ML14261A455

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IR 05000285/2014009 and Notice of Violation, July 7 Through September 12, 2014, Fort Calhoun, NRC Confirmatory Action Letter Follow Up Inspection and Problem Identification and Resolution
ML14261A455
Person / Time
Site: Fort Calhoun Omaha Public Power District icon.png
Issue date: 09/18/2014
From: Anton Vegel
Division of Reactor Safety II
To: Cortopassi L
Omaha Public Power District
References
EA-14-151 IR 2014009
Download: ML14261A455 (141)


See also: IR 05000285/2014009

Text

UNITED STATES

NUCLEAR REGULATORY COMMISSION

REGION IV

1600 E LAMAR BLVD

ARLINGTON, TX 76011-4511

September 18, 2014

EA-14-151

Louis P. Cortopassi, Vice President

and Chief Nuclear Officer

Omaha Public Power District

Fort Calhoun Station FC-2-4

P.O. Box 550

Fort Calhoun, NE 68023-0550

SUBJECT: FORT CALHOUN STATION - NRC CONFIRMATORY ACTION LETTER

FOLLOW UP INSPECTION AND PROBLEM IDENTIFICATION AND

RESOLUTION INSPECTION REPORT NUMBER 05000285/2014009 AND

NOTICE OF VIOLATION

Dear Mr. Cortopassi:

On September 12, 2014, the U.S. Nuclear Regulatory Commission (NRC) completed a

Confirmatory Action Letter follow-up and Problem Identification and Resolution (PI&R) team

inspection at the Fort Calhoun Station (FCS). On September 12, 2014, the NRC inspection

team discussed the results of this inspection with you and other members of your staff. The

inspection team documented the results of this inspection in the enclosed inspection report.

The inspection focused on assessing activities related to the effectiveness of the FCS corrective

action program (CAP) and Omaha Public Power Districts (OPPDs) implementation of the

commitments described in Confirmatory Action Letter (CAL) EA-13-243, issued December 17,

2013 (ML13351A4231). CAL EA-13-243 confirmed the OPPDs commitments to ensure the

improvements realized during the extended outage remain in place and performance continues

to improve at the facility. Specifically, the NRC reviewed the CAL items associated with

10 Performance Improvement Integrated Matrix Action Plans characterized as the Key Drivers

for Achieving and Sustaining Excellence.

In performing the portion of the inspection associated with PI&R, the inspection team assessed

OPPDs threshold for identifying problems, implementation of the process for prioritizing and

evaluating problems, as well as the effectiveness of corrective actions identified and

implemented to resolve the problems. The team also evaluated the effectiveness of other

processes used to identify issues for resolution. These included the use of audits and self-

assessments, and incorporation of lessons learned from industry operating experience, into

station programs, processes, and procedures.

1

Designation in parentheses refers to an Agencywide Documents Access and Management System

(ADAMS) accession number. Unless otherwise noted, documents referenced in this letter are publicly

available using the accession number in ADAMS.

Based on the inspection results, the team concluded that FCS maintained a CAP in which

individuals generally identified issues at an appropriately low threshold. Of concern, the team

identified a number of deficiencies involving OPPDs ability to effectively and consistently

evaluate and resolve problems as discussed in more detail below, and in the enclosed

inspection report.

A number of the deficiencies that were identified by the inspectors involved inadequate

evaluations of degraded or non-conforming conditions that were entered into the CAP. Several

examples involved the failure to make an immediate determination of operability because your

staff failed to recognize that a degraded or non-conforming condition existed. Additional

examples involved operability evaluations that lacked adequate technical justification as to why

the affected system, structure, or component would perform its specified safety function as

described in licensing and design basis documentation. The team concluded weakness exists

in this area and that OPPDs corrective actions, to date, have not been effective in ensuring that

problems are consistently evaluated in a thorough and effective manner, with the appropriate

technical rigor that supports the operability conclusion.

These findings and observations are similar to previous NRC inspection results identified during

the last NRC PI&R team inspection completed in June 2013, documented in NRC Inspection

Report 05000285/2013008. Many of the issues, identified both prior to and following restart,

reflect a poor understanding and use of design basis information. We do note that you are

taking action to address this challenge by a long-term licensee commitment to conduct a design

basis reconstitution through 2018. Based on the results of this inspection, the NRC

understands OPPD is conducting evaluations to determine the cause of the performance

problems affecting effective implementation of the corrective action program. The NRC is

interested in understanding the status of these evaluations and corrective actions during an

upcoming public meeting in Omaha, Nebraska on September 25, 2014. Additionally, the NRC

will be conducting future inspections focused on these areas of concern.

The NRC determined that your staff appropriately evaluated industry operating experience for

relevance to the facility and entered applicable items into the CAP. Audits and self-

assessments were generally thorough and complete; however, the team identified instances

where the corrective actions to address the findings identified from these audits and self-

assessments were not always complete or timely. The NRC determined that your stations

management maintains a safety-conscious work environment in which your employees are

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

The NRC determined that, with the exception of the PI&R key area and the Operability

Determination element of the Program key area, OPPD is adequately implementing the CAL

items. The NRC determined that five key CAL areas were adequately completed and are

considered closed. These five key areas are:

  • Organizational Effectiveness, Safety Culture, and Safety Conscious Work Environment
  • Site Operational Focus
  • Procedures
  • Nuclear Oversight
  • Transition to the Exelon Nuclear Management Model and Integration into the Exelon

Nuclear Fleet

With respect to the PI&R key area, the license had completed most of the items. Based on the

NRCs independent assessment results that identified the concerns previously discussed, this

key area will remain open pending further NRC inspection. The details of the NRCs

assessment of the Confirmatory Action Letter key performance areas are discussed in

Section 4OA4 of the enclosed report.

Finally, there were also a number of deficiencies identified by the inspectors that involved

inadequate resolution of problems. Of particular concern, the inspectors reviewed OPPDs

actions to resolve 36 previously issued NRC non-cited violations, documented in various

inspection reports in 2013, and identified five examples where OPPD failed to adequately

address the issues. Several examples were noted where no actions were either planned or

implemented to resolve the findings. The inspectors noted that a self-assessment, performed

by both OPPD and Exelon individuals prior to the team inspection, also identified this concern,

however, incomplete CAP implementation resulted in deficiencies that were not entered into the

process, and, subsequently, the particular non-cited violations were not adequately addressed.

As a result, the NRC has determined that one Severity Level IV violation of NRC requirements

occurred and four violations associated with findings of very low safety significance (Green)

occurred. The NRC evaluated these violations in accordance Section 2.3.2.a of the NRC

Enforcement Policy, which appears on the NRCs Web site at http://www.nrc.gov/about-

nrc/regulatory/enforcement/enforce-pol.html.

The NRC determined that these violations did not meet the criteria to be treated as non-cited

violations, and therefore will be cited in the enclosed Notice of Violation (Notice). These

violations are being cited because FCS failed to restore compliance (or demonstrate objective

evidence of plans to restore compliance) within a reasonable time after the violations were first

identified in NRC Inspection Report 05000285/2013008. You are required to respond to this

letter and should follow the instructions specified in the enclosed Notices of Violation when

preparing your response. If you have additional information that you believe the NRC should

consider, you may provide it in your response to the Notice. The NRCs review of your

response to the Notices will also determine whether further enforcement action is necessary to

ensure compliance with regulatory requirements.

The enclosed report documents 14 additional findings of very low safety significance (Green).

All of these findings involved violations of NRC requirements; one of these violations was

determined to be Severity Level IV under the traditional enforcement process. Two additional

Severity Level IV violations with no associated finding are also documented in the enclosed

report. The NRC is treating these violations as non-cited violations consistent with

Section 2.3.2.a of the NRC Enforcement Policy.

Four licensee-identified violations are being documented in the enclosed report that were

determined to be of very low safety significance. The NRC is treating these violations as non-

cited violations consistent with Section 2.3.2.a of the NRC Enforcement Policy.

If you contest the violations or significance of these violations, you should provide a response

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

U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk,

Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; the

Director, Office of Enforcement, U.S. Nuclear Regulatory Commission,

Washington, DC 20555-0001; and the NRC resident inspector at Fort Calhoun Station.

If you disagree with a cross-cutting aspect assignment in this report, you should provide a

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

disagreement, to the Regional Administrator, Region IV; and the NRC resident inspector at Fort

Calhoun Station.

In accordance with Title 10 of the Code of Federal Regulations (10 CFR) 2.390, Public

Inspections, Exemptions, Requests for Withholding, a copy of this letter, its enclosures, and

your response (if any) will be available electronically for public inspection in the NRCs Public

Document Room or from the Publicly Available Records (PARS) component of the NRC's

Agencywide Documents Access and Management System (ADAMS). ADAMS is accessible

from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic

Reading Room).

Sincerely,

/RA/

Anton Vegel, Director

Division of Reactor Safety

Docket No.: 50-285

License No.: DPR-40

Enclosures:

1. Notice of Violation EA -14-151

2. NRC Inspection Report 05000285/2014009

w/Attachments:

1. Supplemental Information

2. Notification of Inspection and Request for Information

cc w/ encl: Electronic Distribution

ML14261A455

SUNSI Review Non-Sensitive Publicly Available Keyword:

By: MHay Sensitive Non-Publicly Available

OFFICE SRI:DRP/D SRI:DRP/D SPE:DRP/D ADD/DRP OE DD:DRS

NAME GWarnick JGroom RHagar MHay RBrowder AVegel

SIGNATURE /RA Email/ /RA Email/ /RA Email/ /RA/ /RA Email/ /RA/

DATE 9/17/14 9/17/14 9/15/14 9/18/14 9/18/14 9/18/14

SUBJECT: FORT CALHOUN STATION - NRC CONFIRMATORY ACTION LETTER

FOLLOW UP INSPECTION AND PROBLEM IDENTIFICATION AND

RESOLUTION INSPECTION REPORT NUMBER 05000285/2014009 AND

NOTICE OF VIOLATION

DISTRIBUTION:

Regional Administrator (Marc.Dapas@nrc.gov)

Deputy Regional Administrator (Kriss.Kennedy@nrc.gov)

Acting DRP Director (Troy.Pruett@nrc.gov)

Acting DRP Deputy Director (Michael.Hay@nrc.gov)

DRS Director (Anton.Vegel@nrc.gov)

DRS Deputy Director (Jeff.Clark@nrc.gov)

Senior Resident Inspector (Max.Schneider@nrc.gov)

Acting Senior Project Engineer, DRP/F (Peter.Jayroe@nrc.gov)

Acting Senior Project Engineer, DRP/F (Nick.Taylor@nrc.gov)

FCS Administrative Assistant (Janise.Schwee@nrc.gov)

RIV Public Affairs Officer (Victor.Dricks@nrc.gov)

RIV Public Affairs Officer (Lara.Uselding@nrc.gov)

NRR Project Manager (Fred.Lyon@nrc.gov)

RIV Branch Chief, DRS/TSB (Geoffrey.Miller@nrc.gov)

RIV RITS Coordinator (Marisa.Herrera@nrc.gov)

RIV Regional Counsel (Karla.Fuller@nrc.gov)

Congressional Affairs Officer (Angel.Moreno@nrc.gov)

RidsOEMailCenter.Resource

OEWEB Resource (Sue.Bogle@nrc.gov)

Technical Support Assistant (Loretta.Williams@nrc.gov)

RIV/ETA: OEDO (John.Jandovitz@nrc.gov)

RIV RSLO (Bill.Maier@nrc.gov)

ACES (R4Enforcement.Resource@nrc.gov)

MC 0350 Panel Chairman (Anton.Vegel@nrc.gov)

MC 0350 Panel Vice Chairman (Louise.Lund@nrc.gov)

MC 0350 Panel Member (Michael.Balazik@nrc.gov)

MC 0350 Panel Member (Michael.Markley@nrc.gov)

ROPreports

NOTICE OF VIOLATION

Omaha Public Power District Docket No: 50-285

Fort Calhoun Station License No: DPR-40

EA-14-151

During an NRC Inspection conducted from June 23 through September 12, 2014, violations of

NRC requirements were identified. In accordance with the NRC Enforcement Policy, the

violations are listed below:

A. 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires in part that

measures shall be established to assure that applicable regulatory requirements and the

design basis, as defined in §50.2, and as specified in the license application, for those

structures, systems, and components to which this appendix applies are correctly

translated into specifications, drawings, procedures, and instructions.

Contrary to the above, as of November 28, 2010, measures established by the licensee

did not assure that applicable regulatory requirements and design bases were correctly

translated into specifications, drawings, procedures, and instructions. Specifically, the

licensee failed to properly evaluate NRC Bulletin 88-04, Potential Safety-Related Pump

Loss, for strong pump, weak pump, interaction regarding auxiliary feedwater pumps

FW-6 and FW-10, which are considered safety-related pumps. The licensee's

evaluation documented in Calculation FC08310, Auxiliary Feedwater (AFW) Motor

Driven Pump FW-6 and Turbine Driven Pump FW-10 Performance and Runout

Evaluation, Revision 0, failed to consider pump-to-pump interaction that may result due

to pump discharge check valve leakage.

This violation is associated with a Green Significance Determination Process finding.

B. 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires, in part, that

measures shall be established to assure that applicable regulatory requirements and the

design basis, as defined in §50.2, and as specified in the license application, for those

structures, systems, and components to which this appendix applies are correctly

translated into specifications, drawings, procedures, and instructions.

Licensee's procedure AOP-01, Acts of Nature, Revision 33, instructs operators to

secure the raw water pumps at an intake cell level of 976'9".

Contrary to the above, from initial plant operations to present, measures established by

the licensee failed to assure that applicable regulatory requirements and the design

basis for those components are correctly translated into specifications, drawings,

procedures, and instructions. Specifically, the licensee failed to ensure that raw water

cooling was provided down to the design basis low river level of 976'9" mean sea level.

The intake cell level in the licensee's procedure AOP-01, is not equivalent to mean sea

level. As a result, the licensee failed to ensure the associated specifications and

procedures support raw water pump operations, which are safety related pumps, to

support the plant's cooling systems.

This violation is associated with a Green Significance Determination Process finding.

C. 10 CFR Part 50.54(q)(2), Conditions of License, requires, in part, that a nuclear power

reactor licensee shall follow and maintain the effectiveness of an emergency plan that

E1-1 Enclosure 1

meets the requirements of Appendix E to Part 50 and the planning standards of 10 CFR

50.47(b).

10 CFR 50.47(b)(4), requires, in part, that a standard emergency classification and

action level scheme, is in use by the nuclear facility licensee.

Contrary to the above, as of May 14, 2009, the licensee failed to maintain the

effectiveness of the emergency plan, by not maintaining a standard emergency

classification and action level scheme. Specifically, the emergency action level scheme

was not maintained because emergency action level HA1, Natural or destructive

phenomena affecting the Protected Area, contained an inaccurate river level of 9739

mean sea level. The river level was inaccurate because the basis document, Procedure

TBD-EPIP-OSC-1H, Recognition Category H - Hazards and Other Conditions Affecting

Plant Safety, Revision 2, stated the emergency action level was based on the minimum

elevation of the raw water pump suction. Because the river level does not correspond to

intake cell level, then the river level would have to be at least 973'10" mean sea level to

provide an adequate suction for the raw water pumps.

This violation is associated with a Green Significance Determination Process finding.

D. 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires, in part, that

measures shall be established to assure that applicable regulatory requirements and the

design basis, as defined in §50.2, and as specified in the license application, for those

structures, systems, and components to which this appendix applies are correctly

translated into specifications, drawings, procedures, and instructions.

Engineering Analysis FC-92-072, Diesel Generator Loading Transient Analysis Using

Paladin Design Base 4.0, Revision 7, discussed a frequency spectrum of 60.5 +/-0.3

hertz for the emergency diesel generators, which are safety-related components.

Licensee's Calculation FC08034, Diesel Fuel Usage During a Severe Flooding Event,

does not assume that the diesel generators were run at 60.8 hertz for the entire 7-day

mission time.

Contrary to the above, as of June 2011, measures established by the licensee failed to

assure that applicable regulatory requirements and the design basis for those

components are correctly translated into specifications, drawings, procedures, and

instructions. Specifically, the licensee's calculation for fuel consumption did not assume

that the diesel generators were run at 60.8 hertz, for the entire 7-day mission time. As a

result, the licensee failed to translate the worst-case design emergency diesel generator

frequency of 60.8 hertz, which could impact the consumption of fuel oil, into the

applicable design documentation.

This violation is associated with a Green Significance Determination Process finding.

E. 10 CFR Part 50.59(c)(2)(ii), Changes, Tests, and Experiments, requires, in part, that a

licensee shall obtain a license amendment prior to implementing a proposed change,

test, or experiment if the change, test, or experiment would result in more than a minimal

increase in the likelihood of occurrence of a malfunction of a structure, system, or

component important to safety previously evaluated in the final safety analysis report (as

updated).

E1-2

10 CFR 50.59(d)(1) requires, in part, that the licensee shall maintain records of changes

in the facility or procedures and that the records must include a written evaluation which

provides the bases for the determination that the change does not require a license

amendment.

Contrary to the above, as of June 2008, the licensee did not perform a written evaluation

for a design change that may have required NRC review and approval. Specifically, the

licensee did not evaluate a change that would permanently substitute manual actions for

an automatic action to add water and nitrogen gas to the component cooling water surge

tank, which is an Updated Safety Analysis Report described design function for the

component cooling water system.

This violation is associated with a Severity Level IV traditional enforcement violation.

Pursuant to the provisions of 10 CFR 2.201, Omaha Public Power District is hereby required to

submit a written statement or explanation to the U.S. Nuclear Regulatory Commission, ATTN:

Document Control Desk, Washington, DC 20555-0001 with a copy to the Regional

Administrator, Region IV, and a copy to the NRC Resident Inspector at Fort Calhoun Station

within 30 days of the date of the letter transmitting this Notice of Violation (Notice). This reply

should be clearly marked as a Reply to Notice of Violation; EA 14-151, and should include:

(1) the reason for the violation, or, if contested, the basis for disputing the violation or severity

level, (2) the corrective steps that have been taken and the results achieved, (3) the corrective

steps that will be taken to avoid further violations, and (4) the date when full compliance will be

achieved. Your response may reference or include previous docketed correspondence, if the

correspondence adequately addresses the required response. If an adequate reply is not

received within the time specified in this Notice, an order or a Demand for Information may be

issued as to why the license should not be modified, suspended, or revoked, or why such other

action as may be proper should not be taken. Where good cause is shown, consideration will

be given to extending the response time.

If you contest this enforcement action, you should also provide a copy of your response, with

the basis for your denial, to the Director, Office of Enforcement, United States Nuclear

Regulatory Commission, Washington, DC 20555-0001.

Because your response will be made available electronically for public inspection in the NRC

Public Document Room or from the NRCs document system (ADAMS), accessible from the

NRC website at www.nrc.gov/reading-rm/adams.html, to the extent possible, it should not

include any personal privacy, proprietary, or safeguards information so that it can be made

available to the public without redaction. If personal privacy or proprietary information is

necessary to provide an acceptable response, then please provide a bracketed copy of your

response that identifies the information that should be protected and a redacted copy of your

response that deletes such information. If you request withholding of such material, you must

specifically identify the portions of your response that you seek to have withheld and provide in

detail the bases for your claim of withholding (e.g., explain why the disclosure of information will

create an unwarranted invasion of personal privacy or provide the information required by 10

CFR 2.390(b) to support a request for withholding confidential commercial or financial

information).

Dated this 18th day of September, 2014

E1-3

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

Docket: 05000285

License: DPR-40

Report: 05000285/2014009

Licensee: Omaha Public Power District

Facility: Fort Calhoun Station

Location: 9610 Power Lane

Blair, NE 68008

Dates: July 7 through September 12, 2014

Team Lead: G. Warnick, Senior Resident Inspector

Inspectors: I. Anchondo, Reactor Inspector

E. Coffman, Resident Inspector

B. Davis, Senior Construction Inspector

W. Deschaine, Resident Inspector

J. Groom, Senior Resident Inspector, Assistant Team Leader

B. Hagar, Senior Project Engineer, Assistant Team Leader

C. Henderson, Resident Inspector

D. Holman, Senior Security Specialist

G. Khouri, Senior Construction Inspector

J. Mateychick, Senior Reactor Inspector

C. Smith, Project Engineer

M. Williams, Reactor Inspector

Approved By: Anton Vegel

Director, Division of Reactor Safety

E2-1 Enclosure 2

SUMMARY

IR 05000285/2014009; 07/07/2014 - 09/12/2014; Fort Calhoun Station; Problem Identification

and Resolution Inspection and Confirmatory Action Letter Follow-up Inspection.

The inspection activities described in this report were performed from July 7-25, 2014, by

13 inspectors from the NRCs Region IV and Region II offices. The report documents

14 findings of very low safety significance (Green). All of these findings involved violations of

NRC requirements; one of these violations was determined to be Severity Level IV under the

traditional enforcement process. Additionally, NRC inspectors documented two Severity

Level IV violations with no associated finding. Further, NRC inspectors documented one

Severity Level IV violation and four violations associated with findings of very low safety

significance (Green) that were evaluated in accordance Section 2.3.2.a of the NRC

Enforcement Policy. The NRC inspectors determined that these violations did not meet the

criteria to be treated as non-cited violations because the licensee did not restore compliance

within a reasonable time after previous non-cited violations were issued.

The significance of inspection findings is indicated by their color (Green, White, Yellow, or Red),

which is determined using Inspection Manual Chapter 0609, Significance Determination

Process. Their cross-cutting aspects are determined using Inspection Manual Chapter 0310,

Components Within the Cross-Cutting Areas. Violations of NRC requirements are

dispositioned in accordance with the NRC Enforcement Policy. The NRC's program for

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

NUREG-1649, Reactor Oversight Process.

Assessment of Problem Identification and Resolution

The NRC team reviewed approximately 400 condition reports, work orders, engineering

evaluations, root and apparent cause evaluations, and other supporting documentation to

determine if problems were being properly identified, characterized, and entered into the

corrective action program for evaluation and resolution. The team also reviewed a sample of

system health reports, self-assessments, trending reports and metrics, and various other

documents related to the corrective action program.

Based on its inspection sample, the team concluded that the licensee maintained a corrective

action program in which individuals generally identified issues at an appropriately low threshold.

Once entered into the corrective action program, the NRC noted deficiencies in the licensees

ability to effectively evaluate and resolve issues. The results of this inspection closely mirror

inspection results from previous team inspections conducted in 2011 and 2013 documented in

NRC Inspection Reports 05000285/2011006 and 05000285/2013008, respectively, in that the

NRC identified significant weakness in the licensees ability to evaluate and resolve issues

entered into the corrective action program. In particular, the team noted that technical

evaluations performed by the licensee were in some cases incomplete or contained incorrect

conclusions. The team identified several instances where the licensee failed to perform

appropriate evaluations for equipment issues entered into the corrective action program.

Specific examples include inadequate operability evaluations, technically inaccurate calculations

(used as corrective actions), and evaluations that failed to consider the design and licensing

basis of the facility or all applicable regulatory requirements. The findings and observations

identified by the team revealed significant weakness in the evaluation area and cause concern

related to the licensees ability to implement this element of the corrective action program.

E2-2

The team concluded that the licensee did not consistently develop appropriate corrective

actions to address issues entered into the corrective action program. The team noted that while

the licensee was identifying and placing a large number of adverse conditions into the corrective

action process, the associated resolution of these issues was often incomplete, narrowly

focused, or untimely. The team identified multiple examples of untimely or ineffective corrective

actions to address conditions adverse to quality. Of particular concern, the team reviewed the

licensees corrective actions to address 36 previous NRC non-cited violations and identified

5 examples where the licensee failed to restore compliance within a reasonable time after the

previous NRC violations were issued. Three other examples identified by the team involved the

failure to adequately address the technical aspects of the violation. Additionally, the team

identified several examples where the corrective action to address complex regulatory or

technical issues were incomplete, narrowly focused, or untimely. The findings and observations

identified by the team revealed significant weakness in the area of resolution and cause concern

related to the licensees ability to implement this element of the corrective action program.

The licensee appropriately evaluated industry operating experience for relevance to the facility

and entered applicable items in the corrective action program. The licensee incorporated

industry and internal operating experience in its root cause and apparent cause evaluations.

The licensee performed effective and self-critical nuclear oversight audits and self-assessments.

However, the corrective actions to address the individual findings from these audits and self-

assessments were not always complete or timely.

The licensee maintained a safety-conscious work environment in which personnel were willing

to raise nuclear safety concerns without fear of retaliation.

Cornerstone: Mitigating Systems

Criterion V, Instructions, Procedures, and Drawings, was identified involving the failure to

follow Procedure OP-FC-108-115, Operability Determinations, Revision 0a. In each

example, the team identified that the licensee failed to make an immediate determination of

operability for a degraded or non-conforming condition or failed to make an immediate

determination of operability based on a detailed examination of the deficiency. The licensee

took immediate corrective actions to update the incomplete or inaccurate operability

determinations and entered the collective failures to follow station operability procedures

into their corrective action program as Condition Report 2014-09163.

This performance deficiency was more than minor, and therefore a finding, because it

affected the equipment performance attribute of the Mitigating Systems Cornerstone

objective of ensuring the reliability of systems that respond to initiating events. The NRC

performed an initial screening of the finding in accordance with NRC Manual Chapter

IMC 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-

Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, this finding is of very low safety significance (Green) because it: (1) was

not a deficiency affecting the design or qualification of a mitigating system; (2) did not

represent a loss of system and/or function; (3) did not represent an actual loss of function of

a single train for greater than its technical specification allowed outage time; and (4) does

not represent an actual loss of function of one or more non-technical specification trains of

equipment designated as high safety-significant in accordance with the licensees

maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a cross-cutting aspect

in the area of human performance because the licensee failed to use decision-making

E2-3

practices that demonstrate that a proposed action is to be safe in order to proceed, rather

than unsafe in order to stop. Specifically, the licensee made non-conservative decisions

related to the impact of degraded or non-conforming conditions [H.14]. (Section 4OA2.5.b)

  • SLIV/Green. A non-cited violation of 10 CFR 50.59, Changes, Tests, and Experiments,

and associated non-cited violation of 10 CFR Part 50, Appendix B, Criterion V, Instructions,

Procedures, and Drawings, was identified involving the failure to evaluate and implement

adequate compensatory measures for a degraded condition associated with raw water

pump AC-10C. Specifically, the licensees operability determination established a

compensatory measure to place pump AC-10C in pull-to-lock, contrary to the system single

failure analysis design criteria described in the Updated Safety Analysis Report. The

licensee entered this issue into its corrective action program as Condition

Reports 2014-09104 and 2014-08515 and performed an operability evaluation and

associated 10 CFR 50.59 evaluation that used an acceptable compensatory measure to

pump water from affected manholes prior to affecting the degraded power feeder cable for

raw water pump AC-10C.

The NRC evaluated this performance deficiency as both a reactor oversight process finding

and a traditional enforcement violation. The NRC performed an initial screening of the

finding in accordance with NRC Manual Chapter IMC 0609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A,

Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012, this finding is of

very low safety significance (Green) because it: (1) was not a deficiency affecting the

design or qualification of a mitigating system; (2) did not represent a loss of system and/or

function; (3) did not represent an actual loss of function of a single train for greater than its

technical specification allowed outage time; and (4) does not represent an actual loss of

function of one or more non-technical specification trains of equipment designated as high

safety-significant for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> in accordance with the licensees maintenance

rule program. This finding has a cross-cutting aspect in the area of problem identification

and resolution with an aspect of evaluation because the licensee failed to ensure that

resolutions address causes and extent of conditions commensurate with their safety

significance [P.2].

In addition, because this performance deficiency had the potential to impact the NRCs

ability to perform its regulatory function in that the failure to obtain a license amendment for

a change that could result in a malfunction of a structure, system or component with a

different result than previously evaluated in the Updated Safety Analysis Report is in

violation of 10 CFR 50.59(c)(2)(vi), the NRC also evaluated the violation using traditional

enforcement. Since this violation is associated with a Green reactor oversight process

violation, the traditional enforcement violation was determined to be a Severity Level IV

violation, consistent with the example in paragraph 6.1.d(2) of the NRC Enforcement Policy.

(Section 4OA2.5.c)

was identified involving the failure to implement appropriate design control measures

associated with a safety-related pipe stress calculation. Specifically, several unverified and

potentially non-conservative inputs were identified associated with Calculation FC07240

used to analyze stresses on a pipe reduction tee in the safety injection system. The

licensee entered this issue into the corrective action program as Condition

Report 2014-09098 and initiated action to update Calculation FC07240.

E2-4

This performance deficiency was more than minor, and therefore a finding, because it

affected the design control attribute of the Mitigating Systems Cornerstone objective to

ensure the availability, reliability, and capability of components that respond to initiating

events. The NRC performed an initial screening of the finding in accordance with NRC

Manual Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening

Questions, dated July 1, 2012, this finding is of very low safety significance (Green)

because it: (1) was not a deficiency affecting the design or qualification of a mitigating

system; (2) did not represent a loss of system and/or function; (3) did not represent an

actual loss of function of a single train for greater than its technical specification allowed

outage time; and (4) does not represent an actual loss of function of one or more non-

technical specification trains of equipment designated as high safety-significant in

accordance with the licensees maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This

finding has a cross-cutting aspect in the area of human performance in that the licensee

failed to apply the appropriate rigor when evaluating the overstressed pipe union tee [H.6].

(Section 4OA2.5.e)

Design Control, was identified involving the failure to maintain design control of the raw

water strainer AC-12B control panel AI-348. Specifically, the licensee failed to adequately

design control panel AI-348 to protect it from the effects of spraying and wetting as required

by the plants licensing and design basis. The licensee entered this issue into its corrective

action program as Condition Reports 2013-03301 and 2014-06974 and initiated action to

encase control panel AI-348 to protect it against the effects of spraying and wetting.

This performance deficiency was more than minor, and therefore a finding, because it was

associated with the equipment performance attribute of the Mitigating Systems Cornerstone

and affected the associated objective to ensure availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. Specifically,

control panel AI-348 was not designed to prevent water intrusion that resulted in a loss of

power to raw water strainer AC-12B. The NRC performed an initial screening of the finding

in accordance with NRC Manual Chapter IMC 609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A,

Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012, this finding was of

very low safety significance (Green) because it: (1) was not a deficiency affecting the

design or qualification of a mitigating structure, system, or component, and did not result in a

loss of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

technical specification allowed outage time, or two separate safety systems out-of-service

for longer than their technical specification allowed outage time; (4) did not represent an

actual loss of function of one or more non-technical specification trains of equipment

designated as high safety-significant in accordance with the licensees maintenance rule

program; and (5) did not involve the loss or degradation of equipment or function specifically

designed to mitigate a seismic, flooding or severe weather event. This finding has a cross-

cutting aspect in the area of problem identification and resolution associated with the

organization thoroughly evaluating issues to ensure that resolutions address causes and

extent of conditions commensurate with their safety significance [P.2]. (Section 4OA2.5.f)

was identified involving the failure to accurately model cell level control of river water during

external flooding events. Specifically, the licensee failed to account for losses due to the

E2-5

physical obstructions of trash racks for inflowing river water, the decreased withdrawal rate

of the raw water pumps due to fouling across the traveling screens, and a bounding

inleakage rate for the sluice gates when the river level is at maximum level of 1014 mean

sea level and the intake cell levels are at minimum level of 9769. The licensee entered this

issue into its corrective action program as Condition Report 2014-09155, performed an

operability determination, and initiated action to update station calculations related to intake

cell level control.

This performance deficiency was more than minor, and therefore a finding, because if left

uncorrected, the finding would have the potential to lead to a more significant safety

concern. Specifically, the failure to accurately model flow in and out of the cells could

adversely affect the external flooding mitigation strategy beyond previously identified

equipment capacities and operator actions. This finding was associated with the Mitigating

Systems Cornerstone. The NRC performed an initial screening of the finding in accordance

with NRC Manual Chapter IMC 0609, Appendix A, The Significance Determination

Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating

Systems Screening Questions, dated July 1, 2012, this finding is of very low safety

significance (Green) because it: (1) was not a deficiency affecting the design or qualification

of a mitigating system; (2) did not represent a loss of system and/or function; (3) did not

represent an actual loss of function of a single train for greater than its technical

specification allowed outage time; (4) did not represent an actual loss of function of one or

more non-technical specification trains of equipment designated as high safety-significant in

accordance with the licensees maintenance rule program; and (5) did not involve the loss or

degradation of equipment or function specifically designed to mitigate a seismic, flooding or

severe weather event. This finding has a cross-cutting aspect in the area of problem

identification and resolution, operating experience, in that the licensee failed to incorporate

relevant internal operating experience related to previous NRC inspection into

Calculation FC08081 [P.5]. (Section 4OA2.5.g)

was identified involving the failure to translate applicable design requirements into the

specifications for plant systems. Specifically, inadequate design control inputs were used for

analyzing the ability of the vital switchgear room cooling system to perform its safety function

under all conditions. The licensee entered this issue into its corrective action program as

Condition Report 2014-08317 and initiated actions to analyze the ability of vital switchgear

room cooling to meet its specified safety function.

This performance deficiency was more than minor, and therefore a finding, because it

affected the design control attribute of the Mitigating Systems Cornerstone, and it directly

affected the cornerstone objective to ensure availability, reliability, and capability of systems

that respond to initiating events to prevent undesirable consequences. The NRC performed

an initial screening of the finding in accordance with NRC Manual Chapter IMC 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Using

IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions, dated July 1,

2012, this finding is of very low safety significance (Green) because it: (1) was not a

deficiency affecting the design or qualification of a mitigating system; (2) did not represent a

loss of system and/or function; (3) did not represent an actual loss of function of a single

train for greater than its technical specification allowed outage time; and (4) does not

represent an actual loss of function of one or more non-technical specification trains of

equipment designated as high safety-significant in accordance with the licensees

maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a cross-cutting aspect

E2-6

in the evaluation component of the problem identification and resolution cross-cutting area

because the licensee failed to thoroughly evaluate issues to ensure that resolutions address

causes and extent of conditions commensurate with their safety significance. Specifically,

the licensee failed to analyze and evaluate a 1998 loss of switchgear cooling event to

ensure that its use as a design assumption bound the worst design basis event [P.2].

(Section 4OA2.5.i)

identified involving the failure to assure that applicable regulatory requirements and design

bases were correctly translated into specifications, drawings, procedures, and instructions.

Specifically, the licensee failed to properly evaluate NRC Bulletin 88-04, Potential Safety-

Related Pump Loss, for strong pump weak pump interaction regarding auxiliary feedwater

pumps FW-6 and FW-10. The evaluation failed to consider pump-to-pump interaction that

may result due to pump discharge check valve leakage. In addition, the licensee failed to

re-evaluate the condition after surveillance testing performed on November 28, 2010, and

September 1, 2012, identified leakage past both pump discharge check valves. The

licensee entered this issue into its corrective action program as Condition

Report 2014-08381 and initiated actions to re-evaluate NRC Bulletin 88-04.

This performance deficiency was more than minor, and therefore a finding, because it was

associated with the equipment attribute of the Mitigating Systems Cornerstone, and affected

the associated cornerstone objective to ensure the availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. The NRC

performed an initial screening of the finding in accordance with NRC Manual Chapter

IMC 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-

Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, the finding was of very low safety significance (Green) because it:

(1) was not a deficiency affecting the design or qualification of a mitigating structure, system,

or component, and did not result in a loss of operability or functionality; (2) did not represent

a loss of system and/or function; (3) did not represent an actual loss of function of at least a

single train for longer than its technical specification allowed outage time, or two separate

safety systems out-of-service for longer than their technical specification allowed outage

time; and (4) did not represent an actual loss of function of one or more non-technical

specification trains of equipment designated as high safety-significant in accordance with

the licensees maintenance rule program. This finding has a cross-cutting aspect in the area

of human performance because the licensee failed to demonstrate a conservative bias in

decision making-practices. Specifically, the licensees determination that the event is not

credible failed to consider documented check valve leakage in the auxiliary feedwater

system [H.14]. (Section 4OA2.5.j)

identified involving the failure to ensure that the safety-related raw water pumps are

available for safe plant operations down to the design basis low river level. Specifically,

station analysis and abnormal operating procedures would not allow operation of the raw

water pumps to the design basis low river water level. The licensee entered this issue into

its corrective action program as Condition Report 2014-09159 which included actions to re-

evaluate the capability of the raw water pumps to operate at low river levels.

This finding was more than minor, and therefore a finding, because it was associated with

the design control attribute of the Mitigating Systems Cornerstone and affected the

associated cornerstone objective to ensure the availability, reliability, and capability of

E2-7

systems that respond to initiating events to prevent undesirable consequences. The NRC

performed an initial screening of the finding in accordance with NRC Manual Chapter

IMC 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-

Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, the finding was of very low safety significance (Green) because it:

(1) was not a deficiency affecting the design or qualification of a mitigating structure, system,

or component, and did not result in a loss of operability or functionality; (2) did not represent

a loss of system and/or function; (3) did not represent an actual loss of function of at least a

single train for longer than its technical specification allowed outage time, or two separate

safety systems out-of-service for longer than their technical specification allowed outage

time; and (4) did not represent an actual loss of function of one or more non-technical

specification trains of equipment designated as high safety-significant in accordance with

the licensees maintenance rule program. This finding has a cross-cutting aspect in the area

of human performance in that the licensee did not ensure that personnel, equipment,

procedures and other resources are available and adequate to support nuclear safety.

Specifically, the licensee deferred funding for a vendor analysis of the capabilities of the raw

water pumps at the design low river level [H.1]. (Section 4OA2.5.k)

identified involving the failure to account for design basis conditions in station calculations.

Specifically, the licensee failed to account for worst-case electrical frequency when

analyzing diesel fuel oil consumption and storage requirements. The licensee entered this

issue into its corrective action program as Condition Report 2014-09157 and initiated action

to update station calculations.

