ML17056A619
| ML17056A619 | |
| Person / Time | |
|---|---|
| Site: | Nine Mile Point |
| Issue date: | 02/05/1990 |
| From: | Meyer G NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | |
| Shared Package | |
| ML17056A617 | List: |
| References | |
| 50-220-89-08, 50-220-89-8, 50-410-89-08, 50-410-89-8, NUDOCS 9002230122 | |
| Download: ML17056A619 (62) | |
See also: IR 05000220/1989008
Text
'
U.S.
NUCLEAR REGULATORY COMMISSION
REGION I
50-220/89-08
Report Nos.:
50-410/89-08
50-220
Docket Nos.:
50-410
DPR"63
License Nos.:
Licensee:
Niagara
Mohawk Power
Corporation
301 Plainfield Road
Syracuse,
13212
Facility:
Location:
Nine Mile Point, Units
1 and
2
Scriba,
Dates:
September
7,
1989 through October
18,
1989
Inspectors:
W. Cook, Senior Resident
Inspector
R.
Temps,
Resident
Inspector
R. Laura,
Resident
Inspector
T. Collins,
R. Barkley, Reactor
Engin
r
Approved by:
~
G
nn
W. Meyer, Chief
eactor Projects
Sec
i
n
No
~
1B
Division of Reactor
rojects
ate
Ins ection Summar:
Areas Ins ected:
Routine
inspection
by
the
resident
inspectors
of station
activities
including Unit
1 refueling activities
and Unit
2 power operations,
licensee
action
on
previously
identified
items,
plant
tours,
safety
system
walkdowns,
surveillance
testing
reviews,
maintenance
reviews,
preparations
for
refuel at Unit 1,
and allegation followup.
Results:
For Unit 1,
several
reactor
due to problems with Motor Gener-
ator
Set
162
(MG 162) are discussed
in Section
2.
Section
3 updates
and closes
several
open
items.
System
walkdowns
resulted
in identification
of
several
apparent
violations and're
discussed
in Section
4.
A detailed
review of Unit
1 preparations
for reload is discussed
in Section
1.
Closeout of two allega-
tions is documented
in section
9.
A Unit 2 violation concerning the failure to perform
a post-maintenance
test is
discussed
in Section 2.2.b.
A Unit 2 unresolved
item concerning
use of the
10 CFR 50.59 process
is discussed
in Section
5.2.b.
Three Unit 2 reactor
two of which were
caused
by personnel error,'re
discussed
in Sections
2.2.a,
2.2.f
and 2.2.g.
A Unit
2 incident concerning
valves
out of position in the
system
causing
an unplanned
system transient is discussed
in Section 2.2.d.
TABLE OF CONTENTS
1.
Review of Preparations
for Reload
(Modules 71707,71710,
60705).
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2.
Review of Plant Events
(Modules 71710,
90712, 93702)......
3.
Followup of Previous Identified Items (Modules 92700,
93702)
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4.
Safety
System Operability Verification (71710)............
5.
Plant Inspection
Tours (Modules 71707,71710).....'.....
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e
13
20
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6.
Surveillance
Review (Module 61726)
7.
Maintenance
Review (Module 62703).
8.
Allegation Followup (Module 71707)
9.
Management
Meeting
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10.
Exit Meetings
(Module 30703,40500)
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DETAILS
1.
Review of Pre arations for Core Reload
During this report period,
the resident staff conducted
a review of NMPC's
preparations
to reload the core at Unit 1.
Specific areas
of interest
and
reload related activities were
inspected.
Our findings
and
assessment
of
the subject
areas
are
summarized
below.
Technical
S ecification
TS
Review
The
inspector
reviewed
the
Unit
1
TS
and
prepared
a list of all
~
sections
with applicability to the
REFUEL mode.
This list was
then
reviewed
against
NMPC's
TS Matrix and
was
found to
be in agreement.
Additionally,
NMPC's
TS
Matrix
contained
additional
items
which,
through conservative
interpretation,
were determined to be applicable
to reload activities.
The inspector
questioned
the ability of
NMPC to meet the operability
requirements
for
some
of
the
systems
required
for
reload.
It
appeared
that for some
systems,
such
as
Reactor
Building Closed
Loop
Cooling
and
Core
Spray,
that the system's
physical condition or sur-
veillancee
testing status did not necessarily
support the requirements
to
make
the
system
TS
The inspector
determined that for
these
systems,
as
well
as
others,
NMPC is'elying
on
engineering
evaluations
to
declare
systems
for the
REFUEL condition
only.
In
other
instances
TS
interpretations
are
being
used
to
support
the operability
requirements
for REFUEL.
The inspector
has
requested
that
NMPC provide
a list of all
TS
interpretations
and
10 CFR 50.59 reviews which will be used to satisfy the refueling sys-
tems operability requirements.
Pending
inspector
review of the above
requested
material, it appeared
that
had
adequate
methods
in place
to ensure
that operability
requirements
for systems
necessary
to
support
the
REFUEL condition
are identified and met.
1.2
TS Surveillance
Review and Verification
An adjunct to the
TS review was
a review of TS required surveillance
tests
for systems
required for reload.
The
inspector
reviewed
the
Unit
1
Surveillance
Test
Matrix,
a
document
which correlates
TS
required
survei llances
with the
NMPC surveillance
test
procedures.
The Test Matrix also lists all
modes
in which the surveillance test
must
be satisfied.
Inspector
review of this document
identified
no
deficiencies.
By use of a separate
computer listing of the Test Matrix, the inspec-
tor reviewed
when
a particular surveillance
procedure
was last
per-
formed.
Through discussion with NMPC personnel,
the inspector deter-
mined that not all
TS Matrix entries reflect
the
most current
sur.-
veillance
procedure revision and/or procedure
number.
Therefore,
the
last completion date for some
surveillance
procedures
was not avail-
able.
However,
the
inspector
determined
that
NMPC personnel
were
aware of these
discrepancies
and that
measures
were
being
taken
to
address
them.
Overall, the Surveillance
Test Matrix appeared
to be
a
complete
document
which
should
be
beneficial
in
ensuring
that
TS
required surveillance
tests
are identified and performed within their
periodicity.
Safet
S stem Walkdowns
Part
of
NMPC's
preparation
for reload
was
a
walkdown
of
systems
determined
to
be
necessary
for reload activities.
This was
accom-
plished using Temporary
Procedure
N1-88-6.6, R"start Requirements
for
Core
Reloading
System
and Area Walkdown for Restart
Procedure.
This
procedure
required
walkdown of 26 systems,
as well as,
general
area
walkdowns in various parts of the plant.
The
inspectors
chose
two
systems
which
had
completed
per
Nl-88-6.6.
The inspectors
performed
independent
walkdowns
using
the
observation
criteria
listed
in
N1-88-6.6.
The first walkdown
wag
performed
on the
Emergency Ventilation (EV) System.
Comparing walk-
down deficiency lists,
the inspectors
noted that none of their find-
ings
were contained
in the
NMPC list of material
deficiencies,
(EV
system
walkdown findings were discussed
in IR 89-07
and in Section
4
of this report).
Based
on the results of the
EV system walkdown,
the
inspectors
were
concerned
that
had
not
performed
an
adequate
walkdown
per
Nl-88-6.6
and
discussed
this
concern
with
management.
In response,
NMPC reinspected
the
EV System
and confirmed the inspec-
tor's findings.
They .also
reinspected
the
Fuel
Pool
Filtering
and
Cooling
System
( FPF&CS)
per
N1-88-6.6.
Their reinspection
of the
FPF&CS
showed
good correlation
between initial walkdown findings
and
their recent list.
Consequently,
NMPC concluded that the
EV walkdown
findings of the
NRC inspectors
were isolated
only to that
system
and
that
a
broader
problem
with
implementation
of
N1-88-6.6
did
not
exist.
To validate their initial concern
the inspectors
conducted
a walkdown
of the Control
Room
Emergency Ventilation (CREV) System
(see
Section
4. 1.c).
Similar to the
EV
system
walkdown results,
the
inspectors
identified
numerous
deficiencies
which were
not
noted
in the
walkdown of the
system.
Collectively,
these
findings
led the
inspectors
to further question
the
adequacy
of NMPC's
system walk-
downs per Nl-88-6.6.
The
inspectors
again
met with
management
to communicate their
concerns
in this
area.
At that
meeting,
NMPC management
indicated
that they were also starting to question
the
adequacy
of their walk-
downs
as
a result
of
an in-office review of the results
of their
completed
walkdowns.
Subsequent
to this meeting,
NMPC evaluated
the walkdown procedure
and
the
manner
in which it was
implemented
and identified major incon-
sistencies.
