ML17292B243

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Insp Rept 50-397/97-13 on 970715-0802.Violations Noted. Major Areas Inspected:Followup Issues Previously Identified in Other Insp Repts,Operations & Engineering
ML17292B243
Person / Time
Site: Columbia 
Issue date: 02/09/1998
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML17292B241 List:
References
50-397-97-13, NUDOCS 9802170055
Download: ML17292B243 (81)


See also: IR 05000397/1997013

Text

E

CLOSURE 2

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

Docket No.:

License No.:

Report No.:

Licensee:

Facility:

Location:

Dates:

Inspectors:

Approved By:

50-397

NPF-21

50-397/97-13

Washington Public Power Supply System

Washington Nuclear Project-2

3000 George Washington Way

Richland, Washington

July 15 through August 2, 1997

T. Stetka, Senior Reactor Inspector, Engineering Branch

P. Goldberg, Reactor Inspector, Engineering Branch

M. Runyan, Reactor Inspector, Engineering Branch (IFI 9604-01)

Arthur T. Howell III, Director, Division of Reactor Safety

I

ATTACHMENT:

Supplemental Information

98021T0055

980209

PDR

ADQCK 05000397

PDR

-2-

EXE UTIVE SU

MARY

Washington Nuclear Project-2

NRC Inspection Report 50-397/97-1 3

During the period of July 15 through August 2, 1997, two NRC inspectors conducted an

inspection to followup issues previously identified in other inspection reports.

~Oe ra~in

While corrective actions to resolve the material buildup problem in Valves FDR V-3 and

FDR V-4 were effective, corrective actions to resolve a required reading problem were

not. Violation 50-397/9611-04 will be closed, however, an example of a new violation of

10 CFR Part 50, Appendix B, Criterion XVI,was identified for the failure to correct the

required reading issue (Section 08.1).

The new nuclear safety assurance

division procedure properly addressed

the technical

specification procedural requirements.

In addition, licensee conducted surveillances

were effective in assuring that other canceled procedure activities were properly

conducted.

However, there was a failure to update the Final Safety Analysis Report fire

protection sections (Section 08.2).

The root-cause analysis procedure was found to be properly applied.

Efforts were in

progress to improve the root-cause analysis program (Section 08.3).

The corrective actions to resolve continuing failures of the motor-to-pump coupling on the

ac standby lubricating oil pump were not fullyimplemented.

This was considered to be

an example of a violation of 10 CFR Part 50, Appendix B, Criterion XVI (Section 08.4.1).

Corrective actions to correct and prevent recurring personnel error induced valve and

switch mispositioning errors were in progress (Section 08.4.2).

Actions were in progress to correct recurring personnel errors involving a lack of

equipment clearance/procedure

adherence

and the issuance of inadequate clearance

orders (Section 08.4.3).

Corrective actions to address the reversed termination of electrical equipment and wiring

=errors were appropriate to the cause (Section 08.4.4).

-3-

Actions to address the occurrence of shorting electrical terminals during the performance

of maintenance or surveillance activities were adequate and effective toward preventing

a recurrence of the events (Section 08.4.5).

The corrective actions that addressed

the inadvertent initiation of drywell to suppression

chamber bypass flowwere appropriate for the circumstances

and adequate to prevent a

recurrence of the events (Section 08.4.6).

There wa's a failure to issue a problem evaluation request that would have promptly

identified and provided corrective actions for the inadvertent start of a reactor

recirculation pump. This item was considered to be an example of a violation of 10 CFR Part 50, Appendix B, Criterion XVI (Section 08.4.7).

Corrective actions to control a lack of documentation of issues in problem evaluation

requests and to resolve the inadequate labeling of radioactive materials were in progress

(Section 08.4.7).

~En

in erin

The reactor core isolation cooling system was downgraded from safety related to

nonsafety related.

While the system was found to be operable, it was also found to

be nonconforming.

The reclassiTication plan and schedule for returning the reactor

core isolation cooling system to safety related were thorough. As the result of these

downgrade activities, six reactor core isolation cooling valves were not being tested.

The failure to test these valves was considered to be an apparent violation of

10 CFR 50.55a(f). The failure to obtain NRC approval prior to downgrading the system

from safety related to nonsafety related was considered to be an apparent violation of

10 CFR 50.59 because

it apparently involved an unreviewed safety question

(Section E8.2).

An adequate evaluation of the March 3, 1996, residual heat removal system test results

was performed that demonstrated that the results were within the design basis

(Section E8.4).

Multiple examples of Final Safety Analysis Report inaccuracies were identified. While no

safety issues or operability issues were identified, these multiple examples were

indicative of a failure to update the Final Safety Analysis Report.

However, the ongoing

implementation of a Final Safety Analysis Report update program permitted the

exercising of enforcement discretion in accordance with the revised enforcement policy

(Section E8.5).

I

-4-

Appropriate actions to correct a new and previously unanalyized condition involving the

potential overpressurizing of the main steam safety relief valve actuators were being

taken. These actions indicated that the actuators were capable of withstanding the

additional pressure and that design documentation would be changed to reflect the new

design pressure ratings (Section E8.8).

The current design for the manual initiation of the automatic depressurization

system

was consistent with Regulatory Guide 1.62 as amended by the requirements of Three

Mile Island Action Item II.K.3.18 and no wiring error existed.

Functional Control

Diagram 731E788 was not consistent with the as-built plant configuration

(Section E8.10).

The lack of inclusion of the high pressure core spray service water loop in the corrosion

program was appropriate considering the type of failure that occurred.

In addition, the

inclusion of the high pressure core spray service water system in the wall thickness

measurement

program was considered to be a proactive approach toward eliminating

any future problems (Section E8.12).

While Engineering Directorate Manual 2.15 was properly implemented, actions were

being taken to further control the number of calculation modification records for plant

calculations. A self-assessment

performed by the licensee did not identify ifthe

outstanding calculation modification records potentially affected the technical content of

the calculations.

The NRC plans further review of this area during a future inspection

(Section E8.16).

-5-

e o

D

ils

To accomplish this inspection, the inspectors reviewed NRC Inspection Reports'50-397/96-11,

50-397/96-201, and 50-397/96-202.

The inspectors also reviewed the problem evaluation

requests identified in these reports and interviewed personnel.

In addition, the inspectors

reviewed the licensee's response to the violations documented in Letter GO2-96-201, dated

October 15, 1996, to NRC Inspection Report 50-397/96-11 and the NRC acknowledgment letter

dated November 14, 1996, the licensee's response to the open items documented in

Letter GO2-97-120, dated June 16, 1997, to NRC Inspection Report 50-397/96-201, and the

licensee's response documented

in Letter G02-97-228, dated December 23, 1997, to Task

Interface Agreement 96-TIA-005.

I. ~Oerattona

08

Miscellaneous Operations Issues

08.1

Closed

Viola ion

-397/9 11-: Failuretoimplementadequateandtimelycorrective

actions.

Bac

rou d

In NRC Inspection Report 50-397/96-11, the NRC identified a violation with three

examples where the licensee did not provide adequate and timely corrective actions.

The first example occurred on January 19, 1996, when the licensee found that Primary

Containment Isolation Valve FDR V-4 did not close due to foreign material on the valve

seating surfaces.

The licensee did not promptly correct the cause of the foreign material

and, as a result, from January 19 through July 6, 1996, Valve FDR V-4 had additional

closure failures and a redundant isolation valve, FDR V-3, also failed to close.

These

additional failures were also attributed to foreign material on the valve seating surfaces.

The second example involved a failure to correct a problem wherein the Corporate

Nuclear Safety Review Board was not receiving all of the 10 CFR 50.59 safety

evaluations for review. As a result it appeared that an additional 10 CFR 50.59 safety

evaluation (SE 95-095) was not reviewed by the Corporate Nuclear Safety Review

Board.

However, in their response to this violation example (Letter GO2-96-201 dated

October 15, 1996), the licensee stated that the Corporate Nuclear Safety Review Board

,= did.review Safety Evaluation SE 95-095 and that there was a typographical error in the

attachment to the Corporate Nuclear Safety Review Board meeting minutes for

Meeting 96-05 that made it appear that the safety evaluation was not reviewed.

'I

I

-6-

The third example involved the failure to complete the corrective actions taken to assure

that the fire protection water system would not be placed in an improper lineup. The

incomplete corrective action involved the requirement that all operators complete

required reading regarding the improper lineup of the fire protection water system.

Specifically, the licensee found that operators were using the fire protection water system

for nonflire protection activities white only a single source of water was available.

This

lineup configuration was contrary to the requirements of Procedure 1.3.10, which

prohibited the fire protection water system to be used for nonfire protection system

purposes unless both fire protection system water supplies were available.

This violation

was originally cited in NRC Inspection Report 50-397/95-18 in 1995 and was reviewed

for closure in NRC Inspection Report 50-397/96-11.

During Inspection 50-397/96-11

conducted in July 1996, the inspection team found that the required reading was only

completed by 50 of the 111 personnel required to do the reading.

In

ecor F llowu

F rei n Ma erial on Valve Sea in

Surface

The inspectors interviewed the system engineer and reviewed the modification package

for the modification installed to enable the licensee to flush the lines in which

Valves FDR V-3 and FDR V-4 were located.

In addition to a modification package

review, the inspectors walked down a portion of the modification that was accessible.

The inspectors also verified that the flushing was accomplished during the past refueling

outage and that the valves were stroked on a weekly basis to assure operability until the

modification was completed.

The licensee concluded that these flushing operations would remove foreign material

buildup in these lines and, therefore, prevent introduction of foreign material on the valve

seating surfaces.

The modification installed spectacle flanges and tees in these lines to

establish a flushing path.

To prevent recurrence of a foreign material buildup in these

valves the licensee also developed preventative maintenance tasks that will inspect and

clean these valves every 3 years and clean (de-sludge) the sumps every 2 years.

The

inspectors determined that these tasks combined with the quarterly valve stroking

procedures should assure that the valves remain operable.

Furthermore, the inspectors

noted that the licensee willconsider accelerated

pipe flushing ifforeign material buildup

was noted or ifvalve stroking indicated a degradation in the stroke time. The licensee

concluded that these activities willassure early detection of valve closure problems

based on an established history that demonstrated

that it took about 5 years for failures

to occur due to a foreign material buildup on the valve seating surfaces.

-7-

Co

ora e Safe

Revi w Bo rd Safe

Evalu

ion

view

The inspectors reviewed the documentation regarding the typographical error in the

attachment to the minutes of Corporate Nuclear Safety Review Board Meeting 96-05.

Review of these meeting minutes indicated that SCN 96-062 was reviewed.

Since

SCN 96-062 encompassed

Safety Evaluation 95-95, this meant that this safety

evaluation was reviewed in that meeting.

Furthermore, the package of safety

evaluations distributed,to the 50.59 subcommittee for Corporate Nuclear Safety Review

Board Meeting 96-05 documented that SE 95-095 was reviewed.

Based on this review,

the inspectors concurred with the licensee's finding that the SE 95-095 was reviewed by

the Corporate Nuclear Safety Review Board and that the information in the attachment

provided to the NRC was incorrect due to the typographical error.

Im ro er Fire Pro ection Wate

S stem Lineu

The licensee modified their system to assure that all operators were reading the required

reading book by adding the required reading to the plant tracking log. The intent of this

action was to assure that the required reading was accomplished prior to closing out the

plant tracking system item. By listing in the plant tracking system log, the item would be

tracked to assure that the required reading was completed.

However, due to a

misinterpretation of the intent of the plant tracking system entry, personnel assumed that

. when the required reading topic was placed in the required reading book that the plant

tracking log item could be closed out. Therefore, the plant tracking item was closed out

even though the required reading was not completed.

To determine ifthis problem was corrected, the inspectors reviewed the required reading

book located in the control room. The inspectors determined that five required reading

items were still outstanding.

The inspectors also checked the plant tracking log to

determine ifall the outstanding required readings were entered into the log. The

inspectors found that only four of the five items were'ntered

into the log. The licensee

stated that the one item not logged was due to the loss of the person in charge of the

plant tracking log. While it appeared to the inspectors that the licensee had a system to

assure that the required readings were completed, the inspectors identified one operator

that still had not read the required material until July 22, 1997 (during this inspection).

In

addition, the inspectors noted that the licensee's process assumed that the opening of an

E-Mail messag

meant that the message'had

been read even though there was no

acknowledgment in the message

confirming that the message was read.

The inspectors

= interviewed five operators that had not acknowledged that they had read the E-Mail

message

and found that four of these five operators remembered completing the

required reading.

-8-

The inspectors considered the failure to complete the required reading to be an example

of a recurrent failure to complete corrective actions.

10 CFR Part 50, Appendix B,

Criterion XVI, requires nonconformances

to be promptly corrected and action taken to

prevent recurrence of the nonconformance.

The recurrent failure to complete the

required reading for the fire protection water system lineup problem was considered to

be the first example of a violation of 10 CFR Part 50, Appendix B, Criterion XVI

(50-397/9713-01).

nclusions

While corrective actions to resolve the material buildup problem in Valves FDR V-3 and

FDR V-4 were effective, corrective actions to resolve a required reading problem were

ineffective. Violation 50-397/9611-04 willbe closed, however, an example of a new

violation was opened for the failure to correct the required reading issue.

It was found

that Evaluation SE 95-095 was reviewed by the Corporate Nuclear Safety Review Board.

Closed

iola i n

-397/9611-05:

Failure to implement a nuclear safety assurance

division procedure.

~Bk ~run

NUREG-0737,Section I.B.1.2, "Independent Safety Engineering Group," required the

licensee to establish an onsite independent safety engineering group to perform

independent reviews of plant operations.

Technical Specification 6.2.3 was established

to address these requirements and the licensee established

a nuclear safety assurance

division. Furthermore, since Technical Specification 6.8.1.b requires written procedures

for the Nuclear Safety Assurance Division, the licensee developed Procedure PM 1.10.8,

"Nuclear Safety Assurance Assessments,"

to describe the responsibilities and functions

of this group.

