ML14181A694

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Insp Rept 50-261/95-12 on 950319-0422.Violations Noted.Major Areas Inspected:Plant Operations,Maint Activities, Engineering Efforts & Plant Support Functions
ML14181A694
Person / Time
Site: Robinson Duke Energy icon.png
Issue date: 05/19/1995
From: Ogle C, William Orders, Verrelli D
NRC Office of Inspection & Enforcement (IE Region II)
To:
Carolina Power & Light Co
Shared Package
ML14181A692 List:
References
50-261-95-12, NUDOCS 9505300110
Download: ML14181A694 (20)


See also: IR 05000261/1995012

Text

UNITED STATES

NUCLEAR REGULATORY COMMISSION

REGION 11

101 MARIETTA STREET, N.W., SUITE 2900

ATLANTA, GEORGIA 30323-0199

Report No.:

50-261/95-12

Licensee:

Carolina Power and Light Company

P. 0. Box 1551

Raleigh, NC 27602

Docket No.:

50-261

License No.:

DPR-23

Facility Name: H. B. Robinson Unit 2

Inspection Conducted: .March 19 - April 22, 1995

Lead Inspector:

<2'>c

7,

/

W. .

rderf, Seni~r Re ident

Date Signed

Other Inspector: c

'

) 7, /(

1/

C.

Ogle, Res'd nt I"pector

Date Signed

Approved

by:__

/___

David/M.

Verre li, Chief

Date Signed

Reactor Proje s Branch 1A

Division of Reactor Projects

SUMMARY

SCOPE:

This routine, resident inspection was conducted in the areas of plant

operations, maintenance activities, engineering efforts, and plant support

functions. The inspection effort included reviews of activities during non

regular work hours on March 20, 21, 25, 26, 27, 30, and April 2, 3, 4, 5, 6,

9, 10,

12,

17,

18, and 20,

1995.

RESULTS:

Plant Operations:

One Violation with two examples was identified. The first example involved the

licensee's failure to verify the configuration of the Residual Heat Removal

System as required by procedure OST-254. The second example involved a

manager's failure to brief the on-shift operating crew prior to the

performance of OST-254.

Maintenance:

.

One Violation was identified concerning the licensee's failure to specify

adequate post maintenance testing.

9505300110 950519

PDR ADOCK 05000261

Q

PDR

2

A Non-Cited Violation was identified involving the licensee's failure to

include pin feeler gauges and shop-fabricated feeler gauges in the Measuring

and Test Equipment Program.

Engineering:

One Non-Cited Violation was identified involving the alteration of test data.

Plant Support:

One Violation was identified concerning the licensee's failure to maintain

control of Safeguards Information.

REPORT DETAILS

PERSONS CONTACTED

Licensee Employees:

  • J. Boska, Manager, Electrical/Instrumentation and Control

W. Brand, Supervisor, Environmental Radiation Control

M. Brown, Manager, Design Engineering

A. Carley, Manager, Site Communications

G. Castleberry, Manager, Plant Electrical Engineering

  • B. Clark, Manager, Maintenance
  • D. Crook, Senior Specialist, Licensing/Regulatory Compliance
  • R. Dayton, Outage Management

C. Gray, Manager, Materials and Contract Services

D. Gudger, Senior Specialist, Licensing/Regulatory Programs

  • W. Hatcher, Director, Nuclear Security
  • C. Hinnant, Vice President, Robinson Nuclear Project

P. Jenny, Manager, Emergency Preparedness

  • K. Jury, Manager, Licensing/Regulatory Programs

J. Kozyra, Licensing/Regulatory Programs

  • R. Krich, Manager, Regulatory Affairs
  • F. Lowery, Manager, Work Control
  • E. Martin, Manager Document Services
  • B. Meyer, Manager, Operations
  • G. Miller, Manager, Robinson Engineering Support Section
  • J. Moyer, Manager, Nuclear Assessment Section
  • W. Randlett, Manager, Security
  • D. Taylor, Plant Controller

G. Walters, Manager, Support Training

R. Wardern, Manager, Plant Support Nuclear Assessment Section

W. Whelan, Industrial Health and Safety Representative

D. Whitehead, Manager, Plant Support Services

  • T. Wilkerson, Manager, Environmental Control

L. Woods, Manager, Technical Support

  • D. Young, Plant General Manager

Other licensee employees contacted included technicians, operators,

engineers, mechanics, security force members, and office personnel.

NRC Personnel:

  • W. Orders, Senior Resident Inspector

C. Ogle, Resident Inspector

  • Attended exit interview

Acronyms and initialisms used throughout this report are listed in the

last paragraph.

2

2. PLANT STATUS AND ACTIVITIES

a.

Operating Status

The unit operated at or near full power for the entire report

period.

On April 11, 1995, the licensee declared an Unusual Event

when RCS unidentified leakage exceeded 10 gallons per minute

during the performance of an operations surveillance test.

Details of this event are delineated in paragraph 3.

b.