As
a result,
NMPC substantially
revised
the
walkdown
procedure
to give clearer
guidance to personnel
and provided training
on
how and what to inspect
per the
new revision.
The revision also
required
walkdowns
to
be
performed
by
a
team of individuals
from
various departments
and also required
gA to provide
an individual to
accompany
each
walkdown
team.
Additionally, all
systems
previously
inspected
were
reinspected
per
the
new
procedure
and
inspection
criteria.
Ins ector Assessment
The
inspectors
concluded
that
there
had
been
a
breakdown
in
management
effectiveness
in oversight of the walkdown procedure.
The
Unit Superintendent's
expectation
of how system
walkdowns
should
be
done
was
not effectively
communicated
to the
staff.
The
walkdown
procedure
was
not uniformly implemented
by the
personnel
performing
the
system
walkdowns,
and line management
did not provide oversight
and
training
on
the initial
walkdown
requirements.
Additionally,
line management
oversight of the
implementation
of the
walkdowns
was
deficient in that, while in-office reviews of the completed
paperwork
were
performed,
no
independent
field verifications
were
performed.
Lastly,
the
site (}uality Assurance
Department
missed
an opportunity
to assess
unit readiness
for reload
and provide
management
feedback
on
the
same.
The inspector
concluded that the ineffective walkdown
procedure
and the inconsistent
implementation of the procedure
repre-
sented
an
apparent
violation of
Appendix
B, Criterion V.
(50-220/89-08-01)
Problem
Re ort Pro
ram Review and Item Status
The
inspector
reviewed
the
Unit
1
Problem
Report
(PR)
Program
and
current
status
with the
responsible
site
manager.
The
inspector
reviewed
PR processing
and observed
several
PRs
in various
stages
of
resolution.
The inspector
observed
that
PRs
are closely tracked via
a
computer
program
from their origin to final, resolution
and that
0
NMPC management
receives daily status
reports to monitor overall pro-
gress.
The inspector determined that the
PR originators are
provided
the resolution
to their
concern
prior to final closeout
of the
PR.
Disagreements
on
the
final
resolutions
are
appropriately
resolved
with the originator.
The
inspector
reviewed
the
status
of critical
reload
PRs with the
responsible
manager.
The number of open
PRs impacting reload is also
tracked
via the daily outage
schedule.
No discrepancies
were noted,
and the inspector
concluded
that
PRs
were being
evaluated
properly.
Nuclear
Commitment Trackin
S stem
NCTS
Review
The inspector
reviewed Niagara
Mohawk's actions for assuring that all
commitments
required for reload
and restart
had
been identified
and
were
included
in
NCTS.
The process
involved
an
item by item review
of all entries
in the
NCTS
and
comparison
with the priority defi-
nitions
specified
in procedure
Nl-88-6. 11 "Restart
Requirements
for
Core
Reloading,
Plant
Procedures
Checklist,
Surveillance
Tests,
and
NCTS Review for Core Reloading".
Source documentation (e.g.,
memos to
NRC, meeting
minu as)
were
reviewed '.f items
were
questionable.
In
addition,
Niagara
Mohawk
is
reviewing
all
1987,
1988,
1989
NRC
inspection reports for potential
or "implied" commitments
as well
as
the Unit
1 Restart .Action Plan.
The inspector
reviewed approximately
one half of, the
NCTS
items
and
noted
that
Niagara
Mohawk
had
beeq
conservative
in
its
classification
of
items
as
"required
for
startup."
The inspector
noted
no concerns
and -concluded that imple-
mentation of NCTS was
adequate'ontrol
Drawin
Review
The
inspector
reviewed
the
program for maintaining up-to-date
drawings in the control
room at Unit 1.
The
program is outlined in
Nuclear
Design
Procedure
Revision
1, "Drawing Change Control
for Nuclear Design - Unit 1."
The
inspector
discussed
the
drawing control
program with the
electrical/I&C engineer
at
the
NMPC corporate office.
The engineer
stated that
NMPC currently has about
4000 total
drawings for Unit l.
Of these
drawings,
900 are designated
as controlled critical drawings
and are available
in the control
room.
Due to concerns
identified by the guality Assurance
(gA) Department
regarding
drawing
control
and
the
incorporation
of design
changes
into these
drawings,
the
gA Department
issued
Stop
Work Order
against
the
Engineering
Department
in January,
1987.
As
a
result,'Revision
1 to ND-160 was developed.
0
The
inspector
concluded
that
updating
and
control of drawings
were
acceptable
based
on
the
following reviews.
The
inspector
reviewed
as well as
a representative
sample
(31) of critical drawings.
The
inspector
reviewed
the
correspondence
related to the resolution
and lifting of
87-500.
In
addition,
the
inspector
reviewed
several
operator
aid
drawings
in the plant to determine
the status
and timeliness of updating these
drawings.
1.7
ualit
Assurance
De artment Activities Review
On September
25,
1989,
the inspector contacted
the site
QA Manager to
determine
. what
plans, if any,
had
for,
special
monitoring
of
reload/restart activities.
The inspector
was informed, at that time,
that
no
special
inspection
or surveillance activities
were
planned.
However,
the
normal
QA surveillance
routine would be in effect,
but
on
a
more frequent surveillance
schedule.
The
QA Manager
indicated
that
the
normal
QA program,
at
an
enhanced
surveillance
schedule,
would
be
adequate
to
handle
the
upcoming activities.
If problems
were detected
in monitored activities,
then the
QA Department
would
react
to
them,
at
.hat time.
As stated
above
in Section
1.3.,
the
in-pectors
considered
the lack of additional
QA Department
oversight
in the area of reload preparation
to be
a valuable missed opportunity
for assessment.
For the
QA Department
not to take
a
more proactive
role
in monitoring
these
activities
also
indicated
a
weakness
in
senior
NMPC management
planning for the upcoming activity.
1.8
Review of Selected
S ecific Activities/Issues
Satin American Overcurrent Tri
Devices
The inspector
reviewed
the
replacement
of General Electric Type
EC-1,EC-lB,
and
EC-2A series
overcurrent trip devices
supplied
by Satin
America
Corporation
(SAC).
These
breakers
had
been
identified by the
NRC in Information Notice 89-45
as potentially
substandard
because
of modifications
and refurbishment
which did
not meet the original design.
reviewed all purchase
orders with
SAC
and determined
that
154 of the trip devices
had
been
purchased.
subsequently
performed
a walkdown of all 600 volt power boards
and identified
22 applications at Unit
1 where
SAC trip devices
were installed
in power boards with safety-related
applications.
,The inspector
reviewed documentation
which concluded that
no
SAC equipment
was
installed at Unit 2.
Niagara
Mohawk originally completed
a justification to reload
the
core with
SAC breaker trip devices still installed
in the
plant.
Near
the
end of this inspection period,
NMPC decided to
replace all these trip devices prior to reload.
The
inspector
concluded that this approach
resolved the technical
concern with
SAC trip devices.
b.
SSFI Followup - (see Section
3. 1. l.a, b, c, d,
and e.)
c.
Discharge
Volume
(SDV)
Test
Results
-
(see
Section
3.1.2.b.)
2.
Review of Plant Events
2
~ 1
Unit'
The
reactor
remained
shutdown
and
defueled
throughout
the
report
period.
Efforts
continued
towards
core
reload
in
the
near
term.
Latest
reload
and
restart
target
dates
determined
by
are
October 27,
1989,
and January
13,
1990,
respectively,
as
of the
end
of the inspection period.
a.
Between
September
17
and
28, four reactor
a'nd associated
Emergency Ventilations System initiations occurred
due to a loss
of power on Reactor Protection
System
(RPS)
bus
11.
Th'e loss of
power on
bus ll was believed to
have
been
caused
by
a mal-
functioning
voltage
regulator/speed
controller
on
motor-
generator
(MG) Set
162
which provides
continuous
power
to
bus
11.
The problem was first identified during the performance
of the
Loss of Offsite Power/Loss
of Coolant Accident surveil-
lance test.
Troubleshooting
on
MG Set
162 was still ongoing at
the close of this inspection
periods
Resolution of this problem
will be discussed
in a later report.
2.2
Unit 2
The reactor
was manually
scrammed
on September
8, at which time
commenced
a
planned
two
week
maintenance
outage.
The
outage
was
completed
on
schedule
and
the
reactor
was
taken
critical
on
September
22.
a.
On
September
25,
NMPC determined
that
the
screenwell
building
at Unit
2
was radioactively
contaminated.
The
source
of
the contamination
was determined
to
be
from the
radwaste
floor
drain, header
to which the
pump for the
screenwell
sump is
connected.
The
contamination
apparently
occurred
due
to
a
design
deficiency with the
screenwell
pump discharge
line
which, allowed radioactive material
in the floor drain
to
collect in the line
and
problems with a check valve in the line
which allowed the backflow of radioactively
contaminated
water
through the line.
