ML14261A455
ML14261A455 | |
Person / Time | |
---|---|
Site: | Fort Calhoun |
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
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
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
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
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
- Green. Multiple examples of a non-cited violation of 10 CFR Part 50, Appendix B,
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)
- Green. A non-cited violation of 10 CFR Part 50, Appendix B, Criterion III, Design Control,
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)
- Green. A self-revealing non-cited violation of 10 CFR Part 50, Appendix B, Criterion III,
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)
- Green. A non-cited violation of 10 CFR Part 50, Appendix B, Criterion III, Design Control,
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)
- Green. A non-cited violation of 10 CFR Part 50, Appendix B, Criterion III, Design Control,
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)
- Green. A cited violation of 10 CFR Part 50, Appendix B, Criterion III, Design Control, was
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)
- Green. A 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 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)
- Green. A 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. 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)
- Green. A 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. 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)
- Green. A 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 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
- Green. A 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 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)
- Green. A 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 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)
- Green. A self-revealing 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. 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
- Green. A self-revealing 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 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
- Green. A 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. 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
- Green. A non-cited violation of 10 CFR Part 50, Appendix B, Criterion V, Instruction,
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)
- Severity Level IV. 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 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
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)
- Severity Level IV. A 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 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)
- Severity Level IV. A cited violation of 10 CFR 50.59, Changes, Tests, 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 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
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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
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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:
- NRC Information Notice 2008-02, Findings Identified During Component Design
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.
- NRC Information Notice 2011-14, Component Cooling Water System Gas
Accumulation and Other Performance Issues. The licensees review of this
information notice, which was previously documented in NRC Inspection
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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.
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.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
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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:
- NCV 05000285/2013008-36, Deficient Evaluation of NRC Bulletin 88-04, Strong
Pump Weak Pump Due to Failure to Consider the Effect of AFW Pump Discharge
Check Valve Leakage
- NCV 05000285/2013008-03, Failure to Ensure Safe Operations at Design Basis
Low River Level
- NCV 05000285/2013008-04, Non-Conservative Value for Declaring An Alert on Low
River Level
- NCV 05000285/2013008-28, Failure to Perform Evaluation for a Change to
Component Cooling Water Make-Up
- NCV 05000285/2013008-06, Failure to Account for Worst Case Conditions in Fuel
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
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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
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
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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
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
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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.
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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.
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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
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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
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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.
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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.
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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
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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
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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:
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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
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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.
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- 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
(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.
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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.
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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.
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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.
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- 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.
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.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.
- 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 for those structures, systems, and components are correctly translated into
specifications, drawings, procedures, and instructions. Contrary to the above, from initial
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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.
- 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, 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.
- Title 10 CFR 50.73(a)(1) 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 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.
- Technical Specification 5.8.1.a, requires, in part, that written procedures be established,
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.
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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)
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
A1-19
Other Documents
Number Title Revision/Date
Lesson Plan Design & Licensing Basis Reset Training - Phase I
ESCT1302A
Lesson Plan Design & Licensing Basis Reset Training - Phase II
ESCT1303E
ESCT1303H Design & Licensing Basis Reset Training - Phase
III Lesson Plan
PIIM 2013-016 PIIM Summary - 2013-0016 Electrical Bus June 7, 2011
Modifications and Maintenance; Bus Fire Red
Finding (RS)
WMCT-1301 Maintenance Planning Lesson Plan
EA 91-054 Code Reconciliation of original design code on June 1, 1992
record USAS B31.7 (Draft February 1968) to ASME
section III 1974 edition and 1980 edition with
Summer 81 Addenda.
LAR 14-04 Revise Current Licensing Basis to Adopt American May 16, 2014
Society of Mechanical Engineers Boiler and
Pressure Vessel Code,Section III, 1980, (no
Addenda) as an Alternative to Current Code of
Record.
New Employee Orientation Lesson Plan
Computer Based Training Course for Safeguards
Information (18 pages)
Drill, [Safeguards Information] Laptop Configuration October 22, 1013
[Safeguards Information] Drill 2012-05931-34AI, October 22, 2013
Training Record, 2 Examples
Section 9. Nuclear Oversight
Procedures
Number Title Revision
FCSG-24-4 Condition Report and Cause Evaluation 8a
FCSG-24-7 Effectiveness Review of Corrective Actions to Prevent 3
Recurrence (CAPRs)
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:
Team Leader
(949) 492-2641
Greg.Warnick@nrc.gov
Bob Hagar
Assistant Team Leader
(817) 200-1546
Bob.Hagar@nrc.gov
Assistant Team Leader
(509) 377-2627
Jeremy.Groom@nrc.gov
A2-10