ML060270531

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IR 05000250-05-005, IR 05000251-05-005 on 10/01/2005 - 12/31/2005 for Turkey Point Nuclear Power Plant, Units 3 and 4; Problem Identification and Resolution
ML060270531
Person / Time
Site: Turkey Point  NextEra Energy icon.png
Issue date: 01/27/2005
From: Casto C
Division Reactor Projects II
To: Stall J
Florida Power & Light Co
References
EA-06-027 IR-05-005
Download: ML060270531 (33)


See also: IR 05000250/2005005

Text

DOCUMENT TRANSMITTED HEREWITH CONTAINS SENSITIVE UNCLASSIFIED INFORMATION

WHEN SEPARATED FROM ATTACHMENTS 2 AND 3, THIS DOCUMENT IS DECONTROLLED

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

January 27, 2005

EA 06-027

Florida Power and Light Company

ATTN: Mr. J. A. Stall, Senior Vice President

Nuclear and Chief Nuclear Officer

P. O. Box 14000

Juno Beach, FL 33408-0420

SUBJECT:

TURKEY POINT NUCLEAR PLANT - INTEGRATED INSPECTION REPORT

05000250/2005005 AND 05000251/2005005; PRELIMINARY WHITE FINDING

Dear Mr. Stall:

On December 31, 2005, the US Nuclear Regulatory Commission (NRC) completed an

inspection at your Turkey Point Units 3 and 4. The enclosed integrated inspection report

documents the inspection findings which were discussed on January 12, 2006,

with Mr. W. Webster and other members of your staff.

The inspection examined activities conducted under your license as they relate to safety and

compliance with the Commissions rules and regulations and with the conditions of your license.

The inspectors reviewed selected procedures and records, observed activities, and interviewed

personnel.

This letter and the enclosed supporting documentation discuss a finding that appears to have

low to moderate safety significance (White). This finding was assessed based on the best

available information, including influential assumptions, using the applicable Significance

Determination Process (SDP) and was preliminarily determined to be a White finding (i.e., a

finding with some increased importance to safety, which may require additional NRC

inspection).

This finding is characterized as an Apparent Violation (AV) of NRC requirements and is being

considered for escalated enforcement action in accordance with the NRC Enforcement Policy.

The current Enforcement Policy is included on the NRCs Web site at

http://www.nrc.gov/what-we-do/regulatory/enforcement/enforce-pol.html.

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

FP&L

2

DOCUMENT TRANSMITTED HEREWITH CONTAINS SENSITIVE UNCLASSIFIED INFORMATION

WHEN SEPARATED FROM ATTACHMENTS 2 AND 3, THIS DOCUMENT IS DECONTROLLED

In this case, the B Auxiliary Feedwater Pump was inoperable due to an incorrectly installed

bearing since September 10, 2003, resulting in an apparent violation of Technical Specification 3.7.1.2. In addition, your staff apparently failed to identify and correct the condition of the pump

during this time period as required by 10 CFR 50 Appendix B, Criterion XVI, despite several

indicators that the pump was degraded.

As indicated in the enclosed SDP Phase II and III Risk Analysis, the issue appears to have a

low to moderate safety significance. The problem was discovered following a halted

surveillance test and was corrected by your staff prior to returning the pump to service.

Because you have already completed the necessary corrective actions the finding no longer

presents an immediate safety concern.

Before we make a final decision on this matter, we are providing you an opportunity (1) to

present to the NRC your perspectives on the facts and assumptions, used by the NRC to arrive

at the finding and its significance, at a Regulatory Conference or (2) submit your position on the

finding to the NRC in writing. If you request a Regulatory Conference, it should be held within

30 days of the receipt of this letter and we encourage you to submit supporting documentation

at least one week prior to the conference in an effort to make the conference more efficient and

effective. If a Regulatory Conference is held, it will be open for public observation and the NRC

will issue a press release to announce the conference. If you decide to submit only a written

response, such submittal should be sent to the NRC within 30 days of the receipt of this letter.

Please contact Mr. Joel T. Munday at (404) 562-4560 within seven days of the date of this letter

to notify the NRC of your intentions regarding the regulatory conference for the preliminary

White finding. If we have not heard from you within 10 days, we will continue with our

significance determination and associated enforcement processes on this finding, and you will

be advised by separate correspondence of the results of our deliberations on this matter.

Since the NRC has not made a final determination in this matter, no Notice of Violation is being

issued for the inspection finding at this time. Additionally, please be advised that the number

and characterization of the apparent violation may change as a result of further NRC review.

In addition, the enclosed report documents one NRC identified finding of very low safety

significance (Green). This finding was determined to involve a violation of NRC requirements.

Additionally, licensee identified violations, which were determined to be of very low safety

significance and are listed in Section 4OA7 of this report. However, because of the very low

safety significance of the issue, and because the issue was entered into your corrective action

program, the NRC is treating the issue as a Non-Cited violation (NCV) consistent with Section

VI.A of the NRC Enforcement Policy. If you wish to contest the NCV, you should provide a

response within 30 days of the date of this inspection report, with the basis for your denial, to

the Nuclear Regulatory Commission, ATTN.: Document Control Desk, Washington DC 20555-

001; with copies to the Regional Administrator Region II; the Director, Office of Enforcement,

United States Nuclear Regulatory Commission, Washington, DC 20555-0001; and the NRC

Resident Inspector at Turkey Point.

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

FP&L

3

DOCUMENT TRANSMITTED HEREWITH CONTAINS SENSITIVE UNCLASSIFIED INFORMATION

WHEN SEPARATED FROM ATTACHMENTS 2 AND 3, THIS DOCUMENT IS DECONTROLLED

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

portions of its enclosure and your response (if any) 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). However, the NRC is continuing to review

the appropriate classification of the SDP Phase 2 Risk Analysis (Attachment 2) and SDP Phase

3 Risk Analysis (Attachment 3) within our records management program, considering changes

in our practices following the events of September 11, 2001. Using our interim guidance, the

attached analyses have been marked as Proprietary Information or Sensitive Information in

accordance with Section 2.390(d) of Title 10 of the Code of Federal Regulations and will not be

placed in the PDR. Please control the document accordingly (i.e., treat the document as if you

had determined that it contained trade secrets and commercial or financial information that you

considered privileged or confidential). We will inform you if the classification of these

documents change as a result of our ongoing assessments. 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 A. Casto, Director

Division of Reactor Projects

Docket Nos. 50-250, 50-251

License Nos. DPR-31, DPR-41

Enclosure: Inspection Report 05000250/2005005 and 05000251/2005005

w/Attachment: 1. Supplemental Information

2. Phase 2 SDP Risk Analysis (PROPRIETARY INFORMATION)

3. Phase 3 SDP Risk Analysis (PROPRIETARY INFORMATION)

cc w/encl: (See page 4)

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

FP&L

4

DOCUMENT TRANSMITTED HEREWITH CONTAINS SENSITIVE UNCLASSIFIED INFORMATION

WHEN SEPARATED FROM ATTACHMENTS 2 AND 3, THIS DOCUMENT IS DECONTROLLED

cc w/encl:

T. O. Jones

Site Vice President

Turkey Point Nuclear Plant

Florida Power and Light Company

9760 SW 344th Street

Florida City, FL 33035

Walter Parker

Licensing Manager

Turkey Point Nuclear Plant

Florida Power and Light Company

9760 SW 344th Street

Florida City, FL 33035

Michael O. Pearce

Plant General Manager

Turkey Point Nuclear Plant

Florida Power and Light Company

9760 SW 344th Street

Florida City, FL 33035

Mark Warner, Vice President

Nuclear Operations Support

Florida Power & Light Company

P. O. Box 14000

Juno Beach, FL 33408-0420

Rajiv S. Kundalkar

Vice President - Nuclear Engineering

Florida Power & Light Company

P. O. Box 14000

Juno Beach, FL 33408-0420

M. S. Ross, Managing Attorney

Florida Power & Light

P. O. Box 14000

Juno Beach, FL 33408-0420

Distribution: (See page 5)

_________________________

OFFICE

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SIGNATURE

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DATE

1/26/06

1/26/06

1/26/06

1/23/06

1/23/06

1/ /2006

1/27/06

E-MAIL COPY?

