIONS /1 HEAT DETECTOR SATISFACTORY ELRG) SURVEILLANCE OBSERVED PS 01/20/95 94 025 0 FIRE PROTECTION FIRE DRILL SITE FIRE BRIGADE AND OFFSITE ASSISTANCE RESPONSE Wii TIMELY WITH PREVATTE EXCELLENT COOPERATION PS 03/31/95 95-004 0 FIRE PROTECTION MONTHLY OBSERVATIONS SATISFACTORY , PREVATTE PS 04/01/ % 95-007 0 FIRE PROTECTION MONTHLY OBSERVATIONS SATISFACTORY PREVATTE PS 04/01/95 95-007 1 FIRE PROTECTION UNIT I PRESSURIZER CUBICLE FIRE APPROPRIATELY EVALUATED MD ADDRESSED PREVATTE.

PS ~ 04/29/95 95-009 0 FIRE PROTECTION MONTHLY OBSERVATIONS SATISFACTORY PREVATTE PS 06/03/95 95-010 0 FIRE PROTECTION MONTHLY OBSERVATIONS SATISFACTORY PREVATTE ' PS 07/01/95 95-012 0 FIRE PROTECTION FIRE PROTECTION EQUIPMENT XFRM DELUGE PIPING BAOLY CORRGED/ REPLACED PREVATTE PS 07/01/95 95-012 0 FIRE PROTECTION SURVEILLANCES ' SATISFACTORY PREVATTE PS 07/01/95 95-012 0 FIRE PROTECTION PROCEDURE AUDIT MINOR DEFICIENCIES PREVATTE PS 07/01/95 95-012 0, FIRE PROTECTION FIRE BRIGADE DRILL SATISFACTORY. LACKED REALISM. TECHNIQUES WEAK. PREVATTE PS 07/01/95 95-012 0 FIRE PROTECTION FIRE BRIGADE DEFICIENCIES NOTED IN PHYSICAL QUALIFICATIONS PREVATTE , PS 07/01/95 95-012 0 FIRE PROTECTION FIRE PROTECTION EQUIPMENT - SATISFACTORY PREVATTE EXTIfCUISHERS PS 08/23/94 94-015 0 FIRE PROTECTION. PHYSICAL MONTHLY OBSERVATION PERFORMED IN HIGHLY PROFESSIONAL MANNER PREVATTE ' PROTECTION PS / / '95-018 0 FIRE PROTECTION. PHYSICAL MONTHLY OBSERVATIONS NO DEFICIENCIES IDENTIFIED PREVATTE PROTECTION. RADIOLOGICAL PROTECTION I . - . . . . . - -.. - - . - - - -. - ,_.

. ,,

. , ~. - ~, I '.". .- " .

Ps9e No.-

I25 L11/15/95 -- ST LUCIE SALP INPUT FEEDERS fSALP DATE ' RPT # _ UNIT-ISSUE.

EXAMPLES ASSESSMENT.

' INSPECT (R ' AREA' No.

psi. 08/31/94 94-018 0 FIRE PROTECTION, PHYSICAL MONTHLY OBSERVATIONS NO DEFICIENCIES ELROD

~ ' PROTECTION RADIOLCXilCAL - PROTECTION - PS - 10/1B/94 94 0201 0.

- FIRE PROTECTION. PHYSICAL MONTHLY OBSERVATIONS NO DEFICIENCIES PREVATTE- . PROTECTION. PADIOLOGICAL PROTECTION - PS 11/25/94 94 022 0 FIRE PROTECTION PHYSICAL MONTHLY OBSERVATIONS NO DEFICIENCIES PREVATTE PROTECTION. RADIOLOGICAL- , PROTECTION , - PS 12/14/94 94-024 0 FIRE PROTECTION. PHYSICAL ' MONTHLY OBSERVATIONS NO DEFICIENCIES - PREVATTE PROTECTION. RADIOLOGICAL ' - PROTECTION . PS 01/20/95 94-025 0 FIRE PROTECTION. PHYSICAL MONTHLY OBSERVATIONS NO DEFICIENCIES ~PREVATTE , . PROTECTION PADIOLOGICAL-PROTECTION PS.10/16/95 95-015 0 FIRE PROTECTION PHYSICAL MONTHLY OBSERVATIONS NO DEFICIENCIES IDENTIFIED PREVATTE PROTECTION. RADIOLOGICAL - PROTECTION PS / / 95-018 0 HOUSEKEEPI% CLEANLINESS AND EQUIPMENT STORAGE SATISFACTORY PREVATTE.

PS 10/1B/94 94-020 1 HOUSEKEEPING HOUSEKEEPING SAT BUT IDENTIFIED 25 STEAM AND WATER LEAKS. ALL HAD PREVATTE ' PWO TAGS. PS-10/1B/94 94 020 1 HOUSEKEEPIE PLANT TOURS NOTED SIGNIFICANT NUPSER OF STEAM AND WATER LEAKS PREVATTE - PS 11/25/94 94-022 0 HOUSEKEEPING SYSTEM WALKDOWN HOUSEKEEPING AND CLEANLINESS SATISFACTORY - 17 MINOR DEFICIENCIES PREVATTE IDENTIFIED- ' PS 12/14/94 94-024 1 -- HOUSEKEEPING OC WALKDOWNS PRIOR TO REM ART- . MANAGEMENT REQUEST REPETITIVE OC AREA WALKDOWN TO ENSURE AREA PREVATTE-CLEANLINESS AND FOREIGN t%TERIAL EXCLUSION FORM VITAL AREAS. PS L12/14/94 94 024 0 HOUSEKEEPING FME GOOD CONTROL OF FME FOR RX CAVITY - EFFECTIVE PROGRAM - PREVATTE

i PS 01/20/95 94 025 1 HOUSEKEEPING SPENT FUEL POOL AREAS SEVERAL EXAMPLES OF POOR HOUSEKEEPING - GLOVES - SHOE' COVERS * ON PREVATTE FLOOR AND PIPE CHASES . PS. 10/16/95 95-015 1 ' HOUSEKEEPING RB WAS DECONTAMINATED TO PREOUTAGE CONDITIONS AFTER SPRAYDOWN AFTER PREVATTE PR00 DING BY NRC PS ' 10/15/95 95-015 1 HOUSEKEEPING DELEGATION OF RESPONSIBILITY MANAGEMENT DELEGATING HOUSEKEEPING FUNCTIONS TO QC PREVATTE . ~. .. -..w--* -..:- mam m. u----- +L.

t . .m. r : mmA .,.__-.s_._u_.-._._____._m__m.m_.u____________.__-._.____ . m-mw+$' em 9. s-e-Iruwv-ee-1-**mW'W -***ve 'Ler--* u -

_ -;. - -. ,- Page No'. l25 . 11/15/95 ST LUCIE SALP INPUT FEEDERS SALP DATE~ - RPT # - UNIT ISSUE EXAMPLES ASSESSMENT INSPEr. TOR'

