IR 05000346/2021010

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Biennial Problem Identification and Resolution Inspection Report 05000346/2021010
ML21280A112
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 10/07/2021
From: Billy Dickson
NRC/RGN-III/DRP/B2
To: Tony Brown
Energy Harbor Nuclear Corp
References
IR 2021010
Download: ML21280A112 (13)


Text

SUBJECT:

DAVIS-BESSE NUCLEAR POWER STATION - BIENNIAL PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000346/2021010

Dear Mr. Brown:

On August 20, 2021, the U.S. Nuclear Regulatory Commission (NRC) completed a problem identification and resolution inspection at your Davis-Besse Nuclear Power Station and discussed the results of this inspection with you and other members of your staff. The results of this inspection are documented in the enclosed report.

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

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

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

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

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

October 7, 2021 No findings or violations of more than minor significance were identified during this inspection.

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, Billy C. Dickson, Jr., Chief Branch 2 Division of Reactor Projects Docket No. 05000346 License No. NPF-3

Enclosure:

As stated

Inspection Report

Docket Number:

05000346

License Number:

NPF-3

Report Number:

05000346/2021010

Enterprise Identifier:

I-2021-010-0051

Licensee:

Energy Harbor Nuclear Corp.

Facility:

Davis-Besse Nuclear Power Station

Location:

Oak Harbor, OH

Inspection Dates:

August 02, 2021 to August 20, 2021

Inspectors:

B. Boston, Emergency Response Coordinator

R. Cassara, Resident Inspector

R. Elliott, Senior Resident Inspector

V. Myers, Senior Health Physicist

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 a biennial problem identification and resolution 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.

List of Findings and Violations

No findings or violations of more than minor significance were identified.

Additional Tracking Items

None.

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 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.

Starting on March 20, 2020, in response to the National Emergency declared by the President of the United States on the public health risks of the coronavirus (COVID-19), inspectors were directed to begin telework. In addition, regional baseline inspections were evaluated to determine if all or a portion of the objectives and requirements stated in the IP could be performed remotely. If the inspections could be performed remotely, they were conducted per the applicable IP. In some cases, portions of an IP were completed remotely and on site. The inspections documented below met the objectives and requirements for completion of the IP.

OTHER ACTIVITIES - BASELINE

71152B - Problem Identification and Resolution Biennial Team Inspection (IP Section 02.04)

(1) The inspectors performed a biennial assessment of the licensees corrective action program, use of operating experience, self-assessments and audits, and safety conscious work environment.

Corrective Action Program Effectiveness: The inspectors assessed the corrective action programs effectiveness in identifying, prioritizing, evaluating, and correcting problems. The inspectors also conducted a five-year review including a 5-year time period for the Decay Heat Removal-Low Pressure Coolant Injection, Component Cooling Water (CCW), and Service Water systems.

Operating Experience, Self-Assessments and Audits: The inspectors assessed the effectiveness of the stations processes for use of operating experience, audits and self-assessments.

Safety Conscious Work Environment: The inspectors assessed the effectiveness of the stations programs to establish and maintain a safety-conscious work environment.

INSPECTION RESULTS

Assessment 71152B Assessment of the Corrective Action Program Based on the activities that the inspectors selected for review, the inspection team concluded that the implementation of the problem identification and resolution process (the corrective action program) was adequate to appropriately protect the health and safety of the public and the environment. The plant staff had a low threshold for identifying problems and entering them, in a timely manner, in the condition report (CR) system. Items entered into the corrective action program (CAP) were screened and prioritized in a timely manner using established criteria; were properly evaluated commensurate with their safety significance; and corrective actions were generally implemented in a timely manner, commensurate with the safety significance. The team noted that the licensee reviewed Operating Experience (OE)for applicability to station activities. Audits and self-assessments appeared to be performed at an appropriate level to identify deficiencies. In interviews conducted during the inspection, workers at the site expressed freedom to bring up nuclear safety concerns and were encouraged to enter items in the CAP system.