No offsite release
of contamination
occurred.
The
inspector
toured
the
affected
areas,
examined
the
piping
configuration
and discussed
the
problem with the
radwaste
oper-
ations
supervisor
and
the
Unit
2 radiation
protection
super-
visor.
Corrective actions to prevent
a recurrence
of this event
were
being
developed.
The
inspector
concluded
that
cleanup
efforts
on the
sump were -appropriate.
On
September
8,
with the
reactor
at
88%
power,
both. reactor
recirculation
pumps
downshifted
to
slow
speed
for
no apparent
reason.
Core
thermal
power
and
core flow decreased
to
44%
and
34%,
respectively.
After consulting
Procedure
N2-OP-29 (flow-
chart for sudden'ecrease
in flow), the
directed
that
the
reactor
be manually
scrammed
by placing the
mode
switch to the
SHUTDOWN position.
This action
was
taken
because
the downshift
.
of
the
recirculation
pumps
placed
the unit in the restricted
zone of the power to flow map where the reactor is vulnerable to
power osci llations.
No emergency
core cooling systems initiated
and plant systems
responded
as
designed.
There
were
no indica-
tions
of
power oscillations
on
average
power
range
monitors
while the unit was
in the restricted
zone of the
power to flow
map.
The
inspector
responded
to
the
site
shortly after
the
and observed that
NNPC's actions
were proper.
NNPC
conducted
an
investigation
to determine
the
cause
of the
downshift
of
the
reactor
recirculation
pumps
to
slow
speed.
From troubleshooting
and
computer point analysis, it was
found
that
oscillations
in
the
Control
System
D.C.
power
supply
unit
caused
the
recirculation
pump
low
reactor
water
level trip relays
to drop out,
resulting
in
a
recirculation
pump downshift.
This
power
supply
was
replaced
and
post-maintenance
testing
was satisfactorily performed.
The
inspector
reviewed the post
scram report
and identified
no con-
cernss.
Inspector
assessment
of this
event
was that the oper-
ators
took the proper
actions
in
accordance
with station
pro-
cedures'~
Operator
technical
expertise
was
reflected
in their
quick diagnosis
of the
faulty
power
supply
which
caused
the
recirculation
pump downshift.
While performing
the shift turnover
Control
Panel
walkdown
on
the
evening
of September
9,
the
oncoming
Chief Shift Operator
(CSO)
found
the Division III emergency
diesel
generator
(EDG)
control
room unit cooler
(2HVC"U2C) was
not available for oper-
ation.
The
Station.
Shift
Supervisor
was
informed
and
the
Division III EDG was
immediately declared
Mai nten-
ance
had
been
completed
on
2HVC*U2C the
previous
day
and
the
Division III
was
declared
at
6:50 p.m.
on
September
8,
with
the
unit
in
Operating
Condition
3
(HOT
STANDBY).
Subsequent
Niagara
Mohawk staff investigation identi-
fied a knife switch in the
power supply circuit had
been
inad-
vertently left
open
following maintenance
on
the unit cooler
breaker
per
Electrical
Maintenance
Procedure
N2-EPM-CSH-R583.
This condition .existed
for. approximately
12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />.
Inspector
followup of this- event
identified
a
number
of con-
cerns.
Procedure
N2-EPM-CSH-R583,
600V G.E.
MCC Starter/
Breaker
and
Motor Inspection,
was
inadequately
written for the
specific maintenance
task performed.
Step 7.5 contains
instruc-
tions to .perform
a megger of the
2HVC"U2C motor and to measure
the winding resistance
phase
to
phase.
To
accomplish
this,
a
local
knife switch
must
be
opened
to gain
access
to the
load
side
of the
local controller.
The
procedure
did
not
contain
steps
to
open
and
reclose
the
knife
switch.
The electrical
maintenance
technician failed to close the knife switch when the
m intenance
was
completed.
Electrical
Maintenance
personnel
have
been operating knife switches for this purpose
on the
unit cooler
motor
and other motor local controllers
informally
fcr
some
time.
This
maintenance
practice
conflicts with the
requirements
of Station
General
Order
89-03
which stipulates
strict procedural
compliance.
E
The inspector
concluded that the operator
appeared
to have
been
.
to the activity being performed.
Upon completion of
the maintenance,
the system
markup was cleared
by a control
room
operator.
After removing
the
tags
and
supposedly
reenergizing
the
circuit
the
operator
failed
to
recognize
the
breaker
position indication was de-energized.
In addition,
a lit annun-
ciator and
a lit trouble light were in
an
alarmed
state
indica-
ting no power was available to the cooler.
, The
most
significant
concern
identified
by the
inspector
was
that
no
post-maintenance
test
(PMT)
was
performed
on
2HVC'U2C
following the
preventive
maintenance
conducted
on
September
8.
Procedure
N2-EPM-CSH-R583 lists general
guidance
on what
PMT may
be
used,
but does not clearly specify that it must be performed.
The
electricians
performing
the
maintenance
are
procedurally
required to only inform Operations
Department that the mainten-
ance
is complete
and that the
equipment
is available for test-
ing.
The
inspector
determined
that neither
the electrician or
the
on-duty
operators
discussed
PMT of the
unit coolers.
In
addition,
the
Equipment
Status
Log entry for this maintenance
activity was ambiguous
as to the need for PMT.
Although
procedural
inadequacies
existed
and
several
station
personnel
erred
in
restoring
and
verifying safety
equipment
restoration
to operability,
the performance
of
a post-mainten-
ance
test
may
have
identified
these
oversights.
Appendix
B, Criteria
XI states,
in part,
that
preoperational
proof tests
be
performed
on
nuclear
power
plant
systems
and
components
to
ensure
they will perform satisfactorily
in ser-
vice.
The station
staff did not
perform
any
post-maintenance
testing of the Division III EDG control
room unit cooler follow-
ing
the
performance
of
maintenance
on
the
cooler
motor
on
September
8.
This is
a violation (50-410/89-08-02).
The.,following corrective
actions
were
taken in response
to this
event:
1.
Retraining
was
conducted
with all
maintenance
personnel
stressing
the applicable
portions of Station
General
Order .
89-03 which emphasize strict procedural
compliance.
2.
NMPC reviewed all completed
preventive
maintenance
proced-
ures
to ensure
system/component
operability
subsequent
to
the maintenance.
3.
All preventive
maintenance
procedures
will be
accompanied
by
a
report
which will clearly
delineate
the
requirements
and their completion.
4.
The Unit
2 Superintendent
issued
a lessons
learned
trans-
mittal that covered
the
programmatic
and
personnel
break-
downs
that
occurred.
The
inspector
reviewed this trans-
mittal and found it to be satisfactory.
The
inspectors
were
concerned
that
the
personnel
errors dis-
cussed
above
and
a number of similar events
indicated
a trend in
poor control of equipment/system
status.
Other recent
examples
include:
10
On May 11, the
keep fill pump was
removed
from service
without performing
a safety evaluation.
On
June
13,
the Division II service 'water
bay unit cooler
was
returned
to service
with outstanding
maintenance
and
resulted
in
a
TS violatioq.
On
June
29,
the closing contact for an offgas
sy'tem
com-
pressor
exploded
when
the
compressor
was
attempted
to be
started.
The
compres'sor
was
declared
earlier,
but not tagged to prevent
use.
On September
25, valves
WCS*V344 and *Y345 were left out of
their normal position
and resulted
in an unexpected
reactor
water cleanup
system transient
(see
Section 2.2.e).
d.
On
September
14,
while preparing
to test
the
"C" Transversing
Incore
Probe
an
unplanned
retraction of the
"A" TIP occurred.
The
"A" TIP withdrew from approximately
50
.inches
below the
core to its shield
location
in the
room.
Workers
evacuated
the
room
upon notification of movement of
the
"A" TIP.
These
workers
did
not
receive
any
appreciable
exposure
due to,this event.
In response
to this'vent,
Radia-
tion
Protection
supervision
issued
a
Stop
Work
Order
and
initiated
a Radiological Incident Report (N2-89-5).
Niagara
Mohawk investigation
determined
that
the
procedure
in
progress,
N2-ISP-'IP-R001,
was initially written
such
that all
TIP detectors
not being tested
must be stored
in their shield in
the TIP room prior to testing
any single
TIP detector.
Shortly
prior to this event,
a Temporary
Change
Notice (TCN) was initi-
ated
that
required all
TIP detectors
not
being
tested
to
be
inserted
into the
drywell
area
below
the
core
to
reduce
per-
sonnel
exposure of the workers in the TIP room.
