ML040790025

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IR 05000445-04-006, on March 4, 2004; Comanche Peak Steam Electric Station, Unit 1, Glen Rose, Tx; 95001, Supplemental Inspection for a White Finding
ML040790025
Person / Time
Site: Comanche Peak Luminant icon.png
Issue date: 03/18/2004
From: Marschall C
NRC/RGN-IV/DRS/EMB
To: Blevins M
TXU Energy
References
EA-04-009 IR-04-006
Download: ML040790025 (10)


See also: IR 05000445/2004006

Text

March 18, 2004

EA-04-009

M. R. Blevins, Senior Vice President

and Principal Nuclear Officer

TXU Energy

ATTN: Regulatory Affairs

Comanche Peak Steam Electric Station

P.O. Box 1002

Glen Rose, TX 76043

SUBJECT: COMANCHE PEAK STEAM ELECTRIC STATION, UNIT 1 - NRC

SUPPLEMENTAL INSPECTION REPORT 05000445/2004-006

Dear Mr. Blevins:

On March 4, 2004, the US Nuclear Regulatory Commission (NRC) completed an inspection at

your Comanche Peak Steam Electric Station, Unit 1. The enclosed report documents the

inspection findings, which were discussed on March 4, with Steve Ellis, Systems Engineering

Manager, and other members of your staff.

As required by the NRC Reactor Oversight Process Action Matrix, this supplemental inspection

was performed in accordance with Inspection Procedure 95001. The purpose of the inspection

was to examine the causes for and actions taken related to the White finding associated with

the failure to identify and correct an indicated flaw in a steam generator tube during Refueling

Outage 1RF08. This supplemental inspection was conducted to provide assurance that the

root causes and contributing causes of the events resulting in the White finding are understood,

to independently assess the extent of condition, and to provide assurance that the corrective

actions for risk significant performance issues are sufficient to address the root causes and

contributing causes and to prevent recurrence. The inspection consisted of selected

examination of representative records and interviews with personnel.

The NRC concluded that your staff performed a thorough evaluation of the failure to identify

and correct the steam generator tube flaw in Refueling Outage 1RF08. We also determined

that your corrective actions fully addressed the root and contributing causes for the missed

flaw, and that you have implemented appropriate actions to prevent recurrence.

TXU Energy -2-

In accordance with 10 CFR 2.390 of the NRCs "Rules of Practice," a copy of this letter

and its enclosure will be available electronically for public inspection in the NRC Public

Document Room or from the Publicly Available Records (PARS) component of NRCs

document system (ADAMS). ADAMS is accessible from the NRC Web site at

http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,

/RA/

Charles S. Marschall, Chief

Engineering Branch

Division of Reactor Safety

Docket: 50-445

License: NPF-87

Enclosure:

Inspection Report 05000445/2004-006

cc w/enclosure:

Roger D. Walker

Regulatory Affairs Manager

TXU Generation Company LP

P.O. Box 1002

Glen Rose, TX 76043

George L. Edgar, Esq.

Morgan Lewis

1111 Pennsylvania Avenue, NW

Washington, DC 20004

Terry Parks, Chief Inspector

Texas Department of Licensing

and Regulation

Boiler Program

P.O. Box 12157

Austin, TX 78711

The Honorable Walter Maynard

Somervell County Judge

P.O. Box 851

Glen Rose, TX 76043

TXU Energy -3-

Richard A. Ratliff, Chief

Bureau of Radiation Control

Texas Department of Health

1100 West 49th Street

Austin, TX 78756-3189

Environmental and Natural

Resources Policy Director

Office of the Governor

P.O. Box 12428

Austin, TX 78711-3189

Brian Almon

Public Utility Commission

William B. Travis Building

P.O. Box 13326

1701 North Congress Avenue

Austin, TX 78711-3326

Susan M. Jablonski

Office of Permitting, Remediation and Registration

Texas Commission on Environmental Quality

MC-122

P.O. Box 13087

Austin, TX 78711-3087

TXU Energy -4-

Electronic distribution by RIV:

Regional Administrator (BSM1)

DRP Director (ATH)

DRS Director (DDC)

Senior Resident Inspector (DBA)

Branch Chief, DRP/A (WDJ)

Senior Project Engineer, DRP/A (TRF)

Staff Chief, DRP/TSS (PHH)

RITS Coordinator (KEG)

Rebecca Tadessee, OEDO RIV Coordinator (RXT)

ADAMS: Yes * No Initials: nlh

Publicly Available * Non-Publicly Available * Sensitive Non-Sensitive

RI:EB C:EB C:PBA C:EB

WCSifre/lmb CSMarschall WDJohnson CSMarschall

/RA/ /RA/ /RA/ /RA/

03/11/04 03/11/04 03/17/04 03/12/04

OFFICIAL RECORD COPY T=Telephone E=E-mail F=Fax

ENCLOSURE

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

Docket: 50-445

License: NPF-87

Report No.: 05000445/2004-006

Licensee: TXU Electric

Facility: Comanche Peak Steam Electric Station, Unit 1

Location: FM-56

Glen Rose, Texas

Dates: March 4, 2004

Inspector: W. Sifre, Reactor Inspector

Approved By: Charles S. Marschall, Chief

Engineering Branch

Division of Reactor Safety

-2-

SUMMARY OF FINDINGS

IR 05000445/2004-006; March 4, 2004; Comanche Peak Steam Electric Station, Unit 1: 95001,

Supplemental Inspection for a White Finding.