However, Procedure PM 1.10.8 was canceled in 1993 because the

procedure was a restatement of the requirements located in Nuclear Operating

Standards 20, "Quality Assurance Evaluations." The licensee failed to recognize that the

deletion of Procedure 1.10.8 was contrary to the requirements of the technical

specifications because the information in Nuclear Operating Standards 20 did not have

the same review and approval requirements as procedures governed by the technical

specifications.

Ins e

or Followu

The licensee issued new Procedure SWP-ASU-01, "Evaluation of Programs, Processes,

and Suppliers," and trained quality services personnel to assure that future procedure

revisions consider all procedure requirements.

The inspectors reviewed the new

procedure and verified that it encompassed

the Nuclear Safety Assurance Division

activities as required by the technical specifications.

In addition, the inspectors reviewed

training records and interviewed personnel to verify that all quality services personnel

received the training.

-9-

During these reviews, the inspectors noted that the licensee also committed to perform a

surveillance to assure themselves that there were no other instances where procedures

were improperly canceled.

During a review of this activity, the inspectors noted that the

surveillance was only performed for the years of 1992, 1993, and 1996. When

questioned about the sampling selection, the licensee stated that these years were

chosen because

most procedure cancellations occurred during the 1992, 1993, and

1996 years.

Through further reviews, the inspectors found that a second surveillance

was performed that included 1995. To verify that no procedures were improperly

canceled, the inspectors reviewed the listing of procedures canceled in 1992, 1993, and

1996 and independently sampled 15 canceled procedures for these years.

In addition,

since the licensee did not check 1994, the inspectors reviewed a listing of procedures

canceled in 1994 and independently sampled procedure cancellations for that year. All

canceled procedures were found to be acceptable.

Since 1993, the time that this violation occurred, the licensee developed a data base

called the "Requirements Tracking System (RTS)." This system provided assurance

that

all requirements and commitments were properly incorporated into plant procedures.

The inspectors reviewed this data base and determined that the new process should

prevent recurrence of this violation.

During a review of the canceled procedures, the inspectors noted that canceled

Procedure 15.1.13, "Fire Suppression Systems Tamper Switch Operability," was

canceled based on the fact that tamper switches were not necessary ifthe valves

were locked open.

However, the inspectors also noted that Amendment 45 of the Final

Safety Analysis Report (FSAR), Appendix F, "Fire Protection Evaluation," Tables F.2-1

and F.3-1, specified a monthly checking requirement for control valves (F.2-1) and vent

and drain valves (F.3-1).

In addition, the inspectors noted that Amendment 51 to FSAR

Appendix F, Section F.5.2.3.1c, specified that manual, power operated, and automatic

valves in the flow paths be checked for the correct position once per quarter.

As the

result of procedure reviews and interviews, the inspectors determined that the control

valves were being checked on a quarterly basis in accordance with Procedure 15.1.18,

"Fire Suppression Systems Valve Alignment," and the vent and drain valves on a

refueling cycle basis in accordance with Procedure 3.1.1, "Master Startup Checklist," and

Procedure 2.8.7, "Fire Protection System."

Since the control valves included selected

manual, power operated, and automatic valves, the inspectors determined that

Amendment 51 was not adequate

in that it did not change FSAR Table F.2-1.

In

addition, since FSAR Table F.3-1 still specified monthly checking of vent and drain

valves and the licensee was only checking the valves every refueling outage (18

months), Amendment 51 failed to revise Table F.3-1 to reflect the new checking

frequency.

10 CFR 50.71(e) requires the FSAR update to include the latest material developed.

The failure to update FSAR Table F.2-1 to be consistent with Procedure 15.1.18

and FSAR Section F.5.2.3.1c and to update FSAR Table F.3-1 to be consistent

with Procedures

3.1.1 and 2.8.7 would be considered two examples of a violation of

I

-10-

10 CFR 50.71(e).

However, due to a comprehensive

program that was underway to

update the FSAR, the NRC believes that these FSAR discrepancies

likelywould have

been identified through this program.

Therefore, the NRC is exercising discretion in

accordance with Section VII.B.3 of the Enforcement Policy.

ncl

i

The new nuclear safety assurance

division procedure properly addressed

the Technical

Specification procedural requirements.

In addition, licensee-conducted

surveillances

were effective in assuring that other canceled procedure activities were properly

conducted.

However; there was a failure to update the FSAR fire protection sections.

08.3

los

r s Ived

e

50-3

9 2 2-0: Two examples where significant problem

evaluation requests failed either to provide a root-cause analysis or to provide a

root-cause analysis of sufficient depth.

B;~ck

ourud

In NRC Inspection Report 50-397/96-202, the NRC identified two significant problem

evaluation requests that either did not have a root-cause analysis performed or had an

inadequate root cause analysis.

While the inspectors considered that the problem

evaluation requests were properly evaluated, they were concerned that the licensee did

not adhere to their root-cause analysis procedure.

The NRC reviewed Significant Problem Evaluation Request (SPER) 296-0519, which

documented an adverse trend offour problem evaluation requests written over a 4-week

period. The four problem evaluation requests documented errors in operating mode

changes and missed technical specification surveillance requirements.

The NRC

determined that SPER 296-0519 failed to followAdministrative Procedure 1;3.48, "Root

Cause Analysis," Revision 6.

The NRC reviewed SPER 296-0285, which documented an adverse trend in valve and

switch positioning. The NRC noted that the problem evaluation request did not have a

root-cause analysis performed, which the NRC considered to be a second example of a

failure to meet the requirements of the root-cause analysis procedure.

The inspectors reviewed Administrative Procedure 1.3.48, "Root Cause Analysis,"

Revision 6, and discussed the procedure with the licensee.

The licensee stated that this

procedure was intended to only provide guidance for performing a root-cause analysis.

Based on this review, the inspectors determined that Procedure 1.3.48 was properly

applied as a guidance procedure.

7

-1 1-

The inspectors discussed the root-cause analysis process with licensee personnel and

reviewed a paper that outlined the licensee's plans for root-cause analysis process

changes.

The licensee stated that a plant-wide initiative was being planned for additional

training on root-cause analysis to provide personnel with better skills. Based on

inspection findings, especially with respect to recurring events, the licensee

acknowledged that their root-cause analysis needed improvements.

The licensee stated

that their plan included identifying approximately 20 dedicated individuals to conduct

root-cause analyses; training this group in state-of-the-art root-cause analysis

techniques; and utilizing this group as team leaders for.root-cause analysis of significant

problem evaluation requests and other situations as required.

The licensee expected to

complete initial training by October 31, 1997.

~onli

o s

Root Cause Analysis Procedure 1.3.48 was found to be properly applied.

Efforts were in

process to improve the root-cause analysis program.

08.4

Closed

Unresolv

tem5 -397/962

-0: Failuretopreventtherecurrenceof

significant conditions that were adverse to quality.

08.4.1

S and

Circ

I

i

Lubri a in

il

um

Failur

/

~Ba lgqrourLd

The NRC identiTied multiple, recurrent failures of the ac standby circulating lubricating oil

pump motor-to-pump coupling. This safety-related pump, used to supply heated lube oil

to Emergency Diesel Generator DG2 for initial startup, failed on February 18, 1996. The

failure occurred in the motor-to-pump coupling. This failure resulted in a manual start

failure of Emergency Diesel Generator DG2 on February 20, 1996, during surveillance

testing.

While the motor-to-pump coupling was a contributor to this event, the starting of

the emergency diesel generator for mitigation of accident conditions was unaffected.

Review of this failure by the NRC identified that this coupling failed 2 months earlier and

that the motor-to-pump couplings also failed three times prior to 1991 and three

additional times since 1991 (not counting 1995 and 1996 failures). Following the 1991

failures, the licensee developed corrective actions that involved increased-frequency

of

alignment checks, the installation of flexible hoses, and replacing the coupling with a

different design coupling that was better suited to the operating conditions for the pump.

. The NRC found that these corrective actions, though considered effective to prevent

recurrence of the failures, were not properly implemented.

-1 2-

I s

c

rFoll wu

The inspectors reviewed Significant Problem Identification Report 296-0119 and

interviewed licensee personnel regarding the ac standby circulating lubricating oil pump

failures. The inspectors determined that the findings identified in NRC Inspection

Report 50-397/96-202 demonstrated that while the root cause and proposed corrective

actions were appropriate, the licensee failed to implement the corrective actions resulting

in additional failures of the motor-to-pump coupling. Specifically, while the licensee

initiallyperformed increased frequency alignment checks over a 3-year period (after

1991), these alignment checks were subsequently stopped.

In addition, the flexible

hoses, which were intended to reduce induced piping stresses

on the pump motor

assemblies,

were never installed apparently due to budget considerations.

Furthermore,

while the licensee investigated and identified new couplings that were more robust for

the pump operating conditions, the couplings were not purchased

and the in-stock

couplings continued to be used.

The inspectors determined that the licensee's corrective

actions were not fullyimplemented.

The inspectors considered the failure to fully implement the corrective actions for the

motor-to-pump coupling to be the cause of repeated coupling failures.

10 CFR Part 50,

Appendix B, Criterion XVI, requires nonconformances

to be promptly corrected.. The

failure to promptly correct the coupling failures was considered to be the second example,

of a violation of 10 CFR Part 50, Appendix B, Criterion XVI (50-397/9713-01).

g~nc

i~s'he

corrective actions to resolve continuing failures of the motor-to-pump coupling on the

ac standby lubricating oil pump were not fully implemented.

This was considered to be

an example of a violation of 10 CFR Part 50, Appendix B.

08.4.2 Valve and Swi ch Posi ionin

Error

~Back round

The NRC found that valve and switch positioning errors were identified as a significant

issue in Problem Evaluation Request 296-0285. This problem evaluation request

identified an adverse trend with valve and switch positioning errors that had occurred

since 1995. The NRC was concerned that four recent problem evaluation requests and

~ three gold cards indicated that these mispositioning errors were still occurring and that

the'licensee's

actions to correct these errors were ineffective.

The inspectors noted that the licensee issued Significant Problem Evaluation

Request 296-0285 on April 19, 1996, to identify an adverse trend. This problem

evaluation request identified 26 instances of valve and switch mispositioning errors that

-1 3-

occurred in 1995 due to personnel error. To determine the effectiveness of the

corrective actions from this problem evaluation request, the inspectors requested

a listing

from the plant tracking log of all valve and switch mispositioning errors since January 1,

1997.

The licensee provided the inspectors a listing of ten problem evaluation requests

covering the time period of January 28 through July 18, 1997, and a gold card, dated

December 13, 1996, that identified mispositioning errors. The inspectors reviewed these

problem evaluation requests and determined that nine of these requests and the gold

card represented

additional examples of valve and switch mispositioning errors that were

caused by personnel error. Furthermore, the inspectors noted that the licensee issued a

second significant problem evaluation request (297-0072) on March 20, 1997, which

again identified an adverse trend in human performance that involved mispositioning

errors.

The inspectors determined that the licensee was taking appropriate actions to

resolve this personnel error problem.

Conclusions

Corrective actions to correct and prevent recurring personnel error induced valve and

switch mispositioning errors were in progress.

The continuing personnel errors were

being appropriately identified and trended by the licensee for corrective action.

08.4.3

Cl ar nce 0 der an

Procedure

P oblem

B;~kr~un

The NRC found that clearance order and procedure problems were identified in

Significant Problem Evaluation Request 296-0308 dated April29, 1996. This problem

evaluation request identified an adverse trend relative to 12 problem evaluation requests

associated with clearance orders and procedures.

The NRC reviewed a sample of

problem evaluation requests to determine the extent of the issue and to determine ifit

was resolved.

As the result of this review, the NRC identified 15 additional problem

evaluation requests that appeared

to involve clearance order or procedure problems that

occurred since Significant Problem Evaluation Request 296-0308 was issued.

The

clearance order and procedure problems involved inadequate clearance orders and

failures to follow clearance orders procedures.

Ins e

or Followu

Since the issuance of Problem Evaluation Request 296-0308, the inspectors determined

that 12 problem evaluation requests identified instances of personnel errors involving a

failure to followclearance orders or plant procedures and a failure to issue adequate

clearance orders.

Four of these problem evaluation requests were considered to be

significant. The inspectors noted that the licensee issued Significant Problem Evaluation

Request 297-0116 on March 28, 1997, that identified the continuing trend regarding

inadequate clearance orders.

k

-14-

The inspectors noted that seven problem evaluation requests (296-0364, 296-0415,

296-0428, 296-0497, 296-0650, 296-0832, and 297-0072) involved the failure to adhere

to clearance orders or plant procedures and five problem evaluation requests (296-0351,

296-0537, 296-0775, 297-0073, 297-0016) involved inadequate clearance orders.

The

inspectors determined that the licensee identified the problem (i.e., issued Significant

Problem Evaluation Request 296-0308), and had corrective actions in progress.

(~nulligs

Actions were in progress to correct recurring personnel errors involving a lack of

equipment clearance procedure adherence

and the issuance of inadequate clearance

orders.

The recurring personnel errors were being appropriately identified and trended

by the licensee for corrective actions.

08.4.4

El c r'cal Wirin and Termi a i n Error

~Back round

E

The NRC found that wiring and termination errors were identified in Significant Problem

Evaluation Report 296-0693 dated September 23, 1996. This problem evaluation

~ request identified an adverse trend relative to five problem evaluation requests

associated with reversed terminations.

The NRC reviewed the five problem evaluation

requests and determined that it appeared that the licensee's efforts failed to prevent

recurrence of these errors.

The NRC based their conclusion on the fact that the licensee

limited their analysis to work specifics (i.e., only addressed

each speciTic issue and did

not address the underlying cause).

ns ec or Followu

The inspectors reviewed the problem evaluation requests that documented these wiring

and termination errors. The inspectors also reviewed a listing of problem evaluation

requests involving wiring errors for the last year. This listing identified 16 problem

evaluation requests that involved wiring errors.

The inspectors selected 6 problem

evaluation requests from this list for further review. As the result of this review, the

inspectors identified 2 Nonsignificant Problem Evaluation Requests 297-0157 and

297-0414 involved wiring errors that were due to human error. The remaining wiring

error issues involved either drawing errors from original construction or unrelated design

errors.