YES

NO YES

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OFFICE

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NAME

RMoore

SSparks

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1/27/06

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1/ /2006

E-MAIL COPY?

YES

NO YES

NO YES

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ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

U.S. NUCLEAR REGULATORY COMMISSION

REGION II

Docket Nos:

50-250, 50-251

License Nos:

DPR-31, DPR-41

Report No:

05000250/2005005, 05000251/2005005

Licensee:

Florida Power & Light Company (FP&L)

Facility:

Turkey Point Nuclear Plant, Units 3 & 4

Location:

9760 S. W. 344th Street

Florida City, FL 33035

Dates:

October 1, 2005 - December 31, 2005

Inspectors:

S. Stewart, Senior Resident Inspector

T. Kolb, Resident Inspector

M. Maymi, Reactor Engineer (1RO15)

R. Aiello, Senior Examiner (1RO1)

R. Reyes, Resident Inspector, Crystal River 3 (1RO23)

R. Moore, Senior Reactor Inspector (4OA5)

S. Ninh, Senior Project Engineer

Approved by:

Joel T. Munday, Chief

Reactor Projects Branch 3

Division of Reactor Projects

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

SUMMARY OF FINDINGS

IR 05000250/2005-005, 05000251/2005-005; 10/01/2005 - 12/31/2005; Turkey Point Nuclear

Power Plant, Units 3 and 4; Problem Identification and Resolution.

The report covered a three month period of inspection by resident inspectors, a region based

reactor engineer and senior examiner, and a region based senior project engineer. One Green

finding, which was a non-cited violation (NCV), and one Preliminary White Finding, which was

an apparent violation (AV), were identified. The significance of most findings is identified by

their color (Green, White, Yellow, Red) using IMC 0609, Significance Determination Process

(SDP). Findings for which the SDP does not apply may be Green or be assigned a severity

level after NRC management review. 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.

A

Inspector Identified & Self-Revealing Findings

Cornerstone: Mitigating Systems

Green: The inspectors identified a Non-Cited Violation of 10 CFR 50, Appendix

B, Criterion XVI, Corrective Action, for failure of the licensee to correct a

repeated condition adverse to quality, that being problems with operators

adjustment of auxiliary feedwater speed control.

The finding was more than minor and affected the Mitigating Systems

cornerstone because the licensee failed to correct a longstanding problem with

manual setting of the auxiliary feedwater speed control knob resulting in

repeated inoperabilities. The finding was determined to be of very low safety

significance because no instances of loss of function or periods of sustained

inoperability beyond technical specification limitations were identified. The

finding affects the cross cutting area of Problem Identification and Resolution

due to the failure to resolve a known condition adverse to quality related to the

problems with manual setting of auxiliary feedwater speed control. (4OA2.2)

TBD. An Apparent Violation (AV) of Technical Specification 3.7.1.2 was

identified for an inoperable auxiliary feedwater pump with a contributing violation

of 10 CFR Part 50, Appendix B, Criterion XVI, "Corrective Action" for failure of

the licensee to promptly identify and correct a significant condition adverse to

quality affecting the "B" turbine driven auxiliary feedwater (TDAFW) pump.

Specifically, the "B" TDAFW pump exhibited high vibration during routine

inservice tests following the replacement of the pump inboard journal bearing in

September 2003. Periodic oil samples taken since 2003 were also abnormal

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

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ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

and on occasion, the bearing was reported to have high temperature. Plant staff

were aware of the continued high vibration but did not declare the pump

inoperable and take corrective action. Subsequently, on November 7, 2005, a

test of the "B" TDAFW pump was halted due to increasing vibrationsabove the

inservice testing limit. The increased vibration was later determined by the

licensee to be directly related to the pump inboard journal bearing that was

installed incorrectly on September 10, 2003. The licensee entered this issue in

the Corrective Action Program as condition report (CR) 2005-30750. (4OA3.3)

The finding was determined to be more than minor because the "B" TDAFW

pump which is shared between Unit 3 and Unit 4, was inoperable more than 30

days. The Mitigating Systems Cornerstone objective to ensure the availability,

reliability, and capacity of systems that respond to initiating events to prevent

undesirable consequences was affected by the finding. NRC Phase 1 and

Phase 2 Significance Determination Process (SDP) analyses determined that

this finding is potentially greater than Green because the "B" TDAFW pump was

inoperable greater than 30 days and no operator recovery credit was identified.

An SDP Phase 3 analysis was performed and concluded the issue was of low to

moderate safety significance, White. This finding is also related to the

cross-cutting area of problem identification and resolution due to the failure to

promptly resolve a known condition adverse to quality. (4OA3)

B.

Licensee Identified Violations

Four violations of very low safety significance, which were identified by the licensee,

have been reviewed by the inspectors. Corrective actions taken or planned by the

licensee have been entered in the licensees corrective action program. The violations

and corrective actions are listed in Section 4OA7 of this report.

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

REPORT DETAILS

Summary of Plant Status:

Unit 3 began the period at full rated thermal power and operated at or near full power for the

inspection period except for the following: Unit 3 tripped on October 15 due to a feedwater

transient that started when a flow transmitter failed. The unit was restarted and returned to

Mode 1 on October 19, but remained at reduced power due to failure of the 3B main feedwater

pump. On October 24, Unit 3 was shutdown to Mode 3 because of grid instabilities due to

Hurricane Wilma. The unit was returned to power operations on October 27. Following repair

of the 3B main feedwater pump, Unit 3 returned to full power operation on November 2. On

December 20, the unit was reduced to 60 percent power to repair minor leakage in the main

condenser. The leak was repaired and the unit was returned to full power on December 22,

2005. On December 29, Unit 3 was shutdown to repair a small cooling water leak in the main

generator exciter. The leak was repaired and the unit returned to power operation on

December 31.

Unit 4 began the period at full rated thermal power and operated at or near full power for the

inspection period except for the following: Unit 4 was shutdown to Mode 3 on October 24

because of grid instabilities due to Hurricane Wilma. Subsequently, Unit 4 remained shutdown

due to secondary chemistry problems. On October 31, switchyard insulator salting caused loss

of the Unit 4 startup transformer and on November 1, the unit was placed in Mode 5. Following

restoration of offsite power and resolution of chemistry problems, the unit was restarted on

November 12 and returned to full power operation on November 14.

1.

REACTOR SAFETY

Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity

1R01

Adverse Weather Protection

.1

Impending Adverse Weather: Hurricane Wilma

a.

Inspection Scope

During the preparations and onset of Hurricane Wilma on October 23, 2005, the

inspectors verified the status of licensee actions in accordance with off-normal

procedure 0-ONOP-103.3, Severe Weather Preparations, and 0-EPIP-20106, Natural

Emergencies. This verification included physical walkdowns of the portions of the plant

protected area, control room observations, and discussions with responsible licensee

personnel regarding preparations of systems and personnel for high winds and potential

flooding. The inspectors specifically examined the following areas:

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

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ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

4A Emergency Diesel Generator

Plant Intake area

Standby steam generator feedwater pump area

Prior to onset of the storm, regional specialists were dispatched to remain onsite and

monitor licensee activities during the storm. The specialists monitored the Unusual

Event declaration, dual unit shutdown, and storm mitigation, maintaining

communications with NRC Region II. Control room indications and licensee response to

severe weather were specifically observed as the storm passed. After the storm,

resident inspectors returned to the site to monitor recovery activities.

b.