This performance deficiency was more than minor, and therefore a finding, because it

affected the design control attribute of the Mitigating Systems Cornerstone objective to

ensure the availability, reliability, and capability of components that respond to initiating

events. The NRC performed an initial screening of the finding in accordance with NRC

Manual Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening

Questions, dated July 1, 2012, the finding is of very low safety significance (Green)

because: (1) the finding was not a deficiency affecting the design or qualification of a

mitigating system; (2) the finding did not represent a loss of system and/or function; (3) the

finding did not represent an actual loss of function of a single train for greater than its

technical specification allowed outage time; and (4) the finding does not represent an actual

loss of function of one or more non-technical specification trains of equipment designated as

high safety-significant in accordance with the licensees maintenance rule program for

greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a cross-cutting aspect in the area of problem

identification and resolution in that the licensee failed to thoroughly evaluate issues to

ensure that resolutions address causes and extent of conditions commensurate with their

safety significance [P.2]. (Section 4OA2.5.n)

Action, was identified involving the failure to take corrective actions for a condition adverse

to quality. Specifically, the licensee failed to take corrective actions to address multiple

issues involving gas voiding of the component cooling water system. As immediate

corrective action the licensee placed a maintenance hold on the component cooling water

system until adequate fill and vent procedures were established. The licensee initiated

corrective actions to analyze the effects of gas accumulation on the component cooling

E2-8

water system and entered this issue into the corrective action program as Condition

Reports 2014-08892, 2014-09011 and 2014-09034.

This performance deficiency was more than minor, and therefore a finding, because it was

associated with the design control attribute of the Mitigating Systems Cornerstone and

affected the associated objective to ensure availability, reliability, and capability of systems

that responds to initiating events to prevent undesirable consequences. The NRC

performed an initial screening of the finding in accordance with NRC Manual Chapter

IMC 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-

Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, the finding was of very low safety significance (Green) because the

finding: (1) was not a deficiency affecting the design and qualification of a mitigating

structure, system, or component, and did not result in a loss of operability or functionality;

(2) did not represent a loss of system and/or function; (3) did not represent an actual loss of

function of at least a single train for longer than its allowed outage time, or two separate

safety systems out-of-service for longer than their technical specification allowed outage

time; and (4) did not represent an actual loss of function of one or more non-technical

specification trains of equipment designated as high safety-significant in accordance with

the licensees maintenance rule program. This finding has a cross-cutting aspect in the area

of human performance in that the licensee failed to operate the component cooling water

system within design margins and failed to place special attention on minimizing long-

standing equipment issues related to gas voiding in that system [H.6]. (Section 4OA2.5.o)

Action, was identified involving the failure to take timely corrective actions to ensure the

proper control and use of software products used in safety related applications. Specifically,

the team identified multiple instances of uncontrolled software products in use at the

licensees facility following identification of similar deficiencies in 2009 and 2011. The

licensee entered this issue into their corrective action program as Condition

Report 2014-09162 and initiated action to strengthen their software control program.

The performance deficiency was more than minor, and therefore a finding, because if left

uncorrected, it could lead to a more significant safety concern. The NRC performed an

initial screening of the finding in accordance with NRC Manual Chapter IMC 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Using

IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions, dated July 1,

2012, this finding is of very low safety significance (Green) because: (1) the finding was not

a deficiency affecting the design or qualification of a mitigating system; (2) the finding did not

represent a loss of system and/or function; (3) the finding did not represent an actual loss of

function of a single train for greater than its technical specification allowed outage time; and

(4) the finding does not represent an actual loss of function of one or more non-technical

specification trains of equipment designated as high safety-significant in accordance with

the licensees maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a

cross-cutting aspect in the area of human performance in that the licensee failed to provide

training and ensure knowledge transfer to maintain a knowledgeable, technically competent

workforce and instill nuclear safety values. Specifically, the apparent cause report for

Condition Report 2009-04715 stated that a contributing cause was first and foremost [there

is] a lack of knowledge associated with the procedural requirements for software control at

FCS [H.9]. (Section 4OA2.5.p)

E2-9

was identified involving the failure to correct a condition adverse to quality associated with

classification of check valves in the auxiliary feedwater system. Specifically, the licensee

failed to update the in-service testing program to classify auxiliary feedwater discharge

check valves as Category A/C valves and include required seat leakage testing. The

licensee entered this issue into its corrective action program as Condition

Report 2014-08452 and initiated actions to re-assess the current in-service testing

methodology of check valves in the auxiliary feedwater system.

This performance deficiency was more than minor, and therefore a finding, because it was

associated with the equipment performance attribute of the Mitigating Systems Cornerstone,

and affected the associated cornerstone objective of ensuring the availability, reliability, and

capability of systems that respond to initiating events to prevent undesirable consequences.

The NRC performed an initial screening of the finding in accordance with NRC Manual

Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening

Questions, dated July 1, 2012, this finding is of very low safety significance (Green)

because: (1) the finding was not a deficiency affecting the design or qualification of a

mitigating system; (2) the finding did not represent a loss of system and/or function; (3) the

finding did not represent an actual loss of function of a single train for greater than its

technical specification allowed outage time; and (4) the finding does not represent an actual

loss of function of one or more non-technical specification trains of equipment designated as

high safety-significant in accordance with the licensees maintenance rule program for

greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a cross-cutting aspect in the area of problem

identification and resolution because the licensee failed to thoroughly evaluate issues to

ensure that resolutions address causes and extent of conditions commensurate with their

safety significance. Specifically, the licensee failed to evaluate the function of discharge

check valves FW-173 and FW-174 when developing the in-service testing program and

addressing previous condition reports [P.2]. (Section 4OA2.5.q)

Action, was identified involving the failure to take timely corrective actions to address

deficiencies in station calculations. Specifically, the licensee failed to update station

calculations to incorporate actual test data for sluice gate leakage to ensure design basis

flood levels do not adversely affect equipment important to safety. The licensee entered this

issue into its corrective action program as Condition Report 2014-09156 and initiated

actions to update station calculations.

This finding was more than minor, and therefore a finding, because if left uncorrected, the

finding would have the potential to lead to a more significant safety concern. Specifically,

failure to complete accurate calculations that support engineering modifications for

mitigating the consequences of an external flooding event could lead to unanalyzed

conditions adversely affecting safety related systems or components. The NRC performed

an initial screening of the finding in accordance with NRC Manual Chapter IMC 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power. Using

IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions, dated July 1,

2012, this finding is of very low safety significance (Green) because: (1) the finding was not

a deficiency affecting the design or qualification of a mitigating system; (2) the finding did not

represent a loss of system and/or function; (3) the finding did not represent an actual loss of

function of a single train for greater than its technical specification allowed outage time;

(4) did not represent an actual loss of function of one or more non-technical specification

E2-10

trains of equipment designated as high safety-significant in accordance with the licensees

maintenance rule program; and (5) did not involve the loss or degradation of equipment or

function specifically designed to mitigate a seismic, flooding or severe weather event. This

finding has a cross-cutting aspect in the area of human performance in that the licensee

failed prioritize an update to Calculation FC08081 following completion of the May 2013

in-leakage test [H.5]. (Section 4OA2.5.r)

  • Green. A non-cited violation of 10 CFR 50.54(hh)(2), Conditions of License, was identified

involving the failure to maintain available equipment needed to implement mitigating

strategies to maintain or restore core, containment, and spent fuel pool cooling capabilities

following large fires or explosions. Specifically, the licensee failed to maintain available a

flexible suction hose related to the reactor coolant system heat removal mitigating strategy.

The licensee initiated Condition Report 2014-08876 to address this deficiency and initiated

action to procure and replace the missing flexible suction hose.

This performance deficiency was more than minor, and therefore a finding, because it was

associated with the equipment performance attribute of the Mitigating Systems Cornerstone,

and adversely affected the cornerstone objective to ensure the availability, reliability, and

capability of systems that respond to initiating events to prevent undesirable consequences

(i.e. core damage). The NRC determined that this finding was of very low safety

significance (Green) using NRC Manual Chapter IMC 0609, Appendix L, B.5.b Significance

Determination Process, because it resulted in an unrecoverable unavailability of an

individual mitigating strategy but did not result in multiple unavailable mitigating strategies

such that reactor coolant system heat removal could not occur. This finding has a cross-

cutting aspect in the area of human performance in that the licensees inadequate

B.5.b inventory procedure contributed to the lack of recognition that the degraded flexible

suction hose was required to implement mitigating strategies [H.1]. (Section 4OA2.5.s)

Corrective Action, was identified involving the failure to take timely corrective actions to

address service life related degradation of the emergency diesel generator starting air

system. As a result, diesel generator 1 failed to roll during planned surveillance testing due

to a degraded diesel starting air valve. The licensee replaced the faulty starting air valve

and implemented corrective actions to develop preventative maintenance strategies for the

starting air system. The licensee entered this issue into the corrective action program as

Condition Report 2014-09424.

The performance deficiency was more than minor, and therefore a finding, because it was

associated with the equipment performance attribute of the Mitigating Systems Cornerstone

and affected the associated objective to ensure availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. Using

Inspection Manual Chapter 0609, Appendix G, Attachment 1, Shutdown Operations

Significance Determination Process Phase 1 Initial Screening and Characterization of

Findings, Exhibit 3, Mitigating Systems Screening Questions, dated May 9, 2014, the

finding was of very low safety significance (Green) because the finding does not represent a

loss of system safety function and the finding does not represent an actual loss of safety

function of a single train for greater than its technical specification allowed outage time. This

finding has a cross-cutting aspect in the area of human performance in that the licensee

failed to recognize and plan for the possibility of latent issues, and inherent risk, even while

expecting successful outcomes when determining the repair schedule for starting air

valve SA-148 [H.12]. (Section 4OA2.5.t)

E2-11

Corrective Action, was identified involving the failure to take corrective actions to address a

design deficiency affecting the control panel for raw water strainer AC-12B. Consequently,

the panel experienced a water intrusion event on August 3, 2014, resulting in an unplanned

inoperability of the raw water system. Following identification of this issue, the licensee

implemented corrective actions to seal conduits leading to control panel AI-348 to prevent

future water intrusion. The licensee entered this issue into its corrective action program as

Condition Report 2014-09572.

This performance deficiency was more than minor, and therefore a finding, because it was

associated with the equipment performance attribute of the Mitigating Systems Cornerstone

and affected the associated objective to ensure availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. The NRC

performed an initial screening of the finding in accordance with NRC Manual Chapter

IMC 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-

Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, this finding is of very low safety significance (Green) because it: (1) was

not a deficiency affecting the design or qualification of a mitigating system; (2) did not

represent a loss of system and/or function; (3) did not represent an actual loss of function of

a single train for greater than its technical specification allowed outage time; and (4) does

not represent an actual loss of function of one or more non-technical specification trains of

equipment designated as high safety-significant in accordance with the licensees

maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a cross-cutting aspect

in the area of problem identification and resolution in that the licensee failed to adequately

review and provide timely responses to past operating experience that demonstrated that

panel AI-348 was susceptible to water intrusion [P.5]. (Section 4OA2.5.u)

Cornerstone: Emergency Preparedness

involving the failure to maintain the effectiveness of the sites emergency plan. Specifically,

the licensee established an Alert low river level emergency classification criteria that was

below the raw water pumps minimum suction requirements, contrary to the standard

emergency action level scheme. The licensee entered this issue into its corrective action

program as Condition Report 2014-08757 which included actions to re-evaluate the

capability of the raw water pumps to operate at low river levels.

This finding was more than minor, and therefore a finding, because it was associated with

the emergency response organization performance attribute of the Emergency

Preparedness Cornerstone and affected the associated cornerstone objective to ensure that

the licensee is capable of implementing adequate measures to protect the health and safety

of the public in the event of a radiological emergency. Specifically, inaccurate emergency

actions levels degrade the licensees ability to implement adequate measures to protect

public health and safety. The finding was evaluated using the Emergency Preparedness

Significance Determination Process, and was determined to be of very low safety

significance (Green) because the finding was not a lost or degraded risk significant planning

function. The planning standard function was not degraded because the emergency

classifications would have been declared although potentially in a delayed manner. This

finding has a cross-cutting aspect in the area of human performance in that the licensee did

not ensure that personnel, equipment, procedures and other resources are available and

E2-12

adequate to support nuclear safety. Specifically, the licensee deferred funding for a vendor

analysis of the capabilities of the raw water pumps at the design low river level [H.1].

(Section 4OA2.5.l)

Other Findings and Violations

Procedures, and Drawings, was identified involving the failure to follow procedures to

initiate condition reports to enter conditions adverse to quality into the corrective action

program. Specifically, the licensee failed to initiate condition reports in accordance with

Procedure FCSG 24-1, Condition Report Initiation, Step 4.1.1.G, when deficiencies related

to the stations corrective actions implemented for NRC violations were identified. The

licensee entered this issue into its corrective action program as Condition

Report 2014-09063 and initiated action to write condition reports for identified gaps related

to previous NRC violations.

This performance deficiency was more than minor, and therefore a finding, because if left

uncorrected, it would have the potential to lead to a more significant safety concern. The

team performed an initial screening of the finding in accordance with NRC Manual Chapter

IMC 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-

Power. Using IMC 0609 Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, this finding was of very low safety significance (Green) because it did

not involve a loss or degradation of equipment or function specifically designed to mitigate a

seismic, flooding, or severe weather initiating event. This finding has a cross-cutting aspect

in the area of human performance because the licensee elected to use an informal system

to resolve these issues rather than the corrective action program [H.13]. (Section 4OA2.5.a)

Experiments, was identified involving the failure to evaluate if a change to the facility as

described in the Updated Safety Analysis Report would require prior NRC review and

approval. Specifically, the licensee failed to evaluate if a change implemented under

Engineering Change 59252 that credited the non-safety related demineralized water system

as a make-up source to the component cooling water system during post-accident

conditions represented an adverse change to the Updated Safety Analysis Report described

design function. The licensee entered this deficiency into its corrective action program for

resolution as Condition Report 2014-09151 and established action items to update

Engineering Change 59252.

The NRC determined that the licensees failure to perform an evaluation prior to

implementing a proposed change described in the Updated Safety Analysis Report was a

violation of 10 CFR 50.59. Because this violation had the potential to impact the NRCs

ability to perform its regulatory function, the NRC evaluated the violation using traditional

enforcement. In accordance with Section 2.1.3.E.6 of the NRC Enforcement Manual, the

NRC evaluated this finding using the significance determination process to assess its

significance. The NRC performed an initial screening of the finding in accordance with NRC

Manual Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening

Questions, dated July 1, 2012, the finding was of very low safety significance (Green)

because it: (1) was not a deficiency affecting the design or qualification of a mitigating

structure, system, or component, and did not result in a loss of operability or functionality;

(2) did not represent a loss of system and/or function; (3) did not represent an actual loss of

E2-13

function of at least a single train for longer than its technical specification allowed outage

time, or two separate safety systems out-of-service for longer than their technical

specification allowed outage time; and (4) did not represent an actual loss of function of one

or more non-technical specification trains of equipment designated as high safety-significant

in accordance with the licensees maintenance rule program. Therefore, in accordance with

Section 6.1.d.2 of the NRC Enforcement Policy, this performance deficiency is characterized

as a Severity Level IV violation. The team determined that a cross-cutting aspect was not

applicable because the issue involving the failure to perform an adequate 10 CFR 50.59

evaluation was strictly associated with a traditional enforcement violation.

(Section 4OA2.5.d)

System, was identified involving the failure to submit a required licensee event report.

Specifically, the licensee failed to report within 60 days the discovery that Namco'

Type EA 180 limit switches were not environmentally qualified as required due to

inadequate maintenance procedures, a condition that resulted in operation prohibited by the

plants technical specifications. The licensee restored compliance by submitting Licensee

Event Report 05000285/2014-004 on June 20, 2014. The licensee entered this issue into its

corrective action program as Condition Report 2014-08454.

The NRC determined that the failure to submit a licensee event report within the time limits

specified in regulations was a violation of 10 CFR 50.73. This violation was evaluated using

Section 2.2.4 of the NRC Enforcement Policy, because the failure to submit a required

licensee event report may impact the ability of the NRC to perform its regulatory oversight

function. As a result, this violation was evaluated using traditional enforcement. In

accordance with Section 6.9 of the NRC Enforcement Policy, this violation was determined

to be a Severity Level IV, non-cited violation. The NRC determined that a cross-cutting

aspect was not applicable because the issue was strictly associated with a traditional

enforcement violation. (Section 4OA2.5.h)

was identified involving the failure to evaluate if a change to the facility as described in the

Updated Safety Analysis Report would require prior NRC review and approval.

Specifically, the licensee did not evaluate a change that would permanently substitute a

manual action for an automatic action to add water and nitrogen gas to the component

cooling water surge tank. The licensee entered this issue into its corrective action program

as Condition Report 2014-09080 and initiated action to evaluate the change to the

component cooling water system.

The NRC determined that the licensees failure to perform an evaluation prior to

implementing a proposed change described in the Updated Safety Analysis Report was a

violation of 10 CFR 50.59. Because this performance deficiency had the potential to impact

the NRCs ability to perform its regulatory function, the NRC evaluated the performance

deficiency using traditional enforcement. In accordance with Section 2.1.3.E.6 of the NRC

Enforcement Manual, the team evaluated this finding using the significance determination

process to assess its significance. The NRC performed an initial screening of the finding in

accordance with NRC Manual Chapter IMC 0609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A,

Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012, the finding was of

very low safety significance (Green) because it: (1) was not a deficiency affecting the

design or qualification of a mitigating structure, system, or component, and did not result in a

E2-14

loss of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

technical specification allowed outage time, or two separate safety systems out-of-service

for longer than their technical specification allowed outage time; and (4) did not represent an

actual loss of function of one or more non-technical specification trains of equipment

designated as high safety-significant in accordance with the licensees maintenance rule

program. Therefore, in accordance with Section 6.1.d.2 of the NRC Enforcement Policy this

performance deficiency is being characterized as a Severity Level IV violation. The team

determined that a cross-cutting aspect was not applicable to this finding because the issue

was strictly associated with a traditional enforcement violation. (Section 4OA2.5.m)

Licensee-Identified Violations

Violations of very low safety significance that were identified by the licensee have been

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

entered into the licensees corrective action program. These violations and associated

corrective action tracking numbers are listed in Section 4OA7 of this report.

E2-15

REPORT DETAILS

4. OTHER ACTIVITIES (OA)

4OA2 Problem Identification and Resolution (71152)

The team based the following conclusions on a sample of corrective action documents that were

open during the assessment period, which ranged from February 2013 until the end of the on-

site portion of this inspection on July 25, 2014.

.1 Assessment of the Corrective Action Program Effectiveness

a. Inspection Scope

The team reviewed approximately 400 condition reports (CRs) including associated root

cause, apparent cause, and direct cause evaluations, from approximately 26,000 that

had been issued between February 2013 and July 25, 2014, to determine if problems

were being properly identified, characterized, and entered into the corrective action

program for evaluation and resolution. The team reviewed a sample of system health

reports, operability determinations, self-assessments, trending reports and metrics, and

various other documents related to the corrective action program. The team evaluated

the licensees efforts in establishing the scope of problems by reviewing selected logs,

work requests, self-assessments results, audits, system health reports, action plans, and

results from surveillance tests and preventive maintenance tasks. The team reviewed

work requests and attended the licensees daily standards ownership committee

meetings to assess the reporting threshold, prioritization efforts, and significance

determination process, as well as observing the interfaces with the operability

assessment and work control processes when applicable. The teams review included

verifying the licensee considered the full extent of cause and extent of condition for

problems, as well as how the licensee assessed generic implications and previous

occurrences. The team assessed the timeliness and effectiveness of corrective actions,

completed or planned, and looked for additional examples of similar problems. The

team conducted interviews with plant personnel to identify other processes that may

exist where problems may be identified and addressed outside the corrective action

program.

The team also reviewed corrective action documents that addressed past NRC-identified

violations to ensure that the associated corrective actions adequately addressed the

issues described in the inspection reports. The team also reviewed a sample of

corrective actions closed to other corrective action documents to ensure that corrective

actions were still appropriate and timely.

The team considered risk insights from both the NRCs and Fort Calhoun Station risk

assessments to focus the sample selection and plant tours on risk significant systems

and components. The team also performed an in-depth review of the component

cooling water system and the emergency diesel generators. The samples reviewed by

the team focused on, but were not limited to, these systems. The team conducted a

walk-down of these systems to assess whether problems were appropriately identified

and entered into the corrective action program.

E2-16

b. Assessments

1. Effectiveness of Problem Identification

During the 18-month inspection period, licensee staff generated approximately

26,000 condition reports. The team determined that the licensee entered most

conditions that required generation of a condition report into their corrective action

program as required by Procedure FCSG 24-1, Condition Report Initiation. However,

the team noted the following example where the licensee failed to enter conditions

adverse to quality into the corrective action program in accordance with station

procedures:

  • Following completion of a problem identification and resolution self-assessment, the

licensee identified several incomplete or ineffective corrective actions for previous

NRC non-cited violations (NCVs). Upon discovery of these issues, the licensee

failed to generate condition reports in accordance with Procedure FCSG 24-1,

Condition Report Initiation. The team determined that the failure to initiate a

required condition report was a non-cited violation of 10 CFR Part 50, Appendix B,

Criterion V, Instructions, Procedures and Drawings, which is discussed further in

Section 4OA2.5.a.

Overall, the team concluded that the licensee usually maintained a low threshold for the

formal identification of problems and entry into the corrective action program for

evaluation. Most of the personnel interviewed by the team understood the requirements

for condition report initiation and most expressed a willingness to enter newly identified

issues into the corrective action program at a very low threshold.

2. Effectiveness of Prioritization and Evaluation of Issues

The team found that the licensee had usually prioritized condition reports adequately;

however, the team found some condition reports that had been inconsistently prioritized.

The team noted the following example where the licensee failed to adequately prioritize

an issue entered into the corrective action program:

  • The licensee initiated several condition reports related to the condition of the

alternate access road used when the main access road is closed during severe

weather. The main access road is closed to eliminate the potential for tornado borne

vehicle missiles affecting structures, systems, and components important to safety.

The closing of the main access road during periods of severe weather was a

condition imposed on the licensee through Amendment 272 to their operating

license. The team noted that CR 2013-14613, CR 2013-15635, CR 2013-15640,

CR 2013-18831, and CR 2014-02711 document issues with grading and condition of

the road that could affect the roads functionality when needed. The team identified

that the prioritization of condition reports was primarily as trend conditions, meaning

that no action was taken. Consequently, during a recent severe weather event in

June 2014, the alternate access road became impassable, requiring the licensee to

open the main access road, contrary to conditions imposed on the licensee through

Amendment 272.

The sample of condition reports reviewed by the team focused primarily on issues

screened by the licensee as having higher-level significance, including those that

E2-17

received cause evaluations, those classified as significant conditions adverse to quality,

and those that required engineering evaluations. The team noted that the licensee

generally performed causal analyses at a level commensurate with the significance and

complexity of the issue. The team identified the following example where the licensees

causal analysis reached incorrect conclusions:

  • A simple cause evaluation performed for CR 2014-01029 documents the licensees

actions to address NCV 05000285/2014002-04, Failure to Request a License

Amendment for Required Change to Technical Specifications. The licensee

identified the cause of the violation as, there is a disagreement with the NRC . . .

and throttling the valves does not require NRC approval.

The team reviewed this condition report and identified that the licensees stated cause in

CR 2014-01029 does not identify the actual cause for the NRC violation.

The team also reviewed a number of condition reports involving degraded or non-

conforming conditions and identified that the licensee, in several instances, failed to

make an immediate determination of operability for a degraded or non-conforming

condition. Additionally, the team identified several examples where an operability

determination performed for a degraded or non-conforming condition lacked adequate

technical justification as to why the affected structure, system, or component would

perform its specified safety function. These findings and observations closely mirror

previous NRC violations related to the licensees ability to perform operability

evaluations. The team concluded weakness exists in this area and that the licensees

corrective actions to date do not appear to be effective. Specific examples identified by

the team include the following:

  • For CR 2014-05006 involving the unexpected discovery of air in the component

cooling water system, the team identified that the licensee failed to perform an

operability determination for this degraded condition. The team determined that the

licensees failure to perform an operability determination was a non-cited violation of

10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and Drawings,

further discussed in Section 4OA2.5.b.

  • For CR 2014-05019 involving a non-seismically mounted portable crane installed

near component cooling water pump AC-3B, the team identified that the licensee

failed to perform an operability determination for this non-conforming condition. The

team determined that the licensees failure to perform an operability determination

was a non-cited violation of 10 CFR Part 50, Appendix B, Criterion V, Instructions,

Procedures and Drawings, further discussed in Section 4OA2.5.b.

  • For CR 2014-05955 involving reliability issues with a temporary manhole water level

monitoring system, the team identified that the licensee failed to recognize that this

system was a credited compensatory measure for the operability determination

associated with CR 2013-00273. Consequently, the licensee failed to perform an

operability determination which the team determined was a non-cited violation of

10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and Drawings,

further discussed in Section 4OA2.5.b.

E2-18

  • For CR 2014-08912 involving missing fittings needed to transfer fuel oil from fuel oil

storage tank FO-10 to FO-1, the team determined that the licensee failed to

recognize that the ability to transfer fuel oil between these tanks was necessary to

meet the required 7-day fuel oil inventory requirements. Consequently, the licensee

failed to perform an operability determination for this condition report as required by

station procedures which the team determined was a non-cited violation of 10 CFR

Part 50, Appendix B, Criterion V, Instructions, Procedures and Drawings, further

discussed in Section 4OA2.5.b.

  • For CR 2014-05901 involving a degraded condition on the component cooling water

heat exchanger baffle plate that created a bypass around the heat exchanger tubes.

The operability determination stated that a heat exchanger performance test would

provide verification of heat exchanger capability. The team discovered the testing

had not been performed and therefore the licensees operability determination lacked

an adequate technical justification why the heat exchanger was operable. The team

determined that the licensees inadequate operability determination was a non-cited

violation of 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and

Drawings, further discussed in Section 4OA2.5.b.

  • For CR 2013-00273 that documented jacket damage to the power cable for raw

water pump AC-10C, the team identified that the compensatory measure established

by the licensee did not maintain or enhance system operability and was contrary to

the definition of a compensatory measure in station procedures. Consequently, the

documented operability determination lacked adequate technical justification as to

why the affected system could perform its specified safety function with the degraded

or non-conforming condition. The team determined that the licensees failure to

perform an adequate operability determination was a non-cited violation of 10 CFR

Part 50, Appendix B, Criterion V, Instructions, Procedures and Drawings, further

discussed in Section 4OA2.5.c.

  • Following discovery of a leak in the raw water system, the licensee initiated

CR 2013-22937 that included an immediate operability determination and application

of ASME Code Case N513-3. The team identified that the licensee failed to identify

the degradation mechanism that, in accordance with Procedure OP-FC-108-115,

Operability Determinations, Step 4.5.10, must be readily apparent to support an

immediate operability determination. The team determined this was a minor violation

of 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and

Drawings. The licensee entered this issue into its corrective action program as

CR 2014-08600.

Additionally, the team identified several examples where the licensee performed

inadequate technical evaluations to address deficiencies including conditions adverse to

quality and non-compliances with NRC regulatory requirements. These evaluations

failed to consider the design and licensing basis of the facility or all applicable regulatory

requirements. The findings and observations identified by the team revealed significant

weakness in the evaluation area and cause concern related to the licensees ability to

implement this element of the corrective action program. Examples identified by the

team include the following:

E2-19

  • On February 14, 2013, a fire protection leak of approximately 2-3 gallons per minute

caused a ground on raw water strainer AC-12B control panel AI-348. Similarly, on

June 3, 2014, a severe weather event damaged the intake structure roof and caused

a subsequent water intrusion into control panel AI-348. The team reviewed these

events and noted that when the licensee implemented a design change to the raw

water strainer control panel, the licensee failed to consider all required design

specifications for the system including protection against spraying and wetting. The

team identified a self-revealing non-cited violation of 10 CFR Part 50, Appendix B,

Criterion III, Design Control, further discussed in Section 4OA2.5.f.

  • As a corrective action to CR 2013-07751, which identified an overstressed pipe

union-tee in the safety injection system, the licensee prepared Calculation FC07240,

Shutdown Cooling Piping Tee Finite Element Analysis, to evaluate the overstressed

condition. The team reviewed Calculation FC07240 and identified several unverified

and potentially non-conservative inputs. The team determined the licensees failure

to develop an adequate calculation was a non-cited violation of 10 CFR Part 50,

Appendix B, Criterion III, Design Control, further discussed in Section 4OA2.5.e.

  • As a corrective action to address several issues related to strategies required to

mitigate external flooding events, the licensee prepared Calculation FC08081,

Sizing and Selection for Intake Cell Flood Water Inlet Valves for the AOP-1 Raw

Water Flowpath. The team identified that Calculation FC08081 failed to account for

flow losses due to the physical structures in the flow path to the raw water pumps.

Additionally, the team identified that Calculation FC08081 failed to include a

bounding in leakage rate for the sluice gates when the river level is 1014 mean sea

level (msl) and the cell level is a minimal 976 9. The team determined that the

licensees failure to model the intake structure when evaluating intake cell level

control methods was a non-cited violation of 10 CFR Part 50, Appendix B,

Criterion III, Design Control, further discussed in Section 4OA2.5.g.

3. Effectiveness of Corrective Actions

Overall, the team concluded that the licensee did not consistently develop appropriate

corrective actions to address problems including conditions adverse to quality. The

team identified 12 corrective actions associated with conditions adverse to quality that

were not completed in a timely or effective manner. Of particular concern, the team

reviewed the licensees corrective actions to address 36 previous NRC non-cited

violations and identified 5 examples where the licensee failed to restore compliance

within a reasonable time after the previous NRC violations were issued and 3 examples

where the licensees corrective actions failed to adequately address the technical

aspects of the violations. Based on the number of findings and observations the team

concluded the licensee corrective action program fails to consistently resolve problems.

The team identified the following specific examples of the licensees failure to develop

and implement corrective actions to resolve problems:

  • The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-03, Lack of Safety-Related Equipment for Design Basis

Low River Level, which was entered into the licensees corrective action program as

CR 2013-04169 and CR 2013-06436. The team identified that the licensee had not

taken any actions to ensure that the raw water pumps can operate through the full

range of river levels required by the plants technical specifications. Based on the

E2-20

failure to resolve this non-cited violation, the team identified a cited violation of

10 CFR Part 50, Appendix B, Criterion III, Design Control, further discussed in

Section 4OA2.5.k.

  • The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-04, Non-Conservative Value for Declaring an Alert on Low

River Level, which was entered into the licensees corrective action program as

CR 2013-04198 and CR 2012-04169. The team identified that the licensee had not

taken action to address this non-cited violation and the current emergency action

level criteria for declaring an Alert on low river level continues to be inadequate

because it correlates to a river level below the minimum suction requirements for the

raw water pumps. Based on the failure to resolve this non-cited violation, the team

identified a cited violation of 10 CFR 50.54(q)(2), Conditions of License, further

discussed in Section 4OA2.5.l.

  • The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-06, Failure to Account for Worst Case Conditions in Fuel

Oil Inventory Calculation, which was entered into the licensees corrective action

program as CR 2013-04311 and CR 2013-04470. The team identified that the

licensee had not taken any actions to address these identified deficiencies affecting

the diesel fuel oil inventory calculations. Based on the failure to resolve this non-

cited violation, the team identified a cited violation of 10 CFR Part 50, Appendix B,

Criterion III, Design Control, further discussed in Section 4OA2.5.n.

  • The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-36, Deficient Evaluation of NRC Bulletin 88-04, Strong

Pump Weak Pump Due to Failure to Consider the Effect of AFW Pumps Discharge

Check Valves Leakage, which was entered into the licensees corrective action

program as CR 2013-04680. The team identified that the licensee had not taken any

actions to address identified deficiencies in their evaluation of NRC Bulletin 88-04,

Potential Safety-Related Pump Loss. Based on the failure to resolve this non-cited

violation, the team identified a cited violation of 10 CFR Part 50, Appendix B,

Criterion III, Design Control, further discussed in Section 4OA2.5.j.

  • The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-28, Failure to Perform an Evaluation for a Change to

Component Cooling Water Make-up, which was entered into the licensees

corrective action program as CR 2013-09080. The team noted that the licensees

corrective actions included a re-performance of the 10 CFR 50.59 screening, which

again reached an incorrect conclusion that a change to the make-up method for

component cooling water did not require a 10 CFR 50.59 evaluation. Based on the

failure to resolve this non-cited violation, the team identified a cited violation of

10 CFR 50.59, Changes, Tests, and Experiments, further discussed in

Section 4OA2.5.m.

  • The team reviewed the licensees corrective actions to address

NCV 05000285/2013013-13, Failure to Incorporate Design Requirements for

Switchgear Room Cooling, which was entered into the licensees corrective action

program as CR 2012-09804 and CR 2013-17288. The team identified that the

licensee had developed a calculation to address this non-cited violation but that the

E2-21

calculation did not adequately address the violation because it did not analyze the

ability of vital switchgear room cooling to ensure operability requirements of

equipment under all conditions. Based on the failure to resolve this non-cited

violation, the team identified a green non-cited violation of 10 CFR Part 50,

Appendix B, Criterion III, Design Control, further discussed in Section 4OA2.5.i.

  • The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-39, Failure to Properly Implement Applicable ASME OM

Code Requirements, which was entered into the licensees corrective action

program as CR 2013-05018 and CR 2013-05569. The team identified that the

licensee had not corrected issues related to ASME Code characterization and testing

of valves in the auxiliary feedwater system. The team determined that the licensees

failure to correct a condition adverse to quality was a non-cited violation of 10 CFR

Part 50, Appendix B, Criterion XVI, Corrective Action, further discussed in

Section 4OA2.5.q.

  • On February 22, 2013, diesel generator 1 failed to roll during planned surveillance

testing as documented in CR 2013-04030. The licensees apparent cause identified

age-related degradation of the valve due to a lack of preventative maintenance on

starting air valve SA-148. The team identified that age-related degradation of diesel

generator starting air valves had previously been identified as a condition adverse to

quality in CR 2012-09424, dated August 4, 2012, but that the licensee had not taken

timely corrective actions prior to the failure of diesel generator 1 on February 22,

2013. The team determined that the licensees failure to take timely corrective action

was a self-revealing non-cited violation of 10 CFR Part 50, Appendix B,

Criterion XVI, Corrective Action, further discussed in Section 4OA2.5.t.

  • On October 19, 2012, the licensee initiated CR 2012-15877 that identified several

issues related to the component cooling water system including a lack of analysis

relative to system performance and the potential for gas to come out of solution due

to elevated system operating temperature and an inadequate fill and vent procedure.

The team reviewed CR 2012-15877 and identified that many of the technical issues

documented in the condition report continue to exist because the licensee had not

implemented timely corrective actions. The team identified a non-cited violation of

10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action, further discussed in

Section 4OA2.5.o.

  • On February 22, 2014, the licensee identified that a temporary flexible suction hose

needed to implement B.5.b mitigating strategies was in a degraded condition and

initiated CR 2014-02381 to address this deficiency. On, July 17, 2014, the licensee

walked down the same B.5.b mitigating strategies with the NRC senior resident

inspector and found that the same flexible suction hose was missing. Subsequent

investigation revealed that the licensee had removed and not replaced the required

temporary flexible suction following initiation of CR 2014-02381. The team

determined that the B.5.b mitigating strategies were degraded because of the

missing flexible suction hose for approximately 5 months. The team identified a non-

cited violation of 10 CFR 50.54(hh)(2), further discussed in Section 4OA2.5.s.

  • In May 2013, the licensee performed a test to determine sluice gate in-leakage in the

fully closed position. The test results revealed sluice gate in-leakage of

E2-22

approximately 4650 gallons per minute when extrapolated to worst-case design

conditions. The Fort Calhoun Station Updated Safety Analysis Report and station

calculations only assume sluice gate in-leakage of 750 gallons per minute. Sluice

gate in-leakage beyond that assumed in station calculations can negatively affect the

analysis performed for external flooding events and is a condition adverse to quality.

The team determined that the licensees failure to correct this condition adverse to

quality was a non-cited violation of 10 CFR Part 50, Appendix B, Criterion XVI,

Corrective Action, further discussed in Section 4OA2.5.r.

  • On June 4 and August 3, 2014, water intrusion occurred in raw water

strainer AC-12B control panel AI-348 resulting in an unplanned entry into 12 hour1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />

shutdown Technical Specification 2.4(2)d, Containment Cooling. The team

reviewed these events and determined that the licensee failed to take timely

corrective actions to address a design deficiency in panel AI-348 that made the panel

susceptible to spraying and wetting. The team identified a non-cited violation of

10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action, further discussed in

Section 4OA2.5.u.

.2 Assessment of the Use of Operating Experience

a. Inspection Scope

The team examined the licensees program for reviewing industry operating experience,

including reviewing the governing procedures. The team reviewed a sample of industry

operating experience communications and the associated site evaluations to assess

whether the licensee had appropriately assessed the communications for relevance to

the facility. The team also reviewed assigned actions to determine whether they were

appropriate.

b. Assessment

Overall, the team determined that the licensee appropriately evaluated industry-

operating experience for its relevance to the facility. Operating experience information

was incorporated into plant procedures and processes as appropriate. The team did

note that two findings documented in Section 4OA2.5 were directly related to NRC

information notices and that an inadequate review of this operating experience may have

contributed to the findings identified during this inspection. Specific examples identified

by the team include the following:

Bases Inspections, which describes instances where NRC inspectors identified that

the emergency diesel generators loading calculations failed to account for the

increased electrical load resulting from operation at the maximum frequency allowed

by technical specifications. The team noted issues identified in this information

notice related to the performance deficiencies documented in

VIO 05000285/2014009-14, Failure to Account for Worst Case Diesel Frequency in

Fuel Oil Consumption Calculations, which is described in Section 4OA2.5.n.

Accumulation and Other Performance Issues. The licensees review of this

information notice, which was previously documented in NRC Inspection

E2-23

Report 05000285/2011006 (ADAMS Accession Number ML12079A224), noted that

the component cooling water system was not in the Managing Gas Accumulation in

Safety Systems Program. The team identified that several actions to address gas

voiding in the component cooling water system were not complete at the time of this

inspection. The team noted issues identified in this information notice related to the

performance deficiencies are documented NCV 05000285/2014009-18, Failure to

Complete Corrective Action in Timely Manner, which is described in

Section 4OA2.5.r.

The team further determined that the licensee appropriately evaluated industry operating

experience when performing root cause analyses and apparent cause evaluations. The

licensee appropriately incorporated both internal and external operating experience into

lessons learned for training and pre-job briefs.