The report covered a two-day period of inspection by a regional reactor inspector. The NRCs

program for overseeing the safe operation of commercial nuclear power reactors is described in

NUREG-1649, "Reactor Oversight Process," Revision 3, dated July 2000.

NRC-Identified and Self Revealing Findings

Cornerstone: Barrier Integrity

The U.S. Nuclear Regulatory Commission (NRC) performed this supplemental inspection to

assess the licensees evaluations associated with the failure to identify and correct an indicated

flaw in a steam generator tube during Refueling Outage 1RF08. The failure to remove the tube

from service resulted in a primary coolant leak that caused operators to shut the plant down.

The NRC concluded, based on the condition of the tube (as determined by in-situ testing) that

the failure to identify the flaw and remove the tube from service was a performance deficiency

with risk significance characterized as White (low to moderate risk significance). During this

supplemental inspection, performed in accordance with Inspection Procedure 95001, the

inspectors determined that the licensee performed a comprehensive evaluation of the causes

and extent of the performance deficiency that resulted in failure to identify the flaw. The

licensee's evaluation resulted in changes in processes and practices for eddy current analysis,

improved peer review, and more supervisory oversight. The root-cause evaluation also resulted

in additional reviews of the eddy current data obtained in Refueling Outage 1RF09, insuring that

analysts identified similar defects. In addition, the licensee applied the lessons learned during

the subsequent refueling outage for Unit 2.

Report Details

1 INTRODUCTION

The U.S. Nuclear Regulatory Commission (NRC) performed this supplemental inspection to

assess the licensees evaluation associated with the failure to identify a steam generator tube

flaw that resulted in a leak. This performance issue was previously characterized as "white" in

NRC Inspection Report 50-445/02-09 and is related to the barrier integrity cornerstone in the

reactor safety strategic performance area.

4OA2 Problem Identification and Resolution

a. Problem Identification

On September 26, 2002, Comanche Peak Steam Electric Station, Unit 1, developed a

steam generator tube leak that resulted in a unit shutdown on September 28. The NRC

conducted a special inspection to evaluate the effectiveness of the examination

methods used to examine the degraded tube during the previous outage, and determine

whether licensee evaluators missed an opportunity to identify the degraded tube. The

team determined that the licensee failed to identify and correct a degraded steam

generator tube during Refueling Outage 1RF08 and this failure directly resulted in a

steam generator tube leak. The team determined that this failure was a violation of

10 CFR Part 50, Appendix B, Criterion XVI. The NRC performed a Phase 3 analysis of

this condition and determined that the change in large early release frequency ( LERF)

was 5.5x10-7/year. This frequency determination corresponded with a "white" finding in

the significance determination process.

b. Root Cause and Extent of Condition Evaluation

The inspection team identified that the licensees Refueling Outage 1RF08 eddy current

analysis guidelines were written to analyze freespan indications either without the

presence of a ding or to a smaller threshold in the presence of a ding. The indication

that resulted in the leak did not meet the guideline reporting criteria because the ding

was masked by the probe wobble signal. This condition resulted in both the primary and

secondary analysts applying the non-conservative criteria for non-ding locations. This

resulted in the flaw not being identified and the tube remained in service until it leaked.

The inspectors reviewed the licensees root-cause analysis and found that the licensee

had identified that the computerized primary analysis process was rule-based and would

not have identified the indication. The licensee further found that the work process for

eddy current analysis was less than adequate in that it relied on a single individual to

perform a detailed task with no peer, independent, nor supervisory review.

Based on this review, the inspectors concluded that the licensee clearly understood the

root causes and contributing causes for the failure to identify the flawed tube prior to the

developed leak. The inspectors further concluded, based on the licensee actions

described in NRC Inspection Report 50-445/02-09, that the licensee fully addressed the

extent of condition and extent of cause for the missed flaw.

-2-

c. Corrective Actions

The inspectors reviewed the licensees initial corrective actions that included revision of

the eddy current process and plugging of the failed tube. This review is described in

detail in NRC Inspection Report 50-445/02-09. The inspector found that the licensee

has initiated following long-term corrective actions:

  • Licensee and vendor lead analysts are assigned to review the performance of

primary and secondary analysts daily by comparing their calls to those of the

resolution analysts.

  • Additional controls have been incorporated into the automated data screening

software to ensure correct sorts are used.

