IR 05000341/2019004

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Integrated Inspection Report 05000341/2019004
ML20038A340
Person / Time
Site: Fermi DTE Energy icon.png
Issue date: 02/07/2020
From: Richard Skokowski
Reactor Projects Region 3 Branch 4
To: Peter Dietrich
DTE Energy
References
IR 2019004
Preceding documents:
Download: ML20038A340 (42)


Text

February 7, 2020

SUBJECT:

FERMI POWER PLANT, UNIT 2 - INTEGRATED INSPECTION REPORT 05000341/2019004

Dear Mr. Dietrich:

On December 31, 2019, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at Fermi Power Plant, Unit 2. On January 7, 2020, the NRC inspectors discussed the results of this inspection with you and members of your staff. The results of this inspection are documented in the enclosed report.

Two findings of very low safety significance (Green) are documented in this report. One of these findings involved a violation of NRC requirements. We are treating this violation as a non-cited violation (NCV) consistent with Section 2.3.2 of the Enforcement Policy.

A licensee-identified violation which was determined to be Severity Level IV is documented in this report. We are treating this violation as a non-cited violation (NCV) consistent with Section 2.3.2 of the Enforcement Policy.

If you contest the violation or the significance or severity of the violation documented in this inspection report, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region III; the Director, Office of Enforcement; and the NRC Resident Inspector at Fermi Power Plant, Unit 2.

If you disagree with a cross-cutting aspect assignment or a finding not associated with a regulatory requirement in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region III; and the NRC Resident Inspector at Fermi Power Plant, Unit 2. This letter, its enclosure, and your response (if any) will be made available for public inspection and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document Room in accordance with Title 10 of the Code of Federal Regulations 2.390, Public Inspections, Exemptions, Requests for Withholding.

Sincerely,

/RA by Michael Kunowski Acting for/

Richard A. Skokowski, Chief Branch 4 Division of Reactor Projects

Docket No. 05000341 License No. NPF-43

Enclosure:

As stated

Inspection Report

Docket Number:

05000341

License Number:

NPF-43

Report Number:

05000341/2019004

Enterprise Identifier: I-2019-004-0057

Licensee:

DTE Electric Company

Facility:

Fermi Power Plant, Unit 2

Location:

Newport, MI

Inspection Dates:

September 30, 2019 to December 31, 2019

Inspectors:

R. Baker, Senior Operations Engineer

T. Briley, Senior Resident Inspector

G. Hansen, Sr. Emergency Preparedness Inspector

D. Mills, Senior Resident Inspector

V. Myers, Senior Health Physicist

V. Petrella, Resident Inspector

E. Sanchez Santiago, Senior Reactor Inspector

T. Taylor, Resident Inspector

C. Zoia, Senior Operations Engineer

Approved By:

Richard A. Skokowski, Chief

Branch 4

Division of Reactor Projects

SUMMARY

The U.S. Nuclear Regulatory Commission (NRC) continued monitoring the licensees performance by conducting an integrated inspection at Fermi Power Plant, Unit 2, in accordance with the Reactor Oversight Process. The Reactor Oversight Process is the NRCs program for overseeing the safe operation of commercial nuclear power reactors. Refer to https://www.nrc.gov/reactors/operating/oversight.html for more information. A licensee-identified non-cited violation is documented in report section: 71111.11

List of Findings and Violations

Failure to Have Appropriate Instructions for Determining the Average Sediment Depth in the Residual Heat Removal Complex Reservoir Cornerstone Significance Cross-Cutting Aspect Report Section Mitigating Systems Green NCV 05000341/2019004-01 Open/Closed

[H.13] -

Consistent Process 71111.07T A finding of very low safety significance (Green) and an associated Non-Cited Violation of Title 10 of the Code of Federal Regulation (CFR), Part 50, Appendix B, Criterion V,

Instructions, Procedures, and Drawings, was identified by the inspectors due to the licensees failure to have appropriate instructions for determining the average sediment depth in the Residual Heat Removal Complex Reservoir.

Inadequate Relay Replacement Frequency Causes Momentary Loss of Secondary Containment Vacuum Cornerstone Significance Cross-Cutting Aspect Report Section Barrier Integrity Green FIN 05000341/2019004-02 Open/Closed None (NPP)71111.12 A self-revealed Green finding was identified when the licensee failed to follow site procedure MES51, "Preventative Maintenance Program." Specifically, the licensee failed to replace a relay within the vendor recommended interval due to an inappropriate application of grace period. As a result, the relay failed and prevented a Reactor Building Heating and Ventilation System (RBHVAC) damper from closing during normal operation of the system, which caused pressure to increase in secondary containment beyond Technical Specification (TS)operability limits.

Additional Tracking Items

Type Issue Number Title Report Section Status LER 05000341/2019-004-00 LER 2019-004-00 for Fermi,

Unit 2, Division 2 Mechanical Draft Cooling Tower Fan "D" Tripped when Placed in High Speed due to a Blown Fuse 71153 Closed LER 05000341/2019-005-00 LER 2019-005-00 for Fermi,

Unit 2, Secondary Containment Pressure Exceeded Technical Specification due to Reactor Building HVAC Damper Malfunction 71153 Closed LER 05000341/2019-003-00 LER 2019-003-00 for Fermi,

Unit 2, Secondary Containment Declared Inoperable due to Opening Both Airlock Doors 71153 Closed

PLANT STATUS

Unit 2 operated at or near rated thermal power during the entire inspection period with the exception of power changes to perform planned control rod pattern adjustments and/or required Technical Specification surveillance testing.

INSPECTION SCOPES

Inspections were conducted using the appropriate portions of the inspection procedures (IPs) in effect at the beginning of the inspection unless otherwise noted. Currently approved IPs with their attached revision histories are located on the public website at http://www.nrc.gov/reading-rm/doc-collections/insp-manual/inspection-procedure/index.html. Samples were declared complete when the IP requirements most appropriate to the inspection activity were met consistent with Inspection Manual Chapter (IMC) 2515, Light-Water Reactor Inspection Program - Operations Phase. The inspectors performed plant status activities described in IMC 2515, Appendix D, Plant Status, and conducted routine reviews using IP 71152, Problem Identification and Resolution. The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel to assess licensee performance and compliance with Commission rules and regulations, license conditions, site procedures, and standards.

REACTOR SAFETY

71111.01 - Adverse Weather Protection

Seasonal Extreme Weather Sample (IP Section 03.02) (1 Sample)

(1) The inspectors evaluated readiness for seasonal extreme weather conditions prior to the onset of seasonal cold weather preparations for the following systems:
  • Condensate Storage and Transfer System

71111.04Q - Equipment Alignment

Partial Walkdown Sample (IP Section 03.01) (2 Samples)

The inspectors evaluated system configurations during partial walkdowns of the following systems/trains:

(1) Reactor Core Isolation Cooling (RCIC) while Division 2 Switchgear Room Cooler was out of service for planned maintenance during the week ending November 30, 2019
(2) Division 2 Emergency Equipment Service Water (EESW) while Division 1 EESW was out of service for planned maintenance during the week ending December 7, 2019

71111.05Q - Fire Protection

Quarterly Inspection (IP Section 03.01) (3 Samples)

The inspectors evaluated fire protection program implementation in the following selected areas:

(1) Reactor Building Second Floor, North and Division 1 Emergency Equipment Cooling Water (EECW) area during the week ending October 5, 2019
(2) Residual Heat Removal (RHR) Complex First Floor, Emergency Diesel Generator (EDG) 14 room during the week ending October 12, 2019
(3) Reactor Building First Floor, South Control Rod Drive and Railroad Bay area during the week ending December 31, 2019

71111.06 - Flood Protection Measures

Inspection Activities - Internal Flooding (IP Section 02.02a.) (1 Sample)

The inspectors evaluated internal flooding mitigation protections in the:

(1) Auxiliary Building Third Floor, Direct Current Motor Control Center Area

71111.07A - Heat Sink Performance

Annual Review (IP Section 02.01) (1 Sample)

The inspectors evaluated readiness and performance of:

(1) Division 1 and 2 EECW Heat Exchangers

===71111.07T - Heat Sink Performance

Triennial Review (IP Section 02.02)===

The inspectors evaluated heat exchanger/sink performance on the following:

(1) RHR North Heat Exchanger Division 1 (E1101B001A)
(2) EDG 13 Jacket Coolant Heat Exchanger (R3001B018)
(3) EDG 13 Air Coolant Heat Exchanger (R3001B026)
(4) Section 02.02d, Specifically Sections 02.02d3 and 02.02d5 were completed

71111.11A - Licensed Operator Requalification Program and Licensed Operator Performance

Requalification Examination Results (IP Section 03.03) (1 Sample)

(1) The inspectors reviewed and evaluated the licensed operator examination failure rates for the requalification annual operating exam administered from September 23, 2019 through October 25, 2019.

71111.11B - Licensed Operator Requalification Program and Licensed Operator Performance

Licensed Operator Requalification Program (IP Section 03.04) (1 Sample)

(1) Biennial Requalification Written Examinations

The inspectors evaluated the quality of the licensed operator biennial requalification written examination administered on October 3, 2019.

Annual Requalification Operating Tests

The inspectors evaluated the adequacy of the facility licensees annual requalification operating test.

Administration of an Annual Requalification Operating Test

The inspectors evaluated the effectiveness of the facility licensee in administering requalification operating tests required by 10 CFR 55.59(a)(2) and that the facility licensee is effectively evaluating their licensed operators for mastery of training objectives.

Requalification Examination Security

The inspectors evaluated the ability of the facility licensee to safeguard examination material, such that the examination is not compromised.

