ML17191A620

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Insp Repts 50-237/98-13 & 50-249/98-13 on 980318.Violations Noted.Major Areas Inspected:Operations Procedures & & Documentation,Quality Assurance in Operations & Miscellaneous Operations Issues
ML17191A620
Person / Time
Site: Dresden  Constellation icon.png
Issue date: 04/16/1998
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML17191A618 List:
References
50-237-98-13, 50-249-98-13, NUDOCS 9804270397
Download: ML17191A620 (27)


See also: IR 05000237/1998013

Text

..

U.S. NUCLEAR REGULATORY COMMISSION

Docket Nos:

License Nos:

Report No:

Licensee:

Facility:

Location:

Date:

Inspector:

Approved by:

REGION 111

50-237, 50-249

DPR-19; DPR-25

50-237/98013(DRP); 50-249/98013(DRP)

Commonwealth Edison Company

Dresden Nuclear Station, Units 2 and 3

6500 N. Dresden Road

Morris, IL 60450

March 18, 1998

R. Lerch, Project Engineer

M. Ring, Chief

Reactor Projects Branch 1

..

Report Details

  • I. Operations

A Summary of the Enforcement Conference

On March 18, 1998, members of the NRC Region Ill staff and members of Commonwealth

Edison Company, with NRC Nuclear Reactor Regulation staff and Office of Enforcement staff

members by telephone, met in the Region Ill office to discuss the issues summarized below.

These issues were originally identified in Inspection Report No. 50-237/97006; 50-249/97006 and

the apparent violations were identified in Inspection Report No. 50-237/98006; 50-249/98006.

A summary of events is as follows:

During discussions with another Commonwealth Edison nuclear facility on February 21,

1997, the Dresden staff became aware of a design basis issue associated with inerting or

deinerting*of the containment. If, during these activities, a loss of coolant accident

occurred when the drywall was directly connected to the atmosphere of the pressure

suppression chamber (torus), a percentage of the containment pressure suppression

function would be bypassed until the system was automatically realigned to the

suppression pool. On March 28, 1997, the NRC observed that the Unit 3 drywall and the

torus atmosphere were directly connected while Dresden operators were deinerting the

Unit 3 containment with the plant in power operation. Subsequent discussions between

the NRC and *the Dresden site management team resulted in Dresden management's

acknowledgment that deinerting with this system configuration was not addressed in the

Dresden licensing basis and that additional engineering evaluations were required to

determine if this was an acceptable practice. On April 10, 1997, questions by the NRC

prompted the Dresden site management team to postpone a preplanned evolution to

connect the Unit 2 drywall to the torus atmosphere and deinert the Unit 2 containment

while the unit was in power operation.

During the discussion at the meeting, the licensee agreed with the issues as described in the

inspection reports, provided a summary of the causes and corrective actions planned and taken,

and provided a review of the safety significance of the issue. A copy of the licensee's handouts

is attached to this report.

Following subsequent review and discussion, the NRC staff concluded that two violations had

occurred.

03

Operations Procedures and Documentation

03.1

Drywell and Torus lnerting and Deinerting Practices (71707)

The first violation pertains to 10 CFR Part 50, Appendix B, Criterion Ill, "Design Control," which

required Commonwealth Edison to establish measures to assure that the design basis of a safety

system be correctly translated into procedures. This requirement was not met due to the failure

of the Dresden staff to place procedural restrictions on the deinerting or inerting processes to

ensure that the containment pressure suppression function was not degraded during these

activities. During the predecisional enforcement conference, the Dresden Staff members

provided sufficient information to demonstrate that the containment design pressure would not

2

..