AREA -

ND, -P5 -12/13/94 94 023 -0 INTERNAL EXPOSURE CONTROL MONITORIE E0VIPMENT PROGRAM FOR MONITORING ASSESSING M CONTROLLING EXPOSURE CONDUCTED RANKIN' IAW REGULATORY AND PROCEDURAL REQUIREMENTS - ND EXPOSURE IN EXCESS ~PT 20 LIMITS PS ' 11/25/94 94-022' 1 OUTAGE SUPPORT AREA *5 PREPARATION AND RESPONSE TIMELY APO FOCUSED ' ~ PREVATTE : TO EARLY ENTRY IN RF0 ' PS ~02/18/94 94-001 0 PHYSICAL PROTECTION MONTHLY OBSERVATIONS SATISFACTORY-ELROD PS -03/17/94 94 005 0 PHYSICAL PROTECTION MONTHLY OBSERVATIONS SATISFACTORY ELROD PS : 05/20/94 94-011 0' PHYSICAL PROTECTION MONTHLY OBSERVATIONS SATISFACTORY . ELROD , PS - 07/29/94 94-014 ^ 0 PHYSICAL PROTECTION MONTHLY OBSERVATIONS SATISFACTORY ELROD PS 03/31/ % 95 008 - 0 PHYSICAL PROTECTION PERSONNEL PROFESSIONAL /WELL VERSED ON THEIR DUTIES TOBIN PS 03/31/% %-008 0 PHYSICAL PROTECTION - TESTING. MAINTENANCE. AND COMPENSATORY ' APPROPRIATE TOBIN MEASURES PS 03/31/95 95-008 0-PHYSICAL PROTECTION ALARM STATIONS AND COMUNICATIONS AS REQUIRED TOBIN PS 03/31/95 95 008 0 PHYSICAL PROTECTION FIREARMS RANGE EXCEPTIONAL TOBIN - PS - 03/31/95 95 004 0 PHYSICAL PROTECTION MONTHLY OBSERVATIONS SATISFACTORY PREVATTE-PS.

03/31/95 95-006 0 PHYSICAL PROTECTION TRAINING AND QUALIFICATION A PROGRAM STRENGTH TOBIN PS 04/01/ % 95-007 0 PHYSICAL PROTECTION MONTHLY OBSERVATIONS SATISFACTORY PREVATTE PS 04/29/95 95-009 0 PHYSICAL PROTECTION hW THLY OBSERVATIONS SATISFACTORY PREVATTE PS 04/29/95 % -009 0 PHYSICAL PROTECTION - AUDITS 0A ALDIT OF SECURITY PLAN / CONTINGENCY DETAILED AND THOROUGH PREVATTE AND CORRECTIVE ACTIONS PLAN / TRAINING AND QUALS PS 04/28/94 94-009 0 PHYSICAL SECURITY MONTHLY OBSERVATIONS NO DEFICIENCIES IDENTIFIED ELROD I PS 06/27/94 94-013 0 PHYSICAL SECURITY MONTHLY OBSERVATIONS SATISFACTORY ELROD PS 10/18/94 94-020 0 PLANT SUPPORT - PLANT SUPPORT FUNCTIONS CONTINUE TO BE EFFECTIVE.

PREVATTE ~ 02/18/94 94-001 0 RAD CONTROLS MONTHLY OBSERVATIONS SATISFACTORY ELROD PS. PS 03/24/94 94-006 0 RAD CONTROLS SA0V - AUDIT AND APPRAISAL PROGRAM ADEQUATE IN IDENTIFYING POTENTIAL ISSUES FORBES-PS 03/24/94 94-007 0 RAD CONTROLS HP TECHNICIANS ENOWLEDGEABLE; WELL-TRAINED FORBES

~ .

- .Ps9e No.

'11/15/95 57 LUCIE SALP INPUT FEEDERS SALP DATE RPT I UNIT-ISSUE EXAMPLES ASSESSMENT INSPECTOR , MEA NO.

PS : 03/24/94 94-006 0 RAD CONTROLS OVERALL PROGRAM ADEOUATE IN PROTECTING HEALTH AND SAFETY OF PLANT EMF 10YEES 'FORSES' PS - 03/24/94 94-006 0 RAD CONTROLS-ALMA INITIATIVES - RESPIRATOR PROGRM STRENGTH FORBES' REDUCTION PS - 03/24/94 94-006 0' RAD CONTROLS CONTAMINATIDN CONTROL /HOUSEKEEPIE ADEOUATE .FORSES P5 03/24/94 94-006 0-RAD CONTROLS INTERNAL / EXTERNAL EXPOSURE PROGRAMS EFFECTIVE FORBES PS 04/28/94 94 009 2 RAD CONTROLS EXTERNAL EXPOSURE CONTROL - PARAFFIN PERSONNEL ERROR IN SHIELDIE PLACEMENT ELROD SHIELDING PLACED AROUND LETDOWN RAD MONITOR VICE BORONOMETER l PS. 06/27/94 94 013 0 RAD CONTROLS . MONTHLY OBSERVATIONS SATISFACTORY ELROD PS 08/19/94 94-016 0' RAD CONTROLS PLANT WATER C N C af EFFECTIVELY IMPLEENTED CARRION i PS - 08/19/94 94-016 0 RAD CONTROLS ANNUAL ENVIRONMENTAL REPORT WELL WRITTEN AND COMPLIES WITH REGULATIONS-CARRION . PS ' 08/31/94 94-018 0 RAD CONTROLS-ALARA LOCKED HIGH RAD AREA KEY CONTROL ACCOMPLISHED IAW PROCEDURES ELROD . PS 10/20/94 94-020 1 RAD CONTROLS EQUIPMENT CALIBRATION MAINTENANCE TECHNICIANS EXHIBITED GOOD RC PRACTICES - ALSO GOOD HP PREVATTE ~ SUPPORT OF TASK PS 11/25/94 94 024 I RAD CONTROLS ALARA INNOVATIVE USE OF CAMERAS TO MONITOR SG N0ZAE DAM INSTALLATION PREVATTE PS 12/13/94 94-023 1 RAD CONTROLS ALARA LICENSEE AGGRESSIVELY EVALUATING AND USING TECHNOLOGICAL RANKIN IMPROVEMENTS IN REMOTE MONITORING EQUIPMENT 00SIMETRY.. VISUAL MONITORIE AND CDP 91 EQUIPMENT TO CONTROL EXPOSURE PS 12/13/94 94 023 0 RAD CONTROLS ALARA C000 PREJOB BRIEFINGS.- APPROPRIATE MANAGEE NT SUPPORT RANKIN PS. 12/13/94 94-023 1 RAD CONTROLS ALARA PERMANENT REACTOR CAVITY SEAL RING INSTALLATION - ANTICIPATED DOSE RANKIN' SAVIES 7-10R/RF0 PS 12/13/94 94-023 0 RAD CONTROLS CONTROL OF RADI0 ACTIVE MATERIAL AND EQUIPMENT CALIBRATED - NO CONCERNS IDENTIFIED RANKIN ' CONTAMINATION - SURVEYS - MONITORING PS 12/13/94 94-02"s 1 RAD CONTROLS OUTAGE SUPPORT ADEOUATE MANAGEMENT SUPPORT FOR PLANNIE AE IMPLEENTING EFFECTIVE RANKIN RADIATION CONTROLS MEASURE OURING RF0 PS 03/31/95 95-004 0 RAD CONTROLS MONTHLY OBSERVATIONS SATISFACTORY PREVATTE PS. 04/01/95 95-007 0 RAD CONTROLS MONTHLY OBSERVATIONS SATISFACTORY PREVATTE PS. 04/07/95 95-006 0 RAD CONTROLS PRIMARY WATER CHEMISTRY PROGRAM EFFECTIVELY IMPLEENTED CARRION -- - - - - - - -.. - - - ~ - ~ - -..