Remedial Training and Re-examinations

The inspectors evaluated the effectiveness of remedial training conducted by the licensee, and reviewed the adequacy of re-examinations for licensed operators who did not pass a required requalification examination.

Operator License Conditions

The inspectors evaluated the licensees program for ensuring that licensed operators meet the conditions of their licenses.

Control Room Simulator

The inspectors evaluated the adequacy of the facility licensees control room simulator in modeling the actual plant, and for meeting the requirements contained in 10 CFR 55.46.

Problem Identification and Resolution

The inspectors evaluated the licensees ability to identify and resolve problems associated with licensed operator performance.

71111.11Q - Licensed Operator Requalification Program and Licensed Operator Performance

Licensed Operator Performance in the Actual Plant/Main Control Room (IP Section 03.01) (1 Sample)

(1) The inspectors observed and evaluated licensed operator performance in the Control Room during an abnormal operating procedure entry for an unplanned non-functionality of steam jet air ejector 3 on October 23, 2019, and secondary containment pressure control following a reactor building heating ventilation and air conditioning system damper failure on December 19, 2019

Licensed Operator Requalification Training/Examinations (IP Section 03.02) (1 Sample)

(1) The inspectors observed and evaluated a licensed operator training lesson on emergency action levels (EALs) during the week ending October 19, 2019

71111.12 - Maintenance Effectiveness

Routine Maintenance Effectiveness Inspection (IP Section 02.01) (2 Samples)

The inspectors evaluated the effectiveness of routine maintenance activities associated with the following equipment and/or safety significant functions:

(1) Reactor Building Heating Ventilation and Air Conditioning (RBHVAC) system dampers during the week ending November 30, 2019
(2) Reference Leg Backfill System during the week ending December 21, 2019

Quality Control (IP Section 02.02) (1 Sample)

The inspectors evaluated maintenance and quality control activities associated with the following equipment performance activities:

(1) Control of grease used for motor operated valve preventative maintenance during the week ending December 28, 2019

71111.13 - Maintenance Risk Assessments and Emergent Work Control

Risk Assessment and Management Sample (IP Section 03.01) (6 Samples)

The inspectors evaluated the risk assessments for the following planned and emergent work activities:

(1) Emergent maintenance on EDG 14 starting air system, emergent maintenance on Division 2 EECW temperature control valve, and planned maintenance on Reactor Water Cleanup system during the week ending October 5, 2019
(2) Emergent maintenance on the outer railroad door secondary containment barrier during the week ending October 12, 2019
(3) Planned heavy lift of a Main Generator Stator during the week ending October 19, 2019
(4) Planned Division 1 Battery Charger Room Cooler maintenance during the week ending November 16, 2019
(5) Emergent maintenance on the Electric Fire Pump during the week ending November 23, 2019
(6) Emergent maintenance on the RBHVAC system and planned maintenance on the Non-Interruptible Instrument Air System during the week ending November 30, 2019

71111.15 - Operability Determinations and Functionality Assessments

Operability Determination or Functionality Assessment (IP Section 02.02) (8 Samples)

The inspectors evaluated the following operability determinations and functionality assessments:

(1) Operability and functionality of Division 1 Control Complex Heating Ventilation and Air Conditioning (CCHVAC) system following identification of abnormal 480 volt supply breaker thermography readings, as documented in Condition Assessment Resolution Document (CARD) 19-27694
(2) Technical Specification 3.3.5.1, Emergency Core Cooling System (ECCS)

Instrumentation, and Technical Specification 3.3.2.2, Feedwater and Main Turbine High Water Level Trip Instrumentation, implementation following wrong panel electrical contact checks during ECCS Reactor Vessel Water Level Automatic Depressurization System (ADS) Level 3 and Feedwater / Main Turbine Level 8, Division 1, Channel A Functional Test, as documented in CARD 19-28721

(3) Operability and functionality of EDG 14 following surging at idle speed and identification of a broken starting air system pipe, as documented in CARDs 19-27462 and 19-24737
(4) Operability and functionality of the RCIC system following failure of the RCIC Barometric Condenser Pump, as documented in CARD 19-28481
(5) Operability and functionality of Division 2 EESW and EECW systems following failure of the Division 2 EECW temperature control valve to fully open during a simulated loss of power surveillance test, as documented in CARD 19-27229
(6) Operability and functionality of the Division 2 EESW and EECW systems following identification of a failed fuse in Mechanical Draft Cooling Tower Fan D high speed circuitry, as documented in CARD 19-25713
(7) Operability and functionality of the Division 1 Core Spray system following identification of an out of tolerance pipe support spring can assembly, as documented in CARD 19-27115
(8) Operability and functionality of the fire suppression system following identification of Alternate Diesel Fire Pump battery low electrolyte level while the Electric Fire Pump and permanently installed Diesel Fire Pumps were out of service for corrective maintenance, as documented in CARD 19-28912

71111.18 - Plant Modifications

Temporary Modifications and/or Permanent Modifications (IP Section 03.01 and/or 03.02) (1 Sample)

The inspectors evaluated the following temporary or permanent modifications:

(1) Lifting and rigging equipment changes to the new fuel receipt inspection stand and fuel uprighting stand to support a change in reactor fuel design (Permanent Modification)

71111.19 - Post-Maintenance Testing

Post-Maintenance Test Sample (IP Section 03.01) (8 Samples)

The inspectors evaluated the following post-maintenance tests:

(1) Reactor Water Clean Up (RWCU) flow transmitter calibration during the week ending October 5, 2019
(2) EDG 14 following starting air pipe repair during the week ending October 5, 2019
(3) Secondary Containment following repair of reactor building railroad doors during the week ending October 12, 2019
(4) Standby Feedwater following relief valve and discharge valve breaker preventative maintenance during the week ending October 12, 2019
(5) Division 2 EECW temperature control valve following corrective maintenance during the week ending October 19, 2019
(6) Division 2 EECW equipment sump heat exchanger check valve following planned replacement during the week ending October 26, 2019
(7) Gland Seal Exhaust Trip Logic after Modification Installation in refueling outage 19 during the week ending November 23, 2019
(8) Electric Fire Pump following corrective pump replacement during the week ending November 23, 2019

71111.22 - Surveillance Testing

The inspectors evaluated the following surveillance tests:

Surveillance Tests (other) (IP Section 03.01)

(1) EDG 14 slow start surveillance test on December 23, 2019
(2) Control Room technical specification shiftly channel checks on December 30, 2019

FLEX Testing (IP Section 03.02) (1 Sample)

(1) N and N+1 Flex Diesel Generator load testing on October 12, 2019 and November 7, 2019

71114.02 - Alert and Notification System Testing

Inspection Review (IP Section 02.01-02.04) (1 Sample)

(1) The inspectors evaluated the following maintenance and testing of the alert and notification system:
  • Annual siren inspection and maintenance records for the period from September 2017 to September 2019
  • Monthly alert notification system (siren) tests for the period from September 2017 to September 2019

71114.03 - Emergency Response Organization Staffing and Augmentation System

Inspection Review (IP Section 02.01-02.02) (1 Sample)

(1) The inspectors evaluated the readiness of the Emergency Preparedness Organization.

71114.04 - Emergency Action Level and Emergency Plan Changes

Inspection Review (IP Section 02.01-02.03) (1 Sample)

(1) The inspectors completed an evaluation of submitted Emergency Action Level and Emergency Plan changes on November 21, 2019. This evaluation does not constitute NRC approval.

71114.05 - Maintenance of Emergency Preparedness

Inspection Review (IP Section 02.01 - 02.11) (1 Sample)

(1) The inspectors evaluated the maintenance of the emergency preparedness program.

71114.06 - Drill Evaluation

Select Emergency Preparedness Drills and/or Training for Observation (IP Section 03.01) (2 Samples)

(1) Observation of emergency action level training evolution on October 18, 2019
(2) Emergency Preparedness Drill conducted on October 31,

RADIATION SAFETY

71124.01 - Radiological Hazard Assessment and Exposure Controls

Radiological Hazard Assessment (IP Section 02.01) (1 Sample)

The inspectors evaluated radiological hazards assessments and controls.

(1) The inspectors reviewed the following:

Radiological Surveys

  • Steam tunnel
  • RWCU phase separator room

Risk Significant Radiological Work Activities

  • Investigation and isolation of steam leak under high pressure turbine
  • RWCU pump seal repair/replacement
  • Limit switch work on reactor water clean up phase separator tank

===00252-A19, Turbine deck to steam tunnel

  • 00305-A19, RWCU pump room
  • 00116-A19, RCIC pump room Instructions to Workers (IP Section 02.02)===

The inspectors evaluated instructions to workers including radiation work permits used to access high radiation areas.

(1) The inspectors reviewed the following:

Radiation Work Packages

===191020, Emergent Issues Tasks

  • 191050, RWCU Pump Seal Repair/Replacement
  • 191051, RWCU Phase Separator Room Entry and Component Repair
  • 191027, E41 and E51 System Maintenance, Inspections, Surveillance and Test Runs

Electronic Alarming Dosimeter Alarms

  • CARD 19-21358
  • CARD 19-21994
  • CARD 19-24234

Labeling of Containers

  • Tri Nuclear filter in spent fuel pool
  • Low power range monitor quiver
  • Tool cabinet on refuel floor

Contamination and Radioactive Material Control (IP Section 02.03)===

The inspectors evaluated licensee processes for monitoring and controlling contamination and radioactive material.

(1) The inspectors verified the following sealed sources are accounted for and are intact:
  • L07-0063
  • L92-0016

Radiological Hazards Control and Work Coverage (IP Section 02.04) (1 Sample)

The inspectors evaluated in-plant radiological conditions during facility walkdowns and observation of radiological work activities.