Other NRC Inspections and Meetings

Three Region II based inspections were conducted during the report

period. The first inspection, conducted during the week of

March 27-31, 1995, was performed by M. Ernstes and C. Payne.

Their inspections results are documented in 50-261/95-10. A

second inspection was performed by W. Loo during April 3-4, 1995.

His inspection results are documented in report 72-3/95-01.

The

third inspection, conducted during the week of April 3-7, 1995,

was performed by J. Kreh. His inspection results are documented

in report 50-261/95-11.

3.

OPERATIONS

a.

Plant Operations (71707)

The inspectors evaluated licensee activities to determine if the

facility was being operated safely and in conformance with

regulatory requirements. These activities were assessed through

direct observation, facility tours, discussions with licensee

personnel, as well as management, evaluation of equipment status,

and review of facility records.

The inspectors reviewed shift logs, operation's records, data

sheets, instrument traces, and the equipment malfunctions record

to assess equipment operability and compliance with TS. The

inspectors evaluated the operating staff to determine if they were

knowledgeable of plant conditions, responded properly to alarms,

adhered to procedures and applicable administrative controls, and

were cognizant of in-progress surveillance and maintenance

activities. The inspectors performed instrument channel checks,

reviewed component status, and assessed safety-related parameters

to determine conformance with TS.

Shift changes were routinely

observed to determine that system status continuity was maintained

and that proper control room staffing existed. Access to the

control room was controlled in the main, and operations personnel

carried out their assigned duties in an effective manner. Control

room demeanor and communications were appropriate.

Routine plant tours were conducted to evaluate equipment

operability, assess the general condition of plant equipment, and

to verify that radiological controls, fire protection controls,

3

physical protection controls, and equipment tagging procedures

were properly implemented.

b.

Onsite Response to Events (93702)

Event Summary

At approximately 10:15 p.m. on the evening of April 11, 1995, the

licensee attempted to perform OST-254, Residual Heat Removal

System and RHR Loop Sampling System Leak Test. The surveillance

test uses the letdown portion of the Chemical and Volume Control

System to pressurize the RHR system which is then checked for

leakage. After pressurizing the "A" train of the RHR system,

operators detected an unidentified reactor coolant leak of 24.8

gallons per minute. The operators terminated the test and

attempted to isolate the leak by closing valve HCV-142, the valve

which had been opened to pressurize the system. The leakage was

reduced to 15.6 gallons per minute but was not stopped.

Ultimately, the leakage was terminated by closing manual isolation

valve, CVC-205B, which is in series with HCV-142. The licensee

declared an Unusual Event at 11:00 p.m. due to -eactor coolant

system leakage greater than 10 gallons per minute. The event was

terminated at 11:33 p.m. after confirmatory tests indicated that

RCS leakage was within specifications.

Background

OST-254, Residual Heat Removal System and RHR Loop Sampling System

Leak Test, was an annual surveillance test performed to meet the

requirements of Technical Specification 4.4.3. The purpose of the

test was to determine external system leakage of those portions of

the RHR System outside containment. The test had last been

performed on January 17, 1994, and had to be performed by

April 19, 1995, to fulfill the surveillance requirement. The

procedure contained methods for performing the test while the unit

was either at power or shutdown.

On April 11, 1995, the unit was operating at 100 percent power.

Accordingly, the licensee employed Section 7.1 of the procedure,

RHR in Standby for Low Pressure Safety Injection, in their attempt

to perform the test. This section tests one train of RHR at a

time by pressurizing that train and measuring system leakage while

maintaining the alternate train of RHR operable and aligned for

low pressure injection. After the system is aligned, the train to

be tested is pressurized to 350-370 psig from the CVCS by opening

valve HCV-142. Once the system has been pressurized, valve SI

861A, CV Sump to RHR, is opened to pressurize the space between it

and valve SI-860A. This action creates a known RCS leak to the

containment sump due to a 3/16 inch hole which has been drilled in

the upstream disc of valve SI-860A. SI-861A is closed once the

required leakage measurements are completed on and around the two

valves. After re-closure of SI-861A, the remainder of that

4

train's components are checked for leakage. When all leakage

measurements have been completed, the system is realigned, the RHR

pump is run for operability verification, and train "B" is then

tested using the same methodology.

Event Details

The licensee determined that performing the test at power was a

Case Two activity pursuant to procedure PLP-037, Conduct of

Infrequently Performed Tests or Evolutions. As such, the

personnel who were to perform the evolution were to receive a pre

job briefing from a Management Designated Monitor. This briefing

was completed at 7:30 p.m. on April 11, 1995. The Management

Designated Monitor briefed the extra personnel who had been

assigned to perform the test, but did not brief the operations

crew on shift.

Step 5.3.2.2 of PLP-037 requires that "The MDM

shall brief the operating and test personnel...prior to the

performance of the test...."

The Management Designated Monitor's

failure to brief the operating crew is a Violation and is one of

two examples which collectively constitutes VIO 95-12-01,

Operations Failure to Follow Procedure During OST-254.