Furthermore, the inspectors were informed that during the period of 1989 through

June 1, 1996, there were only 11 wiring errors that involved human performance errors.

When combined with the 2 personnel errors identified by the inspectors, this meant that

there were 13 wiring errors attributed to personnel errors since 1989. As the result of this

review, the inspectors concluded that the wiring and termination issues did not represent

a degrading personnel error issue in this area.

However, it also indicated that wiring

errors had existed in the plant.

Discussions with licensee personnel indicated that while

electricians and instrumentation and control technicians are trained and required to

-15-

check for wiring errors during their work activities. The inspectors also noted, however,

due to the development of problem evaluation requests that identified wiring errors and

the lowered threshold for writing such problem evaluation requests, the licensee was

continuing to identify and correct such issues.

@on~el i~ion

Corrective actions to address the reversed termination of electrical equipment and wiring

errors were appropriate to the cause.

08.4.5

Sho

i

ofElecricalT rmin Is

~Back rc

n

The NRC found three shorted terminal events that were identified in Problem Evaluation

Requests 296-0222, 296-0692, and 297-0039.

These events involved: the incorrect

connection of test equipment during equipment troubleshooting causing an average

power range monitor to be shorted to ground (296-0222 dated March 27, 1996); the

inadvertent shorting of terminals with test leads while attempting to take voltage

measurements

during a calibration (296-0692 dated September 23, 1996); and the

shorting and subsequent failure of a rod block monitor power supply caused by dropping

a screwdriver into the panel during a calibration (297-0039 dated January 13, 1997).

The NRC also noted that while two additional problem evaluation requests (296-0227

and 296-0293), which were referenced in Problem Evaluation Request 296-0692,

identified similar events, they did not involve the taking of voltage measurements.

Based

on their review of these three events, the NRC concluded that the licensee did not

broaden their corrective action efforts to solve the problem. As a result, the'NRC

concluded that shorted terminal events due'to personnel errors continued to occur.

Ins ec or Followu

As documented in NRC Inspection Report 50-397/96-202, the inspectors noted that the

three events involved different causes.

In addition, the. inspectors noted that Problem

Evaluation Requests 296-0227 and 296-0293 involved circuit trips that occurred due

opening of a panel and the removal of a panel and, therefore, did not involve shorted

terminals.

The inspectors noted that the initiators of these events were diverse and that the only

common cause was personnel errors.

Based on these reviews and interviews, the

inspectors determined that the licensee's corrective actions were appropriate.

These

included: suppling personnel with insulated tools; developing a written policy to require

the use of insulated tools; insuring that new power supplies have terminal covers; and

individual counseling regarding the use of proper tools for the job.

Furthermore, the

inspectors considered these corrective actions to be adequate

and effective toward

reducing the potential for personnel errors during such maintenance activities.

-1 6-

~Co clusions

Actions to address the occurrence of shorting electrical terminals during the performance

of maintenance or surveillance activities were adequate and effective toward preventing

a recurrence of the events.

08.4.6

Con ainmen Amo

h ric

onrolDesi nD ficie

~Bckc~oI

Significant Problem Evaluation Request 297-0020 documented exceeding the technical

specification limitfor bypass flow from the drywell to the suppression chamber while

operating containment isolation valves in the containment atmosphere control system to

restore a nitrogen blanket in containment.

This event occurred following an

enhancement

to the operating procedure to improve the operator's ability to repressurize

the containment atmosphere control system using valve test switches.

During their

review of this problem evaluation request, the NRC found that two apparently similar

events occurred in the past.

The first event, which occurred in 1992 and was

documented

in Nonconformance Report (NCR) 292-0231 dated March 20, 1992,

involved the removal of a valve test push button from the control circuitry to remove a

single failure vulnerability. A new test switch was subsequently installed that was single

failure proof. The second event, which occurred in 1993 and was documented

in

Problem Evaluation Request 293-0346 dated March 31, 1993, involved the discovery

that performance of a periodic instrument surveillance test caused drywell to suppression

chamber bypass flowto exceed technical specification limits. As the result of these

reviews, the NRC concluded that the inadvertent introduction of a new initiator for the

event through enhancement of the nitrogen blanket operating procedure was not

something that could have been reasonably prevented through the problem evaluation

request investigation that was conducted in 1993. The NRC also concluded, however,

that these events were apparently caused by an uncorrected design problem.

The inspectors noted that the first event (Problem Evaluation Request 292-0231) did not

involve an actuation of the containment atmospheric control system nor the initiation of

drywell to suppression chamber bypass flow. Th'e first event only postulated the

potential for a single failure of the valve test push button. As a result, the licensee took

, actions to modify the test switch to assure that the single failure vulnerability was

mitigated. While the second event did result in the initiation of a bypass flow condition, it

involved a problem with the surveillance procedures.

Since this surveillance was

normally conducted during refueling conditions, it had not been a problem in the past.

However, when the surveillance was performed during plant operations in an attempt to

shorten outage times, it caused

a bypass flow condition. The inspectors noted that the

technical specification limits were not exceeded during this event.

The third event

involved a revision to an operating procedure to simplify operator actions during the

-1 7-

nitrogen phase of containment atmospheric control system operation.

The procedure

revision was inadequate,

in that, when it permitted the use of the test switch to activate

the required containment isolation valves, it did not assure that power was removed

from those valves that could cause a bypass flow condition to occur. Though a bypass

flow did occur, this flowwas immediately terminated and the technical specification

limiting condition for operation was not exceeded.

Based on this review, the inspectors

determined that only two of these events involved an actual bypass flow to occur, that

these bypass fiows did not exceed the technical specification limiting condition for

operation,'that these events were not the result of a design error, and that the events

were caused by human errors pertaining to surveillance scheduling and the procedure

revision process.

The inspectors further determined that the corrective actions taken by

the licensee were appropriate for the circumstances

and adequate to prevent a

recurrence of the events.

These included:

revisions to Procedures

PPM 2.3.3.A and

2.3.3.B; a review of all procedures that involved the use of the test switch to assure that

the required valves were disabled; counseling of involved personnel; the conduct of a

"lessons learned" training for system engineers; and the addition of test switch operation

precautions in the operator training program.

C n lusion

The corrective actions that addressed

the inadvertent initiation of drywell to suppression

chamber bypass flowwere appropriate for the circumstances

and adequate to prevent a

recurrence of the events.

08.4.7 Timel Iniia ion of Proble

valua ion

e ue

s

BaakraBrou

d

The NRC identified two instances where problem evaluation requests were not written to

identify plant problems.

The first instance involved a failure to initiate a problem evaluation request by operations

personnel when a quality assurance

audit identified anomalous plant equipment

operation.

This instance was documented in Problem Evaluation Request 296-0489.

While the problem evaluation request described three anomalous equipment operation

instances, the NRC considered one to be the subject for a problem evaluation request.

This instance involved the inadvertent start of the reactor recirculation pump during

"testing activities on June 10, 1996. The NRC concluded that the reactor recirculation

pump start resulted in an unplanned entry into a technical specification limiting condition

for operation and that this condition met the threshold for the initiation of a problem

evaluation request.

The second instance, involving radiation protection department personnel, identified the

use of gold cards in lieu of problem evaluation requests to identify plant problems an'd a

continuing failure to correct an inadequate radioactive material labeling problem. The

0

-18-

use of the gold cards was documented

in Problem Evaluation Request 296-0357 dated

May 1996. The NRC noted that the licensee's corrective actions for this problem were

not effective as evidenced by the issuance of Problem Evaluation Request 296-0839

dated December 1996. This second problem evaluation request again identified that

gold cards were being used to identify problems and, in particular, documented that gold

cards were used to identify the inadequate labeling of radioactive materials.

The NRC

noted that this problem evaluation request did not determine why previous corrective

action from seven problem evaluation requests concerning inadequate labeling of

radioactive materials was not identified as an adverse trend by the radiation protection

staff through its independent review of the gold cards.

The NRC concluded that the

licensee's corrective actions were ineffective toward correcting the use of gold cards and

the inadequate labeling issues.

Ins ec

r Followu

An m

I

I n

ui m n

r i: The inspectors noted that operations personnel

concluded that a problem evaluation request was not necessary for the inadvertent

reactor recirculation pump start because the problem evaluation request threshold was

not reached.

However, the inspectors'eview of Technical Specification 3.4.1.4/4.4.1.4

indicated that temperature differentials were required to be taken within 15 minutes prior

to startup of an idle recirculation loop. Therefore, the inspectors determined that the

event did result in the inadvertent entry into a technical specification limiting condition for

operation and that the required temperature measurement

surveillance was not

performed prior to pump start.

Furthermore, the inspectors noted that the lack of a

problem evaluation request resulted in a failure to develop corrective actions that

addressed

such areas as: the initial failure to note the unplanned entry into a technical

specification action statement; the failure of the testing circuit; whether similar testing

needed to be performed for other system maintenance or modifications; and test

procedure revision. The inspector's review of Procedure 1.3.12, "Problem Evaluation

Request," Revision 24, indicated that the guidelines for initiation of a problem evaluation

request stated, in part, that a problem evaluation request be issued for unexpected

operating events and for deficiencies involving the technical specifications.

ad'o

o ec io

S a

b e s'he inspectors reviewed Problem Evaluation

Request 297-0485, issued for the improper storage and labeling of radioactive material

containers.

The inspectors found that Significant Problem Evaluation Request 297-0537

was written to document an adverse trend in the radiological protection program.

Based

on,these reviews, the inspectors determined that the licensee was not fullyeffective at

improving the radiation protection staffs knowledge of the gold card program and its

relation to the problem evaluation requests.

In addition, the inspectors noted that the

licensee identified problems with correcting the inadequate radioactive material labeling

problems.

The inspectors were informed that the licensee hired a contractor to assist in

the development of a root cause analysis for Problem Evaluation Request 297-0537.

To

control the labeling issues, the inspectors noted that the licensee initiated daily plant

-1 9-

walkdowns to identify inadequate labeling conditions until the root cause analysis and

corrective actions for this problem could be developed and implemented;

The inspectors considered the failure to provide adequate corrective actions to

identify the inadvertent start of the reactor recirculation pump to be contrary to

the requirements of 10 CFR Part 50, Appendix B, Criterion XVI. 10 CFR Part 50,

Appendix B, Criterion XVI, requires nonconformances

to be promptly identified and

corrected.

The failure to promptly identify and correct a nonconformance was

considered to be the third example of a violation of 10 CFR Part 50, Appendix B,

Criterion XVI (50-397/9713-01).

Conclusi ns

There was a failure to issue a problem evaluation request that would have promptly

identified and provided corrective actions for the inadvertent start of the reactor

recirculation pump. This item was considered to be an example of a violation of

10 CFR Part 50, Appendix B. Corrective actions to control a lack of documentation of

issues in problem evaluation requests and to resolve the inadequate labeling of

radioactive materials were in progress.

C

se

I s e

i

Followu

I

m

0- 97/

-: Correctiveaction program

timeliness goals not met.

~B:kcCrourrd

As documented in NRC Inspection Report 50-397/96-202, the NRC noted that several

problem evaluation requests were initiated to identify untimely resolution of problem

evaluation requests and their associated

corrective actions.

Problem Evaluation

Requests 295-0915 (August 1995), 296-0272 (April 1996), and 296-0735 (October 1996)

were initiated to determine why several problem evaluation requests were not

dispositioned within 30 days.

Problem Evaluation Request 296-0709 (October 1996)

was initiated to determine why significant problem evaluation requests were not

dispositioned within 14 days.

In addition, Problem Evaluation Requests 297-0027 and

297-0043 (both January 1997) were initiated to determine,why corrective actions were

not properly dispositioned or implemented when required.

s ec or Followu

The inspectors reviewed the reports that the licensee was using to track problem

evaluation request resolutions and corrective action dispositions.

The existence of these

tracking reports was evidence that the licensee was aware of their problem evaluation

request timeliness problems and was taking actions to correct the problems.

The

inspectors noted that the licensee issued weekly reports to all management

personnel

that designated the number of late problem evaluation requests and provided information

regarding the problem evaluation requests that would be coming due during the next

-20-

week.

The inspectors reviewed these reports for the weeks of July 7, 14, and 24, 1997,

and noted that late reports and reports coming due during the next week were being

dispositioned.

The inspectors determined that this reporting system was effective at

addressing and assuring that late problem evaluation requests were being resolved.

The

inspectors also reviewed the process that addressed

overdue corrective action issues.

The inspectors found that the licensee was tracking the overdue corrective actions

through the use of a monthly trending report and departmental "annunciator panel"

reports.

As an example of this tracking activity, the inspectors found that Problem

Evaluation'Request

297-0046, issued on January 15, 1997, identified a trend in late

corrective actions that was attributed to engineering.

Review of these reports by the inspectors indicated that the late report trend and the

overdue corrective action trends were leveling offwith some evidence of a

decreasing trend. This was notable considering that the number of problem evaluation

requests were increasing.

To further improve their process, the licensee stated that

they were implementing the use of electronic problem evaluation request resolutions

The use of this system would provide quicker response,

a user friendly system, and

provide an effective tracking system.

In addition, they were considering revising

Procedure PPM 1.3.12A, "Processing of Problem Evaluation Requests," to change the

problem evaluation request disposition times from 14 days to a more realistic 30 days.

NI8

Miscellaneous INaintenance Issues

M8.1

Clos d V'ola 'o

0- 9

96 1-: Failure to followmodification and scaffolding

procedures.

Ba~-kcCk~u

The NRC found three examples where plant modifications were performed using the

technical evaluation process instead of the project modification record or minor

modification processes

as required by procedure.

The NRC reviewed Plant Procedure

Manual

1 4.1, "Plant Modifications," Revision 22, which was the governing procedure for

the implementation of permanent plant modifications. The procedure allowed the use of

a technical evaluation request to perform certain permanent plant modifications, which

were considered to be equivalent changes.

The NRC reviewed Technical Services

- Instruction Tl 1.2, "Equivalent Change Evaluations," and determined that the equivalent

change process was not to be used for complex plant modifications or when formal

calculations were significantly impacted.

Based on these procedures, the three

examples were considered to be violations.