(1) The inspectors also reviewed the following radiological work package for areas with airborne radioactivity:
  • No work packages were available for review during this inspection

High Radiation Area and Very High Radiation Area Controls (IP Section 02.05) (1 Sample)

(1) The inspectors evaluated risk-significant high radiation area and very high radiation area controls.

Radiation Worker Performance and Radiation Protection Technician Proficiency (IP Section 02.06) (1 Sample)

(1) The inspectors evaluated radiation worker performance and radiation protection technician proficiency.

OTHER ACTIVITIES - BASELINE

===71151 - Performance Indicator Verification

The inspectors verified licensee performance indicators submittals listed below:

EP01: Drill/Exercise Performance (IP Section 02.12)===

(1)07/01/2018 - 06/30/2019

EP02: ERO Drill Participation (IP Section 02.13) (1 Sample)

(1) 07/01/2018 - 06/30/2019

EP03: Alert & Notification System Reliability (IP Section 02.14) (1 Sample)

(1) 07/01/2018 - 06/30/2019

71152 - Problem Identification and Resolution

Semiannual Trend Review (IP Section 02.02) (1 Sample)

(1) Adverse trend in plant configuration control events

===71153 - Follow-up of Events and Notices of Enforcement Discretion

Event Report (IP Section 03.02)===

The inspectors evaluated the following licensee event reports (LERs):

(1) LER 05000341/2019-003-00, Secondary Containment Declared Inoperable due to Opening Both Airlock Doors, ADAMS accession: ML19210B833. The circumstances surrounding this LER are documented in report Section 71153.
(2) LER 05000341/2019-004-00, Division 2 Mechanical Draft Cooling Tower Fan "D" Tripped when Placed in High Speed due to a Blown Fuse, ADAMS accession:

ML19273A053. The inspectors determined that it was not reasonable to foresee or correct the cause discussed in the LER therefore no performance deficiency was identified. The inspectors also concluded that no violation of NRC requirements occurred.

(3) LER 05000341/2019-005-00, Secondary Containment Pressure Exceeded Technical Specification due to Reactor Building HVAC Damper Malfunction, ADAMS accession:

ML19329C825. The circumstances surrounding this LER are documented in report Section

INSPECTION RESULTS

Failure to have Appropriate Instructions for Determining the Average Sediment Depth in the Residual Heat Removal Complex Reservoir Cornerstone Significance Cross-Cutting Aspect Report Section Mitigating Systems

Green NCV 05000341/2019004-01 Open/Closed

[H.13] -

Consistent Process 71111.07T A finding of very low safety significance (Green) and an associated Non-Cited Violation of Title 10 of the Code of Federal Regulation (CFR), Part 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, was identified by the inspectors due to the licensees failure to have appropriate instructions for determining the average sediment depth in the Residual Heat Removal Complex Reservoir.

Description:

The Residual Heat Removal Complex Reservoir performs the ultimate heat sink function at Fermi. Periodically, the licensee performs a preventive maintenance activity to remove debris and sediment from the reservoir to ensure a sufficient volume of water remained available within the ultimate heat sink.

During this inspection, the inspectors reviewed completed Work Order 47534163. This work order (WO) was performed to remove debris and sediment from the Division 2 side of the Residual Heat Removal Complex Reservoir. Step 150.1.a.1 of the work order stated, DETERMINE AND DOCUMENT the average depth of sediment. The inspectors noted the licensee had recorded an average sediment depth of approximately 1/4 inches. The inspectors used the sediment depths recorded within the WO to calculate an average sediment depth but were unable to replicate the licensees results. However, the inspectors results were less than the acceptance criteria contained in the WO. The inspectors discussed their calculation with the licensee, and the licensee was also unable to replicate the average sediment depth result recorded in the WO. As a result, the inspectors determined the WO instructions were not appropriate to the circumstance because they allowed the WO performer to determine the method used when determining the average sediment depth. This led to documenting an average sediment depth which could not be replicated using actual plant data and a consistent, repeatable process.

Corrective Actions: The licensee planned to revise preventive maintenance activities PM244 and PM245 to require the average sediment depth be determined by adding all of the individual sediment depth data points contained in the associated WO and dividing by the total number of data points. The final average calculation will be checked by the Strategic Engineer or Component Engineer.

Corrective Action References: CARD 19-28324, "2019 NRC Triennial UHS Inspection:

Average Silt Accumulation in UHS Reservoir was not Calculated in WO 47534163"

Performance Assessment:

Performance Deficiency: The inspectors determined the failure to have appropriate instructions for activities affecting quality was a violation of 10 CFR Part 50, Appendix B, Criterion V and was a performance deficiency. Specifically, the licensee failed to have instructions appropriate to the circumstance for determining the average sediment depth in the Residual Heat Removal Complex Reservoir.

Screening: The inspectors determined the performance deficiency was more than minor because it was associated with the Procedure Quality attribute of the Mitigating Systems cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the failure to have appropriate instructions for determining the average sediment depth in the Residual Heat Removal Complex Reservoir adversely affected the cornerstone objective because it resulted in an incorrect and non-conservative sediment depth level being recorded as part of a preventive maintenance activity.

Significance: The inspectors assessed the significance of the finding using Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Specifically, the inspectors determined the finding was of very low safety significance (Green) because all of the mitigating systems screening questions were answered no.

Cross-Cutting Aspect: H.13 - Consistent Process: Individuals use a consistent, systematic approach to make decisions. Risk insights are incorporated as appropriate. The finding had a cross-cutting aspect in the Consistent Process (H.13) component of the Human Performance cross-cutting area, because individuals did not use a consistent, systematic approach to make decisions. Specifically, the licensee did not have a consistent and systematic approach to determine the average sediment depth in the Residual Heat Removal Complex Reservoir.

Enforcement:

Violation: Title 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, requires in part, that activities affecting quality be prescribed by documented instructions, procedures, or drawings, of a type appropriate to the circumstances and be accomplished in accordance with these instructions, procedures, or drawings.

Contrary to the above, on September 25, 2018, an activity affecting quality was not prescribed by documented instructions appropriate to the circumstances. Specifically, the licensee did not prescribe instructions appropriate to the circumstance for determining the average sediment depth in the Residual Heat Removal Complex Reservoir. This led to an incorrect and non-conservative sediment depth level being recorded within Work Order 47534163.

Enforcement Action: This violation is being treated as a non-cited violation, consistent with Section 2.3.2 of the Enforcement Policy.

Licensee-Identified Non-Cited Violation 71111.11B This violation of very low safety significance was identified by the licensee and has been entered into the licensee corrective action program and is being treated as a non-cited violation, consistent with Section 2.3.2 of the Enforcement Policy.

Violation: Title 10 of the Code of Federal Regulations (CFR) § 50.74(c) requires, in part, that each licensee notify the appropriate Regional Administrator as listed in appendix D to part 20 of this chapter within 30 days of the following in regard to licensed operator or senior operator of a permanent disability or illness as described in § 55.25. Section 55.25 requires that if, during the term of the license, the licensee develops a permanent physical or mental condition that causes the licensee to fail to meet the requirements of § 55.21, the facility licensee shall notify the Commission, within 30 days of learning of the diagnosis, in accordance with § 50.74(c). For conditions for which a conditional license (as described 10 CFR 55.33(b)) is requested, the facility licensee shall provide medical certification on Form NRC 396 to the Commission (as described in 10 CFR 55.23).

Contrary to the above, as of April 24, 2019, the facility licensee did not notify the NRC within 30 days of learning of a permanent condition for a licensed operator which caused the licensed operator to fail to meet the requirements § 55.21. Specifically, the Medical Review Officer and site nurse became aware on approximately March 12, 2018, of a medical condition that changed the operator's ability to meet the requirements of § 55.21 and for which a license condition was required. However, the facility did not notify the NRC of this medical change until May 22, 2019, a period greater than 30 days.

Significance/Severity: Severity Level IV. This issue is similar to the violation example 6.9.d.1 in the NRC Enforcement Policy, dated May 28, 2019, for a Severity Level IV violation because it involved a facility licensee's failure to make a required report that, had it been submitted, would have resulted in a licensing decision to amend a condition to the operator's license prescribing required action to maintain medical qualification while performing functions authorized by the license.

Corrective Action References: CARD 19-23136; License Operator Medical - Missed 30-day Notification as Required by 10 CFR 50.74 Inadequate Relay Replacement Frequency Causes Momentary Loss of Secondary Containment Vacuum Cornerstone Significance Cross-Cutting Aspect Report Section Barrier Integrity

Green FIN 05000341/2019004-02 Open/Closed None (NPP)71111.12 A self-revealed Green finding was identified when the licensee failed to follow site procedure MES51, "Preventative Maintenance Program." Specifically, the licensee failed to replace a relay within the vendor recommended interval due to an inappropriate application of grace period. As a result, the relay failed and prevented a Reactor Building Heating and Ventilation System (RBHVAC) damper from closing during normal operation of the system, which caused pressure to increase in secondary containment beyond Technical Specification (TS)operability limits.

Description:

On September 29, 2019, operators performed a routine swap of running RBHVAC trains.