Topics discussed during the briefing included a number of related

industry events but did not include a previous Robinson event

which occurred on March 19,.1994, in which an RCS leak was

initiated due to failure of HCV-142 to isolate flow. Furthermore,

the Management Designated Monitor did not delineate in writing the

duties of the additional operating crew assigned to OST-254 as

suggested in PLP-037. The Management Designated Monitor's failure

to include the March 19, 1994, event in the briefing and his

failure to delineate, in writing, the duties of the additional

operating crew are considered deficiencies in his implementation

of the procedure.

At 9:30 p.m., on the evening of April 11, 1995, the first active

portion of OST-254 began with running the RHR pumps to remove any

trapped air in the lines. At 10:15 p.m., HCV-142 was throttled

opened to pressurize the A train. Based on ERFIS data, VCT level

began to decrease almost immediately. The operators felt that

this indication was normal and reflected the inventory required to

pressurize the system. A review of the ERFIS data indicated that

RWST level began increasing almost immediately also but since the

operators were not monitoring the RWST on ERFIS, they were unaware

of this trend. OST-254 CAUTIONS the operator in step 7.1 that

RWST level should be monitored for an unexplained increase in

level, but does not provide guidance relative to how to

effectively monitor for level changes. As a result, the operators

monitored RWST level on a control room gauge which did not have

the accuracy necessary for effectively detecting small level

changes.

This is considered a procedural deficiency.

5

By 10:30 p.m., HCV-142 was full open and RHR pump "A" discharge

pressure was verified to be in the control band of 350-370 psig.

At 10:42 p.m., valve SI-861A, CV Sump to RHR, was opened.

Operators knew that opening this valve would create a leak,

because valve SI-860A, which is located immediately downstream of

valve SI-861A, has a hole drilled in its upstream disc. The

magnitude of this leak rate had not been calculated. The fact that

the quantity of this known leak had not been calculated and

included in the procedure is considered a procedural deficiency.

At 10:33 p.m. a manual makeup to the VCT of 150 gallons was

required. The operators believed this, also, to be an expected

response, as the RHR system pressurized/stabilized.

From 10:32 p.m. to 10:38 p.m., the area between and around valves

SI-860A and SI-861A was inspected for external leakage. At

10:38 p.m., SI-861A was closed. After this valve was closed,

operators observed that the VCT level was still trending down.

According to the licensee, it was at this time that the operators

realized that a leak existed. The operators spent the next ten

minutes diagnosing the event as well as performing a 5 minute leak

rate calculation. At 10:48 p.m., the leak rate was determined to

be 24.8 gpm. AOP-016, Excessive Primary Plant Leakage, and

Technical Specification Action Statement 3.1.5.1 on RCS leakage

were entered.

Between 10:40 p.m. and 10:53 p.m., three automatic makeups to the

VCT occurred, each of 100 gallons.

At 10:53 p.m., valve HCV-142 was closed. Since the valve leaked

by, the leak was not terminated but was decreased to 15.6 gpm. At

10:55 p.m. valve CVC-205B which is upstream of HCV-142, was closed

which isolated CVCS from RHR, and terminated the event.

At 10:56 p.m., VCT level stabilized which indicated that leakage

had returned to normal, and Technical Specification Action

Statement 3.1.5.1 on RCS leakage was exited.

At 11:00 p.m., the licensee declared an Unusual Event based on

unidentified leakage being in excess of 10 gpm.

At 11:10 p.m., 300 gallons of primary water were added to the VCT.

This addition brought the total to 750 gallons of water which was

required to bring the VCT level back to pre-event status.

At 11:13 p.m., the licensee exited AOP-016, Excessive Primary

Plant Leakage, and at 11:33 p.m., the licensee terminated the

Unusual Event.

6

Licensee Corrective Actions

The licensee formed an Event Review Team, and a procedure revision

team the next morning. The Event Review Team did a thorough job

in evaluating the event. The Event Review Team concluded that:

approximately 673 gallons of reactor coolant inventory was

transferred to the RWST

the leak rate through SI-860A was approximately 17 gallons

per minute

the emergency core cooling system remained operable

throughout the event

there was no radiological release

OST-254 did not contain specific procedural guidance to

address a potential RCS leak

the expected system response to the initial opening of

HCV-142 was not quantified

RWST level indicator band is too wide to detect a level

change of several hundred gallons

no estimate of the known leak rate through SI-861A was

provided

HCV-142 history was not factored into the procedure

the performance of PLP-037 was deficient

the failure to include the normal on-shift crew in the

Case 2 briefing did not meet the requirement of PLP-037

the Robinson event of March 19, 1994, was not discussed

the duties, authority and responsibility of "the extra

personnel" were not specified in writing, as required by

PLP-037

the operation of HCV-142 has been erratic, and previous

corrective actions to repair it have not been effective

performance of OST-254 at power is not recommended

the Operating crew showed conservative decision making in

responding to this leak

The procedure revision team was tasked to evaluate the event, and

determine if OST-254 could be performed in a more conservative

7

manner at power. In parallel with these efforts, the licensee

also submitted an Emergency Technical Specification change request

to allow the surveillance to be performed on a refueling basis as

opposed to an annual basis, as was the case. Ultimately, the

technical specification change was granted, and the procedure

revision team was disbanded.