Findings

No findings of significance were identified. Vital safety systems were not affected by the

storm.

1R04

Equipment Alignment

1.

Partial Equipment Walkdowns

a.

Inspection Scope

The inspectors conducted three partial alignment verifications of the safety-related

systems listed below. These inspections included reviews of the operability of a train of

safety systems using plant lineup procedures, operating procedures, and piping and

instrumentation drawings. The specified configurations were compared with observed

equipment configurations to verify that the critical portions of the operable systems were

correctly aligned.

Unit 3, Charging and Letdown, in accordance with licensee procedure 3-OP-047,

CVCS - Charging and Letdown, ECO 3-05-10-025 regarding the charging pump

discharge flow element, and drawing 5613-M-3047, sh. 2

Both Units 4160 volt electrical distribution on October 28 during plant recovery

from dual unit shutdown using licensee electrical diagram 5610-T-E-1591

Unit 3 auxiliary feedwater trains 1 and 2 when B auxiliary feedwater pump was

out of service due to high bearing vibrations

b.

Findings

No findings of significance were identified.

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

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ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

.2

Complete System Walkdown

a.

Inspection Scope

The inspectors conducted one detailed walkdown/review of the alignment and condition

of the Unit 4 Residual Heat Removal (RHR) system, which included both A and B RHR

pumps and heat exchangers. The inspectors utilized licensee procedure 4-OP-050,

Residual Heat Removal System, and drawing 5614-M-3050 (Residual Heat Removal

System), as well as other licensing and design documents to verify that the system

alignment was correct. During the walkdown, the inspectors verified that: valves and

pumps were correctly aligned and did not exhibit leakage that would impact their

function; that major portions of the system and components were correctly labeled; that

selected hangers and supports were installed and functional; valves important to safety

were locked as required by plant drawings and procedures; and that electrical support

systems were properly aligned. A review of open corrective action reports and

maintenance work requests using the system health report was also performed to verify

that the licensee had appropriately characterized and prioritized equipment problems for

resolution in the corrective action program. In addition, the inspectors reviewed the

Updated Final Safety Analysis Report to check the ability of the system to perform its

design function.

b.

Findings

No findings of significance were identified.

1R05

Fire Protection

.1

Fire Area Walkdowns

a.

Inspection Scope

The inspectors toured the following nine plant areas to evaluate control of transient

combustibles and ignition sources. The inspectors also checked material condition and

operational status of fire protection systems including fire barriers used to prevent fire

damage or fire propagation. The inspectors reviewed these activities against provisions

in the licensees Procedure 0-ADM-016, Fire Protection Plan, and 10 CFR Part 50,

Appendix R. The licensees fire impairment lists, updated on a daily basis were routinely

reviewed. In addition, the inspectors reviewed the condition report database to verify

that fire protection problems were being identified and appropriately resolved. The

following areas were inspected:

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

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ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

Unit 4 West Electrical Penetration Room

Unit 3 South Electrical Penetration Room

Unit 4 Residual Heat Removal Room

Unit 3A and 3B 4160 Switchgear Rooms

Unit 3 Refuel Floor

Unit 4 Emergency Diesel Generator Building

Unit 3 Emergency Diesel Generator Building

Main Control Room

Unit 3 Charging Pump Room

b.

Findings

No findings of significance were identified.

1R07

Heat Sink Performance

a.

Inspection Scope

The inspectors observed activities in accordance with procedures 4-OSP-019.4, Unit 4

Component Cooling Water Heat Exchanger Performance Monitoring, and procedure

0-PMM-030.1, Component Cooling Water Heat Exchanger Cleaning, on December 21,

2005. The inspectors periodically checked the licensee monitoring of intake

temperature versus system temperature limits to assure technical specification

requirements were met and assessed the operational readiness of the cooling systems

should they be needed for accident mitigation. The inspectors verified that the licensee

conducted appropriate preventive maintenance to assure system readiness.

b.

Findings

No findings of significance were identified.

1R11

Licensed Operator Requalification Program

a.

Inspection Scope

On November 21, 2005, the inspectors observed and assessed licensed operator

actions to a simulated set of transients and operating events done in the licensees plant

specific simulator. The licensee conducted Simulator Evaluated Scenario 750203100,

which included a loss of 3P08 (3B Inverter), a trip of the 3A steam generator feedwater

pump resulting in a runback, pressurizer safety valve 3-551C leakage, and a reactor trip

and safety injection with failure of MOV 3-843 A/B valves to open, along with a failure of

the turbine to trip. The inspectors observed the operators use of Emergency Operating

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

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ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

Procedure (EOP) E-0, Reactor Trip or Safety Injection; EOP E-1, Loss of Reactor or

Secondary Coolant; and off-normal procedures, 3-ONOP-008, Loss of 120V Vital

Instrument Panel 3P08, and 3-ONOP-089, Turbine Runback. The operators actions

were checked to be in accordance with licensee procedures. Event classifications

(including Site Area Emergency) were checked for proper classification and prompt

state notification. The simulator board configurations were compared with actual plant

control board configurations concerning recent plant modifications. The inspectors

specifically evaluated the following attributes related to operating crew performance:

Clarity and formality of communication

Ability to take timely action to safely control the unit

Prioritization, interpretation, and verification of alarms

Correct use and implementation of Off Normal and Emergency Operation

Procedures and Emergency Plan Implementing Procedures

Control board operation and manipulation, including high-risk operator actions

Oversight and direction provided by Operations supervision, including ability to

identify and implement appropriate Technical Specification actions, regulatory

reporting requirements, and emergency plan actions and notifications

b.

Findings

No findings of significance were identified.

1R12

Maintenance Effectiveness

a.

Inspection Scope

The inspectors reviewed the following equipment problems and associated condition

reports to verify that the licensees maintenance efforts met the requirements of 10 CFR 50.65 (Requirements for Monitoring the Effectiveness of Maintenance at Nuclear Power

Plants) and Administrative Procedure 0-ADM-728, Maintenance Rule Implementation.

The inspectors efforts focused on maintenance rule scoping, characterization of

maintenance problems and failed components, risk significance, determination of (a)(1)

classification, corrective actions, and the appropriateness of established performance

goals and monitoring criteria. The inspectors also interviewed responsible engineers

and observed some of the corrective maintenance activities. The inspectors checked

that when operator actions were credited to prevent failures, the operator was dedicated

at the location needed to accomplish the action in a timely manner, and that the action

was governed by applicable procedures. Furthermore, the inspectors verified that

equipment problems were being identified and entered into the corrective action

program.

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

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Enclosure

Work Order 35019306-01, Replace CR 2940 switches on breaker 4P210A for 4A

residual heat removal pump and associated CR 2005-21545 for extended

unavailability due to clearance problem

CR 2005-29696, Unusual Event due to loss of Unit 4 startup transformer

CR 2005-28117, Failure of Unit 3 feedwater regulating valve FCV-3-498

b.

Findings

No findings of significance were identified.

1R13

Maintenance Risk Assessments and Emergent Work Control

a.

