IR 05000335/1998006

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Responds to NRC Ltr Re Violations Noted in Insp Repts 50-335/98-06 & 50/389/98-06.Corrective Actions:Reactor Coolant Pump Clearance Discrepancy Noted As Clearance Was Being Released.Equipment Order Not Revised
ML17229A797
Person / Time
Site: Saint Lucie  NextEra Energy icon.png
Issue date: 07/08/1998
From: PLUNKETT T F
FLORIDA POWER & LIGHT CO.
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
50-335-98-06, 50-335-98-6, 50-389-98-06, 50-389-98-6, NUDOCS 9807140213
Download: ML17229A797 (12)


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~CATEGORY1~REGULATORYINFORMATIONDISTRIBUTIONSYSTEM(RIDS)Ii~CESSIONNBR:9807140213DOC.DATE:98/07/08NOTARIZED:NOACIL:50-335St.'LuciePlant,Unit1,FloridaPower&.LightCo.50-389St.LuciePlant,Unit2,FloridaPower&LightCo.AUTH.NAMEAUTHORAFFILIATIONPLUNKETT,T.F.FloridaPower5LightCo.RECIP.NAMERECIPIENTAFFILIATIONRecordsManagementBranch(DocumentControlDesk)

SUBJECT: RespondstoNRCltrreviolationsnotedininsprepts50-335/98-06650/389/98-06.Correctiveactions:reactorcoolantpumpclearancediscrepancynotedasclearancewasbeingreleased.Equipmentordernotrevised.hDISTRIBUTIONCODE:IE01DCOPIESRECEIVED:LTRENCLSIZE:TITLE:General(50Dkt)-InspRept/NoticeofVioationResponseNOTES:DOCKET0500033505000389ERECIPIENTIDCODE/NAMEPD2-3PDCOPIES"RECIPIENTLTTRENCLIDCODE/NAME11GLEAVES,WCOPIESLTTRENCL110INTERNAL:ACRSAEOIQgTCFILECENTER/DM'ECBNUDOCS-ABSTRACTOGC/HDS3TERNAL:LITCOBRYCE,JHNRCPDR221"1111111111111AEOD/SPD/RABDEDRONRR/DRCH/HOHBNRR/DRPM/PERBOEDIRRGN2FILE01INOACNUDOCSFULLTEXT111'111111111111D0ENNOTETOALL"RIDS"RECIPIENTS:PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATIONREMOVEDFROMDZSTRIBUTIONLISTSORREDUCETHENUMBEROFCOPIESRECEIVEDBYYOUORYOURORGANIZATION,CONTACTTHEDOCUMENTCONTROLDESK(DCD)ONEXTENSION415-2083TOTALNUMBEROFCOPIESREQUIRED:LTTR19ENCL19 h

FloridaPower&LightCompany,6351S.OceanDrive,JensenBeach,FL34957July8,1998L-98-16810CFR$2.201U.S.NuclearRegulatoryCommissionAttn:DocumentControlDeskWashington,D.C.20555Re:St.LucieUnits1and2DocketNos.50-335and50-389ReplytoaNoticeofViolationNRCInsectionReort98-06FloridaPowerandLightCompany(FPL)hasreviewedthesubjectNoticeofViolationand,pursuantto10CFR$2.201,theresponsestotheviolationsareattached.Asyouareaware,wehaveidentifiedtheimplementationofequipmentclearanceordersandcorrectiveactionastwooftheprimarychallengestoSt.LuciePlantin1998.SincetheclearanceorderadministrativeprocessisthesameatTurkeyPointandSt.Lucie,andsincewehavenotencounteredsimilarclearanceorderproblemsatTurkeyPoint,wehaveconcludedthathumanperformanceerrorspredominate'asthecauseofequipmentclearanceorderproblemsatSt.Lucie.St.LuciePlanthasaugmentedthestaffingoftheclearancecenterandreconfiguredtheworkareainordertominimizepersonnelerrorprecursors.Weexpecttoseesignificantimprovementinclearanceorders.Withregardtocorrectiveaction,wehaveformedacross-functionalteamtodeterminewhatweaknessesexistintheplant'sprocessesandpersonneltrainingthatresultedintheNRCviolationandQualityAssurancefindingsoncorrectiveaction.Theteamhasidentifiedinsufficientadministrativecontrolsresultinginuntimelycorrectiveactionandinsufficientmanagementinvolvementinthecorrectiveactionprocessasthecause'orcor'rectiveactionperformanceproblems.Weare.intheprocessofaddressingtheseimportantissuesinordertoimproveSt.Lucie'simplementationoftheConditionReportprocess,whichhasbeenproventobearobustprocessatTurkeyPoint.Pleasecontactuswithquestionsontheenclosedviolationresponse.Verytrulyyours,ThomasF.PlunkettPresidentNuclearDivision9807i402i3980708PDRADGCK050003358PDRanFPLGroupcompany TFP/JAS/EJWAttachmentcc:RegionalAdministrator,USNRC,RegionIISeniorResidentInspector,USNRC,St.LuciePlant L-98-168AttachmentP~ae1ViolationATechnicalSpecification6.8.1requiresthelicenseetoestablish,implement,andmaintaintheapplicableproceduresrecommendedinAppendixAofRegulatoryGuide1.33.AppendixArecommendsproceduresforequipmentcontrol(e.g.,taggingandlocking).Proceduresforequipment'controlwerecontainedinADM-09.04,Revision3,"In-Plant.EquipmentClearanceOrders."ADM-09.04,Section3.8.3,requiredElectricalDepartmentPersonnelto"VerifythatanygroundingdeviceisdocumentedontheEquipmentClearanceOrderFormasastepwithnotag."ADM-09.04;Section6.8.4.A,requiredtheNuclearPlantSupervisor,AssistantNuclearPlantSupervisor,theWorkControlCenter-AssistantNuclearPlantSupervisor,ortheNuclearWatchEngineerto"verify...theadequacyoftheinformationcontainedintheRequestsectionoftheEquipmentClearanceOrderControlForm."ADM-09.04,Section6.9.2.C,requiredtheReactorControlOperatorto"Verify[the]boundaryusingcontrolleddocuments...."ADM-09.04,Section6.11.1.A,requiredtheNuclearPlantSupervisor,AssistantNuclearPlantSupervisor,theWorkControlCenter-AssistantNuclearPlantSupervisor,theNuclearWatchEngineer,orotherSeniorReactorOperatorto"VerifythespecifiedEquipmentClearanceOrder.boundarysatisfiestherequirementsspecifiedintheEquipmentClearanceOrderrequest."ADM-09.04,Section6.12.20.A,requiredtheEquipmentClearanceOrderControllertosigntheEquipmentClearanceOrderControlFormindicatingtheyfindtheEquipmentClearanceOrderacceptable.Section6.12.20.Bstated"SigningtheAcceptanceBlockontheEquipmentClearanceOrderForm(Figure1)indicatesconcurrencethattheEquipmentClearanceOrderboundaryisadequatefortheworktobeperformed."ADM-09.04,Section6.12.23.A,requiredtheworkerstoperforma"verificationoftheEquipmentClearanceOrderboundaryutilizingavailablereferencematerials."