.3 Assessment of Self-Assessments and Audits

a. Inspection Scope

The team reviewed a sample of licensee self-assessments and audits to assess whether

the licensee was regularly identifying performance trends and effectively addressing

them. The team also reviewed audit reports to assess the effectiveness of assessments

in specific areas. The specific self-assessment documents and audits reviewed are

listed in Attachment 1.

b. Assessment

Overall, the team concluded that the licensee had an effective self-assessment and audit

process. The team determined that for the self-assessments and audits reviewed, the

results reflected self-critical and thorough evaluations to identify deficiencies. The team

did note that the licensee cancelled a large number of self-assessments (23 total)

planned for calendar year 2013 and 2014. The team determined that the licensees

action to cancel these self-assessments could be reflective of a lack of resources

needed to meet all the demands of a healthy and effective self-assessment program.

The team identified that while self-assessment and audits were generally thorough and

complete, the licensees actions to address the individual findings from these audits and

self-assessments were not always complete or timely. Specifically, the team identified

the following examples where the licensee took incomplete or untimely corrective actions

to address issues identified during audits and surveillances:

  • On October 6, 2009 and December 13, 2011, the licensees quality assurance

organization initiated CR 2009-04715 and CR 2011-10137 to document audit related

findings that Fort Calhoun Station had failed to follow its software control program.

On September 16, 2013, the licensee identified 15 additional examples where the

licensee failed to follow its software control program. The team reviewed these

15 condition reports and determined that the licensees failure to correct

inadequacies in the licensees software control program was a non-cited violation of

10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action, which is discussed

further in Section 4OA2.5.p.

E2-24

  • During a review of Focused Area Self-Assessment PI-AA-126-1001-F-01,

Preparation of 2014 NRC Problem Identification and Resolution Inspection, dated

May 2, 2014, the team noted that the focused area self-assessment made the

following observation:

Several issues were identified when reviewing corrective actions

associated with NRC violations which demonstrate continued problems

with Station Corrective Action Program behaviors and the effectiveness of

issue resolution, including poor corrective action specification, untimely

action completion, poor quality corrective action closure, and ineffective

corrective actions. Corrective actions from Root and Apparent causes

are not consistently closed with quality and in a timely manner. Because

the self-assessment identified problems with 6 of the 30 issues reviewed

(>20%), it is recommended that the Station perform a complete extent of

condition review to identify other cases where NRC issues were not

addressed effectively.

The licensee initiated CR 2014-05555 to capture this issue which included an extent of

condition review. The extent of condition review was completed by taking credit for a

parallel effort that was on-going to perform a non-technical process review of non-cited

violations for closure adequacy. This parallel effort identified gaps involving closure

adequacy, which were communicated to the issue owners. However, the licensee failed

to document these conditions in the corrective action program, such that, the established

process could be used to ensure the gaps were adequately evaluated and corrected.

The team determined that the licensees failure to follow procedures to initiate condition

reports for identified conditions adverse to quality was a non-cited violation of 10 CFR

Part 50, Appendix B, Criterion V, Instructions, Procedures and Drawings, which is

discussed further in Section 4OA2.5.a.

.4 Assessment of Safety-Conscious Work Environment

a. Inspection Scope

The team interviewed approximately 64 individuals in five focus groups. The purpose of

these interviews was (1) to evaluate the willingness of licensee staff to raise nuclear

safety issues, either by initiating a condition report or by another method, (2) to evaluate

the perceived effectiveness of the corrective action program at resolving identified

problems, and (3) to evaluate the licensees safety-conscious work environment. The

focus group participants included personnel from Security, Operations, Maintenance,

and Engineering. At the teams request, the licensees regulatory affairs staff selected

the participants blindly from these work groups, based partially on availability. To

supplement these focus group discussions, the team interviewed the Employee

Concerns Program manager to assess his perception of the site employees willingness

to raise nuclear safety concerns. The team reviewed the Employee Concerns Program

case log and select case files.

E2-25

b. Assessment

1. Willingness to Raise Nuclear Safety Issues

All individuals interviewed indicated that they would raise nuclear safety concerns. Most

felt that their management were receptive to nuclear safety concerns and were willing to

address them promptly. All of the interviewees further stated that if they were not

satisfied with the response from their immediate supervisor, they had the ability to

escalate the concern to a higher organizational level. Most expressed positive

experiences after raising issues to their supervisors. Positive experiences were

expressed documenting most issues in condition reports. Some interviewees, however,

expressed a concern with the timeliness of corrective actions. For safety significant

issues, there was confidence that the issue would be addressed. However, for issues

classified at lower priority levels, some expressed less confidence that those issues

would be ultimately resolved because of lack of resources.

2. Employee Concerns Program

All interviewees were aware of the Employee Concerns Program. Most explained that

they had heard about the program through various means, such as posters, training,

presentations, and discussion by supervisors or management at meetings. Most

interviewees stated that they would use Employee Concerns if they felt it was necessary.

Most expressed confidence that their confidentiality would be maintained if they brought

issues to Employee Concerns. Some interviewees expressed concerns regarding the

potential for Employee Concerns Program management to be non-biased since they

were part of management.

3. Preventing or Mitigating Perceptions of Retaliation

When asked if there have been any instances where individuals experienced retaliation

or other negative reaction for raising issues, most individuals interviewed stated that they

had neither experienced nor heard of an instance of retaliation, harassment, intimidation

or discrimination at the site. The team determined that processes in place to mitigate

these issues were being successfully implemented.

Regarding the overall safety culture at Fort Calhoun Station, all interviewees

acknowledged that the station was improving and performance was much better today

than it was a year ago. The focus group interview results confirm what station metrics

show. Specifically, that safety culture issues still exist in some work groups and that

continued efforts were warranted to improve further in this area to close those gaps.

Some of the more significant overall comments included:

  • The allocated resources are not commensurate with the amount of work to be done.
  • The change management associated with the transition to the Exelon procedures

has not been successful. It is often difficult to know which procedure to use, and

whether the procedure used was the latest revision.

  • The station was good at identifying issues but poor at resolving them.

E2-26

.5 Specific Findings Identified During this Inspection

a. Failure to Initiate Condition Reports for Gaps Identified in Resolving NRC Non-Cited

Violations

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion V,

Instruction, Procedures, and Drawings, for the licensees failure to follow procedures to

initiate condition reports to enter conditions adverse to quality into the corrective action

program. Specifically, the licensee failed to initiate condition reports in accordance with

Procedure FCSG 24-1, Condition Report Initiation, Step 4.1.1.G, when gaps related to

the stations corrective actions implemented for NRC violations were identified.

Description. During the first on-site week of the inspection, the team developed several

issues of concern where it appeared that the station had not restored compliance within

a reasonable time after previous NRC violations. The percentage of previous NRC

violations reviewed that appeared to have issues was approximately 20 percent, and

was of concern to the team. Accordingly, the team decided to expand the scope of

review. In determining the additional scope, the team wanted to understand whether the

licensee had performed a review in this area, and if so, what was determined.

The team reviewed Focused Area Self-Assessment PI-AA-126-1001-F-01, Preparation

of 2014 NRC Problem Identification and Resolution Inspection, dated May 2, 2014. The

team noted that the focused area self-assessment made the following observation in the

executive summary of the report:

Several issues were identified when reviewing corrective actions

associated with NRC violations which demonstrate continued problems

with Station Corrective Action Program behaviors and the effectiveness of

issue resolution, including poor corrective action specification, untimely

action completion, poor quality corrective action closure, and ineffective

corrective actions. Corrective actions from Root and Apparent causes

are not consistently closed with quality and in a timely manner. Because

the self-assessment identified problems with 6 of the 30 issues reviewed

(>20%), it is recommended that the Station perform a complete extent of

condition review to identify other cases where NRC issues were not

addressed effectively.

The focused area self-assessment identified Deficiency Number 1 as, Corrective

Actions to address NRC violations are not consistently closed with adequate

documentation or in accordance with FCSG-24-6, and initiated CR 2014-05555 to

capture the issue. Action Item 2014-05555-01 was identified to perform an extent of

condition review.

The extent of condition review recommended by the focused area self-assessment was

completed by taking credit for a parallel effort that was on-going to perform a non-

technical process review of NRC non-cited violations for closure adequacy. The team

reviewed the results of the extent of condition review and noted that the closure

adequacy was questioned for several of the previous NRC violations reviewed. The

team questioned whether condition reports were initiated for the identified gaps. The

licensee informed the team that the extent of condition review team did not initiate

condition reports, but instead, only communicated the apparent gaps to the issue owners

E2-27

to determine the appropriate actions. Consequently, the team concluded that no

condition reports had been written to document the identified conditions adverse to

quality in the corrective action program, such that, the established process could be

used to ensure the deficiencies were adequately evaluated and corrected.

During the inspection, the team independently reviewed 36 previous NRC non-cited

violations and identified the following five in which the licensee had failed to restore

compliance within a reasonable time:

Pump Weak Pump Due to Failure to Consider the Effect of AFW Pump Discharge

Check Valve Leakage

Low River Level

River Level

Component Cooling Water Make-Up

Oil Inventory Calculation

The team observed that several of the same issues identified by the team had also been

identified by the licensee during the extent of condition review, however, no condition

reports were initiated.

Analysis. The failure to initiate condition reports for identified conditions adverse to

quality in accordance with Procedure FCSG 24-1, was a performance deficiency. This

performance deficiency was more than minor, and therefore a finding, because if left

uncorrected, it would have the potential to lead to a more significant safety concern. The

team performed an initial screening of the finding in accordance with NRC Manual

Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609 Appendix A, Exhibit 2, Mitigating Systems

Screening Questions, dated July 1, 2012, the team determined that this finding was of

very low safety significance (Green) because it did not involve a loss or degradation of

equipment or function specifically designed to mitigate a seismic, flooding, or severe

weather initiating event. This finding has a cross-cutting aspect in the area of human

performance because the licensee elected to use an informal system to resolve these

issues rather than the formal, consistent corrective action program [H.13].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures

and Drawings, requires, in part, that activities affecting quality shall be prescribed by

documented instructions, procedures, or drawings, of a type appropriate to the

circumstances and shall be accomplished in accordance with these instructions,

procedures, or drawings. Procedure FCSG 24-1, Condition Report Initiation, states, in

part, that all personnel who discover, are made aware of, or believe a problem exists

SHALL initiate a condition report prior to leaving the work site at the end of the

E2-28

Originators work day. Contrary to the above, in May 2014, the licensee failed to initiate

condition reports in accordance with Procedure FCSG 24-1 when deficiencies were

identified related to FCSs corrective actions implemented for NRC non-cited violations

as part of a problem identification and resolution program focused self-assessment. The

licensee initiated CR 2014-09063 to address the failure to initiate condition reports to

properly review issues identified during the self-assessment. Because this violation was

of very low safety significance and was entered into the licensees corrective action

program as CR 2014-09063, this violation is being treated as a non-cited violation,

consistent with Section 2.3.2.a of the Enforcement Policy: NCV 05000285/2014009-01,

Failure to Initiate Condition Reports for Gaps Identified in Resolving NRC Non-Cited

Violations.

b. Multiple Examples of Failure to Evaluate Operability of Degraded or Non-Conforming

Conditions

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion V,

Instructions, Procedures, and Drawings, was identified involving multiple examples of

the licensees failure to follow Procedure OP-FC-108-115, Operability Determinations,

Revision 0a, a quality related procedure. In each example, the team identified that the

licensee failed to make an immediate determination of operability for a degraded or non-

conforming condition or failed to make an immediate determination of operability based

on a detailed examination of the deficiency.

Description. The team identified the following four examples where the licensee failed to

make an immediate operability determination for a degraded or non-conforming

condition in accordance with Procedure OP-FC-108-115, Step 4.1.6:

  • April 18, 2014, CR 2014-05006 identified that during a rotation of safety related

component cooling water pumps for planned surveillance testing, pump AC-3B had

to be vented for approximately 30 seconds before a solid, continuous stream of

water flowed from the pumps vent valve. The licensees review of this condition

report documented this as an administrative issue that did not represent a degraded

or non-conforming condition. Consequently, the licensee did not perform an

immediate operability determination for the condition identified in CR 2014-05006.

The team determined the issue documented in the condition report was not an

administrative issue and warranted an operability determination since the presence

of air could affect the systems ability to perform its safety function. The licensee

entered this deficiency into their corrective action program as CR 2014-07833.

  • April 20, 2014, CR 2014-05019 identified a non-seismically mounted portable crane

installed near safety related component cooling water pump AC-3B. The licensees

review of this condition report stated that the issue did not represent a degraded or

non-conforming condition. The team reviewed CR 2014-05019 and determined that

the issue documented did represent a degraded or non-conforming condition and

warranted an operability determination because of the unnecessary equipment in the

area of the pump that could potentially affect the pump during a seismic event. The

licensee entered this deficiency into its corrective action program as CR 2014-08564.

  • May 13, 2014, CR 2014-05955 identified reliability issues with a temporary manhole

water level monitoring system. The licensees review of this condition report

concluded that no degraded or non-conforming condition existed and that no further

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screening was required. The team reviewed CR 2014-05955 and identified that the

licensee failed to recognize that the operability determination for CR 2013-00273

related to a flaw on the electrical cable jacket for safety related raw water pump C

and relied on this temporary manhole water level monitoring system. Because

CR 2014-05955 identified reliability issues with a system used as a documented

compensatory measure for an open operability determination, the team determined

that the condition report required further operability screening in accordance with

station procedures. The licensee entered this deficiency into their corrective action

program as CR 2014-08506.

  • July 18, 2014, CR 2014-08912 identified missing fittings needed to transfer fuel oil

from fuel oil storage tank FO-10 to tank FO-1. The licensees review of this condition

report determined that no degraded or non-conforming condition existed. The team

reviewed CR 2014-08912 and identified that the licensee failed to recognize the

current licensing basis requirements of fuel oil storage tank FO-10 in that it is a

required storage volume needed to maintain a 7-day inventory of diesel fuel oil

through manual transfer to tank FO-1 as credited in station calculations. The team

determined that the missing fittings identified in CR 2014-08912 could adversely

affect the ability to transfer fuel between tanks FO-10 and FO-1, therefore, the issue

was a degraded or non-conforming condition that required further operability

screening in accordance with station procedures. The licensee entered this

deficiency into their corrective action program as CR 2014-09652.

Additionally, the team identified the following two examples where the licensee failed to

perform a detailed examination of a deficiency documented in a condition report as

required by Procedure OP-FC-108-115, Step 4.1.6. In each instance listed below, the

team determined that the licensees documented basis for operability lacked adequate

technical justification as to why the affected system could perform its specified safety

function with the degraded or non-conforming condition.

  • May 12, 2014, CR 2014-05901 identified a degraded condition on the safety related

component cooling water heat exchanger baffle plate that created a bypass around

the heat exchanger tubes. The operability determination stated that heat exchanger

capability would be verified during testing under Procedure SE-PFT-CCW-01,

Component Cooling Water Heat Exchangers Performance Test, Revision 15. The

team reviewed this operability determination and discovered that

Procedure SE-PFT-CCW-01 was never performed. Consequently, the team

determined that the licensees documented basis for operability lacked adequate

technical justification as to why the component cooling water system could perform

its specified safety function with the degraded component cooling water heat

exchanger baffle plate. The licensee entered this deficiency into their corrective

action program as CR 2014-08423.

  • July 9, 2014, CR 2014-08430 identified plastic sheeting placed above control

panel AI-348 and questioned if the sheeting was a compensatory measure to

maintain raw water strainer AC-12B operable. The licensees operability

determination stated that:

AC-12B is operable but non-conforming. AI-348 initial design did not

account for water dripping into the panel. The lack of initial waterproofing

of AI-348 constitutes a situation in which operating experience has

E2-30

identified a design inadequacy in which quality has been reduced and

therefore nonconforming condition. As AC-12B is currently performing its

specified support function, it is considered operable. Additionally,

Condition Report CR-2014-06984 documents roof drains for the Intake

Structure backing up, overflowing, and creating pools of water that

dripped near diesel fire pump FP-1B strainer FB-6B and to AC-12B. The

subject roof drains have since been verified as cleared and now allow

free flow of rainwater down the drain pipes and prevents pooling of water

on the Intake Structure roof areas. AC-12B is operable with normal

operating conditions, and has been since intrusion damage was repaired

on June 6, 2014, therefore a reasonable expectation that AC-12B can

perform its specified safety function exists, even when experiencing

normal rainfall. All support equipment, including AI-348, are currently

able to perform their related support functions therefore AC-12B is

operable.

The team reviewed this operability determination and identified that the licensees

scope of review that only included AC-12B during normal operations was

inadequate because it did not evaluate the full licensing basis of that equipment.

Specifically, the licensees operability evaluation did not consider the potential for

water intrusion consistent with the plants licensing basis as documented in License

Amendment 40 and associated Safety Evaluation Report, Regarding the Potential

for Flooding from Postulated Ruptures of Non-Category I (Seismic) Systems, dated

February 16, 1978. Consequently, the team determined that the licensees

documented basis for operability lacked adequate technical justification as to why

strainer AC-12B could perform its specified safety function under all design

conditions. The licensee entered this deficiency into their corrective action program

for resolution as CR 2014-09655.

The licensee took immediate corrective actions to update the incomplete or inaccurate

operability determinations and entered the collective failures to follow station operability

procedures into their corrective action program as CR 2014-09163.

Analysis. The failure to perform an adequate immediate operability determination for

degraded or non-conforming conditions in accordance with Procedure OP-FC-108-115

was a performance deficiency. This performance deficiency is more than minor, and

therefore a finding, because it affects the equipment performance attribute of the

Mitigating Systems Cornerstone objective of ensuring the reliability of systems that

respond to initiating events. The team performed an initial screening of the finding in

accordance with NRC Manual Chapter IMC 0609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A,

Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012, this finding is of

very low safety significance (Green) because it: (1) was not a deficiency affecting the

design or qualification of a mitigating system; (2) did not represent a loss of system

and/or function; (3) did not represent an actual loss of function of a single train for

greater than its technical specification allowed outage time; and (4) does not represent

an actual loss of function of one or more non-technical specification trains of equipment

designated as high safety-significant in accordance with the licensees maintenance rule

program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a cross-cutting aspect in the area of

human performance because the licensee failed to use decision-making practices that

demonstrate that a proposed action is to be safe in order to proceed, rather than unsafe

E2-31

in order to stop. Specifically, the licensee made non-conservative decisions related to

the impact of degraded or non-conforming conditions [H.14].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures

and Drawings, requires, in part, that activities affecting quality shall be prescribed by

documented instructions, procedures, or drawings, of a type appropriate to the

circumstances and shall be accomplished in accordance with these instructions,

procedures, or drawings. Procedure OP-FC-108-115, Operability Determinations,

Revision 0a, Step 4.1.6, requires the licensee to make an immediate determination of

operability for a degraded or non-conforming condition based on a detailed examination

of the deficiency. Contrary to the above, on April 18, April 20, May 12, May 13, July 9,

and July 18, 2014, the licensee failed to accomplish activities affecting quality in

accordance with prescribed procedures. Specifically, the licensee failed to perform an

immediate operability evaluation for CR 2014-05006, CR 2014-05019, CR 2014-05901,

CR 2014-05955, CR 2014-08430 and CR 2014-08912, in accordance with

Procedure OP-FC-108-115. Because this violation was of very low safety significance

and was entered into the licensees corrective action program as CR 2014-07833,

CR 2014-08423, CR 2014-08506, CR 2014-08564, CR 2014-09652, CR 2014-09655

and CR 2014-09163, this violation is being treated as a non-cited violation, consistent

with the Enforcement Policy: NCV 05000285/2014009-02, Multiple Examples of Failure

to Evaluate Operability of Degraded or Non-Conforming Conditions.

c. Failure to Adequately Perform an Operability and 50.59 Evaluation

Introduction. A Severity Level IV non-cited violation of 10 CFR 50.59, Changes, Tests,

and Experiments, and an associated Green non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings, was identified

involving the licensees failure to evaluate and implement adequate compensatory

measures for a degraded condition associated with safety related raw water

pump AC-10C. Specifically, the licensees operability determination established a

compensatory measure to place pump AC-10C in pull-to-lock, contrary to the single

failure design requirements described in the Updated Safety Analysis Report.

Description. On May 9, 2013, the licensee completed an operability evaluation for

CR 2013-00273 that documented degradation of the C phase power cable feeding raw

water pump AC-10Cs motor which allowed for water intrusion beneath the jacket of the

cable. The operability evaluation noted that the cable was dried and hi-pot tested. The

licensees evaluation modified annunciator response Procedure ARP-MLM-1, Wireless

Remote Level Alarms for Manhole Level Monitors, to include compensatory actions to

place pump AC-10Cs motor in pull-to-lock and rack down its associated breaker if more

than 36 inches of water was present in manholes MH-5 or MH-31. The evaluation stated

that the compensatory measure would affect the raw water systems ability to support

flood mitigation but that since only one raw water pump is required for an external

flooding event, the compensatory measure of placing raw water pump AC-10C in

pull-to-lock was acceptable.

The team identified that the operability evaluation referenced Updated Safety Analysis

Report, Section 9.8.4.3, which specifies the post design basis accident operation of the

raw water system. This section of the Updated Safety Analysis Report required the

licensee to assume a single active failure of one emergency diesel coincident with a

design basis accident. Using this assumption, the Update Safety Analysis Report

E2-32

concludes that a minimum of two raw water pumps would be operable if river water

temperature is greater than 60°F.

The team concluded that the licensees compensatory measure of placing raw water

pump C in pull-to-lock, coupled with the design assumption of a single active failure,

would result in only one raw water pump being available during accident conditions,

below the minimum requirements in Updated Safety Analysis Report, Section 9.8.4.3.

The 10 CFR 50.59 evaluation associated with this compensatory measure did not

address Updated Safety Analysis Report, Section 9.8.4.3. The team concluded that the

compensatory measure would likely have required prior NRC approval because the

action of taking pump AC-10C out of service created the possibility for a malfunction of a

structure, system, or component important to safety with a different result than

previously evaluated in the Updated Safety Analysis Report.

The team also noted that Procedure NOD-QP-31, Operability Determinations

Process (ODP), Revision 54, defined a compensatory measure as an interim action,

either physical or administrative, that is taken to maintain or enhance an operable but

degraded or nonconforming structures, systems and components (SSCs), to ensure its

specified safety function can be performed until final corrective action to resolve the

condition is complete. The team determined that disabling pump AC-10C did not

maintain or enhance operability, and therefore, the compensatory measure did not meet

the definition found in Procedure NOD-QP-31.

The licensee entered this issue into their corrective action program as CR 2014-09104

and CR 2014-08515 and performed a new operability evaluation and associated

10 CFR 50.59 evaluation that used a compensatory measure of pumping water from

affected manholes prior to affecting the degraded power feeder cable for raw water

pump AC-10C.

Analysis. The failure to adequately perform an operability evaluation was a performance

deficiency. The team also determined that the licensees inadequate evaluation of the

compensatory measure was a violation of 10 CFR 50.59. The team evaluated this

performance deficiency as both a reactor oversight process finding and as a traditional

enforcement violation. The team performed an initial screening of the finding in

accordance with NRC Manual Chapter IMC 0609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A,

Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012, this finding is of

very low safety significance (Green) because it: (1) was not a deficiency affecting the

design or qualification of a mitigating system; (2) did not represent a loss of system

and/or function; (3) did not represent an actual loss of function of a single train for

greater than its technical specification allowed outage time; and (4) does not represent

an actual loss of function of one or more non-technical specification trains of equipment

designated as high safety-significant for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> in accordance with the

licensees maintenance rule program.

Because the violation of 10 CFR 50.59 had the potential to impact the NRCs ability to

perform its regulatory function, the team also evaluated the violation using traditional

enforcement. Since the violation is associated with a Green reactor oversight process

violation, the traditional enforcement violation was determined to be a Severity Level IV

violation, consistent with the example in paragraph 6.1.d(2) of the NRC Enforcement

Policy. This finding has a cross-cutting aspect in the area of problem identification and

E2-33

resolution with an aspect of evaluation because the licensee failed to ensure that

resolutions address causes and extent of conditions commensurate with their safety

significance [P.2].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures,

and Drawings, requires, in part, that activities affecting quality shall be prescribed by

documented instructions, procedures, or drawings, of a type appropriate to the

circumstances and shall be accomplished in accordance with these instructions,

procedures, or drawings. Licensee Procedure NOD-QP-31, Operability Determinations

Process (ODP), Revision 54, states, in part, that a compensatory measure is used to

maintain or enhance an operable but degraded or nonconforming SSC. Contrary to the

above, on May 9, 2013, the licensee failed to accomplish activities affecting quality in

accordance with documented instructions. Specifically, the operability evaluation under

CR 2013-00273 relied on an inadequate compensatory measure that results in the

inoperability of safety related raw water pump C. This action does not meet the

definition of a compensatory measure in Procedure NOD-QP-31.

Additionally, 10 CFR 50.59(c)(2)(vi) states, in part, that a licensee shall obtain a license

amendment pursuant to Section 50.90 prior to implementing a proposed change, test, or

experiment if the change, test, or experiment would create a possibility for a malfunction

of a structure, system, or component important to safety with a different result than any

previously evaluated in the Updated Safety Analysis Report. Contrary to the above, on

May 9, 2013, the licensee made a change to the facility without obtaining a license

amendment that could result in a malfunction of a structure, system, or component

important to safety with a different result than previously evaluated in the Updated Safety

Analysis Report. Specifically, the operability evaluation under CR 2013-00273 relied on

an inadequate compensatory measure that results in the inoperability of raw water

pump C. This configuration differs from Updated Safety Analysis Report,

Section 9.8.4.3, which states, if all normal power sources are lost and only one

emergency diesel-generator functions, a minimum of two raw water pumps would

operate if the river water temperature is greater than 60°F. Because this violation was

of very low safety significance, the associated traditional enforcement violation was

screened as Severity Level IV, and each violation has been entered into the licensees

corrective action program as CR 2014-09104 and CR 2014-08515, respectively, this

violation is being treated as a non-cited violation, consistent with the Enforcement Policy:

NCV 05000285/2014009-03, Failure to Adequately Perform an Operability Evaluation

and a 50.59 Evaluation.

d. Failure to Perform an Evaluation for a New Operator Manual Action to Refill Component

Cooling Water System During Post-Accident Conditions

Introduction. A non-cited violation of 10 CFR 50.59, Changes, Test, and Experiments,

was identified involving the failure to evaluate if a change to the facility as described in

the Updated Safety Analysis Report would require prior NRC review and approval.

Specifically, the licensee did not evaluate if a change implemented under Engineering

Change EC 59252 that credited the non-safety related demineralized water system as a

make-up source to the component cooling water system during post-accident conditions

represented an adverse change to the Updated Safety Analysis Report described design

function.

E2-34

Description. The team reviewed EC 59252, Incorporate Component Cooling Water

System Leakage Criteria into Procedures, Revision 0, and associated 10 CFR 50.59

evaluation. This engineering change, developed in response to

NCV 05000285/2013008-33, Inadequate Operability Determination due to Failure to

Establish Component Cooling Water System Leakage Criteria, established a

compensatory measure to refill component cooling water system surge tank AC-2 at the

end of the first 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of a design basis accident to maintain component cooling water

system operability. The manual action implemented by EC 59252 used the non-safety

related demineralized water system as the credited source of make-up to maintain

component cooling water system operability. The licensee incorporated this new manual

operator action into station normal and abnormal procedures. The licensees

10 CFR 50.59 screening completed on April 15, 2014, determined this manual action

was not an adverse change to the Updated Safety Analysis Report described design

function for component cooling water system and could be implemented without a formal

10 CFR 50.59 evaluation.

The team noted that the change implemented under EC 59252 introduced a new

permanent manual action not described in the Updated Safety Analysis Report to

maintain the component cooling water system operable during a design basis accident.

Specifically, the team noted that Updated Safety Analysis Report, Section 9.7,

Component Cooling Water System, and Section 14, Safety Analysis, did not describe

a manual action to refill component cooling water system surge tank AC-2 during post-

accident conditions. The team concluded that change implemented under EC 59252

required a 10 CFR 50.59 evaluation because it involved a manual operator action not

currently described in the Updated Safety Analysis Report. The team also determined

that the change implemented under EC 59252 would likely have required prior NRC

review and approval because it relied on the non-safety-related demineralized water

system to maintain the operability of the safety-related component cooling water system

during accident conditions. The licensee entered this deficiency into their corrective

action program for resolution as CR 2014-09151 and assigned action items to update

EC 59252.

Analysis. The licensees failure to perform an evaluation prior to implementing a

proposed change described in the Updated Safety Analysis Report was a violation of

10 CFR 50.59. Because this violation had the potential to impact the NRCs ability to

perform its regulatory function, the team evaluated the violation using traditional

enforcement. In accordance with Section 2.1.3.E.6 of the NRC Enforcement Manual,

the team evaluated this finding using the significance determination process to assess

its significance. The team performed an initial screening of the finding in accordance

with NRC Manual Chapter IMC 0609, Appendix A, The Significance Determination

Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2,

Mitigating Systems Screening Questions, dated July 1, 2012, the finding was of very

low safety significance (Green) because it: (1) was not a deficiency affecting the design

or qualification of a mitigating structure, system, or component, and did not result in a

loss of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

technical specification allowed outage time, or two separate safety systems out-of-

service for longer than their technical specification allowed outage time; and (4) did not

represent an actual loss of function of one or more non-technical specification trains of

equipment designated as high safety-significant in accordance with the licensees

maintenance rule program. Therefore, in accordance with Section 6.1.d.2 of the NRC

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Enforcement Policy, the team characterized this performance deficiency as a Severity

Level IV violation. The team determined that a cross-cutting aspect was not applicable

because the issue involving the failure to perform an adequate 10 CFR 50.59 evaluation

was strictly associated with a traditional enforcement violation.

Enforcement. Title 10 CFR 50.59, Changes, Tests, and Experiments, Section (c)(2)

requires, in part, that a licensee shall obtain a license amendment prior to implementing

a proposed change, test, or experiment if the change, test, or experiment would result in

more than a minimal increase in the likelihood of occurrence of a malfunction of a

structure, system, or component important to safety previously evaluated in the Updated

Safety Analysis Report. Title 10 CFR 50.59, Section (d)(1) states, in part, that the

licensee shall maintain records of changes in the facility or procedures and that the

records must include written evaluation that provides the bases for the determination

that the change does not require a license amendment. Contrary to the above, since

April 15, 2013, the licensee did not perform an evaluation for a design change that may

have required NRC review and approval. Specifically, the licensee did not evaluate a

new operator manual action to refill the component cooling water system surge

tank AC-2 during post-accident conditions, which was not a described action in the

Updated Safety Analysis Report. Because this violation was of very low safety

significance and was entered into the licensees corrective action program as

CR 2014-09151, this violation is being treated as a non-cited violation, consistent with

Section 2.3.2.a of the NRCs Enforcement Policy: NCV 05000285/2014009-04, Failure

to Perform an Evaluation for a New Operator Manual Action to Refill Component Cooling

Water System During Post-Accident Conditions.

e. Inadequate Design Inputs into Safety Injection Piping Stress Calculation

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion III,

Design Control, was identified involving the licensees failure to implement appropriate

design control measures associated with a safety-related stress calculation for the safety

injection system. Specifically, the team identified several unverified and potentially non-

conservative inputs in Calculation FC07240, Shutdown Cooling Piping Tee Finite

Element Analysis, used to analyze stresses on a pipe reduction tee in the safety

injection system.

Description. In 2013, the licensee replaced piping and welds on the charging line and

letdown line portions of the chemical and volume control system because this system

was exposed to thermal cycles beyond those specified in the original design. During the

modification to replace the degraded chemical and volume control system letdown and

charging piping, the licensee discovered that a majority of the remaining small-bore

piping in the chemical and volume control system did not meet the current licensing

basis code allowable stress levels.

In response to this discovery, the licensee performed a root cause analysis under

CR 2013-01796 to document the stress analysis results and the need to modify chemical

and volume control system small bore piping supports to meet the code requirements for

ANSI B31.7 piping. One of the licensees corrective actions included an extent-of-

condition review of the stress calculations for the small-bore safety-related piping

systems, including the reactor coolant system, safety injection system, auxiliary

feedwater system, and raw water system. The licensees extent-of-condition review was

to verify that these piping systems satisfied the code allowable stress limits.

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During a review of the licensees corrective actions, the NRC noted that CR 2013-07751

identified an overstressed pipe union-tee of seismic subsystem SI-201A at Node 21. To

address the non-conforming condition, the licensee opted to use finite element analysis,

in accordance with ASME NC-3673, to calculate the actual stress intensification factor

for this pipe union-tee rather than a stress intensity factor using nominal dimensions and

generic formulas specified by ASME. The original calculation determined a stress

intensity factor of 2.06 using the nominal dimensions of the pipe and generic formulas

specified by ASME. The licensee prepared pipe stress Calculation FC07240 to

determine the actual stress intensity factor.

The team reviewed Calculation FC07240 and determined the calculation predicted a

stress intensity factor of 1.83. To satisfy ASME code requirements, the piping tee

required a stress intensity factor of less than 1.85. Because the analysis predicted a

lower stress intensity factor than required, the licensee considered the corrective action

closed. However, due to the uncertainty in finite element analyses, and the low margin

(~1%) from the calculated value of 1.83 to the threshold ASME code value of 1.85, the

team questioned the justification for some of the design inputs used to calculate the

stress intensity factor. Specifically, the team found that Calculation FC07240 stated a

modulus of elasticity of 29 x 106 psi was used in all analyses . . . the ASME code

specified cold modulus of elasticity is 28.3 x 106 psi . . . the difference has no impact on

the results. The team questioned the technical justification for deviating from the ASME

specified values for the elastic modulus.

Additionally, the team reviewed the methodology used in the finite element analysis, and

found that the calculation also stated, [piping] wall thickness values are based on 95%

of the field measured thickness of the actual tee. The inspectors reviewed the

calculation assumed thickness data and found that it was not 95% of the field measured

thickness. The finite element analysis used thickness values as much as 12% different

than what was measured in the field. Further, the NRC questioned why the calculation

would assume 95% thickness instead of the actual measured data since the stress

intensity factor is dependent on the geometry change in the tapered diameter of the

pipe, not necessarily wall thickness. Finally, the NRC reviewed the maintenance logs for

the field measured data and observed that there was difficulty in obtaining the field

measurements because of the tooling limitations - specifically [ultrasonic test] readings

at the true crotch of the tee could not be obtained due to signal attenuation and the

surface curvature. The reading was taken about 1/2 inch up.

The licensee did not have any technical justification for why the calculation deviated from

the specified methodology or the measured field data for the piping tee. Given the low

margin results and inherent uncertainty with finite element analysis, the team found that

the design inputs to the finite element analysis did not have an adequate technical basis

and were potentially non-conservative. The licensee entered this issue into the

corrective action program as CR 2014-09098 and initiated action to update

Calculation FC07240.

Analysis. The failure to control design inputs as required by 10 CFR Part 50,

Appendix B, Criterion III, was a performance deficiency. This performance deficiency

was more than minor, and therefore a finding, because it affected the design control

attribute of the Mitigating Systems Cornerstone objective to ensure the availability,

reliability, and capability of components that respond to initiating events. The team

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performed an initial screening of the finding in accordance with NRC Manual Chapter

IMC 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-

Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening

Questions, dated July 1, 2012, this finding is of very low safety significance (Green)

because it: (1) was not a deficiency affecting the design or qualification of a mitigating

system; (2) did not represent a loss of system and/or function; (3) did not represent an

actual loss of function of a single train for greater than its technical specification allowed

outage time; and (4) does not represent an actual loss of function of one or more non-

technical specification trains of equipment designated as high safety-significant in

accordance with the licensees maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

This finding has a cross-cutting aspect in the area of human performance in that the

licensee failed to apply the appropriate rigor when evaluating the overstressed pipe

union tee [H.6].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires

in part that measures shall be established to assure that applicable regulatory

requirements and the design basis, as defined in §50.2 and as specified in the license

application, for those structures, systems, and components to which this appendix

applies are correctly translated into specifications, drawings, procedures, and

instructions. These measures shall include provisions to assure that appropriate quality

standards are specified and included in design documents and that deviations from such

standards are controlled. Contrary to the above, prior to July 25, 2014, the licensee

failed to establish measures to assure that applicable regulatory requirements and the

design basis were correctly translated into specifications, drawings, procedures, and

instructions. Specifically, the licensee failed to control the design inputs into the safety

related stress Calculation FC07240 for the piping tee in seismic subsystem SI-201A.

The licensee took immediate action to confirm the operability of the piping tee for

seismic subsystem SI-201A to determine the scope of the problem. Because this

violation was of very low safety significance and entered into the licensees corrective

action program as CR 2014-09098, it is being treated as a non-cited violation consistent

with Section 2.3.2.a of the NRCs Enforcement Policy: NCV 05000285/2014009-05,

Inadequate Design Inputs into Safety Injection Piping Stress Calculation.

f. Failure to Maintain Design Control of Raw Water Strainer Control Panel

Introduction. A self-revealing Green non-cited violation of 10 CFR Part 50, Appendix B,

Criterion III, Design Control, was identified involving with the licensees failure to

maintain design control of the safety related raw water strainer AC-12B control

panel AI-348. Specifically, the licensee failed to adequately design control panel AI-348

to protect it from the effects of spraying and wetting as required by the plants licensing

and design basis.

Description. On February 14, 2013, a fire protection leak of approximately 2-3 gallons

per minute from the diesel fire pump FP-1B strainer FB-6B in the intake structure leaked

onto control panel AI-348 for raw water strainer AC-12B. The water caused a trouble

alarm, presumably resulting from a ground. The licensee entered this deficiency into

their corrective action program for resolution as CR-2013-03301. On June 3, 2014, a

severe weather event damaged the intake structure roof and caused a similar water

intrusion event. For this event, water leaked from an intake structure roof drain onto the

floor near strainer FP-6B and into control panel AI-348 again causing a trouble alarm.

The water in control panel AI-348 resulted in a blown fuse and loss of power to drive

E2-38

motor strainer AC-12B and required operations to enter into a 12-hour shutdown

Technical Specification 2.4(2)d, Containment Cooling, action statement. The licensee

entered this deficiency into their corrective action program as CR 2014-06974.