Inspection Scope

The inspectors completed in-office reviews and control room inspections of the

licensees risk assessment of seven emergent or planned maintenance activities. The

inspectors compared the licensees risk assessment and risk management activities

against the requirements of 10 CFR 50.65(a)(4); the recommendations of Nuclear

Management and Resource Council 93-01, Industry Guidelines for Monitoring the

Effectiveness of Maintenance at Nuclear Power Plants, Revision 3; and

Procedures 0-ADM-068, Work Week Management and O-ADM-225, On Line Risk

Assessment and Management. The inspectors also reviewed the effectiveness of the

licensees contingency actions to mitigate increased risk resulting from the degraded

equipment. The inspectors evaluated the following risk assessments during the

inspection:

Unit 4, October 26, 2005, Risk Condition Yellow for motor inspections on intake

cooling water (ICW) and component cooling water (CCW) pumps

Unit 3, October 17, 2005, Risk Condition Orange for isolation of the charging

header for weld leak repair to flow transmitter FT-3-122

Unit 4, Mode 3 operations when draining the condensate and feedwater systems

for chemistry control using licensee procedure 0-ADM-051, Outage Risk

Assessment and Control

Unit 3, November 8, 2005, power operations while testing 4B emergency diesel

generator, conducting switchyard work, and removing auxiliary feedwater pump

B from service due to high vibrations

Unit 3, December 2, 2005, replacement of 3C steam generator steam flow switch

Unit 3 and 4, December 15, 2005, operations during maintenance associated

with the A auxiliary feedwater pump

Unit 4, December 17, 2005, startup transformer removed from service earlier

than expected for switchyard insulator cleaning, CR 2005-34862

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Enclosure

b.

Findings

No findings of significance were identified.

1R14

Personnel Performance During Non-routine Plant Evolutions

a.

Inspection Scope

For the six non-routine events described below, the inspectors either observed the

activity or reviewed operator logs and computer data to determine that the evolution was

conducted safely and in accordance with plant procedures. Specific checks were done

to assess operator preparedness and performance in coping with non-routine events

and transients.

Unit 3 reactor trip and operator response on October 15, 2005

Unit 3 startup and return to power operations on October 19, 2005

Unusual Event declaration (October 23) and subsequent dual unit shutdown due

to onset of Hurricane Wilma on October 24, 2005

Return of Unit 3 to power operation on October 27, 2005

Unusual Event declaration on October 31, 2005 due to loss of Unit 4 startup

transformer

Return of Unit 4 to power operation on November 12, 2005

b.

Findings

No findings of significance were identified.

1R15

Operability Evaluations

a.

Inspection Scope

The inspectors reviewed six interim disposition and operability determinations

associated with the following condition reports to ensure that Technical Specification

operability was properly supported and the system, structure, or component remained

available to perform its safety function with no unrecognized increase in risk. The

inspectors reviewed the updated Final Safety Analysis Report (FSAR), applicable

supporting documents and procedures, and interviewed plant personnel to assess the

adequacy of the interim condition report disposition.

Unit 4 CR 2005-27461 Intake cooling water pump flange and baseplate corrosion

Unit 4 CR 2005-29846 Pressurizer maximum spray water temperature

differential exceeded. The inspectors reviewed the Technical Specification

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Enclosure

3.4.9.2 and Bases, and ASME Boiler and Pressure Vessel Code,Section III

Unit 4 CR 2005-32226 4A EDG voltage regulator operating erratically

Unit 3 CR 2005-28863 3B2 Battery Charger amps found low during performance

of 0-SME-003.7, 125 VDC Station Battery Weekly Maintenance

Unit 3 CR 2005-33226 3A Charging Pump Bolting 35029213

Unit 3 and 4 CR 2005-34288 3A High Head Safety Injection pump high motor

vibrations

b.

Findings

No findings of significance were identified.

1R16

Operator Work Around

.1

Cumulative Effects

f.

Inspection Scope

The inspectors reviewed the cumulative effects of the operator workarounds that were in

place on December 1, 2005, to verify that those effects could not increase an initiating

event frequency, affect multiple mitigating systems, or affect the ability of operators to

properly respond to plant transients and accidents. The following workarounds were

reviewed:

Unit 4 #3 Control Valve Oscillations

Unit 4 HCV-4-758 and FCV-4-605 leaking during residual heat removal

Unit 4 MOV 4-1409 and FCV 4-498 leaking affecting 4C steam generator level

b.

Findings

No findings of significance were identified.

.2

Selected Operator Work Around

a.

Inspection Scope

The inspectors reviewed the following Operator Work Around (OWA), to verify that this

work around did not affect either the functional capability of the related system in

responding to an initiating event, or the operators ability to implement abnormal or

emergency operating procedures.

Unit 4 MOV 4-1409 and FCV 4-498 leaking by affecting 4C S/G level (CR 2005-

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31969 and CR 2005-31990)

b.

Findings

No findings of significance were identified.

1R17

Permanent Plant Modification

4.

Inspection Scope

The inspectors reviewed the documentation for the following Plant Change and

Modifications (PC/M) associated with Unit 3 and 4:

C

PC/M 03-048 (June 8, 2004) to remove the Unit 3 Turbine Runback function

upon receipt of an Overpower or Overtemperature Delta-T signal

C

PC/M 05-059 (May 10, 2005) to replace Unit 4 Core Exit Thermocouples via In-

core System Flux Thimbles at location H1 and M3

The inspectors reviewed the 10 CFR 50.59 screening and evaluation, fire protection

review, environmental review, alara screening, and license renewal review. The

inspectors reviewed all associated plant drawings and updated Final Safety Analysis

Report documents impacted by these PC/Ms and discussed the changes with plant

staff.

b.

Findings

No findings of significance were identified.

1R19

Post Maintenance Testing

a.

Inspection Scope

For the six post maintenance tests listed below, the inspectors reviewed the test

procedures and either witnessed the testing and/or reviewed test records to determine

whether the scope of testing adequately verified that the work performed was correctly

completed and demonstrated that the affected equipment was functional and operable.

The inspectors verified that the requirements of Procedure 0-ADM-737, Post

Maintenance Testing, were incorporated into test requirements. The inspectors

reviewed the following work orders (WO) and/or surveillance procedures (OSP):

C

Unit 3 and 4, post maintenance testing conducted on October 6, 2005 on the A

auxiliary feedwater pump replacement in accordance with work order 33021678-

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01, 0-OSP-075.11, Auxiliary Feedwater Inservice Test, and 0-ADM-737, Post

Maintenance Testing

C

Unit 4, post maintenance testing conducted on November 11, 2005 for the C

intake cooling water (ICW) check valve replacement in accordance with work order 35006946-01 and 0-ADM-737

C

Unit 3 and 4, post maintenance testing conducted on November 11, 2005 on the

B auxiliary feedwater pump in accordance with work order 35008593-01

C

Unit 3, post maintenance testing conducted on December 2, 2005, for the 3A

charging pump speed controller and packing replacement per work order 35029213 and work order 35029206

C

Unit 4, post maintenance testing conducted on December 20, 2005, for thermal

overload calibration per 0-PME-102.3, MOV Thermal Overload Protection Test

and Calibration, in accordance with work order 35012168 for MOV 4-1405,

Auxiliary Feedwater Pumps Steam Supply valve

Unit 4, post maintenance testing conducted on December 23, 1999 for the 4B

safety related 125 VDC battery per work order 99002831-01, which included the

performance of 0-SMF-003.15, Station Battery 60 Month Maintenance

b.

Findings

No findings of significance were identified.

1R20

Unit 4 Outage Activities

During Mode 4 and 5 operations on Unit 4, the inspectors evaluated activities as

described below, to verify the licensee considered risk in developing schedules, adhered

to administrative risk reduction methodologies, and adhered to operating license and

Technical Specification requirements that maintained defense-in-depth.

.1

Shutdown Activities

a.

Inspection Scope

The inspectors observed or reviewed portions of the Unit 4 cooldown to verify that

Technical Specification cooldown restrictions were followed.

b.

Findings

No findings of significance were identified. A licensee identified issue is documented in

4OA7 of this report.