RBHVAC is a system that provides normal ventilation to the reactor and auxiliary buildings, and is designed to maintain secondary containment at a lower pressure than the surrounding environs. With secondary containment at a lower pressure, any unplanned radioactive releases to secondary containment would be contained within the reactor building, limiting release of radioactivity outside the building. A safety-related standby gas treatment (SBGT)system is also available and is credited for use during emergencies. During the shutdown of the west RBHVAC train, the west exhaust fan discharge shutoff damper failed to close. With the damper still open and the east train in operation, some exhaust flow returned back into the reactor building, which caused secondary containment pressure to increase. The pressure increase continued until operators responded to the resultant reactor building pressure alarms in the plant's main control room by restoring the west RBHVAC train to service. The maximum positive pressure observed was 0.1" water column. The TS 3.6.4.1 pressure limit for secondary containment operability is negative 0.125" water column, and was restored approximately eight minutes later. Therefore, no TS Allowable Outage Time Requirements were exceeded.

The damper is controlled by a time delay relay, which delays opening the damper for approximately 20 seconds when starting the fan. This allows the fan to reach full speed before providing air flow for that train, so as to maintain secondary containment at the required pressure. The shutoff damper failed to close because electrical contacts on the Agastat time delay relay associated with the west RBHVAC train exhaust fan stuck closed when the fan was secured, which allowed a solenoid associated with the damper positioner to remain energized, which kept the damper open. Once operators restored the west RBHVAC train to service in accordance with the alarm response procedures, the relay reset, causing the damper to shut and then open again after the time delay expired.

Investigation by the licensee revealed that the vendor recommended replacement interval for the relay was 10 years. While the licensee had established a replacement frequency of 10 years for the relay, the relay in question had been installed for over 11 years. Per the licensee's preventative maintenance and work management procedures, there is a 25 percent grace period that is typically allowed for most components. So, for a 10-year interval, the replacement would have to be made within 12.5 years, utilizing grace. However, MES51, "Preventative Maintenance Program," section 5.1.6.8, specifically states that grace does not apply to Agastat relays unless there is an evaluation that approves of the use of grace. In this case there was no evaluation supporting an extended replacement interval, therefore, the relay was past due for replacement. Following their investigation, the licensee changed the replacement interval in the preventative maintenance program for this and other affected relays in the RBHVAC system, such that the relays would be replaced before 10 years following installation.

As a result of the secondary containment pressure increase beyond the TS 3.6.4.1 allowed limit, the licensee declared secondary containment inoperable. The licensee also submitted an eight-hour event notification (EN 54299) and LER (05000341/2019-005) for a loss of safety function based on this inoperability. The LER was evaluated under Section 71153 of this report.

Corrective Actions: To restore operability of secondary containment, the licensee restored the west train of RBHVAC to operation. As a result of their investigation, the licensee changed the replacement interval of the affected relays from 10 years to 8 years.

Corrective Action References: CARD 19-27379

Performance Assessment:

Performance Deficiency: Licensee procedure MES51, "Preventative Maintenance Program,"

section 5.1.6.8 precludes use of a grace period for PM Records that have a desired completion period established via an engineering evaluation (i.e., Agastat relays). Contrary to this requirement, the licensee utilized a grace period for an Agastat relay. As a result, the relay was not replaced within the vendor recommended interval, and no evaluation had been performed to use the grace period.

Screening: The inspectors determined the performance deficiency was more than minor because it was associated with the SSC and Barrier Performance attribute of the Barrier Integrity cornerstone and adversely affected the cornerstone objective to provide reasonable assurance that physical design barriers protect the public from radionuclide releases caused by accidents or events. Specifically, failure of the relay caused secondary containment to be inoperable.

Significance: The inspectors assessed the significance of the finding using Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Specifically, the inspectors answered 'yes' to exhibit 3, question D.1., since the finding only affected secondary containment.

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

Enforcement:

Inspectors did not identify a violation of regulatory requirements associated with this finding, because the Preventative Maintenance Program procedure was not subject to the requirements of 10 CFR 50, Appendix B, Quality Assurance Criteria for Nuclear Power Plants and Fuel Reprocessing Plants, or TS 5.4, Procedures.

Observation: Adverse Trend in Configuration Control Events 71152 Controlling plant configuration of structures, systems, and components (SSCs) is an important aspect to maintaining plant design functions and defense-in-depth (e.g., multiple trains or divisions of SSCs or multiple SSCs to perform the same design function). A mispositioned structure, system, or component has the potential to adversely impact plant systems and equipment resulting in problems that could cause initiating events or impact the availability and functional capability of mitigating systems or barriers. During the course of calendar year 2019, the licensee identified an adverse trend of configuration control issues, often referred to as plant status control or component mispositionings. The licensee entered the trend on multiple occasions into the corrective action program along with the various individual configuration control issues (approximately ten). Some notable configuration control event examples included, but were not limited to:

  • On January 16, 2019, Average Power Range Monitor (APRM) 3 was not bypassed as required by procedure prior to planned data collection on three local power range monitors that were replaced during the previous refueling outage. Although the specified procedure step directing APRM 3 to be placed in bypass mode was marked as complete, the instrumentation and control technician performing the procedure misinterpreted the step and did not ensure the APRM switch was placed in bypass.

The condition was recognized by a control room licensed senior reactor operator during the maintenance evolution. There were no impacts to the plant as the three local power range monitors had each been individually bypassed per procedure and APRM 3 had already been declared inoperable the same day at the start of the planned maintenance evolution. [CARD 19-20353]

  • On March 13, 2019, a non-licensed equipment operator did not perform a procedure step to open a closed discharge valve on nonsafety-related condensate filter demineralizer (CFD) C during system restoration following planned maintenance.

As a result, when the system was attempted to be returned to service no condensate flow was observed through CFD C. The equipment operator had manipulated the same component earlier in the procedure and thought it was already open without re-verifying the valve position. There were no adverse effects on the condensate system as multiple other CFDs were in service at the time. [CARD 19-21941]

  • On March 22, 2019, a high-pressure coolant injection (HPCI) pump discharge isolation valve was found closed while attempting to return the system to service following planned maintenance. A licensed operator did not verify the HPCI pump discharge valve was open as required by procedure, in part due to six other valves listed in the same procedure verification step. The condition was identified during a fill and vent of the system to ensure it was appropriately water solid. Specifically, no water flow was noted when an attempt was made to vent the discharge piping. There were no adverse system effects on the HPCI system as it was already out of service for planned maintenance. [CARD 19-22208]
  • On August 2, 2019, a piece of test equipment was not removed from a Division 2 reactor protection system (RPS) trip unit prior to returning the system to service following planned maintenance on a RPS reactor steam dome pressure instrument channel. The procedure step to remove the test equipment (calibration unit readout assembly) was not performed and inadvertently marked as completed. On August 5, 2019, instrumentation and control technicians identified the installed test equipment in the field while preparing for an unrelated surveillance test. The test equipment was determined to have no adverse impact on system operation while connected and was subsequently removed. [CARD 19-25901]
  • On October 10, 2019, a non-licensed equipment operator installed a gagging device (restraint) on an incorrect relief valve while performing planned relief valve testing on the nonsafety-related Auxiliary Boiler system. The physical procedure indicating which relief valve should have been secured and which relief valve should have been tested was not in hand during the gagging evolution. The condition was recognized when the tested relief valve lift set point was lower than expected. There were no adverse impacts on the Auxiliary Boiler system. [CARD 19-27742]

The majority of configuration control issues were associated with not performing a procedure or work order step as written due to a less-than-thorough pre-job briefing prior to starting the activity, poor place-keeping of in-progress and/or completed procedural steps, or inadequate verification practices. In multiple instances, another individual was present as a peer checker during the evolution to validate the correct actions were taken and also did not identify the error.

The licensee performed several configuration control causal evaluations over the course of calendar year 2019 in an effort to address the adverse trend. In general, those causal evaluations determined that 1) high standards were not well established, internalized, and followed; 2) station leadership did not align the workforce to station priorities and goals; and 3) inadequate oversight to enforce standards. In addition, there was a perceived lack of urgency in quickly addressing the adverse trend due to the perception that the various events were low-level and/or non-consequential.

In general, individual coaching, human performance briefings, and training were not effective in mitigating the adverse trend based on a continuation of configuration control events throughout calendar year 2019 in multiple departments. Corrective actions taken or planned to address the adverse trend include, but are not limited to: 1) routine communications to all departments of configuration control standards and current status of configuration control performance; 2) increased oversight through focused configuration control observations; and 3) as part of pre-job briefings prior to performing work in the plant a series of configuration control questions must be answered by individual workers focused on appropriate recognition and mitigation of mispositioning vulnerabilities.

The inspectors did not identify any violations of regulatory requirements or performance deficiencies of more than minor significance based on the circumstances stated above.

Minor Violation 71153 Minor Violation: Licensee event report 2019-003 described that during security drills on May 29, 2019, both doors in the secondary containment airlock on the reactor building first floor were opened at the same time for approximately two seconds due to a failure to adequately control the drill. Technical Specification (TS) surveillance requirement 3.6.4.1.3 required at least one door in each secondary containment access opening to be closed during the Mode 1 (power operation) conditions at the time. With both doors open, secondary containment was rendered inoperable. Title 10 CFR 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, requires, in part, that activities affecting quality shall be prescribed by documented instructions, procedures, or drawings of a type appropriate to the circumstances and shall be accomplished in accordance with those instructions, procedures, or drawings. Fermi Procedure 23.428, Secondary Containment Airlocks and Penetrations, was a procedure affecting quality and required the first door opened of a secondary containment access to be closed and latched prior to opening the second door.

Screening: The inspectors determined the performance deficiency was minor. The issue was minor because it did not adversely affect the barrier integrity cornerstone. At least one door was able to be closed within two seconds upon discovery of both doors being open, secondary containment pressure was not affected, and there were no other known deficiencies with the secondary containment access doors.

Enforcement:

This failure to comply with Title 10 CFR 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, constitutes a minor violation that is not subject to enforcement action in accordance with the NRCs Enforcement Policy. The licensee closed at least one door in the secondary containment access and entered the issue in their CAP as CARD 19-24107.