. s . _ _ _ _ _ _ .... _ ... . , ,.. . __ . .._ ' a p f . i ' [PageNo.. 28 . ?11/15/95 ST LUCIE SALP IMPUT FEEDERS- .

SALP DATE ..RPT f 'tmIT ISSUE EXAMPLES ASSESSMENT _

AREA NO.-

. INSPECTOR , - PS 04/07/% 95-006 0 RAD CONTROLS CHEMISTRY DEPARTMENT ORGANIZATION SATISFACTORY CARRION; , PS'.04/07/95 95 006 0. RAD CONTROLS AUDIT PROCESS CAPABLE OF IDENTIFYING M0GRN9% TIC WEAKNESSES Am GENERATIE CARRION : CORRECTIVE ACTIONS ' PS- 04/07/95 95-006~ 0-RAD CONTROLS HP ORGANIZATION SATISFACTORY CARRION l , PS 04/07/ % 95-006 2.

RAD CONTROLS LEAKING SPENT FUEL POOL ION EXCHANGER LICENSEE TOCK PROACTIVE POSITION FOR RESOLUTION OF ISSUE CARRION PS 04/07/95 95-0 % 0 RAD CONTROLS ' ANNUAL EFFLUENT RELEASE REPORT MET TS. DOSES TO PUBLIC MINIMAL CARRION - l 1 PS 04/07/95 95-006 0 RAD CONTROLS PROCESSING AND SHIPPING PERFORMED IN A COMPETENT AW PROFESSIONAL MANNER DOCUMENTATION CARRION , THOROUGH AND IN COMPLIANCE 1 PS. 04/07/95 95-006 0 RAD CONTROLS ISOTOPE MIGRATION DUE TO RWT LEAK ADEOUATELY MONITORED CARRION ' PS 04/29/95 % 009 0 l RAD CONTROLS DA AUDIT OF 00CM/ PROCESS CONTROLS / RAD THOROUGH WELL WRITTEN PREVATTE EFFLUENTS ' , PS_ 04/29/95 95-009 0 RAD CONTROLS MONTHLY OBSERVATIONS SATISFACTORY PREVATTE' . ' PS 06/02/95 % -011 0 RAD CONTROLS NEW PART 20 AUDITS COMPREHENSIVE AND DETAllED PARKER ,; PS 06/02/ % 95-011 0 RAD CONTROLS NEW PART 20 TRAINING COMPREHENSIVE / THOROUGH PARKER ' PS 06/02/ % 95-011 - 0 RAD CONTROLS NEW PART 20 DPW POLICIES SATISFACTORY PARKER PS 06/02/95 95-011 0 RAD CONTROLS NEW PART 20 CONTROL OF HRA/VHRA SATISFACTORY PARKER . .p

'PS 06/02/95 95-011 0 RAD CONTROLS NEW PAAT 20 .TEDE ALARA POLICY SATISFACTORY PARKER PS- 06/03/95 95-010 0 RAD CONTROLS MONTHLY OBSERVATIONS SATISFACTORY PREVATTE 'b

PS : 07/01/95 95-012 0 RAD CONTROLS 3 PIECES OF RAD MATERIAL NOT PREVATTE TAGGED / IMPROPERLY STORED PS 10/16/95 95-015 1 RADIATION WORK CONTROL DUTAGE SUPPORT SUPPORT DURIE OUTAGE GOOD PREVATTE PS 08/19/94 94 016 0 RADI0 ACTIVE EFFLUENT CONTROL SAMPLING RADI0 ACTIVE GASES PERSONNEL WERE KNOWLEDGEABLE AND COMPETENT CARRION .PS 08/19/94 94-016 0 RADI0 ACTIVE EFFLUENT CONTROL COLLECTION AND PREPARATION OF LESS THAN OPTIMAL CARRION i RADI0 ACTIVE GASES FOR ANALYSIS HAN0 LING a TECHNIQUES i ' . PS 08/19/94 94-016 0 RADI0 ACTIVE EFFLUENT CONTROL PROGRAM IN PLACE TO HONITOR EFFLUENT. EFFECTIVE AND HAS CAUSED MINIMLM IMPACT' TO ENVIR0lWENT AND VIRTUALLY CARRION DETECT RADIATION NO DOSE TO GENERAL PUBLIC I . . . . -... - - x. -- .. .. .. -. - - .. = . . .- --.-.-.---


-

- .---n s a w -. w--- ..m,.wr, ~.rn-e-,- . s ws-s,, , we , s w-m e w-,I

-. 4.. . 'k' '

888Ellili5

r el e r a . r g ,s S - - E

E g $ r .5 B-5n:0 g - E E ai E os

W +W s - - - 8: ai g =g s s ee 8*

_ g rg a

  • a

e ss e I g .o , go w as_ g l og ; ^ ..

$ $ ug m a .g ' -

5 E~ ! g eim I 3 ge !w"E!$ Ei E E9 gebgsst a, e

l a.

m m m - a

g . . r e5 g - -

rW - e 39 *3 5 - ml s -

.g

_ l

g'l "s e 5s 5" g's

l a Gs ' e swa s 8 s g$$ 8 g l-e W d5 Ny B 5g r< s - -Ee~E-5EwW 8e - e m e egse ge m e - s ag e w s $$_geR8 s B89 s. 3 E 29 5 a g

s e2 ee

=g m

E-m W 9-Ee e m E E! de

s ="s a ss g - M WlE

5" c _ E ss ! y E"E E I E5 w gs3 -" -g a =ga

m m . OS n Ea E Ees se g g-3

5 88 - 5 :85 8- =5e s - M3a m m E gga g8*buha l8YgE - e 8 5EE E BE C = = g e

$ W ! 2 5 E3 hE8 s8gg _ g *

  1. 5 l g s es we -C 8E E B

9Eger E B B fa $2 5-s - _m 65B B - :e Gm wu mI ggg < rr reO E

5 t t W W W l E ~ .g Q-~"g " s p - d s s gee - E$$ $g'ggge e e e g = -

N O - E E E.M d_ 8 8 d 8 88 89E N -. s-8 sg, e E - - s-s s s s

Msg 8 e X 88 8

s s- - - 5 5 5: 5 5e 5 5 5 5' 5

55 E I I I $ ! is...--..-.__ . ... ... .. s s s: e.n nn=sn a e znn mea ,

  • R
  • . *
  • 9
  • *

, -. a E?& E :E-3 &EE E E & E $EE E$& A K'E E-E& E. E E E E E

  • *

E- *** 5 $ ~.3-5-- 3. E 3.

y k.

3 3 3 M M

3 M

Q3 k.

3 4 3 g i. E EEEE $ E E R. $E 3. E8E

~ . - --. - - . -- -. - - y-: a.

'

. .[ . iN <N N 'N $$ $NN , -. . . - - - . - - - - - -

.. en ITEM DETAIL REPORTS - IFS - INSPECTION FOLLOW-UP SYSTEM DATET5NN5? OPEN ITEMS SUM MRY REPORT BY SITE TIME: 13:01:43 .PAGE:

SITE: SR - ST LUCIE - UNIT RPT/Ir5/ SEO NO ITEM REF NBR / SEVERITY SALP REPORT / STS CREATE CLOSEOUT CLSOUT CLSOUT UPDATI!G ABBR EA/ NBR NOV ID TYPE EA-NBR SUPLMNT AREA EVENT DT DATE PRJ/ACT* ORG NO EMP INSPECTION REPORTS .........................--.............-.......-------------.------.---- --.........---. ----.---..-----.......--.-----....----- STL2 I 93-025 01 IFI 12/01/93 0 12/07/93 2313 TITLE: REVIEW OPERABILITY OF UNIT 2 MOV MV-08-13 DURING THE PROC NUMBER: 37700 COMMENTS: REVIEW OPERABILITY OF LHIT 2 MOV MV-08-13 DURING THE PERIOD JLt.Y 20 TO OCTOBER 19, 1993.