This was
accom-
plished,
however,
Niagara
Mohawk
concluded
that this
TCN
was
inadequate
because
it. did not de-energize
the
which were
not being tested
to prevent
inadvertent
retraction.
Subsequent
to
this
event
another
TCN
was
issued
to
accomplish
this
function.
Secondly,
due to poor communications
between
the supervisor
and
IKC technician
performing the surveillance test,
work was
com-
menced
on the incorrect
TIP drive,
A vice
C.
As
a result,
the
runback feature of the
A TIP was inadvertently
actuated
by the
IEC technician.
The
inspector
was
concerned
that
the initial
TCN
was
not
adequately
researched
and
the
workers
were
not
adequately
briefed or supervised.
11
On
September
25,
a Reactor
Water Cleanup
System
(WCS) isolation
occurred
as
a
result
of high Non-Regenerative
Heat
Exchanger
(NRHX) inlet temperature.
During the event,
the
Reactor Build-
ing
Close
Loop Cooling
(CCP)
pumps
tripped
and
a
waterhammer
occurred in the
WCS system piping,
The
pumps were restarted
immediately and
NMPC commenced
an investigation to determine
the
cause.
An
inspection
of
in
the
system
per
TS
Surveillance
4.7.5.d
was
initiated
due
to
the
potentially
damaging transient.
After several
days,
NMPC identified the following chronology to
be
the
cause
of this
event.
During
the
dayshift,
a
twenty
gallon per minute leak was discovered
in the
WCS valve room.
In
an attempt
to isolate
the leak,
an operator
secured
"0" filter
demineralizer
and
depressurized
it by opening
valves
WCS*V345
and
WCS"V344.
This valve lineup established
a path from the
system
to
the
phase
separator
tank in the
radioactive
liquid
waste
system.
This
method
of depressurizing
the
"D" filter
demineralizer
was not recognized
by the Operating
Procedure
and
was
performed
under
emergency
circumstances
to
stop
the
leak.
However,
these
actions
did
not
stop
the
leak.
The
operator
realized
the
leak
was actually
from a mechanical fitting in the
"C" filter demineralizer
and
isolated
the
"C" filter deminer-
alizer,
leaving the "D" filter demineralizer
secured
and vented.
The operator failed to note in the
log
book and/or
notify thy
Station Shift Supervisor
(SSS) that the "D" filter demineralizer
was
vented
to the
phase
separator
tank via valves
WCS*V345 and
WCS*V344.
Later on September
25, the next operating
crew placed
"0" filter demineralizer
in service,
not realizing the vent path
to
the
phase
separator
tank
was
established.
Consequently,
several
thousand
gallons of water
was inadvertently
sent
to the
phase
separator
tank
causing
increased
flow through
the
NRHX
resulting in high
NRHX inlet temperature,
pumps to trip and
waterhammer
in the
WCS system.
As
a
result
of
the
inspections,
NMPC identified
and
repaired
one
snubber which was sluggish,
NMPC took the follow-
ing corrective actions
in response
to this event:
A Lessons
Learned transmittal
was issued.
Disciplinary action
was taken against the operator
who left
valves
WCS*V344 and WCS"V345
open
and neither
informed the
nor
logged it in the logbook.
The
Operations
Superintendent
conducted
training with all
shifts
on
the
Lessons
Learned
from this
event
and
the
corrective actions.
12
The
inspector
considered
that
NMPC's
loss
of control
of
system
status
was
noteworthy.
The
actual
safety
significance
was
low
since
the
isolation
feature
of
initiated,
as
designed,
and
was
not
inhibited
by
the
valves
being
out
of
position.
The inspector
planned additional
review of corrective
actions
as part of reviewing
LER 89-33.
On
October
13,
a reactor
occur red
from 60 percent
power.
The
scram resulted
from a turbine trip on turbine control valve
fast closure
due to low condenser
vacuum.
Investigation of the
scram identified that Electrical Maintenance
personnel
were per-
forming preventive
maintenance
on the
B mechanical
vacuum
pump
motor
breaker.
When
the
breaker
was
closed
in
the
TEST
position,
the
steam
jet 'air
ejectors
inlet
isolation
valve
(AOV-104)
closed,
as
designed,
resulting
in the
loss
of con-
denser
vacuum.
The
vacuum
pumps
remained
mechanically
isolated
from the
vacuum
stream via another
valve (AOV-105) which is also
electrically
interlocked.
Upon
receipt
of the
low condenser
vacuum alarm, operators
attempted
to maintain
vacuum
by reducing
reactor
power via lowering recirculation
flow and driving rods
in.
Reactor
power
was
100
percent
at
the
beginning
of
the
The
cause
of this
was determined to be operator
and tech-
nician error.
Plant impact of this maintenance activity had not
been
properly evaluated.
Placing
AOV-104 valve control
switch
in the
OPEN position vice the
AUTO position would have prevented
the automatic interlock function
from initiating.
This inter-
lock is designed
to prevent
reverse
flow through the mechanical
vacuum
pumps.
The unit was restarted
on October
15.
The
inspector
was
concerned
since
the
inadequate
plant
impact
assessment
represented
a
repeat
problem.
The
inspectors
will
review the Licensee
Event Report
(89-35) to assess
NMPC correc-
tive actions.
On October
17,
operators
identified
an increasing
reactor cool-
ant
leak rate
and at ll:28 p.m.
station
management
ordered
a
unit
shutdown
to investigate
the
source
of leakage.
The leak
rate
had increased
to approximately 4.0
gpm
by the time reactor
power reduction
was started.
While reducing
reactor
power
and attempting
to transfer recir-
culation
pumps to slow speed,
the
B recirculation
pump failed to
start
on
slow speed.
Subsequent
attempts
were unsuccessful
and
action
was taken to adjust the
APRM and
Rod Block Monitor (RBM)
flow biased
setpoints
in accordance
with Technical Specification
13
(TS)
3.4.1.1
for
single
recirculation
loop
operation.
At
approximately
4:30 a.m.,
(four hours after the
B recirculation
pump failed to start
on
slow
speed),
Niagara
Mohawk entered
a
forced
shutdown
( 12 hour1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />
LCO)
due to the inability to complete
the flow bias setpoint adjustments within the
TS four hour time
limit.
I&C technicians
completed
th'e
adjustments
at 6: 13 a.m.
and
the
operators
exited
the
TS 3.4. 1. 1
forced
shutdown
LCO.
At 6: 16 a.m.,
a Reactor Protection
System reactor
scram occurred
due
to
IRM High Flux.
The reactor
was
operating
at
approxi-
mately
500 psig with IRMs in range six and
seven at the time of
the
All protective
systems
functioned
as designed
and
no
actuations
occurred.
The
cause
of the
IRM High Flux trip
was
the result of concurrent
additions
of positive reactivity.
The
reactivity
additions
consisted
of
a
combination
of
an
increase
in feedwater flow and
a slight increase
in pressure
due
to
a fairly rapid
isolation
of
steam
to
the
steam jet air
ejectors.
The unit was restarted
on October 26.
In
the
Night
Notes
book,
Operations
management
stressed
the
highly sensitive
nature of the
IRMs to any
powa,
changes;
Senior
Reactor
Operators
need to increase
their involvement of activ-
ities
associated
with reactivity changes;
and operators
should
not
perform
more
than
one activity at
a
time
that
affects
reactivity.
The
inspector
will review final
NMPC correcti,ve
.
actions
once the
LER (89-36) is issued.
3.
Followu
on Previous Identified Items
3. 1
Unit
1
3.1.1
The inspector
held followup meetings with Niagara
Mohawk on
August 15,
1989
and September
8,
1989, to review the status
of
open
items
from
Safety
System
Functional
Inspection
(SSFI)
Followup
Report
Number
(50-220/89-18).
The status
of these
items is as follows:
(Open)
Unresolved
Item (50-220/89-18-01):
Core
Spray
System
Design Deficiencies:
1.
System
Performance
Curves
(Open - Section 2.2(A))
In
order
to
resolve
concerns
regarding
the
appropriateness
of values
used for system resis-
tance
in
performance
analyses,
Niagara
Mohawk committed to perform
a special test of the
system
to
determine
actual
resistances.
Test
procedure
Nl-88-7. 12 "Core Spray
System Injection
Test" was approved
by
SORC
on 8/31/89.
This item
will remain
open
pending satisfactory
completion
of this testing.
14
Net
Positive
Suction
Head
Analysis
(Closed
Section
2.2(B)) -
The
core
spray
system
net
, positive suction
head
(NPSH) calculation provided
during
the initial
inspection
were
non-
conservative.
The
licensee
provided
additional
information to
NRR for review in letters
dated
March 28,
1989
and July 6,
1989.