In addition, the NRC identified a violation where the licensee failed to followthe plant

scaffolding procedure for unsecured scaffolding stored in safety-related plant areas.

The

I,

i

-21-

NRC reviewed Maintenance Programs and Procedure 10.2.53, "Seismic Requirements

for Scaffolding, Ladders, Man-Lifts, Tool Gang Boxes, Hoists, and Metal Storage

Cabinets," Revision 14. The NRC determined that the procedure required that all

scaffolding be left in an acceptable seismic configuration and, ifit did not meet

procedural requirements, that an engineering evaluation be performed.

There were no

engineering evaluations performed for the unsecured scaffolding identified by the NRC.

In

rFol w

The inspectors determined that the violations occurred due to procedure weaknesses,

which were identified by the licensee as the root-cause for the violations. The inspectors

reviewed Plant Procedure Manual 1.4.1, "Plant Modifications," Revision 23, which the

licensee revised to clarify when an equivalent change could be used in place of the

modification procedure.

The inspectors found that the revised procedure contained

checklists and guidelines to aid in determining when an equivalent change could be

used.

In addition, the inspectors found that a 10 CFR 50.59 screening was required for

each equivalent change.

The inspectors determined that the procedure was adequate to

preclude repetition of the violations.

The inspectors reviewed Maintenance Program and Procedure 10.2.53, "Seismic

Requirements for Scaffolding, Ladders, Man-Lifts, Tool Gang Boxes, Hoists, and Metal

Storage Cabinets," Revision 6, which the licensee revised to clarify scaffolding storage

requirements.

The inspectors found that the procedure contained the requirement to

contact engineering ifstorage of scaffold components was found piled in safety-related

areas of the plant. The procedure also required that engineering evaluate the condition

and provide a 10 CFR 50.59 review for each request.

In addition, discussions with the

NRC resident inspector indicated that no additional scaffolding problems were identified

during their plant tours.

The inspectors determined that the revised modification procedure was adequate to

preclude repetition of this example of the violation. In addition, the inspectors determined

that the revised scaffolding procedure provided clarification that would preclude repetition

of this example of the violation.

-22-

ES

Miscellaneous Engineering Issues

E8.1

Cl

e

ns ec ion Followu

I em 397/ 604-0:

Use of Generic Letter 89-10 valve

factors for operability determinations.

~Bck round

During closure of the Generic Letter 89-10 motor-operated valve program, the NRC

noted that the licensee had occasionally used less conservative valve factors than those

justified under Generic Letter 89-10 to demonstrate the operability of a marginal valve.

None of these examples were considered to constitute an immediate operability problem.

However, the NRC was concerned that use of the lower valve factors was not adequately

supported by test data and may under predict the thrust required to operate the valve

under design basis conditions.

In general, the licensee's motor-operated valve program

did not specify minimum criteria (valve factors or other parameters)

to be used when

assessing

operability.

Ins ec or

ollowu

The licensee revised Procedure MES-10, "Motor-Operated Valve Sizing and Switch

Settings," Revision 0, via Temporary Change Notice 96-192, to include a definitive guide

for evaluating motor-operated valve operability. The new operability criteria stipulated

how valve factors, stem factor degradation, packing loads, rate of loading, and degraded

voltage factors should be selected in the assessment

of operability. The inspectors

reviewed the revised criteria and considered the new operability criteria to be consistent

with Generic Letter 89-10 and good engineering practice.

E8.2

CI

ed

Unre

Ived

m 5 -39

961

-02: Determination of the safety-related status of

the reactor core isolation cooling system, which was downgraded from safety related to

nonsafety related in 1985.

Bac

rou d

The NRC identified that the reactor core isolation cooling system was downgraded from

a safety-related to a nonsafety-related

status in 1985, which changed the seismic

qualification of the system from seismic Category

I to nonseismic.

This downgrade was

performed due to a modification to the automatic depressurization

system, which allowed

the safety function of the reactor core isolation cooling system to be enveloped by this

system.

The NRC noted that Chapters 3, 5, and 7 of the FSAR specified that the reactor

core isolation cooling system components were still considered seismic Category

I and

Table 3.2-1 of the FSAR specified that the reactor core isolation system was quality

Class

I and Seismic Class I. After discussions with the licensee, the NRC.noted that this

downgrade was not approved.

This issue was referred to the NRC program office as

-23-

Task Interface Agreement 96-TIA-005 to determine whether the licensee's downgrade

effort was appropriate.

Ins ec or

ollowu

The licensee submitted Safety Analysis Report Change Notice SCN 85-195, dated

October 4, 1985, to the NRC to revise the FSAR and technical specifications to reflect

the reactor core isolation cooling system downgrade from safety related to nonsafety

related.

The inspectors reviewed this submittal and found that the 10 CFR 50.59 safety

evaluation, dated June 28, 1985, determined that there was no unreviewed safety

questions associated with the downgrade.

The submittal stated that the automatic

depressurization

system combined with the low pressure injection systems provided the

same function previously accomplished by the reactor core isolation cooling system.

The

inspectors also noted that the plan was to delete the reactor core isolation cooling

system from the technical specifications and Chapter 15 of the FSAR, where it was

specified as the backup system to the high pressure core spray system.

The inspectors

reviewed the May 2, 1989, letter from the NRC to the licensee and found that the NRC

denied the application for a technical specification amendment submitted in Change

Notice SCN 85-195.

On January 31, 1997, in response to Task Interface Agreement 96-TIA-005, the NRC

program office concluded that the downgrading of the reactor core isolation cooling

system was unacceptable.

This response stated that the reactor core isolation cooling

system was a replacement for the high pressure core spray system during limited times

when the high pressure core spray system was inoperable.

Therefore, during this

limiting condition for operation, as specified in Technical Specification 3.7.3, the reactor

core isolation system was considered part of the emergency core cooling system

replacing the high pressure core spray system.

In addition, the reactor core isolation

system was originally assumed

to mitigate the consequences

of the loss of all feedwater

accidents in Section 15.2.7 of the FSAR and was con'sidered to be a coping system for a

station blackout event.

Finally, the staff concluded that the safety-related function of the

reactor core isolation cooling system was not enveloped by the automatic

depressurization

system since the automatic depressurization

system was considered as

a last resort system because of the transient effects associated

with its actuation.

Based on the NRC determination that the reactor core isolation cooling system was

safety related, the licensee prepared Problem Evaluation Request 297-0491, dated

May 29, 1997, to determine the operability of the system and reclassify the system as

safety related.

The inspectors reviewed Revision

1 of the followup assessment

of

operability, which was part of the problem evaluation request.

The followup assessment

of operability determined that the system %as operable but nonconforming.

The system

was determined to be nonconforming because the system was safety related and the

-24-

activities implemented following the reclassification in 1985 (e.g., modifications) were not

in conformance with the original license requirements.

The inspectors noted, however,

that the licensee had maintained the technical specification requirements for the reactor

core isolation cooling system, which included periodic testing. The inspectors also noted

that Chapter 7 and Appendix 15A of the FSAR indicated that the reactor core isolation

cooling system was used to mitigate the consequences

of the control rod drop accident.

The inspectors noted that the followup assessment

of operability contained an

assessment

of the changes that were made to the system components after the

downgrade.

The inspectors determined that the portions of the reactor core isolation

cooling system required to maintain the integrity of the reactor coolant pressure

boundary and to provide containment isolation remained safety related and that their

classification was not changed.

The remaining equipment was reclassified as

nonsafety related.

Documentation to support the seismic qualification of equipment

that was designated as nonsafety related was not required nor maintained.

The

components reclassified to nonsafety related were not maintained to the requirements

of a 10 CFR Part 50, Appendix B, quality program, but instead to an augmented quality

program.

The augmented quality program allowed parts and components to be

purchased commercially (i.e., from a non-Appendix B supplier) and were not required to

be dedicated.

The inspectors reviewed the insewice test program for the reactor core isolation cooling

system to determine ifany changes were made due to the downgrade.

The inspectors

found that the licensee revised the inservice test program in December 1994 when the

program was upgraded for the second 10-year interval to the 1989 Edition of ASME

Section XI. At this time, the licensee took advantage of the downgraded reactor core

isolation cooling system and changed the program by deleting valves that were

considered a part of the downgrade effort. The valves excluded from the inservice test

program included Check Valve RCIC-V-11, a suction valve in line from the condensate

storage system; Check Valve RCIC-V-086, a suction'valve for the RCIC water leg pump;

Check Valve RCIC-V-21, a miniflowvalve from the main pump; and Motor-Operated

Valve RCIC-V-59, a discharge valve from the RCIC pump. The inspectors reviewed

testing for these valves and determined that while the valves were deleted from the

program, they remained operable because they were being tested as a part of other

surveillance testing activities. The inspectors also noted that containment isolation valve"

test requirements for some reactor core isolation cooling valves were modified to

measure the close only function to ensure containment integrity, where previously their

function had been to both close for containment integrity and open for reactor core

isolation cooling injection. The inspectors reviewed the test procedures for testing the

containment isolation valves and found that in 1985, Procedure 7.4.7.3.3, "Plant

Operability Test," Revision 4, required that the containment isolation valves be stroked in

both the open and closed direction to assure that stroke times were within the specified

acceptance

criteria as required by the ASME code.

The inspectors noted that current

Procedure OSP-RCIC/IST/Q702, "RCIC Valve Operability Test," Revision 1, required that

the valves be stroked in both the open and closed direction, but only specified an

-25-

acceptance

criterion for the closing direction. The inspectors found that there were six

containment isolation valves that did not have an acceptance

criteria for opening

stroke-time testing. These valves included RCIC-V-13, head spray isolation valve;

RCIC-V-19, minimum-flow to suppression

pool isolation valve; RCIC-V-28, auxiliary

cooling to suppression

pool isolation valve; RCIC-V-31, suppression

pool to RCIC

suction; RCIC-V-40, turbine exhaust to suppression

pool isolation valve; and RCIC-V-66,

head spray isolation valve. The inspectors also noted that Valve RCIC-V-45, the turbine

steam supply isolation valve, was no longer tested for either opening or closing stroke

times.

10 CFR 50.55a(f) requires inservice tests of valves required for safety to assure that the

valves comply with the requirements of Section XI of the ASME code.

Section XI of the

ASME Code requires that acceptance

criteria be developed for valve stroking tests so

that stroke-time degradation can be identified. The failure to develop appropriate

acceptance

criteria for the opening stroke-time testing for six reactor core isolation

cooling system valves and the failure to test the stroke times for Valve RCIC-V-45 is

considered to be an apparent violation (50-397/9713-02).

The inspectors reviewed the corrective actions required to reclassify the previously

downgraded reactor core isolation cooling system components to safety related.

The

corrective actions were documented

in Problem Evaluation Request 297-0491.

The

problem evaluation request identified 23 tasks that included establishing seismic

qualification; establishing environmental qualification; evaluating previous procurements,

substitutions, maintenance,

equivalent changes,

and plant modifications; and evaluating

and revising the inservice test program.

In addition, the inspectors reviewed the draft

reclassiflication plan and the schedule for completion.

The inspectors determined that

the licensee planned to complete the reclassiflication by the end of 1997. The inspectors

also determined that the reclassification plan was thorough.

The licensee stated that they were in the process of performing commercial grade

dedication on 130 components or parts that had been purchased corn'mercially and not

through a 10 CFR Part 50, Appendix B, supplier.

The inspectors reviewed five

commercial grade dedication packages that the licensee had recently prepared.

The

inspectors concluded that the five packages were adequate.

The inspectors reviewed

eight modification packages that were prepared between 1984 and 1996. The

inspectors found that for the modifications1o the safety-related parts of the system, the

components were purchased as safety-related components with seismic qualification.

The inspectors found one modification, which was in the downgraded portion of the

system.

Modification 92-161 added a pressure tap to the lube oil pressure switch on the

turbine skid. The inspectors found that there was no seismic analysis for this change in

the modification package.

-26-

The inspectors questioned the risk significance of the reactor core isolation cooling

The licensee

stated that they considered the reactor core isolation cooling system to be a risk-

significant standby system.

On December 23, 1997, the licensee responded to Task Interface

Agreement 96-TIA-005 and provided additional information relative to the use.of the

reactor core isolation cooling system.

This additional information indicated that the

reactor core isolation cooling system was not a safety-related backup for the loss-of-

feedwater event, was not an emergency core cooling system, and was not a coping

system for the station blackout event.

In addition, modifications to the automatic

depressurization

system allowed the system to envelop the functions of the reactor core

isolation cooling system and provide controlled reactor depressurization.

Therefore, the

licensee concluded that the automatic depressurization

system was not a last resort

system.

The NRC reviewed this response

and agreed with the licensee's positions

regarding these events.

However, the NRC also noted that the licensee's response

stated that the reactor core isolation cooling system should not have been downgraded

without NRC approval because

it was a backup to the high pressure core spray system

for the control rod drop accident.

The licensee also stated in this response that approval

of the reactor core isolation cooling system classification downgrade was not docketed

by the NRC.

10 CFR 50.59, "Changes, Tests, and Experiments," permits the licensee to make

changes to the facility and to procedures as described in the safety analysis report

without prior Commission approval, provided the change does not involve an unreviewed

safety question.

A proposed change shall be deemed to involve an unreviewed safety

question ifthe probability of a malfunction of equipment important to safety may be

increased.

The reactor core isolation cooling system was downg'raded from safety related to

nonsafety related without NRC approval.

Since this system was a backup to the high

pressure core spray system for mitigation of a control rod drop accident and applicable

testing and quality standards were not maintained, the downgrade may have increased

the probability of a malfunction of equipment important to safety.

Therefore, this

downgrade involved an unreviewed safety question and is considered to be an apparent

violation of 10 CFR 50.59 (50-397/9713-03).

CConcI IsIons

The reactor core isolation cooling system was downgraded from safety related to

nonsafety related.

While the system was found to be operable, it was also found to be

nonconforming.

The reclassification plan and schedule for returning the reactor core

isolation cooling system to safety related were thorough and timely. As the result of

I

-27-

these downgrade activities, six reactor core isolation cooling valves were not being

tested.