STL1 I 94-008 03 URI ENG 04/08/94 0 04/13/94 2312 JVL TITLE: OUALITY LEVEL OF PORV AND SRV DISCHARGE PIPING PROC NUMBER: 37700-STL1 I 94-010 01 VIO 4/1 ENG 04/28/94 0 05/03/94 2312 BRC TIRE: FAILURE TO MEET WELD PREP DIMENSIONAL TOLERANCES ON PROC NUMBER: 50055 COMMENTS: CONTRARY TO 10 C7R 5. APPENDIX R. CRITERION V AND XI. ON APRIL 7. 1994. ACTIVITIES AFFECTING OUALITY WERE NOT ACCOMPLISHED IN ACCORDANCE WITH PRESCRIBED PROCEDURES AND THE PROGRAM FOR INSPECTION OF ACTIVITIES AFFECTING 00ALITY WAS NOT EXECUTED TO VERIFY CONF 0PfiANCE WITH DOCUMENTED PROCEDURES IN THAT. THE J-WELD PREP BEVEL ANGLES WERE GROUND TO 50 - 52 DEGREES FOR N0ZZLE "C" AND 38 - 45 DEGREES FOR N0ZZLE ~B* THE PREP 5 WERE INSPECTED AND ACCEPTED BY OC.

STL1 I 94-011 01 VIO 4/1 ENG 06/02/94 0 06/08/94 2313 TITLE: INADEQUATE CORRECTIVE ACTION FOR MOV5 WHICH STALLED PROC NUMBER: 2515/109 STL1 1 94-011 02 IFl ENG 06/02/94 0 06/08/94 2313 TIRE: INADEQUATE RECOGNITION OF MOV TEST PRESSURE AND FLOW PROC NUMBER: 2515/109 STL1 I 94-011 03 IFI ENG 06/02/94 0 06/08/94 2313 TITLE: . LACK OF INSTRUCTIONS OR GUIDANCE FOR TRENDING PROC NUMBER: 2515/109 STL1 I 94-019 02 URI OPS 10/20/94 0 10/21/94 2321 TITLE: ACCEPTABILITY OF MAINTAINING AN SRO A5 AN RO IN REOL PROC NUMBER: 71001 ' COMMENTS: DETERMINATION OF ACCEPTABILITY OF MAINTAINING LICENSF5 SRO IN RE0VALIFICATION TRAINING A5 AN RO.

STL2 I 94 019 02 URI OPS 10/2P/94 0 10/21/94 2321 STL1 1 94-019 03 IFI ODS 10/20/94 0 10/21/94 2321 TIRE: CONFLICTING PROCEDURAL GUIDANCE FOR ACTIVE L MENSES PROC N'JMBER-71001 COMMENTS: CONFLICTING PROCEDURAL GUIDANCE CONCERNING MAINTAINING THE LICENSE STATUS OF THE OPERATIONS SUPERVISOR SYL2 I 94-019 03 IFI OPS 10/20/94 0 10/21/94 2321 V<'b . . u m - .m.4 m-A a m . m . . m a m u - - s

_ n ~ ITEM DETAIL REPORTS .IF5 - INSPECTION FOLLOW-UP SYSTEM DATE: 09/07/95 OPEN ITEM 5 5UMMARY REPORT BY SITE TIME: 13:01:43 PAGE:

SITE: _STL ST LUCIE UNIT RPT/IF5/ SEO-No ITEM REF NBR / SEVERITY SALP REPORT / STS CREATE CLOSEOUT CL50GT CLSOUT UPDATING ' ABBR - EA/ NBR NOV-ID TYPE EA-NBR SUPLMNT AREA EVENT DT DATE PRJ/ACT* CRG NO EMP INSPECTION REPORTS . Ski" ~ j'9k!hhh"hi ihi 5p5~iihij)hk~h"iihh8)hk hbhi TITLE: _ PROCEDURAL GUIDANCE FOR REMOVAL OF RCPS PRIOR TO 500 PRDC NUMBER: 71707 CEPHENTS: PROCEDURAL' GUIDANCE 15 LACKING FOR REMOVAL OF AN RCP FROM SERVICE PRIOR TO RCS TEMPERATURE DECREASI E BELOW 500 DEGREES FAHRENHEIT. PLANT PARAMETERS CAN CHANGE FAST ENOUGH SUCH THAT PROCEDUPAL GUIDANCE IS NOT OBTAINED UNTIL AFTER THE RCS TEMPEPATURE HAS DECREASED BELOW THE 500 DEGREES FAHRENHEIT.

STr.2 N 94-332 01 LER 94-006-01 07/14/94 0 10/11/94 2232 Cl oMd 'iOf Y 4 Cloud 'I'l-2N TITLE: TRIP CIRCUIT BREAKER FAILURE DUE TO A BROKEN PIECE OF PROC NUMBER: STL1 N 94-376 LER 94-008-00 11/04/94 0 12/15/94 2.2 e'tM (199 ' TITLE: INADVERTENT CONTAINMENT ISOLATION SIGNAL PROC N'JMBER: COMMENTS: INADVERTENT CONTAINMENT ISOLATION SIGNAL (CIS) CAUSED BY FAILURE OF THE B INSTR' MENT INVERTER CONCliRRENT WITH CHANNEL D CIS IN J TRIPPED CONDITION.

i bOXd SC'2 1 b STL1 1 95-001 01 VIO 4/1 OPS 02/23/95 0 03/06/95 2232 TITLE: FAILURE TO PEPEORM TS-REQUIRED SAMPLING OF THE IAI SIT PROC NUMBER: 71707 STL2 I 95-001 02 VIO 4/1 mlNT 02/23/95 0 03/06/95 2232 t TITLE: FAILURE TO FOLLOW PROCEDURE 2-LOI-T-89 PROC NUMBER: 62703 STL1 N 95-004 01 LER 94-010-00 11/24/94 0 01/04/95 @ Closed 9T-Ofl TITLE: IMDVERTENT B TRAIN ENGINEERED SAFEGUARDS FEATURES ACTU PROC NUMBER: COMMENTS: INA0VERTENT B TRA!N ENGINEERED SAFEGUARDS FEATURES ACTUATION SIGNAL (ESFAS) DUE TO A DEFICIENT INSTRUMENT AND CONTROL TEST PROCEDURE.

STL1 N 95-005 LER 94-009-00 11/22/94 0 01/04/95 22 y g ( o g Tf-Og TITLE: INADVERTENT SAFETY IC ECTION ACTUATION SIGNAL /CONTAINME PROC NUMBER: COMMENTS: INADVERTENT SAFETY INJECTION ACTUATION SIGML/ CONTAINMENT ISOLATION SIGNAL DUE TO AN INVALID HIGH PRESSURIZER PRESSURE SIGNAL.

