IR 05000346/2019004

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Integrated Inspection Report 05000346/2019004 and 07200014/2019001
ML20035D918
Person / Time
Site: Davis Besse  Cleveland Electric icon.png
Issue date: 01/31/2020
From: Billy Dickson
NRC/RGN-III/DRP/B2
To: Bezilla M
FirstEnergy Nuclear Operating Co
References
IR 2019001, IR 2019004
Download: ML20035D918 (37)


Text

January 31, 2020

SUBJECT:

DAVIS-BESSE NUCLEAR POWER STATION - INTEGRATED INSPECTION REPORT 05000346/2019004 AND 07200014/2019001

Dear Mr. Bezilla:

On December 31, 2019, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at Davis-Besse Nuclear Power Station. On January 16, 2020, the NRC inspectors discussed the results of this inspection with Doug Huey and other 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. Two of these findings involved violations of NRC requirements. We are treating these violations as non-cited violations (NCVs) consistent with Section 2.3.2 of the Enforcement Policy.

Licensee-identified violations which were determined to be Severity Level IV are documented in this report. We are treating these violations as non-cited violations (NCVs) consistent with Section 2.3.2 of the Enforcement Policy.

If you contest the violations or the significance or severity of the violations 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 Davis-Besse Nuclear Power Station.

If you disagree with a cross-cutting aspect assignment 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 Davis-Besse Nuclear Power Station. 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/

Billy C. Dickson, Jr, Chief Branch 2 Division of Reactor Projects

Docket No. 05000346; 07200014 License No. NPF-3

Enclosure:

As stated

Inspection Report

Docket Number:

05000346; 07200014

License Number:

NPF-3

Report Number:

05000346/2019004; 07200014/2019001

Enterprise Identifier: I-2019-004-0063; I-2019-001-0114

Licensee:

FirstEnergy Nuclear Operating Company

Facility:

Davis-Besse Nuclear Power Station

Location:

Oak Harbor, OH

Inspection Dates:

October 01, 2019 to December 31, 2019

Inspectors:

J. Cassidy, Senior Health Physicist

J. Dalzell, Health Physicist

R. Edwards, Senior Health Physicist

N. Fields, Health Physicist

M. Garza, Emergency Preparedness Inspector

J. Harvey, Resident Inspector

M. Learn, Reactor Engineer

D. Mills, Senior Resident Inspector

J. Rutkowski, Project Engineer

Approved By:

Billy C. Dickson, Jr, Chief

Branch 2

Division of Reactor Projects

SUMMARY

The U.S. Nuclear Regulatory Commission (NRC) continued monitoring the licensees performance by conducting an integrated inspection at Davis-Besse Nuclear Power Station, 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. Licensee-identified non-cited violations are documented in report section: 60855.

List of Findings and Violations

Inadvertent Injection into Once Through Steam Generator 1 while Running the Emergency Feedwater Pump Cornerstone Significance Cross-Cutting Aspect Report Section Initiating Events Green NCV 05000346/2019004-02 Open/Closed

[H.12] - Avoid Complacency 71152 A self-revealed finding of very low safety significance (Green) and associated non-cited violation of Technical Specification Section 5.4.1.a for the licensees failure to establish a procedure to address the requirements of RG 1.33 Appendix A, Section 9. Specifically, the licensee failed to properly pre-plan and establish documented instructions that included provisions to ensure EFW recirculation. This resulted in an inadvertent injection into Steam Generator 1 affecting performance of the steam generator and causing operation outside of the acceptable region of the steam generator level to superheat curve, and affecting performance of the reactor core due to an uncontrolled reactivity insertion.

Emergency Ventilation System Inadequate Acceptance Criteria Cornerstone Significance Cross-Cutting Aspect Report Section Barrier Integrity Green NCV 05000346/2019004-03 Open/Closed

[H.11] -

Challenge the Unknown 71153 A self-revealed finding of very low safety significance and an associated non-cited violation (NCV) of Title 10 Code of Federal Regulations Part 50, Appendix B, criterion V, "Instructions,

Procedures, and Drawings," was identified when the licensee failed to prescribe the appropriate quantitative or qualitative acceptance criteria in a procedure used for determining that activities important to safety were satisfactorily completed. Specifically, the licensee failed to have appropriate acceptance criteria incorporated into the Emergency Ventilation System train 1 surveillance which resulted in the licensee failing to recognize the test had failed.

Additional Tracking Items

Type Issue Number Title Report Section Status URI 05000346/2019004-01 Unresolved Item Regarding Peak Fuel Clad Temperature During Vacuum Drying of Canister #9 60855.1 Open

LER 05000346/2019-001-00 LER 2019-001-00 for Davis-Besse Nuclear Power Station, Unit 1, Emergency Ventilation System Train Inoperable due to Non-specific Test Description of Damper Operation 71153 Closed

PLANT STATUS

The unit operated at or near full rated thermal power for the entire inspection period.

On April 25, 2018, FirstEnergy Solutions (FES) / FirstEnergy Nuclear Operating Company (FENOC) notified the U.S. Nuclear Regulatory Commission (NRC) that they intend to shut down all four of their operating nuclear power plants (ADAMS Accession Number ML18115A007). On March 21, 2018, FES, FirstEnergy Nuclear Generation (FENGEN), and FENOC filed for bankruptcy. On July 26, 2019, FES/FENOC submitted a letter to the NRC withdrawing the April 25, 2018, certification of permanent cessation of power operations for Davis-Besse Nuclear Power Station and Perry Nuclear Power Plant (ADAMS Accession Number ML19207A097). The NRC continues to maintain focus on public health and safety and the protection of the environment. This will include a continuous evaluation by inspectors to determine whether the licensee's financial condition is impacting safe operation of the plant.

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 temperatures for the following:
  • Station building heating
  • Piping heat tracing function
  • Intake canal frazil ice compensatory measure preparation

71111.04Q - Equipment Alignment

Partial Walkdown Sample (IP Section 03.01) (6 Samples)

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

(1) Emergency Diesel Generator (EDG) 1 while EDG 2 was out of service for planned maintenance during the week ending October 5, 2019
(2) Diesel Fire Pump while the Electric Fire Pump was removed from service during the week ending October 26, 2019
(3) High Pressure Injection (HPI) 1 while HPI 2 was out of service for planned testing during the week ending November 2, 2019
(4) Motor Driven Feedwater Pump after planned testing during the week ending November 2, 2019
(5) Decay Heat/Low Pressure Injection (DH/LPI) Pump 2 while DH/LPI 1 was out of service for planned maintenance during the week ending November 16, 2019
(6) Auxiliary Feed Water (AFW) 1 while AFW 2 was out of service for planned maintenance during the week ending November 23, 2019

71111.04S - Equipment Alignment

Complete Walkdown Sample (IP Section 03.02) (1 Sample)

(1) The inspectors evaluated system configurations during a complete walkdown of the containment spray system on during the week ending November 9, 2019.

71111.05Q - Fire Protection

Quarterly Inspection (IP Section 03.01) (4 Samples)

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

(1) High Voltage Switchgear Room B, Fire Area Q, during the week ending October 5, 2019
(2) Makeup Pump Room, Fire Area AB, during the week ending November 2, 2019
(3) Auxiliary Feed Pump 1 Room, Fire Area E, during the week ending November 23, 2019
(4) Spent Fuel Pool Pump Room, Fire Area U, during the week ending December 28, 2019

71111.07A - Heat Sink Performance

Annual Review (IP Section 02.01) (1 Sample)

The inspectors evaluated readiness and performance of:

(1) The Chemical Injection system, which helps maintain the integrity and heat removal capability of the service water system.

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 tests administered from October 19 through December 11, 2019.

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 shift turnover, operator workstation computer replacement, axial power shaping rod position adjustment, and a Decay Heat/Low Pressure Injection Pump quarterly surveillance run during the week ending December 21, 2019.

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

(1) The inspectors observed and evaluated a licensed operator requalification simulator scenario during the week ending December 7, 2019.