The failure to test these valves was considered to be an apparent violation of

10 CFR 50.55a(f).

Downgrading the system from safety related to nonsafety-related

apparently increased the probability of a malfunction of equipment important to safety

and was considered to be an unreviewed safety question.

This was considered to be an

apparent violation of 10 CFR 50.59.

lo

d Vio

i

-

7/ 11-: Failure to maintain plant design basis.

~Bck rou d

The NRC identified one example of a violation where plant configuration control was not

being maintained and two examples of the violation where the licensee failed to have

design analyses for the installed plant configuration. The first example was identified

when the NRC reviewed Technical Evaluation Request 96-0125.

This technical

evaluation request documented a modification to increase the clearances

at the lever

arm pivot for a valve operator by removing one of two washers.

The licensee had not

determined whether the new clearance met the vendor's clearance requirements.

The

two other examples of the violation were identified when the NRC reviewed calculations.

Calculation CMR-96-0128 analyzed a welded connection for a standby liquid control

system piping hanger but not the installed bolted connection.

Calculation CMR-95-0292

covered an all carbon steel and an all stainless steel piping configuration, but did not

cover the installed carbon/stainless

steel piping configuration..

In

o

ol owu

The inspectors determined that the licensee revised Calculation CMR-96-0128 to

reflect the actual bolted field installation.

In addition, the licensee revised

Calculation CMR-95-0292 to reflect the as-built carbon/stainless

steel pipe configuration.

The inspectors also determined that the valve vendor concurred with the washer removal

specified in Technical Evaluation Request 96-0125 and stated that, ifthe alignment at

the lever arm pivot could not be corrected, it was acceptable to use only one thrust

washer: The inspe'ctors concluded that the licensee had performed adequate corrective

actions for the three examples identified in the violation.

The licensee identified that the drawings were not revised to reflect the modified pipe

hanger configuration identified in the violation and acknowledged that this was a

weakness

in the design process.

To correct this weakness, the licensee revised

Technical Services Instruction Tl 1.2 to require tracking of document changes to ensure

drawings were revised promptly to reflect plant modifications. The inspectors noted that

Procedure EDP2.15, "Preparation Verification and Approval of Calculations," and

EDP2.11, "Field Changes," were revised to require that whenever calculations were

used to justify as-built configurations, sufficient information had to be provided to

describe how the calculation applied to the field configuration and to justify that the

calculation was still valid. Procedures

EI2.8, "Generating Facility Design Change

-28-

Process," and EDP2.50, "Generating Facility Minor Design Change Process," were

r'evised to require that whenever vendor information was used as a design input, the

vendor information should be taken from published vendor documents or obtained in

writing from the vendor.

The inspectors also reviewed the records of training for design

and system engineers that emphasized the importance of documenting the basis for

design changes and vendor concurrence.

E8.4

Clo

d Un

s

ved

I e

5 - 9 /9 201-0:

Discrepancies betweenresidual

heat

removal heat exchanger test analysis data and the FSAR.

B c

round

The NRC identified that the thermal performance monitoring test results for Residual

Heat Removal Heat Exchanger 1B, conducted on March 3, 1996, indicated that, the

standby service water system gained 60 percent more heat than the residual heat

removal system lost. Since the licensee determined that the maximum heat transfer rate

was 11 percent, the 60 percent heat transfer rate mismatch was unacceptable.

In

'addition, the NRC found that the licensee's evaluation used the standby service water

system's higher heat transfer rate, which was nonconservative,

and did not justify this

use.

The licensee attributed the error in heat transfer rates to defective instrumentation.

Based on the use of the higher heat transfer rate, the NRC concluded that the licensee

had not evaluated the test results to assure that the test requirements were met.

In

addition, the NRC believed that the instrumentation used to measure temperature and

flow data was suspected

to be inaccurate prior to the performance of the test.

The inspectors discussed the results of the March 3rd test with licensee personnel and

found that the test engineer suspected

a problem with the ultrasonic flowmeter used to

measure residual heat removal flow rate through the heat exchanger after the test had

been performed. After the test, the licensee inspected the installation of the ultrasonic

flow meter and determined that the instrument had.not been installed properly to ensure

coupling. of the transducer to the pipe. Since the standby service water side of the heat

exchanger used an accurate installed flow element, the licensee decided to use the less

conservative standby service water heat transfer rate to complete the evaluation.

Also,

the inspectors found that the licensee performed an additional performance evaluation of

" the. heat exchanger using the conservative heat transfer rate from the residual heat

removal side. The purpose of this evaluation was to compare the projected test results

to the minimum required heat removal rates.

The lower residual heat removal side heat

transfer rate and the design conditions contained in the FSAR were used to'determine

the most limiting design operating mode. The evaluation showed that the residual heat

removal heat exchanger was capable of handling the design and licensing basis heat

loads.

Based on the evaluation, the licensee concluded that the heat exchanger was

operable.

-29-

The inspectors reviewed Operating and Engineering Test Procedure 8.4.42, "Thermal

Performance Monitoring of RHR-HX-1Aand RHR-HX-1B," Revision 5, and noted a

number of procedural improvements.

The licensee revised the procedure to specifically

define acceptance

criteria, to require a functional test of the equipment prior to the start

of the test, and to provide direction on performing the evaluation using the most limiting

design conditions.

The inspectors noted that the licensee expanded the test acceptance

criteria to include a statement that the percent difference in the energy balance across

the heat exchanger should be less than 10 percent or within the accuracy of the test

instrumentation.

In addition, the inspectors noted that the revised procedure required the

analysis of the test results be compared with the design conditions, and have an

independent engineering review. The inspectors also reviewed the test results of the

March 28, 1997 performance tests and noted that differences in the heat transfer rates

between the standby service water side and the residual heat removal side were within

the acceptance

criteria.

Conc~i

The licensee performed an adequate evaluation of the March 3, 1996, residual heat

removal system test results and demonstrated that the results were within the design

basis.

E8.5

C osed

U

e olved

e

50-39 /96201-02'ailure to periodically update the FSAR as

required by 10 CFR 50.71(e).

~Bggfoi~d

The NRC identified five examples where the licensee failed to update the FSAR.

The first example involved the use of.design condition values for calculating the heat

removal capacity of the residual heat removal heat exchangers.

The calculation used a

standby service water flowvalue of 6900 gpm, whereas, FSAR Table 9.2-5 listed a flow

value of 7400 gpm.

While the licensee justified the adequacy of the 6900 gpm flow

value, the NRC determined that the licensee failed to update the FSAR to reflect the new

flow value.

The second example involved the inclusion of an incorrect figure in the FSAR.

Figure 7.3-10c, "Nuclear Boiler.System FCD (Functional Control Diagram)," was

. inconsistent. with General Electric Elementary Diagram 807E180TC.

Figure 7.3-.10c

contained control logic seal-ins and permissives that did not exist in the elementary

diagram.

The NRC determined that the actual as-built plant logic wiring was consistent

with the elementary diagram and not the FSAR functional control diagram.

-30-

The third example involved the in-place deactivation of the standby service water keep

full system.

This system was deactivated

in October 1993, however, the NRC

determined that FSAR, Section 9.2.7, was not updated to reflect this in-place deactivated

status.

The fourth example involved inconsistencies

between the flow values used in flow

balance test procedures and the values listed in FSAR, Table 9.2-5. Specifically, Flow

Balance Test Procedures 7.4.7.1.1.1, 7.4.7.1.1.2, and 7.4.7.1.1.3 used flow rates that

were less than those listed in the FSAR for five components cooled by the standby

service water system.

While the licensee justified in their calculations that, the flow

values used in the test procedures were adequate,

the NRC determined that the licensee

failed to update the FSAR to reflect the actual flow values used.

The fifthexample involved discrepancies

between the FSAR electrical system

description and electrical system calculations.

Specifically, emergency diesel generator

loads and direct current system (station battery) loads listed in the FSAR were

inconsistent with the loads used in various design calculations.

While the licensee

justified in their calculations that the load value discrepancies

did not affect system

operability or reliability, the NRC determined that the licensee failed to update the FSAR

to reflect the loading conditions for the emergency diesel generators and the direct

current sy'tem.

n

c rF liow

andb

rvic W

r

s e

ow o

e Residu

I

a

emoval Heat Exch

n

rs

The inspectors interviewed personnel and reviewed Problem Evaluation

Request 297-0042 to determine the reason that the FSAR and the plant procedures were

not in agreement with respect to the standby service water flow to the residual heat

removal system heat exchangers.

The inspectors also reviewed completed Flow Test

Procedures 7.4.7.1.1.1 and 7.4.7.1.1.2, Request For Technical Services 97-01-008, and

a draft version of Licensing Document Change Notice Form (LDCN) FSAR-97-008.

This

review was conducted to determine ifthe values used in the flow test procedures were

appropriate, ifthey involved any safety issues, and the corrective actions taken by the

licensee.

The inspectors noted that while FSAR, Table 9.2-5, documented

a flow of

7400 gpm, the procedures provided an acceptable flow range of 6900 to 7400 gpm. This

meant that a flow rate of 6900 gpm, which was less than the flow rate specified in the

FSAR, could be considered acceptable.

Further review by the inspectors indicated that

from about 1986 to 1990 the FSAR listed a flow of 6900 gpm. However, as the result of

a licensee conducted safety system functional audit on the standby service water system

in 1990, the FSAR was revised to increase the flow to 7400 gpm. This increase was

based on initial plant assumptions,

which stated that the standby service water inlet

temperatures from the spray pond was 95'.

However, further review by the inspectors

indicated that the worst-case design basis accident condition inlet temperature from the

spray pond was 88.7'.

Based on Calculation ME-02-92-245, the licensee

demonstrated that a 6900 gpm flow rate was adequate for an inlet temperature of90'.

I0

-31-

However, the inspectors also determined that this draft version of LDCN FSAR 97-008

did not clarify the confusion that was noted by the NRC team with respect to the

multiplicityof design temperature values.

As a result of the inspectors'bservation,

the

licensee considered revising the licensing document change notice. The inspectors

considered this to be an example of a lack of attention to detail when incorporating

changes into the FSAR in that while one section of the FSAR was revised, another

applicable section of the FSAR was not revised at the same time. Specifically, FSAR,

Section 9.2.7.2, referred to a note in FSAR, Table 9.2-5, that was deleted in 1990. While

the inspectors determined that the 6900 gpm flowwas properly justified,,they considered

the failure to update the FSAR to be contrary to the requirements of 10 CFR 50'.71(e).

Incorr

FS ': The inspectors reviewed the automatic depressurization

system

logic diagram and the clem'entary diagram.

As the result of this review, the inspectors

noted that Drawing 02B22-04, 23, 3, Sheet 3 of 6, "Nuclear Boiler System FCD," was

identical to Figure 7.3-10c in Amendment 51 of the FSAR. The inspectors also noted

that these diagrams included logic figures for "SEAL-IN 105 SEC AFTER INITIATIONOF

TDS (Timing Device)," "SEAL IN LOGIC 'C'," and "PERMISSIVE UNLESS LOGIC A 8 C

RESET SWITCH IS IN 'RESET'OSITION." Through discussions with licensee

personnel the inspectors noted that these logic functions did not exist on the plant

elementary diagram and that the plant was properly wired in accordance with the

elementary diagrams and not in accordance with the functional control diagrams.

The

inspectors determined that while the plant was properly wired in accordance with the

plant elementary diagram, the failure to update the figure in the FSAR was contrary to

the requirements of 10 CFR 50.71(e).

ea

iva ion of he

ndb

S rviceW erKee

Fu

S sem:

The licensee informedthe

inspectors that while the standby service water keep full system was deactivated

in 1993,

they did not implement a FSAR change until November 11, 1996. This was confirmed by

the inspector's review of LDCN FSAR-96-092.

The inspectors determined that the failure

to revise the FSAR within 24 months was contrary to the requirements of

10 CFR 50.71(e).

S andb

ervice Wa er S s em Flow 8

I n es: The inspectors reviewed the Flow

Balance Test Procedures 7.4.7.1.1.1 and?.4.7.1.1.2

and noted the discrepancies

between the procedures and Table 9.2-5 of the FSAR. The components that had

incorrect flow rates were the low pressure core spray pump motor bearings, residual heat

removal pump seal coolers, and the high pressure core spray diesel generator, diesel

" generator room coolers, and pump room cooler. The inspectors also noted that while the

licensee's calculations supported the lower flows to these components, the failure to

update FSAR Table 9.2-5 to reflect these lower flow rates was contrary to the

requirements of 10 CFR 50.71(e).

-32-

Discr

anci

s B

een

he

SAR

nd Elec ric

I S ste

Calc

a i n: The inspectors

interviewed personnel and reviewed draft LDCN 97-000, LDCN FSAR-97-019, and

LDCN FSAR-97-035 to verify that the FSAR discrepancies

did not represent safety

issues.

The inspectors found that LDCN 97-000 made administrative FSAR changes,

which included an update to FSAR, Table 8.3-15; LDCN FSAR-97-019 provided a

FSAR correction to Table 8.3-18 to reflect the loading change from Distribution

Panel E-DP-S1/1D to E-DP-S1/1F; and LDCN FSAR-97-035 revised FSAR

Tables 8.3-4a, 8.3-4b, 8.3-5, 8.3-6, and 8.3-7 to be consistent with the battery loading

profile that was updated in Calculation 02.05.01.

The inspectors also found that the

changes made by LDCN 97-000 represented

another example of a lack of attention to

detail when incorporating changes to the FSAR, in that while one section of the FSAR

was revised and another section was not at the time.

In this case, the text section of the

FSAR documented

a voltage range up to 242 kV, whereas, Table 8.3-15 still reflected a

voltage range up to 240 kV.

These LDCNs represented

issues in which the acceptance

criteria in the surveillance

procedures was inconsistent with the data presented

in the FSAR and changes made to

the FSAR were inadequate

in that the changes did not correct all affected sections of the

FSAR. The inspectors determined that the FSAR discrepancies

did not involve any

safety or operability issues and that the failure to update the FSAR were further

examples'of a 10 CFR 50.71(e) violation (the first two examples involved fire protection

as discussed

in Section 08.2 of this report).