STL2 1 95-005 01 VIO 4/1 ENG 06/05/95 0 06/19/95 2313 95-005 TITLE: FAILURE TO IMPLEMENT DESIGN REQUIREMENT SPECIFIED IN PC/M 039-29 PROC NUMBER: 37550 COMMENTS: CONTRARY TO 10 CFR 50. APPENDIX B. CRITERIA III AND V A5 0F APRI L 26.1995. DESIGN CHANGE ACTIVITES WERE NOT PERFORMED IN ACCORDA NCE WITH REQUIREMENTS IN THAT OVERLOAD HEATERS MODEL NO. 123F104 C WERE INSTALLED IN MCC 2A. COMPARTNENT NO. DR3 FOR BATTERY CIRR GED 2AA. INSTEAD OF THE REQUIRED MODEL NO. 123F114C. THE INSTALL ED OVERLOAD HEATERS WERE LESS CONSERVATIVE THAN WERE FOUND TO BE LESS CONSERVATIVE THAT THE MODEL SPECIFIED BY THE PC/ _.

<! - ' . .p ,' y ,._ ' , , -T.* ' ITEM DETAIL REPORT 5' IFS - INSFECTION FQ. LOW-UP SYSTEM ~ DATE: 09/07/% - ' 0 PEN ITEMS StPfMRY REPORT BY SITE. TIME:-13:01:43. ' ' . J . .. ... _ . <PAGE:- -4' " 151TEf' STL ST LUCIE - UNIT - RPT/IFSI SEO-NO ITEM: REF NBR'/ SEVERITY SALP REPORT / STS CREATE' CLOSEOUT - CL50UT CLSOUTJ

UPDATING'-

' -. '.88R '. 'EA/ NBR2NOV-ID TYPE ' EA-NBR? SUPLMNT AREA EVENT DT' DATE PRJ/ACT*- ORG NO J EMP INSPECTION REPORTS - A ' " ................................................................. ..............................m............................... ISTL1'~. - ! 95;005 - 02 : ' URI - ENG' '06/05/95 0 06/19/95: . 2313.

'95-005' ' ~. = TIRE: POWER SUPPLY UPGRADE FOR'THE EXISTING STEAM GENERATOR WIDE RANGE PROC NUMBER: 37550. STL2 '~! 95-005 02 ; e URI-ENG '06/05/95 0 06/19/95 2313' '95-005

STL2 :.

.I 95-005 03-URI EE - 06/05/95 0 06/19/95 . 2313-95-005 ' ? TITLE! . INCORE. INSTRUMENT WIRIE ERRORS.

PROC NUMBER: 37550' -. " 95-010Clexd QnlO Mkub NS~b "5R1 I 95-010 01 * NCV MAINT 06/23/95' O 07/06/95- .TITLEr MISSED SURVEILLANCE ON 18.EMEEENCY DIESEL GENERATOR PROC NUMBER:. 6 u & - STL1! -N 95-061-'01-LER-95-001 00 02/16/95 0.03/21/95 2232 - sTITLE: 1A3 4160 VOLT BUS LOAD SHED DURIE REPLACEMENT OF FAILE' PROC NUMBER: lCO M NTS: 1A3 4160 VOLT BUS LOAD SHED DURIE REPLACEMENT OF FAILED 2X-5 . - - RELAY DUE TO PROCEDURAL DEFICIENCY.

STL2x N 95-080 01 LER. 95-002-00 02/21/95 - 0 03/31/95 - 2232 ' TITLE-AUTOMATIC REACTOR TRIP ON LOW STEAM GENERATOR WATER PROC NUMBER: ~ . Core 1ENTS: AUTOMATIC REACTOR TRIP DN LOW STEAM GENERATOR WATER LEVEL DUE TO A FAILED LEVEL TRANSMITTER.

5TL2

- N 95 081 - LER 95-001-00 02/21/95 0 03/31/95 2232 , . TITLE: LOW PRES 5URE SAFETY INJECTION PUMP FOUP0 TO BE INOP PROC NUMBER: CG9 TENT 55 LOW PRESSURE SAFETY' INJECTION PUMP FOUE TO BE INOPERABLE - DURIE ASME QUARTERLY CODE RUN DUE TO AIR BINDING.

SR2' . N 95-127 01 LER 95 003 00 04/10/95 0 06/08/95 2232 I TIRE: MISSED TECHNICAL SPECIFICATION SCHEDULED SURVEILLANCE DUE 10 PROC NtetBER: C0PetENTS:- DUE TO PROCEDURAL DEFICIENCY.

.SR1 .N 95-150 01 LER 95-002-00 05/26/95 0 06/27/95 2232 95 002 . TITLE: - MISSED EMEEENCY DIESEL GENERATOR SURVEILLANCE PROC NUMBER: COPetENTS: DUE TO PROCEDURAL DEFICIENCY.

.5TL1 - N 95 181 04 LER 95-003-00 07/08/95 0 08/10/95 2232 95-003.

. TITLE: AUTOMATIC REACTOR TRIP DURING TURBINE OVERSPEED SURVEILLANCE PROC NUMBER: -COMMENTS-SURVEILLANCE TESTING DUE TO PERSONNEL ERROR.

. . ' l . > ,-. -.. -.... .- -.. -. ~... - -. - - - -z.-..=.....w -

, - - u + 9 _ -, <

a ~_ ] ! '

,.,

$.N

. i < . i r, + t ,f > . 6p :... . ' l ' ict ' r I , '1

' , . ', , '

} '

gf

. j.

y R Q W :.. . l.

<. , . a . :

'a . g o.. . : : l- .

.l2 -

p lL - ! .W & --$i

,

.--

gyw t .p k

E "m :~

-@ l j . - l? ,

E: . ~. 1 b :- =g-. .- -. - ,

-

- , . g: ^g 1 , _ m g :0

-

~

u .:.8g .; . b. gc.!E$ - . t iu-w ll -- g8 lWe - i .

I: $b iCC .ge:u ..x u u m -

gg eg;n r

a a 5, i s al :k8 -

i gc! e s; s , .

sE ' l-

$> I.

I ?! --ia . d".i 2. - - w . '*- d'dR' !@ - e we :sl l A '! I d sl

e e-n

. - W m B.

$# IE E

D' E B.

ma:e e e c = :

8-8 8E

Wl. :.8

  • - "

! 'Bw: u $ 158 i . d" b. g :: o o.g - m-o o-l8d m v .gd lmm . ' ga;

-

w J .. ' ~s :s.

s ss s

--

i "bl :g5 - - -.. -

  • -

w=:=c L=a -=g"! e

bg-

-3 . R- '. 3

g HE::s -

-c s c gw g

t
rm

. s- =e :m

e~s w s= , s-

r-

-- .=

S-

-gyg . es

g :' b.

~*-: ) g"W M.

m a* 9"

w

.E O

- - C . - o - #, ! <gm.

. -. " ~ * * .$

' #

l E:

. cg : - bg' $5. 5-9>EE-e-

i > " ; CE . x :sww 85 =~os-

~

'u

ge
sod"' errs 4l$*nW,.

- . : "E ,v s g.;,ums s.. e.y:- .:==

q= ::a -

  • s E 0! - s,_ ~.
22

~ E . > 6_? . >.

_ m =-

'

j m s. _ c : y n g g u d " = g alE e, g..' ' :

.) gel gi 3 $<:

3w 1 >- ' - _ m..