  • .

likely be exceeded and that the containment would function under accident conditions while

operators were deinerting the plant. However, this violation demonstrated that the Dresden

engineering and operations staff failed to translate design information into procedures when

deinerting and inerting procedures were initially written. In addition, the Dresden engineering and

operations staff failed to ensure this information was incorporated during subsequent procedure

reviews and revisions. The failure of the Dresden staff to incorporate design requirements into

procedures is a violation of regulatory requirements that have more than minor safety

significance. (50-237/98013-01; 50-249/98013-01)

07

Quality Assurance in Operations

07.1

Licensee Self-Assessment Activities (40500)

The secon~ violation pertains to 10 CFR Part 50, Appendix 8, Criterion XVI, "Corrective Action,"

which required Commonwealth Edison to assure that conditions adverse to quality are promptly

resolved. This requirement was not met because of the Dresden Staff failure to promptly resolve

an issue that was adverse to quality pertaining to the deinerting or inerting of the containment

while the drywell was directly connected to the torus atmosphere. This issue was first identified

to the Dresden Staff by the staff at LaSalle, another Commonwealth Edison nuclear facility. In

addition, subsequent to that notification this issue was reemphasized to the Dresden staff and

site management team by the NRC when NRC inspectors found that operators had placed Unit 3

in this configuration on March 28, 1997. Subsequently, on April 10, 1997, operators had planned

to place Unit 2 in this configuration. This violation demonstrated a lack of management oversight

to ensure that prompt corrective action was taken when a condition adverse to quality was

identified. In addition, this violation is a concern to the NRC because of the extensive amount of

NRC involvement that was required before the site management team acknowledged that a

condition adverse to quality required resolution. The failure of the Dresden staff to assure that a

condition adverse to quality was promptly resolved is a violation of regulatory requirements that

. have more than minor safety significance. (50-237/98013-02; 50-249/98013-02)

08

08.1

08.2

08.3

08.4

Miscellaneous Operations Issues (92700)

(Closed) EEi 50-237/98006-01; 50-249/98006-01: Potential to Bypass Containment

Suppression due to Inadequate Safety Evaluation and Review of Procedures: The issues

and associated corrective actions were reviewed in Inspection Report No. 50-237/97006

and this report. Further action will be tracked by the items opened in this report.

(Closed) EEi 50-237/98006-02; 50-249/98006-02: Deinerting 'the Drywell and Torus. The

issues and associated corrective actions were reviewed in Inspection Report

No. 50-237/.97006 and this report. Further action will be tracked by the items opened in

this report.

(Closed) Unresolved Item 50-237/98006-03; 50-249/98006-03: Potential failure to make a

four hour report of an unanalyzed condition. The four hour report was made after

prompting by NRC inspectors. The necessity for NRC involvement was the subject of the

corrective action violation in this report. The timeliness of the report issue was not

significant. This item is closed.

(Closed) Violation 50-237/98013-01: 50-249/98013-01: Failure to incorporate the design

requirement for torus pressure suppression into containment inerting and deinerting

3

procedures. This was an old design issue addressed by the licensee in

LER 50-237/97-011. No further actions were required; this item is closed.

V. Management Meetings

X1

Meeting Summary

Licensee managers met with Region Ill managers in an enforcement conference in the

Region 111 office on March 18, 1998. The licensee acknowledged that corrective actions

for the inerting issues had been initiated at the prompting of NRC inspectors, but that the

potential for the event and its safety significance were extremely low. No proprietary

information was identified.

Attachment: Licensee's Handout

4

..

PARTIAL LIST OF PERSONS INVOLVED IN THE CONFERENCE

Licensee

J. Perry - BWR Vice President

D. Helwig - Senior Vice President NGG

J. Heffley.- Dresden Site Vice President

R. Freeman - Dresden Engineering Manager

F. Spangenberg - Regulatory Assurance Manager

S. Kuczynski - Operations Staff

D. Winchester - Q&SA Manager

A Beach, Regional Administrator, Region Ill

M. Dapas, Deputy Director Division of Reactor Projects

R. Lerch, Project Engineer, DRP Branch 1

K. Riemer, Senior Resident Inspector, Dresden

J. Heller, Enforcement Coordinator, Riii

B. Berson, Regional Council

NRC by telephone

R. Capra, Director, Project Directorate 111-2, NRR

T. Reis, Enforcement Coordinator, Office of Enforcement

J. Stang, Project Manager, NRR

5

LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

50-237/98013-01; 50-249/98013-01 VIO

50-237/98013-02; 50-249/98013-02 VIO

Closed

50-237/98006-01; 50-249/98006-01 EEi

50-237/98006-02; 50~249/98006-02 EEi

50-237/98006-03; 50-249/98006-03 URI

50-237/98013-01; 50-249/98013-01 VIO

6

Design Control of Drywell inerting

Corrective Action for Drywell inerting

Design Control of Drywell inerting

Corrective Action for Drywell inerting

Timeliness of 50. 72 report

Design Control of Drywell inerting

DRP

EEi

LER

LOCA

NTS

OPEX

PIF

POD

SER

URI

LIST OF ACRONYMS USED

Division of Reactor Projects

Escalated Enforcement Item (Apparent Violation)