The inspectors were informed that the licensee initiated a FSAR upgrade project. The

licensee stated that development of this project was initiated in 1996 when the licensee

identified problems with the accuracy of the FSAR through the performance of eight

safety system functional audits during the 1988 to 1992 time period and through NRC

inspection findings. The licensee further stated that the completion date for this project

was August 1997.

However, the licensee later determined that more time was needed to

perform this upgrade and revised their estimates.

This project was finally initiated on

April 7, 1997, and had a projected completion date of March 6, 1998.

Review of the

schedules and milestones for this project by the inspectors indicate that it was about

20 percent complete and was being performed by contracting personnel.

The inspectors

also noted that this project willencompass

a review of all FSAR chapters.

Based on a

review of this program, it appeared that the program will be effective and would have

identified the issues identified by the NRC: The licensee has docketed this program in

their response to the NRC's request for additional information pursuant to

10.CFR 50.54(f) dated February 7, 1997, and to the open items identified in NRC

Inspection Report 50-397/96-202 dated June 16, 1997. Therefore, in accordance with

Section VII.B.3 of the Enforcement Policy, the NRC is exercising discretion and is not

taking formal enforcement action on these findings.

-33-

Q<~nlu.~ins

Multiple examples of FSAR inaccuracies were identified. White no safety issues or

operability issues were identified, these multiple examples were indicative of a failure to

update the FSAR. However, the implementation of a FSAR update program permitted

the exercising of enforcement discretion in accordance with the revised enforcement

policy.

E8.6

Closed

Ins ec 'on

oil wu

I ems

50-397/

2 1-03'0-397/96

01-

joOE::g

B

~

d

p

~Bc ~rd

The NRC identified errors between design requirement documents and the actual system

design configurations.

These errors included an omission regarding the backup power

source for the residual heat removal pumps, an incorrect description of the function of

the standby service water keep full pumps, which were abandoned

in-place, but were still

listed in the design basis document as an operable system (50-397/96201-03),

a lack of

detail regarding instrumentation and control requirements for the residual heat removal

pumps (50-397/96201-05), and incorrect listing of the automatic depressurization

system

valves that were actuated from the remote shutdown panel (50-397/96201-09).

Ins eco

Followu

The inspectors reviewed records pertaining to the design requirement document

program. The inspectors found that, as the result of the NRC findings, the licensee

issued Problem Evaluation Request 297-0044 to address the specific issues.

In addition,

the licensee recently initiated a design requirements document upgrade program.

The

inspectors noted that this program plan was to review all 21 system level design

requirement documents, which encompassed

29 nonsafety-related

and 19 safety-related

systems, and 6 topical level design requirement documents, which encompassed

11

safety-significant areas.

Each system engineer was provided packages of design

requirement documents for their assigned systems and the activity was being tracked by

the licensee's plant tracking log.

In the response to the open items identified in NRC

Inspection Report 50-396/96-201, the licensee committed to complete this program by

December 31, 1998.

0

-34-

E8.7

lo ed

n

c ion Followu

I e

50-397/96201-0:

Plant procedure did not reflect the

plant response to an under voltage condition.

~Back

ro

d

The NRC determined that Plant Procedure Manual (PPM) 4.7.1.9, "Loss of Power to

SM-8," did not describe the actual plant response to the tripping of Residual Heat

Removal Pumps 2B and 2C during an under voltage condition. The NRC also

determined that plant operators were knowledgeable of actual plant response and that

the licensee planned to revise the procedure to correct this omission.

ns

cto

F

II wu

E8.8

The inspectors verified that the licensee revised Plant Procedure PPM 4.7.1.9 by adding

Residual Heat Removal Pumps 2B and 2C to the list of breakers and equipment that

trip on a SM-8 under voltage.

In addition, the inspectors verified that Plant

Procedure PPM 4.7.1.8, "Loss of Power to SM-7," was also revised by adding Residual

Heat Removal Pump 2A and the low pressure core spray pump to the list of circuit

breakers and equipment that trip on a SM-7 under voltage. Through personnel

inter'views, the inspector's also verified that the residual heat removal pumps and the low

pressure core spray pump would automatically restart when power was restored to the.,

busses ifan initiation signal (e.g., an emergency core cooling system initiation signal)

occurred.

In addition, the inspectors concluded that since these pumps are usually not

operating during normal plant operations, the absence of these pumps on the

procedure's "Automatic Actions" listing did not have any effect on the operator's ability to

cope with the loss-of-power conditions.

I

nr

olv

m

-

7/

1- 7: Inadequate analysis of design pressure for

the automatic depressurization

system actuators

Backcaround

The automatic depressurization

system was designed such that nitrogen was supplied to

accumulators to keep the main steam safety relief valve actuators pressurized to

186 psig. The NRC found that the accumulators and main steam safety relief valve

actuators had no pressure relieving device. Therefore, as the drywell temperature

increased during accident conditions, the pressure within the accumulators and actuators

. would also increase and the overpressurizing of these components was possible.

Under

such accident conditions, the NRC postulated that the drywell temperature could reach

285'F and the pressure

in the accumulators and actuators would increase from 186 psig

to greater than 260 psig. The NRC also determined that even with the elevated pressure

and temperature

in the drywell, the pressure

in the accumulators/actuators

would remain

within the design pressure of the equipment.

However, the NRC also postulated that if

operators actuated containment spray, pressure

in the drywell would drop causing the

temperature induced higher pressure

in the accumulators/actuators

to exceed the main

0

-35-

steam safety relief valve actuator design pressure of 250 psig. The NRC noted that this

low drywell pressure condition was not recognized in the accident analysis.

In addition,

the NRC noted that Calculation 5.46.05, "Maximum and Minimum CIA (Containment

Instrument Air) System Pressure," evaluated the minimum and maximum pressures to

which the accumulators/actuators

were subjected.

While the calculation took credit for

the high drywell pressure that reduced the pressure differential between the

accumulators/actuators

and the drywell, it did not address the low drywell pressure

condition.

Ins ec or Followu

The inspectors found that based upon the NRC concern, the licensee performed a

preliminary calculation which determined that under worst-case differential pressure

conditions (i.e., the containment pressure would depressurize

to 0 psig and the. actuator

would have an increased pressure due to the increased temperature affects) the actuator

would be subjected to a maximum pressure of 277 psig. The licensee also determined

that the accumulator and piping design pressure was 300 psig and the main steam

safety relief valve actuator design pressure was 250 psig. Therefore, the actuator could

be subjected to pressures that were in excess of the design pressure.

However, the

licensee determined that more precise calculations would probably show that since the

temperature

in the drywell was decreasing due to the containment spray, the

temperature

in the actuators would also be decreasing and that the 277 psig pressure

would not be reached.

The inspectors reviewed documentation from Crosby Valve, Inc.,

the manufacturer of the main steam safety relief valve actuators.

The inspectors noted

that the valve manufacturer was in the process of changing the actuator design pressure

rating from 250 to 300 psig and that no changes to the actuator were required to meet

this new pressure rating. The licensee stated that appropriate changes to design

documentation would be made following completion of the design change evaluation.

The, inspectors noted that the licensee was in process of rerating the actuator design

pressure to satisfy the NRC concern.

The licensee stated that the scheduled completion

date for the actuator rerate was October 15, 1997.

Conclusions

h

Appropriate actions to correct a new and previously unanalyized condition involving the

potential overpressurizing of the main steam safety relief valve actuators were being

taken.

These actions indicated that the actuators were capable of withstanding the

- additional pressure and that design documentation would be changed to reflect the new

design pressure ratings.

~

~

-36-

E8.9

lo ed

Ins

e

i

ollowu

I em 50-3 7/96201-0:

Incomplete data forthe main

steam safety relief valve quencher and tail pipe support design.

Backcaround

The NRC identified incomplete documentation to support the operating stresses for the

main steam safety relief valve quencher supports and tail pipe supports.

The NRC

requested the source of the design stresses

used for the quencher and tail pipe

supports, however, the licensee was unable to retrieVe this information.

Calculation NE-02-89-18, Revision 2, established the maximum safety relief valve tail

pipe stress level limit and the minimum safety relief valve reopening pressure.

The NRC

considered that while the methodology used in the calculation was adequate,

it lacked

design stress documentation.

ns ec or Followu

The inspectors reviewed three draft calculation modification records, which'the licensee

developed in order to reassess

structural design margins since they were unable to

retrieve the source data used in Calculation NE-02-89-18.

The licensee determined the

piping-to-quencher support load using a detailed piping support model. The inspectors

reviewed Request For Te'chnical Services 96-12-012, dated December 17, 1996, which

the licensee developed to update Calculation NE-02-89-18 and incorporate the revised

design margins for the main steam safety relief valve quencher supports and the tail pipe

supports.

The inspectors noted that this information, in the form of preliminary

calculations, indicated that the design margins for the supports increased from the

original 3 to 13 percent.

The licensee stated that the final calculations would be

completed by September

17, 1997.

E8.10

los d Unresolved Item 5 - 9 /9 201-10'ailure to implement the requirements of

Regulatory Guide 1.62 for automatic depressurization

system initiation.

~Back round

Through review of the General Electric Functional Control Diagram (FCD) 731E788, the

NRC determined that the FCD did not agree with the as-built configuration for the manual

initiation of the automatic depressurization

system because the original design was

inadvertently altered.

The NRC postulated that a design error was introduced in 1985 as

.part of a modification to install an inhibit switch to prevent automatic actuation of the

automatic depressurization

system following a reactor vessel low water level condition.

In addition, the NRC noted that operators were tiained to activate this inhibit switch upon

entry into the emergency operating procedures for a reactor vessel low water level

condition. The NRC determined that the inhibit switch defeated the manual-initiate

function shown on the FCD.

-37-

The NRC further postulated that this modified manual initiation was inconsistent with the

manual-initiate operation described in Regulatory Guide 1.62, "Manual Initiation of

Protective Functions." The NRC determined that three of the five guidelines listed in

Regulatory Guide 1.62 were not met when the inhibit switch was initiated. Specifically,

the operation now required more than the minimum number of operator actions, the

group opening of the valves (i.e., 4 valves and then three valves together), as intended in

the original design, was altered, and the seven valves now had to be opened individually

in a sequential manner.

The NRC concluded that since Appendix C of the FSAR included Regulatory Guide 1.62

as a design commitment, the licensee was required to comply with the guidelines of the

guide for manual initiation of a protective function.

Ins ecorFoll wu

Following the Three Mile Island (TMI) accident in 1979, the NRC required nuclear plant

operators to make certain modifications to their plants to enhance safety.

These

modifications were called TMIAction Items.

In the area of automatic depressurization,

the BWR Owner's Group proposed methods to comply with the requirements of TMI

Action Item II.K.3.18 concerning the depressurization

system logic. As a part of granting

the licensee's operating license, the NRC issued a safety evaluation report on

December 29, 1983, which accepted the licensee's proposal to use one of the owner's

group methods (Option 2) to meet the TMI action item. This option was to install manual

inhibit switches in the automatic depressurization

system.

These inhibit switches were to

be installed to modify the original design by preventing all seven automatic

depressurization

valves from opening simultaneously after a time delay. This safety

evaluation report required the licensee to install this modification prior to restart from the

first refueling outage.

The licensee installed the modification during a May to June 1985

maintenance outage.

On May 18, 1985, the licensee requested

an amendment to the

technical specifications to address the modified automatic depressurization

system and

the NRC approved the technical specification amendment (as Amendment 11) on

June 23, 1985.

The inspectors reviewed the following documentation:

"BWR Owner's Group Evaluation of NUREG-0737 Item II.K.3.18

Depressurization System Logic," dated February 1983;

Safety Evaluation Report, Supplement 4, dated December 29,.1983;

~

Request for Amendment to Technical Specifications for Automatic

Depressurization System (ADS) Logic Modifications, License Condition 18, dated

May 16, 1985;

-38-

"Issuance of Amendment No. 11 to Facility Operating License NPF-21, WPPSS

Nuclear Project No. 2," dated June 25, 1985;

Amendment 36 to the FSAR dated December 1985;

FCD 731E788;

Elementary Diagram 807E180TC, "Auto Depressurization System";

Problem Evaluation Request 296-0857 dated December 13, 1996; and,

Letter dated September 24, 1997, "WNP-2, Operating License NPF-21 Inspection

Report 96-201 Addendum: Response to Open Items."

The inspectors walked down the control room controls for the automatic depressurization

system and discussed

use of the emergency operating procedures with an operator

regarding the use of the automatic depressurization

system and the inhibit switches.

As the result of these reviews, the inspectors determined that the licensee's actions were

consistent with Regulatory Guide 1.62 as modified by the changes required by the NRC

to meet TMI Action Item II.K.3.18. During this review, the inspectors also noted that the

licensee, in their response to NRC Inspection Report 50-397/96-201 dated June 16,

1997, stated for Item 96-201-10, that a design error existed and would be corrected in

their next refueling outage.

When this statement was questioned by the inspectors, the

licensee responded that'their response to that item was incorrect and would be corrected

in an addendum to that response.

On September 24, 1997, the licensee submitted an

addendum to the June 16 response to the NRC. This addendum stated that their

present design was consistent with Regulatory Guide 1.62 as modified by TMIAction

Item II.K.3.18. In this letter the licensee also acknowledged that FCD 731E788 was

incorrect and would be revised to match the as-built 'plant design.

The inspectors also

noted that Problem Evaluation Request 296-0857 was issued to correct the FCD.,

~

Conclusions

The current design for the manual initiation of the automatic depressurization

system

was consistent with Regulatory Guide 1.62 as amended by the requirements of TMI

Action Item II.K.3.18 and no wiring error existed.

Functional Control Diagram 731E788

was not consistent with the as-'built plant configuration.

-39-

E8.11

I sed

I s ec ion

o lowu

I em 50-397/96201-

11: Inadequate design

documentation for the standby service water system to demonstrate containment

flooding capability.

Backcaround

The NRC identified that a beyond-design-basis

function of the standby service water

system was to flood the reactor vessel and containment, ifrequired, during the post

loss-of-coolant accident period. The report identified that with the standby service water

system in this lineup, the standby service water pump could run out resulting in

insufficient cooling water flowto the Division II emergency diesel generator.