The licensees apparent cause analysis for CR 2014-06974 concluded that loss of

control panel AI-348 due to water intrusion on June 3, 2014, was because Engineering

Change EC 41587, Raw Water Strainer Upgrade, Revision 0, did not consider the

many sources of water in the raw water vault when specifying the encasement of the

control system. The station initiated corrective actions to repair the intake structure roof

storm damage and long term corrective actions to prevent water intrusion into control

panel AI-348.

The team reviewed the licensees apparent cause analysis documented in

CR 2014-06974 and concluded that the design for control panel AI-348 as specified in

EC 41587 was inadequate because the component was not protected from the effects of

spraying and wetting as required by the facility-licensing basis. Specifically, the team

noted that safety evaluation report to License Amendment 40, Regarding the Potential

Flooding from Postulated Ruptures of Non-Category I (Seismic) Systems, dated

February 16, 1978, Item 3.2.1, states that the licensee will analyze the effects of a

rupture of fire water piping to be installed on safety related equipment.

On August 3, 2013, an additional event occurred where water leaked through the intake

structure roof and onto control panel AI-348. Similar to the previous events, the water

intrusion resulted in a blown fuse and loss of power to drive motor strainer AC-12B and

an unplanned entry into the 12-hour shutdown Technical Specification 2.4(2)d,

Containment Cooling. Following this event, the licensee implemented corrective

actions to seal conduits leading to control panel AI-348 to prevent future water intrusion.

The licensee entered this issue into their corrective action program as CR 2014-09572.

Analysis. The failure to account for the design basis requirements involving spray and

wetting for raw water strainer AC-12B control panel AI-348 was a performance

deficiency. This performance deficiency was more than minor, and therefore a finding,

because it was associated with the equipment performance attribute of the Mitigating

Systems Cornerstone and affected the associated objective to ensure availability,

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

undesirable consequences. Specifically, control panel AI-348 was not adequately

designed to prevent water intrusion that resulted in a loss of power to raw water

strainer AC-12B. The team performed an initial screening of the finding in accordance

with NRC Manual Chapter IMC 0609, Appendix A, The Significance Determination

Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2,

Mitigating Systems Screening Questions, dated July 1, 2012, this finding was of very

low safety significance (Green) because it: (1) was not a deficiency affecting the design

or qualification of a mitigating structure, system, or component, and did not result in a

loss of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

technical specification allowed outage time, or two separate safety systems out-of-

service for longer than their technical specification allowed outage time; (4) did not

represent an actual loss of function of one or more non-technical specification trains of

equipment designated as high safety-significant in accordance with the licensees

maintenance rule program; and (5) did not involve the loss or degradation of equipment

or function specifically designed to mitigate a seismic, flooding or severe weather event.

E2-39

This finding has a cross-cutting aspect in the area of problem identification and

resolution associated with the organization thoroughly evaluating issues to ensure that

resolutions address causes and extent of conditions commensurate with their safety

significance [P.2].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires

in part that measures shall be established to assure that applicable regulatory

requirements and the design basis, as defined in §50.2 and as specified in the license

application, for those structures, systems, and components to which this appendix

applies are correctly translated into specifications, drawings, procedures, and

instructions. Contrary to the above, from 2010 until June 2013, measures established by

the licensee did not assure that applicable regulatory requirements and the design

bases, as defined in 10 CFR 50.2 and as specified, were correctly translated into

specifications, drawings procedure, and instructions. Specifically, EC 41587, Raw

Water Strainer Upgrade, Revision 0, did not adequately account for the effects of water

intrusion into safety related control panel AI-348 from breaks of the fire protection and

circulating water piping, water through the intact structure roof, and external flooding in

the raw water vault. Because this violation was of very low safety significance and

entered into the licensees corrective action program as CR 2013-03301 and

CR 2014-06974, this violation is being treated as a non-cited violation, consistent with

Section 2.3.2.a of the Enforcement Policy: NCV 05000285/2014009-06, Failure to

Maintain Design Control of Raw Water Strainer Control Panel.

g. Failure to Accurately Model Flow Path for External Flood Mitigation

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion III,

Design Control, was identified involving the failure to appropriately model cell level

control of river water during external flooding events. Specifically, the licensee failed to

account for losses due to the physical obstructions of trash racks for inflowing river

water, the decreased withdrawal rate of the raw water pumps due to fouling across the

traveling screens, and a bounding inleakage rate for the sluice gates when the river level

is at a maximum level of 1014 mean sea level (msl) and the intake cell levels are at

minimum level of 9769.

Description. The team reviewed Calculation FC08081, Sizing and Selection for Intake

Cell Flood Water Inlet Valves for the AOP-1 Raw Water Flowpath, Revision 0,

completed in December 2012, which includes maximum flow into the 18 trash rack

blowdown pipe when the river level is increased during an external flooding event. The

licensee did not account for loss of flow across the trash racks, which are metal grates

that extend the length of the river side of the intake structure to prevent large debris from

flowing into the cells. Additionally, the calculation does not include the bounding value of

maximum inleakage past the sluice gates when river level has reached 1014 msl and

the cell level has been decreased to 9769 with the running of the raw water pumps.

This maximum differential in elevated river level and minimized intake cell level creates a

head pressure of ~37 on the sluice gates, which could result in inleakage exceeding the

estimated flow rate of 750 gallons per minute, as stated in the Updated Safety Analysis

Report. An accurate account of the amount of river water flowing into the cells, from

both the blowdown pipe and leakage past the sluice gates, is important in order to

ensure the raw water pumps can withdraw enough of the river water to keep the motors

from being submerged and ensure the external flooding mitigation strategy will be

successful.

E2-40

The team noted that the NRC had previously issued NCV 05000285/2013008-10,

Failure to Accurately Model Raw Water Flow into the Intake Structure, documenting

that a similar calculation did not account for flow losses across the trash racks but that

the licensee had not incorporated this operating experience into Calculation FC08081.

The licensee entered this issue into their licensees corrective action program as

CR 2014-09155, performed an operability determination, and initiated action to update

Calculation FC08081.

Analysis. The failure to accurately model cell level control of river water during external

flooding events was a performance deficiency. This performance deficiency was more

than minor, and therefore a finding, because if left uncorrected, the finding would have

the potential to lead to a more significant safety concern. Specifically, the failure to

accurately model actual flow in and out of the cells may challenge the external flooding

mitigation strategy beyond previously identified equipment capacities. This finding was

associated with the Mitigating Systems Cornerstone. The team performed an initial

screening of the finding in accordance with NRC Manual Chapter IMC 0609, Appendix A,

The Significance Determination Process (SDP) for Findings At-Power. Using IMC

0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions, dated July 1,

2012, this finding is of very low safety significance (Green) because it: (1) was not a

deficiency affecting the design or qualification of a mitigating system; (2) did not

represent a loss of system and/or function; (3) did not represent an actual loss of

function of a single train for greater than its technical specification allowed outage time;

(4) did not represent an actual loss of function of one or more non-technical specification

trains of equipment designated as high safety-significant in accordance with the

licensees maintenance rule program; and (5) did not involve the loss or degradation of

equipment or function specifically designed to mitigate a seismic, flooding or severe

weather event. This finding has a cross-cutting aspect in the area of problem

identification and resolution, operating experience, in that the licensee failed to

incorporate relevant internal operating experience related to previous NRC inspection

into Calculation FC08081 [P.5].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires

in part that measures shall be established to assure that applicable regulatory

requirements and the design basis, as defined in §50.2 and as specified in the license

application, for those structures, systems, and components to which this appendix

applies are correctly translated into specifications, drawings, procedures, and

instructions. Contrary to the above, prior to July 25, 2014, the licensee failed to

accurately model cell level control of river water during external flooding events.

Specifically, the calculation currently used by the licensee fails to account for losses

across the trash racks, traveling screens, and the bounding case of maximum inleakage

past the sluice gates. Because this finding was of very low safety significance and

entered into the licensees corrective action program as CR 2014-09155, this violation is

being treated as a non-cited violation in accordance with Section 2.3.2.a of the NRC

Enforcement Policy: NCV 05000285/2014009-07, Failure to Accurately Model Flow

Path for External Flood Mitigation.

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h. Failure to Report Loss of Environmental Qualification of Safety Related Limit Switches

within Required Time Limits

Introduction. A Severity Level IV non-cited violation of 10 CFR 50.73(a)(1), Licensee

Event Report System, was identified involving the failure to submit a required licensee

event report. Specifically, the licensee failed to report within 60 days the discovery that

Namco' Type EA 180 limit switches were not meeting environmental qualifications due

to inadequate maintenance procedures, a condition that resulted in operation prohibited

by the plants technical specifications.

Description. On May 3, 2012, the licensee initiated CR 2012-03651 documenting a

concern that the licensees current maintenance and surveillance instructions for

Namco' Type EA 180 limit switches differed from the maintenance and surveillance

instructions contained in the vendor manual for the equipment. In particular,

CR 2012-03651 identified that the vendor manual provided torque values of

20-25 inch-pounds for the top cover screws whereas the licensees maintenance

procedure only required a torque value of between 19-21 inch-pounds for the top cover

screws. During an evaluation of these maintenance practice discrepancies, the licensee

contacted the limit switch vendor concerning permissible torqueing values and the

potential impact to the environmental qualification of the limit switch. The vendor

informed the licensee that with a switch cover only torqued to 19 inch-pounds, the

installed configuration, would not match the as-tested condition and there would be no

data to support the acceptability of the use of the switch in a harsh environment.

The licensee reviewed the reportability of the issues identified under CR 2012-03651,

Action Item 11. The licensees reportability evaluation determined that issues identified

in CR 2011-10129 bound the loss of environmental qualifications for Namco'

Type EA 180 limit switches. This condition report identified a lack of analysis of the

temperature conditions for a main steam line break inside containment and that the

environmental qualification of equipment including the Namco' limit switches could be

challenged. The licensees review of the issues identified in CR 2011-10129 ultimately

determined that temperature conditions inside containment following a main steam line

break did not challenge environmental qualification limits. However, the licensees

analysis for CR 2011-10129 did not consider the configuration control issues identified in

CR 2012-03651. Specifically, the licensee did not consider that Namco' limit switches,

because of inadequate maintenance procedures, might not be sufficiently leak tight to

ensure their ability to function in a harsh environment. On April 24, 2014, the licensee

initiated CR 2014-05237 to document that the reportability evaluation for CR 2012-03651

incorrectly considered the analysis performed for CR 2011-10129. On June 20, 2014,

the licensee submitted Licensee Event Report (LER) 05000285/2014-004, Unqualified

Limit Switches Render Safety Equipment Inoperable, documenting that the condition in

CR 2012-03651 could result in a loss of environmental qualification and loss of

operability of several safety related systems.

The team reviewed CR 2011-10129, CR 2012-03651, CR 2014-05237, and

LER 05000295/2014-004 and noted that the licensee event report identified an event

discovery date of April 24, 2014, that corresponded to the initiation of CR 2014-05237.

The team determined that this event discovery date was incorrect and not consistent

with the reportability guidance contained in NUREG 1022, Event Report Guidelines

10 CFR 50.72 and 50.73, Revision 3, Section 2.5, which states that the discovery date

is generally the date when the event was discovered rather than the date when an

E2-42

evaluation of the event is completed. The team determined that the discovery date was

May 3, 2012, when it was first identified that the licensees current maintenance and

surveillance instructions for Namco' Type EA 180 limit switches differed from the

maintenance and surveillance instructions contained in the vendor manual. Based on a

May 3, 2012, discovery date, the team determined that a licensee event report needed

to be submitted by July 2, 2012, as required in 10 CFR 50.73. The licensee entered this

non-compliance involving a late report into its corrective action program as

CR 2014-08454.

Analysis. The failure to submit a licensee event report within the time limits specified in

regulations was a violation of 10 CFR 50.73. This violation was evaluated using

Section 2.2.4 of the NRC Enforcement Policy, because the failure to submit a required

licensee event report may impact the ability of the NRC to perform its regulatory

oversight function. As a result, this violation was evaluated using traditional

enforcement. In accordance with Section 6.9 of the NRC Enforcement Policy, this

violation was determined to be a Severity Level IV, non-cited violation. The team

determined that a cross-cutting aspect was not applicable because the issue involving

untimely reports to the NRC was strictly associated with a traditional enforcement

violation.

Enforcement. Title 10 CFR Part 50.73(a)(1), Licensee Event Report System, requires,

in part, that licensees shall submit a licensee event report for any event of the type

described in this paragraph within 60 days after the discovery of the event. Contrary to

the above, on July 2, 2013, the licensee failed to submit a licensee event report for an

event meeting the requirements for reporting specified in 10 CFR 50.73. Because this

violation was of very low safety significance and entered into the licensees corrective

action program as CR 2014-08454, this violation is being treated as a non-cited

violation, consistent with Section 2.3.2.a of the Enforcement Policy:

NCV 05000285/2014009-08, Failure to Report Loss of Environmental Qualification of

Safety Related Limit Switches within Required Time Limits.

i. Failure to Incorporate Design Requirements for Switchgear Room Cooling

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion III,

Design Control, was identified involving the failure to incorporate applicable design

requirements into the specifications for plant systems. Specifically, the team identified

that FCS failed to implement adequate design control measures when analyzing the

ability of vital switchgear room cooling to ensure operability requirements are satisfied

for the associated equipment under all design conditions.

Description. On April 3, 2014, the NRC issued NCV 05000285/2013013-13, Failure to

Incorporate Design Requirements for Switchgear Room Cooling, documenting that the

licensee failed to incorporate applicable cooling design requirements into specifications

for the vital switchgear ventilation system. This non-cited violation identified that the Fort

Calhoun Station Final Safety Analysis Report and the Updated Safety Analysis Report

both state that the vital switchgear rooms are cooled by a ventilation system that is

capable of maintaining it below the operability requirements of the equipment under all

conditions and that the licensees existing analysis demonstrated that the installed

auxiliary building ventilation was not capable of maintaining the vital switchgear rooms

temperature under the design limits. The non-cited violation also identified that the

licensees use of additional cooling units that were not designated as safety-related

E2-43

components and that were not capable of functioning during all design events resulted in

a condition where the station did not have sufficient analysis to demonstrate the

capability of the auxiliary building ventilation system of maintaining the room

temperatures under all conditions.

The licensee initiated CR 2012-09804 and CR 2013-17288 to capture the non-

compliance documented in NCV 05000285/2013013-13. These condition reports

identified that following a high energy line break event outside containment, the

supporting calculations determined that auxiliary building Rooms 56E and 56W (the east

and west vital switchgear rooms) would become a harsh environment due to the

consequential effects involving a loss of ventilation. Without restoration of this

ventilation, temperatures would rise and exceed the harsh environmental threshold, and

challenge the qualification of electrical equipment. Condition Reports 2012-09804

and 2013-17288 went on to identify that Fort Calhoun Station did not have existing

analysis that demonstrates that supplemental cooling provided in Procedure OI-VA-2,

Auxiliary Building Ventilation System Normal Operation, Revision 44, would be

effective in maintaining the temperature of the switchgear rooms within analyzed limits.

As corrective action, CR 2013-17288, Action Item 4, established an action to provide a

calculation that demonstrates the manual actions in Procedure OI-VA-2 would be

effective or to revise the procedure as necessary.

As corrective action to address NCV 05000285/2013013-13, Fort Calhoun Station staff

prepared Calculation FC6102, Switchgear Heatup Analysis, Revision 2. This revision

to the calculation added Attachment 1, Evaluation of Supplemental Switchgear Room

Cooling, which analyzed the ability of supplemental switchgear cooling in one specific

scenario, a loss of switchgear cooling that occurred in 1998. The licensee did not

document the actual heat load and cooling capability associated with the 1998 event.

Instead, the licensee used the documented room heat-up during this event to calculate a

total combined heat load for the east and west switchgear rooms of 16,307 Btu/hr. The

licensee then determined that supplemental cooling for the east and west switchgear

rooms would be adequate because the cooling capability would exceed 16,307 Btu/hr.

The team reviewed Calculation FC6102, Attachment 1, and identified that it failed to

translate the design basis requirements of switchgear room cooling because it used a

non-conservative heat load developed from a 1998 event rather than the actual heat

load expected during the most bounding design basis event. Specifically, the

16,307 Btu/hr heat load assumed in Calculation FC0612, Attachment 1, represented

only a small fraction of the actual heat load (approximately 473,000 Btu/hr) placed on the

cooling units used to maintain vital switchgear room temperatures below equipment

operability limits. Consequently, the team determined that the licensees corrective

action was inadequate because they failed to analyze the ability of switchgear cooling

including an appropriate use of supplemental cooling to maintain room temperature

below limits during all design scenarios.

The licensee entered this issue into the corrective action program as CR 2014-08317

and initiated actions to analyze the ability of vital switchgear room cooling to meet its

specified safety function.

Analysis. The failure to incorporate applicable design requirements into specifications

for vital switchgear cooling was a performance deficiency. This performance deficiency

was more than minor, and therefore a finding, because it affected the design control

E2-44

attribute of the Mitigating Systems Cornerstone, and it directly affected the cornerstone

objective to ensure availability, reliability, and capability of systems that respond to

initiating events to prevent undesirable consequences. The team performed an initial

screening of the finding in accordance with NRC Manual Chapter IMC 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power.

Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, this finding is of very low safety significance (Green) because it:

(1) was not a deficiency affecting the design or qualification of a mitigating system;

(2) did not represent a loss of system and/or function; (3) did not represent an actual

loss of function of a single train for greater than its technical specification allowed outage

time; and (4) does not represent an actual loss of function of one or more non-technical

specification trains of equipment designated as high safety-significant in accordance with

the licensees maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a

cross-cutting aspect in the evaluation component of the problem identification and

resolution cross-cutting area because the licensee failed to thoroughly evaluate issues to

ensure that resolutions address causes and extent of conditions commensurate with

their safety significance. Specifically, the licensee failed to analyze and evaluate a 1998

loss of switchgear cooling event to ensure that its use as a design assumption bound the

worst design basis event [P.2].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires

in part that measures shall be established to assure that applicable regulatory

requirements and the design basis, as defined in §50.2 and as specified in the license

application, for those structures, systems, and components to which this appendix

applies are correctly translated into specifications, drawings, procedures, and

instructions. Contrary to the above, from initial construction until present, measures

established by the licensee did not assure that applicable regulatory requirements and

design bases were correctly translated into specifications, drawings, procedures, and

instructions. Specifically, measures established by the licensee did not assure that the

vital switchgear ventilation system was capable of maintaining the rooms temperature

below design requirements under all conditions. This issue does not represent an

immediate safety concern because the licensee has compensatory measures in place to

maintain room temperatures. Because this violation was of very low safety significance

and was entered into the licensees corrective action program as CR 2014-08317, it is

being treated as a non-cited violation consistent with Section 2.3.2.a of the NRCs

Enforcement Manual: NCV 05000285/2014009-09, Failure to Incorporate Design

Requirements for Switchgear Room Cooling.

j. Deficient Evaluation of NRC Bulletin 88-04, Strong Pump Weak Pump Due to Failure to

Consider the Effect of AFW Pumps Discharge Check Valves Leakage

Introduction. A Green cited violation of 10 CFR Part 50, Appendix B, Criterion III,

Design Control, was identified involving the failure to properly evaluate NRC

Bulletin 88-04, Potential Safety-Related Pump Loss. Specifically, the licensee failed to

evaluate for strong pump-weak pump interaction between auxiliary feedwater

pumps FW-6 and FW-10.

Description. On July 15, 2013, the NRC issued NCV 05000285/2013008-36, Deficient

Evaluation of NRC Bulletin 88-04, Strong Pump Weak Pump Due to Failure to Consider

the Effect of AFW Pumps Discharge Check Valves Leakage, involving the licensees

failure to properly evaluate NRC Bulletin 88-04, Potential Safety-Related Pump Loss,

E2-45

regarding the auxiliary feedwater pumps. Specifically, the non-cited violation identified

that the licensee failed to evaluate for strong pump-weak pump interaction between

pumps FW-6 and FW-10. In particular, the licensee failed to consider pump-to-pump

interaction due to pump discharge check valve leakage. The licensee entered this

deficiency into their corrective action program as CR-2013-04680 and CR 2013-04806

and generated Calculation FC08310, Auxiliary Feedwater (AFW) Motor Driven

Pump FW-6 and Turbine Driven Pump FW-10 Performance and Runout Evaluation,

Revision 0, as a corrective action to address NCV 05000285/2013008-36. The team

reviewed Calculation FC08310 and noted that the evaluation states in part,

Condition Report CR-2013-04680 identifies a strong pump, weak pump

condition where there is potential for inadequate recirculation flow FW-6

caused by leakage past FW-6 discharge check valve FW-173. FW-10 is

a stronger pump and may force check valve FW-173 to close if both

pumps are in operation. Leakage past FW-173 would flow through the

FW-6 recirculation line and potentially reduce the amount of FW-6

minimum flow below the required minimum of 50 gallon per minute.

Based on a review of surveillance testing procedures, this event is not

credible for the following reasons: 1) FW-173 is currently tested for

closure by checking pressure rise and FW-6 shaft rotation. Additionally,

valve FW-173 is inspected by measuring upstream temperature during

operator rounds; 2) The check valves are designed with seat leakage in

accordance with MSS-SP-61, Hydrostatic Testing of Steel Valves. The

allowable leakage for a 4 NPS check valve is well below 1 gallon per

minute. The station concludes that existing station procedures and check

valve design are adequate to ensure that leakage across check valves

FW-173 and FW-174 will not prevent delivery of the minimum required

AFW flows or damage to FW-6 through FW-173 leakage when both

pumps are running. Therefore no additional testing or procedure changes

are required.

The team determined that the evaluation documented in Calculation FC08310 did not

adequately address the issue identified in NCV 05000285/2013008-36. Specifically, the

evaluation did not consider pump-to-pump interaction that may result due to pump

discharge check valve leakage. The team noted, as did the previous NRC inspection,

that surveillance testing performed on November 28, 2010, and September 1, 2012,

identified leakage past both pump discharge check valves. The team determined that

the applicable pump surveillance testing verified the check valve closed, but did not

measure check valve leakage.

The licensee entered this issue into the corrective action program as CR 2014-08381

and initiated actions to re-evaluate NRC Bulletin 88-04.

Analysis. The failure to ensure proper evaluation of Bulletin 88-04 to minimize and

mange, or eliminate, the potential for auxiliary feedwater pump damage was a

performance deficiency. This performance deficiency was more than minor, and

therefore a finding, because it was associated with the equipment attribute of the

Mitigating Systems Cornerstone, and affected the associated cornerstone objective to

ensure the availability, reliability, and capability of systems that respond to initiating

events to prevent undesirable consequences. The team performed an initial screening

of the finding in accordance with NRC Manual Chapter IMC 0609, Appendix A, The

E2-46

Significance Determination Process (SDP) for Findings At-Power. Using IMC 0609,

Appendix A, Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012,

the finding was of very low safety significance (Green) because it: (1) was not a

deficiency affecting the design or qualification of a mitigating structure, system, or

component, and did not result in a loss of operability or functionality; (2) did not

represent a loss of system and/or function; (3) did not represent an actual loss of

function of at least a single train for longer than its technical specification allowed outage

time, or two separate safety systems out-of-service for longer than their technical

specification allowed outage time; and (4) did not represent an actual loss of function of

one or more non-technical specification trains of equipment designated as high safety-

significant in accordance with the licensees maintenance rule program. This finding has

a cross-cutting aspect in the area of human performance because the licensee failed to

demonstrate a conservative bias in decision making-practices. Specifically, the

licensees determination that the event is not credible failed to consider documented

check valve leakage in the auxiliary feedwater system [H.14].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires

in part that measures shall be established to assure that applicable regulatory

requirements and the design basis, as defined in §50.2, and as specified in the license

application, for those structures, systems, and components to which this appendix

applies are correctly translated into specifications, drawings, procedures, and

instructions. Contrary to the above, as of November 28, 2010, measures established by

the licensee did not assure that applicable regulatory requirements and design bases

were correctly translated into specifications, drawings, procedures, and instructions.

Specifically, the licensee failed to properly evaluate NRC Bulletin 88-04, Potential

Safety-Related Pump Loss, for strong pump, weak pump, interaction regarding auxiliary

feedwater pumps FW-6 and FW-10, which are considered safety-related pumps. The

licensee's evaluation documented in Calculation FC08310, Auxiliary Feedwater (AFW)

Motor Driven Pump FW-6 and Turbine Driven Pump FW-10 Performance and Runout

Evaluation, Revision 0, failed to consider pump-to-pump interaction that may result due

to pump discharge check valve leakage. In addition, the licensee failed to re-evaluate

the condition after surveillance testing performed on November 28, 2010, and

September 1, 2012, identified leakage past both pump discharge check valves. The

licensee entered this issue into the corrective action program as CR 2014-08381.

Although this violation is of very low safety significance, the team determined that the

licensee did not restore compliance within a reasonable time after

NCV 05000285/2013008-36 was issued and had closed Condition Report 2013-4680,

Action Item 1, on October 4, 2013, that was written to address the NCV. Therefore, this

violation is being cited in a Notice of Violation consistent with Section 2.3.2.a of the NRC

Enforcement Policy: VIO 05000285/2014009-10, Deficient Evaluation of NRC

Bulletin 88-04, Strong Pump Weak Pump Due to Failure to Consider the Effect of

Auxiliary Feedwater Pumps Discharge Check Valves Leakage.

k. Failure to Ensure Safe Operations at Design Basis Low River Level

Introduction. A Green cited violation of 10 CFR Part 50, Appendix B, Criterion III,

Design Control, was identified involving the failure to ensure that the safety-related raw

water pumps would be available to ensure safe operations down to the design basis low

river level. Specifically, the team identified that the current analysis and abnormal

operating procedures would not allow operation of the raw water pumps at the design

basis low river water level.

E2-47

Description. The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-03, Lack of Safety-Related Equipment for Design Basis Low

River Level, which identified that the licensee failed to ensure that raw water cooling

was provided down to the design basis low river level of 9769 mean sea level (msl).

Specifically, Procedure AOP-01, Acts of Nature, Revision 33, instructs operators to

secure the raw water pumps at an intake cell level of 9769. The NRC determined that

this procedure step would equate to an actual river level of 97610 msl or higher

because river level does not correspond to intake cell level due to flow losses and

holdup within the intake structure. The presence of these components causes intake

cell level to be at least 1 lower than the Missouri River, and in some cases more,

depending on debris loading of individual components. The NRC also identified that the

licensee did not have analysis that demonstrated that the raw water pumps would

perform their specified safety function at the design basis low river level 9769 msl

because the vendor had instructed the licensee not to operate the raw water pumps

below 9769 water (cell) level.

The team reviewed Procedure AOP-1 and CR 2013-04169 used to correct the issues

identified in NCV 05000285/2013008-03. The team found that the current revision of

Procedure AOP-1 still directed securing of the raw water pumps at an intake cell level

of 9769. Additionally, the team noted that CR 2013-04169, Action 1, written to address

the NCV was closed on September 27, 2013. Consequently, the team determined that

the licensee failed to restore compliance within a reasonable time after the previous

NRC violation because they did not ensure that raw water cooling was provided down to

the design basis low river level of 9769 msl. The team noted that the condition report

included actions to consult with the raw water pump vendor but that the licensee had not

taken actions to contract for this vendor service to update the minimum submergence

level analysis for raw water pumps.

The licensee entered this issue into the corrective action program as CR 2014-09159

which included actions to re-evaluate the capability of the raw water pumps to operate at

low river levels.

Analysis. The failure to have safety-related equipment to ensure safe operations down

to the design basis low river level was a performance deficiency. This performance

deficiency was more than minor, and therefore a finding, because it was associated with

the design control attribute of the Mitigating Systems Cornerstone and affected the

associated cornerstone objective to ensure the availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. The

team performed an initial screening of the finding in accordance with NRC Manual

Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems

Screening Questions, dated July 1, 2012, the finding was of very low safety

significance (Green) because it: (1) was not a deficiency affecting the design or

qualification of a mitigating structure, system, or component, and did not result in a loss

of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

technical specification allowed outage time, or two separate safety systems out-of-

service for longer than their technical specification allowed outage time; and (4) did not

represent an actual loss of function of one or more non-technical specification trains of

equipment designated as high safety-significant in accordance with the licensees

E2-48

maintenance rule program. This finding has a cross-cutting aspect in the area of human

performance in that the licensee did not ensure that personnel, equipment, procedures,

and other resources are available and adequate to support nuclear safety. Specifically,

the licensee deferred funding for a vendor analysis of the capabilities of the raw water

pumps at the design low river level [H.1].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires,

in part, that measures shall be established to assure that applicable regulatory

requirements and the design basis, as defined in §50.2, and as specified in the license

application, for those structures, systems, and components to which this appendix

applies are correctly translated into specifications, drawings, procedures, and

instructions. Licensee's procedure AOP-01, Acts of Nature, Revision 33, instructs

operators to secure the raw water pumps at an intake cell level of 976'9". Contrary to

the above, from initial plant operations to present, measures established by the licensee

failed to assure that applicable regulatory requirements and the design basis for those

components are correctly translated into specifications, drawings, procedures, and

instructions. Specifically, the licensee failed to ensure that raw water cooling was

provided down to the design basis low river level of 976'9" mean sea level. The intake

cell level in the licensee's procedure AOP-01, is not equivalent to mean sea level. As a

result, the licensee failed to ensure the associated specifications and procedures

support raw water pump operations, which are safety related pumps, to support the

plant's cooling systems. The licensee entered this issue into the corrective action

program as CR 2014-09159. Although this violation is of very low safety significance,

the team determined that the licensee did not restore compliance within a reasonable

time after NCV 05000285/2013008-03 was issued and had closed Condition Report

2013-4169, Action Item 1, on September 27, 2013, that was written to address the NCV.

Therefore, this violation is being cited in a Notice of Violation consistent with

Section 2.3.2.a of the NRC Enforcement Policy: VIO 05000285/2014009-11, Failure to

Ensure Safe Operations at Design Basis Low River Level.

l. Failure to Maintain Effectiveness of an Emergency Plan

Introduction. A Green cited violation of 10 CFR 50.54(q)(2), Conditions of License,

was identified involving the failure to maintain the effectiveness of the sites emergency

plan. Specifically, the licensee established an Alert low river level emergency

classification criteria that was below the raw water pumps minimum suction

requirements, contrary to the standard emergency action level scheme.

Description. The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-04, Non-Conservative Value for Declaring An Alert on Low

River Level, which identified that the low review level Alert emergency action level at

9739 msl was non-conservative because it would be declared below the minimum

suction requirements for the raw water pumps. The raw water pump minimum suction

requirement is 9739 water (cell) level. However, because river level does not

correspond to intake cell level due to flow losses and holdup within the intake structure,

river level would have to be at least 97310 msl to provide an adequate suction for the

raw water pumps. Additionally, the NRC identified that FCS calculations indicated that

vortexing would begin at an intake cell level of 97410. Thus,

NCV 05000285/2013008-04 concluded that the licensees low river level Alert

emergency action level was non-conservative since intake cell level would be below

suction requirements for the raw water pump. The licensees emergency action level

E2-49

scheme is based on the guidance in NEI 99-01, Methodology for Development of

Emergency Action Levels, Revision 5, which describes declaring an Alert when the

function of a safety system is threatened by hazardous events such as low river level.

The team reviewed CR 2013-04198 that addressed NCV 05000285/2013008-04 and

found that the licensee closed the condition report actions items without addressing the

condition described in the violation on February 2, 2014. The team also reviewed the

current emergency action levels and identified that low river level Alert emergency

action level at 9739 msl continues to be non-conservative because it would be declared

below the minimum suction requirements for the raw water pumps. Therefore, the team

concluded that the licensee failed to restore compliance within a reasonable time after

the previous NRC violation and failed to maintain a standard emergency action level

scheme in accordance with the requirements of 10 CFR 50.47(b)(4).

The licensee entered this issue into the corrective action program as CR 2014-08757

which included actions to re-evaluate the capability of the raw water pumps to operate at

low river levels.

Analysis. The failure to maintain the effectiveness of an emergency plan was a

performance deficiency. This performance deficiency was more than minor, and

therefore a finding, because it is associated with the emergency response organization

performance attribute of the Emergency Preparedness Cornerstone and affected the

associated cornerstone objective to ensure that the licensee is capable of implementing

adequate measures to protect the health and safety of the public in the event of a

radiological emergency. Specifically, inaccurate emergency actions levels degrade the

licensees ability to implement adequate measures to protect public health and safety.

The finding was evaluated using the Emergency Preparedness Significance

Determination Process, and was determined to be of very low safety

significance (Green) because the finding was not a lost or degraded risk significant

planning function. The planning standard function was not degraded because the

emergency classifications would have been declared although potentially in a delayed

manner. This finding has a cross-cutting aspect in the area of human performance in

that the licensee did not ensure that personnel, equipment, procedures and other

resources are available and adequate to support nuclear safety. Specifically, the

licensee deferred funding for a vendor analysis of the capabilities of the raw water

pumps at the design low river level [H.1].

Enforcement. 10 CFR Part 50.54(q)(2), Conditions of License, requires, in part, that a

nuclear power reactor licensee shall follow and maintain the effectiveness of an

emergency plan that meets the requirements of Appendix E to Part 50 and the planning

standards of 10 CFR 50.47(b). 10 CFR 50.47(b)(4), requires, in part, that a standard

emergency classification and action level scheme, is in use by the nuclear facility

licensee. Contrary to the above, as of May 14, 2009, the licensee failed to maintain the

effectiveness of the emergency plan, by not maintaining a standard emergency

classification and action level scheme. Specifically, the emergency action level scheme

was not maintained because emergency action level HA1, Natural or destructive

phenomena affecting the Protected Area, contained an inaccurate river level of 9739

mean sea level. The river level was inaccurate because the basis document, Procedure

TBD-EPIP-OSC-1H, Recognition Category H - Hazards and Other Conditions Affecting

Plant Safety, Revision 2, stated the emergency action level was based on the minimum

elevation of the raw water pump suction. Because the river level does not correspond to

E2-50

intake cell level, then the river level would have to be at least 973'10" mean sea level to

provide an adequate suction for the raw water pumps. The licensee entered this issue

into the corrective action program as CR 2014-08757. Although this violation is of very

low safety significance, the team determined that the licensee did not restore compliance

within a reasonable time after NCV 05000285/2013008-04 was issued and had closed

Condition Report 2013-4198, Action Item 3, on February 2, 2014, that was written to

address the NCV. Therefore, this violation is being cited in a Notice of Violation

consistent with Section 2.3.2.a of the NRC Enforcement Policy:

VIO 05000285/2014009-12, Failure to Maintain Effectiveness of an Emergency Plan.

m. Failure to Perform Evaluation for Design Change

Introduction. A Severity Level IV cited violation of 10 CFR Part 50.59, Changes, Tests,

and Experiments, was identified involving the failure to perform an evaluation for a

design change that may have required prior NRC review and approval. Specifically, the

licensee did not evaluate a change that would permanently substitute a manual action

for an automatic action to add water and nitrogen gas to the component cooling water

surge tank.

Description. The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-28, Failure to Perform an Evaluation for a Change to

Component Cooling Water Make-Up, which identified that the licensee failed to perform

a 10 CFR 50.59 evaluation for a design change that may have required NRC review and

approval. Specifically, the non-cited violation identified that the licensee failed to perform

a 10 CFR 50.59 evaluation of Engineering Change EC 41455, CCW Surge Tank Class

Boundary Component Upgrades, that replaced an automatic function with a manual

action. These changes involved permanent, manual operator actions to isolate valves

associated with adding water and nitrogen gas to the component cooling water surge

tank during normal operations. The previous NRC inspection noted that Updated Safety

Analysis Report, Section 9.7.4.1, stated, in part, that the make-up to the component

cooling water system was pumped to the surge tank from the demineralized water

system through an automatic open-shut valve which was actuated by a level control

switch on the surge tank. In NCV 05000285/2013008-28 the NRC identified manual

actions implemented under EC 41455 was an adverse change to the normally automatic

design function for the component cooling water system and required a 10 CFR 50.59

evaluation to determine if the change resulted in a more than a minimal increase in the

likelihood of occurrence of a malfunction of a system, structure, or component important

to safety previously evaluated in the Updated Safety Analysis Report.

The team reviewed CR 2014-04417 initiated by the licensee to correct the issues

identified in NCV 05000285/2013008-28. The team identified that the action items

associated with this condition report were closed on May 28, 2013, and failed to identify

that the change implemented under EC 41455 was adverse and consequently the

licensee failed to complete a required 10 CFR 50.59 evaluation. Consequently, the team

determined the licensee failed to restore compliance within a reasonable time after the

previous NRC violation.

The licensee entered this issue into the corrective action program as CR 2014-09080

and initiated action to evaluate the change to the component cooling water system.

E2-51

Analysis. The failure to perform an evaluation prior to implementing a proposed change

described in the Updated Safety Analysis Report was a violation of 10 CFR 50.59.

Because this performance deficiency had the potential to impact the NRCs ability to

perform its regulatory function, the team evaluated the performance deficiency using

traditional enforcement. In accordance with Part II, Section 2.1.3.E.6 of the NRC

Enforcement Manual, the team evaluated this finding using the significance

determination process to assess its significance. The team performed an initial

screening of the finding in accordance with NRC Manual Chapter IMC 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power.

Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, the team determined that the finding was of very low safety

significance (Green) because it: (1) was not a deficiency affecting the design or

qualification of a mitigating structure, system, or component, and did not result in a loss

of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

technical specification allowed outage time, or two separate safety systems out-of-

service for longer than their technical specification allowed outage time; and (4) did not

represent an actual loss of function of one or more non-technical specification trains of

equipment designated as high safety-significant in accordance with the licensees

maintenance rule program. Therefore, in accordance with Section 6.1.d.2 of the NRC

Enforcement Policy, the team characterized this performance deficiency as a Severity

Level IV violation. The team determined that a cross-cutting aspect was not applicable

to this finding because the issue was strictly associated with a traditional enforcement

violation.