The
NRR safety
evaluation
was
provided
in
a
memorandum
from
M. Slosson
to J. Wiggins dated August 9,
1989
and
concluded
that for design
basis
accidents
with
the
expected
containment
conditions,
sufficient
NPSH will be available for the core
spray
pumps.
On the basis
of the
NRR evaluation, this item is-
closed.
Core
Spray
System Susceptibility
to Water
Hammer
(Open
Section
2.2(C)) -,During the
a con-
cern
was
raised
that
nearly
two-thirds
of
the
core
spray
system
pi ping
may
be voided in normal
system
standby
conditions.
System
initiation
with
such
a
voided
conditicn
could
result
in
damage
from water
hammer.
Niagara
Mohawk,
in
a
letter
dated
July 6,
1989,
provided'n
analysis
of the water
hammer concern
and committed to per-
form
a
core
spray injection test prior to plan(
startup.
Both
small
break
and
large
break
sequences
will
be tested
to verify that dynamic
loads during startup will not damage
the
systems.
Closeout-
of
this
item
is
dependent
upon
the
successful
completion of this test.
Adequacy
of
Alarm
Setpoints
(Open
-
Section
2.2(D)) -
The review of this
item in Inspection
Report
50-220/89-18
included
the
statement
"the
licensee
plans
to
complete
the
review of
the
other engineered
safeguard
system
alarms prior to
unit restart".
indicated
that
the
review
had been
completed
and
recommendations
were cur-
rently under evaluation.
NMPC committed to pro-
vide, prior to restart,
a
summary of the findings
and
the
NMPC decisions
on the
study
recommenda-
tions.
The inspector will followup on this item
in
a subsequent
report.
15
b.
(Open)
Unresolved
Item (50-220/89-18-02):
Inadequate
Core Spray System Test Flow Rate.
During the followup
inspection
to
the
the
concern
was
raised
that
testing of the core spray
system
is performed at flow
rates
well
below
those
assumed
in
performance
analyses.
NMPC indicated that testing is performed at
the
lower flow rate
to
avoid vibration
problems
and
lifting of
the
minimum
flow relief, valve.
At
a
September
8,
1989 meeting,
NMPC indicated that gagging
of the relief valve (an option proposed earlier) would
not
be used after startup.
New relief valve internals
will be tested
before restart,
but even if successful,
the
flow in the test
line would still
be
less
than
ECCS flow.
A decision
on
a long-term fix is expected
by
the
end
of this
year.
This
item
remains
open
pending
NRC review of NMPC's long term fix.
(Open)
Unresolved
Item (50-220/89-18-03):
Core
Spray
System Testing:
Control of
Pump
Curves
(Open - Section 2.7(A))-
The
identified specific
inadequacies
with
regard
to the control of core
spray
pump curves
which are
used in
ECCS performance
analyses.
The
followup inspection
report
concluded
that
had
taken
adequate
actions
to correct
the
core
spray
pump deficiencies.
However,
a broader
con-
cern with regard
to other
pump
curves
remained
open.
NMPC committed to validate the performance
of all
pumps required
by Technical Specifications
prior to plant startup.
The
acceptance
criteria
are given in MDC-11,"Nine Mile Point Unit
1
Pump
Curves
and
Acceptance
Criteria
Specification".
This item remains
open
pending
inspector
review
of the validation results.
2.
Lack of
FW Check
Valve Testing
(Open - Section
2.7(E))
The
team
was
concerned
with the
lack of surveillance for the
feedwater-(FW)
pump
and
FW booster
pump discharge
had
committed
to
check
valve
testing
prior to
startup
and
a periodic surveillance
program.
At
a
September
8,
1989 meeting,
NMPC indicated that
test
procedures
Nl-ST-Q3
"HPCI
Pump
and
Check
Valve Operability Test"
and Nl-ST-V12 "Condensate
and Feedwater
Booster
Pump Operability
Test"
had
been
drafted
and
were
undergoing
review.
This
item remains
open pending
NRC review of the final
surveillance
procedures.
16
3.
ASME Section
XI Testing
on
the
Core
Spray
and
Pumps
(Open
Section 2.7(F)) - The SSFI team
raised
the generic
concern
that the existence of
limited design
margin
may preclude
the detection
of
pump or valve
degradation
prior to reaching
Technical
Specification limits.
At a meeting
on
September
8,
1989,
NMPC committed to provide the
NRC, prior to restart,
a
summary of the
margin
required to perform
ASME Code Section
XI trending
for each
pump
and
valve
in the
IST program
and
the margin actually available.
This item remains
open pending
NRC evaluation
of NMPC's ability to
implement
Code
Section
XI
acceptance
criteria.
d.
(Open)
Unresolved
Item
(50-220/89-18-04):
HPCI/FW
System
Testing.
The
identified
that
Niagara
Mohawk
failed
to
adequately
control
HPCI/Pl
pump
curves.
had
committed
to develop
and validate
individual
pump
performance
curves
for
the
FW,
booster,
and
condensate
pumps.
At
a mee'ng
on
September
8,
1989,
NMPC indicated that test
procedure
Nl-88-7. 11.
"High
Pressure
Coolant
Injection
Pump
Curves
Field Validation
Test"
had
been
approved
by
SORC
and
the test
was tentatively
scheduled
for thy
third week of October.
This item remains
open
pending
successful
completion
of the testing
and
NRC evalua-
tion of the validated
pump performance
curves.
e.
(Open)
Unresolved
Item (50-220/89-18-05):
NRC Report-
ing.
This
item pertains
to the failure to take
ade-
quate corrective action relative to
and
50 '3 reports to the
NRC and to address
how they would
identify unanalyzed
safety
conditions
in the future.
At a meeting
on September
8,
1989,
NMPC indicated that
a
formal
response
was
prepared
and
under
internal
review.
This
concern
is
open
pending
NRC evaluation
of the response.
Other Unit
1 0 erations
a.
(Closed)
Temporary
Instruction
(TI)
2500/17
-
Heat
Shrinkable
Tubing.
Information Notice
( IN) 86-53
was
issued
to notify NRC licensees
of installation
prob-
lems
observed with Raychem
Heat Shrinkable Tubing.
To
ensure that licensees
properly
implemented
the
recom-
mendations
contained
in 'N 86-53,
Ti 2500/17
was
issued to provide guidance 'to inspectors
for review of
this issue.
0
17
This
TI
was
reviewed
in
Inspection
Report
50-220/
89-17;
however,
the inspector
did not
document clo-
sure of the TI in that report.
TI 2500/17 is closed.
(Closed)
Unresolved
Item
(50-220/87-24-02):
Discharge
Volume testing.
This
issue
was previously
reviewed in Inspection
Report
89-04
and the l,icensing
concerns
regarding
this
issue
were
considered
resolved.
This
issue
is. addressed
in
the
Restart
Action Plan
and the inspector
reviewed
NMPC's actions
regarding
the testing of the
scram discharge
volume as
committed to in
NMPC correspondence
dated
June 3,
1988
and in the proposed
Technical Specification
amendment,
submitted
on
December
27,
1988.
In these
'submittals,
NMPC agreed
to perform
a test
once
per operating cycle
and
following
maintenance
to
the
discharge
volume (SDV).
This test
involves filling the
SDV and
timing
'the
draindown
time
of
the
water
from
the
system.
If the time to drain the volume is consistent
with the initial preoperational
testing
of the
SDV,
then
the test
confirms that
there
is
no
blockage
of
the
system.
In addition,
the
time for
the
high
and
low water level alarms to clear in 'each o'i'he instru-
ment lines will be compared to verify that
one instru-
ment
line
is
not
draining
faster
than
the
other,
indicating
that
one
of
the
instrument
lines
may
be
plugged'he
inspector
reviewed
Operations
Surveillance
Test
Nl-ST-C21," Control
Rod
Drive
SDV, Vent, Drain,
and Holding Tank Performance
Test", Revision
0,
dated
May 24,
1989.
The test
was performed
on June
16
and
17,
1989,
and the results
of the test
were deter-
mined to
be satisfactory.
The inspector
reviewed the
test
procedure,
as
well
as,
the
acceptance
criteria
and determined
them to
be technically correct.
While
the inspector did note that the test
was rewritten
on
two previous
occasions
(attempts
to conduct this test
in
June,
1988
and
February,
1989
ended
with tests
results that were determined to be unacceptable
due to
accuracy
and repeatabi lity concerns),
no problems with
the testing
method
used
in the present
procedure
were
noted.
This item is closed.
18
(Update)
Violation
(50-220/88-09-01):
(1)
did
not establish
adequate
controls
over the nondestruc-
tive .testing
measurement
locations
used
in
their
erosion/corrosion
program,
and (2) torus
shell thick-
ness
measurements
were
not
taken
to
a
sufficient
degree
of
accuracy
to
provide
meaningful
data
for
evaluation.