Licensee Event Report

Loss of Coolant Accident

Nuclear Tracking System

Operating Experience

Problem Identification Form

Plan-of-the-Day

Safety Evaluation Report

Unresolved Item

7

  • ComEd Dresden Station

Containment Pressure Suppression Bypass

Pre-Decisional *

Enforcement Conf ere nee

March 18, 1998

Agenda

Opening Remarks

Technical Background

Discussion of Apparent Violations

- Chronology*

- Causes and Corrective Action

Safety Significance *

Corporate Perspective

  • closing Remarks

M. Heffley

R. Freeman

F. Spangenberg

R. Freeman

. D. Helwig

M. Heffley

2

.. . '

.. .

Opening Remarks

  • Expectations
  • Ownership
  • Communications
  • Lessons Learned

3

22

56

-

Technical Background

21

Rx

310'

Chimney

APCV_l

7505-B

23

62

Standby Gas Treat~ent System

63

18" Vent/Purge

24

to Chimney

4

' .

Discussion of Apparent

Violations/Unresolved Item

  • Apparent Violations:

- Failure to Translate Design Information to

  • Procedures

- Failure to Promptly Correct Procedure

Deficiencies

  • Unresolved Item:

- Timeliness of Emergency Notification System

Report

5

..

'

Chronology

Thursday

2/20/97

LaSalle SBGT Issue Identified

Friday

2/21/97

LaSalle A.M. Call Report

Wednesday

3/5/97 .

Engineering P~er Group Meeting

Thursday

3/20/97

. ISEG Initiates OPEX Review of Oyster

Creek Potential Bypasses

Monday

3/24/97

LaSalle LER Issued; ISEG Identifies

Potential Bypass Associated with "Hard

Cards"

Friday

3/28/97

.Inspector Questions Dresden Unit 3

Operators About LaSalle Issue

Saturday

3/29/97

Shift Manager E-Mails Plant Engin*eering

Supt. Regarding SBGT Problem

6

Sunday

3/30/97

Monday

3/31/97

Friday*

4/4/97

Monday

4/7/97

Chronology

Shift Manager Meets with Plant

Engineering Supt. Regarding LOCA with

Vent Valves Open

NRC Inspector Asks Shift Manager About

Follow-up on LaSalle Issue; SER Provided

NRC Inspector Recommends LaSalle LER

be Reviewed; Assigned to Design

Engineering

Engineering Begins LaSalle LER

Investigation; ISEG Oyster Creek Review

Identifies Second Potential Bypass

7

Friday

Monday

Wednesday

Chronology

4/7-11/97

4/11/97

4/14/97

4/16/97

4/14-25/97

Engineering Resolves Recombiner and

SBGT Issues; ISEG Review Identifies

Additional Bypass Pathways

Inspector Questions Operators

Regarding LaSalle Issue; Operators

Delay Evolution

PIFs Initiated

. PIF Screened-Assigned to Design ..

Eng.ineering

Procedures Revised to Prevent Partial

Suppression Pool Bypass*

..

8

  • Chronology

Friday

4/25/97

PORC Review and Approval of

Actions for Bypass Issue*

Tuesday

4;2*9;97

Decision .to Report Under

10 CFR 50.73

Wednesday

4/30/97

ENS Report (50.72(a)(2)(i))

Saturday

5/10/97

ISEG Independently Reviewed

. Deinerting Procedures

Thursday

5/29/97

Dresden LER Filed

9

-*

Chronology - Conclusions

  • Missed Opportunities
  • Lack-of Ownership
  • Understanding of Issue
  • Thirty Days From LaSalle LER to Resolution
  • *Application of Reporting Criteria
  • ISEG Reviews

'II*

.,.'

10

  • -Issue, Cause & Corrective Actions

Issue #1:

  • Failure to Translate Design Information Into Procedures

Cause:

i..'