Effectiveness of Problem Identification Overall, the station effectively identified issues at a low threshold and was properly entering them into the CAP as required by station procedures. The team determined that the station was generally effective at identifying negative trends that could potentially impact nuclear safety. For the areas reviewed, the team did identify one issue in the area of problem identification. During the team's review of one condition report and the associated corrective action, the team observed that the licensee did not specify a valve and related piping had been over-pressurized until after the licensee had installed the valve into the decay heat removal system (Valve DH210 in CR-2016-05753). Condition Report-2016-05753 addressed leakage from valve DH210, which led to the discovery that the valve and associated piping had been over-pressurized during bench testing. The licensee evaluation noted that although the 3000 psig test failure led to appropriately changing the testing pressure to 97 psi, the licensee did not write a condition report to identify they were testing at the incorrect pressure for the valve and associated piping. The team determined that the licensee was generally effective at trending low-level issues and taking appropriate corrective actions to prevent more significant issues from developing. Trends for open CRs and work orders appeared reasonable. The licensee used the CAP to document instances in which previous corrective actions were ineffective or were inappropriately closed.

Effectiveness of Prioritization and Evaluation of Issues Based on the samples reviewed, the team determined that licensee performance was adequate. The Management Review Committee meetings were generally thorough and intrusive in reviewing issues and prioritizing actions. The team observed a healthy dialogue between the members of this committee when dispositioning condition reports. Generally, the licensee completed the evaluations in a timely manner. While the team did not identify issues with the effectiveness of prioritization and evaluation of issues, the team determined that the licensee coded various CRs related to radiation protection as NC (non-CAP),including one related to an intake of radioactive material. Governing procedures are high level and allow for flexibility in coding items not covered by 10 CFR 50 Appendix B. The inspection team determined this flexibility can lead to inconsistency in how the licensee addressed these types of issues. For example, it appears all contamination found in clean areas are maintained in the CAP, but contamination found in a person may not. However, a review of actions taken in response to these CRs indicates that the corrective actions (CAs)are being performed appropriately outside the CAP.

Effectiveness of Corrective Actions Based on the samples reviewed, the team determined that the licensee was adequately implementing CAs with some licensee-identified opportunities for improvement in CA implementation. In general, the licensee implemented CAs for deficiencies that were safety-significant in an adequate and timely manner. The team sampled CA assignments developed for selected NRC documented violations, selected licensee event reports, some license self-assessments, and some licensee-identified issues. Where either enough time had elapsed, and/or the licensee had performed effectiveness reviews, the team also looked at the effectiveness of the CAs (i.e., was there a recurrence of the issues). The team did not identify problems of the efficacy of CAs.

Safety Conscious Work Environment The team found no evidence of challenges to the licensee's safety-conscious work environment (SCWE). Plant employees appeared willing to raise nuclear safety concerns through at least one of the several means available. The team observed various station meetings, including those in which new CRs were reviewed, and interviewed a representative cross-section of multiple station personnel, including individual and group interviews.

Additionally, the team assessed the annual SCWE evaluations. Specifically, during SCWE interviews, it was brought to the team's attention that anonymous CRs via the Employee Concerns Program (ECP) were not accurately addressing the individual's concern. The team reviewed the survey results from 2018-2020 and recognized moderate negative staff responses regarding the belief that issues reported through the ECP will be thoroughly investigated and objectively dispositioned, the use of ECP without fear of retaliation, and keeping the identity of individuals confidential at the individual's request. The survey results also identified high negative responses in Chemistry, Maintenance, and Security regarding the confidence in the CR process to properly prioritize, investigate, and resolve issues reported and effectively resolve conditions adverse to quality in a timely manner.

EXIT MEETINGS AND DEBRIEFS

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

On August 20, 2021, the inspectors presented the biennial problem identification and resolution inspection results to Terry Brown, Site Vice President, and other members of the licensee staff.

DOCUMENTS REVIEWED

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

CR-2016-05753

DB EFW / FLEX Project - Valve DH210 Over-Pressurized

and Over-Torqued.

04/22/2016

CR-2017-03328

NRC 2017 UHS Inspection: Vulnerabilities Identified with

ECCS Room Cooler Clean/Inspection Strategy.

03/23/2017

CR-2019-00225

Crack Detected on MSIV-2 Bypass Piping Sockolet Weld

01/09/2019

CR-2019-00251

Procedure Non-Compliance: NOP-LP-4011-Work Hour

Controls

01/10/2019

CR-2019-00709

RP SCWE Survey Red Window Results Regarding

Effectiveness of CAP

01/23/2019

CR-2019-03102

Sink Hole Outside of Door 301

04/02/2019

CR-2019-03762

Potential to Implement Temporary Configuration Changes

Without Evaluation Under 50.59/72.48

04/22/2019

CR-2019-04914

SW38 New Valve Taper Pin as Found Condition

06/04/2019

CR-2019-05429

WANO Observation Review: Nuclear Safety Culture

Weaknesses in PI&R and WP

06/24/2019

CR-2019-05843

NRC Concern: Replacement SW38 Taper Pins

07/10/2019

CR-2019-05966

2019 WANO: AFI OR.2-Failure to Resolve Some Important

Vulnerabilities.