The licensee evaluated the RHR system configuration to determine

the possible leak paths from the system to the RWST. This review

identified eight possible combinations of component leakage paths

which could have resulted in the observed result. One of these

possibilities was valve RHR-7570, the B RHR heat exchange bypass

valve, which was found to be 1/4 turn open.

OST-254 requires in step 7.1.2 that operators "Verify the RHR

System is aligned for standby low pressure injection IAW (in

accordance with) OP-201.

OP-201, Residual Heat Removal System

requires in step 6.2.2.1 that when the system is aligned for low

pressure injection, valve RHR-757D is to be locked closed.

On April 11, 1995, valve RHR-757D was found 1/4 turn open. This

is the second of two examples which collectively constitutes

VIO 95-12-01: Operations Failure to Follow Procedure During

OST-254.

Conclusions

The event did not result in an offsite radiological release, did

not render the emergency core cooling system inoperable, and was

dealt with in an adequate manner.

RESULTS:

One Violation with two examples was identified in this evaluation area.

The first example involved a manager's failure to brief the on-shift

operating crew prior to the performance of OST-254. The second example

involved the licensee's failure to verify the configuration of the

Residual Heat Removal System as required by procedure OST-254.

The operating crew on shift during the attempted performance of OST-254

responded adequately to the event.

The leak was effectively isolated

and the appropriate contingency procedures employed.

Procedure adequacy and procedure adherence continue to be a persistent

problem. Other than the specified incidents referenced above, the

operations program was effectively implemented.

8

4.

MAINTENANCE

a.

Maintenance Observation (62703)

The inspectors observed safety-related maintenance activities on

systems and components to ascertain that these activities were

conducted in accordance with TS, approved procedures, and

appropriate industry codes and standards. The inspectors

determined that these activities did not violate LCOs and that

required redundant components were operable.

The inspectors

verified that required administrative, material, testing,

radiological, and fire prevention controls were adhered to.

In

particular, the inspectors observed/reviewed the following

maintenance activities detailed below:

CM-610

Install New Rings In Number 10

Cylinder For EDG A

WR/JO 95-AHMCOO1

Inspection and Testing Of Circuit

Breakers For 480V Bus E-2 (SW Pump C

Only)

WR/JO 95-ADKQ1

Replace Lights In Service Water Pump

C Local Controller

Non-Controlled Measuring Equipment Used In Breaker Maintenance

The inspectors witnessed a portion of the preventive maintenance

performed on the SW pump C breaker on April 2, 1995. During the

post-maintenance review, the inspectors questioned the licensee's

control of pin gauges which were present at the job site during

the maintenance. As described by maintenance personnel and as

discussed in Corrective Maintenance Procedure, CM-305,

Westinghouse "DB" Type Circuit Breakers Maintenance, these gauges

are used to verify proper tolerances on various breaker component

clearances. The inspectors noted that the pin gauges were stored

in vials segregated by pin diameter. The vials were marked as to

pin diameters, but neither the pins nor the vials bore a M&TE

identification sticker. Only two of the twelve pins were

individually marked with their diameter. The inspectors were

concerned that given this limited control, nothing prevented a pin

of incorrect diameter being used, given an inadvertent storage of

a pin in the wrong vial.

The inspectors subsequently measured

several of the pins using a micrometer and verified that at the

time of the measurement, that no pins were stored in the wrong

vials.

In response to these observations, the inspectors reviewed the

licensee's Plant Program Procedure, PLP-053, Measuring and Test

Equipment (M&TE), the Corporate QA Manual, as well as American

National Standard ANS-3.2, Administrative Controls and Quality

Assurance for the Operational Phase of Nuclear Power Plants.

9

On April 6, 1995, during a follow-up field observation, the

inspectors observed four shop-fabricated feeler gauges at the job

site for maintenance on the HVH-2 breaker. The inspectors were

advised that these gauges were routinely used to verify the

"GAP G" on this style breaker. These gauges were fabricated with

long shanks to prevent personnel injury which could result if the

breaker actuated while this gap was being measured.

(The pin

gauges are much shorter and their use requires the technicians'

hand be nearer the breaker.)

The inspectors noted that 3 of the 4

shop-fabricated feeler gauges were not marked as to their size and

none were labelled as controlled M&TE.

Following an inspector

request, the feeler gauges were measured.

(The inspectors were

subsequently informed that the Maintenance Manager had also

directed a similar measurement be taken.)

The inspectors were

advised that the following results were obtained for the four

feeler gauges:

0.094 inch nominal size

Tool 1 = 0.095 inch

Tool 2 = 0.092 inch

0.050 inch nominal size

Tool 3 = 0.048 inch

Tool 4 = 0.051 inch

These measurements were taken with a micrometer with a reported

accuracy of + 0.001 inch.