'L-98-168AttachmentP~ee2Contrarytotheabove:OnFebruary17,1998,thelicenseeissuedEquipmentClearanceOrder1-98-01-202Stoisolatethe1B1ReactorCoolantPumpsafely.a.TheReactorControlOperatorfailedtoverifyadequatelytheboundarypriortoissuance.b.TheWorkControlCenter-AssistantNuclearPlantSupervisorfailedtoverifythattheEquipmentClearanceOrdersatisfiedtherequirementsfortheClearancerequest.c.TheEquipmentClearanceOrderControllerfailedtoverifytheadequacyoftheEquipmentClearanceOrderboundaryfortheworktobeperformed.d.MultiplemaintenanceworkersfailedtoverifytheEquipmentClearanceBoundarypriortobeginningwork.OnMarch30,1998,thelicenseeissuedEquipmentClearanceOrder2-98-03-005toisolatethe2CIntakeCoolingWaterpump.ElectricalMaintenancepersonnelfailedtoverifythatthegroundingdeviceinstalledwasdocumentedintheclearanceorderpriortostartingthework.OnMarch31,1998,thelicenseeissuedEquipmentClearanceOrder2-98-03-.058toallowroutinemaintenanceofthe2BWasteGasCompressor.a.TheWorkControlCenter-AssistantNuclearPlantSupervisorfailedtoverifytheadequacyoftheclearancerequest.b.'heReactorControlOperatorfailedtoverifyadequatelytheboundaryoftheEquipmentClearanceOrderpriortoissuance.TheEquipmentClearanceOrderControllerfailedtoverifytheadequacyoftheEquipmentClearanceOrderboundaryfortheworktobeperformed.TheMaintenanceworkersfailedtoverifytheEquipmentClearanceBoundarypriortobeginningwork.ThisisaSeverityLevelIVviolation(SupplementI)applicabletobothUnit L-98-168AttachmentP~ee3R~esonce1.FPLconcurswiththeviolation.REASONFORVIOLATIONThereasonfortheviolationwascognitivepersonnelerror.inthattheclearanceprocedurewasnotcompliedwithduringdevelopmentandimplementationoftheclearancesforthe1B1reactorcoolantpump,2Cintakecoolingwaterpump,and2Bwastegascompressor.Theclearanceprocedurehasvariousbarriersinplacetoprecludeerrorsofthistypebyprovidingseverallevelsofverificationoftheadequacyofaclearance.However,certainclearanceprocedurebarrierswereine6ectiveinpreventingtheclearanceboundaryproblemsbecausetheprocedurewasnotfollowed.Forexample,the2BwastegascompressorclearancerequestsubmittedtoOperationsdidnotlisttheboundariesneededortheworktobeperformed.Boththe1B1reactorcoolantpumpand2Bwastegascompressorclearanceswereincorrectlydeveloped,andsubsequentOperationsandMaintenancesupervisoryandlinepersonnelindependentverificationswereinadequatelyperformed.The2CintakecoolingwaterpumpclearancedidnotdocumentthegroundingdevicebecausetheelectriciansdidnotinformOperationsthatthegroundingdevicehadbeeninstalled,asrequiredbytheclearanceprocedure.Alongwiththefailedbarriers,othercontributingfactorstotheviolationwereinadequatechecksintheElectricalDepartmentgroundingprocedure,andtheinadequateidentificationofpreventivemaintenancethatrequiresasystembemechanicallyopen.3.'ORRECTIVESTEPSTAKENANDTHERESULTSACHIEVEDA.AsdocumentedinConditionReport(CR)98-0297,the1B1reactorcoolantpumpclearancediscrepancywasnotedastheclearancewasbeingreleased,thereforetheequipmentclearanceorderwasnotrevised.B.AsdocumentedinCR98-0561,the2CintakecoolingwaterpumpclearancewasrevisedondiscoverytoincludethegroundingdeviceonMarch30,1998.C.AsdocumentedinCR98-0570,the2BwastegascompressorclearancewasrevisedondiscoverytoincludethemechanicalisolationvalvesonMarch31,1998.D.Individualsinvolvedwiththeseeventswerecounseledinaccordancewithplantpolic