This violation
was
previously
reviewed in Inspection
Reports
(IRs) 50-220/88-81
and
50-220/89-04.
Regard-
ing item (1),
IR 88-81
reviewed
NMPC's
proposed
cor-
rective actions for this portion of the violation, but
did= not verify that
the corrective
actions
had
been
implemented.
The inspector
reviewed
these
corrective
actions at
NMPC's corporate office in March,
1989
and
determined
that these
corrective
actions
were accept-
able.
However,
the violation was left open
since
the
Restart
Action Plan
(RAP) activities
on this item and
item (2) remained
open.
Regarding
item (2;, the thickness
measurements
of the
torus
shell
wall
were
reviewed
in
IR
88-81
and
IR
89-04.
During
IR 88-81,
NMPC committed to performing
torus
shell
thickness
measurements
every
six
months
versus
every
twelve
months,
as
previously
committed.
During IR 89-04,
the inspector
reviewed
NMPC's program
for nondestructively
examining
the torus
shell thick-
ness
and identified
no problems with the program.
He
noted
that
was
taking
torus
thickness
measure-
ments
to three digit accuracy,
has
expanded
the
size
-and
number
of
locations
that
are
examined
on
the
torus,
and
has
improved the markings/identification of
the grid locations
ex'amined
on
the
torus
to
ensure
repeatability of the results.
Item
(2)
remained
open
following
IR
89-04
pending
additional
information being gathered
by
NMPC on torus
wall thinning.
This violation
remains
open
pending
the satisfactory
resolution of the
torus
wall thick-
ness
concerns
and
review
by specialist
inspectors.
(Closed)
Unresolved
Item
(50-220/88-32-01):
could
not provide
an
engineering
evaluation,
as
re-
quired
by Administrative Procedure
7.2,
for the
ade-
quacy
of the'urbine
Building floor elevation
261 to
support material
stored
on that floor.
19
The inspector
reviewed Engineering
Department calcula-
tion number
S6-TB261-C508
which addressed
the projec-
'ed
loading
on this
floor
in
a
worst
case
loading
scenario.
The
calculation,
dated
May 4,
1987,
con-
cluded that the floor would not be overstressed
by the
use
of the
noted
area
of the
Turbine Building for
material
storage.
Given that the evaluation
was per-
formed prior to storing this material
in this area
and
prior to the conduct of IR 50-220/88-32,
no violation
of NRC requirements
occurred.
This issue is resolved.
(Closed)
Violation (50-220/89-06-03):
NMPC failed to
take adequate
corrective actions to prevent the recur-
rence
of conditions adverse
to quality.
NMPC admitted
that the violations occurred
and that timely and
ade-
quate
corrective
action
had
not
been
implemented.
NMPC considered
these
events to be examples
of manage-
ment ineffectiveness
in the
area
of problem identifi-
cation,
resolution
and
communications
Further,
claimed
that
part
of
the
reason
why
the
events
oc urred was that the Restart Action Plan
had not pro-
gressed
far
enough
to
provide
effective
management
controls for communication
and teamwork.
The inspector
reviewed the corrective actions for each
of
the
incidents
cited
in the violation
and
agreed
that they appeared
thorough
and
adequate
to prevent
a
recurrence
of these
events.
He noted that
no repeat
of any of these
incidents
has
occurred
since
the last
event in late June.
This violation is closed.
(Closed)
Unresolved
Item (50-220/87-24-01):
Licensee
identified violation of Technical
Specification
(TS)
thermal
limit parameter
(total
peaking
factor).
On-
November
16,
1987,
during
the
supervisory
review of
completed
surveillance
procedure
Nl-RPSP-l,
Reactor
Physics Daily Surveillance, it was determined that the
Maximum Total Peaking
Factor
(MTPF) had been in excess
of the specified limit for a period of approximately
19.4
hours
on
November
15,
1987.
Licensee
Event
Report
( LER) 87-22 documents
Niagara
Mohawk's investi-
gation of this event,
the root causes
and the correc-
tive actions to preclude
recurrence.
20
Review of
LER 87-22
and discussions
with responsible
station
employees
determined
that
the
consequence
of
this
TS violation was to reduce
the
available
safety
margin.
This
event
did not initiate or result in
a
cladding
failure.
With
a
MTPF
greater
than
3.00,
action
should
have
been
taken
per
TSs to reduce
the
APRM rod block and
scram setpoints.
The
cause
for this
event
was
determined
by Niagara
Mohawk
to
be
personnel
error.
Lack of procedural
clarity was identified as
a contributing factor.
Cor-
rective
actions
taken
by
station
management
were:
disciplinary action
against
the
reactor
analyst
who
failed to identify the thermal limit violation; clar-
ification of Nl-RPSP-1
and
similar
procedures;
and,
training
for all
reactor
analysts
on
the
'Lessons
Learned
for this
event.
The
inspection
also
deter-
mined that to ensure
more timely supervisory
review of
completed
reactor
analyst's
surveillance
procedures
the reactor
analyst unit supervisor
(Unit
1 & 2) have
had
te'.ephone
facsimile
machines
installed
in their
homes.
The
inspector
considers
these
corrective
actions
to
be satisfactory.
In
accordance
with the
Enforcement
Policy
Guidance
of
Appendix
C,
Section
a. 1,
a Notice of Violation is not being issued
for this licensee identified TS violation.
3.2
Unit 2
(Open)
Unresolved
Item (50-410/88-201-01):
Deficiencies
concerning
the
performance
of safety
related circuit breaker
testing
per
Pro-
cedure
N2-EPM-GEN-V582.
An
NRC Vendor Branch inspection
performed in
August,
.1988
identified
three
potential
deficiencies.
has
resolved
one
deficiency
concerning
the setting
of adjustable
trip
settings
on
breakers
by
changing
their test
methodology.
Breaker
trip settings
are
set
to
the
maximum
value
for testing
and
then
returned to the "as-found" setting.
NMPC Engineering
and Electrical
Maintenance
personnel
are
evaluating
the
two remaining
issues
con-
cerning test acceptance
criteria and
where
the breaker trip settings
should
be
set
for the
particular
applications
This
item
remains
open.
4.
Safet
S stem
0 erabilit
Verification
4. 1
Emer enc
Ventilation
S stem
EV
Unit
1
Report
89-07 contained
preliminary findings regarding
an inspector's
walkdown of the
EV system.
Resolution
of some of those findings,
as
well as additional findings identified during this inspection
period,
are discussed
below:
21
Resolution of concerns identified in IR 89-07:
1.
The
1
KW thermostats
were determined to be incorrectly set.
NMPC performed
a surveillance
procedure
on the
EV system,
Nl-ISP-R-202-003,
to
check
the
EV filter train
heater
thermostat
settings.
Using
a heat
probe
and recording the
surface
temperature
of
each filter train,
the
following
results
were obtained:
Train
11 (Heater 202-72) as-found
temp:
126'F
Train
11 Initial thermostat
setting of:
150'F
Train
12 (Heater 202-73) as-found
temp:
145'F
Train
12 Initial thermostat
setting of:
165'F
Procedure
Nl-ISP-R-202-003
provided
guidance
to
set
the
train
11 and
12 thermostats
to achieve
a temperature
probe
contact
reading
on the filter train of 162-168
degrees
F.
To
achieve
this
value, it
was
necessary
to
raise
each
thermostat
to
a setting of 200 degrees
F.
P
After reviewing
the
completed
procedure
test results,
the
inspector questioned
NMPC as to whether
the as-found
ther-'ostat
settings
for trains
11
and
12 affected
past
oper-
ability of the
EV system.
The .inspector
determined
that
neither
Engineering
nor
the station
staff
had
con-
sidered this question.
As
a result,
a
Problem
Report
to
addres's
the inspector's
concern
was written.
Disposition of the
Problem
Report indicated that with tem-
perature
maintained
less
than
165 degrees
F, the
EV. system
would not
meet its design
basis.
Temperatures
below this
limit could allow condensation
on the charcoal filter beds
and
thereby
reduce
adsorption
of radio-iodides
by the
EV
system in the event of an actual
emergency actuation.
Sub-
sequently,
made
a notification under the requirements
of 10 CFR 50.72.b.2.i.
Ins ector Assessment
The inspector
concluded that prior to issuance
of procedure
Nl-ISP-R-202-003
(issued
9/89) that there
were
no proced-
ural controls
in place for the proper setting
or calibra-
tion of the
EY system thermostat units.
Failure to control
.these
units
under
a calibration
or surveillance
procedure
is
an
apparent
violation of Technical Specification 6.8. 1
22
and
Regulatory
Guide
1.33
(50-220/89-08-03).