07/15/2019

CR-2019-05967

2019 WANO: AFI CY.1 - Inaccurate Results During

Laboratory Cross-Check Analysis

07/15/2019

CR-2019-05968

2019 WANO: AFI ER.4 - Deficiencies in Cathodic Protection

System

07/15/2019

CR-2019-06949

Door 215 Left Open for Extended Amount of Time Without

Permission Resulting in Loss of Safety Function

08/19/2019

CR-2019-07152

Part 21 for Fisher Butterfly Valves

08/27/2019

CR-2019-07154

2019 NRC Radioactive Effluents and REMP: Implementation

of Environmental Dosimetry ANSI N13.37-2014

08/27/2019

CR-2019-07769

Cognitive trending - Condition Reports Relative to

Contamination Found in Clean Area of Radiological

Controlled Area

09/20/2019

71152B

Corrective Action

Documents

CR-2019-07840

Cognitive Trending - Increase in Radiological

Instrumentation Condition Reports in Third Quarter of 2019

09/24/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

CR-2019-09729

ECCS Room 1 Sump Pump 1A Degraded Operation

11/18/2019

CR-2019-09924

NRC: NCV 2019003-01 on Inadequate Work Instructions for

a Valve Installation

11/25/2019

CR-2019-10379

NRC Inspection: Diving Dosimetry Enhancements

2/11/2019

CR-2020-00755

Valve Mispositioned (closed) During Oil Sampling

01/31/2020

CR-2020-01605

Failure to Follow NOP-LP-1002 Fitness for Duty Program

Requirements

2/29/2020

CR-2020-02195

21RFO Level 1 Personnel Contamination Event - Facial

Contamination

03/12/2020

CR-2020-02741

Unexpected Rod Insertion during FW Flow Calibration

04/28/2020

CR-2020-04095

A Level Schedule Deviation for AFW testing

05/08/2020

CR-2020-04235

REMP Air Monitor Loss of Power Trend

05/14/2020

CR-2020-04264

Revised Maintenance Rule Failure Determinations.

05/14/2020

CR-2020-05158

What is the Evidence/ Scientific Basis for Unvaccinated

Individuals Wearing Masks?

07/06/2021

CR-2020-05163-

ATA-01

Update MRPM for Makeup & Purification system

06/09/2020

CR-2020-06105

Corrective Action Exceeded Due Date - Emergency

Response

08/01/2020

CR-2020-06587

CCW Pump #1 Exceeded Maintenance Rule Unavailability

Limit.

08/21/2020

CR-2020-08112

Outer Cover Inadvertently Removed During Testing on

MS107A

10/20/2020

CR-2020-08586

Basis of Management Desired Staffing Levels

11/05/2020

CR-2020-0882

20 1st half NSCMP: Trait 4-Leadership Accountability,

Area in Need of Improvement.

11/13/2020

CR-2020-08948

Increase in REMP Air Monitor Gross Beta Results

11/19/2020

CR-2021-00542

NRC NCV: Failure to Perform a 50.59 Evaluation for a

Change to a TRM Surveillance

01/28/2021

CR-2021-01649

Performance Assessment Elevation: Emergency Response

Organization (ERO) Call-In Test / Drill Performance.

03/09/2021

CR-2021-02098

Trending of Chemistry Program CRs for

Sectional/Organizational Learnings

03/22/2021

CR-2021-02204

NRC NCV: Failure to Maintain the Effectiveness of the

03/25/2021

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Emergency Plan due to Telephone Issues.

CR-2021-03208

Radiological Environmental Monitoring Program Air Sampler

T-7 Power Interruption

04/22/2021

CR-2021-04400

REMP Air Sampler T-1 Power Interruption

06/02/2021

CR-2021-04502

Trending of RP Instrumentation

06/07/2021

CR-2021-04857

COVID-19 Related Concerns/Questions

06/22/2021

CR-2021-05048

Radiological Environmental Monitoring Program Air Sampler

T-12 Power Interruption

06/30/2021

DB-MI-04241

String Check Of 45A-ISFSP02A2 Main Feedwater Flow Loop

(Periodic Test Procedure)

DB-MI-04243

String Check Of 45A-ISFSP02B2 Main Feedwater Flow Loop

(Periodic Test Procedure)

NOBP-LP-2502

Safety Culture Monitoring

OE-2019-0067-2

OE447550R20190221 Ultrasonic Inspection Indication on

Reactor Head Nozzle Penetration.