, Eg, _,Q3
=

y. go - gS--

WJ - upg- .s .=sr :=wa agw .i g t 3.$gg;m5 t s,g(~g>gg. 5;E .:.W

E as-.w.;mgw wN

%-

-r
  1. -

-eg :L s g m,_ge*g+.s

gg a

- m w me - a 12 &g::gg _=-

. s-p

_

m.- o - z g .= ,.. =.... = .s . q , : -=

q$ y ;;<-

' :7..c.

f.c , w=

  • -

c.c : ....,, - 55, ,8 . -..w= zw=, . w E:

8BJ

. .- , v? - KW=

,_" s:s v
d - :s-

!. m t : -

;- 1-p 1-p

, , . x57 5 a: m n g g... qg_.- :.- p o c; '#W

o - , -

gg;

g-. - g - .- . - . E ;.,,, _, _. s en, m 3m

x,

-] - u-- < , , ' . _ _ ... .

.. g:- ,,. ITEM DETAIL REPORTS IFS - INSPECTION FOLLOW-UP SYSTEM IMTE:- 9/07/95.

OPEN-ITEMS SUMMARY BANNER PME TIME: 13:01:43 REPORT BY SITE PAGE:

REGION: 2 SITES: DOCKET 5: -ABBR.

NAME NUMBER MME ' .... .... ...... .... STL ST LUCIE ORGANIZATION: EMPLOYEES: CODE EME ID NAME .... .... .. .... ALL

    • ALL EMPLOYEES **

REPORT ON: ALL FROM OATE: TO DATE: INSPR-NO: ALL ITEM TYPE: ALL CAUSE CD: A SEVERITY CD: A STATUS: OPEN FUNCTIONAL AREA: ALL REACTOR TYPE: POWER ENFORCEMENT IND: ALL COMMENT TEXT 15 REQUESTED . -. ... - m . .. - -m mu . -. . . ' . . - -

w =- w -

-a , Wbb e Wb W S ..,

,

, > - EE~

\\ N .. ~ s

%

. zw % x-l A ' ~ + b - e ,

E e . E Q E - gil g !.* s.ss N - ' - q % - - ...... s = r e :5 s ! - b e

EE>E~ C W r: E \\ H wW h E ll! "il U a m

' - .,

-.. g.

~ !_!!i _

4A.

. Y Y4 5[i 5[! 55555 ! [[Hi

' E.

~.: w-5 g I: 5: . -b l, s

P - I q ,

. r" .s I T"' 'ETAIL REPORTS IFS * IllSPECit0el FOLI ' SYSTEM D4TE: 99/95/95 REPOEI CY ftfE: 13:91:43 PACE 2

SITE: STL St LtICtf g , ISIIT - RPT/tfS/ SES-WO ITEM kEF e8R / SEVERITY SALP REPOt1 / STS DIEATE CLOSEctff CL90tli CLSmJT LPOAffMC Amer EA/ NDR BOW-19 iTPE EA-N5R SUPtMIT ASEA EVENT OT DATE PRJ/Acf* ORG 100 EMP. tWWECTION REP 0utTS 0-a ................................................................................................................................... sitt a 95-061 01 LER 95-001-00 02/16/95 0 03/21/95 M"Y ~ 'L IITLE: IA3 4100 voti sus tu m ancy PU45sb EtrtAs. tam of FAILE PROC WLausta;w - C STtt u 95-150 LER~ 95-002-00 05/26/95 0 06/27/95 ' 95-002

2232 ! iliLE: PISSED EIERGEWCT DIESEL GEIIERATOR StftVEILLAesCE PROC le!pIBER: / ' L (223g $T11 m 95-181 04 LEst 95-003-00 07/08/95 0 08/10/95 95-e03 ' IITLE: MJTOMATIC REACTeR TRIP DURING TURSINE OVERSPEED SultVEILLANCE PROC 1RAEBER Q

STt1 m 95-195 LER 95-005-00 08/09/95 0 06/28/95 6 232 ) 7 !h TITLE: PRE 55UR12ER PERER urtRAIED RELIEF WALVES (PGhr) ruvi.. _ __..a -- STL1 a 95-196 07 LER 95-006-00 08/10/95 0 09/28/95 2412

13TLE: LOSS OF reactor COOLANT 188WWTORY Titt0UCH A S11UT00W4 PROC IReeBER: l' ' -, 57L1 5 95-205 01 LER _95-007-00 08/17/95 0 08/31/95 2235 D [ b itiLE: Imm vtRitui conIAlsustal SPRAY wdA 14 LOW PRE $$URE FROC ~ h STL1 a 95-206 LER 95-004-00 08/01/95 0 06/31/95 6 723'5 u6tt: munitmut tulu AT SI. LUCIE PROC 8R988 i Ttv. - t c ISOTE: DETINI1804 FOR CIIARACTER PtECEEC1mG 9EPetT No: I = ItrSPECT104 REPORT litJMBER, E = EA IfuMBER (EtF0ECENE47 / IdOW tiEUI) F-N = IFS IIUMBER, IRJ4BER tJ5E010 IDENitFT IBON-IIISPEtil0II IIEMS T l .................................................................................................................................. TOTAL CPOI ITEMS==============>>

  • IF ITEM IS OPEti, PROJECTED CLOSEOJT DATE IS REP (MTED

" ' TOTAL OPEN REPORT SEGUElICEs====>>

IF ITEM 15 CLOSED, ACitfAL C10SEOUT DATE 15 ItEPORTEO Cu a M C 'Y< .J e tr iT - k.

eT .. - Tv . . - - . . - - - - - - - - - - -.

. . - -. m _._, . _, ...., _ ... ,e -_ 3. <., . ' < i + . ) - a .a J x w s ,,s '} A ? ~ , ., - c4 e. 9 , 'd Ica

%s

,J w e e:

J bt' t

. s= cj g1 y i!I sl.i G

, "8: e.; - b

i =

. . vv

9

Ij = B:t; t )(\\ "u < , n a a a

g::

==<n=e=ea_a s a In c c- =. ~ ~

~

~ - - . n s s e e E s og su 88: na nR nt . - ~ c (~ g ,- , t

s , C5,

x o e o c c t l,r g!! I I Illl,1

1 1 III .. .. .. .

"i 111t11

1

1 11 ..! (1

e l-l l 5.5 =g( t et t a e e e ee E ' r "I $.

5 !. $ ~ iii E E ' a.

s . - - - - . "! o a o o o o o o e o o e oE e .

  • i B

g En I 2 6E E8-f g=: x8 =9 =(B 6 {g 6. 68 6 6 2 6 5" ' 2ai

6 e$

a. a. ga > 5 }s a.g ag a n a s_se =g -- g ~. n= _w: 8' a n ~ ~ w - i4;n8g8 . _ g_ u - - e g g o ... og !g - -

  • !!*!!Ei!lN

_-- !g , s a gs: - - - r .- !j gu g Ig l j

gg gg

- r

x E-l

s - , s = = =I::- s cal cEl

2 I = l

a

t - - a s a 8g! s-

- sc

W

'! E a s I l I" 8 3 ! 8E 8

  • g*

E

a

a s e - II! g e

a - ! Et $ 5 i

i E

  • I a

i - e s

i_ !d 5 i !i l_ s ,

Eij ggi _E ofog:_

E w g -

.

? _gr.

gE l.s. s la ao la st = - =_ .g s g - --; sa se s.

v se-r

m [ s - -

-gg,! sg

- r s s. s e i a[sl - e se se's-se at s! s e ! !E R 5 E E!l E E l Bg! IE !! i, 5 ktkBkl6 a!t

8 ' G e +! s E= !$ 7 g..s~i is k? 21 u

il su s; _ _ _ _ _ _ _ . _ . . _ - _

  • i-s-

s s j i s s j s

'=s s s s W-

-

= = = = =

-

= = = _ _ _ f.