Enforcement. 10 CFR Part 50.59(c)(2)(ii), Changes, Tests, and Experiments, requires,

in part, that a licensee shall obtain a license amendment prior to implementing a

proposed change, test, or experiment if the change, test, or experiment would result in

more than a minimal increase in the likelihood of occurrence of a malfunction of a

structure, system, or component important to safety previously evaluated in the final

safety analysis report (as updated). 10 CFR 50.59(d)(1) requires, in part, that the

licensee shall maintain records of changes in the facility or procedures and that the

records must include a written evaluation which provides the bases for the determination

that the change does not require a license amendment. Contrary to the above, as of

June 2008, the licensee did not perform a written evaluation for a design change that

may have required NRC review and approval. Specifically, the licensee did not evaluate

a change that would permanently substitute manual actions for an automatic action to

add water and nitrogen gas to the component cooling water surge tank, which is an

Updated Safety Analysis Report described design function for the component cooling

water system. The licensee entered this condition into their corrective action program as

CR 2014-09080. Although this violation is of very low safety significance, the team

determined that the licensee did not restore compliance within a reasonable time after

NCV 05000285/2013008-013 was issued and had closed Condition Report 2013-4417,

Action Item 3, on May 28, 2013, that was written to address the NCV. Therefore, this

violation is being cited in a Notice of Violation consistent with Section 2.3.2.a of the NRC

Enforcement Policy: VIO 05000285/2014009-13, Failure to Perform Evaluation for

Design Change.

E2-52

n. Failure to Account for Worst Case Diesel Frequency in Fuel Oil Consumption

Calculations

Introduction. A Green cited violation of 10 CFR Part 50, Appendix B, Criterion III,

Design Control, was identified involving the failure to account for design basis

conditions in station calculations. Specifically, the licensee failed to account for worst-

case electrical frequency when analyzing diesel fuel oil consumption and storage

requirements.

Description. The team reviewed the licensees corrective actions to address

NCV 05000285/2013008-06, Failure to Account for Worst Case Conditions in Fuel Oil

Inventory Calculation, which identified that the licensee failed to account for design

basis conditions in their fuel oil consumption calculation. The team noted that

Calculation FC08034, Diesel Fuel Usage During a Severe Flooding Event, and

Engineering Analysis FC-92-072, Diesel Generator Loading Transient Analysis Using

Paladin Design Base 4.0, Revision 7, discussed a frequency spectrum of

60.5 +/- 0.3 hertz for the emergency diesel generators but that calculations for fuel

consumption did not assume that the diesel generators were run at 60.8 hertz (at the top

end of the spectrum) for the entire 7-day period, or even at a higher maximum

frequency, if applicable. The licensees calculation assumes one diesel generator is

secured to conserve fuel. The team determined that the emergency diesel generators

could initially be operated as high as the 60.8 hertz value and a single failure could make

frequency remain there for the entire 7-day mission time. The team noted that assuming

worst-case frequency aligned with industry-operating experience in NRC Information

Notice 2008-02, Findings Identified During Component Design Bases Inspections. The

information notice described that NRC inspectors identified instances where the

emergency diesel generators loading calculations failed to account for the increased

electrical load resulting from operation at the maximum frequency allowed by technical

specifications. Assuming a worst-case design frequency would be consistent with

design practices.

The licensee initiated CR 2013-04311 and CR 2013-04470 to address

NCV 05000285/2013008-06. The team found these condition reports were closed and

that the current diesel fuel oil consumption calculations failed to account for emergency

diesel generators running at 60.8 hertz (the top end of the spectrum) for the entire 7-day

period. Consequently, the team determined that the licensee continued to be in violation

of 10 CFR Part 50, Appendix B, Criterion III, for the failure to account for design basis

conditions in their fuel oil consumption calculation and had failed to restore compliance

within a reasonable time after NCV 05000285/2013008-06 was issued.

The licensee entered this issue into their corrective action program as CR 2014-09157

and initiated action to update station calculations.

Analysis. The failure to control design inputs associated with calculating diesel

generator fuel oil consumption was a performance deficiency. This performance

deficiency was more than minor, and therefore a finding, because it affected the design

control attribute of the Mitigating Systems Cornerstone objective to ensure the

availability, reliability, and capability of components that respond to initiating events. The

team performed an initial screening of the finding in accordance with NRC Manual

Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems

E2-53

Screening Questions, dated July 1, 2012, this finding is of very low safety

significance (Green) because: (1) the finding was not a deficiency affecting the design

or qualification of a mitigating system; (2) the finding did not represent a loss of system

and/or function; (3) the finding did not represent an actual loss of function of a single

train for greater than its technical specification allowed outage time; and (4) the finding

does not represent an actual loss of function of one or more non-technical specification

trains of equipment designated as high safety-significant in accordance with the

licensees maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a

cross-cutting aspect in the area of problem identification and resolution in that the

licensee failed to thoroughly evaluate issues to ensure that resolutions address causes

and extent of conditions commensurate with their safety significance [P.2].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires,

in part, that measures shall be established to assure that applicable regulatory

requirements and the design basis, as defined in §50.2, and as specified in the license

application, for those structures, systems, and components to which this appendix

applies are correctly translated into specifications, drawings, procedures, and

instructions. Engineering Analysis FC-92-072, Diesel Generator Loading Transient

Analysis Using Paladin Design Base 4.0, Revision 7, discussed a frequency spectrum

of 60.5 +/-0.3 hertz for the emergency diesel generators, which are safety-related

components. Licensee's Calculation FC08034, Diesel Fuel Usage During a Severe

Flooding Event, does not assume that the diesel generators were run at 60.8 hertz for

the entire 7-day mission time. Contrary to the above, as of June 2011, measures

established by the licensee failed to assure that applicable regulatory requirements and

the design basis for those components are correctly translated into specifications,

drawings, procedures, and instructions. Specifically, the licensee's calculation for fuel

consumption did not assume that the diesel generators were run at 60.8 hertz, for the

entire 7-day mission time. As a result, the licensee failed to translate the worst-case

design emergency diesel generator frequency of 60.8 hertz, which could impact the

consumption of fuel oil, into the applicable design documentation. The licensee entered

this condition into their corrective action program as CR 2014-09157. Although this

violation is of very low safety significance, the team determined that the licensee did not

restore compliance within a reasonable time after NCV 05000285/2013008-06 was

issued and had closed Condition Report 2013-04311, Action Item 1, on September 30,

2013, that was written to address the NCV. Therefore, this violation is being cited in a

Notice of Violation consistent with Section 2.3.2.a of the NRC Enforcement Policy:

VIO 05000285/2014009-14, Failure to Account for Worst Case Diesel Frequency in

Fuel Oil Consumption Calculations.

o. Failure to Promptly Identify and Correct a Condition Adverse to Quality

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion XVI,

Corrective Action, was identified involving the failure to take corrective actions for a

condition adverse to quality. Specifically, the licensee failed to take corrective actions to

address multiple issues involving gas voiding of the component cooling water system.

Description. On October 19, 2012, the licensee initiated CR 2012-15877 that

documented several issues related to gas voiding in the component cooling water

system including the identification of pressure transients and gas voids in the system.

The team noted that the licensee initiated the following two actions items to address gas

voiding in the component cooling water system. Action Item 1 required the licensee to

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revise Procedure OI-CC-1, Operating Instructions Component Cooling Water System

Normal Operation, to include fill and vent steps for the entire system rather than just the

component cooling water pumps and containment coolers. Action Item 2 documented

the need for a system analysis related to gas coming out of solution. This action item

referenced Recovery Item 10.3.5, Component Cooling Water System Non-Cable

Issues, which identified that the component cooling water system did not have an

analysis that determined the amount and impact of gas coming out of solution during

accident conditions.

The licensee closed CR 2012-15877, Action Item 1, on January 31, 2013, with no

changes to Procedure OI-CC-1. The team noted that the current revision of

Procedure OI-CC-1 only required venting the containment air coolers and component

cooling water pumps, not the entire system. The licensee closed CR 2012-15877,

Action Item 2, on November 29, 2013, with the completion of Engineering

Analysis EA12-023, Gas Intrusion into the Component Cooling Water System During

Normal Operations, Revision 0. The team reviewed EA 12-023 and Recovery

Item 10.3.5 and identified that no analysis existed to analyze performance of the

component cooling water system to include the potential for gas formation during

accident conditions.

The team identified that the station continued to discover gas voids in the component

cooling water system following restoration after maintenance due to inadequate fill and

vent activities. Specifically, the team identified the following instances where an

inadequate fill and vent of the component cooling water system resulted in subsequent

discovery of voiding in that system:

  • March 8, 2013, the licensee initiated CR 2013-05280 that identified a loss of

component cooling water and entry into the stations abnormal operating

procedure due to an open relief valve. The licensee identified that the

introduction of air into the system following maintenance was the apparent cause

of the relief valve lifting and identified the need for more comprehensive fill and

vent procedures.

  • August 27, 2013, the licensee initiated CR 2013-16784 that identified component

cooling water relief valve AC-286 was leaking. A simple cause evaluation

determined that relief valve AC-286 lifted due to an inadequate fill and vent

following relief valve leakage.

  • September 9, 2013, the licensee initiated CR 2013-17365 that identified a water

hammer near relief valve AC-286. While no formal investigation was performed,

the licensee suggested that an inadequate fill and vent following maintenance

may have been the cause of the water hammer.

Based on the continued discovery of voids in the component cooling water system

following restoration from maintenance, the team determined that the licensees

corrective actions did not adequately address the inadequacies with fill and vent

Procedure OI-CC-1. Additionally, the team determined that the licensees corrective

actions to address possible gas voiding in the component cooling water system as

identified in Recovery Item 10.3.5, Component Cooling Water System Non-Cable

Issues, were inadequate. Specifically, the team identified that the licensees corrective

actions only addressed normal operations and did not demonstrate the component

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cooling water system will perform acceptably in service when operating at elevated

temperatures such as those experienced during a design basis accident. As immediate

corrective action the licensee placed a maintenance hold on the component cooling

water system until adequate fill and vent procedures could be developed. Additionally,

the licensee initiated corrective actions to analysis the effects of gas accumulation on the

component cooling water system. The licensee entered these deficiencies into their

corrective action program as CR 2014-08892, CR 2014-09011, and CR 2014-09034.

Analysis. The failure to correct a condition adverse to quality related to voiding in the

component cooling water system was a performance deficiency. This performance

deficiency was more than minor, and therefore a finding, because it was associated with

the design control attribute of the Mitigating Systems Cornerstone and affected the

associated objective to ensure availability, reliability, and capability of systems that

respond to initiating events to prevent undesirable consequences. The team performed

an initial screening of the finding in accordance with NRC Manual Chapter IMC 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power.

Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions,

dated July 1, 2012, the finding was of very low safety significance (Green) because the

finding: (1) was not a deficiency affecting the design and qualification of a mitigating

structure, system, or component, and did not result in a loss of operability or

functionality; (2) did not represent a loss of system and/or function; (3) did not represent

an actual loss of function of at least a single train for longer than its allowed outage time,

or two separate safety systems out-of-service for longer than their technical specification

allowed outage time; and (4) did not represent an actual loss of function of one or more

non-technical specification trains of equipment designated as high safety-significant in

accordance with the licensees maintenance rule program. This finding has a cross-

cutting aspect in the area of human performance in that the licensee failed to operate the

component cooling water system within design margins and failed to place special

attention to minimizing long-standing equipment issues related to gas voiding in that

system [H.6].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action,

requires, in part, that measures shall be established to assure that conditions adverse to

quality, such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and nonconformances are promptly identified and corrected. Contrary to

the above, from October 19, 2012, to the present, the licensee failed to correct a

condition adverse to quality. Specifically, the licensee failed to correct inadequate fill

and vent Procedure OI-CC-1, "Operating Instructions Component Cooling Water System

Normal Operations," Revision 78 and establish an adequate analysis related to the

potential for void formation in the component cooling water system during accident

conditions. Because this finding was of very low safety significance and entered into the

licensees corrective action program as CR 2014-08892, CR 2014-09011, and CR 2014-

09034, this violation is being treated as a non-cited violation consistent with

Section 2.3.2.a of the NRC Enforcement Policy: NCV 05000285/2014009-15, Failure to

Promptly Identify and Correct a Condition Adverse to Quality.

p. Failure to Correct Longstanding Software Classification Issues

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion XVI,

Corrective Action, was identified involving the failure to take timely corrective actions

for controlling the use of software products used to implement design basis

E2-56

requirements. Specifically, the team identified multiple instances of uncontrolled

software product use at Fort Calhoun Station following identification of similar

deficiencies in 2009 and 2011.

Description. On October 6, 2009, Fort Calhoun Station personnel documented the

results of a quality assurance (QA) audit in CR 2009-04715. The QA audit found that

the Fort Calhoun Station software control program was not being followed and

documented over 10 examples where several work groups (including engineering,

chemistry and emergency preparedness) were using uncontrolled software. The use of

uncontrolled software was contrary to station Procedure NCM-1, Software Classification

and Procurement, Step 4.4 which requires classification of software to ensure the use of

properly classified, quality controlled software in safety related applications. The QA

audit also identified that in some cases the uncontrolled software produced incorrect

results. As a corrective action for these non-conforming conditions, the licensee

completed an apparent cause evaluation and implemented several corrective actions to

improve the ability to check the classification of the software to ensure the software met

QA requirements. On December 13, 2011, QA initiated CR 2011-10137 which identified

that the corrective actions from the previous audit documented in CR 2009-04715 were

not effective and identified six additional examples of uncontrolled software.

The team reviewed CR 2009-04715 and CR 2011-10137 and identified that the

licensees corrective actions to address deficiencies in the use of software products used

to implement design basis requirement were ineffective. Specifically, the team noted

that on September 16, 2013, the licensee documented 15 additional condition reports for

software classification issues. For each of these condition reports, the licensee

identified that software products used to implement design basis requirements were not

controlled in accordance with Procedure NCM-1. The team reviewed these 15 condition

reports and identified that the licensee failed to take corrective actions for the original

condition adverse to quality identified by QA under CR 2009-04715. The licensee

entered this issue into their corrective action program as CR 2014-09162 and initiated

action to strengthen their software control program.

Analysis. The failure to correct a condition adverse to quality was a performance

deficiency. Specifically, the licensees failure to assure software was properly classified

and controlled was a condition adverse to quality. The performance deficiency was

more than minor, and therefore a finding, because if left uncorrected, it could lead to a

more significant safety concern. The team performed an initial screening of the finding

in accordance with NRC Manual Chapter IMC 0609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A,

Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012, this finding is of

very low safety significance (Green) because: (1) the finding was not a deficiency

affecting the design or qualification of a mitigating system; (2) the finding did not

represent a loss of system and/or function; (3) the finding did not represent an actual

loss of function of a single train for greater than its technical specification allowed outage

time; and (4) the finding does not represent an actual loss of function of one or more

non-technical specification trains of equipment designated as high safety-significant in

accordance with the licensees maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

This finding has a cross-cutting aspect in the area of human performance in that the

licensee failed to provide training and ensure knowledge transfer to maintain a

knowledgeable, technically competent workforce, and instill nuclear safety values.

Specifically, the apparent cause report for CR 2009-04715 stated that a contributing

E2-57

cause was first and foremost [there is] a lack of knowledge associated with the

procedural requirements for software control at FCS [H.9].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action,

requires, in part, that measures shall be established to assure that conditions adverse to

quality are promptly identified and corrected. Contrary to the above, prior to July 25,

2014, the licensee failed to correct a condition adverse to quality. Specifically, the

licensee failed to take corrective actions to properly classify and control critical software.

Because this violation was of very low safety significance and entered into the licensees

corrective action program as CR 2014-09162, this violation is being treated as a non-

cited violation, consistent with Section 2.3.2.a of the Enforcement Policy:

NCV 05000285/2014009-16, Failure to Correct Longstanding Software Classification

Issues.

q. Inadequate Corrective Actions to Properly Implement Applicable ASME OM Code

Requirements

Introduction. A Green non-cited violation of 10 CFR 50, Appendix B, Criterion XVI,

Corrective Action, was identified involving the failure to correct a condition adverse to

quality associated with classification of check valves in the auxiliary feedwater system.

Specifically, the licensee failed to update the inservice testing program to classify

auxiliary feedwater discharge check valves as Category A/C valves and include required

seat leakage testing.

Description. On March 3, 2013, the licensee initiated CR 2013-04680 to document a

possible scenario where a strong auxiliary feedwater pump could cause a weak auxiliary

feedwater pump from having enough minimum recirculation flow because of excessive

leakage across discharge check valves FW-173 and FW-174. Action Item 3 of

CR 2013-04680 required the licensee to revise the stations surveillance tests to quantify

the actual check valve leakage. The licensee addressed Action Item 3 by preparing

Calculation FC08310, Auxiliary Feedwater (AFW) Motor Driven Pump FW-6 and

Turbine Driven Pump FW-10 Performance and Runout Evaluation, Revision A. This

calculation concluded that existing testing of auxiliary feedwater check valves was

adequate and that no additional testing or procedure changes were required.

Specifically, the calculation determined that existing surveillances that verify no pressure

rise or pump shaft rotation in an idle pump were adequate to detect check valve leakage

and ensure no loss of minimum recirculation flow.

The NRC reviewed the inservice testing requirements of auxiliary feedwater discharge

check valves FW-173 and FW-174 in March 2013 and identified in

NCV 05000285/2013008-39 that the licensees current testing of these check valves was

inadequate and that the valves should be Category A/C check valves per the ASME

OM Code. Category A/C check valve are those valves that have a specified leak rate

limit and are self-actuated in response to a system characteristic. The non-cited

violation noted that Calculation FC07536, FW 6 and FW 10 Suction and Discharge

Piping Friction Loss (Proto-Flo Model), Revision 0, assumes a 1 gallon per minute

leakage rate through check valves FW-173 and FW-174 when modeling each of the

pumps.

The licensee addressed NCV 05000285/2013008-39 in CR 2013-05514 and concluded

that the in-service testing category for the auxiliary feedwater pump discharge check

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valves was correct because there is no specific leakage value in the design basis for

Fort Calhoun Station and the results of an operability determination concluded that there

is no evidence of significant leakage through valves FW-173 and FW-174.

The team reviewed the licensee corrective actions to CR 2013-04680 and

CR 2013-05514 and the current in-service testing program, and noted that the discharge

check valves were categorized as ASME Category C valves. The team determined that

the licensees corrective actions were inadequate because the licensees design

analysis in Calculation FC07536 specified a leak rate limit for these valve, and therefore

the team determined that the auxiliary feedwater discharge check valves should be

Category A/C check valves per the ASME OM Code. The team also identified that the

licensees current testing that only checks for a pressure rise and pump shaft rotation in

the idle pump was not technically sound and failed to quantify the amount of leakage in

the system. Classifying the valves as Category A/C valves would require measuring

seat leakage as OM Code requires that seat leakage be limited to a specific maximum

amount in the closed position to verify fulfillment of its safety function.

The licensee entered this issue into their corrective action program as CR 2014-08452

and initiated actions to re-assess the current in-service testing methodology of check

valves in the auxiliary feedwater system.

Analysis. The failure to correct a condition adverse to quality associated with the

characterization and inservice testing requirements of check valves in the auxiliary

feedwater system was a performance deficiency. This performance deficiency was

more than minor, and therefore a finding, because it was associated with the equipment

performance attribute of the Mitigating Systems Cornerstone, and affected the

associated cornerstone objective of ensuring the availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. The

team performed an initial screening of the finding in accordance with NRC Manual

Chapter IMC 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2, Mitigating Systems

Screening Questions, dated July 1, 2012, this finding is of very low safety

significance (Green) because: (1) the finding was not a deficiency affecting the design

or qualification of a mitigating system; (2) the finding did not represent a loss of system

and/or function; (3) the finding did not represent an actual loss of function of a single

train for greater than its technical specification allowed outage time; and (4) the finding

does not represent an actual loss of function of one or more non-technical specification

trains of equipment designated as high safety-significant in accordance with the

licensees maintenance rule program for greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a

cross-cutting aspect in the area of problem identification and resolution because the

licensee failed to thoroughly evaluate issues to ensure that resolutions address causes

and extent of conditions commensurate with their safety significance. Specifically, the

licensee failed to evaluate the function of discharge check valves FW-173 and FW-174

when developing the in-service testing program and addressing previous condition

reports [P.2].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action,

requires, in part, that measures shall be established to assure that conditions adverse to

quality, such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and nonconformances are promptly identified and corrected. Contrary to the

above, from March 2013, to July 18, 2014, the licensee failed to correct a condition

E2-59

adverse to quality. Specifically, the licensee failed to correctly classify FW-173

and FW 174 as ASME Category A/C valves and specify a seat leakage limit for these

check valves to ensure they were properly tested in accordance with the ASME

OM Code. Because this violation was of very low safety significance and entered into

the licensees corrective action program as CR 2014-08452, this violation is being

treated as a non-cited violation, consistent with Section 2.3.2.a of the NRCs

Enforcement Policy: NCV 05000285/2014009-17, Inadequate Corrective Actions to

Properly Implement Applicable ASME OM Code Requirements.

r. Failure to Complete Corrective Actions in a Timely Manner

Introduction. A Green non-cited violation of 10 CFR Part 50, Appendix B, Criterion XVI,

Corrective Action, was identified involving the failure to take timely corrective actions to

address deficiencies in station calculations. Specifically, the licensee failed to update

station calculations to incorporate actual test data for sluice gate leakage. Utilizing

correct sluice gate leakage values is a critical input parameter for ensuring intake cell

level control is maintained because the raw water pumps must remove this leakage

during external flooding events to prevent submergence of the pumps motors.

Description. The team reviewed Calculation FC08081, Sizing and Selection for Intake

Cell Flood Water Inlet Valves for the AOP 1 Raw Water Flowpath, Revision 0,

completed in December 2012. Calculation FC08081 supported an engineering change

that modified the stations mitigation strategy for external flooding by completely closing

the sluice gates and relying on flood level valves to regulate water intake cell level. This

calculation assumed an inleakage from the river sluice gates of 750 gallons per minute,

the value listed in the Updated Safety Analysis Report. In May 2013, the licensee

performed a test at the intake structure cells to measure how much river water leaks by

the sluice gates when they are fully closed. The results of this test revealed leakage in

excess of 750 gallons per minute. When the test data was extrapolated to a river level

14 above cell water level, the licensee calculated an inleakage rate of approximately

4650 gallons per minute.

During external flooding events, intake cell level is maintained at a minimum elevation of

9769 in order to adequately supply the raw water pumps, however, the river water level

elevation in the cells must not exceed 1007 to prevent submerging the motors and

rendering them inoperable. Since leakage past the river water sluice gates cannot be

eliminated, the actual leakage parameter is important to ensure the intake cell level

control strategy is adequate. Consequently, the team determined that the licensee failed

to take corrective actions to updated station calculations when new data invalidated the

previous leakage assumptions in Calculation FC08081. The licensee entered this issue

into their corrective action program as CR 2014-09156 and initiated actions to update

Calculation FC08081.

Analysis. The failure to correct a condition adverse to quality associated with

engineering calculations was a performance deficiency. This performance deficiency

was more than minor, and therefore a finding, because if left uncorrected, the finding

could become a more significant safety concern. This finding was also more than minor

because it was associated with the protection from external events attribute of the

Mitigating Systems Cornerstone, and affected the associated cornerstone objective of

ensuring the availability, reliability, and capability of systems that respond to initiating

events to prevent undesirable consequences. The team performed an initial screening

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of the finding in accordance with NRC Manual Chapter IMC 0609, Appendix A, The

Significance Determination Process (SDP) for Findings At-Power. Using IMC 0609,

Appendix A, Exhibit 2, Mitigating Systems Screening Questions, dated July 1, 2012,

this finding is of very low safety significance (Green) because: (1) the finding was not a

deficiency affecting the design or qualification of a mitigating system; (2) the finding did

not represent a loss of system and/or function; (3) the finding did not represent an actual

loss of function of a single train for greater than its technical specification allowed outage

time; (4) did not represent an actual loss of function of one or more non-technical

specification trains of equipment designated as high safety-significant in accordance with

the licensees maintenance rule program; and (5) did not involve the loss or degradation

of equipment or function specifically designed to mitigate a seismic, flooding or severe

weather event. This finding has a cross-cutting aspect in the area of human

performance in that the licensee failed to prioritize an update to Calculation FC08081

following completion of the May 2013 in-leakage test [H.5].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action,

requires, in part, that measures shall be established to assure that conditions adverse to

quality, such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and nonconformances are promptly identified and corrected. Contrary to the

above, from May 2013 until July 25, 2014, the licensee failed to correct a deficiency in

Calculation FC08081, a condition adverse to quality. Specifically, the licensee failed to

correct known discrepancies between the assumed sluice gate inleakage values of

750 gallons per minute and inleakage actual test data obtained in May 2013. Because

this violation was of very low safety significance and entered into the licensees

corrective action program as CR 2014-09156, this violation is being treated as a non-

cited violation, consistent with Section 2.3.2.a of the Enforcement Policy:

NCV 05000285/2014009-18, Failure to Complete Corrective Actions in a Timely

Manner.

s. Failure to Maintain B.5.b Equipment in a State of Readiness to Support Mitigation

Strategies

Introduction. A Green non-cited violation of 10 CFR 50.54(hh)(2), Conditions of

License, was identified involving the failure to maintain available equipment needed to

implement mitigating strategies to maintain or restore core, containment, and spent fuel

pool cooling capabilities following large fires or explosions. Specifically, the licensee

failed to maintain available a flexible suction hose related to the reactor coolant system

heat removal mitigating strategy.

Description. On February 22, 2014, the licensee identified that a storage container with

mitigating strategies equipment was unlocked and had a non-collapsible suction hose

that was cracked. This mitigating strategies equipment is associated with

10 CFR 50.54(hh)(2), which requires the licensee to implement mitigating strategies

needed to maintain or restore core, containment, and spent fuel pool cooling capabilities

following large fires or explosions (commonly referred to as B.5.b equipment). The

licensee initiated CR 2014-02381 documenting the degraded condition of this non-

collapsible suction hose. On March 6, 2014, the licensee completed CR 2014-02381,

Action Item 1, to address the damaged non-collapsible suction hose. The closure

comments for this action item stated that the B.5.b coordinator examined the damaged

hose and verified that the damaged hose is not part of the B.5.b inventory per

Procedure OCAG-1, Operational Contingency Action Guideline, Revision 27,

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Attachment 11, RCS Heat Removal Strategies. Consequently, the licensee did not

replace the non-collapsible suction hose in the B.5.b storage container based on the

item not appearing on the inventory surveillance.

On, July 17, 2014, the licensee performed a walk-down of B.5.b mitigating strategies

with the NRC Senior Resident Inspector and found the flexible suction hose associated

with CR 2014-02381 was missing. The licensee subsequently determined that the

missing temporary flexible suction hose is needed to implement B.5.b mitigating

strategies associated with reactor coolant system heat removal per Procedure OCAG-1,

Section 11. The licensee initiated CR 2014-08876 to address this deficiency and

initiated action to procure a replacement flexible suction hose.

The team reviewed CR 2014-02381 and CR 2014-08876 and determined that the

equipment availability required by 10 CFR 50.54(hh)(2) and license condition B.5.b was

degraded because of the missing flexible suction hose originally identified on

February 22, 2014. The team determined that the reactor coolant system heat removal

mitigating strategy was degraded for approximately five months because of the

deficiency in the B.5.b inventory Procedure OCAG-1, Revision 27, Attachment 11, and

the licensees understanding of the equipment needed to implement the B.5.b strategies.

Analysis. The failure to maintain all equipment available to implement mitigating

strategies as required by regulations and conditions of their operating license was a

performance deficiency. This performance deficiency was more than minor, and

therefore a finding, because it was associated with the equipment performance attribute

of the Mitigating Systems Cornerstone, and adversely affected the cornerstone objective

to ensure the availability, reliability, and capability of systems that respond to initiating

events to prevent undesirable consequences (i.e. core damage). This finding was of

very low safety significance (Green) using NRC Manual Chapter IMC 0609, Appendix L,

B.5.b Significance Determination Process, because it resulted in an unrecoverable

unavailability of an individual mitigating strategy but did not result in multiple unavailable

mitigating strategies such that reactor coolant system heat removal could not occur.

This finding has a cross-cutting aspect in the area of human performance in that the

licensees inadequate B.5.b inventory procedure contributed to the lack of recognition

that the degraded flexible suction hose was required to implement mitigating

strategies [H.1].

Enforcement. Title 10 CFR 50.54(hh)(2), Conditions of Licenses, requires, in part, that

the licensee develop and implement guidance and strategies intended to maintain or

restore core cooling to mitigate fuel damage under the circumstances associated with

loss of large areas of the plant due to explosions or fire. Contrary to the above, between

February 22 and July 17, 2014, the licensee failed to implement guidance to maintain or

restore core cooling to mitigate fuel damage under the circumstances associated with

loss of large areas of the plant due to explosions or fire. Specifically, the licensee failed

to implement strategies to maintain core cooling associated with the possible loss of

large areas of the plant due to explosions or fire because they failed to maintain

available all equipment needed to implement Procedure OCAG-1, Operational

Contingency Action Guideline, Section 11, RCS Heat Removal Strategies. Because

this violation was of very low safety significance and entered into the licensees

corrective action program as CR 2014-08876, this violation is being treated as a non-

cited violation, consistent with Section 2.3.2.a of the NRCs Enforcement Policy:

E2-62

NCV 05000285/2014009-19, Failure to Maintain B.5.b Equipment in a State of

Readiness to Support Mitigation Strategies.

t. Failure to Correct Conditions Adverse to Quality in the Diesel Generator Starting Air

System

Introduction. A self-revealing Green non-cited violation of 10 CFR Part 50, Appendix B,

Criterion XVI, Corrective Action, was identified involving the failure to take timely

corrective actions to address service life related degradation of the emergency diesel

generator starting air system. Consequently, diesel generator 1 failed to roll during

planned surveillance testing due to a degraded diesel starting air valve.

Description. On August 4, 2012, the licensee initiated CR 2012-09424 that identified

that diesel generator starting air valves were obsolete, had reached their end-of-service

life and needed replacement. Condition Report 2012-09424, Action Item 1, determined

that diesel generator starting air valve SA-148 would be removed from the 2011

refueling outage scope under Outage Scope Change Request 11-169. The outage

scope change request included an evaluation that justified a deferral of the planned

replacement of valve SA-148 to coincide with implementation of Engineering

Change (EC) 42846 to upgrade the diesel generator starting air tanks from carbon steel

to stainless steel. The outage scope change request evaluation justified performing the

modifications proposed under EC 42846 on-line. Consequently, the licensee did not

replace starting air valve SA-148.

On February 22, 2013, the licensee initiated CR 2013-04030 documenting that diesel

generator 1 failed to roll during planned surveillance testing. Troubleshooting by the

licensee determined that one of the two starting air valves, SA-146 or SA-148, had failed

to operate. Following replacement of valve SA-148, the licensee performed testing,

disassembly, and inspection of the removed valve that revealed a crack in the

diaphragm that caused the valve not to operate. The apparent cause of diesel

generator 1s failure to roll identified in CR 2013-04030 was age-related degradation of

starting air valve SA-148 due to a lack of preventative maintenance. The licensee

replaced valve SA-148 and implemented corrective actions for CR 2013-04030 that

consisted of development of preventative maintenance strategies for the starting air

system following completion of the modifications proposed under EC 42846.

The team reviewed CR 2012-09424 and CR 2013-04030 and identified that the

licensees corrective actions to address obsolescence and service life related issues in

the diesel starting air system were untimely and resulted in the failure of diesel

generator 1 to roll on February 22, 2013. The licensee entered the issues involving

untimely corrective actions into their corrective action program as CR 2014-08452.

Analysis. The failure to correct a condition adverse to quality associated with age

related degradation of components in the diesel starting air system was a performance

deficiency. This performance deficiency was more than minor, and therefore a finding,

because it was associated with the equipment performance attribute of the Mitigating

Systems Cornerstone and affected the associated objective to ensure availability,

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

undesirable consequences. Using Inspection Manual Chapter 0609, Appendix G,

Attachment 1, Shutdown Operations Significance Determination Process Phase 1 Initial

Screening and Characterization of Findings, Exhibit 3, Mitigating Systems Screening

E2-63

Questions, dated May 9, 2014, the finding was of very low safety significance (Green)

because the finding does not represent a loss of system safety function and the finding

does not represent an actual loss of safety function of a single train for greater than its

technical specification allowed outage time. This finding has a cross-cutting aspect in

the area of human performance in that the licensee failed to recognize and plan for the

possibility of latent issues and inherent risk, even while expecting successful outcomes

when determining the repair schedule for starting air valve SA-148 [H.12].

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action,

requires in part that measures shall be established to assure that conditions adverse to

quality are promptly identified and corrected. Contrary to the above, prior to

February 22, 2013, the licensee failed to correct a condition adverse to quality.

Specifically, the licensee failed to correct the condition documented in CR 2012-09424

involving diesel generator starting air valves that had reached their end-of-service life.

Because this violation was of very low safety significance and entered into the licensees

corrective action program as CR 2014-08452, this violation is being treated as a non-

cited violation, consistent with Section 2.3.2.a of the NRCs Enforcement Policy:

NCV 05000285/2014009-20, Failure to Correct Conditions Adverse to Quality in the

Diesel Generator Stating Air System.

u. Failure to Take Timely Corrective Actions for an Unsealed Raw Water System Control

Panel

Introduction. A self-revealing Green non-cited violation of 10 CFR Part 50, Appendix B,

Criterion XVI, Corrective Action, was identified involving the failure to take corrective

actions to address a design deficiency in the control panel for raw water

strainer AC-12B. Consequently, the panel experienced a water intrusion event on

August 3, 2014, resulting in an unplanned inoperability of the raw water system.

Description. On February 14, 2013, a fire protection leak of approximately 2-3 gallons

per minute leaked onto raw water strainer AC-12B control panel AI-348 causing a

trouble alarm. The licensees apparent cause evaluation for this event, performed under

CR 2013-03301, identified deficiencies in the fluid leak management program as the

cause of this event. The licensees apparent cause did not identify design deficiencies

with panel AI-348 in that the component was susceptible to spraying and wetting.

Consequently, the licensee did not take corrective actions to seal or encase

panel AI-348.

On June 3, 2014, a severe weather event damaged the intake structure roof resulting in

water leakage into panel AI-348. The water in-leakage resulted in a blown fuse and loss

of power to the drive motor for strainer AC-12B and unplanned entry into 12 hour1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />

shutdown Technical Specification 2.4(2)d, Containment Cooling. The licensees

apparent cause evaluation for this event, performed under CR 2014-06974, identified a

contributing cause that Engineering Change (EC) 41587, Raw Water Strainer Upgrade,

Revision 0, did not consider the many sources of water in the raw water vault when

specifying the encasement of the control system. The licensee developed corrective

action CA-2 with a due date of August 15, 2014, to prepare engineering changes to

upgrade panel AI-348 and its conduits to be waterproof.

On July 9, 2014, the team reviewed CR 2013-03301 and CR 2014-06974 and

questioned if more immediate corrective actions were required to prevent additional

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water intrusion into panel AI-348. The licensee initiated CR 2014-08430 documenting

the teams concern. Similarly, during a plant walkdown on July 23, 2014, the team

expressed concern regarding the proximity of fire and circulating water near

panel AI-348 and the potential for water intrusion from those non-seismically qualified

fluid systems. On July 24, 2014, the team debriefed the licensee that the failure to

adequately seal panel AI-348 was a proposed violation of 10 CFR 50, Appendix B,

Criterion III, Design Control (See NCV 05000285/2014009-06 in Section 4OA2.5.f of

this report). Following the teams inspection debrief, the licensee did not take corrective

actions to prevent water intrusion into panel AI-348.

On August 1, 2014, the team again expressed concern with the licensees corrective

actions to address potential water intrusion events into panel AI-348 during a conference

call with the licensees system engineer and the NRC Senior Resident Inspector.

Following this conference call, the licensee did not take corrective actions to prevent

water intrusion into panel AI-348.

On August 3, 2014, an additional event occurred where water leaked through the intake

structure roof and onto control panel AI-348. Similar to the previous events, the water

intrusion resulted in a blown fuse and loss of power to the drive motor for

strainer AC-12B and unplanned entry into 12 hour1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> shutdown Technical Specification 2.4(2)d, Containment Cooling.

The team determined that the licensees corrective actions to address the unsealed

conduits in control panel AI-348 were untimely and resulted in an additional failure of

that panel on August 3, 2014. Following identification of this issue, the licensee

implemented corrective actions to seal conduits leading to control panel AI-348 to

prevent future water intrusion. The licensee entered this issue into their corrective action

program as CR 2014-09572.

Analysis. The failure to correct a condition adverse to quality associated with a design

deficiency in the raw water strainer control panel was a performance deficiency. This

performance deficiency was more than minor, and therefore a finding, because it was

associated with the equipment performance attribute of the Mitigating Systems

Cornerstone and affected the associated objective to ensure availability, reliability, and

capability of systems that respond to initiating events to prevent undesirable

consequences. The team performed an initial screening of the finding in accordance

with NRC Manual Chapter IMC 0609, Appendix A, The Significance Determination

Process (SDP) for Findings At-Power. Using IMC 0609, Appendix A, Exhibit 2,

Mitigating Systems Screening Questions, dated July 1, 2012, this finding is of very low

safety significance (Green) because it: (1) was not a deficiency affecting the design or

qualification of a mitigating system; (2) did not represent a loss of system and/or

function; (3) did not represent an actual loss of function of a single train for greater than

its technical specification allowed outage time; and (4) does not represent an actual loss

of function of one or more non-technical specification trains of equipment designated as

high safety-significant in accordance with the licensees maintenance rule program for

greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This finding has a cross-cutting aspect in the area of problem

identification and resolution in that the licensee failed to adequately review and provide

timely responses to past operating experience that demonstrated that panel AI-348 was

susceptible to water intrusion [P.5].

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Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action,

requires, in part, that measures shall be established to assure that conditions adverse to

quality are promptly identified and corrected. Contrary to the above, from February 13,

2013 until August 3, 2014, the licensee failed to correct a condition adverse to quality.

Specifically, the licensee failed to correct the condition documented in CR 2013-03301

and CR 2014-06974 involving an unsealed control panel for raw water strainer AC-12B.

Because this violation was of very low safety significance and entered into the licensees

corrective action program as CR 2014-09572, this violation is being treated as a non-

cited violation, consistent with Section 2.3.2.a of the NRCs Enforcement Policy:

NCV 05000285/2014009-21, Failure to Take Timely Corrective Actions for an Unsealed

Raw Water System Control Panel.