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.2

Licensee Control of Outage Activities

a.

Inspection Scope

During the outage, the inspectors observed the items or activities described below, to

verify that the licensee maintained defense-in-depth commensurate with the outage risk-

control plan for key safety functions and applicable Technical Specifications when taking

equipment out of service.

Electrical Power

Residual Heat Removal (RHR)

The inspectors also reviewed the licensees responses to emergent work and

unexpected conditions, to verify that control-room operators were cognizant of the plant

configuration.

b.

Findings

No findings of significance were identified. A licensee identified issue is documented in

4OA7 of this report.

.3

Monitoring of Heatup and Startup Activities

a.

Inspection Scope

The inspectors reviewed activities during reactor restart and power escalation to verify

that reactor parameters were within safety limits and that the startup evolutions were

done in accordance with pre-approved procedures and plans.

b.

Findings

No findings of significance were identified.

1R22

Surveillance Testing

a.

Inspection Scope

The inspectors either reviewed or witnessed the following three surveillance tests to

verify that the tests met the Technical Specifications, the UFSAR, the licensees

procedural requirements and demonstrated the systems were capable of performing

their intended safety functions and their operational readiness. In addition, the

inspectors evaluated the effect of the testing activities on the plant to ensure that

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conditions were adequately addressed by the licensee staff and that after completion of

the testing activities, equipment was returned to the positions/status required for the

system to perform its safety function. The tests reviewed included one inservice test

(IST) and one leakrate determination.

3-OSP-023.1, Diesel Generator Operability Test conducted on October 20, 2005

4-OSP-050.2, Residual Heat Removal System Inservice Test conducted on

November 20, 2005. This was an IST surveillance

4-OSP-41.1, Reactor Coolant System Leakrate Calculation

b.

Findings

No findings of significance were identified.

1R23

Temporary Plant Modifications

a.

Inspection Scope

The inspectors reviewed the five temporary modifications listed below to ensure that the

modification did not adversely affect the operation of the system. The inspectors

screened temporary plant modifications for systems that were ranked high in risk for

departures from design basis and for inadvertent changes that could challenge the

systems to fulfill their safety function. On closed temporary modifications, the inspectors

verified that appropriate post maintenance testing had been completed after the

modification had been removed and the system restored to normal. Condition reports,

CR 2005-23433 and 2005-23486, and FPL Quality Assurance Audit QAO-PTN-05-04,

Configuration Management were reviewed by the inspectors. The inspectors conducted

plant tours and discussed system status with engineering and operations personnel to

check for the existence of temporary modifications that had not been appropriately

identified and evaluated.

TSA 3-04-013-029

Temporary power to the 3CD Diesel Instrument Air

Compressor jacket water heater, heat tracing and battery

charger

TSA 3-05-075-012

Lift power leads to the A Auxiliary Feed Water Pump

turbine lube oil temperature controller TC-6537A

TSA 3-05-041-001

Increase annunciator F 1/1, RCP Motor / Shaft High

Vibration, input from 3C RCP Bently Navada Shaft

Vibration vertical and horizontal monitors alarm setpoint

from 5.0 mils to 9.0 mils

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TSA 4-05-074-023

Lift wires on FT-4-476 loop to prevent injection of noise,

and all bi-stables within channel IV protection Loops to be

reset

TSA 4-05-013-017

Provide temporary power, via a Power Panel fed from

Mcgreggor substation, for the 4CD Instrument Air

Compressor

b.

Findings

No findings of significance were identified.

Cornerstone: Emergency Preparedness (EP)

1EP6 Drill Evaluation

Inspection Scope

On December 6, 2005 the inspectors observed the licensee simulator based emergency

preparedness drill. Results of the drill are used by the licensee as inputs into the

Drill/Exercise Performance and Emergency Response Organization Drill Participation

Performance Indicators. The drill involved an unusual event declaration for loss of all

plant annunciators for greater than 15 minutes, and an Alert declaration for a simulated

fire that affected safety equipment, including intake cooling water pumps. The

inspectors observed the licensees event classification in accordance with licensee

procedure 0-EPIP-20101, Duties of the Emergency Coordinator. Notification of the

state warning point of the simulated events was also observed. At the conclusion of the

drill, the inspectors discussed the drill with plant staff and noted that drill improvement

items were documented in the corrective actions program.

b.

Findings

No findings of significance were identified.

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4.

OTHER ACTIVITIES

4OA2 Problem Identification and Resolution

.1

Daily Review

a.

Inspection Scope

As required by Inspection Procedure 71152, Identification and Resolution of Problems,

and to help identify repetitive equipment failures or specific human performance issues

for follow-up, the inspectors performed a screening of items entered daily into the

licensees corrective action program. This review was accomplished by reviewing daily

printed summaries of condition reports and by reviewing the licensees electronic

condition report database. Additionally, the reactor coolant system unidentified leakage

was checked on a daily basis to verify no substantive or unexplained changes.

b.

Findings

No findings of significance were identified

.2

Annual Sample Review

a.

Inspection Scope

The inspectors selected two condition reports identified below for a detailed review and

discussion with the licensee. The condition reports describe circumstances in which the

auxiliary feedwater pump governor speed control knobs were improperly operated

resulting in a degraded auxiliary feedwater capability. In multiple cases, the speed

control knob became loose and disengaged. In the most recent case, the knob was

improperly set following testing, causing a train of auxiliary feedwater protection to be

degraded/inoperable for about 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br />. The condition reports were reviewed to ensure

that an appropriate evaluation was performed and appropriate corrective actions were

specified and prioritized. Other attributes checked included disposition of operability,

resolution of the problem including cause determination and corrective actions. The

inspectors evaluated the condition reports in accordance with the requirements of the

licensees corrective actions process as specified in NAP-204, Condition Reporting.

Additional condition reports reviewed included CR 2005-33569, C auxiliary feedwater

pump inoperable (B and C AFW pump control knobs in the minimum position); CR

2005-8073, C auxiliary feedwater pump governor knob (became loose and disengaged);

and CR 2003-1453, B auxiliary feedwater pump governor speed control knob found free

to turn.

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CR 2005-18866, C Auxiliary Feedwater governor Adjust Knob Fell Off

CR 2005-33550, Failure of C Auxiliary Feedwater Pump to reach 5900 rpm when

started

b.

Findings

Introduction: The inspectors identified a Green Non-Cited Violation of 10 CFR 50,

Appendix B, Criterion XVI, Corrective Action, for failure of FPL to assure that a

condition adverse to quality, involving a repeat problem with manual mis-operation of

auxiliary feedwater pump speed control, was promptly corrected.

Description: During surveillance testing on December 5, 2005, the C turbine driven

auxiliary feedwater pump failed to achieve the specified 5900 rpm, when started and

only reached a maximum speed of 1000 rpm. The failed test was caused by improper

setting by operators of the speed control knob during testing earlier that day. After the

test, the licensee found the B auxiliary feedwater pump governor control switch was also

improperly set, again due to operators and earlier testing on the same day. The

inspector had observed that this speed control knob had fallen off during manual over-

adjustment on repeated occasions: June 27, 2005, following an auxiliary feedwater

actuation associated with a reactor trip; and March 18, 2005, during recovery from

testing. Problems with control of the auxiliary feedwater turbine speed control was a

long standing issue, documented in 2003 when the B pump knob was found free to

rotate because manual mis-operation following testing caused a loose ring assembly,

and earlier problems discussed in NRC Information Notice 86-14, PWR Auxiliary

Feedwater Pump Turbine Control Problems. Other than reconnecting the knob, no

corrective actions from the earlier events were implemented to assure that manual

manipulation of the switch did not result in a degraded auxiliary feedwater system.