EXIT MEETINGS AND DEBRIEFS

The inspectors confirmed that proprietary information was controlled to protect from public disclosure.

  • On January 7, 2020, the inspectors presented the integrated inspection results to Mr. P. Dietrich, Senior Vice President and Chief Nuclear Officer, and other members of the licensee staff.
  • On October 4, 2019, the inspectors presented the licensed operator requalification program inspection results inspection results to Mr. P. Fessler, Senior Vice President and Chief Nuclear Officer, and other members of the licensee staff.
  • On November 1, 2019, the inspectors presented the heat sink inspection results to Mr.

M. Caragher, Plant Manager and Executive Director, and other members of the licensee staff.

  • On November 8, 2019, the inspectors presented the radiation protection program inspection results to Mr. R. LaBurn, Radiation Protection Manager, and other members of the licensee staff.
  • On November 21, 2019, the inspectors presented the Emergency Action Level and Emergency Plan Changes Inspection inspection results to Mr. A. Mann, Emergency Preparedness Manager, and other members of the licensee staff.

THIRD PARTY REVIEWS

Inspectors reviewed Institute of Nuclear Power Operations reports that were issued during the inspection period.

DOCUMENTS REVIEWED

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

71111.01

Corrective Action

Documents

17-24586

NQA - Seasonal Readiness Program Issues

05/18/2017

19-27989

Notice of First Level Issue Escalation - Repeat

Deficiencies with Non-Compliance to Seasonal

Preparedness Procedures, Ineffective Cross Functional

Team Coordination and Inadequate Oversight of Seasonal

Readiness Activities

10/21/2019

19-28315

Follow-Up Monitoring Plan for Escalation - Repeat

Deficiencies with Non-Compliance to Seasonal

Preparedness Procedures (NAQA-19-0047)

Initiated This AIM to Track Progress

10/31/2019

Procedures

23.104

Condensate Storage and Transfer System Standby Valve

Lineup, Attachment 1, Page 9 of 46

23.208

RHR Complex Service Water Systems

27

MWC16-100

Seasonal Readiness

0A

71111.04Q Drawings

6M721-5357

Emergency Equipment Cooling Water System Division II

BU

6M721-5709

Reactor Core Isolation Cooling System Sketch

AO

6M721N-2053

RHR Service Water System Division 2 RHR Complex

AH

Procedures

23.208

RHR Complex Service Water Systems

27

ODE-20

Protected Equipment

71111.05Q Calculations

DC-4921 Vol 1

Appendix R Calculations

E

Corrective Action

Documents

19-27427

NRC Identified Transient Combustible Without Permit

10/01/2019

Drawings

6A721-2405

Fire Protection Evaluation Reactor and Auxiliary Buildings

Second Floor Plan El. 613'-6"

Y

Fire Plans

FP-RB-1-7B

Reactor Building South Control Rod Drive (CRD) and

Railroad Bay Area, Zone 7

FP-RB-2-10A

Reactor Building Emergency Equipment Cooling Water

North, Zone 10, El. 613' 6"

FP-RHR-1-14-EDG

RHR Complex EDG 14 Room El 590' 60"

71111.06

Miscellaneous

EF2-PRA012

Fermi 2 Internal Flood Analysis Notebook

71111.07A

Calculations

DC-6286 Volume 1

EECW HX Performance Requirements with Plugging

A

Corrective Action

19-24051

Recommend Scheduling Swap of the Division 1 EECW

05/28/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Documents

Heat Exchangers

19-27521

Unexpected Increase in Div 1 EECW Heat Exchanger

Differential Pressure After Recent Swap

10/03/2019

Work Orders

49005284

Perform 24.208.03 Division 2 EESW and EECW Makeup

Pump and Valve Operability Test (Section 5.1)

03/27/2019

49538124

Perform 24.208.02 Division 1 EESW and EECW Makeup

Pump and Valve Operability Test (Section 5.1)

06/06/2019

49725438

Perform 24.208.03 Division 2 EESW and EECW Makeup

Pump and Valve Operability Test (Section 5.1)

06/25/2019

50361462

Perform 24.208.02 Division 1 EESW and EECW Makeup

Pump and Valve Operability Test (Section 5.1)

09/05/2019

71111.07T

Calculations

DC-0182 Volume I

RHRSW Mechanical Draft Cooling Towers - Post LOCA

Analysis of UHS

G

DC-0182 Volume VI

RHRSW Mechanical Draft Cooling Towers - Heat Load

After A Design Basis Tornado

C

DC-5474

Waterhammer Analysis for the RHR Service Water

System

DC-5804

DGSW Design Basis Requirements

E

DC-6121

Design Basis for RHR Heat Exchanger Thermal

Performance Test Criteria

B

Calibration

Records

Calibration

Specification Sheet

R30A23C-S

Emergency Diesel Generator (EDG) 12 Air Temperature

Thermometer

Calibration

Specification Sheet

R30N569B-S

Emergency Diesel Generator (EDG) No. 13 Service Water

Pump 'B' Water Flow Low

Corrective Action

Documents

14-22832

Acceptance Criteria not met for 47.205.01 during RFO-16

03/26/2014

15-28706

Ultrasonic Flow Meter Calibration Required for 47.205.01

11/06/2015

15-28710

Low Decay Heat Load for 47.205.01 in RFO-17

11/06/2015

15-28719

Actual Test Uncertainty Exceeds the Acceptable Test

Uncertainty of 47.205.01 from RFO-17 for Case 2

Evaluation

11/06/2015

16-21036

Increase in EDG 13 Heat Exchanger Tubes Blocked

2/04/2016

16-24183

2016 NRC UHS Inspection - Inconsistent Work

05/19/2016

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Documentation of RHR Reservoir Inspections

16-26238

2016 Generic Letter (GL) 89-13 Program Health Report

Tracking

08/08/2016

16-27634

NRC Violation - Inadequate Test Procedure Used for

Measuring and Determining Average Silt Levels in the

Service Water Reservoir

09/26/2016

17-00221

EDG 13 DGSW Flow Transmitter Reading High

01/21/2017

17-21233

Operations Shift 4 Crew Learning Opportunity - Identified

EDG 13 DGSW Flow High but Didn't Write a CARD

2/12/2017

18-20572

Excessive Build-up of Grime, and Sludge on Outside of

the Tube Bundle

01/22/2018

Corrective Action

Documents

Resulting from

Inspection

19-28289

2019 NRC Triennial UHS Inspection: Evaluate Effect of

Failed Post-Calibration Check of Ultrasonic Flow Meter on

47.205.01 Performed 11/11/2015

10/30/2019

19-28291

2019 NRC Triennial UHS Inspection: Typographical Error

in DC-0182 Vol I

10/30/2019

19-28324

2019 NRC Triennial UHS Inspection: Average Silt

Accumulation in UHS Reservoir was not Calculated in WO 47534163

10/31/2019

19-28350

2019 NRC Triennial UHS Inspection: RHR Heat

Exchanger Data Sheet Enhancements

11/01/2019

19-28351

2019 NRC Triennial UHS Inspection: Heat Exchanger

Shell Side Cleanliness Impacts

11/01/2019

19-28353

EDG Air Coolant Temperature - DC-5804 Vol I

Discrepancy

11/01/2019

19-28482

2019 NRC Triennial UHS Inspection: Proto-HX Mass Flow

Calculation

11/06/2019

Drawings

6M721-2084

Diagram Residual Heat Removal (R.H.R) Division I

BP

6M721N-2053

RHR Service Water System Division 2 RHR Complex

AH

Miscellaneous

IST Components

Heat Exchanger Specification Sheet

01/17/1995

Results of the 2014 MMR14 Structures Monitoring

Walkdown

10/08/2014

NDE Reports

27138

Eddy Current Preliminary Report

10/04/2018

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Procedures

23.208

RHR Complex Service Water Systems

26

23.307

Emergency Diesel Generator System

28

24.307.36

DGSW, DFOT and Starting Air Operability Test EDG 13

MES54

Heat Exchanger Component Monitoring Program

7A

Work Orders

18-20990

Replace EDG 13 SW Pump

2/05/2018

25976827

Eddy Current Testing of Heat Exchanger

10/19/2018

2416088

Calibrate EDG 13 DGSW Pump 'B' Low Flow Switch

08/03/2015

34438905

Perform 47.205.01 RHR Division 1 HX Performance Test

04/25/2014

203843

Perform 47.205.01 RHR Division 1 HX Performance Test

11/11/2015

286065

Perform 24.205.05 Division 1 RHRSW Pump & Valve

Operability

04/23/2016

2610300

Perform 24.307.36 DGSW, DFOT & Starting Air

Operability Test EDG 13

07/26/2016

43114139

Perform 24.307.36 DGSW, DFOT & Starting Air

Operability Test EDG 13

10/26/2016

44307098

Perform 24.205.05 Division 1 RHRSW Pump & Valve

Operability

05/09/2017

44348532

Calibrate EDG 13 Service Water Flow Loop

07/26/2017

44813323

Perform 24.307.36 DGSW, DFOT & Starting Air

Operability Test EDG 13

07/26/2017

45376325

Perform 24.307.36 DGSW, DFOT & Starting Air

Operability Test EDG 13

11/06/2017

46513309

Perform 24.205.05 Division 1 RHRSW Pump & Valve

Operability

05/09/2018

47053547

Perform 24.205.05 Division 1 RHRSW Pump & Valve

Operability

07/17/2018

47534163

License Renewal REQ'D Perform Div 2 RHR Reservoir

Zebra Mussel and Ball Valve Inspection Dive

01/15/2019

47788625

Perform 24.307.36 DGSW, DFOT & Starting Air

Operability Test EDG 13

10/31/2018

48505873

Perform 24.307.36 DGSW, DFOT & Starting Air

Operability Test EDG 13

01/27/2019

48913263

Inspect and Replace EDG 13 Exchanger Tube Bundles

01/22/2018

242378

Perform 24.307.36 DGSW, DFOT, & Starting Air

04/24/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Operability Test EDG 13