4OA3 Follow-up of Events and Notices of Enforcement Discretion (71153)

.1 (Closed) Licensee Event Report 05000285/2012-009-01, Inoperable Equipment Due to

Lack of Environmental Qualifications

On December 13, 2011, the licensee identified that the current analysis of record for a

main steam line break inside containment identified a peak temperature of

358.6 degrees Fahrenheit and a maximum exposure period of approximately

160 seconds. The licensees electrical equipment environmental qualification evaluation

assumed a maximum temperature of 401 degrees Fahrenheit but an exposure time less

than 160 seconds. The licensee concluded that no evaluation or analysis existed to

address why the original environmental assumptions remained valid with the longer

exposure time. The licensee identified this condition when Fort Calhoun Station was

shutdown and defueled. As corrective action, the licensee performed a thermal lag

analysis to determine the impact of the longer exposure time that revealed the longer

period did not adversely affect environmental qualification of installed electrical

equipment. Based on the updated analysis, the licensee determined that the original

condition no longer represents a safety system functional failure and this condition was

submitted as a voluntary report. The team reviewed the licensee event report

associated with this event and determined that the licensee adequately documented the

summary of the event and the potential safety consequences. Since the licensee

submitted this licensee event report as a voluntary report, the team did not identify any

performance deficiencies or violations of regulatory requirements. This licensee event

report is closed.

.2 (Closed) Licensee Event Report 05000285/2013-002-01, CVCS Class 1 & 2 Charging

Supports are Unanalyzed

On January 25, 2013, the licensee identified that the original piping supports in the

chemical and volume control system had no calculations of record. The licensee

discovered this design issue during a planned piping replacement. When the

calculations for the replacement piping were completed, the licensee identified an

overstress condition for the original piping that made that equipment susceptible to

failure during a seismic event. The licensee identified this condition when Fort Calhoun

Station was shutdown and defueled and corrective actions were implemented to analyze

and modify the supports as required to conform to the piping load requirements of the

various operational modes. Since this condition existed since original construction, the

licensee determined that the event was reportable in accordance with

10 CFR 50.73(a)(2)(i)(B) and 10 CFR 50.73(a)(2)(v)(C). The team reviewed the

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licensee event report associated with this event and determined that the licensee

adequately documented the summary of the event and the potential safety

consequences. The team documented a licensee identified non-cited violation of

10 CFR Part 50, Appendix B, Criterion III, Design Control, in Section 4OA7 of this

report. This licensee event report is closed.

.3 (Closed) Licensee Event Report 05000285/2012-021-00, HCV-2987, HPSI Alternate

Header Isolation Valve

On January 29, 2012, the licensee identified that valve HCV-2987, high pressure safety

injection alternate header isolation, would not have been able to fulfill its specified safety

function because of unacceptable valve packing friction. Subsequent review by the

licensee found that in 2008 valve HCV-2987 exhibited a higher than acceptable valve

packing friction such that the valve would not have been able to fulfill its function. Since

no corrective action was taken in 2008 to correct the condition on valve HCV-2987, the

licensee determined that the valve was inoperable for a period greater than allowed by

technical specifications and reportable under 10 CFR 50.73(a)(2)(i)(B) and

10 CFR 50.73(a)(2)(v)(B). The team reviewed the licensee event report associated with

this event and determined that the licensee adequately documented the summary of the

event and the potential safety consequences. The team documented a licensee

identified non-cited violation of 10 CFR Part 50, Appendix B, Criterion XVI, Corrective

Action, in Section 4OA7 of this report. This licensee event report is closed.

.4 (Closed) Licensee Event Report 05000285/2013-019-01, Non-Seismic Circulating Water

Pipe Could Disable Raw Water Pumps

On December 2, 2013, NRC inspectors identified that a non-safety related circulating

water pipe in the raw water vault could fail during a seismic event and potentially flood

electrical equipment in the raw water system. On December 3, 2013, the licensee

confirmed that internal flooding design vulnerabilities existed and established corrective

actions to prevent circulating water from flooding the raw water vault during a seismic

event. Because this issue had the potential to impact all raw water pumps, the licensee

determined this event was reportable under 10 CFR 50.73(a)(2)(v)(B). The team

reviewed the licensee event report associated with this event and determined that the

licensee adequately documented the summary of the event and the potential safety

consequences. The NRC previously identified non-cited violation

NCV 05000285/2013013-14, Inadequate Corrective Action for Non-Seismic Category 1

Piping, documenting the licensees failure to correct non-Category 1 (seismic) piping in

the intake structure raw water vault. No additional performance deficiencies were

identified. This licensee event report is closed.

.5 (Closed) Licensee Event Report 05000285/2013-001-00, Mounting of GE HFA Relays

does not Meet Seismic Requirements

On December 21, 2012, the licensee received vendor data that revealed that General

Electric model HFA relays did not pass the seismic qualification testing. This issue

affected 136 relays installed at Fort Calhoun Station and was attributed to two back plate

mounting screws torqued to less than the required 5 foot-pounds. The licensee

determined the event was reportable in accordance with 10 CFR 50.73. Since the

inadequate torqueing of the screws did not result in actual failure of a system, the

condition was of very low safety significance. The inspectors reviewed the licensee

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event report and determined that the licensee adequately documented the summary of

the event and the potential safety consequences. The NRC previously identified non-

cited violation NCV 05000285/2013008-31, Multiple Examples of Operability

Determinations that Lacked Adequate Technical Justification, documenting the

licensees failure to recognize the loss of seismic qualification due to the incorrectly

torqued backing screws. The team also reviewed a licensee-identified violation in that

Licensee Event Report 2013-001 was submitted greater than 60 days following

discovery that these relays had lost their seismic qualification. The enforcement aspects

associated with this late report are discussed in Section 4OA7 of this report. This

licensee event report is closed.

.6 (Closed) Licensee Event Report 05000285/2014-004-00, Unqualified Limit Switches

Render Safety Equipment Inoperable

On April 24, 2014, the licensee identified that the environmentally qualified

Namco' Type EA180 limit switches were not maintained per vendor requirements.

Specifically, the vendor manual provided torque values of 20-25 inch-pounds for the top

cover screws; whereas, the licensees maintenance procedure only required a torque

value of between 19-21 inch-pounds for the top cover screws. With a switch cover only

torqued to 19 inch-pounds, the installed configuration would not match the as-tested

condition and there would be no technical basis to support the acceptability of the use of

the switch in a harsh environment. The licensee implemented corrective actions to

change the applicable plant maintenance procedure and ensured that the limit switch top

cover gasket and screw assemblies for all environmentally qualified Namco' EA180

series limit switches were installed per vendor requirements. The affected limit switches

mostly provided component position indication; however, one set of limit switches was

required to initiate the filtered air mode on control room ventilation. The team reviewed

the licensee event report associated with this event and determined that they adequately

documented the summary of the event and the potential safety consequences. The

team documented a licensee-identified violation of Technical Specification 5.8.1.a,

Procedures, involving the licensees failure to provide adequate instructions for

performing maintenance on Namco' Type EA180 limit switches in Section 4OA7. The

team also identified that Licensee Event Report 2014-004-00 was submitted greater than

60 days following discovery that these limits switch had lost their environmental

qualification. The enforcement aspects associated with this late report are discussed in

Section 4OA2.5.h of this report. This licensee event report is closed.

4OA4 Inspection Manual Chapter (IMC) 0350 Inspection Activities (92702)

The inspection team conducted NRC IMC 0350 inspection activities, which included an

assessment and verification of commitments described in the Confirmatory Action

Letter (CAL) issued December 17, 2013. The CAL confirmed the commitments in the

December 2, 2013, Omaha Public Power District (OPPD), Integrated Report to Support

Restart of Fort Calhoun Station and Post-Restart Commitments for Sustained

Improvement. In the report, OPPD committed to complete actions following restart of

the Fort Calhoun Station to ensure the improvements realized during the extended

outage remain in place and performance continues to improve at the facility. This report

summarized the actions in the 10 Performance Improvement Integrated Matrix (PIIM)

Action Plans that were critical to ensuring effective implementation of corrective actions

to prevent recurrence of the Restart Checklist items, the safety-significant

Fundamental Performance Deficiencies, and other important performance

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improvement areas necessary for achieving and sustaining excellence. These plans

are as follows:

  • Organizational Effectiveness, Safety Culture, and Safety Conscious Work

Environment

  • Problem Identification and Resolution
  • Performance Improvement and Learning Programs
  • Design and Licensing Basis Control and Use
  • Site Operational Focus
  • Procedures
  • Equipment Performance
  • Programs
  • Nuclear Oversight
  • Transition to the Exelon Nuclear Management Model and Integration into the Exelon

Nuclear Fleet

OPPD characterized these plans as the Key Drivers for Achieving and Sustaining

Excellence. For each of these plans, the team verified implementation of the

associated action items by:

  • Verifying that the action item descriptions correspond to the action item descriptions

in Enclosure 3 of the December 2, 2013, OPPD letter;

  • Reviewing documents produced or revised by the action item and/or records

resulting from implementation of the action item;

  • Verifying completion of the action item as scheduled;
  • Assessing the licensees effective use of appropriate performance metrics to

demonstrate performance improvement; and

  • Where applicable, performed independent verification of improved performance.

Also, for action items which involved developing or revising and delivering training

materials, the team not only reviewed the training materials to verify the material content,

but also interviewed selected recipients to verify effective delivery of those materials. As

the team verified implementation of action items as described above, they compiled

observations to describe instances in which the licensee did not complete Action

Items (AIs) as originally scheduled and as originally described.

Provided below are sections for each of the PIIM Action Plans; each section is identified

by the PIIM Action Plan title in bold text. Within each section are one or more

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subsections that correspond to each of the key driver action items that were within the

scope of this inspection. Within each subsection are descriptions of (1) the inspection

scope, (2) the most notable observations that resulted from inspecting the action item,

and (3) the assessment results.

1. Organizational Effectiveness, Safety Culture and Safety Conscious Work

Environment

Item 1.a: Organizational Effectiveness

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-08132-010, Establish initial and continuing leadership development

programs that incorporate the attributes of a strong nuclear safety culture and an

operationally focused organization.

  • AI 2012-08132-021, Perform a self-assessment with a team comprised of station

and industry personnel to determine if OPPD has established and implemented

the essential attributes of governance and oversight, including the key elements

of individual roles, responsibilities, and accountabilities.

  • AI 2012-08132-025, Perform a leadership skills assessment in the areas of

alignment, accountability and standards.

  • AI 2012-03986-049, Perform a self-assessment of development and

implementation the Nuclear Safety Culture Monitoring Panel and Corporate

Nuclear Oversight policies and leaders are being held accountable to the

policies.

(2) Observations and Findings

The licensee has completed these action items. Inspection of these items identified

the following weaknesses:

  • After the licensee closed AI 2012-08132-010 on August 27, 2013, they allowed

the performance indicator titled Leader Development and Assessment, to

remain in white status for 15 months, because one of the inputs to that

performance indicator had been in red status and the licensee had failed to

address that input during the period. The subject indicator was titled Monthly

IDP Meeting, and measured the percentage of managers who had held monthly

discussions with supervisors of the supervisors individual development plans.

When questioned, the licensee asserted that the subject meetings were

occurring, but managers were not properly documenting them.

This represented a weakness in problem resolution. The inspectors reviewed the

additional documents associated with this issue and consider this AI closed.

  • When a leadership skills assessment revealed that leadership performance did

not achieve the goals previously set, the licensee revised the goals and closed

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the associated action item. Specifically, for AI 2012-08132-025, the licensee had

established the acceptance criterion stated as, A successful improving trend will

be measured by 80% of the items measured show a slight to significant increase

from six months prior. However, their assessment determined that only 48% of

the items measured showed a slight to significant increase from six months prior.

Subsequently, the licensee revised the acceptance criterion to, Success is

measured by an overall "significant" increasing trend in the average of the key

leadership skills/attributes . . . and re-performed the assessment. Then,

because the number of items measured satisfied the revised acceptance

criterion, the licensee closed the follow-up action items.

This represented a weakness in problem resolution. The inspectors reviewed the

additional documents associated with this task and consider this task closed

  • To address an adverse trend, the licensee implemented corrective actions

without completing an evaluation to verify that those corrective actions were both

necessary and sufficient. Specifically, when the licensee completed the

assessment described in AI 2012-08132-025, they noted that only 48% of the

items measured showed a slight to significant increase from six months prior and

that two of those items showed a slight to significant decrease. One of the items

that had decreased was the score associated with the survey item described as

Use of error reduction tools (procedure use, self -checking, and three-way

communication) are reinforced by my supervisor. The licensee did not address

this item through their corrective action program, because, without completing a

cause evaluation, they considered that near-term implementation of two Exelon

human-performance procedures would address the subject decreases. Thus,

the licensee failed to evaluate the possibility other factors might have been a

cause of the decreases that wouldnt be adequately addressed by the two newly

implemented Exelon human performance procedures.

This represented a weakness in problem evaluation. The inspectors reviewed the

additional documents associated with this task and consider this task closed

(3) Assessment Results

The licensee has closed all of the action items associated with this item. Although

inspection of these action items revealed weaknesses associated with problem

evaluation and resolution, the team considers these action items adequate because

the actions were sufficient to fully address the tasks.

The team considers PIIM item 1.a closed.

Item 1.b: Station Safety Culture/Safety Conscious Work Environment

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-03986-049, Perform a self-assessment of development and

implementation of the Nuclear Safety Culture Monitoring Panel and Corporate

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Nuclear Oversight policies and leaders are being held accountable to the

policies.

  • AI 2012-04262-057; AI 2012-04262-068; AI 2012-04262-069, Perform an annual

assessment by individuals independent of line management of the Fort Calhoun

safety culture against industry standards and best practices in 2014, 2015

and 2016.

(2) Observations and Findings

Inspection of these action items resulted in no notable observations.

(3) Assessment Results

The licensee completed and closed AI 2012-03986-049 and AI 2012-04262-057.

The only remaining action items (AI 2012-04262-068 and AI 2012-04262-069)

involve assessments and are scheduled to be completed in 2015 and 2016.

The team considers these action items adequate based on the following provisions:

(1) all of these action items involve assessments, (2) the licensee successfully

completed two of the assessments, (3) the remaining assessments are currently on

schedule such that they will be completed at the due date.

The team considers PIIM item 1.b closed.

2. Problem Identification and Resolution

Item 2.a: Corrective Action Program (CAP) Excellence Plan - Problem Identification

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-08675-006, Develop and implement CAP fundamentals, reinforced

through an accountability model. The CAP behaviors managed under the

accountability model will be defined in the CAP fundamental rules. CAP

procedures will be updated to incorporate the CAP fundamentals.

  • AI 2013-08675-010, Develop new performance measures for CAP effectiveness.
  • AI 2013-08675-046, Perform an effectiveness review of the implementation of

CAP fundamentals for problem identification.

(2) Observations and Findings

The licensee closed AI 2013-08675-006 without completing it as described.

Specifically,

  • This action item was to Develop and implement CAP fundamentals that will

be managed under the accountability model and defined in the CAP

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Fundamental Rules. CAP procedures will be updated to incorporate the CAP

Fundamentals.

  • The team noted that the site accountability model does not include specific

CAP fundamentals. In response to the teams questions, the licensee was

not able to provide a list that was designated as CAP fundamentals.

However, in discussions with the team, the licensee stated that they recently realized

that the CAP fundamentals to which this action item refers are actually fundamental

behaviors associated with applying a questioning attitude and complying with

procedural guidance, and that those behaviors were already effectively managed

under the site accountability model. The team considered the licensees statements

to be reasonable, and therefore considers this action item closed.

(3) Assessment Results

The licensee has closed AI 2013-08675-006, AI 2013-08675-010, and

AI 2013-08675-046; no action items associated with this item remain open.

Although the action items associated with this PIIM item are complete and appear

reasonable, the team considered the following to determine whether to close this

PIIM item:

  • The assessment results from the teams independent verification of improved

performance conducted in the area of corrective action program effectiveness

(Section 4OA2.1) suggest that CAP effectiveness warrants further

improvement;

  • Section 4OA2.5 of this report describes multiple violations of 10 CFR Part 50,

Appendix B, Criterion XVI, Corrective Action, for the licensees failure to

correct conditions adverse to quality in a timely manner;

  • The action items associated with PIIM item 2.a are intended to help correct

the programmatic deficiencies which caused or contributed to the issues

discussed above;

  • As described in AI 2013-08675-010, the licensee developed new

performance measures for CAP effectiveness; and

  • The subject performance measures have not been in place long enough to

demonstrate that CAP effectiveness is improving and will be sustained at a

high level.

Based on these considerations, the team determined that PIIM item 2.a will remain

open.

Item 2.b: CAP Excellence Plan - Root Cause and Apparent Cause Quality

(1) Inspection Scope

The team reviewed the implementation of the following action items:

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  • AI 2013-08675-034, Provide Departmental Corrective Action Review Board and

Site Corrective Action Review Board members and Corrective Action Program

Coordinators (CAPCOs) training on their responsibilities under the CAP. For Site

Corrective Action Review Board, include appropriate causal analysis training.

  • AI 2013-08675-008, Require Site Corrective Action Review Board to provide

Root-Cause Analysis and Apparent-Cause Analysis grading sheets that include

specific success criteria prior to approval of cause analyses.

  • AI 2013-08675-006, Develop and implement CAP fundamentals, reinforced

through an accountability model. The CAP behaviors managed under the

accountability model will be defined in the CAP fundamental rules. CAP

procedures will be updated to incorporate the CAP fundamentals.

  • AI 2013-08675-010, Develop new performance measures for CAP effectiveness.
  • AI 2012-03495-033, Perform a focused self-assessment of root cause analysis

quality.

  • AI 2013-08675-041, Perform an effectiveness review of the Management Review

Committee (MRC) oversight function for CAP.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee has closed all of the action items associated with this item, and the

inspectors considered all of these action items closed.

Although the action items associated with this PIIM item are complete and appear

reasonable, the team considered the following to determine whether to close this

PIIM item:

  • The assessment results from the teams independent verification of improved

performance conducted in the areas of corrective action program

effectiveness and self-assessments and audits (Sections 4OA2.1 and

4OA2.3) suggest that CAP effectiveness warrants further improvement;

  • Section 4OA2.5 of this report describes multiple violations 10 CFR Part 50,

Appendix B, Criterion XVI, Corrective Action, for the licensees failure to

correct conditions adverse to quality or take adequate corrective actions in a

timely manner;

  • The action items associated with PIIM item 2.b are intended to help correct

the programmatic deficiencies which caused or contributed to the issues

discussed above;

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Based on these considerations, the team determined that PIIM item 2.b will remain

open.

Item 2.c: CAP Excellence Plan - Corrective Action Closure

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-08675-006, Develop and implement CAP fundamentals, reinforced

through an accountability model. The CAP behaviors managed under the

accountability model will be defined in the CAP fundamental rules. CAP

procedures will be updated to incorporate the CAP fundamentals.

  • AI 2013-08675-010, Develop new performance measures for CAP effectiveness.
  • AI 2013-08675-046, Perform an effectiveness review to determine if the

corrective action to prevent recurrence was implemented timely and has been

effective.

  • AI 2013-08675-047, Perform an effectiveness review of the coding and

timeliness of action item closure.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee closed AI 2013-08675-006, AI 2013-08675-010, and

AI 2013-08675-046. AI 2013-08675-047 involves an assessment and is due

September 10, 2014.

Although most of the action items associated with this PIIM item are complete and

appear reasonable, the team considered the following to determine whether to close

this PIIM item:

  • The assessment results from the teams independent verification of improved

performance conducted in the areas of corrective action program

effectiveness and self-assessments and audits (Sections 4OA2.1

and 4OA2.3) suggest that CAP effectiveness warrants further improvement;

  • Section 4OA2.5 of this report describes multiple violations 10 CFR Part 50,

Appendix B, Criterion XVI, Corrective Action, for the licensees failure to

correct conditions adverse to quality or take adequate corrective actions in a

timely manner;

  • The action items associated with PIIM item 2.c are intended to help correct

the programmatic deficiencies which caused or contributed to the issues

discussed above;

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Based on these considerations, the team determined that PIIM item 2.c will remain

open.

3. Performance Improvement and Learning Programs

Item 3.a: Performance Improvement

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-08675-035, Establish tiered trending code structure for condition reports

consistent with Exelon nuclear standards.

  • AI 2012-08126-018, Revise and issue the Fort Calhoun Station performance

improvement implementing procedures to align with the Exelon procedures.

  • AI 2012-08126-015, Develop and execute a change management plan for the

leadership team regarding the newly revised performance improvement

procedures and disseminate the information in related INPO documents.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee completed and closed AI 2012-08126-018 and AI 2012-08126-015, and

the team considers those AIs closed. AI 2013-08675-035 has a due date of

August 29, 2014. This area will remain open until the licensee completes the action

to establish a tiered trending code structure for condition reports consistent with

Exelon nuclear standards and the NRC reviews that structure.

The team determined that PIIM item 3.a will remain open.

Item 3.b: Human Performance

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-08135-014, Implement the human performance strategy: a. Ensure that

the Human Performance (HU) Steering Team oversees the implementation of the

human performance strategy; and b. Integrate the human performance strategy

into the business plan to ensure that resources are available for improvements.

  • AI 2012-08135-015, Evaluate the effectiveness of the human performance

strategy.

  • AI 2012-08135-008, Develop and implement a human performance strategic

plan.

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  • AI 2012-08135-016, Maintain the right picture of excellence in human

performance through monitoring progress in improving human performance via

the Human Performance Steering Team, monitoring operating experience and

conducting regular benchmarking and self-assessment activities, updating the

human performance strategic plan as needed, and using change management to

guide the implementation of improvement initiatives.

  • AI 2012-08135-026, Interim Effectiveness Review: On a 3-month basis, monitor

the implementation success of the HU Strategic Plan (that stages are effective

and on schedule), assess for initial trend moving towards negative followed by

subsequent sustained positive trend.

  • AI 2012-08135-027, Interim Effectiveness Review: On a 3-month basis, monitor

the implementation success of the HU Strategic Plan (that stages are effective

and on schedule), assess for initial trend moving towards negative followed by

subsequent sustained positive trend.

  • AI 2012-08135-028, Perform quarterly review of human performance indicators

through 4th quarter 2013.

  • AI 2012-08135-029, Conduct a self-assessment with industry peers to ensure

program meets industry best practices.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee has closed all of the action items associated with this item. The team

considers these action items closed based upon the following provisions: (1) the

actions associated with the action items fully address the task, and (2) the action

items are all complete.

The team considers PIIM item 3.b closed.

4. Design and Licensing Basis Control and Use

Item 4.a: Design And Licensing Basis

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-05570-025, Complete Phase 2 of the key calculation identification and

improvement process. Phase 2 of the process evaluates the critical calculations

defined purpose and methodology, defined acceptance criteria, and

appropriateness of the results and conclusions.

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  • AI 2013-05570-091, Perform a technical assessment of modifications performed

between January 1, 1989, and January 1, 2007, on a population of the top six

risk significant systems that provides a 95/95 confidence level that no nuclear

safety issues have been introduced into the plant.

  • AI 2013-05570-010, Strengthen the Engineering Assurance Group to improve the

oversight of engineering products that affect the design or licensing basis.

  • AI 2013-05570-079, Decide the appropriate Design Basis Document (DBD)

model for Fort Calhoun Station.

  • AI 2013-05570-092, Complete Phase 3 of the Key Calculation Project. Phase 3

consists of revising any deficient critical calculation or engineering analysis

identified from Phase 2, as needed.

  • AI 2013-05570-057, Develop performance metrics to trend and trigger action on

the performance of the use, implementation, and identification of design and

licensing bases issues such as, effective and ineffective 50.59 evaluations, and

procedure inadequacies related to design and licensing bases.

  • AI 2013-05570-067, Develop and implement an aggregate station performance

indicator to measure the effectiveness of maintenance and use of licensing and

design bases information.

  • AI 2013-05570-049, Modify engineering support personnel initial and continuing

training addressing the design and licensing basis record types and retrievadl.

  • AI 2013-05570-052, Deliver the modified training to the engineering support

personnel.

  • AI 2013-17439-003, Ensure Design Engineering performs at least one

engineering self-assessment on a risk significant system in 2014.

  • AI 2013-17439-004, Ensure Design Engineering performs at least one

engineering self-assessment on a risk significant system in 2015.

  • AI 2013-17439-005, Assign condition reports to ensure Design Engineering

continues to perform an engineering self-assessment on risk significant systems

each year.

  • AI 2013-05570-026, Identify and define the current licensing bases and assure

licensing bases documentation remains current, accurate, complete, and

retrievable.

  • AI 2013-05570-076, Identify and define the design bases and assure design

bases documentation remains current, accurate, complete, and retrievable.

  • AI 2013-05570-093, Validate the design and licensing basis has been translated

into plant operation by verifying that the operation, surveillance, and maintenance

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of the safety-related components do not compromise the design and licensing

basis.

(2) Observations and Findings

When the licensee completed AI 2013-05570-057, they established a performance

indicator that was not effective. Specifically, they established a performance

indicator to indicate performance with respect to 10 CFR 50.59 evaluations which

tracked the number of records to which certain trend codes had been assigned, but

the licensee did not instruct the staff about how to properly assign those trend codes.

Consequently, the staff did not properly assign the trend codes, and the performance

indicator did not effectively indicate the intended performance. The licensee

identified two records to which the subject trend codes were not assigned, but should

have been. Additionally, the team identified several more instances where trend

codes should have been assigned. The team determined that if the licensee had

properly assigned the subject trend codes to the affected records, and if the licensee

had properly identified the resulting trend, they would have placed the performance

indicator in red (needing attention) status. In response to the teams observation,

the licensee initiated CR 2014-08532 to correct the affected records and instruct the

staff about how to properly assign trend codes.

The licensee determined that they could not complete AI 2013-05570-049 (which

involved training addressing the design and licensing basis record types and retrieval

methods) until after the Design and Licensing Basis Reconstitution Project had

finalized decisions about record types and retrieval methods. Through other action

items, the licensee subsequently developed a Request for Training to incorporate the

subject training into their Engineering Support Training Five-Year Plan.

(3) Assessment Results

The licensee completed and closed AIs 2013-05570-010, -025, -067, -079, and -091.

The team considers these AIs closed.

This licensee is implementing AI 2013-05570-092 with a due date of March 15, 2015.

The licensee initiated action under CR 2014-08532 to ensure that the performance

indicator established under AI 2013-05570-057 is effective. Through other action

items, the licensee plans to complete the action described in AI 2013-05570-049.

AI 2013-17439-003, AI 2013-17439-004, AI 2013-17439-005 are scheduled to

complete assessments in 2014, 2015, & 2016, and AI 2013-05570-026,

AI 2013-05570-076, and AI 2013-05570-093 are scheduled to be completed in 2018.

Because the key activities associated with AIs 2013-05570-026, -057, -076, and -093

are not complete, the team determined that PIIM item 4.a will remain open.

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5. Site Operational Focus

Item 5.a: Site Operational Focus, Operational Decision Making and Anticipating System

Response

(1) Inspection Scope

The team reviewed the implementation of the following action items:

AI 2012-08132-010, Develop initial and continuing leadership development program

for management that incorporates the attributes of a strong nuclear safety culture

and an operationally focused organization.

AI 2013-17442-001, Monitor the Organizational Effectiveness Recovery Metric

(Operational Focused) for a successful overall green or white color with an

improving trend for three consecutive months.

(2) Observations and Findings

Inspection of AI 2012-08132-010 is discussed above in Item 1.a.

Inspection of AI 2013-17442-001 resulted in no notable observation.

(3) Assessment Results

As documented above, the team considers AI 2012-08132-010 closed. The team

considers AI 2013-17442-001 closed, so the team considers this PIIM item closed.

6. Procedures

Item 6.a: Procedure Quality and Procedure Management

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-18351-001, Evaluate and determine the procedures requiring upgrade.
  • AI 2012-08136-014, Institute a comprehensive Procedure Upgrade Project to

ensure that Fort Calhoun Station procedures are rigorous in support of safe,

reliable plant operations and are of sufficient detail to prevent overreliance on

knowledge, experience, judgment, or memory.

  • AI 2012-08136-022, Institute a validation and verification review process for

corrective maintenance work order instructions.

  • AI 2012-08136-023; AI 2012-08136-024, Perform assessments in 2013 and 2014

by individuals independent of line management to confirm that procedure

management policies meet industry standards and regulatory requirements, and

are effectively implemented.

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(2) Observations and Findings

On February 6, 2014, the licensee approved a technical change to

AI 2012-08136-024, so they cancelled it and initiated AI 2012-08136-028 with the

revised wording. They closed AI 2012-08136-028 on February 20, 2014, consistent

with the original due date for AI 2012-08136-024.

(3) Assessment Results

The licensee completed and closed AI 2012-18351-001 and AIs 2012-08136-014,

-022, and -023. Via AI 2012-08136-028, the licensee completed the action described

in AI 2012-08136-024.

The team considers these action items closed because: (1) the actions associated

with the action items are sufficient to fully address the tasks, and (2) the actions are

all complete.

Therefore, the team considers PIIM item 6.a closed.

Item 6.b: Abnormal and Emergency Operating Procedures

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-09711-006, Revise and issue all procedures identified during the

abnormal and emergency operating procedures extent of condition review.

  • AI 2013-09711-005, Complete the extent of condition upgrade of all station alarm

response procedures.

  • AI 2011-3016-048, Review the corrective action system for six months and

evaluate the frequency of operating procedure inadequacies.

  • AI 2010-2387-072, Ensure adequate technical basis for abnormal operating

procedures addressing acts of nature other than flooding.

(2) Observations and Findings

The licensee transferred the actions described in AI 2010-2387-072 to the

Design/Licensing Basis Reconstitution project, and is now tracking the actions by

AI 2013-05570-026 and AI 2013-05570-076 and CR 2014-06973.

(3) Assessment Results

The team considers these action items closed based upon the following provisions:

(1) the actions associated with the action items are sufficient to fully address the

tasks, (2) except for AI 2010-2387-072, which describes actions the licensee had

transferred to the Design/Licensing Basis Reconstitution project, the licensee has

closed all of the action items associated with this item, and (3) the actions transferred

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to the Design/Licensing Basis Reconstitution project will be reviewed by the NRC

during their review of that project.

Therefore, the team considers PIIM item 6.b closed.

Item 6.c: Transition to the Exelon Nuclear Management Model and Integration into the

Exelon Nuclear Fleet

(1) Inspection Scope

The team reviewed the implementation of the following action item:

  • AI 2013-17434-003, Phase V - Exelon Nuclear Management Model Transition

Implementation.

(2) Observations and Findings

See the discussion associated with Item 10.a.

(3) Assessment Results

The team considers PIIM item 6.c closed.

7. Equipment Performance

Item 7.a: Tornado Protection

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-04266-007, Complete modifications to adequately protect required

equipment from tornado missiles.

  • AI 2013-04266-014, Revise Updated Safety Analysis Report and other design

basis documents.

  • AI 2013-04266-016, Verify that design and licensing basis documents have been

adequately updated and reviewed under the 10 CFR 50.59 process.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee has completed and closed all of these action items. The team

considers these action items closed based upon the following provisions: (1) the

actions associated with the action items are sufficient to fully address the tasks, and

(2) the licensee has closed all of the action items associated with this item.

The team considers PIIM item 7.a closed.

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Item 7.b: Equipment Service Life

(1) Inspection Scope

The team reviewed the implementation of the following action items:

AI 2012-08134-012, Establish a comprehensive Equipment Reliability Restoration

Plan (ERRP) to be approved by the Plant Health Committee.

AI 2012-08134-013, Review Condition Reports generated during the 4th Quarter

2014 specifically for age-related degradation of components.

AI 2012-08134-019, Establish a requirement for an annual self-assessment of station

equipment reliability processes and programs for review by the Plant Health

Committee.

AI 2012-08134-024, Establish a comprehensive and sustainable system and

component Performance Monitoring Program benchmarking against Exelon Nuclear

practices.

AI 2012-08134-039, Perform a self-assessment of equipment reliability programs

and Plant Health Committee oversight or programs.

AI 2012-09491-014, Provide supplemental resources in preventative maintenance

planning to reduce the backlog of end-of-service-life work orders and other

preventative maintenance basis requirements.

AI 2012-09491-015, Review Condition Reports generated during the 3rd Quarter

2014 specifically for age-related degradation of components.

AI 2012-09491-020, Train system, program and procurement engineers on

equipment condition assessment including cause and failure analysis, failure modes

and effects analysis, aging management, and life cycle management.

AI 2012 15357-001, Update the preventative maintenance program basis document

and procedure.

AI 2013-09491-023, Perform final effectiveness assessment of equipment reliability,

preventative maintenance and performance monitoring programs, including the Plant

Health Committee oversight of equipment reliability.

AI 2013-09658-001, Review Condition Reports generated during the 2nd Quarter

2013 specifically for age-related degradation of components.

AI 2013-09658-002, Review Condition Reports generated during the 3rd Quarter

2013 specifically for age-related degradation of components.

AI 2013-09658-003, Review Condition Reports generated during the 4th Quarter

2013 specifically for age-related degradation of components.

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AI 2013-09658-004, Review Condition Reports generated during the 1st Quarter

2014 specifically for age-related degradation of components.

AI 2013-09658-005, Perform reviews of the approximately 10,000 preventive-

maintenance (PM) tasks and components that must be evaluated and analyzed post-

restart for end-of-service life concerns.

AI 2013-09658-006, Review condition reports generated July 1 through

September 30, 2014, to determine if any age-related equipment failures occurred

with Critical Quality Element (CQE) Functional Importance Determination

classification 1 or Functional Importance Determination classification N2 components

whose replacement was justified to be at a later date. Determine if adjustments to

the component replacement strategies implemented for the end-of-service life

recovery phase project are warranted.

(2) Observations and Findings

The licensee closed an action item without fully completing the required actions.

Specifically, the action described in AI 2012-15357-001 was to issue Procedure

PED-SEI-50 to replace Procedure PED-SEI-13. The licensee closed that action item

on October 30, 2013. The team identified that although the licensee had issued

Procedure PED-SEI-50, they had not retired Procedure PED-SEI-13. Thus, two

conflicting procedures covered the same area at the same time. In response to the

teams observation, the licensee initiated CR 2014-08881 to address this issue.

This represents a weakness in problem resolution.

(3) Assessment Results

The licensee has completed and closed all of the action items associated with this

item, except for AIs 2012-08134-013 and -039, and AIs 2012-09491-015 and -023.

The team considers these action items closed based upon the following provisions:

(1) the actions associated with the action items are sufficient to fully address the

tasks, (2) the action items currently open are on schedule such that they will be

completed at the due date, (3) the action items currently open involve only reviews or

assessments, and (4) the licensee has demonstrated that they can successfully

complete reviews and assessments.

Therefore, the team considers PIIM item 7.b closed.

Item 7.d: Equipment Reliability/Equipment Performance

(1) Inspection Scope

The team reviewed the implementation of the following action item:

AI 2012-08134-040, Perform a final effectiveness review of the Plant Health

Committee process and performance.

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(2) Observations and Findings

On June 24, 2014, the licensee approved a request to extend the due date for this

action item from June 25 until September 25, 2014.

(3) Assessment Results

Because the licensee extended the due date for this action item, the team

determined that PIIM item 7.d will remain open.

Item 7.e: Electrical Equipment Qualification (EEQ)/High Energy Line Break

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-02857-014, Provide a documented basis that demonstrates all EEQ

Equipment is installed and configured in accordance with the requirements of the

associated HARSH files. (The HARSH files are documents that describe the

environmental conditions to which EEQ Equipment must be qualified.)

  • AI 2013-02857-016, Revise all EEQ procedures such that all EEQ engineering

activities are performed under the PED-QP-2 configuration change control

process.

  • AI 2013-02857-009, Fully implement the engineering analyses that form the

basis of the EEQ Program including the affected documents.

  • AI 2013-02857-019, Perform an effectiveness review of 20 work orders for

maintenance on EEQ equipment and 10 engineering changes for EEQ

completed within a six-month period to verify the material used in EEQ

maintenance is properly documented in maintenance work packages and all

EEQ requirements are met in the engineering changes.

  • AI 2013-02857-015, Perform an assessment by individuals independent of line

management evaluating Fort Calhoun Station against INPO EPG-02 and NRC

Temporary Instruction 2515/76 to ensure compliance with 10 CFR 50.49 and

industry standards.

(2) Observations and Findings

The licensee closed AI 2013-02857-014 with one component designated as EEQ

Equipment not configured in accordance with the requirements of the associated

HARSH files. Specifically, after the licensee closed the action item, they discovered

that the motor operator for valve HCV-348 (a shutdown cooling motor-operated

valve) was not installed in its tested configuration for EEQ. To address this issue, the

licensee initiated CR 2013-6620. They performed an Operability Evaluation which

determined that the valve was operable but non-conforming. They closed

CR 2013-6620 and initiated CR 2013-08434 to track restoring the operator to its

tested configuration. Condition Report 2013-08434 has a due date of September 1,

2015.

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(3) Assessment Results

The licensee completed and closed AI 2013-02857-016. The licensee closed

AI 2013-02857-014 without installing the motor operator on valve HCV-348 in its

tested configuration. The action to track restoration of the operator to its tested

configuration is in CR 2013-08434, and has a due date of September 1, 2015.

AI 2013-02857-019 and AI 2013-02857-015 involve effectiveness reviews and are

scheduled to be completed late in 2014.

The team considers these action items closed based upon the following provisions:

(1) the actions associated with the action items are sufficient to fully address the

tasks, (2) although the licensee closed AI 2013-02857-014 with one component not

properly configured, the licensee is taking action to restore that component to its

proper configuration in its corrective action program, (3) the action items currently

open all involve effectiveness reviews, and (4) the licensee has demonstrated that

they can successfully complete effectiveness reviews.

Therefore, the team considers PIIM item 7.e closed.

Item 7.f: Safety System Functional Failures

(1) Inspection Scope

The team reviewed the implementation of the following action item:

  • AI 2011-2677-008, Perform an effectiveness assessment of safety system

performance/functional failures.

(2) Observations and Findings

Inspection of this action item resulted in no notable observation.

(3) Assessment Results

The team considers PIIM item 7.f closed.

Item 7.g: Cables and Connections

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-08617-011, Provide procedural expectations and guidance to electrical

craft for handling aged electrical cables.

  • AI 2012-03544-014, Develop a change management plan to implement the

cables and connections program.