71111.12 - Maintenance Effectiveness

Routine Maintenance Effectiveness Inspection (IP Section 02.01) (3 Samples)

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

(1) Emergency Ventilation System Unavailability and Reliability
(2) Motor Driven Feed Pump Target Rock Valve power converter installation
(3) Motor Driven Feedwater Pump Unavailability and Reliability

71111.13 - Maintenance Risk Assessments and Emergent Work Control

Risk Assessment and Management Sample (IP Section 03.01) (4 Samples)

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

(1) Planned preventive maintenance activities on Emergency Diesel Generator 2 during the week ending October 5, 2019
(2) Plant process computer outage during the week ending November 2, 2019
(3) Planned maintenance on Startup Transformer X01 during the week ending November 16, 2019
(4) Emergent work on the Train 1 Emergency Core Cooling System (ECCS) sump pumps during the week ending November 23, 2019

71111.15 - Operability Determinations and Functionality Assessments

Operability Determination or Functionality Assessment (IP Section 02.02) (6 Samples)

The inspectors evaluated the following operability determinations and functionality assessments:

(1) Clarification needed with respect to motor driven feedpump alignment in Mode 1, Condition report (CR) 2019-07507
(2) OP3006 miscellaneous instrument shift checks performed with invalid Group 38 data, CR 2019-09248
(3) Battery specific gravity is out of program limit, CR 2019-09966
(4) ECCS [Emergency Core Cooling System] Room 1 Sump Pump 1A degraded operation, CR 2019-09729
(5) EMD [Electro-Motive Diesel] fuel injector seized plunger and bushing Part 21, CR 2019-09010
(6) Pressure Differential Switch Found Outside Tech Spec Allowable As-Found Range, CR 2019-10422

71111.19 - Post-Maintenance Testing

Post-Maintenance Test Sample (IP Section 03.01) (2 Samples)

The inspectors evaluated the following post maintenance tests:

(1) Emergency Diesel Generator 2 after planned maintenance during the week ending October 5, 2019
(2) Auxiliary Feedpump 2 comprehensive test after planned maintenance 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) Local leak rate testing of containment personnel hatch after containment entry during the week ending November 16, 2019
(2) Safety Features Actuation System Channel 3 response time testing during the week ending December 7, 2019

71114.04 - Emergency Action Level and Emergency Plan Changes

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

(1) The inspectors evaluated the following submitted Emergency Action Level and Emergency Plan changes.

This evaluation does not constitute NRC approval.

71114.06 - Drill Evaluation

Select Emergency Preparedness Drills and/or Training for Observation (IP Section 03.01) (1 Sample)

The inspectors evaluated:

(1) Emergency preparedness drill on October 15,

RADIATION SAFETY

71124.03 - In-Plant Airborne Radioactivity Control and Mitigation

Engineering Controls (IP Section 02.01) (1 Sample)

The inspectors evaluated airborne controls and radioactive monitoring.

(1) The inspectors reviewed the following:

Installed Ventilation Systems

  • Radwaste Area Ventilation System

Temporary Ventilation System Setups

  • None were available during this inspection

Portable or Installed Monitoring Systems

  • AMS-4 on refuel floor
  • AMS-4 in waste handling area

Self-Contained Breathing Apparatus for Emergency Use (IP Section 02.03) (1 Sample)

The inspectors evaluated self-contained breathing apparatus program implementation.

(1) The inspectors reviewed the following:

Status and Surveillance Records for Self-Contained Breathing Apparatus

Self-Contained Breathing Apparatus Fit for On-Shift Operators

  • Three operators on shift "5"

Self-Contained Breathing Apparatus Maintenance Check

71124.04 - Occupational Dose Assessment

Source Term Categorization (IP Section 02.01) (1 Sample)

(1) The inspectors evaluated the licensees characterization of the source term and use of scaling factors for the use of hard-to-detect radionuclide activity.

External Dosimetry (IP Section 02.02) (1 Sample)

(1) The inspectors evaluated the external dosimetry program implementation.

Internal Dosimetry (IP Section 02.03) (1 Sample)

The inspectors evaluated the internal dosimetry program implementation.

(1) The inspectors reviewed the following:

Whole Body Counts

  • Whole Body Count(s) associated with Personal Contamination Event #Outage 18-005
  • Investigation Bioassay for High Pressure 80 valve work: Plant ID 19260

In-Vitro Internal Monitoring

  • None were available during this inspection.

Dose Assessments Performed Using Air Sampling and Derived Air Concentration-Hour Monitoring

  • None were available during this inspection.

Special Dosimetric Situations (IP Section 02.04) (1 Sample)

The inspectors evaluated the following special dosimetric situation:

(1)

  • Declaration of Pregnancy, 12/10/2018
  • Declaration of Pregnancy, 08/20/2019

71124.08 - Radioactive Solid Waste Processing and Radioactive Material Handling, Storage,

and Transportation

Radioactive Material Storage (IP Section 02.01)

The inspectors evaluated radioactive material storage.

(1) The inspectors toured the following areas:
  • Low Level Radioactive Waste Storage Facility
  • Building 7

The inspectors performed a container check (e.g., swelling, leakage and deformation)on the following containers:

  • 6 containers in the Low Level Radioactive Waste Storage Facility
  • 4 Containers in Building 7

Radioactive Waste System Walkdown (IP Section 02.02) (1 Sample)

The inspectors evaluated the following radioactive waste processing systems during plant walkdowns:

(1) Liquid or Solid Radioactive Waste Processing Systems
  • Advanced Liquid Processing System Radioactive Waste Resin and/or Sludge Discharges Processes
  • Primary Resins

Waste Characterization and Classification (IP Section 02.03) (1 Sample)

The inspectors evaluated the radioactive waste characterization and classification for the following waste streams:

(1)

  • Dry Active Waste
  • Primary Resin
  • Primary Filters

Shipment Preparation (IP Section 02.04) (1 Sample)

The inspectors evaluated the following radioactive material shipment preparation processes:

(1) The inspectors evaluated training and qualification records for selected individuals due to limited observation of the radioactive material shipment preparation process.

Shipping Records (IP Section 02.05) (1 Sample)

The inspectors evaluated the following non-excepted package shipment records:

(1)

  • 2018-1008; Cask with filters in Poly Container
  • 2018-1029; Metal Cask of Filters
  • 2019-1001; Cask with resin in Poly Container

OTHER ACTIVITIES - BASELINE

===71151 - Performance Indicator Verification

The inspectors verified licensee performance indicators submittals listed below:

MS10: Cooling Water Support Systems (IP Section 02.09)===

(1) July 1, 2018 - September 30, 2019

BI02: RCS Leak Rate Sample (IP Section 02.11) (1 Sample)

(1) October 1, 2018 - September 30, 2019

71152 - Problem Identification and Resolution

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

(1) The inspectors reviewed the licensees corrective action program for potential adverse trends in FLEX equipment battery issues that might be indicative of a more significant safety issue.

Annual Follow-up of Selected Issues (IP Section 02.03) (1 Sample)

The inspectors reviewed the licensees implementation of its corrective action program related to the following issues:

(1) CR 2019-07705 - Water was flowed from the EFWST [Emergency Feedwater Storage Tank] to OTSG 1 [Once Through Steam Generator 1] while running the EFW

[Emergency Feedwater] pump to recirculate engine coolant

71153 - Followup of Events and Notices of Enforcement Discretion Event Report (IP Section 03.02)

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

(1) LER 05000346/2019-001-00, "Emergency Ventilation System Inoperable due to Non-Specific Test Description of Damper Operation," ML19282A383. The inspectors determined the issue was within the licensee's ability to foresee and correct and that a violation of NRC requirements occurred. The circumstances surrounding this LER are documented in the inspection results section.

OTHER ACTIVITIES

- TEMPORARY INSTRUCTIONS, INFREQUENT AND ABNORMAL

===60854.1 - Preoperational Testing of Independent Spent Fuel Storage Facility Installation at Operating Plants

Preoperational Testing of Independent Spent Fuel Storage Facility Installation at Operating Plants===

(1) The inspectors reviewed documents, interviewed plant personnel, and performed in-field observations to assess the licensees preoperational testing of an ISFSI. The licensees preoperational testing activities took place partially at the vendors facility and partially at the licensees facility.

The inspectors performed an independent assessment that the licensee had adequately demonstrated its readiness to safely perform ISFSI loading and unloading operations. Specifically, the inspectors evaluated the following:

(1) The licensee performed preoperational dry run activities. The inspectors evaluated following activities:
  • The inspectors observed dry run activities on October 7 - 10, 2019. Specifically, the inspectors observed insertion and removal of a DSC into an HSM, transport of a transfer cask (TC) between the ISFSI and t Auxiliary Building, upending of a TC from the transporter to the cask wash pit (dry), and movement of the TC between the cask wash pit and the spent fuel pool.
  • The inspectors completed an in-office review of the welding and processing dry run documentation on September 23 - October 4, 2019.
(2) Fuel Selection
  • The inspectors reviewed cask fuel selection packages to verify that the licensee was loading fuel in accordance with TS 2.1, Fuel to be Stored in the Standardized NUHOMS System.