Based on these results, the inspectors concluded that, as

measured, two of the four tools were not accurate enough to

satisfy the gap measuring requirements specified in CM-305.

Furthermore, even if the uncertainty in the M&TE device used to

measure the field fabricated feeler gauges was applied non

conservatively, one gauge would still not be accurate enough to

ensure that the gap measured on the breaker was within the

tolerances specified in the procedure. The potential non

conservatism introduced by the feeler gauge inaccuracy would be

small.

However, the inspectors noted that had the field

fabricated feeler gauges been included in the M&TE program, this

tool inaccuracy may have been detected earlier.

Following these observations, the pin feeler gauges were measured

by the licensee and verified to be stored in the proper vials.

The licensee also stated their intention to place the pin feeler

gauges in the calibration program. Additionally, the shop

fabricated feeler gauges have been removed from service and

replaced with tools for which the calibration can more readily be

verified. Overall, the inspectors concluded that the failure to

control the pin feeler gauges and the shop-fabricated feeler

gauges was contrary to the requirements of Plant Program

Procedure, PLP-053, Measuring and Test Equipment (M&TE)

Calibration Program. However, this NRC identified violation is

not being cited because criteria specified in Section VII.B of the

NRC Enforcement Policy were satisfied.

This is identified as a

10

Non-Cited Violation, NCV 95-12-02, Breaker Clearance Measuring

Tools Not Properly Controlled.

HVH-2 Breaker Retest

On the morning of April 6, 1995, HVH-2 was removed from service,

in part, to accomplish breaker PMs.

Material deficiencies were

discovered with the HVH-2 breaker during the PMs and a replacement

breaker was installed. At approximately 7:40 p.m., that day,

while observing the restoration of HVH-2 to service, the

inspectors questioned the adequacy of the specified post

maintenance test. The inspectors were concerned that the PMTR

accomplished by Operations, namely shutting the breaker from the

RTGB, failed to adequately verify the operability of the

replacement breaker. Specifically, the inspectors questioned the

need to verify that the breaker would also open and that closing

would occur within a timeframe which would not impact the sequence

of other loads onto the E-bus during an accident. These concerns

were based on the inspectors' review of Maintenance Management

Manual Procedure, MMM-003, Appendix A, Post Maintenance Testing.

This procedure specifies that post-maintenance testing demonstrate

that the breaker responds properly to all demand signals.

Further, the procedure specifies that breakers on the E-1 and E-2

busses that get an autostart signal from a safeguards actuation,

have a breaker time test performed as PMTR.

In response to these concerns, the HVH-2 breaker was opened from

the RTGB. Additionally, the licensee timed the operation of the

replacement breaker from the RTGB. In accordance with a

subsequent ESR, this measured breaker time was satisfactory.

A

CR was also generated regarding this issue.

In response, the inspectors reviewed the WR/JOs used to accomplish

the breaker repairs; MMM-003, Appendix A; and the CR. The

inspectors also reviewed the ESR produced to investigate the

breaker closing timing requirement for the E-buss breakers.

Additionally, the inspectors interviewed the planner who

designated the original PMTR. The inspectors witnessed the timing

test performed to demonstrate that the breaker was operable.

Based on this review, the inspectors determined that the planner

failed to properly establish the PMTR as specified by MMM-003,

Appendix A. This planner advised the inspectors that he failed to

consult MMM-003, while planning the work.

Instead he relied on

similar historical PMs and existing, related procedures for

breaker maintenance. This is contrary to the requirements of

MMM-003, Appendix A. This is identified as Violation VIO 95-12

03, Maintenance Planner Fails to Properly Develop Breaker PMTR.

Subsequent to the inspectors observation, the licensee developed

an ESR to evaluate the need to perform a timing test following

breaker replacement. This ESR concluded, that the acceptance

timing test can be as simple as personnel observation that the

breaker closed immediately or verified to be less than 1/2 second.

While this conclusion diminished the safety significance of the

unperformed timing test, it does not negate the fact that the

planner failed to follow process by not consulting MMM-003,

Appendix A.

b.

Surveillance Observation (61726)

The inspectors observed certain safety-related surveillance

activities on systems and components to ascertain that these

activities were conducted in accordance with license requirements.

For the surveillance test procedures listed below, the inspectors

determined that precautions and LCOs were adhered to, the required

administrative approvals and tagouts were obtained prior to test

initiation, testing was accomplished by qualified personnel in

accordance with an approved test procedure, test instrumentation

was properly calibrated, the tests were completed at the required

frequency, and that the tests conformed to TS requirements. Upon

test completion, the inspectors verified the recorded test data

was complete, accurate, and met TS requirements, test

discrepancies were properly documented and rectified, and that the

systems were properly returned to service. Specifically, the

inspectors witnessed and/or reviewed portions of the following

test activity:

SP-1347

EDG Run In After Maintenance

c.