  • AI 2012-08134-026, Execute plans to recover the EEQ and cable aging

management programs.

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  • AI 2009-4216-020, Perform an effectiveness review of the strategy for

maintaining dry those safety-related and important-to-safety cables susceptible to

wetting.

  • AI 2013-17441-001, Complete an assessment report on Cables and Connections

Program.

  • AI 2013-17441-002, Complete an assessment report on Verification of Material

Condition of Medium & Low Voltage Safety Related Cables Submerged.

(2) Observations and Findings

  • The licensee closed AI 2012-08617-011 without completing some of the required

actions. Specifically, the action item description says to provide procedural

expectations and guidance such that work orders address three issues that can

arise when electrical craft personnel handle aged electrical cable installations.

The licensee provided procedural expectations and guidance that addressed only

one of those issues and closed the action item. (They did not address

replacement of cables when maintenance activities require manual movement or

repositioning of cable installations, or work instructions inclusion of techniques

and tools to effectively detect and record signs of physical deterioration.)

A licensee assessment team identified this error, and the licensee initiated

CR 2014-06939 to provide procedural expectations and guidance that addressed

the missing issues. At the time of this inspection, the licensee had scheduled

CR 2014-06939 for management review on July 29, 2014.

  • The licensee closed AI 2012-08134-026 without completing some of the required

actions. Specifically, the action item description includes the item Adequate

staffing and qualifications, and the close comments stated, Currently, the

Program Owner for the Cables and EEQ is the only qualified staffing, but

backups in Design engineering have been identified for both programs.

However, the team determined that although the licensee had identified the two

backups for the EEQ program and the one backup for the Cable program, and

although training of those backups was underway, by July 11, 2014, those

backups had not completed their qualifications. In response to the teams

observation, the licensee initiated CR 2014-9499 to address this issue.

  • The licensee failed to accurately transcribe an action item from their December 2,

2014, letter to the NRC (ADAMs Accession Number ML13336A785) into a

condition report. Specifically, the subject letter states that the action item

associated with AI 2009-4216-020 was, Perform an effectiveness review of the

strategy for maintaining dry those safety-related and important-to-safety cables

susceptible to wetting. However, the team noted that the action item description

stated, Ensure the long term strategy for the subject cables is in place per AI-17,

any action item arose from AI-18 is completed and no subjected cables have

failed, and strategy to keep the subject manholes dry is in place. In response to

the teams question, the licensee initiated CR 2014-09009 to document that no

action item had implemented the subject effectiveness review.

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(3) Assessment Results

The licensee developed a change management plan to implement the cables and

connections program (AI 2012-03544-014). However, they did not successfully

provide procedural expectations and guidance to electrical craft for handling aged

electrical cables (AI 2012-08617-011) or completely execute plans to recover the

EEQ and cable aging management programs (AI 2012-08134-026); for those

actions, follow-up condition reports are tracking the recovery actions. Also, the

licensee has not yet completed an effectiveness review of the strategy for

maintaining dry those safety-related and important-to-safety cables susceptible to

wetting (AI 2009-4216-020). Action Item 2013-17441-001 and AI 2013-17441-002

both involve assessments and are scheduled to be completed later in 2014.

Because the licensee has successfully completed only one of the action items

associated with this item, the team determined that PIIM item 7.g will remain open.

8. Programs

Item 8.a: Engineering Rigor

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-08125-008, Implement a new engineering organizational structure

consistent with industry best practices.

  • AI 2012-08125-027, Develop and implement a plan to increase the depth of

design and licensing basis knowledge for engineers and engineering leaders.

  • AI 2013-05570-049, Improve the engineering support personnel training

regarding the design and licensing basis.

  • AI 2013-05570-064, Maintain the Engineering Assurance Group (EAG) in

accordance with FCSG-71. The complete list of documents types to be reviewed

shall be updated following the identification of the document types in Corrective

Actions to Prevent Recurrence 1 and 2, and FCSG-71 shall be revised if needed.

(2) Observations and Findings

The licensee is scheduled to change to a new engineering organizational structure

consistent with industry best practices (AI 2012-08125-008) by December 19, 2014.

Action Item 2013-05570-064 indicates that the licensee is scheduled to maintain the

Engineering Assurance Group nominally through June 1, 2016. However, the action

item also describes three criteria that, if satisfied, could result in disbanding the

Engineering Assurance Group at an earlier date.

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(3) Assessment Results

The licensee closed AI 2012-08125-008 and AI 2012-08125-027 and is scheduled to

complete AI 2013-05570-049 and AI 2013-05570-064.

The team considers these action items closed based upon the following provisions:

(1) the actions associated with the action items are sufficient to fully address the

tasks, (2) the action items are currently on schedule such that they will be completed

at the due date, and (3) upon final closure of the action items, the NRC will review

them for adequacy.

Therefore, the team considers PIIM item 8.a closed.

Item 8.b: Equipment Safety Classification and Safety Related Equipment Maintenance

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-05570-011, Evaluate CQE boundaries against ANSI/ANS-52.1.
  • AI 2012-05615-009, Conduct an assessment by individuals independent of line

management of: (1) Condition Reports to look for on-CQE parts installed in a

CQE application; and (2) Quality of work orders with respect to materials/parts

classification.

  • AI 2012-05615-018, Prepare/validate system and component level safety

classification analyses for safety related systems.

  • AI 2012-05615-019, Validate/Prepare System and Component Level Safety

Classification Analysis Document for non-safety related systems.

  • AI 2012-05615-013, Create a Bill of Materials for critical equipment.
  • AI 2012-05615-017, Submit a revision to the Updated Safety Analysis Report to

reflect the change in nomenclature.

  • AI 2012-05615-016, Revise the QA Plan to reflect the change in nomenclature.
  • AI 2012-05615-014, Convert the CQE List to the QList Manual.
  • AI 2012-05615-011, Conduct an assessment by individuals independent of line

management of: (1) CRs to look for on-CQE parts installed in a CQE application;

and (2) Quality of work orders with respect to materials/parts classification.

  • AI 2013-05570-117, Develop a detailed project plan for Re-Constitution of

Component Safety Classification.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

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(3) Assessment Results

The licensee has closed AI 2012-05615-009, AI 2012-05615-011, and

AI 2012-05615-011. The remaining AI (2012-05615-013 through 2012-05615-019)

are scheduled to be completed between November 28, 2014, and March 18, 2015.

The team considers these action items closed based upon the following provisions:

(1) the actions associated with the action items are sufficient to fully address the

tasks, (2) the action items are currently on schedule such that they will be completed

at the due date, and (3) upon final closure of the action items, the NRC will review

them for adequacy.

Therefore, the team considers PIIM item 8.b closed.

Item 8.c: Electrical Bus Modifications and Maintenance

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2011-6621-038, Perform an effectiveness review of modifications

created/implemented within the past 18 months to determine if new/different

failure modes were introduced by features not part of original equipment.

  • AI 2011-5414-045, Utilize the revised maintenance procedures to inspect the

480 volt switchgear during the next refueling outage.

  • AI 2011-5414-046, Perform an effectiveness review of the completion of work

requests to inspect all 480 volt NLI breakers during the next refueling outage.

Inspections should include a check on resistance values, finger cluster

discoloration, loose bolting, and other signs of breaker/bus stab degradation.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

AI 2011-6621-038 is closed. AI 2011-5414-045 and AI 2011-414-046 are scheduled

to be completed by June 30, 2015.

The team considers these action items closed based upon the following provisions:

(1) the actions associated with the action items are sufficient to fully address the

tasks, (2) the action items are currently on schedule such that they will be completed

at the due date.

Therefore, the team considers PIIM item 8.c closed.

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Item 8.d: Deficiencies in Design and Implementation of Fundamental Regulatory

Required Processes

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-08137-012, Perform a review by individuals independent of line

management of station application of technical specifications during plant mode

changes.

  • AI 2012-08137-031, Design, develop and implement training to close knowledge

and performance gaps for operators regarding the nature, scope and importance

of the current licensing basis, the 10 CFR 50.59 process, the

degraded/nonconforming and operability determination processes, and the

reportability determination process.

  • AI 2012-08137-032, Design, develop and implement training to close knowledge

and performance gaps for engineers regarding the nature, scope and importance

of the current licensing basis, the 10 CFR 50.59 process, the

degraded/nonconforming and operability determination processes, and the

reportability determination process.

  • AI 2011-1719-037, Complete cost study of implementing Improved Standard

Technical Specifications (ISTS) conversion performed by contract 192356 and

present results to the budget review committee.

  • AI 2012-09494-012, Perform a self-assessment of the department and station

standards consistent with industry best practices for screening of degraded/non-

conforming conditions, operability determinations, functionality evaluations,

timely resolution of degraded/non-conforming conditions and effective

operational decision making regarding degraded plant components or conditions.

  • AI 2012-08137-035, Perform a self-assessment of screening of degraded/non-

conforming conditions, operability determinations, reportability determination and

technical specification compliance.

(2) Observations and Findings

The licensee incorrectly closed AI 2012-08137-031. Specifically, the AIs description

stated, in part, that the licensee was to implement and evaluate training to eliminate

certain operations department performance and knowledge gaps. Regarding

10 CFR 50.59 Screener Training, the close comments state, in part, All individuals

passed 10 question open book quiz prior to be given credit for course. However,

the team identified that one of the individuals who took that quiz did not pass. In

response to the teams observation, the licensee initiated CR 2014-08298 to address

this issue.

A licensee effectiveness review determined that AI 2012-09494-012 had not been

effective. The action item describes an assessment of station performance using

condition report data for the period April 1 through May 31, 2014, and the

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assessment determined that the effectiveness review had failed due to a non-cited

violation associated with degraded/non-conforming and operability determination

process. The licensee initiated CR 2014-08044 to address this issue.

The licensee failed to process a due date extension for AI 2012-08137-035 in

accordance with CAP procedures. The licensee extended its due date from

December 2, 2013, until May 30, 2014, but, contrary to step 4.3.4 of

Procedure FCSG-24-6, the licensee did not prepare and process form FCSG 24.6.1

for that extension. The licensee later closed the action item on May 19, 2014.

(3) Assessment Results

The licensee has closed all of the action items associated with this item.

Despite the observations noted above, the team considers these action items closed

based upon the following provisions: (1) the team reviewed the additional

documents associated with these observations, (2) the actions associated with the

action items are sufficient to fully address the task, and (3) the licensee has closed

all of the action items associated with this item.

The team considered that closure of these action items justified closing PIIM item

8.d. However, the team noted that several of its associated AIs involve the

licensees operability determination process, and that sections 4OA2.5.b and

4OA2.5.c describe violations associated with the licensees performance related to

operability determinations. Further consideration revealed that the performance

deficiencies associated with the subject violations had occurred before the licensee

had completed the subject action items, and noted that the NRC will inspect the

licensees response to the subject violations, regardless of whether PIIM item 8.d is

closed. Therefore, because closure of the associated action items justified closing

PIIM item 8.d, and because the violations described in sections 4OA2.5.b and

4OA2.5.c did not justify leaving PIIM item 8.d open, the team considers PIIM item 8.d

closed.

Item 8.e: Design Change 10 CFR 50.59 Practices

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-08177-028, Revise the 10 CFR 72.48 training to reflect industry best

practices and to include Independent Spent Fuel Storage Installation (ISFSI)

licensing basis requirements for 10 CFR 72.48 screeners.

  • AI 2012-08177-027, Revise the 10 CFR 50.59 training to reflect industry best

practices and to include mentoring as part of the qualification process for

10 CFR 50.59 screeners.

  • AI 2012-08177-020, Develop and incorporate specific audit directions to assess

10 CFR 50.59 and 10 CFR 72.48 process and documentation quality using NRC

Inspection Procedure Attachment 71111.02, Evaluations of Changes, Test, or

Experiments.

E2-92

  • AI 2011-01719-037, Complete cost study of implementing Improved Standard

Technical Specifications (ISTS) conversion performed by contract 192356 and

present results to the budget review committee.

  • AI 2013-05570-057, Develop performance metrics to trend and trigger action on

the performance of the use, implementation, and identification of design and

licensing bases issues such as, effective 10 CFR 50.59 evaluations, and

procedure adequacy related to design and licensing bases.

  • AI 2013-05570-068, Develop and implement performance metrics regarding

10 CFR 50.59.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee has closed all of the action items associated with this item. The team

considers these action items closed based upon the following provisions: (1) the

actions associated with the action items are sufficient to fully address the task, and

(2) the licensee has closed all of the action items associated with this item.

Therefore, the team considers PIIM item 8.e closed.

Item 8.f: Piping Code and System Classification and Analysis

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-07724-025, Review the United States of America Standard

(USAS) B31.7 and ASME III code reconciliation and correct any code

discrepancies.

  • AI 2012-07724-023, Provide calculations documenting thermal fatigue analysis

on the Class I piping systems for primary plant sampling, reactor coolant gas

vent, reactor coolant, safety injection, and waste disposal in accordance with

USAS B31.7 Draft 1968.

  • AI 2012-07724-022, Review all Class I piping modifications since April 8, 1994,

and document the effectiveness of the procedure for ensuring that thermal

fatigue analysis was performed.

(2) Observations and Findings

The licensee has determined that they cannot complete AI 2012-07724-023 until the

NRC completes its review of Licensee Amendment Request 14-04, which the

licensee submitted on May 16, 2014.

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(3) Assessment Results

The licensee has closed AI 2012-07724-025 and AI 2012-07724-022. To complete

AI 2012-07724-023, the licensee will wait until after the NRC reviews Licensee

Amendment Request 14-04.

Although the team considers AIs 2012-07724-025 and -022 closed based upon their

assessment that the actions associated with the action items are sufficient to fully

address the tasks, AI 2012-07724-023 is not scheduled to be completed before a

particular due date, and is in fact contingent on NRC approval of Licensee

Amendment Request 14-04.

Until the uncertainties associated with AI 2012-07724-023 are resolved, the team

determined that PIIM item 8.f will remain open.

Item 8.g: Vendor Manual and Vendor Information Control Program

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-09227-010, Revise engineering procedures to reflect vendor manual

control process changes.

  • AI 2012-09227-017, Revise lists, tables, and vendor supplied documents to

reflect vendor manual control process changes.

  • AI 2013-17444-002, Perform a self-assessment regarding governance, oversight,

and implementation of the vendor manual program.

(2) Observations and Findings

The licensee closed AI 2012-09227-010 without completing it. Specifically, the action

item described revising engineering procedures involving vendor manual information

control activities to include certain information. The licensee closed the action item

on August 15, 2013, but prior to this inspection, the licensees inspection-readiness

assessment team determined that the licensee had incorporated the subject

information into only 8 of the targeted 10 engineering procedures. In response to

that teams observation, the licensee initiated CR 2013-20840.

(3) Assessment Results

The licensee has closed AI 2012-09227-010 and AI 2012-09227-017. They are

scheduled to complete AI 2013-17444-002 by September 29, 2014.

Despite the observation noted above, the team considers these action items closed

based upon the following provisions: (1) the actions associated with the action items

are sufficient to fully address the task, (2) the action items are currently on schedule

such that they will be completed at the due date.

Therefore, the team considers PIIM item 8.g closed.

E2-94

Item 8.h: Safeguards Information Digital Storage Control

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2012-05931-026, Perform an effectiveness assessment of corrective actions

to prevent recurrence including 10 random surveys of safeguards information

qualified personnel to ensure they understand the requirements for procuring

safeguards information digital storage devices, the approved use location, and

the new procedures describing the process of working with safeguards

information.

  • AI 2012-05931-034, Perform a drill on effective purchase of a safeguards

information digital storage device.

  • AI 2013-17431-001, Perform a self-assessment of safeguards information

control.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee has closed all of the action items associated with this item.

The team considers these action items closed based upon the following provisions:

(1) the actions associated with the action items are sufficient to fully address the

task, and (2) the licensee has closed all of the action items associated with this item.

Therefore, the team considers PIIM item 8.h closed.

Item 8.i: Operability Determination

(1) Inspection Scope

The team reviewed the implementation of the following action items:

AIs 2013-19752-001, -037; -038; -039; and -040; as part of the quarterly training

curriculum review committee agenda, review operability determination performance

indicators from the Engineering Assurance Group and the Operability Determination

Quality Review Board. This will be a repeated action through 2014.

AI 2013-19752-002, Conduct oral boards of all operators who make immediate

operability determinations or screen condition reports.

AI 2013-19752-005, Develop interim guidance for resolving unclear operability

references. Include relating the use of prompt operability determinations with CAP,

and current procedure direction, and its level of detail.

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AI 2013-19752-006, Formalize the Operability Determination Quality Review Board

into a Fort Calhoun Station procedure.

AI 2013-19752-007, Develop a method for ensuring that immediate operability

determinations which fail the minimum Operability Determination Quality Review

Board acceptance criterion (<70% unsupported operability determination) are re-

performed by the On-Shift Crew.

AI 2013-09494-036, Institute a change to NOD-QP-31 (or equivalent Exelon

document) which incorporates clear and complete directions for completion of each

applicable step of supporting process forms.

AI 2013-19752-010, Develop specific guidance that directs personnel screening plant

conditions or equipment failures to ensure actions are taken as required by the

technical specifications (What to do when this fails procedure).

AI 2013-19752-011, Screen the population of Fort Calhoun Station surveillances and

relate these to the associated limiting condition for operations they support.

AI 2013-19752-012, Review existing testing criteria, direction, or methodologies

against industry norms.

AI 2013-19752-013, Review material previously contained in Technical Data Book

(TDB) VIII to ensure it resides in other documents that are clearly linked to the

associated technical specification limiting condition for operations.

AI 2013-19752-021, -022, -023, and -024; Conduct a common factors analysis of

immediate operability determinations quarterly with results and actions approved by

the MRC. Action will be on-going through 2014.

AI 2013-19752-025, -026, -027, and -028; Conduct a common factors analysis of

prompt operability determinations quarterly with results and actions approved by the

MRC. Action will be on-going through 2014.

AI 2013-19752-029, -030, -031, and -032; Present to Plant Review Committee (PRC)

licensee event reports, results of operability determination performance metrics, and

common factor analysis no less than semi-annually. Action will be on-going through

2014.

AI 2013-19752-033, Immediate Operability Determination Engineering Assurance

Group Assessment Performance Indicator of green with no more than one

immediate operability determinations score greater than 2.0 per month (on average)

for the period of June 1 through December 31, 2014.

AI 2013-19752-034, Immediate Operability Determination Engineering Assurance

Group Failure Rate Performance Indicator of green with no more than one

immediate operability determinations failure per month (on average) for the period of

June 1 through December 31, 2014.

E2-96

AI 2013-19752-035, Operability Determination Quality Review Board Operability

Determination Performance Indicator of green with average Immediate Operability

Determination (IOD)/Immediate Functionality Assessment (IFA) score > 90% per

month for a period of June 1 through December 31, 2014.

AI 2013-19752-036, Operability Determination Quality Review Board Operability

Determination Failure Rate Indicator green with < 1 failure per month (on average)

for a period of June 1 through December 31, 2014.

(2) Observations and Findings

Inspection of these action items resulted in no notable observation.

(3) Assessment Results

The licensee has closed all of the action items associated with this item, except for

AI 2013-19752-022, -023, -024, -026, -027, -028, -030, -031, -032, -033, -034, -035,

-036, -038, -039, and -040, all of which involve assessments that are due on future

dates. The team considers all of the action items closed by the licensee to be

closed.

Although numerous action items associated with this PIIM item are complete and

appear reasonable, the team considered the following to determine whether to close

this PIIM item:

  • Section 4OA2.1.b.2 of this report describes multiple examples in which the

licensee performed operability determinations for degraded or non-

conforming conditions that lacked adequate technical justification as to why

the affected structures, systems, or components would perform their specified

safety functions;

  • Section 4OA2.5.b of this report describes multiple-examples of a violation in

which the licensee either failed to make an immediate determination of

operability for a degraded or non-conforming condition or failed to make an

immediate determination of operability based on a detailed examination of the

deficiency;

  • The action items associated with PIIM item 8.i are intended to correct the

programmatic deficiencies which caused or contributed to the issues

discussed in Sections 4OA2.1.b.2 and 4OA2.5.b of this report;

  • The subject action items have not been in place long enough to demonstrate

that they have effectively corrected the deficiencies associated with this PIIM

item; and

  • Assessments are scheduled to determine whether the completed action items

have been effective.

Based on these considerations, the team determined that PIIM item 8.i will remain

open.

E2-97

9. Nuclear Oversight

Item 9.a: Nuclear Oversight Effectiveness

(1) Inspection Scope

The team reviewed the implementation of the following action item:

  • AI 2012-08142-030, Perform an effectiveness review to include: (1) Actions

implemented and verify that they remain active/in place by reviewing Nuclear

Oversight (NOS) procedures to ensure expectations for trending, benchmarking,

self-assessment, missed opportunity reviews, and observations have been

identified; verifying agenda and attendance sheets for face-to-face meetings are

complete and accurate; verifying completion of scheduled monthly reinforcement

of expectations by NOS management; and verifying revision of OPPD Policy

No. 3.06 includes the requirement to provide a quarterly report on NOS

improvements that resulted from trending, benchmarking, self- assessments,

missed opportunity review, and observations; (2) NOS Manager quarterly reports

to the Vice President of Energy Delivery and Chief Compliance Officer to verify

that NOS department improvements have been realized.

(2) Observations and Findings

Inspection of this action item resulted in no notable observation.

(3) Assessment Results

The licensee completed and closed this AI, and the team considers this AI closed.

Therefore, the team considers PIIM item 9.a closed.

10. Transition to the Exelon Nuclear Management Model and Integration into the

Exelon Nuclear Fleet

Item 10.a: Transition to the Exelon Nuclear Management Model and Integration into the

Exelon Nuclear Fleet

(1) Inspection Scope

The team reviewed the implementation of the following action items:

  • AI 2013-17434-001, Phase III - Exelon Nuclear Management Model Transition

Implementation Design.

  • AI 2013-17434-002, Phase IV - Exelon Nuclear Management Model Transition

Implementation Planning.

  • AI 2013-17434-003, Phase V - Exelon Nuclear Management Model Transition

Implementation.

E2-98

  • AI 2013-17434-004, OPPD Chief Nuclear Officer and Exelon Senior Vice

President conduct regular periodic performance challenge meetings to assure

transition and integration activities are progressing and effective.

(2) Observations and Findings

The licensee failed to process a due date extension for AI 2013-17434-003 and

AI 2013-17434-004 in accordance with CAP procedures. The due date associated

with these action items reflected the original (Revision 0) integration schedule, which

was projected to be completed by March 31, 2015. The team noted that as the

integration schedule was refined and resource loaded, some actions in the

integration schedule were assigned due dates beyond March 31, 2015. The team

reviewed the current integration schedule and noted that all actions will be completed

by September 29, 2016. Based on the teams observation, the licensee initiated

CR 2014-09043 to extend the due dates associated with these action items to reflect

the current integration schedule.

The team concluded that the bases for the due date extension was reasonable.

(3) Assessment Results

AI 2013-17434-001 and AI 2013-17434-002 have been completed.

AI 2013-17434-003 and AI 2013-17434-004 were reviewed, and the team considers

these action items closed based upon the following provisions: (1) the actions

associated with the action items are sufficient to fully address the task, (2) the action

items are currently on schedule such that they will be completed at the due date,

(3) upon final closure of the action items, the NRC will review them for adequacy.

4OA5 Other Activities

.1 (Closed) VIO 05000285/2013017-01, Failure to Ensure Tornado Missile Protection for

Site Components

The team reviewed the licensees corrective actions to address deficiencies related to

tornado missile protection and specifically, Fort Calhoun Stations action to address

VIO 05000285/2013017-01, Failure to Ensure Tornado Missile Protection for Site

Components. This issue was identified and resolved by the station during the extended

shutdown period and while under increased oversight of the Inspection Manual

Chapter 0350 Process. The NRC concluded in Inspection Report 05000285/2013017

(ADAMs Accession Number ML14115A411) that the information regarding the reason for

the violation, the corrective actions implemented to correct the violation and prevent

recurrence was obtained by the NRC during our inspection activities. The team verified

that these corrective actions were implemented and performed walkdowns of several

plant modification used to correct deficiencies related to tornado missile protection. The

team found that the corrective actions adequately address the violation; therefore,

VIO 05000285/2013017-01 is closed.

E2-99

.2 (Closed) VIO 05000285/2014002-05, Untimely Submittal of Required Licensee Event

Reports

The team reviewed the licensees corrective actions to address weakness in their ability

to evaluate and make required reports to the NRC. Specifically, the team reviewed the

licensee corrective actions to address NRC Violation VIO 05000285/2014002-05,

Untimely Submittal of Required Licensee Event Reports. The licensees corrective

actions to address this violation are documented in a letter to the NRC dated May 8,

2014, (ADAMs Accession Number ML14128A341). During extent of condition review of

the issues identified in VIO 05000285/2014002-05, the licensee identified three

additional examples of late licensee event reports. The team determined that these late

reports constituted a licensee identified violation of 10 CFR 50.73 that is discussed in

Section 4OA7 of this report.

The team reviewed the licensees corrective actions and identified one additional

example where the licensee failed to make a required licensee event report within the

time limits specified in NRC regulations. Specifically, the team identified that the

licensee failed to report, a loss of environmental qualifications of Namco' limit switches.

The licensee identified this condition on May 3, 2012, but did not submit a licensee event

report until June 20, 2014. The team determined that this particular example was similar

in nature to the late reports identified in VIO 05000285/2014002-05 but that the

performance issue related to the late report occurred prior to this violation. Therefore,

the team determined that licensees failure to submit a licensee event report within the

required time limits specified in regulations was a Severity Level IV non-cited violation of

10 CFR 50.73(a)(1), which is discussed further in Section 4OA2.5.h of this report.

The team found no other instances where a required licensee event report was

submitted beyond the time limits specified in 10 CFR 50.73(a)(1). Based on the

licensees corrective actions to restore compliance following the identified late licensee

events report and their actions to address the cause of these violations,

VIO 05000285/2014002-05 is closed.

4OA6 Meetings, Including Exit

Exit Meeting Summary

On September 12, 2014, the inspectors presented the inspection results to Mr. Louis P.

Cortopassi, and other members of the licensee staff. The licensee acknowledged the issues

presented. The licensee confirmed that any proprietary information reviewed by the inspectors

had been returned or destroyed.

4OA7 Licensee-Identified Violations

The following violations of very low safety significance were identified by the licensee and are

violations of NRC requirements which meet the criteria of the NRC Enforcement Policy for being

dispositioned as non-cited violations.

measures shall be established to assure that applicable regulatory requirements and the

design basis for those structures, systems, and components are correctly translated into

specifications, drawings, procedures, and instructions. Contrary to the above, from initial

E2-100

construction until January 13, 2013, the licensee failed to establish measures to assure

that applicable regulatory requirements and the design basis were correctly translated

into specifications, drawings, procedures, and instructions. Specifically, the licensee

failed to control the design inputs to ensure that piping in the chemical and volume

control system would perform acceptably during a seismic event. This finding is of very

low safety significance (Green) because a chemical and volume control system piping

failure event is enveloped by the small break loss of coolant accident as described in

Updated Safety Analysis Report Section 14.5.5. This issue was entered into the

licensees corrective action program as CR 2013-01796.

that measures shall be established to assure that conditions adverse to quality are

promptly identified and corrected. Contrary to the above, on June 2, 2008, the licensee

completed flow scan valve testing for the high pressure safety injection alternate header

isolation valve (HCV-2987) that showed a much higher stem friction value than

previously analyzed, but failed to promptly identify and correct the condition adverse to

quality until CR 2012-01601 was initiated on February 29, 2012. This finding is of very

low safety significance (Green) because valve HCV-2987s failure did not represent an

actual loss of safety function of a single train for greater than the technical specification

allowed outage time in that EOP/AOP Attachments, Revision 13, dated November 19,

2002, requires operators to also close downstream valves that would back up the

closure function of valve HCV-2987. This issue was entered into the licensees

corrective action program as CR 2012-01601.

report for any event of the type described in this paragraph within 60 days after the

discovery of the event. Contrary to the above, on February 5, 2012, November 15,

2011, and February 19, 2013, the licensee failed to submit a licensee event report for an

event meeting the requirements for reporting specified in 10 CFR 50.73. Specifically,

the licensee submitted Licensee Event Reports 2012-013, 2012-015 and 2013-001

greater than 60 days following discovery of a reportable event. In accordance with

Section 6.9 of the NRC Enforcement Policy, this violation was determined to be a

Severity Level IV, non-cited violation. The licensee entered this issue into their

corrective action program as CR 2014-02792.

implemented, and maintained as recommended in Regulatory Guide 1.33, Revision 2,

Appendix A, dated February 1978. Regulatory Guide 1.33, Paragraph 9.a, requires that

maintenance that can affect the performance of safety-related equipment should be

properly preplanned and performed in accordance with written procedures, documented

instructions, or drawings appropriate to the circumstances. Contrary to the above, the

licensee failed to establish procedures for maintenance that can affect the performance

of safety related equipment as recommended in Regulatory Guide 1.33, Revision 2,

Appendix A, dated February 1978. Specifically, prior to May 3, 2013, the licensees

maintenance procedure for Namco' Type EA 180 limit switches did not specify the

correct torque values for the switch top cover to maintain the components environmental

qualifications. This finding was determined to be of very low safety significance because

the affected limits switches only affected the radiological barrier provided for by the

control room. This issue was entered into the licensees corrective action program as

CR 2012-03651.

E2-101

Attachment 1: Supplemental Information

Attachment 2: Notification of Inspection and Request for Information

E2-102

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee Personnel

S. Andersen, Manager, Design Engineering

C. Beck, Supervisor Technical Training

C. Cameron, Supervisor, Regulatory Compliance

J. Cate, Supervisor Nuclear Engineering

H. Childs, Supervisor, Access Authorization

K. Erdman, Supervisor, Nuclear Engineering - Programs

M. Ferm, Manager, System Engineering

M. Frans, Manager, Special Assignment

C. Gotschall, Corrective Action Program Coordinator

W. Gregory, Nuclear Engineer I

R. Haug, Senior Consultant

C. Heimes, Corrective Action Program Coordinator

T. Herman, Supervisor, Security Training

C. Hooker, Nuclear Engineer I, Design Engineer-Mechanical

C. Johnson, Performance Improvement Coordinador

A. Koenig, System Engineering

K. Mann, Engineer, Regulatory Assurance

E. Matzke, Senior Nuclear Licensing Engineer

M. McIntosh, Senior Designer and Vendor Manual Coordinator

J. Mise, Engineering Instructor, Training

J. Mitchell, Senior Nuclear Design Engineer-Electrical

J. Mulkey, Site Industrial Safety Coordinator

B. Obermeyer, Manager, Corrective Action Group

R. Odom, Nuclear Engineer I, Design Engineer-Electrical

B. Pence, Operations Engineer, Corrective Action Group

B. Phillips, Supervisor Nuclear Engineering

D. Pier, Shift Manager

G. Riva, Superintendent, Maintenance

T. Robinson, Supervisor, Corrective Action Group

C. Rosenblad, System Engineering

C. Scofield, Senior Nuclear Design Engineer-Mechanical

J. Shuck, System Engineering Supervisor-Primary Systems

T. Simpkin, Manager, Site Regulatory Assurance

J. Smidt, Senior Designer

M. Swan, System Engineer, Electrical

T. Uehling, Assistant Plant Manager, Operations

A. Van Nimwegen, Nuclear Engineer, Engineering Assurance Group

K. Wells, Senior Nuclear Design Engineer-Electrical

A1-1 Attachment 1

LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

05000285/2014009-10 VIO Deficient Evaluation of NRC Bulletin 88-04, Strong Pump Weak

Pump Due to Failure to Consider the Effect of Auxiliary

Feedwater Pumps Discharge Check Valves Leakage

(Section 4OA2.5.j)05000285/2014009-11 VIO Failure to Ensure Safe Operations at Design Basis Low River

Level (Section 4OA2.5.k)05000285/2014009-12 VIO Failure to Maintain Effectiveness of an Emergency Plan

(Section 4OA2.5.l)05000285/2014009-13 VIO Failure to Perform Evaluation for Design Change

(Section 4OA2.5.m)05000285/2014009-14 VIO Failure to Account for Worst Case Diesel Frequency in Fuel Oil

Consumption Calculations (Section 4OA2.5.n)

Opened and Closed

05000285/2014009-01 NCV Failure to Initiate Condition Reports for Gaps Identified in

Resolving NRC Non-Cited Violations (Section 4OA2.5.a)05000285/2014009-02 NCV Multiple Examples of Failure to Evaluate Operability of

Degraded or Non-Conforming Conditions (Section 4OA2.5.b)05000285/2014009-03 NCV Failure to Adequately Perform an Operability Evaluation and a

50.59 Evaluation (Section 4OA2.5.c)05000285/2014009-04 NCV Failure to Perform an Evaluation for a New Operator Manual

Action to Refill Component Cooling Water System During Post-

Accident Conditions (Section 4OA2.5.d)05000285/2014009-05 NCV Inadequate Design Inputs into Safety Injection Piping Stress

Calculation (Section 4OA2.5.e)05000285/2014009-06 NCV Failure to Maintain Design Control of Raw Water Strainer

Control Panel (Section 4OA2.5.f)05000285/2014009-07 NCV Failure to Accurately Model Flow Path for External Flood

Mitigation (Section 4OA2.5.g)05000285/2014009-08 NCV Failure to Report Loss of Environmental Qualification of Safety

Related Limit Switches within Required Time Limits

(Section 4OA2.5.h)05000285/2014009-09 NCV Failure to Incorporate Design Requirements for Switchgear

Room Cooling (Section 4OA2.5.i)05000285/2014009-15 NCV Failure to Promptly Identify and Correct a Condition Adverse to

Quality (Section 4OA2.5.o)05000285/2014009-16 NCV Failure to Correct Longstanding Software Classification Issues

(Section 4OA2.5.p)05000285/2014009-17 NCV Inadequate Corrective Actions to Properly Implement Applicable

ASME OM Code Requirements (Section 4OA2.5.q)

A1-2

Opened and Closed

05000285/2014009-18 NCV Failure to Complete Corrective Actions in a Timely Manner

(Section 4OA2.5.r)05000285/2014009-19 NCV Failure to Maintain B.5.b Equipment in a State of Readiness to

Support Mitigation Strategies (Section 4OA2.5.s)05000285/2014009-20 NCV Failure to Correct Conditions Adverse to Quality in the Diesel

Generator Stating Air System (Section 4OA2.5.t)05000285/2014009-21 NCV Failure to Take Timely Corrective Actions for an Unsealed Raw

Water System Control Panel (Section 4OA2.u)

Closed

05000285/2012-009-01 LER Inoperable Equipment due to Lack of Environmental

Qualifications (Section 4OA3.1)

05000285/2013-002-01 LER CVCS Class 1 & 2 Charging Supports are Unanalyzed

(Section 4OA3.2)

05000285/2012-021-00 LER HCV-2987, HPSI Alternate Header Isolation Valve

(Section 4OA3.3)

05000285/2013-019-01 LER Non-Seismic Circulating Water Pipe Could Disable Raw Water

Pumps (Section 4OA3.4)

05000285/2013-001-00 LER Mounting of GE HFA Relays does not Meet Seismic

Requirements (Section 4OA3.5)

05000285/2014-004-00 LER Unqualified Limit Switches Render Safety Equipment Inoperable

(Section 4OA3.6)05000285/2013017-01 VIO Failure to Ensure Tornado Missile Protection for Site

Components (Section 4OA5.1)

05000285/2014-002-05 VIO Untimely Submittal of Required Licensee Event Reports

(Section 4OA5.2)

LIST OF DOCUMENTS REVIEWED

4OA2 Problem Identification and Resolution

Calculations

Number Title Revision

FC05158 CQE Instrument Rack Analysis 0

FC07100 Ft. Calhoun RCS Equipment Support Modifications due to 8

SSSRP

FC07240 Finite Element Analysis of 12 x 8 reducing Tee in Seismic 0

Subsystem SI-201A to Determine Stress Intensification

Factor

FC07285 Replacement Steam Generator (RSG) and Reactor Coolant 8

Pump (RCP) Snubber Anchorage Upgrade Analysis

A1-3

Calculations

Number Title Revision

FC 08030 Intake Structure Cell Level Control Using the Intake 0

Structure Sluice Gates

FC 08172 Seismic Analysis of Racks AI-140A, AI-140B and AI-140C 0

FC 08310 Auxiliary Feedwater (AFW) Motor Driven Pump FW-6 and 0

Turbine Driven Pump FW-10 Performance and Runout

Evaluation

FC 06821 Site Boundary and Control Room Doses following a Main 1

Steam Line Break Accident Using Alternative Source Terms

FC 06904 Category 1 Air Operated Valve (AOV) Operator Margin 7

Analysis

Drawings

Number Title Revision

11405-M-97 Misc. Heating, Ventilating and Air Conditioning Flow Diagram 66

Sheet 1 P & ID

11405-M-10, Auxiliary Coolant Component Cooling System Flow Diagram 19

Sheet 2 P & ID

11405-M-42, Nitrogen, Hydrogen, Methane, Propane, and Oxygen Gas 97

Sheet 1 Flow Diagram P & ID

B-4334, Sheet 1 Penetration Typical Drawing 9

D-5185, Sheet 1 Auxiliary Building - Condenser Units Tornado Missile 0

Protection Partial Roof Plans

D-5185, Sheet 2 Auxiliary Building - Condenser Units Tornado Missile 0

Protection Elevation and Section

D-5185, Sheet 3 Auxiliary Building Tornado Missile Protection Sections and 0

Details (1 of 4)

D-5185, Sheet 4 Auxiliary Building Tornado Missile Protection Sections and 0

Details (2 of 4)

D-5185, Sheet 5 Auxiliary Building Tornado Missile Protection Sections and 0

Details (3 of 4)

D-5185, Sheet 6 Auxiliary Building Tornado Missile Protection Sections and 0

Details (4 of 4)