L-98-168AttachmentP~ee4'.CORRECTIVESTEPSTOAVOIDFURTHERVIOLATIONSA.StanddownmeetingsforOperationswerecompletedbyJune15,1998,todiscusscompliancewiththeclearanceprocedureandtheuseofquestioningattitudeswhendevelopingclearanceboundaries.B.Thebarrieranalysisidentifiedthatasignificantportionofthemissedclearanceprocedurebarriersoccurduringtheinitialdevelopmentandverificationofclearancerequests.St.LuciehasreconfiguredtheClearanceCenterinordertosegregatepersonnelresearchingandwritingclearancesfromdistractionsthatmaydetractfromtheirabilitytofocusonthetaskathand.Thishumanfactorsimprovementisintendedtominimizethelikelihoodofinadequateclearancedevelopment.C.Barringextenuatingcircumstances,'thenormalstaffingleveloftheClearanceCenterhasbeenincreased.Thishumanfactorsimprovement,alongwithcorrectiveaction4.Babove,willallowincreasedattentiontoeachindividualclearanceandisintendedtominimizethelikelihoodofinadequateclearancedevelopment.D.Anoperatoraidwascreatedtoassistinthedevelopmentofclearancesbylistingthevitalaspectsofthepreparationandimplementationofclearances.E.tTheElectricalMaintenanceGuidelinesEMG-53.08,Revision2,"SafetyRequirementforGroundingofHighVoltage(4.16or6.9KV)SwitchgearBusesforMaintenance,"andEMG-53'-07,Revision3,"GroundingorTestingofHighVoltag'e(4.16or6.9KV)Loads,"wereimplementedonMay7,1998,torequireasign-offverifyingthatOperationswasnotifiedoftheinstallationofgroundingdevices.St.Lucieisevaluatingmasterclearancesforpreventivemaintenanceandlubricationpreventivemaintenancetoidentifyandmodifythoseclearancesthatrequirethesystemtobeopen.ThisactivitywillbecompletedbySeptember30,1998.Inordertoreinforcemanagementexpectationsandequipmentclearanceproceduralrequirements,JobPerformanceMeasure(JPM)1321090P,"VerifyIn-PlantEq'uipmentClearance,"willberevisedtoensurethatMaintenancepersonnelarerequiredtoevaluatetheadequacyofequipmentclearanceorderboundaries,inaccordancewithproceduralrequirements,aspartoftheJPM.ThisJPMwillberevisedbyJuly17,199 L-98-168AttachmentP~ae55.FullcompliancewasachievedonMarch31,1998,withthecompletionofactionitems3.A,3.B,and3.Cabov L-98-168AttachmentP~ae6ViolationB10CFR50AppendixB,CriterionXVI,CorrectiveAction,requiresthatmeasuresshallbeestablishedtoassurethatconditionsadversetoquality,suchasfailures,malfunctions,deficiencies,deviations,defectivematerialandequipment,andnonconformancesarepromptlyidentifiedandcorrected.Inthecaseofsignificantconditionsadversetoquality,themeasuresshallassurethatthecauseoftheconditionisdeterminedandcorrectiveactiontakentoprecluderepetition.Theidentificationofthesignificantconditionadversetoquality,thecauseofthecondition,andthecorrectiveactiontakenshallbedocumentedandreportedtoappropriatelevelsofmanagement.Contrarytotheabove:1.Correctiveactionwasnotcompletedinatimelymannerfor1996Condition.Reports(CRs)thatidentified29procedurerevisionsneededtocorrectdeficiencies.PlantManagerActionItemshadbeenopenedin1996tomaketheseprocedurerevisionsandwerestillopeninApril1998.Correctiveactiontakenforasignificantconditionadversetoquality,thatwasidentifiedinFebruary1997inQualityAssuranceAuditQSL-CA-96-20anddocumentedinCR97-282,wasnotadequatetopreventrepetition.CR97-282documentedthatmultipleCRscontainedassignedcorrectiveactionsthatdidnotadequatelyaddressthedeficientconditions.AfollowupauditinDecember1997,QualityReport97-2271,foundthatfiveoutof29ConditionReportsagaincontainedassignedcorrectiveactionsthatdidnotadequatelyaddressthedeficientconditions.seCorrectiveactionrootcauseevaluationsrequiredbyprocedureAP-0006130,Revisions7-12,"ConditionReports,"werenotperformedforissuesidentifiedinConditionReport98-0112.ThiswassimilartofindingsidentifiedinQualityAssuranceAuditQSL-CA-96-20.ThisisaSeverityLevelIVviolation(SupplementI)applicabletobothUnits.R~esoese1.FPLconcurswiththeviolation.2.REASONFORVIOLATIONAcrossfunctionalplantteamwasformedtoinvestigatethecausesofthesubjectviolation.Theissuesnotedintheinspectionreportweredeterminedtobetheresultofanumberof