60855.1 - Operation of an Independent Spent Fuel Storage Installation at Operating Plants Operation of an Independent Spent Fuel Storage Installation at Operating Plants

(1) Operation of an Independent Spent Fuel Storage Installation at Operating Plants (60855.1)

The inspectors evaluated the licensees independent spent fuel storage installation cask loadings on October 14 - 19 and November 4 - 8, 2019. Specifically, the inspectors observed the following activities:

  • Fuel selection and fuel loading for the first canister planned for the campaign, DSC-9, and DSC-11
  • Heavy load movement of the Outer Top Cover Plate and lifting the Transfer Cask from the processing area and placing it on the transport vehicle
  • Drying and backfill evolutions
  • Closure welding and non-destructive weld evaluations
  • Transfer and transport evolutions
  • Radiological field surveys

The inspectors performed walkdowns of the ISFSI pad, including independent radiation surveys, and walkdowns of the ISFSI haul path and vertical cask transporter (VCT).

The inspectors evaluated the following:

  • Selected corrective action program action requests
  • Selected 72.48 screenings and evaluations

60856 - Review of 10 CFR 72.212(b) Evaluations Review of 10 CFR 72.212(b) Evaluations

(1) The inspectors evaluated the licensees compliance with the requirements of 10 CFR 72.212 and 10 CFR 72.48. Prior to use of a dry cask storage system, the licensee is required to perform written evaluations in accordance with 10 CFR 72.212(b)(5)(i) to establish that the terms, conditions, and specifications of a CoC or an amended CoC have been met. Specifically, the inspectors performed an in-office review of the following from May 2019 through October 2019:
  • 10 CFR 72.212 Evaluation Report for the NUHOMS EOS System Certificate of Compliance 1042, Revision 0 and associated calculations
  • ECP 15-0086, Dry Cask Storage Independent Spent Fuel Storage Installation (ISFSI Parent) and supporting engineering changes and referenced calculations
  • Licensees Quality Assurance Program Manual

60856.1 - Review of 10 CFR 72.212(b) Evaluations at Operating Plants Review of 10 CFR 72.212(b) Evaluations at Operating Plants

(1) The inspectors evaluated the licensees revised engineering documentation and calculations associated with the NUHOMS EOS CoC 072-01042, Revision 0.

Specifically, from May through October 2019, the inspectors performed an in-office review the following:

  • Transfer Cask Lifting Yoke Assembly
  • Doerfer Transporter Skid Modifications
  • Auxiliary Building and Crane Structural Analysis
  • ISFSI Pad Structural Capacity Qualification

INSPECTION RESULTS

Unresolved Item (Open)

Unresolved Item Regarding Peak Fuel Clad Temperature During Vacuum Drying of Canister #9 URI 05000346/2019004-01 60855.1

Description:

During the processing of Dry Shielded Canister (DSC) 9, the canister loaded with spent fuel took longer than expected to achieve the required dryness criterion. Various attempts to achieve dryness were made, including backfilling the canister with helium and attempting additional drying. Through their investigation, the licensee identified a vacuum leak in a fitting that connected the vacuum drying equipment to the DSC. The fitting was safely repaired, and the DSC was successfully dried. Given the extended time in vacuum drying and the changing thermal environment in the DSC during troubleshooting, the inspectors questioned whether the canister conditions encountered during troubleshooting were consistent with the design basis thermal analysis described in Chapter 4 of the NUHOMS EOS System Updated Final Safety Analysis Report, Revision 1. To determine whether DSC-9 remained in an analyzed condition, the licensee consulted with Orano to perform an evaluation into the maximum peak cladding temperature and also to determine whether the thermal cycling conditions specified in the UFSAR were met during processing.

At the time of the inspection, this evaluation was ongoing and unavailable to the inspectors.

Planned Closure Actions: Upon receipt of the calculations, the agency will perform its review to determine if there are any technical issues or a violation occurred.

Corrective Action References: CR-2019-09156

Licensee-Identified Non-Cited Violation 60855.1 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 CFR 72.158, Control of special processes, requires the licensee, applicant for a license, certificate holder, and applicant for a CoC shall establish measures to ensure that special processes, including welding, heat treating, and nondestructive testing, are controlled and accomplished by qualified personnel using qualified procedures in accordance with applicable codes, standards, specifications, criteria, and other special requirements.

Contrary to the above, between October 15, 2019, and October 21, 2019, the licensee did not ensure that the nondestructive examinations completed on seven welds were accomplished using qualified procedures. Specifically, the developer that was used during the examination of the welds was not as specified in the procedures.

Significance/Severity: Severity Level IV. The inspectors assessed the significance of the violation using the NRC Enforcement Policy and Enforcement Manual. Because ISFSIs are not part of the Reactor Oversight Process, this violation was assessed using Traditional Enforcement in accordance with Section 2.2 of the Enforcement Policy. Consistent with the guidance in Section 1.2.6.D of the Enforcement Manual, if a violation does not fit an example in the Enforcement Policy Violation Examples, it should be assigned a severity level: (1)commensurate with its safety significance; and

(2) informed by similar violations addressed in the Violation Examples. The inspectors found no similar violations in the violation examples.

This violation has been determined to be of very low safety significance because the licensee was able to have the nondestructive examination procedure requalified to allow for the use of the developer that had been used to complete the examination with no issues.

Corrective Action References: CR-2019-08736

Licensee-Identified Non-Cited Violation 60855.1 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 CFR 72.146, Design Control requires, in part, that the licensee, shall establish measures to ensure that applicable regulatory requirements and the design basis, as specified in the license or CoC application for those structures, systems, and components to which this section applies, are correctly translated into specifications, drawings, procedures, and instructions. These measures must include provisions to ensure that appropriate quality standards are specified and included in design documents and that deviations from standards are controlled. Measures must be established for the selection and review for suitability of application of materials, parts, equipment, and processes that are essential to the functions of the structures, systems, and components which are important to safety.

Contrary to the above, on October 11, 2019, the licensee found several errors in the approved fuel selection calculations resulting in several of the fuels assemblies not meeting the requirements of TS 2.1, Fuel to be Stored in the EOS-37PTH DSC. Specifically, the calculations that had initially been approved contained several errors, including the heavy metal mass, burn-up, and the number of days that some fuel assemblies were in the operating reactor.

Significance/Severity: Severity Level IV. The inspectors assessed the significance of the violation using the NRC Enforcement Policy and Enforcement Manual. Because ISFSIs are not part of the Reactor Oversight Process, this violation was assessed using Traditional Enforcement in accordance with Section 2.2 of the Enforcement Policy. Consistent with the guidance in Section 1.2.6.D of the Enforcement Manual, if a violation does not fit an example in the Enforcement Policy Violation Examples, it should be assigned a severity level: (1)commensurate with its safety significance; and

(2) informed by similar violations addressed in the Violation Examples. The inspectors found no similar violations in the violation examples.

This violation is of very low safety significance because the errors were found and corrected before any fuel had been loaded into the dry cask canisters.

Corrective Action References: CR-2019-08369, CR-2019-08339, CR-2019-08408, CR-2019-08449, CR-2019-08457, CR-2019-08503, CR-2019-08709, CR-2019-08901

Inadvertent Injection into Once Through Steam Generator 1 while Running the Emergency Feedwater Pump Cornerstone Significance Cross-Cutting Aspect Report Section Initiating Events

Green NCV 05000346/2019004-02 Open/Closed

[H.12] - Avoid Complacency 71152 A self-revealed finding of very low safety significance (Green) and associated non-cited violation of Technical Specification Section 5.4.1.a for the licensees failure to establish a procedure to address the requirements of RG 1.33 Appendix A, Section 9. Specifically, the licensee failed to properly pre-plan and establish documented instructions that included provisions to ensure EFW recirculation. This resulted in an inadvertent injection into Steam Generator 1 affecting performance of the steam generator and causing operation outside of the acceptable region of the steam generator level to superheat curve, and affecting performance of the reactor core due to an uncontrolled reactivity insertion.

Description:

On September 19, 2019, operators locally started the diesel driven emergency feedwater pump (EFWP) per work order 200724732 as part of a maintenance activity. The operators ran EFWP for one minute to clear cooling system voids following replacement of the diesel engine coolant. The licensees intention was to run the pump with valves lined up to recirculate the water to the EFWP storage tank for roughly one minute. However, the work order mistakenly directed operators to operate the EFWP with valves aligned for steam generator injection. This resulted in unintended EFWP injection into Steam Generator 1 (SG1) for one minute and seventeen seconds. Relatively cold water injection into the steam generator resulted in a reduction in steam superheat which moved SG1 into the unacceptable range of the water level to steam superheat curve for six minutes. The licensee correctly entered Technical Specification limiting condition for operation 3.7.18, Steam Generator Level, condition A, which requires restoration of steam generator level to within limits within 15 minutes. This limiting condition for operation ensures that the mass and energy release to the containment and/or the amount of reactor coolant system cooling (and corresponding positive reactivity insertion) resulting from a main steam line break would be bounded by the accident analysis. The licensee restored steam generator level within six minutes. The reduction in SG1 superheat and fact that the EFW injects into the steam generators through the Auxiliary Feedwater path at a higher location than main feedwater caused slight overcooling of RCS flow into the core that resulted in an inadvertent positive reactivity insertion and reactor power change. This reactivity change was of a small magnitude and resulted in a very small power change.