=3: 5" 5" 5" "" 5" 5" !

5"

5" 5" "N" 5" " - - ., 5t! E

u

'E G G u a a m a a n u .

.- _.

. . . _.. . -- ....... - - - _ _... _ _.. m.

. ,.._ ,_ .-. . . . . W -- Ir' N.12IL REPERTS If S. - 188SPECT10E FDL1"'. ' SYSTEM - BAIE: 09/05/95 EEPORT WY TINE: E5:43:18 SITES l' STL ST LifCIE. . 2l . P8E 8

e

, p .Uu!T WT/!fS/ SEO-90 (TEM ~ MF WR / SEVERITY SALP REPGRT / SIS CREATE CLOSEelt CLSOUT CLSept ' IP9Atlus . g- - Aset " EA/ NOR 880W-19 T1PE EA EER.

SUPLMuT AREA EWWI DT CAIE PRJ/Act* ORC NO. E955 : INSPECTIGE REPORT * - ', i .......................................................................................................................... -,, , -u StL2 - I 93-025-Of-IFI . 12/01/95 e 12/07/93- - 2313 - y.

L" flTLE: REVIEW OPERASILITY OF Unti 2 tury RW-08-13 auR!sIG iteE PeoC mesquER: 3T/00 ,. C . 5T12 - ! M-019 92-tut! OPS ' 10/20/M 0 10/21/94 2321 D IITLE:. ACEPTABILITV DF 8ElWTAIN!EG AW Sft0 AS AE RO IW REGL- ~ PROC IRMt 71005 [ $1L2 I M-419 03 IFE OPS 10/20/94 c. 10/21/94 '2321' ~( -- . .. . IITLE: CatFLICTsus PSOWBumRt. CU10ANCE FCR ACTEWE LICEN5ES PROC IRAWER: 71001 STL2 W M-332 01 LER M-006-01 07/94/94 0 10/11/94 , TIILE: TRIP CISCU11 SSEAER FAILURE DUE TD A BROKEII PIECE OF PROC DU WER: ~ . ', . - - a /_.

t STL2 I 95-001 02 VIO 4/t SIRileT 02/23/95 0 03/06/95 [ .' , TITLE: FAttlWE TO FOLLOW rmuudRE 2-Lot-I-sv , --% w.w

.

STL2 8 95-005 01 irid 4!) ENG 06/05/95 0 06/19/95 2313 95-005 . b !!TLE: FAILLRE to Ite'LfMET DESIGN REmptRE9ERT SPECIFIES In PC/M 939-29 PROC IRAGER: 37559 E , STL2 ~ I 95-005 82 URI EuS - 06/05/95 0 06/19/95 2313 95-805 ' 11TLE: PetdER SfPPLT UPatacE FOR TM EXISilaC STEAf4 SERERATOR nt1DE RANGE Pfl0C IRAGER: 37550 J-STL2 I 95-005 -OS t=t EuS - 06/05/95 0 06/19/95 2313 95-005 . TITLE: teICDRE tuStelseEpl WORIIIG Ealt0RS.

, PROC IRAEBEtt 37550 _I ifL2 5 95-089 LER 95-DB2-03 Q2/21/95 0 03/31/95 M[ k ! . ilfLE: AuussiTIC SEAC10R TRIP 0W LOW SIEAft GENERATOR WRTER . Pfl0C IItnanii- ' - ~

. STL2 N 95-081 LER 95-tKit -03 C2/21/95 0 03/31/95 2232-TtILE: LOW P9 ESSURE SAFETT IWJECTIou Pt4P Foup TO DE INOP PROC h . SIL2-N 95-127 01 tsar os-an -na 00 10/95 a 86/0s/95 [ . ItTLE: NtSSED TEOGIICAL SPECittCATIcet SCIIEDULED SURVEILLANCE DUE TO PROC ^__. ; ~ t' __ 30TE: BEf f9tTIon FOR CantaCTER PRECEEDING REPORT 180: 1 = tttSPEtileN REPORT IR540ER, E = EA WINGER (EWfeCE9tRT / Isev ITE10 - W = IFS ItsSER. NUMBER L95ED 1019ENTIFY IION-INWECTim ITERS t .................................................................................................................................... ' . TOTAL OPEN IFEtes

==============n

  • IF ITEtt is OPEM, PIMMECTES CLOSEUUT DATE IS REPORTED TOTAL OPEa ItEPERT SESUENCES====n

If ITEM (S CLOSED, ACTURL CLOSEGUT DATE IS REPGtTED ' 2-e.

. rt t- ! ' .L ' -4 (T -) - , 3 4.. r f- - (

y U

_b 'k

o

h . _. _ - - -# .. _ ....w .. - %

._

, m ._ ... . ., , . _ 1.

. . l' - .u lim SETAIL REPERi$ IFS - INSPECTles "* ctr-LP SYSTEtt Defta 9/95/95 ~1' SAlWER Pd TI8E2 13:45818 REPORT ST Pem:

^ ItECION: 2.

. SITES: DOCKETS: v AstR - mAME utmKR MAfEE d . .... .... ...... .... 959-00309' sT LIJCIE 2 s g.

o.. CRGANtZATI04: EMPLOYEES: '[ CODE MARE - 10 udsIE

.... .... .. ..... - ALL

    • ALL EWLOYMS **

' i, ' REPott OR: ALL FROM BATE: ft DATE: C-IlesPR-leo: ALL ITEN ITPE: ALL-u CAW 5E CD: A SOFERITV CD: A StEACTOR TYPf: POWER ENFORCEIEuf fle: ALL , g. STATUS: OPEN MRfCTID4kL ANA: ALL i-r , (T T IT ?:e3 r

  • J

. ( -e-C' 't C i ' si b I ' iT - g.

i f-l ' t , b

. - - - - - - - - . - .- - .-

- ._ . _. . . GL-05-29. HTG- . Y August 29, 1995 ST LUCIE

) INTEGRATION OF SITE ISSUES ) ROOT CAUSE ANALYSIS OF ORGANIZATIONAL

AND PROGRAMMATIC DEFICIENCIES h y(\\

. - .. - .- . _ _ - . . .

..

l i . l MANAGEMENT MEETING AGENDA - AUGUST 29, 1995 ) , '

1.

OPENING REMARKS Mr. S. Ebneter Mr. J. Goldberg

' . , 2 '. -.FPL MANAGEMENT REVIEW Mr. D. Sager . . t 3.

. INTEGRATION OF SITE ISSUES: Mr. K. Landis NRC ROOT CAUSE ANALYSIS ' , 4.

DISCUSS SIMILARITIES FPL/NRC AND DIFFERENCES '5.

ST LUCIE ACTION PLAN Mr. J. Scarola j 6.

SUMMARY Mr. S. Ebneter

)

- . 9,1 .. y 0PF.NING REMARKS NRC MISSION , The NRC Mission of _ protecting the public-health and safety _ translates into assuring safety in design, construction, operation

and management of'your St Lucie facilities.

Effectiveness at all levels provides defense in depth against any_ major event.

The NRC fully-' recognizes the superior performance at St Lucie in recent- > years, thereby reducing overall public risk.

. PERSONNEL AND ORGANIZATION Recently the NRC has focused more attention on the overall " integration of site issues to better understand performance trends.

Our efforts relative to St Lucie identified an additional area'of needed improvement - Operational and Programmatic Deficiencies.