Followup - Maintenance (92902)

(Closed) URI 93-19-03, Adequacy of Testing for CCW Pump Autostart

Feature

URI 93-19-03 documented the inspectors' concerns associated with

the calibration procedure associated with the CCW pump discharge

pressure switch. The inspectors were concerned that the observed

testing failed to adequately test the circuitry involved.

The inspectors reviewed a Nuclear Engineering Department memo

dated January 7, 1994, which addressed these concerns. This memo

provides justification for the licensee's testing strategy. The

inspectors reviewed the memo and have no further question on this

issue. Therefore, URI 93-19-03 is closed.

RESULTS:

One Violation and one Non-Cited Violation were identified in this

evaluation area.

The Violation concerns the licensee's failure to specify adequate post

maintenance testing. The Non-Cited Violation involved the licensee's

12

failure to include pin feeler gauges and shop-fabricated feeler gauges

in the Measuring and Test Equipment Program.

The inspectors observed selected safety-related maintenance activities

on diverse systems and components. With the exception of the events

discussed above, these activities were conducted in accordance with TS,

approved procedures, and appropriate industry codes and standards. The

maintenance program was effectively implemented.

5.

ENGINEERING (37551)

The inspectors evaluated selected engineering related events to

determine the effectiveness of the licensee's controls in identifying,

resolving and preventing issues by reviewing areas such as the

corrective action system, root cause analysis, safety committees, and

self assessment.

(Closed) URI 93-28-03, Alteration of OST-410 Data

URI 93-28-03, Alteration Of OST-410 Data, concerned an event involving

the alteration of test data during the performance of OST-410, Emergency

Diesel Generator "A" Twenty-Four Hour Load Test on October 31, 1993.

The responsible individual acknowledged changing the 2510 KW reading to

2500 KW, after operations voiced concern over the reading. The

individual based his actions on his belief that the EDG A KW meter could

not be read to an accuracy of 10 KW.

The inspectors reviewed the altered data sheet and noted that no

initials or other discriminating marks were provided to indicate that

the data had been altered. Subsequently, the inspectors reviewed an

evaluation performed by Engineering Technical Support which concluded

that there was no technical significance to this brief excursion.

Records management procedure RMP-001, Records And QA Records Storage,

requires in section 4.1.4. that corrections to QA records, such as

completed procedures, be made by drawing a single line through the

incorrect information, writing the correct information adjacent to the

deletion and initialing and dating the correction. The responsible

individual failed to follow this procedure requirement. This violation

will not be subject to enforcement action because the licensee's efforts

in identifying and correcting the violation meet the criteria specified

in Section VII.B of the Enforcement Policy. This is identified as a

Non-Cited Violation, NCV 95-12-04, Alteration of Test Data.

Unresolved Item 93-28-03 is closed.

(Closed) URI 94-27-09, EOF/TSC Ventilation System

URI 94-27-09 deals with potential deficiencies in the EOF/TSC

ventilation system observed by the inspectors on November 15, 1994.

These deficiencies included several uncapped cable penetrations in an

outer wall of the EOF/TSC mechanical equipment area; an out of service

13

iodine channel in the R-38 radiation monitor; and previous additions to

the EOF/TSC building which may have impacted the capability of the

building ventilation system to perform its function.

In response to the uncapped penetrations, the inspectors reviewed

Engineering Evaluation, EE 94-102, Evaluation of Penetrations in the EOF

Building. This evaluation was developed after similar concerns were

expressed by the inspectors in early 1994 following the initial

penetrations being made to the EOF/TSC outer wall.

This EE provides

information which demonstrates that the uncapped penetrations did not

violate the basis for the shielding analysis performed for the TSC/EOF.

The inspectors independently reviewed the EE and concluded that the EE

remained valid for the inspectors' observation on November 14, 1994.

Based on this, the inspectors concluded that the uncapped penetration

did not represent a meaningful degradation in the TSC/EOF.

The

inspectors have no further questions on this aspect of the URI.

The second concern identified in URI 94-27-09 involved the iodine

channel of the TSC/EOF radiation monitor (R-38) being carried in a

source check log as out of service. The inspectors were concerned that

this material deficiency could prevent automatic activation of the

EOF/TSC ventilation pressurization system. The inspectors reviewed

historical correspondence between the NRC and CP&L related to the

TSC/EOF. This correspondence specifically stated that the TSC

ventilation system need not automatically actuate as a result of alarm

conditions on installed monitoring equipment. The inspectors also noted

from a review of Plant Emergency Procedure, PEP-169, Radiological

Control Manager, that the EOF/TSC ventilation is placed on recirculation

whenever an Alert or higher is declared or the EOF is activated. Based

on this information, the inspectors concluded that the out of service

iodine channel had minimal safety significance. The inspectors have no

further questions on this aspect of the URI.

The third part of the URI dealt with the inspectors' questions regarding

potential modifications made to the EOF/TSC building and the impact

these additions had on the EOF/TSC ventilation system. In response to

these concerns the licensee generated several ESRs and conducted testing

of the EOF/TSC ventilation system. The inspectors reviewed these ESRs

and the results of the ventilation system testing. The inspectors also

interviewed the engineer involved in resolving this issue.