The licensee performed an immediate investigation, communicated the event to staff, and issued a night order to reinforce expectations that operations staff review marked-up drawings and flow-paths during pre-job briefs. The licensee performed a causal evaluation to determine the cause of the inadvertent EFWP injection into SG1. The causal evaluation identified that the procedure section referenced by the work order (Section 3.4 of DB-OP-06234) had a generic title Starting EFW Pump that was not descriptive enough and included no cautions about the potential for water injection into the steam generators. The licensee concluded that these deficiencies were contrary to the Davis-Besse procedure writing guide (NG-QS-00121). It was not identified that the improper procedure was specified in the work order during the planning process, nor during independent reviews by the reactor operations staff, the shift crews, or the operators performing the evolution. Additionally, the pre-job brief did not verify the flow-path and the control room crew did not evaluate for the possibility of feeding the steam generators.

Corrective Actions: The licensee performed a causal evaluation to determine the cause of the inadvertent EFWP injection into SG1 and identify corrective actions. The causal evaluation identified that in addition to the procedure being inadequately written, human performance errors occurred during work planning, shift review, pre-job brief, and performance of the maintenance run. The licensee revised procedure DB-OP-06234 to move the Section 3.4 content into the Emergency Operations section and added a new Section 3.4 written to direct operation of the EFWP in recirculation mode. The licensee also performed an engineering analysis to confirm that the steam generator was not damaged by the inadvertent EFW injection. Additionally, the associated operators were removed from shift and remediated.

Corrective Action References: Condition Report 2019-07705

Performance Assessment:

Performance Deficiency: The licensees failure to utilize an appropriate procedure to operate the EFWP without inadvertently injecting into steam generator 1 was a performance deficiency.

Screening: The inspectors determined the performance deficiency was more than minor because it was associated with the Procedure Quality attribute of the Initiating Events cornerstone and adversely affected the cornerstone objective to limit the likelihood of events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, the licensee failed to utilize an appropriate procedure to operate the EFW pump, resulting in the unplanned EFW injection into steam generator 1 that caused an uncontrolled positive reactivity insertion and entry into technical specification LCO 3.7.18 for six minutes due to operation outside the acceptable range of steam generator level for the amount of steam superheat.

Significance: The inspectors assessed the significance of the finding using Appendix A, The Significance Determination Process (SDP) for Findings At-Power. The inspectors assessed the significance of the finding using Inspection Manual Chapter 0609, Attachment 4, Initial Characterization of Findings, and Appendix A, Significance Determination of Reactor Inspection Findings for At - Power Situations. The inspectors determined that the finding had very low safety significance (Green) because it:

(1) was not a design deficiency;
(2) did not represent a loss of system and/or function;
(3) did not represent an actual loss of function of at least a single train for longer than its technical specification allowed outage time; and (4)did not result in the loss of a high safety-significant, non-technical specification train.

Cross-Cutting Aspect: H.12 - Avoid Complacency: Individuals recognize and plan for the possibility of mistakes, latent issues, and inherent risk, even while expecting successful outcomes. Individuals implement appropriate error reduction tools. Specifically, the licensee failed to use their human performance tools to ensure the correct procedure was identified and performed for the circumstance. Licensee work planner review of the work order during the planning process did not identify that an improper procedure was specified, nor did separate reviews by the reactor operations staff, the shift crews, and the SROs performing the evolution. Additionally, the pre-job brief did not verify the flow path and the control room crew did not evaluate for the possibility of feeding the steam generators.

Enforcement:

Violation: Technical Specification Section 5.4.1.a requires, in part, that written procedures shall be established, implemented, and maintained covering the applicable procedures recommended in Regulatory Guide 1.33, Revision 2, Appendix A, February 1978.

NRC Regulatory Guide 1.33, Revision 2, Appendix A, Section 9 addresses Procedures for Performing Maintenance and Section a, states in part Maintenance that can affect the performance of safety-related equipment should be properly pre-planned and performed in accordance with written procedures, documented instructions, or drawings appropriate to the circumstances.

Contrary to the above, on September 18, 2019, the licensee failed to establish a procedure to address the requirements of RG 1.33 Appendix A, Section 9. Specifically, the licensee failed to properly pre-plan and establish documented instructions that included provisions to ensure EFW recirculation. This resulted in an inadvertent injection into Steam Generator 1 affecting performance of the steam generator and causing operation outside of the acceptable region of the steam generator level to superheat curve, and affecting performance of the reactor core due to an uncontrolled reactivity insertion.

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

Observation: Trend in FLEX Batteries 71152 During a semi-annual trend review, the inspectors noted multiple condition reports initiated since January 2019 related to FLEX battery issues. Specifically, these condition reports identified issues with spent fuel pool level instrumentation batteries, various FLEX generators, the FLEX debris removal trucks and the alternate low-pressure FLEX emergency feedwater pump. The inspectors discussed the battery observations with the licensee and the licensee stated the issue was being concurrently tracked, as discussed in CR 2019-14009. The inspectors performed a search of the corrective action program and validated that the licensee considered proper inputs. The inspectors also reviewed the licensees evaluation to address the adequacy of FLEX battery maintenance activities. The inspectors did not identify any additional concerns.

Emergency Ventilation System Inadequate Acceptance Criteria Cornerstone Significance Cross-Cutting Aspect Report Section Barrier Integrity

Green NCV 05000346/2019004-03 Open/Closed

[H.11] -

Challenge the Unknown 71153 A self-revealed finding of very low safety significance and an associated non-cited violation (NCV) of Title 10 Code of Federal Regulations Part 50, Appendix B, criterion V, "Instructions, Procedures, and Drawings," was identified when the licensee failed to prescribe the appropriate quantitative or qualitative acceptance criteria in a procedure used for determining that activities important to safety were satisfactorily completed. Specifically, the licensee failed to have appropriate acceptance criteria incorporated into the Emergency Ventilation System train 1 surveillance which resulted in the licensee failing to recognize the test had failed.

Description:

On July 19, 2019, the licensee was performing a scheduled monthly surveillance test of the emergency ventilation system (EVS) train 1. During this test, the operators noted the fan failed to produce the desired negative pressure within the shield building negative pressure area because the recirculation and exhaust dampers were not modulating as required.

Specifically, the differential pressure controller was set to maintain -0.75 inches water gauge by recirculation and exhaust damper modulation. The licensee declared the train inoperable and entered Technical Specification limiting condition of operation (LCO) 3.7.12, Station Emergency Ventilation System, Condition A, which states, in part, to restore the station EVS train to operable status within 7 days. The licensee determined that infantile failure of a controller caused the issue. They replaced the controller and the system tested satisfactorily within the LCO completion time.

While performing a past operability review due to the July failure, the licensee noted the surveillance performed on June 21, 2019, also failed to produce the desired negative pressure. The licensee determined this was a reportable condition because the 30-day inoperability time between the June surveillance and identification in July was in excess of the seven-day LCO plus the specified shutdown time. Specifically, TS 3.7.12 condition C requires the licensee to be in Mode 3 in 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> and Mode 5 in 36 hours4.166667e-4 days <br />0.01 hours <br />5.952381e-5 weeks <br />1.3698e-5 months <br /> if the required action and associated completion time was not met for Condition A. The licensee submitted licensee event report 05000346/2019-001 in accordance with Title 10 Code of Federal Regulations 50.73(a)(2)(i)(B) as a condition which was prohibited by the plants Technical Specifications.

The licensee performed a causal analysis and determined the failure to identify the failed surveillance test in June was due to a combination of inadequate procedural guidance and a gap in crew knowledge. Specifically, the acceptance criterion in DB-SS-03250, Emergency Ventilation system Train 1 Monthly Test, Revision 9, stated, in part, emergency ventilation system train 1 started from the control room and operated properly for at least fifteen minutes.

Proper operation was not specifically described in the acceptance criterion step. However, Note 4.7 stated, in part, recirculating damper CV5000B and exhaust damper CV5000A modulate to maintain a negative pressure of approximately 0.75 inch water gauge in the annulus area. Step 4.7 stated, in part, immediately after starting EVS fan 1, perform the following local checks: CV5000B, EVS fan 1 exhaust recirculation damper is controlling to maintain a negative 0.75 inches water gauge as indicated on PDI5000 or PDC5000. During the June test, the operator noted the dampers were maintaining at -0.45 inches water gauge; however, at the time this wasnt determined to be a failed test.