During periods when the speed control knob(s) were out of position, there was an

increased plant risk because the affected pump(s) would not have accomplished their

safety function.

Analysis: The licensees failure to correct repeated problems with the same root cause,

that being mis-operation of the auxiliary feedwater pump speed control knob, affecting

multiple pumps and resulting in recurring pump inoperability, was a performance

deficiency. The finding was more than minor because it affected the Mitigating System

cornerstone objective of ensuring the reliability of systems that respond to initiating

events to prevent undesirable consequences (i.e. loss of heat sink). The finding was

screened using NRC Manual Chapter 0609, Appendix A, Attachment 1, Significance

Determination Process Screening Worksheet. The Mitigating Systems cornerstone was

affected and because the inoperabilities in each case were limited to one pump or train

and were of short duration (less than the technical specification action requirements),

the finding screened as Green. In all cases reviewed by the inspectors, the redundant

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train remained available when the mis-operation occurred and no loss of function was

identified. No Phase 2 assessment was required because the inoperabilities were less

than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> in duration and external events were not required to be analyzed. The

finding affects the cross cutting area of Problem Identification and Resolution due to the

repeated failure to correct/resolve a known condition adverse to quality.

Enforcement: 10 CFR 50. Appendix B, Criterion XVI, requires, in part, that for significant

conditions adverse to quality, measures shall assure that corrective action is taken to

preclude repetition. Contrary to the above, after repeated problems with assuring

proper speed control for the auxiliary feedwater pump turbines, on March 18, 2005 and

June 27, 2005, and prior occasions, measures were not adequate to prevent repetition

on December 5, 2005, when the speed controls for the B and C auxiliary feedwater

pumps were improperly positioned by an operator. On the earlier occasions, the control

knob either fell off due to manual mis-operation by operators, or was found free-

wheeling due to failure of the friction device caused by manual mis-operation. When

identified, the licensee restored the knob to its correct position and documented the

problem in the corrective actions program as CR 2005-33550 and CR 2005-33569. The

violation existed during periods when the licensee did not assure that the speed control

knob was properly set. Not all manipulations of the speed control resulted in equipment

inoperabilities, and in no case was a loss of function identified. Because the finding is of

very low safety significance, Green, and had been entered into the corrective action

program, the violation is being treated as a Non-Cited violation consistent with Section

VI.A.1 of the NRC Enforcement Policy: NCV 50-250/2005-005-02 and 50-251/2005-005-

01, Failure to Correct Repeated Problems with Auxiliary Feedwater Pump Manual

Speed Control.

.3

Semi-Annual Trend Review

Inspection Scope

As required by Inspection Procedure 71152, Identification and Resolution of Problems,

the inspectors reviewed the licensees corrective action program and associated

documents to identify trends that could indicate the existence of a more significant

safety issue. The inspectors review was focused on repetitive equipment issues, but

also considered the results of daily inspector corrective actions item screening

discussed in section 4OA2.1 above, plant status reviews, plant tours, document reviews,

and licensee trending efforts. The inspectors review nominally considered the six

month period of June 2005 through December 2005. The review also included issues

documented outside the normal CAP in Chief Nuclear Officers Indicator Report, dated

November 14, 2005. Corrective actions associated with a sample of the issues

identified in the licensees corrective actions program were reviewed for adequacy.

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Assessment and Observations

No findings of significance were identified. However, the inspectors, in reviewing

licensee performance over the last six months, noted a number of occasions when

licensee personnel missed surveillance intervals that are in place to assure equipment

reliability such that margins of safety are maintained. On November 3, 2005, the

inspectors identified that the licensee missed technical specification surveillance

4.8.1.1.2.c, for checking Unit 4 emergency diesel generator fuel oil for accumulated

water after operation for greater than one hour. When identified to the licensee, the fuel

oil was checked, no water was observed, and the issue was documented in the

corrective action program as CR 2005-30252. On August 22, 2005, the licensee

identified that engineered safeguards instrument channel checks for flow transmitters

FT-4-485 and FT-4-495 had been missed for about 35 hours4.050926e-4 days <br />0.00972 hours <br />5.787037e-5 weeks <br />1.33175e-5 months <br /> (NRC Inspection Report

50-250/2005-004 and 50-251/2005-004, Section 4OA7.2). The missed surveillance was

completed satisfactorily and documented in the corrective actions program as CR 2005-

22985. The NRC has previously identified a missed reactor coolant inventory balance,

required by licensee procedures that implement technical specification 4.4.6.2.1.c, as

documented in NRC Report 50-250/2005-003 and 50-251/2005-003, Section 1R22,

Surveillance Testing. The inspectors observed that the licensee routinely had a number

of technical specification surveillances in the grace period prior to completion.

The inspectors also identified a trend in untimely or incomplete submittals of licensee

event reports. The inspectors in this report dispositioned in LER 05000250/2005-001,

the failure of the licensee to report in the LER, the method of discovery for a procedural

error (not logging an out-of-service component in the Equipment Out-of-Service

logbook). The inspectors also dispositioned the late submittal (more than 60 days after

discovery) of Licensee Event Report 05000251/2005-003 for an incorrectly wired relay.

NRC Inspection Report 50-250 and 50-251/2005-004 dispositioned the late submittal of

an LER for a missed surveillance in Licensee Event Report 05000250/2005-003. Also,

LER 50-250/2005-004, which described the failure of an emergency containment filter

fan was submitted 76 days after the event and this late submittal was a minor violation.

4OA3 Event Followup

.1

(Closed) Licensee Event Report 05000250/2005-001: Mode Increase While in

Technical Specification Shutdown Action Statement

On January 1, 2005, Unit 3 entered Technical Specification Mode 2 (startup) while a

Technical Specification Limiting Condition for Operation (LCO) was not met.

Specifically, while a reactor startup was being conducted, control-room operators

declared the 3A ICW header inoperable, entered Technical Specification 3.7.3, and

began backwashing the 3A intake cooling water basket strainer. Before restoring the

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cooling water header, the unit entered Mode 2, where it is required to have three intake

cooling water pumps and two intake cooling water headers operable. Technical Specification 3.0.4 prohibits entry into an operational mode (reactor startup) when the

conditions for a limiting condition for operation are not met. The licensee determined

the cause of the event to be operator error, in that the control-room operator who

performed the backwash evolution did not adequately coordinate activities with

operators conducting the reactor startup. When identified by licensee personnel during

review of plant status, the issue was documented in the corrective action program and

precautions were added to the applicable procedures to prevent recurrence. The finding

was more than minor because it had a credible impact on safety when one train of

mitigating equipment was inadvertently removed from service during mode increase

operations. The issue screened as Green, using NRC Manual Chapter 0609, Appendix

AProperty "Inspection Manual Chapter" (as page type) with input value "NRC Inspection Manual 0609, Appendix</br></br>A" contains invalid characters or is incomplete and therefore can cause unexpected results during a query or annotation process., Attachment 1, because there was no loss of mitigating function and the one train of

mitigating equipment was affected for less than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. The inspectors reviewed the

LER and CR 2005-21, which documented this event in the licensees corrective action

program, to verify that the corrective actions had been implemented. This licensee

identified finding involved a violation of Technical Specification 3.0.4 and the

enforcement aspect is discussed in Section 4OA7.4. The failure of the licensee to

report in the LER the method of discovery for the procedural error (not logging an out-of-

service component in the Equipment Out-of-Service logbook), was considered a

violation of Minor significance. The LER is closed.