The meeting today (8/29/95) was planned for the purpose of discussing our assessment and to hear the results of your Self-Assessment.- As shown on the agenda, we will then discuss the~ similarities and differences between the FPL and NRC assessments and your action plan.

At the conclusion of this meeting. I would l like to summarize the actions you intend to take in the areas we have discussed today.

1 . L -, .; --

-

. ._ . \\ . y ST LUCIE ! Organizational and Programmatic Root Cause Analysis Sackaround: Following the performance decline of early 1994. the licensee concluded that increased focus was required at the site.

Trips off-site by personnel and management 'were severely restricted.

Management attention to detail was increased including weekly visits by the licensee's Division President, and performance subsequently improved. Recently performance has again declined prompting an organizational and programmatic root cause analysis by . . Region II.

' Team Analysis and Conclusion: The team considered data from the Site Integration Matrix (SIM) in evaluating performance at St Lucie for the past twelve months.

The team concluded that the predominant root cause for the events observed at St Lucie was insufficient detail and scope in site oroarams and orocedures. This causal factor was found to result in recent events which demonstrated deficiencies in the following areas: e job skills, work practices, and decision making: e interface among organizations as evidenced by a lack of interface i formality; e organizational authority for program implementation as evidenced by , instances of unclear responsibility and accountability.

In reviewing the frequency of various events and findings, and comparing them to plant conditions and activities, the team found that program failures of high consequence (e.g. containment saraydown, RCP seal failure) occurred when the licensee's programs were appliec to planned activities often involving unusual conditions. Examples included the first-time use of procedures, the conduct of infrequently-performed evolutions, and periods when personnel had been working very hard or trying to achieve timely operational results (i.e. Hurricane Erin restart of Unit 1).

The team concluded that the above conditions may have reduced individual vigilance, attention to detail, and judgement; and in so doing, allowed procedural weaknesses to manifest themselves.

The team noted that human performance may have historically been a barrier to failures when the procedures had insufficient detail or scope to prevent failures.

Additionally, feedback may have been insufficient to improve the procedures over time.

It appears. that management has, in the past, accepted this condition relying upon a highly qualified staff to successfully perform their assigned tasks.

- - -

, t . . ., ST LJCIE INTEGRATION OF SITE ISSUES . METHOD OF ROOT CAUSE ANALYSIS: Using the Organizational and Programmatic Diagnostic technique provided by Failure Prevention Inc.

(Dr.

Chiu), the recent issues were assessed using the following tools: Organizational and Programmatic Diagnostic Chart --

Analysis to determine the root probable cause ' - TIME PERIOD COVERED:

The analysis was performed evaluating issues from the most recent to the oldest (August 1995 to August 1994).

j NUMBER OF ISSUES ANALYZED: , The team reviewed a total of 39 issues.

(Note: most issues were assigned more than one contributing cause)

s j .

ST LUCIE ROOT CAUSE ANALYSIS The following summarizes a Root Cause Analysis conducted by the NRC to assess recent performance observed at St Lucie.

SUMMARY CONCLUSIONS: Analysis identified the following primary common

causes.

(05) - JOB SKILLS. WORK PRACTICE. OR DECISION MAKING: Deficiencies included an increase 1n human error rate with potential contribution from supervision, training or staff qualification, and vertical communication. Examples included: DATE AREA REFERENCE DESCRIPTION 8/6/95 ENG LER 95-006 Ufting of Unit 1 SDC thermal rehef due to procedural revision from prevous corre::tive acton i 8/2/95 OPS LIR 95-004 MSIS Actuaton dunno cooldown _ 7/29/95 OPS 1R 9514 Turbine / Reactor Trip due to test error, 4/1/95 OPS IR 95-07 Unit 1 expenenced an approximate 14 minute loss of shutdown cooling while NCV 9507-02 shifting from one shutdown coaling loop to the other. The root cause was the closing of the wrong SDC sucten isolaten vane (the valve for the operating, vice die, pump) on the part of the operator.

9/30/94 MS IR 94-20 Maintenarne personnel begin to work the wrong RWT isolaton valve, threaternng the operabihty of both trains of ECCS.

8/29/94 OPS IR 94 20 Operators placed 1A EDG in an electncal lineup for which TS-required VIO 94-22-01 surveillance tests had not been performed (with the safetf-related swing bus VIO 94-2242 powered from it). Also, related control room log entres appeared to be inaccurate.

(P1/P2) - PROGRAM SCOPE AND DETAIL: Errors included either omission of necessary functions or vagueness in procedures.

Examples included: DATE AREA REFERENCE DESCRIPTION 8/17/95 OPS LER 95-007 Spraydown of Unit 1 containment.

W9/95 MS LER 95-005 Inoperable Unit i PORVs due to maintenance error / testing inadequacy.

7/29/95 MS IR 9514 l&C personnel attempt to test a level switch circutt which could not actuate gsen system conditions.

6/195 MS IR 9510 Poor communication / tack of detaiked instructen leads to improper 1B EDG govemor installaton.

4/28/95 MS IR 95-05 installaten of wrong overload heater models in switchgear.

VIO 95-05-01 2/4/95 MS IR 95-01 Inadequate independent venficaten resulted in CVCS letdown control valve VIO 95-0102 failing to respond due to reversed leads. Resulted in a cessaten of letdown flow.

12/31/94 ENG IR. 94-25 Inadequate design control of NaOH cross-connecten between ECCS trains.

NCV 94-25-01 ,

& . d (001) - INTERFACE AMONG ORGANIZATIONS: Interface problems were demonstrated < by errors in tasks requiring conmunication among organizations with potential contribution from a lack of interface formality or inadequate teamwork.

Examples included DATE AREA REFERENCE DESCRIPTION 4/28/95 ENG IR 9505 Failure to document nonconformance regarding ICI flange 8 condibons.

NCV 950%4 4/1/95 MS IR 95-07 Jumper left installed in ECCS ventilaton damper after work complete - NCV 9M7-02 , 2/4/95 OPS IR 95-01 Failure to sample SIT within TS required trne frame following volume addition.

VIO 9501-01 Second occurrence in 2 years.

2/4/95 OPS IR 95-01 Failure to identdy and analyze Unit 1 hot leg flow strettlicaton 9/30/94 OPS IR 94-19 Failure to notify the NRC of changes in status of bcensed operators' medical NCV 94-1M1 conditons.

(0P4) - ORGANIZATIONAL AUTHORITY FOR PROGRAM IMPLEMENTATION: Lack of authority was demonstrated by instances of unclear responsibility and accountability.

Examples included: - DATE AREA REFERENCE DESCRIPTION

8/2/95 OPS LER 95-004 1A2 RCP seal failure due to "restagirig" at high temperatu e.

7/1/95 OPS IR 95-12 Weaknesses identified in logs relating to battery jumper installaton and outd.

. ' service equement.

' 7/1/95 MS IR 95-12 M&TE found installed across battery cell without J/LL suthonzaton.

NCV 95-12-01 6/3/95 MS IR 95-10 Several examples of weak adherence to procedures, including step signoffs and independent venficaton, identified.

PROBABLE " ROOT" CAUSE: analysis indicated the probable root cause was PROGRAM SCOPE AND DETAILS

. ORGANIZATIONS INVOLVED: The following organizational groups contributed l significantly to the identified deficiencies with no attemat being made to single out management as a separate group: OPERATIONS and.iAINTENANCE.

. }}