Through review of the causal analysis, the inspectors noted the licensee had an additional opportunity to identify the failed surveillance before the July test. Specifically, the system engineer questioned the June test results on July 10 while reviewing the completed surveillance. The individual discussed the observation with supervision and the on-shift operations crew, which was the same crew that had performed the June test. However, the licensee failed to identify the June surveillance test as an issue and therefore did not write a condition report. Instead, the licensee generated informal actions to have additional observation during the next surveillance scheduled for July 19, 2019. The inspectors also recognized the non-conservatism associated with the informal action to wait nine days until the next surveillance test, as it was not in alignment with the LCO completion time of seven days. The licensee subsequently identified the adverse condition of EVS during the July surveillance.

Corrective Actions: Immediate corrective actions included replacing the controller.

Additionally, both EVS train surveillance test procedures were modified to include specific acceptance criteria associated with the negative pressure. Additionally, a failure of the same model controller occurred in 2017. The licensee sent both the 2017 and 2019 failed controllers to the vendor for additional analysis.

Performance Assessment:

Performance Deficiency: The licensee failed to prescribe appropriate quantitative or qualitative acceptance criteria for determining that important activities were satisfactorily completed. Specifically, the licensee failed to include detailed acceptance criteria in the emergency ventilation system train 1 surveillance procedure, which resulted in a missed failed surveillance test.

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.

Significance: The inspectors assessed the significance of the finding using Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Using Exhibit 3, "Barrier Integrity Screening Questions," the inspectors determined the finding screened as having very low safety significance (Green) because the finding only represented a degradation of the radiological barrier function provided for the control room, auxiliary building or spent fuel pool.

Cross-Cutting Aspect: H.11 - Challenge the Unknown: Individuals stop when faced with uncertain conditions. Risks are evaluated and managed before proceeding. Specifically, during the June 2019 surveillance test, when faced with unexpected pressure measurements the licensee failed to stop and evaluate the meaning of the test results.

Enforcement:

Violation: Title 10 CFR Part 50, Appendix B, criterion V, Instructions, Procedures and, Drawings, states, in part, 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 these instructions, procedures, or drawings. Instructions, procedures, or drawings shall include appropriate quantitative or qualitative acceptance criteria for determining that important activities have been satisfactorily accomplished. The licensee established DB-SS-03250, the Emergency Ventilation System Train 1 Monthly Test, Revision 9 and prior, as the implementing procedure to ensure that EVS train 2 was able to perform its intended safety function, an activity affecting quality.

Technical Specification LCO 3.7.12, Station Emergency Ventilation System (EVS) requires, in part, two station EVS trains shall be operable in Modes 1, 2, 3, and 4. With one station EVS train inoperable, LCO 3.7.12 requires restoration to operable status within seven days. If the required action and associated completion time is not met, be in Mode 3 in six hours and Mode 5 in 36 hours4.166667e-4 days <br />0.01 hours <br />5.952381e-5 weeks <br />1.3698e-5 months <br />.

Contrary to the above, prior to September 10, 2019, the licensee failed to have a procedure that included the appropriate quantitative or qualitative acceptance criteria for determining that important activities have been satisfactorily accomplished. Specifically, the licensee failed to include acceptance criteria in the Emergency Ventilation System test procedures that ensured the surveillance had be completed satisfactorily.

Additionally, because the licensee was not aware of the EVS inoperability from June 21, 2019, to July 19, 2019, the licensee failed to take the actions required by TS LCO 3.7.12.

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

EXIT MEETINGS AND DEBRIEFS

The inspectors verified no proprietary information was retained or documented in this report.

  • On January 16, 2020, the inspectors presented the integrated inspection results to Mr. D. Huey, General Plant Manager and other members of the licensee staff.
  • On December 13, 2019, the inspectors presented the radiation protection inspection results inspection results to Mr. D. Huey, General Plant Manager and other members of the licensee staff.
  • On December 19, 2019, the inspectors presented the Licensed Operator Requalification program annual examination results review inspection results to Mr. D. Witt, Licensed Operator Requalification Training Supervisor and other members of the licensee staff.
  • On January 16, 2020, the inspectors presented the Independent Spent Fuel Storage Installation Loading inspection results to Mr. D. Huey, General Plant Manager and other members of the licensee staff.
  • On January 16, 2020, the inspectors presented the Independent Spent Fuel Storage Preoperational Testing inspection results to Mr. D. Huey, General Plant Manager and other members of the licensee staff.