Additionally, the inspectors conducted an independent walkdown of the

EOF/TSC ventilation system. The inspectors also reviewed

correspondence, between the NRC and CP&L, related to the EOF/TSC

ventilation system.

Based on this review, the inspectors determined that the EOF/TSC was

constructed to maintain post-accident occupant dose below 5 Rem whole

body or its equivalent. The ventilation system incorporated a filter

system to remove contaminants from incoming air and was also designed to

maintain the building at a slightly positive pressure relative to

ambient conditions. The licensee's design was confirmed by an NRC order

dated February 21, 1984. Earlier NRC correspondence established the

14

guidelines for this design and specifically exempted portions of the

system from 10 CFR 40 Appendix B requirements.

Furthermore, the inspectors determined that two additions, identified as

Phase 1 and Phase 2 were made to the original EOF/TSC building.

Phase 1, added in September 1985, consisted of management and

administrative office space; Phase 2, added a simulator and training

offices to the building and was completed in December 1985. The

December 1985 additions were made outside the original EOF/TSC building

confines. Further, both of these additions included individual

ventilation systems which had no direct ties to the existing EOF/TSC

Ventilation system. Despite this independence, the Phase 2 addition

overlapped one of the original EOF/TSC entry vestibules.

(This entry

vestibule served as an air-lock boundary for the original EOF/TSC

building.)

The licensee was unable to provide any documentation that

acceptance testing had been performed following Phase 1 or Phase 2

construction to demonstrate that the original EOF/TSC ventilation system

performance, and hence, the capability of the system to maintain a

positive pressure, had been maintained. While an EST is routinely

performed to verify EOF/TSC ventilation system performance, this EST

does not consider the impact of the Phase 1 or Phase 2 ventilation

system.

On January 9, 1995, and again on January 17, 1995, the licensee

conducted testing of the EOF/TSC ventilation system. This testing

demonstrated that the original EOF/TSC would be maintained at a positive

pressure given that all fans in the Phase 1 and Phase 2 additions were

all on or all off. However, the EOF/TSC to outside differential

pressure did change as a result of changing the state of the fans in

these adjacent additions. The inspectors also consider it noteworthy

that with the EOF/TSC ventilation system HEPA filter partially

obstructed to near design differential pressure, and fans in Phase 1 and

Phase 2 in other than all on or off, the differential pressure between

the additions and EOF/TSC was effectively reduced to zero in some

situations. The licensee argued that this test was not an appropriate

test of the EOF/TSC ventilation. As understood by the inspectors, this

argument centered on the licensees contention that all fans on or off in

the additions was the design basis of the system. Further, the licensee

also contended that the near design differential pressure on the HEPA

filter represented an unrealistic test given the light dust loadings in

the area and the infrequent use of the system. Though these positions

are plausible, it was noteworthy that the licensee was unable to supply

historical design basis information to substantiate these positions.

While reviewing information related to this issue, the inspectors noted

that the ventilation model used in the EOF/TSC radiation shielding

analysis did not match the installed system configuration.

(The

inspectors were subsequently informed that a similar observation had

also been made by licensee personnel.)

The differences were primarily

related to the amount of filtered makeup air used and the incorporation

of a non-existent filtered recirculation flowpath into the model.

Following these observations, the EOF/TSC dose calculations were re-

15

performed by an off-site contractor. The inspectors reviewed the

results of these calculations and noted that the projected dose remained

below the original calculated values.

Overall, the inspectors concluded that the licensee retained the ability

to pressurize the EOF/TSC following the Phase 1 and Phase 2 additions

given the assumptions identified above. Hence, the licensee has

maintained the design of the EOF/TSC. However, based on the information

reviewed by the inspectors, it does not appear that maintaining this

design was the result of a controlled process.

Further, shortcomings

were identified in the licensees understanding of the design basis of

the system. These deficiencies are identified as a weakness. The

inspectors have no further questions on this aspect of the URI.

URI 94-27-09 is closed.

(Closed) URI 95-06-04, Potential Design Vulnerability of Selected

Safety-Related Circuits

URI 95-06-04 documents inspectors' questions regarding electrical

control circuits which utilize full voltage incandescent position

indicating lamps without current limiting protection. The inspectors

were concerned that failure of the bulb could impact the operability of

the associated safety-related components.

This issue was discussed with personnel from NRR and Region II on

April 20, 1995.

Based on the relatively low probability of occurrence

and the licensee's planned replacement of the susceptible bulbs with

LEDs equipped with an integral resistor, it was determined that no

additional effort is required on this issue. Accordingly, this item is

closed.

RESULTS:

One Non-Cited Violation was identified in this evaluation area which

involved the alteration of test data.

The inspectors reviewed selected engineering issues to determine the

effectiveness of the licensee's controls in identifying, resolving, and

preventing problems.

Included in this review was an assessment of

design control, design and implementation of plant modifications,

engineering and technical support to other organizations, configuration

management, training and staffing, and self-assessment. Other than the

above referenced issue, the engineering program was effectively

implemented.