The
conse-
quence of not calibrating the -thermostat units was that the
EV system
may not have
been able to function per its design
basis
and
thus
may not
have
been
per
The potential
exists
for the
EV
system
not
having
been
since
1969
when it
was
initially put
into
operation.
2.
.The
inspector
was
concerned
over
the
identification
and
labeling of components,
sample
points,
and other portions
of the
EV system.
Discussion
with
NMPC reveals
that
they
have
plans
to implement
a unit wide program for the
iden-
tification and
labeling of plant
equipment.
The
process
used will be similar to that used at Unit 2.
The inspector
judged this approach
to be acceptable.
The
wooden
blocks
under
flow
element
201.2-367A
were
removed.
No satisfactory
explanation
for their
presence
under the flow element
was provided by NMPC.
4.
Heater
202-76
was
determined
to
be
a
10
KW heater.
The
electrical
schematic
was in error regarding it being
a
9
KW
heater.
The
was
determined
to
be correct
in refer-
encing the heater to be
10
KW ~
b.
Subsequent
to the findings discussed
in IR 89-07,
the inspector
identified the following concerns:
P&ID,
C-18013-C,
identifies
sample
connections
in the
EV
system
that
can
be
used
for
flooding
the
system
when
required.
The inspector
determined
that this
statement
on
the
PAID was
no longer
applicable
as,
in 1981,
a manually
initiated water
deluge
system (for combatting
a
charcoal
bed fire in
an
EV train)
was installed
in the
EV system.
The inspector
was
concerned
that initiation of the
deluge
system could affect system operability and requested
a copy
of NMPC's safety evaluation
be
provided
so that
he
could
determine if, or
what,
system
operability
concerns
were
considered
prior to installing the deluge
system.
After a
two week search,
NMPC concluded
that there
was
no existing
safety evaluation for the modification.
A parallel
evalua-
tion
completed
during
the
inspection
period
was
found
by
the inspectors
to
be
incomplete
as it did not address
the
inspectors'oncerns.
Failure to perform
a safety evalua-
tion for the modification to the
EV system is
an apparent
violation
of
the
requirements
of
(50-200/
89-08-04).
'
23
2.
Operating
Procedure
(OP)
10,
"Reactor
Building Heating,-
Cooling
and
Ventilating
System,"
Section
H.7,
provides
instructions
on two methods of cooling the
EV filter trains
following a
Loss of Coolant Accident (LOCA), yet the alarm
response
procedures
and the
Emerg-
ency Operating
Procedures
(EOPs)
never direct the operators
to Section
H.7.
3.
The
in
OP-10 for "Emergency
Vent
System
Temp
High"
contain
vague instructions
on required
actions.
Addition-
ally,
many
of
the
manual
actions
required
may
not
be
realistically
carried
out
under
actual,
emergency
use
of
the
EV system
due to radiation exposure
concerns.
4.
Similarly, the
ARPs in OP-21 for "RB Charcoal Filters" con-
tains
vague
instructions
and
are
also potentially unreal-
istic
as
they too call for manual
actions
to
be
taken
in
the vicinity of the
EV system.
Ins ector Assessment
was
questioned
as
to the
above
concerns.
The
inspector
concluded that
the existing
procedures
& 21)
contained
actions
which are
vague
and potentially unrealistic.
The inade-
quacy of these
procedures
represents
an
apparent
violation of
Appendix
B,
Criterion
V,
regarding
procedures
(50-220/89-08-05).
c.
Control
Room
Emer enc
Ventilation
S stem
Unit
1
The
inspectors
performed
a
walkdown of
a portion of the
system,
focusing
on
visual
inspection
requirements
of
NMPC's
reload
procedure
N1-88-6.6,
"System
and
Area
Malkdown
for
Restart
Procedure."
The inspector identified
numerous
materia]
and equipment deficiencies.
The inspectors
compared their list
with NMPC's list of deficiencies
identified during NMPC's walk-
down of the system in July 1989.
The inspectors
determined
that
none
of their identified deficiencies
were contained
on
NMPC's
completed
system
walkdown punchlist.
The inspector's
findings
were discussed
with the Unit Superintendent,
and the inspectors
are
awaiting
NMPC's
response.
Inspector,followup
of
these
observations
will
be
performed
in
a later
inspection
period.
5.
Plant Ins ection Tours
During this reporting period,
the inspectors
made tours of the Unit
1 and
2 control
rooms
and accessible
plant areas
to monitor station activities
and to
make
an
independent
assessment
of equipment
status,
radiological
conditions,
safety
and
adherence
to regulatory requirements'he
follow-
ing were observed:
24
5.1
Unit
The inspector did not identify any concerns
and concluded that condi-
tions were acceptable.
5.2
Unit 2
a.
The inspector
reviewed
a video surveillance
system
and concluded
that this enhancement
was
an example that
NMP proactively imple-
mented
the
ALARA concept.
During
the
September
1989
two-week
maintenance
outage,
NMPC installed
a video surveillance
system
in each
bay
and in the
condenser
area
of the Turbine
Building.
These
surveillance
systems
consisted
of
remotely
operated
cameras
and monitors.
As
a result,
entry
into
high
'adiation
areas
was
not
required
during operator
rounds.
Two
spare
cameras
were also provided for job coverage 'in other
high
radiation
areas,
as
the
need arises'hese
video systems
could
result
in
a
reduction
of personnel
exposure
while maintaining
the intent of the inspection
performed
during operator
rounds,
an example of a good
ALARA approach.
While reviewing the
logs
on October
11, the inspector
noted
an
entry
where
the
humidity inputs to the temperature
control
valve
(2HVR"TV22B) in the chilled water
system for the
Control
Building
Relay
Room
were
".broken"
and
did
not affect
system
operability.
This problem developed
while
I&C technicians
were
performing
a
loop
calibration
of
2HVR*TV22B
inputs.
The
humidity inputs were found out of specification
and could not be
corrected
in
a timely manner.
The
inspector
reviewed
the
equipment
status
log, but found
no
explanation
of why the
system
was
with the
"broken"
humidity inputs.
The inspector
reviewed the
FSAR and found that
this
system,
including the
humidity input,
is
described
pic-
torally
and
in words.
After much discussion
with the station
staff,
the
inspector
determined
that
at
a
meeting
held
on
October
10
between
mangement
and
technical
staff, it was con-
cluded that the
system
was operable
without the humidity input
and that
a written engineering
safety evaluation
would follow.
The
inspector
expressed
concern
to
station
management
that
Niagara
Mohawk did not utilize
a formal
and controlled
10 CFR 50.59 process
to assess
the impact of this component'malfunction
on overall
system operability or the potential for an unreviewed,
safety question
being
introduced.
This item remains
unresolved
pending
further
discussion
with
the
station
management.
UNRESOLVED ITEM (50-410/89-08-02)
C
'
6.
Surveillance
Review
25
The inspectors
observed
portions of the surveillance
testing listed below
to verify that the test
instrumentation
was properly calibrated,
approved
procedures
were
used,
the
work
was
performed
by qualified
personnel,
limiting conditions for operations
were
met,
and the system
was correctly
restored following the testing.
6.1
Unit
1
The inspector
reviewed portions of the "Mini-R2" test which simulates
loss
of off-site
power coincident with
LOCA conditions.
This test
supports
operability verification requirements
of the
one train of
Core
Spray
needed
to
support
reload.
The
inspector
also
reviewed
procedure
Nl-ISP-R-202-003
which tests
the operation
of the
1KW and
10
KW heaters
on the
EV system..
6.2
Unit 2
a.
The inspector
reviewed
the local
leak rate testing
on feedwater
system
check valves per
N2-ISP-CNT-RQ005,
"Type 'C'alve
Leak-
age Test Feedwater
Valves
2FWS"AOV23A."
No concerns
were noted.
b.
The
inspectors
observed
numerous
Operations
shift
turnovers
including the performance
of the turnover surviellance checklisg
by an
oncoming
CSO prior to assuming
the watch.
The inspectors
also
attended
shift turnover
briefings
held
by
the
SSS.
No
concerns
were identified.
7
~
Maintenance
Review
The
inspector
observed
portions
of various
safety-related
maintenance
activities
to
determine
that
redundant
components
were
that
these
activities
did not violate
the limiting conditions for operation,
that requi red administrative
approvals
and tagouts
were obtained prior to
initiating the
work, that
approved
procedures
were
used
or the activity
was within the "skills of the trade",
that appropriate
radiological
con-
trols
were
implemented,
that ignition/fire prevention
controls
were pro-
perly implemented,
and that equipment
was properly tested prior to return-
ing it to service.
The inspectors
concluded that the maintenance
program
was being effectively implemented.
7.1
Unit
1
Maintenance
was
observed
on
the
Emergency
Diesel
Generators
and
on
the Core Spray Topping
Pumps.