272520

Perform 24.307.37 DGSW, DFOT & Starting Air

Operability Test-EDG 14

05/01/2019

50014288

Perform 24.307.37 DGSW, DFOT & Starting Air

Operability Test-EDG 14

07/30/2019

50480923

Perform 24.307.32 EDG No. 13 24 Hour Run Followed by

Hot Fast Restart

10/23/2019

71111.11B

Corrective Action

Documents

CARD 17-29439

Significant Arcing in A RRMG Set Exciter Brushes

11/27/2017

CARD 18-26702

NRC Concern - Potential Lack of Timeliness for

Reportability Assessment with Seismic Recorder

Inoperable

09/05/2018

CARD 18-30363

Mispositioned Control Rod while in Mode 4

2/24/2018

CARD 19-22208

Mispositioned Component: Ops Shift 5 CLO - Valve

Found Out of Position During System Fill and Vent

03/22/2019

CARD 19-23136

License Operator Medical-Missed 30-day Notification as

Required by 10 CFR 50.74

04/24/2019

CARD 19-25407

Operator Licenses Not Terminated

07/17/2019

CARD 19-25407

NRC not Notified within 30 Days of Operator License

Termination

08/21/2019

CARD 19-25588

Instructor Presented Modified Training Material in NOR

[Nuclear Operator Requalification]

07/24/2019

CARD 19-26372

NRC Exam Security Compromise for 2019 License

Operator Biennial Exam during Validation

08/23/2019

CARD 19-27233

Missed Emergency Classification During a Simulator

Exam

09/25/2019

Root Cause

Evaluation (RCE) for

CARD 17-29439

RCE for CARD Regarding A RRMG Set Arcing

Engineering

Evaluations

NTWI [Nuclear

Training Work

Instruction] 1.22

Cycle 20 Simulator Core Model Performance Testing

11/20/2018

SM 5

2018 Simulator Operating Limit and Real Time Test

2/15/2018

SM 6

2018 Simulator Steady State Operations Performance

Test

2/17/2018

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

SM 7

2018 Simulator Operations Procedures Performance Test

2/17/2018

SM 8

2018 Simulator Malfunction Performance Test

2/17/2018

SM 9

2018 Simulator Initial Conditions Performance Test

2/14/2018

Miscellaneous

CR 6330

Malfunction MFE062 - Loss of 4160 V ESF Bus 65F was

Stopped

01/04/2019

CR 6331

24.404.03 rev. 47 - During Performance of SGTS Oper.

test, valves T4600-F410 and T4600-F407 were Outside

the New Stroke Time Requirements

11/26/2018

CR 6334

24.138.02 Stroke Time for B3100-F014A not Withing IST

Limits

11/28/2018

CR 6336

24.202.01 HPCI Pump and Valve operability Test at 1025

psi. Valve stroke times outside of acceptable limits for

E4100-F029/F054/F053. Stroke time requirements

changes since previous surveillance.

2/07/2018

CR 6458

N6100 Condenser and Auxiliaries - Comparator for MTG

Trip Set at 1425 rpm; included 75 rpm Internal Hysteresis

that was not Appropriate

080/02/2019

JP-OP-315-0105-

181

Manually Initiate Low-Low Set - Alt Path

JP-OP-315-0158-

2

Loss 64C and EDG 12 Fails to Start

JP-OP-802-4101-

2

Obtain and Interpret Electrical Drawings

JP-OP-802-4101-

531

Thermal Limit Verification (MAPRAT) - SRO

NANT-18-0239

Effectiveness Report on Operator Proficiency Training

2/21/2018

Training Program

Description -

Licensed Operator

Requalification

Attachments 3A-D

Licensed Operator Requalification Evaluation Forms for

Simulator Exams Conducted on 10/1/2019

10/01/2019

Procedures

MGA13

Fermi Medical Requirements

MGA25

Inprocessing, Outprocessing, and Change of Vendor

MNT18

Conduct of Operations Training Manual

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

NTWI 1.16

Examination Safeguards and Controls

NTWI 1.20

Simulator Fidelity

NTWI 1.23

Licensed Operator Requalification Exams

NTWI 1.25

Licensed Operator Medical Work Processes

Nuclear Licensing

Work Instruction

0053

Requirements for NRC Operator License Letters to the

NRC

ODE [Operations

Department

Expectation]-5

Operations Roles and Responsibilities

ODE-8

Administrative Guidelines and Desk Instructions

Self-

Assessments

NANT-19-0114

Formal Self-Assessment Report (Licensed Operator

Requalification Program)

08/28/2019

71111.11Q Corrective Action

Documents

19-28403

Loss of SJAE #3 Followed by Degrading Condenser

Vacuum

10/23/2019

Miscellaneous

LP-OP-202-1891

Emergency Action Levels for Operations

Procedures

20.125.01

Loss of Condenser Vacuum

23.125

Condenser Vacuum System

ARP 6D1

SJAE System Trouble

EP-101

Classification of Emergencies

2C

71111.12

Corrective Action

Documents

18-26173

Decreasing Trend in Both Div 1 and Div 2 Reference Leg

Backfill Flow

08/15/2018

18-26786

Operator Red Reading for Div 1 Reference Leg Backfill

09/09/2018

18-30374

Request Engineering to Evaluate the Upper Limit of the

Reference Leg Backfill System and Remove Limit if

Appropriate

2/26/2018

19-20916

B21P408A Nuclear Boiler Div 1 RPV Water Level

Reference Leg Backfill Trending Low

2/07/2019

19-25752

Adjustment of Div 2 Reference Leg Backfill Based on

Current Flow Trend

07/31/2019

19-26302

Div 2 Reference Leg Backfill Current Flow Trend

08/21/2019

19-27379

T4100-F014 Exhaust Damper Failed to Close when

Exhaust Fan was Shutdown

09/29/2019

19-27726

Damper Linkage Bushings Show Indications of Wear

10/10/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

19-27741

Inconsistent Work Order Instruction Results in Incorrect

Torque Values Being Applied

10/10/2019

19-29033

T4100F025 RB Center Supply Fan Shutoff Damper

Failure / Delayed Closure

11/25/2019

19-29081

RBHVAC not Maintaining RB Pressure

11/25/2019

19-29395

Div 1 Reference Leg Backfill is High Out of Specification

for Operator Rounds

2/08/2019

19-29705

RBHVAC Exhaust Fan Modulating Damper Failure

2/18/2019

19-29708

RBHVAC Center Supply Fan Shutoff Damper Failed to

Close

2/18/2019

Drawings

5I721-2615-04

Auto Temp Control System Control Panel H21P527,

P527A, P528, and P529 Control Diagram Ventilation

6M721-2707

Flow Diagram Reactor and Auxiliary Building Ventilation

System

P

6M721-2707-1

Flow Diagram Reactor and Auxiliary Building Ventilation

System

D

6M721-2709

Diagram Standby Gas Treatment and Primary

Containment Purge System Reactor Building

AI

Miscellaneous

Design Basis

T41-00

Reactor Auxiliary Building Ventilation System

04/23/2019

MES51

Chaper 51 - Preventive Maintenance Program

MMM08

Material Shipping, Handling, and Storage

MMR Appendix E

Maintenance Rule SSC Specific Functions

O & WMI-014

Outage and Work Management Instruction

Procedures

46.000.046

Operation of the Reactor Reference Leg Backfill System

Work Orders

46727448

Replace Filter Cartridges in Div 1 RPV Water Level

Instrumentation Backfill

09/30/2018

WO 51297761

Perform Mini Periodic MOV Inspection (E2150-F036B)

2/17/2019

71111.13

Corrective Action

Documents

19-28364

Generator Stator Lift NRC Question

11/01/2019

19-28371

NRC Question Concerning Presence of 32.RIG.18

Communication Plan

11/01/2019

19-28797

During Electric Fire Pump Run Pump Displayed Excessive

Vibrations

11/15/2019

19-28805

Request Evaluation to Determine if a Proper Risk

11/16/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Assessment was Performed During the Work Planning

Process for WO 50976710

Miscellaneous

50.59 Screen

19-0037

MTG Replacement

A

Black and Veatch

Calculation 193823

1001

Turbine Building Structural Evaluation [Confidential]

Black and Veatch

Evaluation 193823

1000

Fermi 2 Evaluation of Heavy Loads Impacts during Main

Generator Replacement [Proprietary]