Engineering Analysis

Number Title Revision

EA 91-014 Effects of Loss of Cooling Water on SI/CS Pumps 1

A1-4

EA 92-072 Diesel Generator Loading Transient Analysis Using Paladin 7

Design Base 4.0

EA 13-020 Response of the Service Building Subjected to the Design 0

Basis Earthquake and Maximum Hypothetical Earthquake

EA 12-023 Gas Intrusion into the CCW System During Normal 0

Operations

EA 06-032 Environmental Parameters for Electrical Equipment 1

Qualification

EA 13-014 Tornado Safe Shutdown Analysis 17

EA 13-040 Evaluation of Valves with Teflon Subcomponents Located in 0

Radiation Areas

EA 12-023 Gas Intrusion into the CCW System During Normal 0

Operations

EA 08-010 Internal Flooding 0

Engineering Change

Number Title Revision

EC 50248 Replacement Relay for Obsolete GE Part# CR120A26241 0

EC 55394 Raw Water Pump Operation and Safety Classification of 0

Components During a Flood

EC 57139 Upgrade Actuator Elastomers and/or Filter Regulators on 3

HCV-238. 240, 438A, 438B, 438C, & 438D

EC 60138 Intake Structure Missile Protection 0

EC 60137 Fuel Oil Storage Tank FO-1 and FO-10 Missile Protections 0

EC 60136 Tornado Missile Protection - Control Room HVAC

Condensers

EC 55394 Raw Water Pump Operation and Safety Classification of 0

Components During a Flood

EC 53392 Circulating Water System Normal Operation 0

EC 59382 Install High Temperature Elastomers in Fisher Valve Air 0

Operators

EC 60946 Replace Valve Operator Filter Regulators with Fisher 67 0

CFR Filter Regulators

EC 57139 Upgrade Actuator Elastomers and/or Filter Regulators on 3

HCV-238, 239, 240, 438A, 438B, 438C, and 438D

EC 41587 Raw Water Strainer Upgrade 0

EC 59252 Incorporate CCW System Leakage Criteria into Procedures 0

A1-5

EC 41455 CCW Surge Tank Class Boundary Component Upgrades 0

Procedures

AOP-01 Acts of Nature 40

AOP-11 Loss of Component Cooling Water 16

EM-PM-RC-1000 General Inspection of General Electric Reactor Coolant 21

Pump Motors

ER-AA-430-1001 Guidelines for Flow Accelerated Corrosion Activities 9

FCSG-24-1 Condition Report Initiation 6

FCSG-24-3 Condition Report Screening 12a

FSCG-24-4 Condition Report and Cause Evaluation 8a

FCSG-24-5 Cause Evaluation Manual 7a

FCSG-24-6 Corrective Action Implementation and Condition Report 12a

Closure

FCSG-24-7 Effectiveness Review of Corrective Actions to Prevent 3

Recurrence (CAPRs)

FCSG-24-8 Departmental Corrective Action Review Board 11

OI-VA-2 Auxiliary Building Normal Ventilation System Normal 44

Operation

OP-FC-108-115 Operability Determinations 0a

OP-PM-AFW-0001 Auxiliary Feedwater System Flow Path Verification using 14

FW-6

OP-PM-AFW-0003 Auxiliary Feedwater System Flow Path Verification using 0

FW-10

OP-ST-AFW-3009 Auxiliary Feedwater Pump FW-6, Recirculation Valve and 27

Check Valve Tests

OPD-4-23 System Drain and Fill Plans 2

OPD-4-23 System Drain and Fill Plans 1

PED-SEI-34 Maintenance Rule Program 9

SE-PFT-CCE-001 Component Cooling Water Heat Exchangers Performance 15

Test

SE-PM-AE-1000 Containment Corrosion and Protective Coatings Inspection 4

SE-PM-AE-1001 Auxiliary Building Structural Inspection 12

SE-PM-AE-1002 Intake Building and Miscellaneous Structures Inspection 10

SE-PM-AE-1003 Turbine Building Structure Inspection 8

A1-6

SE-PM-AE-1003 Containment Building Structural Inspection 8

SO-G-107 Storage of Transient Equipment and Material to Prevent 10

Seismic Interactions or Tornado Pressurization

TBD-EPIP-OSC-1A Recognition Category A - Abnormal Rad 2a

Levels/Radiological Effluents

TBD-EPIP-OSC- Recognition Category H - Hazards and Other Conditions 2

1H Affecting Plant Safety

Self-Assessment

Number Title Date

RA 2013-0454 Governance and Oversight Self-Assessment March 15, 2013

RA 2013-1147 Focused Area Self-Assessment System Engineer AP April 21, 2014

913

RA 2013-1562 In-Service Testing (IST) Focused Area Check-In August 2, 2013

RA 2013-3600 2014 Safety Culture Assessment of Fort Calhoun March 3, 2014

RA 2013-3590 Air Operated Valve Program Check-In Self-Assessment February 21, 2014

RA-2014-0601 Preparation for 2014 NRC Problem Identification and May 2, 2014

Resolution (PI&R) Inspection

Nuclear Oversight Audits

Number Title Date

13-NOS-029 NOS Audit Report No. 4 Emergency March 13, 2013

Preparedness

13-NOS-053 SARC Audit Report No. 45 Corrective Action April 12, 2013

NOSA-FCS-14-03 Emergency Preparedness Functional Area Audit March 28, 2014

Report

NOSA-FCS-14-01 Maintenance Functional Area Audit Report March 3, 2014

NOSA-FCS-13-72 Engineering Design Control Audit Report August 23, 2013

NOSA-FCS-13-29/61 Operations Functional Area Audit Report September 20, 2013

NOSA-FCS-13-24 Maintenance Functional Area Audit Report October 15, 2013

NOSA-FCS-13-25 Fire Protection Program Audit Report November 12, 2013

Miscellaneous

Number Title Revision/Date

Annual Fatigue Reporting Form for the EIE General February 20, 2014

Submission Portal

A1-7

Nuclear Oversight (NOS) First Level Elevation - August 30, 2013

Engineering has not Taken Appropriate Actions to

Correct CAP Behaviors

Cause Evaluation for Putting Rooms 81 & 82 in 50.65a(1) November 21, 2013

Determination

Number 23041311

RA 2013-1147-004 Focused Area Self-Assessment 0

13-NOS-061 Nuclear Oversight (NOS) Elevation - Ineffective May 17, 2013

Actions for Correcting Missed Quality Control (QC)

Hold Points

13-NOS-077 Nuclear Oversight (NOS) Elevation - Engineering June, 21, 2013

has not Taken Appropriate Actions to Correct CAP

Behaviors

LAR 13-03 License Amendment Request (LAR) August 16, 2013

Recovery Checklist CCW Non-Calc Issues

Item 10.3.5

NED-14-063 DEN Voiding of EA12-024 0

Condition Reports (CRs)

2008-01579 2008-02682 2010-3438 2009-04579 2011-06365

2011-06910 2011-07157 2011-07306 2011-09945 2011-10000

2011-10129 2011-10302 2012-01601 2012-02063 2012-03140

2012-03651 2012-03800 2012-03886 2012-03955 2012-04008

2012-04299 2012-04392 2012-04832 2012-04973 2012-07724

2012-08136 2012-10465 2012-10480 2012-15218 2012-15592

2012-15703 2012-15877 2012-16023 2012-16137 2012-16746

2012-18013 2012-19036 2012-19055 2012-19072 2012-19214

2012-19356 2012-19388 2012-19394 2012-19396 2012-19661

2012-19781 2012-19782 2012-19861 2012-19897 2012-20055

2012-20057 2012-20183 2012-20273 2012-20309 2012-20411

2012-20423 2012-20435 2012-20436 2012-20790 2012-20811

2012-20857 2012-20964 2013-00131 2013-00157 2013-00160

2013-00165 2013-00203 2013-00273 2013-00410 2013-00606

2013-00677 2013-00681 2013-00687 2013-00739 2013-00821

A1-8

2013-00826 2013-01009 2013-01212 2013-01255 2013-01256

2013-01257 2013-01339 2013-01396 2013-01430 2013-01472

2013-01820 2013-01906 2013-02131 2013-02512 2013-02532

2013-02590 2013-02611 2013-02670 2013-02837 2013-02857

2013-02943 2013-03089 2013-03108 2013-03247 2013-03260

2013-03261 2013-03262 2013-03301 2013-03313 2013-03372

2013-03451 2013-03492 2013-03493 2013-03526 2013-03669

2013-03672 2013-03754 2013-03858 2013-03866 2013-03886

2013-03928 2013-04030 2013-04075 2013-04141 2013-04173

2013-04179 2013-04193 2013-04198 2013-04239 2013-04365

2013-04608 2013-04633 2013-04636 2013-04647 2013-04680

2013-04695 2013-04713 2013-04716 2013-04720 2013-04723

2013-04824 2013-05018 2013-05026 2013-05280 2013-05359

2013-05450 2013-05511 2013-05566 2013-05568 2013-05620

2013-05630 2013-05678 2013-05790 2013-06262 2013-06312

2013-06344 2013-06525 2013-06680 2013-06985 2013-07202

2013-07232 2013-07253 2013-07317 2013-07387 2013-07464

2013-07515 2013-07554 2013-07690 2013-07952 2013-08079

2013-08097 2013-08158 2013-08173 2013-08454 2013-08530

2013-08586 2013-08759 2013-08856 2013-09024 2013-09129

2013-09169 2013-09185 2013-09229 2013-09256 2013-09289

2013-09614 2013-09752 2013-09844 2013-09863 2013-10017

2013-10217 2013-10331 2013-10465 2013-10658 2013-10661

2013-10688 2013-10744 2013-10766 2013-10783 2013-10804

2013-10806 2013-10809 2013-10811 2013-10865 2013-10867

2013-10871 2013-10872 2013-10880 2013-10952 2013-11116

2013-11190 2013-11390 2013-11537 2013-11801 2013-11889

2013-11920 2013-11927 2013-11968 2013-11977 2013-11985

2013-11992 2013-12039 2013-12088 2013-12095 2013-12115

A1-9

2013-12276 2013-12408 2013-12425 2013-12451 2013-12527

2013-12696 2013-12847 2013-12920 2013-13100 2013-13410

2013-13415 2013-13715 2013-13775 2013-13870 2013-14015

2013-14017 2013-14113 2013-14116 2013-14255 2013-14280

2013-14363 2013-14477 2013-14682 2013-14697 2013-14712

2013-14723 2013-14781 2013-14904 2013-15047 2013-15122

2013-15199 2013-15474 2013-15703 2013-15744 2013-16041

2013-16386 2013-16392 2013-16494 2013-16525 2013-16545

2013-16597 2013-16689 2013-16764 2013-16784 2013-16851

2013-16916 2013-16926 2013-17059 2013-17288 2013-17365

2013-17863 2013-17885 2013-18466 2013-18472 2013-18490

2013-18548 2013-18626 2013-18678 2013-18752 2013-18810

2013-19018 2013-19107 2013-19254 2013-19429 2013-19497

2013-19537 2013-19722 2013-20079 2013-20281 2013-20550

2013-20675 2013-20903 2013-20950 2013-21070 2013-21082

2013-21295 2013-21335 2013-21356 2013-21453 2013-21517

2013-21567 2013-21599 2013-21786 2013-22030 2013-22134

2013-22170 2013-22296 2013-22412 2013-22627 2013-22632

2013-22695 2013-22777 2013-22858 2013-22875 2013-22937

2013-23007 2013-23069 2013-23267 2013-23299 2013-23310

2013-23360 2013-23373 2013-23379 2014-00110 2014-00231

2014-00318 2014-00390 2014-00605 2014-00661 2014-00946

2014-01017 2014-01205 2014-01452 2014-01464 2014-01574

2014-01886 2014-01908 2014-02009 2014-02019 2014-02194

2014-02242 2014-02332 2014-02360 2014-02363 2014-02432

2014-02435 2014-02497 2014-02536 2014-02537 2014-02582

2014-02591 2014-02591 2014-02696 2014-02747 2014-02900

2014-02941 2014-03079 2014-03206 2014-03238 2014-03338

2014-03356 2014-03368 2014-03394 2014-03397 2014-03642

A1-10

2014-03862 2014-04067 2014-04330 2014-04380 2014-04385

2014-04462 2014-04797 2014-04920 2014-04940 2014-05006

2014-05019 2014-05114 2014-05128 2014-05221 2014-05237

2014-05246 2014-05317 2014-05394 2014-05519 2014-05578

2014-05630 2014-05785 2014-05796 2014-05846 2014-05863

2014-05901 2014-05944 2014-05955 2014-06052 2014-06214

2014-06336 2014-06456 2014-06500 2014-06825 2014-06892

2014-06974 2014-07052 2014-07169 2014-07229 2014-07833

2014-08136 2014-08230 2014-08317 2014-08381 2014-08423

2014-08430 2014-08475 2014-08476 2014-08479 2014-08512

2014-08515 2014-08564 2014-08639 2014-08799 2014-08892

2014-09011 2014-09034 2014-09104 2014-09110

4OA4 IMC 0350 Inspection Activities

Section 1. Organizational Effectiveness, Safety Culture and Safety Conscious Work

Environment

Procedures

Number Title Revision

HU-AA-101 Human Performance Tools And Verification Practices 8

HU-AA-102 Technical Human Performance Practices 7

Condition Reports (CRs)

2014-08683 2013-02314 2014-04970 2014-04945

2014-08685 2014-04963 2014-04165

Action Items (AIs)

2012-03986-049 2012-04262-057 2013-03600-004

Section 2. Problem Identification and Resolution

Procedures

Number Title Revision

CAPCO01 Corrective Action Program Coordinator Qualification Checklist 8

A1-11

Procedures

Number Title Revision

DCARB01 Department Corrective Action Review Board Qualification 5

Checklist

MRC01 Management Review Committee Qualification Checklist 1

CCCAP 009 Nuclear Training Corrective Action Program, Station Corrective 1

Action Review Board (initial)

FSG-24-9 Management Review Committee 9

SO-R-2 Condition Reporting and Corrective Action 53b

Other Documents

Number Title Date

Qualification Group Qualified Employee List MRC01 June 27, 2014

Management Review Committee

Qualification Group Qualified Employee List DCARB01 June 27, 2014

Dept Correct Action Review Board

List of Current Fort Calhoun Station CAPCOs June 27, 2014

FSG-24-9 Management Review Committee, completed Root September 5, 2013 -

Attachment 2 Cause and Apparent Cause Grading Sheets May 19, 2014

Performance Measures Charts: MRC Rejection Rate, July 1, 2013 -

MRC Total (RCA Evaluations), MRC Total June 30, 2014

(Effectiveness Reviews), MRC Total (ACA Evaluations),

MRC (analysis green sheet rejections), MRC Rejection

Rate

3.06 Omaha Public Power District Corporate Policy May 1, 2014

The Right Picture

Weekly Leadership Alignment Meeting October 8, 2012

Corrective Action Program July 26, 2012

Condition Reports (CRs)

2012-03495 2011-10135 2013-08675

Action Items (AIs)

2013-08675-034 2013-08675-006 2013-08675-008 2013-08675-010 2012-03495-033

2013-08675-041 2013-08675-055 2013-08675-055

A1-12

Section 3. Performance Improvement and Learning Programs

Procedures

Number Title Revision

FCSG-24-7 Effectiveness Review of Corrective Actions to Prevent 3

Recurrence (CAPRs)

Miscellaneous

Number Title Revision/Date

FCS Weekly Leadership Alignment Meeting Presentation June 30, 2014

OPPD 2013-2015 Business Unit Plan for Nuclear March 30, 2013

Safety and Human Performance Standards Accountability 0

Policy

2014 Human Performance Strategic Plan January 10, 2014

FCS Plan of the Day December 17, 2013

OPPD: Fort Calhoun Station Human Performance July 1, 2013 -

Indicators June 30, 2014

PIIM 2013- PIIIM Summary - 2013-0015 Performance Improvement May 30, 2013

0015 (FPD)

PI-FS-1 Performance Improvement 0

FCSG-70 Performance Improvement Integrated Matrix 0

PIIM PIIM Summary - 2013-0045 System Engineering February 27, 2013

2013-0045 Excellence Plan (EP)

Excellence Plan - Fort Calhoun Station - System

Engineering

PIIM PIIM Summary - 2013-0101 Engineering Design July 2, 2013

2013-0101 Control/Configuration Control Quality Process

Improvement

Condition Reports (CRs)

2012-08135 2012-18702 2012-08126 2012-03986 2013-08675

Action Items (AIs)

2012-08135-014 2012-08135-015 2012-08135-008 2012-08135-016 2012-08135-026

2012-08135-027 2012-08135-028 2012-08135-029

A1-13

Section 4. Design and Licensing Basis Control and Use

Procedures

Number Title Revision

ERPG-EAG-02 Engineering Assurance Group (EAG) Review Task Familiarization 0

Guide - Assessing DNC Conditions, Operability Determinations,

Functionality Assessments, and Reportable Conditions.

ERPG-EAG-03 Engineering Assurance Group (EAG) Review Task Familiarization 1

Guide - Assessing 50.59 Applicability Determinations, 50.59

Screenings, 50.59 Evaluations, 72.48 Applicability

Determinations, 72.48 Screenings, and 72.48 Evaluations.

ERPG-EAG-03 Engineering Assurance Group (EAG) Review Task Familiarization 1

Guide - Assessing Modifications and Engineering Changes.

FCSG-71 Engineering Assurance Group 1

Condition Reports (CRs)

2013-11695 2013-01299 2013-02036 2013-14128 2013-14129

2013-14131 2013-17281 2014-00533 2014-00955 2014-01116

2014-01177 2014-01227 2014-01324 2014-01886 2014-01896

2014-02129 2014-03735 2014-04366 2014-05724 2014-05724

2014-07767 2014-00344 2014-01387 2014-01857 2014-03599

2014-03718 2014-03772 2014-04344 2014-05807 2014-06354

2014-07124 2014-07749 2014-02122 2014-08532 2014-02976

2014-01287 2014-04752

Action Items (AIs)

2013-05570-010 2013-05570-049 2013-05570-052 2013-05570-057 2013-05570-067

2013-05570-079 2013-05570-091 2013-05570-092 2014-02122-002 2013-05570-074

2013-05570-061 2013-05570-119 2013-05570-122 2013-05570-123

Other Documents

Type Number Title Revision

Procedure MM-PM-MX-1001 Preventive Maintenance - V-Belt cleaning, 4

Inspection, and Adjustment

USAR section 9.1 Auxiliary Systems - Heating, Ventilating and Air 32

Conditioning System

A1-14

Other Documents

Type Number Title Revision

Drawing D-5185 Auxiliary Building - Condenser Units Tornado 0

Missile Protection Condenser Air Deflectors -

Sections (Sheets 1-2, 5-9)

Work Order 480935

Engineering 60136

Change

Section 6. Procedures

Procedures

Number Title Revision

ARP-AI-100/A50 Annunciator Response Procedure A50 Local Annunciator 13

A50, Waste Disposal

ARP-AI-66A/A66A Annunciator Response Procedure A66A Control Room 19

Annunciator A66a, AFWAS/DSS

ARP-AI-66B/A66B Annunciator Response Procedure A66b Control Room 28

Annunciator A66b, AFWAS/DSS

ARP-CB-1,2,3/A1 Annunciator Response Procedure A1 Control Room 38

Annunciator A1

ARP-AI-65A/A65A Annunciator Response Procedure A65a Control Room 22

Annunciator A65a Containment/RCGVS

ARP-AI-106B/A106B Annunciator Response Procedure A106b Control Room 19

Annunciator A106b Control Room Ventilation

ARP-CB-10,11/A10 Annunciator Response Procedure A10 Control Room 17

Annunciator A10

ARP-AI-30B/A34-2 Annunciator Response Procedure A34-2 Control Room 26

Annunciator A34-2 Engineered Safeguards

Miscellaneous

Number Title Revision/Date

Procedure Review List and Status

Verification Process to Address Procedure Quality May 30, 2013

Concerns (TC 6.0 Procedure Verification Program)

Condition Report Listing for OI, OP, EOP, AOP or August 24, 2013 -:

ARPs related trend codes February 22, 2014

PIIM 2013-0012 PIIM Summary - 2013-0012 FCS Procedure Quality April 14, 2011

and Procedure Management (FPD)

A1-15

Miscellaneous

Number Title Revision/Date

RCA 2012-08136 Root Cause Analysis Report - Procedure 0

Quality/Procedure Management

AD-FC-1 Document Usage and Administration 0

NPM-1.18 Hierarchy of Documents 0

AD-FC-10 Administration Program Description 0

Policy Number Corporate Governance, Oversight, Support, and July 15, 2013

3.06 Perform (GOSP) Model of Fort Calhoun Station

PIIM 2013-0021 PIMM summary - 2013-0021 Equipment Design March 1, 2013

Qualifications / EEQ-HELB (RS)

PIIM 2013-0088 PIIM Summary - 2013-0088 0350 Checklist Item 3.d.2, July 3, 2013

Equipment Service Life (ESL)

V-EC-1869 Applicability of BWROG Magnesium Rotor Inspection 2

Report to PWRs

PBD-19 Electrical Equipment Qualification Program 6

Condition Reports (CRs)

2010-02387 2011-03016 2013-09711 2013-08856 2014-06973

2014-08542 2012-18351 2012-08136 2013-08856 2014-00822

2013-02857 2013-18306 2013-19907 2013-18702 2012-18392

2014-08327

Action Item (AI)

2013-09711-006 2013-09711-005 2011-03016-048 2010-02387-072 2013-05570-026

2013-05570-076 2011-1484-028

Section 7. Equipment Performance

Procedures

Number Title Revision

FCSG-68-6 Functional Importance Determination (FID) Process 0

PED-GEI-24 Safety Classification of System, Structure, Components and 6

Sub-components.

PED-SEI-13 Preventive Maintenance Program - Technical Basis 15

FCSG-4 Performance of Self-Assessment 24

A1-16

Procedures

Number Title Revision

PI-AA-126 Self-assessment and Benchmark Program 0

ER-AA-2002 System Health Monitoring 16

ER-AA-2001 Plant Health Committee 17

EC 63045 FCS Issue Prioritization and Plant Health Committee Process 19a & 20

AP-913 Equipment Reliability Process Description 4

PED-SEI-50 Equipment Reliability Strategy Development and Preventive 0

Maintenance Basis

PED-GEI-88 Key Calculation Identification and Improvement 0

Other

Number Title Revision/Date

PIIM 2013-0056 PIIIM Summary - 2013-0056 Safety Sytem Functional June 4, 2013

Failures - NRC White (RS)

FCS-203087-PP FCS Design and Licensing Bases Reconstitution Project 0

Plan

FCS- 203087-PM FCS Design and Licensing Bases Reconstitution Project 0

Manual

FCS-203087-P-005 Components Reclassification 0

PIIM 2013-0033 PIIM Summary 2013-0033 Cables and Connectors May 31, 2013

MD-AD-0004 Maintenance Work Instructions Writers Guide 37

Condition Reports (CRs)

2014-08881 2014-09058 2014-09025 2014-04709 2014-00976

2013-02857 2013-18306 2013-19907 2013-18702 2012-18392

2014-08327 2012-08617 2012-03544 2009-04216

Action Items (AIs)

2012-08131-012 2012-08131-019 2012-08131-024 2012-08131-039 2012-09491-014

2012-09491-020 2012-15357-001 2013-09658-001 2013-09658-002 2013-09658-003

2013-09658-004 2013-09658-005

A1-17

Section 8. Programs

Procedures

Number Title Revision

OP-FC-108-115-AD- Operability Determination Oversight and Monitoring 0

ODQRB

FCSG-24-7 Effectiveness Review of Corrective Actions to Prevent 3

Recurrence (CAPRs)

LS-AA-114-1006 Exelon 72.48 Training and Qualification 1

TAP-42 Training Administrative Procedure - 42 3

Mentoring

LS-AA-104-1006 Exelon 50.59 Training and Qualification 4

NOD-QP-3 10 CFR 50.59 and 10 CFR 72.48 Reviews 34

NOD-QP-3.2 10 CFR 50.59 Evaluator Qualifications (ES58checklist) 4

NOD-QP-3.1 10 CFR 50.59 Screener Qualifications (ES57checklist) 3

NOD-QP-37.1 Performance Indicator/Goal Change Request 3

Title: Design & Licensing Bases Evaluation & Procedure

Issues

NOD-QP-14 Protection of Safeguards Information 36

MD-AD-0004 Exelon Procedure, Maintenance Work Instructions Writers 33

Guide

PED-GEI-28 Preparation of Construction Work Orders 28

SO-M-101 Maintenance Work Control 95

PED-SEI-31 Vendor Manual Configuration Changes 9

PED-GEI-51 Design Document Correction Request Evaluations 13

PED-GEI-56 Configuration Change Closeout 30

PED-GEI- 60 Preparation Substitute Replacement Items 46

PED-QP-2 Configuration Change Control 61

SO-G-21 Modification Control 96

SO-G-62 Control of Vendor Manuals 15

Condition Reports (CRs)

2014-08298 2014-08044 2012-08125 2013-05570 2013-17444

2013-19131 2013-19073 2011-6621 2011-5414 2011-9296

2012-08177 2013-05570 2012-05616 2012-07724 2013-05206

A1-18

2012-19988 1012-19956 2012-09227

2013-17444 2012-19988 1012-19956

Other Documents

Number Title Revision/Date

NOSA-FCS-13-24 Maintenance Functional Area Audit Report September 30 -

October 11, 2013

NOSA-FCS-14-01 Maintenance Functional Area Audit Report February 10 -

February 25, 2014

Qualification Group Qualified Employees July 21, 2014

Mentoring Mentoring Process

10 CFR 50.59 AD Average Performance Indicator March 21, 2014 -

June 6, 2014

10 CFR 50.59 AD Failure Rate Performance March 21, 2014 -

Indicator June 6, 2014

10 CFR 50.59 Screening Average Performance March 21, 2014 -

Indicator June 6, 2014

10 CFR 50.59 Screening Failure Rate Performance March 21, 2014 -

Indicator June 6, 2014

10 CFR 50.59 Evaluation Average Performance March 21, 2014 -

Indicator June 6, 2014

10 CFR 50.59 Evaluation Failure Rate Performance March 21, 2014 -

Indicator June 6, 2014

10 CFR 72.48 AD Average Performance Indicator March 21, 2014 -

June 6, 2014

10 CFR 72.48 AD Failure Rate Performance March 21, 2014 -

Indicator June 6, 2014

PI Title: Design & Licensing Bases Evaluation & December 1, 2013 -

Procedure Issues April 30, 2014

Memorandum Fort Calhoun Station NSRB Meeting April 23-24, April 14, 2014

2014-NSRB-3 2014

(meeting agenda)

Fort Calhoun Station OE-MRM July 18, 2014

(presentation)

Nuclear Safety review Board, fort Calhoun August 7, 2014

(presentation)

Audit Template Engineering Design Control Design 0

Control

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A1-20

UNITED STATES

NUCLEAR REGULATORY COMMISSION

REGION IV

1600 E. LAMAR BLVD.

ARLINGTON, TX 76011-4511

May 30, 2014

Lou Cortopassi, Vice President

and Chief Nuclear Officer

Omaha Public Power District

Fort Calhoun Station FC-2-4

P.O. Box 550

Fort Calhoun, NE 68023-0550

SUBJECT: FORT CALHOUN STATION - NOTIFICATION OF INSPECTION

(NRC INSPECTION REPORT 05000285/2014009) AND REQUEST

FOR INFORMATION

Dear Mr. Cortopassi:

On July 7, 2014, inspectors from the Nuclear Regulatory Commissions (NRC) will perform an

inspection as part of its oversight of Fort Calhoun Station (FCS) in accordance with Inspection

Manual Chapter (IMC) 0350, using applicable portions of NRC Inspection Procedures 71152

and 92702. This inspection supports the assessment and verification of the commitments

described in the Confirmatory Action Letter issued to FCS on December 17, 2013, and other

selected areas to inform the NRCs assessment of the safety, organizational, and programmatic

issues at FCS. This inspection will assist the NRC in assessing if the licensees performance

improvement initiatives are being effectively implemented and monitored and provide the

agency assessment input regarding the decision to move the station back into the Reactor

Oversight Process.

This inspection is a part of the IMC 0350 oversight inspection activities. Experience has shown

that this inspection is a resource intensive inspection both for the NRC inspectors and your staff.

The inspection will include 2-weeks of on-site inspections by the team. The current inspection

schedule is as follows:

Preparation week: June 23, 2014

Onsite weeks: July 7, 2014, and July 21, 2014

In order to minimize the impact to your on-site resources and to ensure a productive inspection,

we have enclosed a request for documents and resources needed for this inspection. It is

important that all of these documents are up-to-date and complete in order to minimize the

number of additional documents requested during the preparation and/or onsite portions of the

inspection.

A2-1 Attachment 2

We have discussed the schedule for these inspection activities with your staff and understand

that our regulatory contact for this inspection will be Mr. Corey Cameron, Supervisor Regulatory

Compliance. If there are any questions about this inspection or the material requested, please

contact the lead inspector, Greg Warnick, at (949) 492-2641 (Greg.Warnick@nrc.gov).

This letter does not contain new or amended information collection requirements subject to

the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). Existing information

collection requirements were approved by the Office of Management and Budget, control

number 3150-0018. The NRC may not conduct or sponsor, and a person is not required to

respond to, a request for information or an information collection requirement unless the

requesting document displays a currently valid Office of Management and Budget control

number.

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

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

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

(ADAMS). ADAMS is accessible from the NRC web site at http://www.nrc.gov/reading-

rm/adams.html (the Public Electronic Reading Room).

Sincerely,

/RA/

Michael C. Hay, Chief

Reactor Projects Branch F

Division of Reactor Projects

Docket: 50-285

License: DPR-40

Enclosure:

Fort Calhoun Station CAL Follow-up and

PI&R Inspection - Request for Information

cc w/enclosure: Electronic Distribution for Fort Calhoun Station

A2-2

Electronic distribution by RIV:

Regional Administrator (Marc.Dapas@nrc.gov)

MC0350 Vice Chairman (Louise.Lund@nrc.gov)

DRP Director (Kriss.Kennedy@nrc.gov)

DRP Deputy Director (Troy.Pruett@nrc.gov)

DRS Director (Anton.Vegel@nrc.gov)

DRS Deputy Director (Jeff.Clark@nrc.gov)

Senior Resident Inspector (John.Kirkland@nrc.gov)

Resident Inspector (Jacob.Wingebach@nrc.gov)

Branch Chief, DRP/F (Michael.Hay@nrc.gov)

Project Engineer, DRP/F (Chris.Smith@nrc.gov)

FCS Administrative Assistant (Janise.Schwee@nrc.gov)

Branch Chief, NRR/AHPB (Undine.Shoop@nrc.gov)

Lead Inspector 0350 (Greg.Warnick@nrc.gov)

Public Affairs Officer (Victor.Dricks@nrc.gov)

Public Affairs Officer (Lara.Uselding@nrc.gov)

Project Manager (Joseph.Sebrosky@nrc.gov)

RITS Coordinator (Marisa.Herrera@nrc.gov)

Regional Counsel (Karla.Fuller@nrc.gov)

Technical Support Assistant (Loretta.Williams@nrc.gov)

Congressional Affairs Officer (Jenny.Weil@nrc.gov)

RIV/ETA: OEDO (Joseph.Nick@nrc.gov)

A2-3

Fort Calhoun Station CAL Follow-up and PI&R Inspection - Request for Information

TO: Corey Cameron

Supervisor Regulatory Compliance

(402)-533-7337

FROM: Greg Warnick

Team Leader, CAL Follow-up, and PI&R Inspection

949-492-2641

SUBJECT: INFORMATION REQUEST TO SUPPORT JULY 2014 CAL FOLLOW-UP AND

PI&R TEAM INSPECTION (IPS 71152 AND 92702)

The following information is requested in order to support inspection preparation activities

starting June 23, 2014:

  • Electronically accessible files on Certrec website for: Greg Warnick, Bob Hagar, Jeremy

Groom, Bradley Davis, Chris Smith, Christopher Henderson, Megan Williams, Ellery

Coffman, David Holman, John Mateychick, LaDonna Suggs, Isaac Anchondo, and Wesley

Deschaine.

  • Closure Books for the following PIIM action items, with corresponding Action Item Numbers:

1.a - Organizational Effectiveness

2012-08132-021

2012-03986-049

2012-08132-010

2012-08132-025

1.b - Station Safety Culture/Safety Conscious Work Environment

2012-03986-049

2012-04262-057

2012-04262-068

2012-04262-069

2.a - CAP Excellence Plan - Problem Identification

2013-08675-006

2013-08675-010

2013-08675-046

2.b - CAP Excellence Plan - Root Cause and Apparent Cause Quality

2013-08675-034

2013-08675-008

2013-08675-006

A2-4

2013-08675-010

2012-03495-033

2013-08675-041

2.c - CAP Excellence Plan - Corrective Action Closure

2013-08675-006

2013-08675-010

2013-08675-043

2013-08675-046

2013-08675-047

3.a - Performance Improvement

2013-08675-035

2012-08126-018

2012-08126-015

3.b - Human Performance

2012-08135-014

2012-08135-015

2012-08135-008

2012-08135-016

2012-08135-026

2012-08135-027

2012-08135-028

2012-08135-029

4.a - Design And Licensing Basis

2013-05570-025

2013-05570-091

2013-05570-010

2013-05570-079

2013-05570-092

2013-05570-057

2013-05570-067

2013-05570-049

2013-05570-052

5.a - Site Operational Focus, Operational Decision Making and Anticipating System

Response

2012-08132-010

2013-17442-001

A2-5

6.a - Procedure Quality and Procedure Management

2012-18351-001

2012-08136-014

2012-08136-022

2012-08136-023

2012-08136-024

6.b - Abnormal and Emergency Operating Procedures

2013-09711-006

2013-09711-005

2011-3016-048

2010-2387-072

7.a - Tornado Protection

2013-04266-007

2013-04266-014

2013-04266-016

7.b - Equipment Service Life

2012-08134-012

2012-08134-024

2013-09658-001

2012-15357-001

2012-08134-019

2012-09491-020

2013-09658-002

2012-09491-014

2013-09658-003

2012-08134-039

2013-09658-004

2013-09658-005

7.e - Electrical Equipment Qualification/High Energy Line Break

2013-02857-014

2013-02857-016

2013-02857-009

2013-02857-019

A2-6

7.f - Safety System Functional Failures

2011-2677-008

7.g - Cables and Connections

2012-08617-011

2012-03544-014

2012-08134-026

2009-04216-020

8.a - Engineering Rigor

2012-08125-027

2013-05570-049

2013-05570-064

8.b - Equipment Safety Classification and Safety Related Equipment Maintenance

2013-05570-011

2012-05615-009

8.c - Electrical Bus Modifications and Maintenance

2011-6621-038

8.d - Deficiencies in Design and Implementation of Fundamental Regulatory Required

Processes

2012-08137-031

2012-08137-012

2012-08137-032

8.e - Design Change 10 CFR 50.59 Practices

2012-08177-027

2012-08177-020

2013-05570-057

2013-05570-068

8.f - Piping Code and System Classification and Analysis

2012-07724-025

2012-07724-022

A2-7

8.g - Vendor Manual and Vendor Information Control Program

2012-09227-010

2012-09227-017

8.h - Safeguards Information Digital Storage Control

2012-05931-026

2012-05931-034

2013-17431-001

8.i - Operability Determination

2013-19752-001

2013-19752-037

2013-19752-002

2013-19752-005

2013-19752-006

2013-19752-007

2012-09494-036

2013-19752-010

2013-19752-012

2013-19752-013

2013-19752-021

2013-19752-025

2013-19752-026

2013-19752-029

9.a - Nuclear Oversight Effectiveness

2012-08142-030

10.a - Transition to the Exelon Nuclear Management Model and Integration into the Exelon

Nuclear Fleet

2013-17434-001

2013-17434-002

  • Corrective Action Program Review

This review will cover the period from February 2013 through the present. All requested

information should be limited to this period unless otherwise specified. To the extent

possible, the requested information should be provided electronically in Adobe PDF or

Microsoft Office format. Lists of documents should be provided in Microsoft Excel or a

similar sortable format.

A2-8

1. Document Lists

Note: For these summary lists, please include the document/reference number, the

document title or a description of the issue, initiation date, and current status. Please

include long text descriptions of the issues.

a. Summary list of all corrective action documents related to significant

conditions adverse to quality that were opened, closed, or evaluated during

the period

b. Summary list of all corrective action documents related to conditions adverse

to quality that were opened or closed during the period

c. Summary lists of all corrective action documents which were upgraded or

downgraded in priority/significance during the period

d. Summary list of all corrective action documents that subsume or roll up one

or more smaller issues for the period

e. Summary lists of operator workarounds, engineering review requests and/or

operability evaluations, temporary modifications, and control room and safety

system deficiencies opened, closed, or evaluated during the period

f. Summary list of plant safety issues raised or addressed by the Employee

Concerns Program

g. Summary list of all Apparent Cause Evaluations completed during the period

h. Summary list of all Root Cause Evaluations planned or in progress but not

complete at the end of the period

2. Full Documents, with Attachments

a. Root Cause Evaluations completed during the period

b. Quality assurance audits performed during the period

c. All audits/surveillances performed during the period of the Corrective Action

Program, of individual corrective actions, and of cause evaluations

d. Corrective action activity reports, functional area self-assessments, and non-

NRC third party assessments completed during the period (do not include

INPO assessments)

e. Corrective action documents generated during the period for the following:

i. NCVs and Violations issued to Fort Calhoun Station

ii. LERs issued by Fort Calhoun Station

f. Corrective action documents generated for the following, if they were

determined to be applicable to Fort Calhoun Station (for those that were

evaluated, but determined not to be applicable, provide a summary list):

i. NRC Information Notices, Bulletins, and Generic Letters issued or

evaluated during the period

ii. Part 21 reports issued or evaluated during the period

A2-9

iii. Vendor safety information letters (or equivalent) issued or evaluated

during the period

iv. Other external events and/or Operating Experience evaluated for

applicability during the period

g. Corrective action documents generated for the following:

i. Emergency planning drills and tabletop exercises performed during

the period

ii. Maintenance preventable functional failures which occurred or were

evaluated during the period

iii. Adverse trends in equipment, processes, procedures, or programs

which were evaluated during the period

iv. Action items generated or addressed by plant safety review

committees during the period

Inspector Contact Information:

Greg Warnick

Team Leader

(949) 492-2641

Greg.Warnick@nrc.gov

Bob Hagar

Assistant Team Leader

(817) 200-1546

Bob.Hagar@nrc.gov

Jeremy Groom

Assistant Team Leader

(509) 377-2627

Jeremy.Groom@nrc.gov

A2-10