  • Understanding of Design Basis Requirements When Procedures Were Written and

During Subsequent Review

Corrective Actions:

Immediate Action:

  • Revised Operating Procedures to Eliminate Potential Bypass

Action to Prevent Recurrence:

  • Design Basis Recon~titution
  • Dresden Engineering Assurance Group
  • 50.59 Training
  • Engagement of Corporate Engineering

11

Issue, Cause & Corrective Actions

Issue #2:

  • Failure to Take Prompt Corrective Action

Cause:

  • Lack of Management Oversight to Correct Problem

- Effectiveness of Process for Responding to ComEd OPEX

Information

- Communication Weaknesses

- PIF Timeliness

Corrective Actions:

Immediate Action:

  • * The Four Operating Procedures Were Revised to Prevent Potential

Bypass

12

Issue, Cause & Corrective Actions

Issue #2 (continued):

Actions to Prevent Recurrence:

  • Nuclear Operations Notification (NON) Process
  • New Corrective Action Process Training (PIF Thresholds)
  • Operations Process for Follow-up of Inspector Questions
  • Corporate Engineering Oversight
  • Engineering Performance Improvement Training

-

PIF Threshold. and Initiation Expectat~ons .

-

Expectations for Engineers

-

Professional Practices

  • Expectations for Engineers Handbook
  • SVP Communicated _Expectations on Problem Follow-up

-

All Hands

-

Engineering, Regulatory Assurance and Operations

c.'

  • ' ... '

13

Issue,* Cause & Corrective Actions

Issue #2 (continued):

Future:

  • * A Dresden Case Study Will Be Developed To Provide

Lessons Learned Training for Operations, Engineering and

Regulatory Assurance. (April 30, 1998)

    • ..

...

14

Issue, Cause & Corrective Actions

Issue #3:

  • Timeliness of ENS Report

Discussion:

  • Application of Reportability Requirements .

Actions:

  • Regulatory Assurance and Operations Training on

Reportability Requirements and Their Application

(7 /1/98)

.... *' . '

15

-*

Safety Significance

  • Low Safety Significance
  • Valves Opened Infrequently and for Short Periods
  • Probability of Conditional Event Extremely Low (<<lxI0-6)
  • Containment and Suppression Pool Would Have Performed

Safety Functions

  • - Design, Test and Analyzed Post-LOCA Pressures Not

Exceeded

-

  • Radiological Consequences Bounded

....

I

I

1'

16

Formal Review Required

NSSS & Other Vendor Letters

e.g. GE SILs, SALs, RICSILs

Westinghouse NSALs, TBs, etc.

INPO - SER, SOER, O&MR

NRC - INs, IEBs, GLs

Initial Sc-

for Review

NTS Entry

to Document

& File

SME

Cognizant

Dept(s)

Action

Plan

Industry OPEX

Information Only

NRC-Daily Event Reports,

HQ Daily Report

INPO SENs, OEs

Initial Screen

N

Discard/File

y

SME

Cognizant

Dept(s)

Dept

Head

Coo rd

lose Revie

TS Item

  • .*
  • *
  • '

<

NTS ltem(s)

Track Follow-up

Actions

17

'

LERs, RCRs, TRs

INPO Findings

NO Vs

From Other

Sites

~**

NONs

OPEX Coordinator

Distributes for INFO &

Appropriate Action

SME/

______

..,

Cognizant Dept

Head

'1..

  • *

t

'

Internal ComEd

OPEX

ESC

NTS

Item

Ni

Distribute for

Information/

  • Discard

y

OPEX

Coordinator

Generates PIF

Enter

Corrective

Action

System

18

OPEX Program

Changes Planned for 1998

  • Revise the OPEX Process to Incorporate NON

Require~ents

  • Require NON Log to Record Disposition of All

NONs

  • Change Significant Even~ Notifications (SENs) to

"Formal Review Required"

  • Other Improvements Under Development

I

.I

'

~

,,

,. -

19

Closing Remarks

. Overall Response Weak

Systems Not Degraded or Incapable of Performing

Intended Safety Functions

Site Specific and Corporate Action

A

  • '

"'

~,

...

..

.

..

20