Design Information

Transmittal

U21-190813-001

Barnhart Structural and Rigging Design Parameters

Enterprise Risk Plan

80000

Risk Associated with Replacement of the Main Turbine

Generator

Fermi 2

Shift Manager Daily Alignment Meeting

11/26/2019

Infrequently

Performed Test or

Evolution Briefing

Sheet

Main Generator Stator Lift

LCO 2019-0415

Replace Divison 2 NIAS Control Air Dryer Relay

11/22/2019

LCO 2019-0429

Division 2 Switchgear Room Cooler Power Supply

Inspection

11/25/2019

LCO 2019-0483

P5002 Inspect and Adjust D2 CAC Room Cooler Belts

11/25/2019

MES56

Engineering Risk Assessment, Job Briefing, and Product

Quality Review

MMA26

Troubleshooting

7A

MMR Appendix H

On-Line Core Damage Risk Management Guidelines

MMR12

Equipment Out of Service Risk Management

20A

MWC18

Emergent Issues Response

3A

ODE-16

Risk Assessment and Operation of Phoenix

ODE-20

Protected Equipment

Stator Offload Lift

Plan/Communication

Per Procedure 32.RIG.18, Guidelines and Practices for

the use of Hoisting and Rigging Equipment

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Plan

TE-ANL-19-043

PSA Risk Associated with the Lift of Generator Stator per

WO 54150509

TE-N30-19-028

Generator Stator Haul Path Evaluation

B

Procedures

20.000.03

Turbine Building Flooding

2.716.01

Turbine Building Crane Operation

2.RIG.18

Guidelines and Practices for the Use of Hoisting and

Rigging Equipment

15A

Work Orders

53495247

Lift Plan per Procedure 32.RIG.18 [Proprietary]

71111.15

Corrective Action

Documents

19-24737

EDG 14 Surging in Idle During Surveillance Run

06/24/2019

19-25713

E1156-C001D, Div 2 RHRSW MDCT Fan D, Tripped

when Placed in High Speed

07/30/2019

19-25722

Blown Fuse on 'D' RHR MDCT Fan High Speed Breaker

07/30/2019

19-27115

NRC Identified - Support E21-3144-G04 Spring Can

Setting Out of Tolerance

09/20/2019

19-27144

Adverse Trend with EDG 14 Fast Start Time

09/23/2019

19-27229

P44-F400B Did Not Fail in the Full Open Direction During

24.208.03 Step 5.1.28

09/25/2019

19-27462

Severed Tubing on EDG 14

10/02/2019

19-27694

Hot Spot on 'A' Phase of 72C-2A Pos. 2AR

10/09/2019

19-27741

Inconsistent Work Order Instruction Results in Incorrect

Torque Values Being Applied

10/10/2019

19-27743

Failed PMT: As Left Thermography Following Hot Spot

Repair

10/10/2019

19-27748

Revise Tech Spec Bases for LCO 3.7.4

10/11/2019

19-28481

Acrid Odor RCIC Barometric Condenser Vacuum Pump

Motor

11/05/2019

19-28721

Human Performance Error While Performing Surveillance

44.030.263 ECCS ADS L3 and L8 Div 1 Ch A Functional

11/13/2019

19-28910

SPF Inaccuracies

11/20/2019

19-28912

Temp Diesel Fire Pump Low Battery Water

11/20/2019

19-29282

NRC Identified - Operations did not Declare Alternate

Diesel Fire Pump Inoperable when Battery Low Level

Identified

2/04/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

19-29325

Temp Diesel Fire Pump

2/05/2019

Drawings

6M721-5709-1

Reactor Core Isolation Cooling (RCIC) System Sketch

AO

6M721-5734

Emergency Diesel Generator System

BI

6M721N-2047

Diesel Generator System Division II RHR Complex

AL

Engineering

Changes

Temporary

Modification

19-0018

Winterization of Temporary Alternate Diesel Fire Pump

A

Engineering

Evaluations

TMSA-06-0067

Evaluation of the No. of MDCT Fans Required for Decay

Heat Removal Success (CARD 06-26273)

2/18/2006

Miscellaneous

Design Basis

R30-00

Emergency Diesel Generator

I

E51-00

Reactor Core Isolation Cooling System Design Basis

Document [proprietary]

Risk Management

Plan (Rev 0)

Electric Fire Pump/Diesel Fire Pump Diving

11/18/2019

Procedures

34.307.001

Emergency Diesel Generators - Inspection and Preventive

Maintenance

44.030.263

ECCS - Reactor Vessel Water Level (ADS Level 3 and

Feedwater / Main Turbine Level 8), Division 1, Channel A

Functional Test

71111.18

Corrective Action

Documents

18-26318

New Fuel Transfer Crane Cable and Sheave Damaged

08/21/2018

18-27722

New Fuel Transfer Crane Cable and Sheave Damaged

10/10/2019

19-27473

Impact of Padding Installed New Fuel Inspection Stand

may not have been Evaluated

10/02/2019

19-27990

Evaluate New Fuel Inspection Stand Testing and

Inspection Requirements

10/21/2019

19-28020

Safety Concern with Channel Handling Winch Inspection

10/22/2019

Miscellaneous

Design Change

Package 80128

Fuel Uprighting Stand Modification

Work Orders

55442826

Modify Fuel Uprighting Machine 19-27432

11/04/2019

71111.19

Corrective Action

Documents

19-27229

P44-F400B Did Not Fail in the Full Open Direction During

24.208.03 Step 5.1.28

09/25/2019

19-27403

AFCC4 for RWCU B Flow Control Loop

09/30/2019

19-27498

Wrong Fuse Found in Bag for Restoration of EDG 14

10/03/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

19-27567

Inner Railroad Airlock Door Rail Plugs are Degraded

10/05/2019

19-27588

Suspected Hydraulic Lock on East Outer Railroad Airlock

Door

10/07/2019

Drawings

6I721-2125-06

Control System (DCS-FW) External Connections

H

6M721-2023

Feedwater System

BO

6M721-5711-2

Reactor Water Clean-Up Filter Demineralizers

U

6M721-5715-3

Standby Feedwater System Functional Operating Sketch

N

6M721-5729-2

Emergency Equipment Cooling Water (Division II)

BB

6M721-5733-1

Fire Protectin Functional Operating Sketch

BY

I-2331-07

Schematic Diagram Gland Sealing Steam Exhauster (E &

W)

G

Engineering

Changes

EDP 37673

Elimination of Main Steamline Isolation Valve Closure and

Scram Functions of Main Steamline Radiation Monitor

Miscellaneous

MMA11

Valve Testing, Enclosure B

VMC2-105

CCI Drag Valve Vendor Manual

B

Procedures

24.107.03

SBFW Pump and Valve Operability and Lineup

Verification Test

24.207.09

Division 2 EECW Pump and Valve Operability Test

34.307.001

Emergency Diesel Generators - Inspection and Preventive

Maintenance

35.139.006

CCI Drag Valve and Actuator Maintenance

43.000.010

IST Check Valve Inspection Procedure

ARP 2D13

Fuel Pool Cooling Trouble

Work Orders

48449374

Perform Non-ASME As-Found and As-Left Relief

10/10/2019

49062676

Inspect/Test 260 VDC MCC 2PC-1 Pos 5A

10/10/2019

49705777

Disassemble/Inspect Check Valve Internals for

Degradation

10/21/2019

51059456

Perform 28.504.09 Electric Fire Pump Monthly Operability

Test

11/22/2019

51441579

Calibrate RWCU Filter Demin 'B' Effluent Flow Loop

09/30/2019

2071933

EDP 37673 Elimination of Main Steamline Isolation Valve

Closure and Scram Function of Main Steamline Radiation

Monitor Post Maintenance Test for 4D32

10/25/2018

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

208989

44.080.605 East and West Gland Seal Exhauster /

Mechanical Vacuum Pump Logic System Functional Test

10/23/2018

55304662

EECW Div 2 HX B001B/B001D SW Outlet Temp Control

AOV

10/05/2019

55304788

Adverse Trend with EDG 14 Fast Start Time

09/30/2019

55372321

Perform 24.307.17 Sec-5.2 EDG 14 Start and Load Test -

Fast Start

10/02/2019

55419277

Blow Down Pneumatic Locking Bar Lines on Exterior RR

Air Lock Doors

10/07/2019

55799429

Troubleshoot/Repair Electric Fire Pump

11/16/2019

71111.22

Procedures

24.000.02

Shiftly, Daily, and Weekly Required Surveillances

157

24.307.17

Emergency Diesel Generator 14 - Start and Load Test

Work Orders

50698481

Perform 550 kW N Diesel S001A Functional Test 887200

10/12/2019

50943437

Perform 550kW N+1 Diesel S001B Functional Test

887201

11/07/2019

51363396

Perform 24.307.17 Sec-5.1 EDG 14 Start and Load Test -

Slow Start

2/23/2019

71114.02

Corrective Action

Documents

18-23507

18-23507 Explore Alternate Siren Testing for NRC PI data

05/02/2018

Miscellaneous

FEMA Approval Letter for Fermi 2 ANS Design Report,

Revision 1

11/30/2015

Alert Notification System Siren Test Results

09/01/2017 -

09/01/2019

ANS Sirens Corrective Maintenance Records

09/01/2017 -

09/01/2019

ANS Siren Annual Preventative Maintenance Records

09/01/2017 -

09/01/2019

2019 Monthly Siren Test Schedule

DTE Energy Emergency Preparedness for Monroe and

Wayne Counties 2019 (Handbook)

Fermi 2 Alert and Notification System (ANS) Design

Report

255232R

Federal Signal Corporation 2001SRNB Electro-

09/28/2004

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Mechanical Siren

SS2000D -

255318G1

SS2000D Controller/Encoder Installation and Operation

Instructions

10/07/2003

Procedures

Fermi 2 Radiological Emergency Response Preparedness

Plan

EP-560

Alert and Notification System Operation and Maintenance

71114.03

Corrective Action

Documents

18-21396

RERP Callout Automated System has Limited

Functionality

2/19/2018

18-24950

ECOS Test Results TSC/EOF Personnel

06/26/2018

18-26311

Red Team ECOS Response was not 100%

08/21/2018

18-29646

Potential Trend in ECOS Non-Response for

Acknowledgement of On-Call ERO Duty

11/30/2018

19-24138

Failure to Respond to ECOS Callout

05/30/2019

Miscellaneous

ERO Quarterly Augmentation Drill Records

09/01/2017 -

09/01/2019

Fermi 2 On-shift Staffing Analysis

2/20/2012

Fermi 2 ERO Team List

08/31/2019

ERO Team Training and Qualification Records

(Sample - 10)