.2

(Closed) Licensee Event Report 05000251/2005-003: Incorrectly Wired P-10 Relay

Renders One of Two Inputs to P-7 Interlock Inoperable for a Single Train of At-Power

Reactor Trips

On June 3, 2005, the licensee identified that wiring in the B train of the reactor trip

system was incorrect, rendering a portion of the circuitry in one of the two redundant

trains of protection inoperable. The mis-wiring prevented certain reactor trips from

being enabled by nuclear instrument inputs, however redundant turbine first stage input

remained available and no instances of operation without full reactor protection were

identified. The cause of the mis-wiring was inadequate post-maintenance testing of

work on the circuitry in 1997. When identified by the licensee during maintenance, the

circuitry was correctly wired and tested, and post maintenance testing procedures were

revised to assure that all contacts are tested/verified when relay maintenance is

performed. The issue was entered into the corrective action program as CR 2005-

16436. Because the redundant turbine first stage pressure input to the protection

channel was always available, no instances of operation with a degraded reactor trip

capability were identified and the incorrect wiring constitutes a violation of minor

significance that is not subject to enforcement action in accordance with Section VI of

the NRC Enforcement Policy. The late submittal of the LER was a violation of minor

significance. The LER is closed.

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.3

The B Turbine Driven Auxiliary Feedwater (TDAFW) Pump Failed Inservice Test on

November 7, 2005.

a.

Inspection Scope

The B TDAFW pump exhibited high vibration (greater than inservice testing limits) on

the inboard radial bearing on November 7, 2005. The inspectors evaluated the

licensees actions related to the high vibrations as well as reviewed historical inservice

test data and oil sample analyses. The inspectors also discussed the occurrence with

plant engineers to examine the circumstances surrounding the problem.

b.

Findings

Introduction: An Apparent Violation (AV) of Technical Specification 3.7.1.2 was

identified for an inoperable auxiliary feedwater pump with a contributing violation of 10 CFR Part 50, Appendix B, Criterion XVI, "Corrective Action" for failure of the licensee to

promptly identify and correct a significant condition adverse to quality affecting the "B"

turbine driven auxiliary feedwater (TDAFW) pump. Specifically, the "B" TDAFW pump

exhibited high vibration during routine inservice tests following the replacement of the

pump inboard journal bearing in September 2003. Periodic oil samples taken since

2003 were also abnormal and on occasion, the bearing was reported to have high

temperature. Plant staff were aware of the continued high vibration but did not declare

the pump inoperable and take corrective action. Subsequently, on November 7, 2005, a

test of the "B" TDAFW pump was halted due to increasing vibration above the inservice

testing limit. The increased vibration was later determined by the licensee to be directly

related to the pump inboard journal bearing that was installed incorrectly on September

10, 2003.

Description: During testing on November 7, 2005, the B TDAFW pump inboard journal

bearing exhibited high vibration and was hot to the touch. The vibration reading was

recorded as 0.8 in/sec and the test was promptly halted. The next day, a licensee

inspection identified uneven tooth wear on the pump coupling and evidence of grease

caking. Further inspection of the inboard journal bearing found that the bearing was

installed incorrectly. This incorrect installation which occurred during the September

10, 2003 pump replacement, caused inadequate lubrication to the bearing and caused

flaking of the babbit.

Based on review of the B TDAFW pump historical vibration data, the inspectors found

that inboard vertical vibration was .30 in/sec in September 2003, which was higher than

.15 in/sec prior to pump bearing replacement. Subsequently the inboard vertical

vibration trended high until September 13, 2004, when the pump inboard vertical

vibration reading was at .38 in./sec and in the Alert range (>.32 in/sec and <.70 in/sec).

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More frequent tests were performed (11/18/2004 - .375 in/sec, 12/6/2004 - .441 in/sec,

1/10/2005 - .404 in/sec, 1/31/2005 - .405), and vibration remained in the Alert range until

February 24, 2005, when the licensee initiated actions which included pump coupling

alignment, tightening of the pump base bolting, and filtration of turbine/pump oil

reservoir. However, this maintenance was not effective in that the inboard vertical

vibration reading remained high at .305 in/sec. Subsequent tests were performed

(3/22/2005 - .48 in/sec, 3/28/2005 - .44 in/sec; 5/23/2005 - .45 in/sec, 8/15/2005 - .47

in/sec, 09/12/2005 - .52 in/sec) and the pump inboard vertical vibration readings

remained high until November 7, 2005, when the pump exceeded the inservice test

operability limit of 0.7 in/sec with a reading of 0.8 in/sec. The inspectors noted that

during surveillance runs, the turbine is operated for a nominal 30 minutes. The

inspectors reviewed testing data and determined that the oil samples for past periods

showed degradation (for example Abnormal on Dec 6, 2004), and bearing temperatures

were recorded as elevated during post trip operation on March 22, 2005.

Analysis: The inspectors determined that installing the B AFW pump which was

inoperable due to the radial bearing not being properly aligned, was a performance

deficiency which existed for greater than the allowed TS outage time. Further, the

licensee not having discovered the improper installation, which was evident in degrading

vibration, abnormal oil samples, and a hot-to-touch bearing during pump operation, was

a contributing corrective actions effectiveness issue. The vibration increased to a

sufficient magnitude to cause operators to halt pump operation on November 7, 2005

and perform an investigation that revealed improper installation of the pump radial

bearing. The finding was determined to be more than minor because failure of the

licensee to promptly identify and correct conditions adverse to quality resulted in an

unreliable train of auxiliary feedwater, which is a mitigating system shared by both units.

NRC Phase 1 and Phase 2 Significance Determination Process analyses determined

that this finding is greater than Green because the "B" TDAFW pump was not capable

of performing its function for its mission time (24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />) from September 10, 2003 when

the bearing was incorrectly installed, until November 8, 2005, when it was corrected.

Additionally for the NRC evaluation, the pump failure was assumed to be

non-recoverable since repairs would have required significant equipment disassembly.

An SDP Phase 3 analysis was performed and concluded the issue to be of low to

moderate safety significance, Preliminary White. This potential finding is also related to

the cross-cutting area of problem identification and resolution due to the failure to

promptly resolve a known condition adverse to quality.

Enforcement: Technical Specification 3.7.1.2 requires two independent auxiliary

feedwater trains including 3 pumps during plant operation. Action statement 3 states, in

part, that with a single auxiliary feedwater pump inoperable, within 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br />, verify

operability of two independent auxiliary feedwater trains and restore the inoperable

pump to operable status within 30 days, or place the affected units in at least Hot

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Standby within the next 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br />. 10 CFR 50, Appendix B, Criterion XVI, Corrective

Action, states, in part, that measures shall be established to assure that conditions

adverse to quality, are promptly identified and corrected.

Contrary to the above, the licensee failed to restore the inoperable B auxiliary

feedwater pump within 30 days, and did not place the unit in at least Hot Standby during

this time. In this case, the B auxiliary feedwater pump was placed in service on

September 10, 2003, in an inoperable condition due to a misaligned radial bearing, and

the inoperable condition was not identified until November 7, 2005. In addition, the

licensee failed to identify and correct the condition during this time, even though pump

bearing vibration levels and oil samples provided indication of the significant adverse

condition. This apparent violation is identified as AV 05000250, 251/2005005-02, AFW

Pump B out of Service Greater than TS Allowed Due to Incorrect Bearing Installation.

The licensee entered this issue in the Corrective Action Program as condition report

(CR) 2005-30750.