DOCUMENTS REVIEWED

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

60854.1

Corrective Action

Documents

Resulting from

Inspection

CR-2019-08812

Clarify Reporting Requirements for Dry Fuel Storage at

Davis-Besse

10/23/2019

Miscellaneous

2019 ISFSI Dry Run Training Exercise

05/16/2019

Dry Run Training Exercise Observations

05/24/2019

Response to NRC DFS Questions

10/16/2019

DSC Welding and NDE Dry Run Records

05/23/2019

NUHOMS EOS Weld Demonstration

04/25/2019

Procedures

DB-MM-12314

Dry Shielded Canister Drying, Backfill and Sealing

Operations

60855.1

ALARA Plans

119-1081

ISFSI Loading Campaign ALARA Plan

Calculations

503948-0403

Thermal Evaluation of Loading Operation for the EOS-

37PTH DSC at Davis-Besse Nuclear Power Station

for 33 Water Drain out in the TC/DSC Annulus

C-NF-062.02-068

Fuel Selection for the 2019 Davis-Besse Dry Cask

Storage Campaign, Revision 1, Addendum 3

10/18/2019

C-NF-062.02-068

Fuel Selection for the 2019 Davis-Besse Dry Cask

Storage Campaign, Revision 1, Addendum 1

10/13/2019

C-NF-062.02-068

Fuel Selection for the 2019 Davis-Besse Dry Cask

Storage Campaign

1, 2

C-NF-062.02-068

Fuel Selection for the 2019 Davis-Besse Dry Cask

Storage Campaign, Revision 1, Addendum 1

10/15/2019

Corrective Action

Documents

Selected Corrective Action Documents Created Since

2017

CR-2019-07062

Error in Fuel Selected for 2019 Dry Cask Campaign

08/22/2019

CR-2019-08339

Assembly Weight Error in Fuel Selection Calculation for

the 2019 Day Cask Loading at Davis Besse

10/12/2019

CR-2019-08369

Decay Heat Error in the Fuel Selection Calculation for the

2019 Dry Cask Loading at Davis Besse

10/13/2019

CR-2019-08408

Errors in Dry Fuel Storage Characterization Calc and

Selection Calc Related to 2019 Canister 1

10/14/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

CR-2019-08449

Errors in Dry Fuel Storage Characterization Calc and

Selection Calc Related to 2019 Canister 2

10/15/2019

CR-2019-08457

Need to Replace Four Assemblies Identified in planned

Dry Cask Loading Identified

10/15/2019

CR-2019-08503

Errors in Dry Fuel Storage Characterization Calc and

Selection Calc Related to 2019 Canister 3

10/16/2019

CR-2019-08709

Errors in Dry Fuel Storage Characterization Calc Related

to 2019 Contingency Assemblies

10/21/2019

CR-2019-08736

Dry Cask Storage - NDE Procedure Discrepancy

10/22/2019

CR-2019-08816

Dry Cask Storage Procedure Enhancement

10/23/2019

CR-2019-08892

Dry Cask Storage - Operational Issues with the Doerfer

Wheelift Transporter

10/25/2019

CR-2019-08901

Need to Replace Assemblies in Davis-Besse EOS4-8

Canisters Identified

10/25/2019

CR-2019-08946

Dry Cask Storage - Transfer Cask Trunnion Indication

10/26/2019

CR-2019-09019

Dust-Like Debris Identified on Assembly ID during Video

Verification of Dry Cask

10/28/2019

CR-2019-09135

Dry Cask Storage-Dose Rate Alarm

10/30/2019

CR-2019-09156

Thermal Cycle Counting for DSC #009

10/31/2019

CR-2019-09337

Dry Cask Storage - Wrong Beveling for DSC #11 Inner

Top Cover Weld Surface

11/04/2019

CR-2019-09611

Increased Dose due to More Work on Dry Shielded

Canister #12

11/13/2019

CR-2019-09779

Dry Cask Storage - Challenges with Dry Shielded

Canister #15 Vacuum Drying

11/19/2019

CR-2019-09792

Dry Cask Storage - DSC#15 Drain Port Cover Root Pass

Weld Unable to be Completed

11/20/2019

CR-2019-09828

Dry Cask Storage - Potential Issue with Fuel Drop

Analysis

11/21/2019

CR-2019-09830

Dry Cask Storage - Several suspect welds on Doerfer

Wheelift transporter

11/21/2019

CR-2019-10082

Individual Alarmed Passive Monitoring

2/02/2019

CR-2019-10088

Dry Cask Storage - Individual Received Dose Rate Alarm

2/03/2019

CR-2019-10187

Vendor Supplied Thermolumincescent Dosimetry Results

2/06/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Corrective Action

Documents

Resulting from

Inspection

CR-2019-09200

Failure to Perform 10 CFR 72.48 Review for Dry Fuel

Storage Procedure Administrative Changes

11/01/2019

CR-2020-00135

Document Reference Excluded from the Davis-Besse

EOS 10 CFR 72.212 Report

01/08/2020

Miscellaneous

Action Plan to Resume Vacuum Drying at Davis Besse

Selected 10 CFR 72.48 Screenings and Evaluations

NUHOMS EOS System Updated Final Safety Analysis

Report

2019 DCS Loading Campaign Oversight Review Plan

08/15/2019

21042-146

TN Americas 10 CFR Part 72. 48 Applicability Review

Regarding Water Boiling in the TC/DSC Annulus

10/18/2019

21042-148

TN Americas 10 CFR Part 72. 48 Applicability Review

Regarding Water Level in the TC/DSC Annulus

10/20/2019

NDE Reports

6007-19-006-0807-

103019-03

NDE Report for Canister #10

10/30/2019

607-19-006-0807-

110419

Liquid Penetrant Examination Report for DSC #11

607-19-006-0807-

111119

Liquid Penetrant Examination Report for DSC #12

11/11/2019

Procedures

DB-MM-12312

Dry Shielded Canister Preparations for Loading

NUHOMS-EOS-37PTH

DB-MM-12313

Transfer Cask Handling for Fuel Loading NUHOMS-EOS-

37PTH

0, 2

DB-MM-12314

Dry Shielded Canister Drying, Backfill and Sealing

Operations NUHOMS-EOS-37PTH

0-5

DB-MM-12315

Movement of Transfer Cask to the ISFSI Pad and Dry

Shielded Canister Insertion into EOS-HSM

0, 1

DB-MM-12316

Dry Shielded Canister Extraction from EOS-HSM

DB-MM-12318

Guidance for ISFSI Equipment Malfunctions NUHOMS-

EOS-37PTH

DB-MM-12319

Dry Shielded Canister Removal of Field Welds NUHOMS-

EOS-37PTH

NOP-OP-4503

Personnel Contamination Monitoring

Radiation

DB-M-20180613-2

2018 ISFSI Pad Survey Report

06/13/2018

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Surveys

DB-M-20190411-4

2019 ISFSI Radiation Survey Report

04/11/2019

DB-M-20191024-6

Survey of HSM, ISFSI Pad and Perimeter for DSC #9

10/24/2019

DB-M-20191031-4

Survey of HSM, ISFSI Pad and Perimeter for DSC #10

10/31/2019

DB-M-20191220-2

Post DCS Campaign HSM Pad Survey/

2/20/2019

Work Orders

200731159

2019 SFP Cask Crane Functional Test

09/20/2019

200765066

2019 SFP Cask Crane Annual Inspection

08/29/2019

60856.1

Calculations

155170-C-C-00003

ISFSI Pad Structural Capacity Qualification

155170-C-C-00004

Auxiliary Building Structural Qualification

EOS01-0205

EOS Horizontal Storage Module (EOS-HSM) Weight &

CG Calculation

EOSTE-0206

EOS-TC125 Lifting Yoke Assembly Evaluation

1, 2

Corrective Action

Documents

CR-2019-08808

Transfer Cask Lifting Yoke Design Calculation

10/23/2019

Corrective Action

Documents

Resulting from

Inspection

CR-2019-04479

Concerns Identified With Cask Crane Corbel Design

Calculation

05/17/2019

CR-2019-04963

Concerns Identified with Cask Crane Concrete Corbel

(Bracket) Design Calculation

07/05/2019

CR-2019-08808

Transfer Cask Lifting Yoke Design Calculation

10/23/2019

CR-2019-08912

NRC Dry Cask Inspection Identified Inadequate Technical

Basis in Calculation 155170-C-C-00003

10/25/2019

Drawings

EOS01-3112

NUHOMS EOS System Construction and Assembly of

EOS-HSMS-FPS Segmented Base

EOSTE-4008

NUHOMS EOS System Transfer Equipment EOS-TC125

Lifting Yoke Assembly

EOSTE-4008

Orano TN Drawing, EOS-TC125 Lifting Yoke Assembly

0, 2

I4105-0000

Transfer Skid Assembly

NUH-03-7103

Standardized NUHOMS Horizontal Storage Module,

HSM-H Base

Engineering

Changes

ECP No. 18-0014

Cask Crane Seismic Restraint Modification

04/15/2019

Miscellaneous

Response to NRC Questions on Pad Model

03/05/2019

Cask Crane Repair Basis

EOSTE-0101

AREVA TN Document, Design Criteria Document (DCD)

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

for the Lifting Yokes

Study 1002263

Charpy Testing Temperature and Acceptance Criteria for

ANSI N14.6-1993 Lift Yokes

04/10/2019

Procedures

DB-MM-06004

Spent Fuel Cask Crane Operation

Revision 11

71111.01

Corrective Action

Documents

CR 2019-07524

Discrepencies Associated with BA Heat Trace Circuit 148

09/11/2019

CR 2019-08535

CFPP18Q Freeze Protection Cabinet Found Deenergized

10/17/2019

CR 2019-09186

Freeze Protection CKT 15 Indicates "****.*"

11/01/2019

CR 2019-09575

Heat Trace Circuits Not Operating Correctly PM-5289

11/12/2019

CR 2019-10068

TIC20350S Indicates "Open In P"

2/02/2019

CR 2019-10069

TIC20487S Indicates "Open In P"