No discrepancies
noted.
26
7.2
Unit 2
During the
outage,
the major work items were:
general
inspec-
tion
and
preventive
maintenance
on the Division III Emergency
Diesel
Generator
(EDG);
leak
testing
valves
for
Appendix
H requirements;
minor modifications
to the
minimum flow valve circuit; drywell to suppression
chamber leak
test;
and cooling tower maintenance.
The outage
was finished
on
schedule.
During
the
course
of
the
outage,
the
inspector
observed
several
maintenance
activities
and noted the following:
The
inspector
observed
the work performed
on the Division
III EOG under Procedure
N2-MSP-EGS-R002.
The work was per-
formed by the
mechanical
maintenance
group.
The technic-
ians
followed the
procedure
and
used
good work practices.
Quality
Control
coverage
and
supervisory
oversight
was
present
at the work site.
The inspector noticed the main-
tenance
crew- brought
a
large
radio into the diesel
space
and
was
playing
music.
The technicians
stated
that this
was
an accepted
practice.
The inspector
was concerned
that
the
music could poter,"ially drowned
out station alarms
and
announcements
and
brought
this
concern
to
management's
attention.
The radio
was
removed
from the
work site
and
such
practices
are
not
allowed
per
Unit
Superintendent
policy.
Niagara
Mohawk identified that
an incorrect grade of crank-
case
lube oil was
provided
and
added
to
the Division III
sump.
This
resulted
in additional
work of
pumping
down the
and adding the correct grade
lube
oil which
was
specified
by the
procedure.
The
inspector
was
concerned
that
the
maintenance
technicians
failed
to
verify the correct lube oil was obtained prior to adding it
to the crankcase.
Additionally, materials
management
per-
sonnel
incorrectly
changed
the material
issue
sheet
which
caused
the incorrect
lube oil to be delivered
to the work
site.
These
examples
indicated
more care
was
needed
to obtain procure-
ment parts
and deliver the correct
parts
to
the
work site
to
support maintenance activities.
0
27
b.
During the
review of training
on the
lessons
learned
from the
valves left out of position (discussed
in Section
2.2.e of this
report),
.the
inspector
learned
of other
problems
experie~ced
during routine
operation
of the
reactor
water
cleanup
system.
The inspector obtained
a printout of the maintenance
backlog for
the
system.
There
were
113 total
work requests
(WR) out-
standing
in
this
particular
system.
Sixty-eight
. were
related to
a specific
type of air
operated
valve in the
system
that would not fully shut
on
a loss of air,
as designed.
These
valves are
scheduled
to be repaired
during the next refuel out-
age.
The inspector
reviewed
the
impact of these
valves
on
operability
and
found
they
did
not
inhibit
the
containment
isolation feature.
8.
Alle ation Followu
During
the
inspection
period,
the
inspectors
conducted
interviews
and
inspections
in response
to allegations
presented
to the
NRC.
The inspec-
tor and licensee
actions resulting
from these allegations
are noted below:
8.1
Unit
1
RI-89-A-0094:
Allegation
concerning
a contractor
empl'oyed
at
NMP.
Specifically, it was alleged that information
may not
have
been
pro-
vided to
NMP Security
personnel
by the individual during completioq
of the
background
questionnaire
and that the
employee
was
an
occas-
ional
drug user while off-duty.
(Reference
NRC Letter, J.
T. Wiggins
to L. Burkhardt, III, dated August 24,
1989).
The
inspectors
first
became
aware
of
the
allegation
on
August 16,
1989.
At that time,
the individual's
name
was
provided
to
NMPC Security
along
with pertinent
details
of
the
allegation.
Results of NMPC's investigation follow.
Regarding
the allegation of drug
use,
the individual
was questioned
by
NMPC Security
on August 18,
and was drug tested
the
same day.
The
individual
was cooperative
with
NMPC Security during questioning
and
in agreeing
to
the
drug test.
Results
of the
drug test,
returned
several
days
later,
were
negative
for the
presence
of illegal drug
metabolites.
Therefore,
the
allegation
of off-site
drug
use
was
uncorroborated.
28
The other aspect
of the allegation
concerning discrepancies
in back-
ground
information
was partially correct,
in that
a discrepancy
was
found
in
the
individual's
background
information.
However,
Security
had already identified
a problem with this when contacted
by
the inspector
on August 16.
NMPC Security allowed the individual
90
days
to clarify the discrepancy
in the background
information.
The
individual, through the services of an attorney,
was able to explain
the discrepancy
to the satisfaction
of
NMPC Security.
The'inspector
reviewed the information with NMPC Security
personnel
and
was satis-
fied with the- resolution.
This allegation is
closed'.2
Unit 2
RI-86-A-0129:
In
a letter
dated
July 18,
1989,
Region I requested
NMPC to investigate
two additional
concerns
generated
by the
review
of
an
NRC investigation.
The
NRC's
review of the
completed
inves-
tigation report identified
two additional
safety
concerns.
First,
the alleger
named five individuals alleged to have either
used drugs
onsite
or
known to
have
used/purchased
drugs
~nsite.
Second,
the
alleger
claimed
that
he
informed
a
gC Supervisor
of his findings
(i.e.,
improper
weld activities)
and
that
this
information
was
contained
in five (5) logbooks turned over to that supervisor.
NMPC Security,
and
the guality First
Program
investigated
these
two
safety
concerns.
Results
of
the
investigation
were
discussed
in
detail
with the
inspectors.
A
summary
of
NMPC's findings follows:
Regarding
the drug allegations,
NMPC was able to locate
and talk with
the five individuals
named.
None of the individuals
named presently
wor k for NMPC nor are they in the
New York State
area.
All individ-
uals
contacted
denied
drug
use onsite.
Only one individual admitted
to
casual
drug
use off-site,
but denied
ever
working onsite
while
under
the influence.
Three of the individuals have
been drug tested
at their sites
(since
employment
with
NMPC) with negative
results.
One individual. no longer works in the nuclear field and the other
has
not been tested
since
employment with NMPC. It should
be noted that
the
alleged
period of onsite
drug
use
predates
the
new Fitness
For
Duty rule recently
promulgated
by the
NRC.
Overall,
the
inspector
was satisfied with the depth
and thoroughness
of NMPC's investigation
into the drug
use concern
and considered this matter closed.
r
29
Regarding
the
five
logbooks,
confirmed
that
the
books
existed
and
were
reviewed for additional
safety
impact during
the
original investigation of the allegations
in
1986.
The
books
have
subsequently
been
disposed
of by
as
they were
no longer needed
and
there
was
no regulatory
requirement
to
keep
them
as
they
are
personal
logs
kept
by
the
inspector.
The
inspector
was
satisfied with NMPC'
review of this issue
and considered
this alle-
gation closed.
9.
Mana ement Meetin
On
November 3,
Niagara
Mohawk
managment
met with the
NRC staff in the
Region I office to discuss
the Unit
1
Power Ascension
Program
and
Niagara
Mohawk's
readiness
for the
NRC's
Integrated
Assessment
Team
Inspection
( IATI).
Niagara
Mohawk provided
the staff with on overview of the
Power
Ascension
Program
and
committed
to provide
the staff with informational
copies
of
the
power
ascension
control
and
testing
procedures
via
the
resident
inspector office.
In additicn,
Niagara
Mohawk committed to brief
the
NRC staff, via the resident office, of the completion
and results
of
the three
power ascension
testing
plateaus
and the results of the testing
plateau
self-assessments
prior to pr ceeding
with the
next
test
phase.
Lastly,
Niagara
Mohawk
provided
'he Unit
1 Restart
Assessment
Panel
with
an overview of the their self-assessment
and
the status
of completion of
Underlying
Root
Cause
corrective
actions.
Executive
Vice
President
Lawrence Burkhardt III stated
to the Panel that Niagara
Mohawk was,
in his
estimation,
prepared
for the
NRC's IATI.
There
were
no decisions
made
during these
meetings,
and
no actions
were
taken,
directed,
or approved'he
meetings
were
solely for the
purpose
of better
understanding
the
plans
and
status
of
NMPC actions
in these
areas.
Subsequent
to the meeting
and partially based
on information pro-
vided
at
the
meeting,
William Kane,
Director,
Division
of
Reactor
Projects,
in consultation
with William Russell,
Regional- Administrator,
directed
an
NRC integrated
assessment
team to inspect Unit 1.
At periodic intervals
and at
the conclusion
of the inspection,
meetings
were held with senior station
management
to discuss
the
scope
and findings
of this inspection.
Based
on the
NRC Region
I review of this report and
discussions
held with licensee
representatives,
it was
determined
that
this
report
does
not
contain
Safeguards
or
information.