03/18/2019

OE-2019-0122-2

IN1901, Inadequate Evaluation of Temporary Alterations.

03/29/2019

OE-2019-0159-2

OE437513R20190419 Condition Prohibited by Technical

Specifications Due to Untimely Recognition of Failed

Laboratory Analysis of Ventilation Charcoal Sample.

05/30/2019

OE-2020-0072-2

OE468879R20200310 Auxiliary Feedwater System Declared

Inoperable Due to Check Valve Leakage.

04/13/2020

OE-2021-0063-1

DB Effectiveness Review for IER L2 12-14 Rev 1, Automatic Reactor Scram Resulting Form A Design Vulnerability in the

4.16-Kv Buss Undervoltage Protection Scheme, Rec. 3

2/04/2021

ATA-2020-15317

Evaluate Davis-Besse Condition Report Initiation Rate

2/14/2020

M-215-00095

Instruction Manual for 9100 Series Butterfly Control Valve

Bodies

M-215-00095

Instruction Manual for 9100 Series Butterfly Control Valve

Bodies

Nuclear safety

culture monitoring

panel

1st Half 2021 NSCMP Package

08/17/2021

Miscellaneous

SA-BN-2020-

28

2nd Half 2019 DBNPS Nuclear Safety Culture Monitoring

Panel

2/17/2020

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

Quality Assurance Program Manual

DB-CH-00002

Chemistry Laboratory Techniques and Practices.

Rev 01

07/24/2020

DB-CN-00013

Review and Evaluation of Radiological Environmental

Monitoring Program Sample Analysis Results

DB-MI-04240

String Check Of 45A-ISFSP02A1 Main Feed Water Flow

Loop 2 (Periodic Test Procedure)

DB-MI-04242

String Check Of 45A-ISFSP02B1 Main Feedwater Flow Loop

Periodic Test Procedure)

DB-MM-09317

Fisher Type 9100 Butterfly Control Valve Maintenance

DB-MM-09317

Fisher Type 9100 Butterfly Control Valve Maintenance

NOBP-LP-2001

Self-Assessment and Benchmarking

NOBP-LP-2003

Employee Concerns Program

03/30/2021

NOBP-LP-2008

Corrective Action Review Board

NOBP-LP-2011

Cause Analysis

NOBP-LP-2018

Integrated Performance Assessment

NOBP-LP-2022

Compliance Auditing

NOBP-LP-2100

Operating Experience Process

NOBP-LP-2502

Safety Culture Monitoring

NOP-LP-1002

Fitness for Duty Program

NOP-LP-2001

Corrective Action Program

NOP-OP-4204

Special External Exposure Monitoring

NOP-P-1009

Operability Determinations and Functionality Assessments

NOP-WM-0001

Work Management Process

NOPM-LP-0001

Personal Safety Manual

10/01/2020

NOPM-LP-2009

Human Performance Handbook

10/01/2020

Procedures

NORM-LP-2003

Analytical Methods Guidebook

Davis-Besse SCWE Survey Results for September 2019

10/01/2019

Davis-Besse SCWE Survey Results for September 2020

10/01/2020

ATA-2020-11612

20 Davis-Besse Mid-Cycle Assessment.

09/28/2020

ATA-2020-12956

Davis-Besse Nuclear Safety Culture Monitoring Panel 2020

1st Half.

11/16/2020

Self-Assessments

MS-C-19-08-03

Radiation Protection/Radwaste

09/12/2019

Inspection

Procedure

Type

Designation

Description or Title

Revision or

Date

MS-C-20-05-07

Maintenance/Work Management Program

06/30/2020

MS-C-20-08-02

Chemistry/Environmental

09/18/2020

200691026

SS3145-001 05.001 CREVs Train 1 CTRM EVS Refuel/Spec

Test

04/04/2019

Work Orders

200764571

SS3146-001 05.001 CREVs Train 2 CTRM EVS Refuel/Spec

Test

06/29/2021