The NRC

noted in the report that the licensee had initiated preliminary evaluations that indicated

the emergency diesel generator would receive adequate cooling water flow and standby

service water pump run out would not occur.

Ins ecor

I owu

The inspectors reviewed the licensee's preliminary calculation that indicated there was

sufficient head to provide emergency diesel generator cooling when the standby service

water system was in a containment flooding lineup. The licensee stated that a formal

evaluation of this concern was in process and the scheduled completion date was

September

1, 1997. The inspectors discussed the licensee's preliminary findings and

noted that the emergency diesel generators would receive an adequate cooling water

flow and that standby service water pump run out would not occur.

E8.12

I

d

U

solved

I

50-397/96201-1:

Inadequate corrective action to implement

high pressure core spray service water corrosion monitoring.

~Bkclrouu~n

The NRC. identified that the licensee had not addressed

corrosion monitoring of the high

pressure core spray system standby service water loop after a pin hole leak in a socket

weld on Loop B of the standby service water system vent line was identified. The NRC

reviewed Performance Evaluation Request 295-1229, initiated due to the pin hole leak,

and noted that the corrective actions included improved corrosion monitoring and water

treatment programs, annual nondestructive examination wall thickness measurements

at

selected locations, and trend analysis of general corrosion.

The NRC concluded that the

-corrective actions were incomplete since they only addressed

Standby Service Water

Loops A and B and did not address the high pressure core spray standby service water

loop.

-40-

or

oil wu

The inspectors discussed the failure to include the high pressure core spray standby

service water loop in the corrosion program with the licensee and reviewed Problem

Evaluation Request 295-1229.

The inspectors noted that the licensee had not classified

the problem evaluation request as significant because the small size of the leak did not

affect system operability.

In addition, the licensee stated that no leaks were found in the

high pressure core spray standby service water loop and the only additional leak found in

the standby service water loops was caused by cavitation instead of corrosion.

However, based on the NRC findings, the licensee revised their corrective actions to

include the high pressure core spray service water loop in the annual preventive

maintenance program for wall thickness measurement.

The inspectors reviewed the

applicable work order that would implement this task and noted that the wall thickness

measurement for the'high pressure core spray standby service water loop was added to

the program.

Conclusions

The lack of inclusion of the high pressure core spray service water loop in the corrosion

program was appropriate considering the type of failure that occurred.

In addition, the

inclusion of the high pressure core spray standby service water system in the wall

thickness measurement

program was considered to be a proactive approach toward

eliminating any future problems.

E8.13

los d Ins

cionF Ilowu

I

5 - 9

620 - 3: Licenseeto redevelop

Calculation ME-02-96-28 to identify standby ser'vice water system potential for cavitation.

~Ba k Zoaud

The NRC identified that the licensee could not locate Calculation ME-02-96-28, which

was referenced

in Problem Evaluation Request 295-1002.

The calculation documented

an evaluation to determine potential locations for cavitation within the standby service

water system.

r

I

u

In a discussion with the licensee, the inspectors determined that

Calculation ME-02-96-28, "Evaluation of Cavitation Potential in the Standby Service

System," Revision 0, had been misfiled and was available for review..The inspectors

reviewed this calculation and found that the potential for cavitation existed at two flow

elements.

The inspectors noted that the licensee implemented a design change to

increase the back pressure on the flow elements and eliminate the cavitation potential.

The inspectors determined that the calculation was adequate.

-41-

E8.14

lose

Ins ec ion Foll wu

I

m 50-

7/96201-1:

The fuel pool heat exchanger and

the control room emergency chiller were excluded from the standby service water flow

balance test.

~B>~kclrou~n

The NRC identified that the fuel pool heat exchangers

and Control Room Emergency

Chiller CCH-CR-1B were not included in the standby service water flow balance test.

While this was considered to be a weakness,

there were no safety concerns since

calculations indicated that all served components would receive adequate standby

service water flow.

Ins ec or Followu

E8.15

The inspectors reviewed draft Operating and Engineering Test Procedure 8.4.81, "SW

System Performance with FPC HX (Fuel Pool Cooling Heat Exchangers) Valved In."

The inspectors determined that the draft test procedure now included the fuel pool heat

exchangers

and Control Room Emergency Chiller CCH-CR-1B as part of the flow

balance.

The inspectors noted that the heat exchanger test acceptance

criterion was

that the heat exchangers

met their minimum design flows. The licensee stated that this

new test would be performed, as a minimum, every 5 years.

The first test was scheduled

to be performed in September 1997. The inspectors determined that the licensee's

corrective actions were adequate.

These corrective actions included preparing a test

procedure to include the heat exchangers

in the flow balance test and providing a

schedule for testing.

Closed

Ins e

ion Fol owu

I em 50-397/9

2 1-1: Use of the FSAR instead of the

source calculations to set the battery profile for the load test.

~Back round

During a review of the results for the battery profile load test, the NRC noted that

licensee personnel relied on the load table in the FSAR instead of the load calculation to

set the battery load profile. Based on the NRC observation, the licensee stated that they

updated the FSAR whenever the battery load calculation was revised.

However, the

NRC noted during a review of Calculation 02.05.01 that the list of documents affected by

the calculation did not include the FSAR load table.

"""EJ"

'he

inspectors reviewed the applicable FSAR Table 8.3-7 and were informed that

Calculation 02.05.01 would be revised to include the FSAR load table in the calculation's

list of affected documents.

In addition, instead of continuing the practice of using the

FSAR as the battery profile source document as stated in their June 16 response

letter,

the licensee has decided to revise the applicable plant procedures used for battery

'V

-42-

surveillance testing such that these procedures reference the dc load calculation as the

battery load profile source.

The licensee stated that the procedures and calculation will

be revised by January

1, 1998, which is prior to the date that the calculation will be

needed for the load profile test.

E8.16

Closed

ns ec io

Follow

I em

0-3 7/9 201-1:

Did not meet the guidance of

Engineering Directorate Manual 2.15 concerning outstanding calculation modification

records.

~Bck ro nd

During a review of the Engineering Directorate Manual 2.15, "Preparation, Verification

and Approval of Calculations," Revision 2, the NRC noted that the procedure

recommended that calculations be revised iffive or more calculation modification

requests (CMRs) are outstanding against a calculation.

The NRC found evidence

that three sampled calculations had more than five calculation modification

requests outstanding against them. The NRC identified 77 CMRs against

Calculation E/l-02-90-01, 29 CMRs against E/l-02-85-07, and 23 CMRs against

Calculation E/I-02-87-02.

In

o Folowu

The inspectors reviewed Procedure 2.15 and noted that while Steps 1.2.3 and 4.5.3 of

this procedure stated that the limitof CMRs was five, the procedure permitted more than

five "plant implemented" CMRs to be outstanding against a calculation ifthe CMRs were

authorized by the responsible supervisor/manager.

The inspectors selected ten

calculations with greater than five outstanding CMRs and reviewed these CMRs to

determine ifresponsible supervisor/manager

approval was obtained.

This selection

included Calculations E/I-02-85-07 and E/I-02-87-02. The inspectors also selected two

calculations that had less than five CMRs to verify the accuracy of the licensee's CMR

number tracking system.

The inspectors verified that the selected calculation CMRs had

the appropriate approvals.

Based on this review, the inspectors determined that the

licensee's activities were in accordance with Procedure 2.15.

The inspectors also reviewed a listing of calculations dated July 3, 1997, and found that

46 calculations had more than 5 CMRs. The inspectors found that 30 of these

calculations had less than 10 CMRs. The remaining 16 calculation CMR breakdown was

as follows:

-43-

+aalu~lion

mb r fCMR

E/I-02-85-07

E/I-02-87-02

E/I-02-87-05

E/I-02-87-07

E/I-02-90-01

E/I-02-92-12

FP-02-85-03

NE-02-85-19 .

TR-2512-1

2.05.05

2.06.20

2.07.03

5.49.50

5.49.51

5.49.52

5.52.07

.

26*

18'2

15

71*

24

30

15

11

15

26

25

22

13

11

12

  • Note: The number of CMRs for these calculations were different from the

numbers listed originally in NRC Inspection Report 50-397/96-201 due to

the different dates that the data was obtained.

As the result of this NRC finding, the licensee reemphasized

expectations to engineering

personnel, which included that new CMRs for calculations that already have five changes

against them, willnot be accepted unless due dates were established,

the dates entered

into the plant tracking log', and an evaluation be performed to assure that the outstanding

CMRs did not adversely affect the calculation.

In addition, the licensee established an

engineering team to self-assess

their calculation process and controls.

The inspectors reviewed his self-assessment,

which was completed on October 16,

1997. The inspectors noted that while the assessment

identified numerous problems

with the retrieving and handling of calculations and with the Controlling Procedure 2.15, it

did not determine if it was necessary to verify the effect of the numerous CMRs on the

technical content of the existing calculations.

The potential for numerous CMRs affecting

the technical content of the calculations is considered to be a inspection followup item

= (50.-397/9713-04).

~Con

I sions

While Engineering Directorate Manual 2.15 was properly implemented, actions were

being taken to further control the number of calculation modification records for plant

calculations.

A self-assessment

performed by the licensee did not identify ifthe

~ l

0

44

outstanding calculation modification records potentially affected the technical content of

the calculations.

E8.17

I s d Ins

ion Fo owu

e

50-397/96202-03:

Problems were identified on gold

cards when they should have been identified as problem evaluation requests.

~Bckc~run I

,The licensee developed the gold card system to identify human performance issues, that

if left uncorrected, could contribute to a significant event.

In NRC Inspection

Report 50-397/96-202, the NRC found that two gold cards, 4207 and 4727, contained

potential engineering or hardware issues.

Therefore, the NRC considered that problem

evaluation requests,

instead of gold cards, should have been issued to identify these

plant problems.

The inspectors found that Problem Evaluation Requests 296-0732 and 296-0869 were

written to address the issues that were the subject of gold cards 4207 and 4727. The

inspectors noted that these problem evaluation requests were written prior to issuing the

gold cards.

In addition, the inspectors determined that the gold cards in question were

properly written to track human performance issues on the identified problems.

The

inspectors reviewed five additional gold cards and determined that the cards were

appropriately written in accordance with the licensee's program.

The inspectors

determined that the gold card system was properly implemented.

V.Mana em

n

ee'

X1

Exit Meeting Summary

The inspectors conducted an onsite exit on August 2, 1997, to present the preliminary

inspection results.

An additional exit, conducted by telephone on January 12, 1998,

presented the final inspection results to members of licensee management.

The

licensee acknowledged the inspection findings.

No proprietary information was identified by the licensee.

'i'

TTACHMENT

SUPPLEMENTAL INFORMATION

PARTIALLIST OF PERSONS CONTACTED

Licensee

B. Adami, Engineer

R. Barbee, Manager, System Engineering

G. Brastad, Consulting Engineer

D. Brown, System Engineer

R. Brownlee, Licensing Engineer

R. Chaudhuri, Engineer

D. Coleman, Supervisor, Regulatory Services

J. Gearhart, Manager, FSAR Upgrade

G. Gelhaus, Assistant to Engineering General Manager

P. Harness, Supervisor, Engineering

V. Harris, Assistant Maintenance Manager

J. Hunter, Manager, Radiation Protection

D. Mand, Manager, Design/Projects

M. Monopoli, Manager, Operations

J. Muth, Supervisor, Quality Support

J. Peterson,

Engineer

J. Swailes, Engineering General Manager

R. Webring, Vice President, Operations Support

INSPECTION PROCEDURE USED

92903 Followup of Engineering Issues-

ITEMS OPENED, CLOSED, AND DISCUSSED

~Oened

50-397/9713-01

VIO

Corrective actions were not adequate to prevent recurrence of

conditions that were adverse to quality.

50-397/9713-02

APV

Failure to maintain acceptance

criteria and maintain testing of

reactor core isolation cooling system valves as required by

10 CFR 50.55a(f).

50-397/9713-03

APV

Potential 'unreviewed safety question due to the failure to obtain

NRC approval prior to downgrading the reactor cooling isolation

system.

-2-

50-397/9713-04

IFI

The affect of excessive CMRs on the technical content of

calculations.

~CI ~

50-397/9604-01

IFI

Use of Generic Letter 89-10 valve factors for operability

determinations.

50-397/9611-01

VIO

Failure to followmodification and scaffolding procedures.

50-397/9611-02

URI

Determination of the safety-related status of the reactor core

isolation cooling system which was downgraded from safety-

related to nonsafety-related

in 1985.

50-397/9611-03

VIO

Failure to maintain plant design basis.

50-397/9611-04

VIO

Failure to implement adequate and timely corrective actions.

50-397/9611-05

VIO

Failure to implement a Nuclear Safety Assurance Division

procedure.

50-397/96201-01

URI

Discrepancies between residual heat-removal heat exchanger test

analysis data and the Final Safety Analysis Report.

50-397/96201-02

URI

Failure to periodically update the Final Safety Analysis Report as

required by 10 CFR 50.71(e).

50-397/96201-03

IFI

Design Basis Documentdiscrepancies.

50-397/96201-04

IFI

Plant procedure did not reflect the plant response to an under

voltage condition.

50-397/96201-05

IFI

Design Basis Documentdiscrepancies.

50-397/96201-07

URI

Inadequate analysis of design pressure for the automatic

depressurization

system actuators.

50-397/96201-08

.

IFI

Incomplete data for the main steam safety relief valve quencher

and tail pipe support design.

50-397/96201-09

IFI

Design Basis Document discrepancies.

50-397/96201-10

URI

Failure to implement the requirements for Regulatory Guide 1.62

for the automatic depressurization

system initiation.

'

-3-

50-397/96201-11

IFI

Inadequate design documentation for the standby service water

system to demonstrate containment flooding capability.

50-397/96201-12

URI

Inadequate corrective action to implement high pressure core

spray service water corrosion monitoririg.

50-397/96201-13

IFI

50-397/96201-14

IFI

Licensee to redevelop calculation ME-02-96-28 to identify standby

service water system potential for cavitation.

The fuel pool heat exchanger and the control room emergency

chiller were excluded from the service water flow balance test.