6.

PLANT SUPPORT (71750)

Safeguards Information Control Concerns

In assessment Report R-SC-95-01, NAD raised concerns on the potential

for compromise of safeguards information while performing word

16

processing of SGI.

This concern was based on the potential that

automatic backups to a PC hard drive were not precluded by plant

procedures.

In response to this concern, the licensee initiated a condition report.

The licensee review performed for the condition report revealed that no

SGI was currently located on PCs or the LAN.

The condition report also

identified corrective actions to preclude this concern in the future.

The inspectors reviewed the condition report.

The inspectors also

performed an independent check of 6 personal computers identified by the

licensee as used to process SGI.

No SGI was found during the

inspectors' review. The inspectors have no further questions on this

issue.

Unsecured Safeguards Information

At approximately 9:00 a.m., on the morning of April 5, 1995, while

performing a routine control room tour, the resident inspectors detected

that certain Safeguard Information was unsecured, stored on a bookshelf

in the shift supervisor's office, which is adjacent to the active

control room. The shift supervisor's office was often un-occupied.

This resulted in the Safeguards Information not being under the control

of an authorized individual. The inspectors brought the matter to the

attention of the site Security Manager. The safeguards information was

moved into the active control room area. The licensee initiated

Condition Report 95-00900 and began an investigation of the situation.

10 CFR 73.21 (d) requires, in part, that while in use, matter containing

Safeguards Information shall be under the control of an authorized

individual. While unattended, Safeguards Information shall be stored in

a locked security storage container.

The licensee's failure to maintain this Safeguards Information under the

control of an authorized individual or in a locked security storage

container is a Violation. VIO 50-261/95-12-05: Failure to Control

Safeguards Information.

RESULTS:

One Violation was identified in this evaluation area concerning the

licensee's failure to maintain control of Safeguards Information.

The inspectors reviewed selected activities of the licensee's programs

for radiological controls, radiological effluents, waste treatment,

environmental monitoring, physical security, emergency preparedness, and

fire protection, to determine if the programs were implemented in

conformance with facility policies and procedures and in compliance with

regulatory requirements. With the exception of the above referenced

safeguards issue, the programs were effectively implemented.

17

7.

EXIT INTERVIEW

The inspectors met with licensee representatives (denoted in

paragraph 1) at the conclusion of the inspection on April 27, 1995.

During this meeting, the inspectors summarized the scope and findings of

the inspection as they are detailed in this report. The licensee

representatives acknowledged the inspector's comments and did not

identify as p oprietary any of the materials provided to or reviewed by

the inspectors during this inspection. The licensee did not completely

agree with the inspector's characterization of Violation A. The

licensee argued that since the event was self disclosing, the event

review team had recognized the same issues described in the Violation,

and that they were in the process of correcting the identified problems,

that issuing a Violation was capricious and arbitrary. The Senior

Resident Inspector met with top site management after the exit to

elaborate on the substance of the Violation and the guidance offered in

10 CFR 2 Appendix C pertaining to the mitigation of enforcement

sanctions.

Item Number

STATUS

Description/Reference Paragraph

VIO 95-12-01

Opened

Operations Failure to Follow

Procedure During OST-254/paragraph 3

NCV 95-12-02

Opened/Closed

Breaker Clearance Measuring Tools

Not Properly Controlled/paragraph 4

VIO 95-12-03

Opened

Maintenance Planner Fails to

Properly Develop Breaker

PMTR/paragraph 4

NCV 95-12-04

Opened/Closed

Alteration of Test Data/paragraph 5

VIO 95-12-05

Opened

Failure to Control Safeguards

Information/paragraph 6

URI 93-19-03

Closed

Adequacy of Testing for CCW Pump

Autostart Feature/paragraph 4

URI 93-28-03

Closed

Alteration of OST-410

Data/paragraph 5

URI 94-27-09

Closed

EOF/TSC Ventilation

System/paragraph 5

URI 95-06-04

Closed

Potential Design Vulnerability of

Selected Safety-Related Circuits

8.

ACRONYMS AND INITIALISMS

CCW

Component Cooling Water

CFR

Code of Federal Regulation

18

CM

Corrective Maintenance

CVCS

Chemical and Volume Control System

EDG

Emergency Diesel Generator

EE

Engineering Evaluation

EOF

Emergency Operations Facility

ESR

Engineering Service Request

gpm

Gallons Per Minute

HEPA

High Efficiency Particulate Absolute

HVH

Heating Ventilation Handling

LAN

Local Area Network

LCO

Limited Condition for Operation

LED

Light Emitting Diode

MDM

Management Designated Monitor

NRR

Nuclear Reactor Regulation

OST

Operations Surveillance Test

PC

Personal Computer

PMs

Preventive Maintenance

PMTR

Post Maintenance Test Request

RWST

Refueling Water Storage Tank

SGI

Safeguards Information

SW

Service Water

TSC

Technical Support Center

VCT

Volume Control Tank