QiL-98-168Attachment'~ae7causalfactors.Implementationofthecorrectiveactionprocessforsignificantconditionshasbeenlessthanadequatedueto:a)Insufficientadministrativecontrolsresultinginuntimelycorrectiveactionandthedevelopmentofabacklogofoutstandingcorrectiveactions(Example1).b)InsufficientManagementinvolvementinthecorrectiveactionprocess(Example2).Managementinvolvementinboththeup-frontprioritizationofConditionReportsandthebackendreviewofsignificantCRdispositionswasinadequatetopreventrecurrence.Additionally,theproceduralrequirementsfortheassignmentofrootcauseperAP-0006130,Revisions7-12,"ConditionReports,"didnotreflectthePlantGeneralManager'sroleindeterminingifaformalrootcauseanalysiswasrequired(Example3).CORRECTIVESTEPSTAKENANDTHERESULTSACHIEVEDA.AmorerigorousPlantManagerActionItem(PMM)systemwouldhavepreventedexample1ofthisviolation.PMAIsrelatedtoprocedurechangeswerenotgivenduedates,butwereassignedaprioritycodetoindicatetherelativeimportanceandneedfortheplannedprocedurerevisioninrelationtootherpendingprocedurechanges.TheprocedurerelatedPMAIprioritysystemwaseliminated,andallprocedurerelatedPMAIswillbegivenduedates.Thisactionwillbecompletedby,July31,1998.Ofthe29overdueprocedurerevisionsinexampleoneofthisviolation,16havebeendispositioned,andtheremainingprocedurerevisionswerereviewedand'valuatedandnewduedatesassigned.Itshouldbenotedthatseveralofthependingprocedurechangescitedinexample1areassociatedwithongoingupgradeprogramsonemergencyoperatingproceduresandannunciatorresponseproceduresmadebypreviouscommitments.B.Asnotedintheinspectionreport,thefiveCRsinexample2ofthisviolationthatdidnotadequatelyaddressthedeficientconditionswereadequatelydispositionedandcorrectiveactionsarecomplet L-98-168AttachmentP~ae8C.AP0006130,"ConditionReports,"hasbeenrevisedtoeliminateambiguityregardingtheassignmentofrootcauseanalysisforCRs.TheprocedurenowclearlystatesthatthePlantGeneralManagerwillindicatewhetherarootcauseanalysisisrequired.Anappendixtothisprocedureprovidesguidanceonmakingthisdetermination.Thiscorrectiveactioniscomplete.4.CORRECTIVESTEPSTOAVOIDFURTHERVIOLATIONSA.MethodswillbeestablishedtoensurethatseniorplantmanagersreviewsignificantCRsforproperdepartmentalassignmentandrootcauselevelatthemanagementmeetingeachday.ThesemethodswillbeoutlinedinCorrectiveActionGroupGuidelinesthatwillbedevelopedbyJuly10,1998.Therole,oftheFacilityReviewGroup(FRG)asitrelatestothereviewofCRswillbeexpanded.AP0010520"FacilityReviewGroup"willberevisedtoensurethattheFRGreviewstheresolutionofCRsforwhichrootcauseanalysishasbeenassigned.TheprocedurechangewillbedevelopedbyJuly10,1998.eAP0006129,"PlantManagerActionItem(PMAI)CorrectiveActionTrackingProgram,"willberevisedtoprovideadditionalcontrolsontheextensionofPMAIduedates;ControlswillbeestablishedsothatPMAIsdonotreceiveduedateextensionswithoutPlantManagerapproval.PMAIsrequiringchangestoplantprocedureswillreceivespecificduedates,consistentwiththeprioritizationeffortsoftheongoingprocedureupgradeprogram.ThesechangestoAP0006129,"PlantManagerActionItem(PMAI)CorrectiveActionTrackingProgram,"willbecompletedbyJuly10,1998.5.FullcompliancewillbeachievedonJuly31,1998,withthecompletionofcorrectiveaction3.Aabove.