50-397/96201-15

IFI

Use of the FSAR instead of the source calculations to set the

battery proflile for the load test.

50-397/96201-16

IFI

Did not meet the guidance of Engineering Directorate, Manual 2.15

concerning outstanding calculation modification records.

50-397/96202-01

URI

Failure to prevent the recurrence of significant conditions that were

adverse to quality.

50-397/96202-02

URI

Two examples where significant problem evaluation requests

failed either to provide a root cause analysis or to provide a root

cause analysis of sufficient depth.

50-397/96202-03

IFI

= Problems were identified on gold cards when they should have

been identified as problem evaluation requests.

50-397/96202-04

IFI

Corrective action program timeliness goals not met.

DOCUMENTS REVIEWED

OCB

U

S.

~umber

PM 1.10.8

SWP-ASU-01

Nuclear Safety Assurance Assessments

Evaluation of Programs, Processes,

and Suppliers

10.2.53

15.1.13

Seismic Requirements for Scaffolding, Ladders, Man-Lifts, Tool

Gang Boxes, Hoists and Metal Storage Cabinets

Fire Suppression Systems Tamper Switch Operability

~

I

0

15.1.18

3.3.1

2.8.7

1.4.1

4.7.1.8

4.7.1.9

7.4.7.1.1.1

7.4.7.1.1.2

7.4.7.1.1.3

Fire Suppression Systems Valve Alignment

Master Startup Checklist

Fire Protection System

Plant Modifications

Loss of Power to SM-7

Loss of Power to SM-8

Standby Service Water Loop A Valve Position Verification

Standby Service Water Loop B Valve Position Verification

High Pressure

Core Spray Standby Service Water Loop Valve

Position Verification

Tl 1.2

EDP 2.15

E 2.8

EDP 2.50

EDP 2.11

1.3.12

1.3.12A

1.3.48

8.4.81

8.4.42

IS

Q

OSP-RCIC/I ST-Q701

7.4.7.3.3

OSP-RCIC/

T- 702

Equivalent Change Evaluations

Preparation verification and approval of calculations

Generating facility design change process

Generating facility minor design change process

Field changes

Problem Evaluation Request (PER)

Processing of Problem Evaluation Requests

(PER)

Root cause analysis

SW system" performance with FPC HXvalved in

Thermal performance monitoring of RHR HXs

RCIC operability test

RCIC valve operability test

RCIC operability test

I

0

-5-

TM-2043

EDP 2.41

Augmented quality requirements

Classification of structures components and subcomponents

B

EV LU T

NR

E

292-0231

293-0346

295-1002

295-1229

296-0119

296-0489

296-0639

296-0649

Valve test push buttons open recombiner isolation valves.

. Pressure suppression bypass leakage in excess of technical

specification allowable during CAC surveillance and possible

internal flooding of CAC.

Leak discovered on bottom of SW A line

Pin hole leak found in SW vent line

The motor-pump coupling for AC powered standby lube oil

circulation pump DLO-P-3B2 was found to be failed during

investigation of a low lube oil pressure annunciator.

Threshold for writing a PER.

Temporary stock piles of scaffold components

PER written on findings from July 1996 engineering inspection

296-0857

296-0285

296-0299

ADS Functional Control Diagram 02B22-04, 23, 3 Rev 18 shows

two seal-in's in each logic string, but only one is implemented in

Elementary 02.

Adverse trend in valve and switch mispositioning

On 4/24/96 while performing MOVATS base-line test - WO

RK1603 it was discovered that Wire 2M8B-502 (white) was landed

on LimitSwitch

1 and Wire 2M8B-401 (black-2) was landed on

LimitSwitch 1-C.

296-0362

296-0364

During release of CO 960402261 on CFD 1E 8 1F, water was

noted coming out of condensate

piping on T441.

l8 C was working WOT YG3903 on RCIC-PCV-15 and required no

clearance order.

-6-

296-0382

SPTM-TE-10 as found wiring does not match top tier drawing

EWD-251-004;

296-0415

296-0428

Two clearances were not accepted prior to working on MS-V-

172A/B.

Work order ¹WF3301 was worked without personnel signing on to

the danger clearance order (¹96-01-0135).

296-0453

Loss of power occurred on Division 1 ARI during performance of

PPM 8.3.361, ATWS-ARI functional test.

296-0497

A low level condition occurred in the main condenser hotwell due

to a clearance order.

296-0587,

Two potential violations were identified in the NSAD (ISEG) area

during the NRC engineering inspection.

296-0650

A laborer cleaned sump T-2 with the work package for the job at

status 40.

296-0869

296-0351

Service water pump SW-P-1A tripped during

Clearance order 96-04-0402 should have tagged pump control

switches for sump 5-7, EDR-P-18A and the breakers for these

PulllPS.

296-0537

During swing shift the production reactor operator found a work

order task had been added to clearance order 96-02-0074

paperwork without a proper second level review of the add on

sheet.

296-0775

Industrial safety issue from working two independently planhed

work packages on components associated with the same system.

296-0519

296-0680 ,

Document adverse trend in PERs.

The orange/black conductor of cable BRR-9228 is landed at TB2-8

in E-SH-1D instead of at TB2-1 2, as shown on EWD 3E022.

296-0686

The black conductor of cable AIVD-9086was found terminated on

the wrong limitswitch at CAC-EHO-FCV/4A limitswitch enclosure

during conduct of WOT ZR4401 to correct faulty TDAS valve

position indication for this valve.

~

4q

0

-7-

296-0688

Correct the meeting minutes for CNSRB Meeting ¹96-05 to

correctly reflect that safety evaluation ¹95-095 was reviewed.

296-0690

During performance of PPM 8.9.1, HCU scram solenoid pilot valve

replacement and electrical checks. The power supply leads into

the SSPV electrical termination box for CRDSPV117/2215 were

found reversed.

296-0692

As the craft performed WO BSM90, terminals 3 &4 were shorted

out which cleared the fuse F 24-2 located a E-DP-S1/1F, circuit

19, and damaging the edge connector of the relay case..

296-0693

This PER is issued to document a trend, based on the review of

five PERS listed below which address wiring termination problems.

296-0711

Technicians found vent valve CRD-V-157D partially open.

This

'alve's normal position is closed.

296-0780

XN7101 SGT-FT-1A2 loop cal. The wiring to SGT-FS-1A2 alarm

B was found wired to contacts 13 and 14, the prints show they

should be 11 and 12.

296-0782

Three wiring problems found in carbon bed heater No. 1 control

box.

296-0832

297-0016

Surveillance PPM 7.1.2 steps improperly N/A'd.

Service water and diesels rendered inoperable for work order

without a voluntary entry into technical specifications.

297-0020

Technical specification bypass leakage exceeded during

performance of PM 2.3.3A, Section 5.5.

297-0035

HPCS diesel generator tripped on reverse power immediately after

paralleling to the SM-4 bus.

297-0039

B RBM power supply failed when a screwdriver was dropped into

the drawer.

297-0042

FSAR Tables 6.2-2 and 9.2-5 appear to conflict with

PPMs 7.4.7.1.1.1 and 7.4.7.1.1.2 for the minimum SW flowto the

RHR heat exchanger.

297-0044

Discrepancies were identified in the design requirements

documents for the ADS, RHR, and SSW systems.

c~

~ ~t

297-0055

CRD found out-of-position during PPM 7.4.1.3.1.2 position

verification steps.

297-0070

While performing WO CZ501 it was'discovered that the wrong type

relay.was installed under WO ZK4401 for K1.

297-0071

297-0072

RHR-V-176B found open when danger tagged shut.

An adverse trend of human performance problems have occurred

recently.

297-0073

297-0092

297-0116

Apparent tagging error discovered.

Found DMA-FN-21 switch in mid-position.

There, is an adverse trend in the number of inadequate clearance

orders being prepared by personnel at WNP2.

'297-0161

297-0157

Hold down clamp has stripped, threads

WO BTV017 was to install additional monitoring on the ASD drive.

Test point FBAR was misconnected to FCA, due to

misidentification of label.

297-0414

297-0437

During PMT of HD-MO-15C WO DCR7 and DGP6, the actuator's

torque switch failed to stop the valve motion. Torque switch

miswired.

During performance of the loop seal flush of PPM 2.11.17, a valve

was found not per the lineup in Step 7.3.1 and prohibited the flush.

297-0485

Errors found in storage and marking of radioactive material

containers on the radwaste building 507'levation.

297-0537

Recent PERs suggest a potential lack of understanding of portions

of the radiation protection program.

297-0546,,

While attempting to shift to the CAS "B" dryer set, relief valve on

CAS-AR-1B lifted due to no flow path through the "A"or "B" CAS

dryers.

297-0582

297-0663

During testing, the DFWLC logic was found to have the control

system trouble alarm point in override.

CIA-PCV-2B seal wire was found broken and stem lock nut loose.

-9-

TECHNI AL VAL ATI

N

E

UE T

~micr

97-0093-0

97-0087-0

97-0029-0

96-0213-0

94-0306-0

96-0004-0

CL

LAI

Interference between flow controller and pipe hanger

Condensation

in pipe causing corrosion problems

Substituting relief valves

Small bore pipe lines require removal of flanges

Substituting sst piping for carbon steel

Valves were identified to have a potential for not opening

~ver

RCIC-1484-1

CMR 96-0245

CMR 96-0244

ME-02-96-28

NE-02-89-18

CMR-92-0192

CMR-94-1154

5.46.05

CMR-94-0348

Qualification of new sst piping

Analyze pipe system as modified by TER 94-0306

Qualify support per as-built information

Evaluation of cavitation potential in the SW system

Safety relief valve variables

Pressure

limits for ADS accumulators

Effects of reactor power on CIA system pressure

Maximum CIA system pressure

This CMR revises the static loading information for MC-7A and

MC-8Adue to the affect of BDC 91-0438-OA

E/I-02-87-02

E/I-02-85-07

DE IGN

ANGE

480V MCC Load Data for LOCA Operation

480V MCC Load Data for Normal Full Load Operation

~Nu ~br

PMR 96-0133-0

PMR 95-0268-0

PMR 93-0082-0

Install restricting orifice in SW line

Remove the electronic overspeed trip from the RCIC system

Correct system level analysis

-10-

PMR 84-0623-0

P

MR 92-0161-0

PMR 96-0046-0

PMR 84-0331-0

PMR 94-0631-0

PMR 87-0146-0

P

MR 89-0397-0

SAR

HA

E N T

Provide direction to delete motor operator

Replace turbine lube oil alarm pressure switch

Replace cap on the nipple with a valve

Rework hanger

Void calculation

Redesign operator to removable type design

Install pressure indicator to RCIC test return line

~Nor

90-119

95-044

T e

Update Table 9.2-5 to reflect the heat loads used in the thermal

performance analysis for the ultimate heat sink.

Revise surveillance testing and inspection frequencies

in FSAR

Appendix F, Section F.5.

DO

MEN

CHANGE NOTI

E FOR

~Numb

FSAR-96-092

LDCN-97-000

LDCN-FSAR-97-019

F SAR-97-035

LDCN-FSAR-97-008

I

ELLANE US

Changed the description of the SW keepfill subsystem to indicate that the

subsystem has been deactivated and spared in place.

Annual LDCN to include administrative type corrections, drawing and

figure updates. (DRAFT)

FSAR Table 8.3-18 shows that DP-S1-1D supplies control power

to several switchgears that are actually supplied by DP-S1-1F.

Update the FSAR system load tables (duty cycles) to those

defined in the Battery Sizing Calculations: 2.05.01/rev 9 (Div-1/-2,

125 8 250 VDC) and E/I-02-85-02/rev

1 (Div-3, 125 VDC) as

revised by their respective calculation modiTication records (CMR).

The tabulations in Table 9.2-5 are being modified to reflect

changes

in plant usage of equipment. (DRAFT)

~Nu

be

54314106

Tl e

C

4

Dedication package for globe valves

-11-

60117050

54403013

25506824

56507934

Dedication package for actuators

Dedication package for relief valves

Dedication package for screw lock vacuum pump

Dedication package for piston seal

CNSRB Meeting Minutes96-062

Information and schedules for the FSAR Upgrade Project

Engineering Calculation Self Assessment

dated October 1997

Gold Card 4744, ....found CO-V-2A out of normal Vol 2 lineup

CATEGORY

2

REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)

ACCESSION NBR:9803050276

DOC.DATE: 98/02/18

NOTARIZED: NO

FACIL:50-398 Mendocino, Unit 1, Pacific

Gas

& Electric Co.

AUTH.NAME

AUTHOR AFFILIATION

HAAG,R.C.

Region

2

(Post

820201)

RECIP.NAME

RECIPIENT AFFILIATION

TAYLOR,G.J.

Southern California Edison Co.

DOCKET ¹

05000398

SUBJECT: Ack receipt of 980122 ltr informing NRC of steps

taken to

correct violations noted in insp rept 50-398/97-13

on

971223.

DISTRIBUTION CODE:

IE01D

COPIES

RECEIVED:LTR

ENCL

SIZE:

TITLE: General

(50 Dkt)-Insp Rept/Notice of Violation Response

NOTES:Application withdrawn 1/19/73.

05000398 E

RECIPIENT

ID CODE/NAME

PD

COPIES

LTTR ENCL

RECIPIENT

ID CODE/NAME

PM

COPIES

LTTR ENCL

INTERNAL: AEOD/SPD/RAB

DEDRO

NRR/DRCH/HHFB

NRR/DRPM/PERB

OE DIR

RGN5

FILE

01

AEODJ'.

E CENTE

NRR DRPM PECB

NUDOCS-ABSTRACT

OGC

EXTERNAL: LITCO BRYCE,J H

NRC PDR

NOAC

NUDOCS FULLTEXT

D

NOTE TO ALL "RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE. TO HAVE YOUR NAME OR ORGANIZATION REMOVED FROM DISTRIBUTION LISTS

OR REDUCE THE NUMBER OF COPIES RECEIVED BY YOU OR YOUR ORGANIZATION, CONTACT THE DOCUMENT CONTROL

DESK

(DCD)

ON EXTENSION 415-2083

0

TOTAL NUMBER OF COPIES

REQUIRED:

LTTR

17

ENCL