2/02/2019

Procedures

DB-OP-06913

Seasonal Plant Preparation Checklist

71111.04Q Corrective Action

Documents

Resulting from

Inspection

ATA-2019-14112

Several Fire Protection Procedures Need to be Enhanced

to Reflect the Same Information for FP Locked Valves

10/29/2019

Drawings

2501

Auxiliary Feedwater System

M-033C

Decay Heat Train 2

OS 041A Sheet 1

Emergency Diesel Generator Systems

Procedures

DB-OP-06011

High Pressure Injection System

DB-OP-06012

DH Loop 2 Normal Lineup Valve Checklist

DB-OP-06233

AFW Train 1 Switch and Breaker Checklist

DB-OP-06316

Diesel Operating Procedure

DB-OP-06610

Station Fire Suppression Water System

DB-SS-03091

MDFP Flow Path Valve Checklist

71111.04S

Corrective Action

Documents

CR 2018-10646

Containment Spray Pump #1 Motor Leads with Broken

Strands

2/04/2018

CR 2018-11082

CS Pump 2 Pump Inboard Bearing Oiler Needs Adjusted

2/18/2018

Drawings

M-034

Emergency Core Cooling System Containment Spray and

Core Flooding Systems

OS-005

Containment Spray System

Procedures

DB-OP-06013

Containment Spray System

Work Orders

WO 200707980

CS Pump 1 Comprehensive Quarterly Test

2/28/2019

WO 200713413

CS Pump 2 Quarterly Test

04/07/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

71111.05Q Corrective Action

Documents

Resulting from

Inspection

CR 2019-08098

Pre-Fire Plan PFP-AB-323 Drawing Error Identified

10/03/2019

Fire Plans

PFP-AB-237

Auxiliary Feed Pump 1 Room Fire Area E

PFP-AB-312

Spent Fuel Pool Pump Room

PFP-AB-323

Risk Significant Area, High Voltage Switchgear Room B,

Room 323, Fire Area Q

Miscellaneous

Davis-Besse Unit 1 Fire Hazard Analysis Report

Procedures

PFP-AB-225

Makeup Pump Room Vestibule Rooms 225 and 226A

71111.07A

Corrective Action

Documents

CR 2018-01158

POD 2017-03523, Revision 1, Elbow Wall Thinning

03/09/2018

CR 2019-07376

Impact to Plant Due to Extended Actibrom Chem Feed

Shutdown

09/05/2019

Drawings

OS-020

Service Water System

103

OS-048A

Chlorination System

Procedures

DB-CH-06043

Intake Chlorination System

DB-CH-06900

Operational Chemical Control Limits

71111.11A

Miscellaneous

Davis-Besse Licensed Operator Requalification Program

Annual Examination Summary Results for 2019

2/19/2019

71111.11Q Miscellaneous

ORQ-EPE-S111-R-

Davis-Besse Licensed Operator Requalification Scenario

2/04/2019

Procedures

DB-SP-03447

Decay Heat Train 2 Pump and Valve Test

NOBP-LP-2601

Human Performance Program

NOP-OP-1002

Conduct of Operations

71111.12

Corrective Action

Documents

CR 2010-78416

AF 6451 Issue during AFW Train #2 Flowpath Verification

DB-SP-03164

06/17/2010

CR 2010-78435

Potential Rework for ZC6451

06/17/2010

CR 2010-79809

AF6451 Found Failed Open and De-energized

07/17/2010

CR 2010-81273

Past Operability Review of AFW Positioner ZC6451

08/16/2010

CR 2017-12439

MDFP Oil Leak on LO Cooler Discharge Pipe Union

2/27/2017

CR 2018-02517

DC Bus Ground Received during Restoration of FW6459,

MDFP Discharge to OTSG 1

10/09/2018

CR 2018-06706

CV 5000A and CV 5000B Failed to Operated During EVS

07/27/2018

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Train 1 Monthly Test

CR 2018-08883

DC Bus Ground Received during Restoration of FW6459,

MDFP Discharge to OTSG 1

10/09/2018

CR 2019-06418

Critical Order ECP15-0138-004 Target Rock Work

Dropped at T+1

07/30/2019

CR 2019-06625

MDFP Minimum Recirc Flow 210 GPM

08/07/2019

CR 2019-06899

EVS Train #1 Exceeded Maintenance Rule Unavailability

Limit

08/16/2019

CR 2019-07507

Clarification Needed with Respect to Motor Driven

Feedpump Alignment in Mode 1

09/11/2019

Drawings

2501

Containment and Penetration Rooms

OS-0330

Emergency Ventilation System

Engineering

Changes

ECP 15-0138-004

Target Rock Auxiliary Feedwater Power Supply Isolation

(FV6460)

Miscellaneous

Operator Logs

DB-SUB34-01

Station Emergency Ventilation System

07/19/2019

MRPM 37

Maintenance Rule Program Manual

NORM-ER-3102

FENOC Motor

NORM-ER-3103

Low and Medium Voltage Switchgear and Motor Control

Centers

Procedures

DB-SS-03090

Motor Driven Feed Pump Monthly Valve Verification

DB-SS-03091

Motor Driven Fuel Pump Quarterly Test

NG-DB-00001

On-Line Risk Management

NOBP-ER-3900

Equipment Reliability Common Definitions and Structure

NOP-ER-1001

Continuous Equipment Performance Improvement

NOP-ER-3004

FENOC Mainenance Rule Program

NORM-ER-3311

I&C Loop Components

Work Orders

200638294

Install Target Rock Power Converter per ECP 0138-004

08/28/2019

200772426

Terminate Control Cables within the Newly Installed

Target Rock AC/DC-DC Power Converter

06/24/2019

200798332

Identification of Cable to Support WO 200638294

08/28/2019

71111.13

Corrective Action

Documents

CR 2019-01589

DFP Room Sump Pump Check Valves Degraded

2/21/2019

CR 2019-01929

In Field Inspections for ECCS Sump Pump Suction

03/04/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Strainer and Base Plate Bolt

CR 2019-01937

DR42 Leaks When Only the 'A' Pump Runs in the DH

Cooler Pit Sump

03/05/2019

CR 2019-02244

BACC: Pinhole Leak Discovered in #1 ECCS Sump Pump

Discharge Line

03/13/2019

CR 2019-02845

ECCS Room 1 Sump Pump Mechanical Alternator not

Operating

03/27/2019

CR 2019-04724

Trending of ECCS Sump Pump Discharge Piping

Leakage

05/28/2019

CR 2019-05791

Inadequate Coatings in Order 200428692

07/08/2019

CR 2019-08598

BACC: Leak on 46-HSC-155-1 Shop Weld 'C' on ECCS

  1. 1 Sump Pump Discharge

10/18/2019

CR 2019-08601

BACC: Leak on Field Weld '16' on Drawing M-0246B

(ECCS #1 Sump Pump Discharge)

10/18/2019

CR 2019-08602

BACC: Leak on Field Weld '17' on Drawing M-0246B

(ECCS #1 Sump Pump Discharge)

10/18/2019

CR 2019-08604

BACC: Leak on 46-HSC-155-6 Shop Weld 'A' (DH Cooler

Pit Sump Pump Discharge)

10/18/2019

CR 2019-08605

BACC: Leak on 46-HSC-155-6 Shop Weld 'E' (ECCS #1

and DH Cooler Pit Sump Pump Discharge Connection)

10/18/2019

CR 2019-08606

BACC: Leak on 46-HSC-155-6 Shop Weld 'F' (ECCS #1

and DH Cooler Pit Sump Pump Discharge Connection)

10/18/2019

CR 2019-09729

ECCS Room 1 Sump Pump 1A Degraded Operation

11/18/2019

CR 2019-09782

ECCS #1 Sump Clean-Out Findings

11/19/2019

CR 2019-10345

Accumulation of Sludge in DH Cooler Pit Sump

2/12/2019

Miscellaneous

System Description for Plant Process Computer System

09/26/2019

NOP-OP-1007-01

Risk Management Plan

Procedures

DBBP-OPS-0003

On-Line Management Process

NOP-OP-1007

Risk Management

Work Orders

WO 200704931

Remove and Replace the Existing Plant Computer

10/15/2019

71111.15

Corrective Action

Documents

CR 2019-01425

Station Battery 2N Found with Low Specific Gravity

2/15/2019

CR 2019-01589

DFP Room Sump Pump Check Valves Degraded

2/21/2019

CR 2019-01929

In Field Inspections for ECCS Sump Pump Suction

Strainer and Base Plate Bolt

03/04/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

CR 2019-01937

DR42 Leaks When Only the 'A' Pump Runs in the DH

Cooler Pit Sump

03/05/2019

CR 2019-02244

BACC: Pinhole Leak Discovered in #1 ECCS Sump Pump

Discharge Line

03/13/2019

CR 2019-02845

ECCS Room 1 Sump Pump Mechanical Alternator not

Operating

03/27/2019

CR 2019-04724

Trending of ECCS Sump Pump Discharge Piping

Leakage

05/28/2019

CR 2019-05791

Inadequate Coatings in Order 200428692

07/08/2019

CR 2019-07507

Clarification Needed with Respect to Motor Driven

Feedpump Alignment in Mode 1

09/11/2019

CR 2019-07971

EDG #2 Cylinder 7 Injector Linkage has Slight Drag

09/30/2019

CR 2019-08044

  1. 2 EDG Piston Cylinder #14 has Small Indication on

Piston Ring

10/02/2019

CR 2019-08057

Missing Roller Pins Identified on Air Box Covers 14, 18,

and 19

10/02/2019

CR 2019-08315

  1. 2 Emergency Diesel Generator Outage Critique Roll-Up

10/11/2019

CR 2019-08598

BACC: Leak on 46-HSC-155-1 Shop Weld 'C' on ECCS

  1. 1 Sump Pump Discharge

10/18/2019

CR 2019-08601

BACC: Leak on Field Weld '16' on Drawing M-0246B

(ECCS #1 Sump Pump Discharge)

10/18/2019

CR 2019-08602

BACC: Leak on Field Weld '17' on Drawing M-0246B

(ECCS #1 Sump Pump Discharge)

10/18/2019

CR 2019-08604

BACC: Leak on 46-HSC-155-6 Shop Weld 'A' (DH Cooler

Pit Sump Pump Discharge)

10/18/2019

CR 2019-08605

BACC: Leak on 46-HSC-155-6 Shop Weld 'E' (ECCS #1

and DH Cooler Pit Sump Pump Discharge Connection)

10/18/2019

CR 2019-08606

BACC: Leak on 46-HSC-155-6 Shop Weld 'F' (ECCS #1

and DH Cooler Pit Sump Pump Discharge Connection)

10/18/2019

CR 2019-08607

BACC: Leak on 46-HSC-145-31 Shop Weld 'M' (ECCS

Sump to MWDT Header)

10/18/2019

CR 2019-08814

Degraded Spare Fuel Injector Identified during the

Performance of PM 11219

10/23/2019

CR 2019-09010

10CFR21-0127 From Engine Systems Incorporated (ESI): 10/28/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

EMD Fuel Injector - Seized Plunger and Bushing

CR 2019-09248

OP 3006 Miscellaneous Instrument Shift Checks

Performed with Invalid Group 38 Data

11/02/2019

CR 2019-09251

Group 38 Rod Index not Updating, Indicated 293.36 while

Actual RI on the PIP was a Different Value

11/02/2019

CR 2019-09729

ECCS Room 1 Sump Pump 1A Degraded Operation

11/18/2019

CR 2019-09782

ECCS #1 Sump Clean-Out Findings

11/19/2019

CR 2019-09966

Battery Specific Gravity is out of Program Limit

11/26/2019

CR 2019-10345

Accumulation of Sludge in DH Cooler Pit Sump

2/12/2019

CR 2019-10422

Pressure Differential Switch Found Outside Tech Spec

Allowable As-Found Range

2/16/2019

Drawings

E-18, sh 2

SFRCS Logic Diagram Logic Channels 2 & 4 and

Actuation Channel 2

M-0060

Auxiliary Feedwater System

M-006C

Main Feedwater System

M-0078

Piping and Instrument Diagram Steam Generator

Secondary System

Miscellaneous

Davis-Besse Nuclear Power Station Train 2 Class 1E

Safety Related 125 Volt Batteries, Battery 2P and Battery

2N Expected Life and Condition Assessment; Standby

Power System Consultants, Inc.