  • The resolution analysts are separated into two teams and resolution of data is

performed independently with the most conservative call taking precedence.

  • Lead analysts have been assigned on each shift to provide increased oversight

and guidance.

  • History look up requirements have been changed to require review back to the

first inservice inspection as opposed to only the last inservice inspection.

  • Additional training and testing has been added on data look ups for changes in

signal.

The inspectors concluded that the corrective actions described in NRC Inspection

Report 50-445/02-09 fully addressed the root causes and contributing causes for the

missed flaw and that those actions combined with the actions stated above will prevent

recurrence. Additional detail of the special inspection team's evaluation of the causes

and corrective actions can be found in NRC Inspection Report 50-445/02-09.

4OA5 Other Activities

1. (Closed) AV 05000458/2002007-01 Failure to identify and correct an indicated flaw in a

steam generator tube during Refueling Outage 1RF08.

As documented in NRC Special Inspection Report 05000445/2002-09, the inspectors

identified a violation of 10 CFR Part 50, Appendix B, Criterion XVI for failure to promptly

identify a flaw in Comanche Peak, Unit 1, Steam Generator No. 2 Tube R41C71 and

correct it by removing it from service. As a result, in September 2002, the flaw

developed into a leak that caused operators to shut the plant down. The tube

subsequently failed in situ testing.

The final significance determination was completed and documented in Final

Significance Determination for a White Finding and Notice of Violation, (EA-04-009)

dated February 13, 2004. The finding was determined to be of low to moderate safety

significance (White) because the tube failed in-situ testing. This failure indicated a

-3-

higher probability of inservice failure for the tube during postulated initiating events and

core damage sequences. (VIO 05000445/2004006-01)

2. (Closed) VIO 05000445/2004006-01 Failure to identify and correct an indicated flaw in a

steam generator tube during Refueling Outage 1RF08.

As documented in section 4OA2, above, the inspectors determined that the licensee

performed a comprehensive evaluation of the causes and extent of the performance

deficiency that resulted in failure to identify the flaw. The licensees evaluation resulted

in changes in processes and practices for eddy current analysis, improved peer review,

and more supervisory oversight. The root-cause evaluation also resulted in additional

reviews of the eddy current data obtained in Refueling Outage 1RF09, insuring that

analysts identified similar defects. In addition, the licensee applied the lessons learned

during the subsequent refueling outage for Unit 2.

4OA6 MANAGEMENT MEETINGS

Exit Meeting Summary

On March 4, 2004, the inspectors presented the inspection results to Mr. S. Ellis and

other members of his staff who acknowledged the findings. The inspectors asked the

licensee whether any materials examined during the inspection should be considered

proprietary. Several documents were identified as proprietary information by the

licensee. The inspectors ensured that the proprietary documents were returned to

licensee.

Regulatory Performance Discussion

On March 18, 2004, Charles Marschall, Chief, Engineering Branch, Division of Reactor

Safety, NRC Region IV, conducted a Regulatory Performance meeting by telephone

conference with the following Comanche Peak managers and staff:

Name Title

Steve Ellis Systems Engineering Manager

Fred Madden Regulatory Affairs Manager

Tim Hope Regulatory Performance Manager

Bob Kidwell Licensing Engineer

The participants discussed the performance deficiencies associated with the failure to

identify and correct the steam generator tube flaw. The discussion also addressed the

corrective action taken by the licensee, and the results achieved.

ATTACHMENT

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee personnel

G. Dyes, Nuclear Overview Auditor

S. Ellis, Manager, Systems Engineering

T. Hope, Manager, Regulatory Performance

B. Kidwell, Licensing Engineer

F. Madden, Manager, Regulatory Affairs

B. Mays, Manager, Steam Generator Replacement Project

V. Polizzi, Manager, Site Engineering, Westinghouse

K. Studer, Manager, System Engineering Smart Team

M. Sunseri, Manager, Nuclear Overview

T. Weyandt, Steam Generator Coordinator

NRC personnel

D. Allen, Senior Resident Inspector

V. Klein, Intern

LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED

Opened and Closed

05000458/2004006-01 VIO Failure to identify and correct an indicated flaw in a steam

generator tube during Refueling Outage 1RF08

(Section 4OA5)

Closed

50-445/0202-01 LER Steam Generators Meeting C-3 Category

50-445/02-09-01 APV Failure to Identify and Correct a Degraded Steam

Generator Tube during Refueling Outage 1RF08

LIST OF DOCUMENTS REVIEWED

TXU Unit 1 Steam Generator Eddy Current Analysis Guidelines - 1RF09, Revision 5

TXU Unit 1 Steam Generator Eddy Current Analysis Guidelines - 1RF10, Revision C

Westinghouse Report WPT-16430, "TXU Generation LP Comanche Peak Steam Electric

Station Unit 1 1RF09 Steam Generator Pulled Tube Report"