4OA5 Other Activities

(Closed) Unresolved Item (URI) 05000250,251/2002006-01: Adequacy of SBO

Strategy/Analysis and Loss of AC Power EOPs

During the Safety System Design and Performance Capability Inspection (SSDPC),

NRC Inspection Report (IR) 05000250, 251/02-06, the inspectors observed that the

licensees coping strategy for station blackout (SBO) changed in 1998 from the original

SBO coping strategy, approved in 1990, of maintaining the plant in hot standby for 8

hours and supplying reactor coolant pump (RCP) seal cooling, to a strategy of reactor

coolant system cooldown without RCP seal cooling. This item was reviewed in a follow-

up inspection documented in NRC IR 05000250, 251/03-07. During the SSDPC and

follow-up inspection, the inspectors were unable to verify that changes made to the

emergency operating procedures, based on the revised coping strategy, did not

adversely impact the licensees ability to mitigate an SBO. This unresolved item

remained open pending NRC technical review of a revised station blackout (SBO)

thermo-hydraulic analysis performed by the licensee.

The NRCs technical review of the licensees evaluation concluded that the licensees

thermo-analysis was acceptable. This item is closed.

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

22

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

4OA6 Exit

Exit Meeting Summary

The resident inspectors presented the inspection results to Mr. Webster and other

members of licensee management at the conclusion of the inspection on January 12,

2005. Additionally, the licensee was informed of the Preliminary White Apparent

Violation on January 27, 2005. The inspectors asked the licensee whether any of the

material examined during the inspection should be considered proprietary. The licensee

did not identify any proprietary information.

4OA7 Licensee Identified Violations

The following violations of very low safety significance (Green) were identified by the

licensee and are violations of NRC requirements which meet the criteria of Section VI of

the NRC Enforcement Policy, NUREG-1600 for being dispositioned as NCVs:

.1

Technical Specification 3.4.9.2.c requires that pressurizer - spray water differential

temperature shall be limited to a maximum of 320 degrees or restore the temperature to

within the limits within 30 minutes. Contrary to the above, on November 1, 2005, during

plant cooldown, the pressurizer - spray water differential temperature was 360 degrees

and not restored to within limits for six hours. The issue was identified by the licensee

during a post-cooldown review of plant parameters. When identified, the licensee

entered the occurrence in their corrective actions program and completed an

engineering evaluation. The issue was more than minor, having affected the barrier

integrity cornerstone that assures the integrity of the reactor coolant system. The issue

screened as Green using NRC Manual Chapter 0609, Appendix A, Attachment 1 after

the structural integrity of the pressurizer was evaluated and the transient was found to

have been within engineering design limits. The issue is in the licensee corrective

action program as CR 2005-29846.

.2

Technical Specification 6.8.1.a, requires that the written procedures of NRC Regulatory

Guide 1.33, Revision 2, Appendix A, February 1978, be implemented. The regulatory

guide, Attachment A, Section 1, includes procedures for Equipment Control (Tagging).

FPL implements this requirement, in part, with procedure 0-ADM-212, In-Plant

Equipment Clearance Orders, which states in Step 4.18.1, Danger Tag, that the

position of the component may not be altered in any way. Contrary to the above, on

November 17, 2005, FPL failed to implement 0-ADM-212, when the position of danger

tagged component C343C (B boric acid storage tank sample valve) was altered when a

technician operated a valve that was danger tagged shut with tag 0-05-002-00001.

When identified, the issue was documented in the corrective action program and a

human performance review was initiated. There were no immediate safety

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

23

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Enclosure

consequences. The performance deficiency was more than minor because operation of

a danger tagged valve on a system covered in technical specifications (TS 3.1.2.1) was

considered a precursor to a significant event, that being mis-operation of a danger

tagged valve that affects nuclear safety. The issue screened as Green using NRC

Manual Chapter 0609, Appendix A, Attachment 1, because in this case, operation of the

valve did not result in any safety system inoperabilities or plant transients. The issue is

in the licensee corrective action program as CR 2005-31725.

.3

Technical Specification 3.4.1.3 requires that in operational Mode 4, with no reactor

coolant pumps in operation, residual heat removal loops A and B shall be operable and

at least one of the loops shall be in operation. Further, both residual heat removal

pumps may be deenergized for up to one hour provided there are no boron dilution

activities and saturation margin is maintained. Contrary to the above, on November 1,

2005, with Turkey Point Unit 4 in Mode 4 and no reactor coolant pumps in operation,

both residual heat removal pumps were stopped for more than one hour (two hours and

five minutes). The issue was more than minor, affecting the Initiating Events

Cornerstone, because with no forced circulation in the reactor, thermal stratification of

the reactor coolant system could occur that may cause reactivity changes outside the

capability of operator recognition and control, should a boron dilution occur. The issue

screened as Green, using NRC Manual Chapter 0609, Appendix A, Attachment 1, as a

transient initiator contributor, because no boron dilution occurred and all mitigating

systems remained available. When identified, the licensee documented the problem in

the corrective action program as CR 2005-29796.

.4

Technical Specification 3.0.4 requires, in part, that entry into an operational mode shall

not be made when the conditions for the Limiting Condition for Operations are not met.

Contrary to the above, on January 1, 2005, Turkey Point Unit 3 entered operational

Mode 2 (Startup) from Mode 3 (Hot Standby) while the conditions for Limiting Condition

for Operation 3.7.3, were not met when one train of intake cooling water was inoperable

due to basket strainer backwash. The violation existed for 52 minutes. The finding was

more than minor because it had a credible impact on safety when one train of mitigating

equipment was inadvertently removed from service during mode increase operations.

The issue screened as Green, using NRC Manual Chapter 0609, Appendix A,

Attachment 1, because there was no loss of mitigating function and the one train of

mitigating equipment was affected for less than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. When identified by licensee

personnel during review of plant status, the issue was documented in the corrective

action program and precautions were added to the applicable procedures to prevent

recurrence. The issue is in the licensee corrective action program as CR 2005-21.

ATTACHMENT: SUPPLEMENTAL INFORMATION

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Attachment

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee personnel:

S. Greenlee, Engineering Manager

T. Jones, Site Vice-President

M. Moore, Corrective Actions Supervisor

M. Murray, Emergency Preparedness Supervisor

M. Navin, Operations Manager

K. OHare, Radiation Protection and Safety Manager

W. Parker, Licensing Manager

M. Pearce, Plant General Manager

D. Poirier, Maintenance Manager

W. Prevatt, Work Controls Manager

W. Webster, Senior Vice President, Operations

NRC personnel:

B. Desai, Acting Projects Branch Chief, Region II

J. Polickoski, Reactor Engineer, Region II

W. Travers, Region II Administrator

LIST OF ITEMS OPENED, CLOSED AND DISCUSSED

Opened

05000250/ 2005005-

02 and

05000251/2005005-

02

AV

AFW Pump B out of Service Greater than TS Allowed Due

to Incorrect Bearing Installation (4OA3.3)

Opened and Closed

05000250/2005005-

01 and

05000251/2005005-

01

NCV

Failure to Correct Repeated Problems with Auxiliary

Feedwater Pump Manual Speed Control (4OA2.2)

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

A-1

ATTACHMENTS 2 AND 3 CONTAIN PROPRIETARY INFORMATION

Attachment

Attachment

Closed

05000250/2005-001 LER

Mode Increase While in Technical Specification Shutdown

Action Statement (4OA3.1)

05000251/2005-003

05000250,251/20020

06-01

LER

URI

Incorrectly Wired P-10 Relay Renders One of Two Inputs to

P-7 Interlock Inoperable for a Single Train of At-Power

Reactor Trips (4OA3.2)

Strategy/Analysis and Loss of AC Power EOPs Adequacy

of SBO (4OA5)

LIST OF DOCUMENTS REVIEWED

Section 4OA5, Other

Response to Task Interface Agreement - TIA 2003-03, Regarding Turkey Point Nuclear Plant,

Units 3 and 4, Station Blackout Coping Analysis, (TAC Nos. MB8728 and MB 8729), dated

9/12/05

NRC Report No. 50-250,251/02-06

NRC Report No. 50-250,251/03-07

UFSAR dated 9/29/05