2/13/2018

Procedures

DB-ME-03004

Station Battery Monthly Surveillance

DB-MI-03204

Channel Functional Test and Calibration of SFRCS

[Steam and Feedwater Rupture Control System]

Actuation Channel 2, Steam Generator Differential

Pressure Inputs PDS-2685A, PDS-2685B, PDS-2686C

and PDS-2686D

DB-OP 03006

Miscellaneous Instrument Shift Checks

Work Orders

200808350

Replace ECCS Sump 1-1 Pump/Motor with Motor/Pump

from DB-P89-3A

11/19/2019

200808351

Troubleshoot ECCS Sump 1-1 Pump B

11/18/2019

71111.19

Drawings

OS-041C

Emergency Diesel Generator Diesel Oil System

Procedures

DB-OP-06316

Diesel Generator Operating Procedure

Work Orders

WO 200728256

AFP 2 Quarterly Test

11/20/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

WO 200733023

PM 0728, PM 0728 KS2 - Cln Ins EDG2

71111.22

Drawings

7749-E-30-34

Schematic Diagram Davis-Besse Safety Feature

Activation System

J-102 SH. 17A

RC LOOP 1 HLG WR Press SFAS Ch3 (PD-RC2B3)

Miscellaneous

Final Report of AMS Tests Response Time Testing of

Pressure Transmitters at Davis Besse Unit 1

2/2019

Procedures

DB-MI-03119

Safety Features Actuation System On-Line Response

Time Data Collection

8, 9

DB-PF-03291

Containment Personnel and Emergency Airlocks Seal

Leakage Test

71114.04

Corrective Action

Documents

CR-2018-09935

MS-C-18-11-24 Incorrect Procedure Revision Identified in

TSC

11/08/2018

CR-2019-00093

Emergency Plan Rev 33 Submittal to the NRC did not

Meet a Requirement in NG-NS-00500, Nuclear

Emergency Response

01/04/2019

CR-2019-05255

10CFR 50.54(q) Review was not Performed on Procedure

Revisions

06/17/2019

Corrective Action

Documents

Resulting from

Inspection

CR-2019-08756

Need to Perform 50.54(q) Reviews on Three Procedures

that were Revised and Made Effective Without these

Reviews

10/22/2019

Miscellaneous

DB-2018-031-00

CFR 50.54(q)(3) Screen/Evaluation

08/23/2018

71114.06

Corrective Action

Documents

CR 2019-08495

EP Drill - Failure to Notify On-Call ERO Personnel within

Ten Minutes of Classification of an Event that Requires

Initial Activation

10/16/2019

CR 2019-08504

EP Drill - Controller Provided Incorrect Coaching to Dose

Assessment

10/15/2019

CR 2019-09204

RMT Communication Issues Identified in the October 15,

2019 EP Integrated Drill

11/01/2019

71124.03

Miscellaneous

Kit Number C005140

Breathing Air Quality Report - Bauer System

04/08/2019

Sample Kit Number

105974S

Breathing Air Quality Report - Bauer System

2/19/2018

Sample Kit Number

1711

Breathing Air Quality Report - Bauer System

07/26/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Procedures

DB-HP-060000

Operation of Air Compressors

NOP-OP-4303

Respirator Quantitative Fit Test Portacount Pro 8030

NOP-OP-4310

Firehawk M7 Self Contained Breathing Apparatus

71124.04

Corrective Action

Documents

CR-2019-10082

Individual Alarmed Passive Monitoring

2/09/2019

CR-2019-10187

Vendor Supplied Thermoluminescent Dosimetry Results

2/06/2019

Corrective Action

Documents

Resulting from

Inspection

ATA-2019-15867

NOP-OP-4205 TLD/DRD Comparison Enhancement

2/13/2019

CR-2019-10379

Diving Dosimetry Enhancements

2/13/2019

Miscellaneous

TLD 2301380218

TLD/DRD Deviation Investigation Report

05/03/2018

TLD 2304500218

TLD/DRD Deviation Investigation Report

05/03/2018

TLD 2305640218

TLD/DRD Deviation Investigation Report

05/03/2018

TLD 2307040218

TLD/DRD Deviation Investigation Report

05/03/2018

71124.08

Corrective Action

Documents

CR-2018-03364

Performance Issues with the Liquid Waste Processing

System

4/18/2018

CR-2019-05986

GEM-5 Portal Monitor at LLRWSF High Background

Counts During TPE Calibration

7/31/2019

CR-2019-06639

Continued Rainwater Roof Leakage into the LLRWSF Cell

Area

8/14/2019

CR-2019-08786

Potential Trend - Reverse Osmosis/Duratek Equipment

Reliability

10/23/2019

Miscellaneous

GEN-USDOT_FEN

US DOT Regulations Awareness Training

RP-

RADSHIPPING_FEN

Radioactive Material Packaging, Transport and Disposal

Training USDOT and NOP-OP-5021 Training

Procedures

Davis-Besse PCP

Process Control Program

DB-HP-01344

Source Term Determination

DB-HP-01511

Low-Level Radioactive Storage Facility (LLRSWF)

DB-HP-01712

CFR 61 Sampling for Waste Classification

Shipping Records 2018-1008

Cask with Filters in Poly Container

06/22/2018

2018-1029

Metal Cask of Filters

2/15/2018

2019-1001

Cask with Resin in Poly Container

06/29/2019

71151

Miscellaneous

NEI 99-02

Regulatory Assessment Performance Indicator Guideline

Procedures

DB-SP-03357

RCS Water Inventory Balance

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

NG-EN-00327

RCS [Reactor Coolant System] Integrated Leakage

Program

71152

Corrective Action

Documents

2019-07705

Water was Flowed from the EFWST to OTSG 1 while

Running the EFW Pump to Recirc Engine Coolant

09/18/2019

CR 2018-10631

Low Radiator Fluid in EFW Pump

2/03/2018

CR 2019-03728

FLEX Portable Generator FX-PG1 will not Start

04/21/2019

CR 2019-03969

Flex Truck DRT2 will not Start

04/30/2019

CR 2019-04317

FLEX Generator for Fan Alley and FLEX Building Failed

to Start

05/11/2019

CR 2019-04572

FLEX Portable Diesel Generator Battery Failure Trend CR 05/21/2019

CR 2019-05699

Cabinet CS787A, Primary SFPLI, and CS787B, Backup

SFPLI, Batteries

07/03/2019

CR 2019-05754

SFPLI Batteries not Charged for Greater than 72 Hours

07/06/2019

CR 2019-08692

Fuel Cube 1 Battery Requires Recharge

10/21/2019

CR 2019-08693

Fuel Cube 2 Battery Requires Recharge

10/21/2019

CR 2019-08781

FLEX Debris Removal Truck #1 - Dead Battery

10/22/2019

CR 2019-09022

L5701 BKR 34 Found Tripped (SFP Level Indicator

C5787B)

10/28/2019

CR 2019-09042

Alt. LP FLEX EFW Pump Failure to Start

10/29/2019

CR 2019-09330

FLEX - Battery Issues - Trending

11/04/2019

Miscellaneous

Davis-Besse Unit Log

Technical

Specifications

Davis-Besse Tech Spec Bases

Procedures

DB-OP-06234

Emergency Feedwater System

Multiple

Revisions

Work Orders

200724732

PM 12055 EFW Diesel, Gear and Pump

71153

Corrective Action

Documents

CR 2017-10586

Damper CV5000A Failed to Open during DB-SS-03250

(EVS Train 1 Monthly)

10/19/2017

CR 2018-06706

CV 5000A and CV 5000B Failed to Operate during EVS

Train 1 Monthly Test

07/27/2018

CR 2019-06097

CVS5000A, EVS Fan 1 Discharge Damper, not Operating

Properly

07/19/2019

CR 2019-06613

EVS Train 1 Past Operability Review Identifies Condition

Prohibited by Technical Specifications

08/06/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Miscellaneous

LER 2019-001

Emergency Ventilation System Train Inoperable due to

Non-Specific Test Description of Damper Operation

Work Orders

WO 200720913

EVS Train 1 Monthly Test

06/21/2019