10/03/2019

Procedures

Fermi 2 Radiological Emergency Response Preparedness

Plan; Section B, Emergency Response Organization

EP-290

Emergency Notifications

EP-540

Drills and Exercises

EP-550

RERP Training Program

EP-570

Emergency Call Out System - Testing and Maintenance

6A

EP-570,

ECOS Test Reviews (Quarterly)

09/01/2017 -

09/01/2019

QP-ER-670

Radiological Emergency Response Preparedness

Selection, Training and Qualification Program Description

71114.04

Miscellaneous

CFR 50.54Q Compliance Review Personnel

Qualifications Spreadsheet

06/24/2019

2018-04E

CFR50.54(q) Evaluation - RERP Plan Change, Plant

Radio System Upgrade

08/16/2018

2018-06E

CFR50.54(q) Evaluation - RERP Plan Change,

07/18/2018

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Operations Support Center Relocation

2018-10S

CFR50.54(q) Screen - RERP Plan Change, Central

Alarm Station Relocation

08/11/2018

2018-35S

CFR50.54(q) Screen - RERP Plan Change, Operations

Support Center Relocation

07/18/2018

2018-36S

CFR50.54(q) Screen - RERP Plan Change, Plant

Radio System Upgrade

08/06/2018

Procedures

Fermi 2 Radiological Emergency Response Preparedness

Plan

Fermi 2 Radiological Emergency Response Preparedness

Plan

EP-590

CFR50.54(q) Screens and Evaluation

0A

71114.05

Corrective Action

Documents

17-27716

NQA Audit 17-0112 Deficiency - Uncontrolled and

Outdated RERP Documents in the EOF

09/18/2017

17-27788

NQA Audit 17-0112 Recommendation -Training

Enhancements for ERO Positions

09/20/2017

17-29094

RadDose Program

11/09/2017

17-29260

Incorrect Calibration Constant in RadDose V

11/16/2017

19-21090

RERP Excellence Initiatives Tracking EI2

2/13/2019

19-21964

Missed and Untimely Classification in the Simulator

03/13/2019

Miscellaneous

Quarterly Operations Support Facility ERF Testing and

Maintenance Records

09/01/2017 -

09/01/2019

Exercise and Drill Evaluation Reports (Sample)

09/01/2017 -

09/01/2019

Quarterly Control Room ERF Testing and Maintenance

Records

09/01/2017 -

09/01/2019

Quarterly Emergency Operations Facility ERF Testing and

Maintenance Records

09/01/2017 -

09/01/2019

Quarterly Technical Support Center ERF Testing and

Maintenance Records

09/01/2017 -

09/01/2019

Emergency Preparedness Letters of Agreements with Off-

Site Response and Support Organizations

09/01/2017 -

09/01/2018

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

KLD-TR-1030

Fermi 2 Nuclear Power Plant 2018 Population Update

Analysis

09/29/2018

Procedures

EP-101

Classifications

2C

EP-290

Emergency Notifications

2C

EP-292

Emergency Call Out - Backup Method

EP-580

Equipment Important to Emergency Response (EITER)

EP-590

CFR 50.54(q) Screens and Evaluations

0A

EP-601

Public Education and Information

Self-

Assessments

Audit Report 17-

0112

Quality Assurance Audit of Emergency Preparedness

Program

09/26/2017

Audit Report 18-

0111

Quality Assurance Audit of the Emergency Preparedness

Program

09/18/2018

71114.06

Miscellaneous

2019 Fourth Quarter Table Top Drill, DTE Electric

Company, Fermi 2

10/03/2019 -

10/24/2019

Procedures

EP-101

Classification of Emergencies

2C

71124.01

Corrective Action

Documents

18-29556

Dose Rate Increase Creating New Locked High Radiation

Area on RB-2

11/28/2018

19-20128

Higher Than Anticipated Dose Rates during RWCU Fill

and Vent Activities

01/06/2019

19-20981

Locked High Radiation Area Conditions Found in the

Torus Room Sub-Basement Reactor Water Clean Up

Return Line

2/09/2019

19-22778

Elevated Dose Rates in the Auxiliary Building T-Room,

Requiring the Posting of a High Radiation Area

04/14/2019

Procedures

68.000.003

Radiological Air Sampling

1A

Radiation

Surveys

00116-A19

Reactor Core Isolation Cooling Run

05/10/2019

252-A19

Turbine Deck To Steam Tunnel

09/16/2019

00305-A19

Reactor Water Clean Up Pump Room

10/02/2019

01312-R19

Reactor Core Isolation Cooling Run

05/10/2019

2412-R19

Reactor Core Isolation Cooling Run

08/14/2019

2766-R19

Steam Tunnel

09/15/2019

2787-R19

Steam Tunnel

09/17/2019

2930-R19

Reactor Water Clean Up Pump Room

10/01/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

2958-R19

Reactor Water Clean Up Pump Room

10/01/2019

254-R19

Reactor Water Clean Up Phase Separator Room

11/06/2019

03450-R18

Reactor Water Clean Up Phase Separator Room

09/25/2018

Radiation Work

Permits (RWPs)

191020

Emergent Issues Tasks

191027

E41 and E51 System Maintenance, Inspections,

Surveillance and Test Runs

191050

Reactor Water Clean Up Pump Seal Repair/Replacement

191051

Reactor Water Clean Up Phase Separator Room Entry

and Component Repair

Work Orders

54082896

Perform 64.713.050 Source Leak Testing

06/19/2019

71151

Miscellaneous

Performance Indicator Data Sheets - Drill and Exercise

Performance (DEP)

07/01/2018 -

06/30/2019

Performance Indicator Data Sheets - Alert and Notification

System (ANS)

07/01/2018 -

06/30/2019

Performance Indicator Data Sheets - Emergency

Response Organization (ERO) Drill Participation

07/01/2018 -

06/30/2019

71152

Corrective Action

Documents

19-20353

Mispositioned Component: APRM 3 not Bypassed during

46.604.001

01/16/2019

19-20355

Cognitive Trend - Operations Mispositioning Events

01/16/2019

19-20897

Security CLO - Plant Equipment Bumped during FOF

Drills

2/07/2019

19-21941

Mispositioned Component: Missed Procedure Step when

Placing CFD C in Service

03/13/2019

19-22208

Mispositioned Component: Ops Shift 5 CLO - Valve Fount

out of Position during System Fill and Vent

03/22/2019

19-22351

Evaluation of Operations Plant Status Control

Performance

03/27/2019

19-22376

2019 Plant Status Control Committee (PSCC) Meeting

Actions

03/28/2019

19-22799

DFP Jacket Cooler Inlet Alt Stnr Outlet Isolation Valve was

Found in Closed Position

04/15/2019

19-23602

INPO Evaluation Plant Status Control

09/03/2019

19-23623

Mispositioned Component: Discovered P5000F1013A not

in Correct Positions

05/10/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

19-23859

Potential Mispositioned Component: Unexpected Caps

Left Installed on RB SPING Lines

05/20/2019

19-24681

Document Assessment of IN 2019-03

06/21/2019

19-25901

Mispostioned Component: Rosemount Readout Found

Installed in Rosemount Trip Unit in H21P087 Section Z1

08/05/2019

19-26203

Mispositioned Component: Operations Shift 5 CLO - Step

not Performed in 23.300

08/16/2019

19-26858

Plant Status Control Committee Input to Nuclear Safety

Culture Monitoring Panel

09/12/2019

19-26860

Effectiveness Review Measures will not be Met

09/12/2019

19-27742

Mospositioned Component P6100F020B South Boiler

Steam Relief Valve, While Performing 27.142.01 Auxiliary

Boiler Trip and Safety Valve Test for the South Auxiliary

Boiler

10/10/2019

19-28157

Mispositioned Component - S Aux Boiler Atomizing Air

Isolation Valve Found Open during Reference Leg Filling

10/25/2019

19-28217

Plant Status Control Committee - Maintenance Plant

Status Control Precursors

10/28/2019

19-28218

Plant Status Control Committee - Operations Plant Status

Control Precursors

10/28/2019

19-28721

Human Performance Error while Performing Surveillance

44.030.263 ECCS ADS L3 and L8 Division 1 Channel 'A'

Functional Test

11/13/2019

19-29371

HCU 14-07: Leak Coming from the Manifold Filter Plug for

the C11F120 FCV

2/07/2019

19-29423

Chemistry Performance of SPING Weekly Surveillance

without Signing on with the Tagging Center

2/09/2019

Miscellaneous

MOP05 Operations

Conduct Manual

Control of Equipment

ODE-7 Operations

Department

Expectation

Configuration Control

71153

Corrective Action

Documents

19-25713

E1156-C001D, Div 2 RHRSW MDCT Fan D, Tripped

When Placed in High Speed

07/30/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

19-25722

Blown Fuse on 'D' RHR MDCT Fan High Speed Breaker

07/30/2019

Engineering

Evaluations

TMSA-06-0067

Evaluation of the No. of MDCT Fans Required for Decay

Heat Removal Success (CARD 06-26273)

2/18/2006

Miscellaneous

LER 2019-003

Secondary Containment Declared Inoperable due to

Opening Both Airlock Doors

LER 2019-004

Division 2 Mechanical Draft Cooling Tower Fan "D"

Tripped when Placed in High Speed due to a Blown Fuse

LER 2019-005

Secondary Containment Pressure Exceeded Technical

Specification due to Reactor Building HVAC Damper

Malfunction

00