ML17342A281
| ML17342A281 | |
| Person / Time | |
|---|---|
| Site: | Turkey Point |
| Issue date: | 11/08/1985 |
| From: | Brewer D, Elrod S, Peebles T NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | |
| Shared Package | |
| ML17342A279 | List: |
| References | |
| RTR-NUREG-0737, RTR-NUREG-737, TASK-2.F.1, TASK-2.F.2, TASK-TM 50-250-85-30, 50-251-85-30, IEB-79-18, NUDOCS 8511190291 | |
| Download: ML17342A281 (46) | |
See also: IR 05000250/1985030
Text
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UNITED STATES
NUCLEAR REGULATORY COMMISSION
REGION II
101 MARIETTASTREET, N.W.
ATLANTA,GEORGIA 30323
Report Nos.:
50-250/85-30
and 50-251/85-30
Licensee:
Florida Power
and Light Company
9250 West Flagler Street
Miami, Florida 33102
Docket
Nos ~
50-250
and 50-251
Facility Name:
Turkey Point
3 and
4
License
Nos.:
and
Inspection
Conducted:
gust
Inspectors:
T. A. Peebles,
Sen
S
C~
0 - October
15,
1985
ior Resident
Inspector
S nJr)y'~
Date Signed
'F hlDI/gS
D.
R. Brewer,
Resident
Inspector
Accompanying Personnel:
S."Guenther
G. A. Pick
Date Signed
Approved by:
~ teph
n A.
E rod, Section Chief
. 'ivisioii of Reactor
Projects
Date Signed
I
SUMMARY
I'cope:
This routine,
unannounced
inspection entailed
361 direct inspection
hours
't
the site,-,including
75 hours8.680556e-4 days <br />0.0208 hours <br />1.240079e-4 weeks <br />2.85375e-5 months <br />
of, backshift,
in the areas of licensee
action
on
previous
inspection
findings,
licensee
event
reports
(LER),
post
Three
Mile
Island
(TMI) implementation
followup, Inspection
and
Enforcement Bulletin (IEB)
folloWup, annual/monthly
survei'llance,
maintenance
observations
and
reviews,
operational
safety,
engine'ered
safety
features
walkdown,
plant
events,
independent
inspection,
and design
changes
and modifications.
Results:
Violations - Failure to meet
the requirements
'of Technical Specifica-
tion (TS) 6.8. 1., three
examples;
failure to meet the requirements
of 10 CFR 50,
Appendix B, Criterion XVI; failure to meet the requirements
of TS 6.5. 1.6.d;
and
failure to meet the requirements
of TS 3.3.3.
851119'0291
851112
AOOCK 05000250
8
REPORT DETAILS
1.
Licensee
Employees
Contacted
- C
¹*H.
J.
D.
T ~
¹J.
J.
- K
B.
H.
- D
E.
D.
¹J.
R.
¹*R.
- J
0.
F.
R.
¹E.
V.
R.
¹E.
R.
¹p.
R.
W.
p.
J.
J.
L.
¹M.
- R.
R.
- R
W.
T.
J.
- D
G.
T.
G.
J.
ojects
Supervisor
EP) Manager
M. Wethy, Vice President-Turkey
Point
T. Young, Acting Plant Manager-Nuclear
P. Mendieta,
Services
Manager-Nuclear
D. Grandage,
Operations
Superintendent-Nuclear
A. Finn, Operations
Supervisor
Crockford, Assistant Operations
Supervisor
Webb, Operations
Supervisor's
Staff
L. Jones,
Technical
Department Supervisor
A. Abrishami, Inservice Test (IST) Supervisor
E. Hartman,
Inservice Inspection (ISI) Supervisor
Tomaszewski,
Plant Engineering
Supervi sor
A. Suarez,
Technical
Department
Engineer
A. Chancy,
Corporate
Licensing
Arias, Regulation
and Compliance Supervisor
L. Teuteberg,
Regulation
and Compliance
Engineer
Hart, Regulation
and Compliance
Engineer
W. Kappes,
Maintenance
Superintendent-Nuclear
E. Suero, Electrical Maintenance
Supervisor
H. Southworth,
Engineering
Department;
Special
Pr
A. Longtemps,
Mechanical
Maintenance
Supervisor
F.
Hayes,
Instrument
and Control
( IC) Maintenance
A. Kaminskas,
Reactor
Engineering Supervisor
G.
Mende,
Reactor
Engineer
LaPierre,
Chemistry Department Supervisor
E. Garrett,
Plant Security Supervisor
W. Hughes,
Health Physics
Supervisor
M. Brown, Assistant Health Physics Supervisor
C. Miller, Training Supervisor
J.
Baum, Assistant Training Supervisor
M. Donis, Site Engineering Supervisor
M. Mobray, Site Mechanical
Engineer
C. Huenniger,
Start-up Superintendent
J. Crisler, Quality Control Supervisor
H. Reinhardt,
Quality Control Inspector
J. Earl, Quality Control Inspector
J. Acosta, Quality Assurance
Superintendent
Bladow, Quality Assurance
Supervisor
P. Coste, Backfit Quality Assurance
Supervisor
A. Labarraque,
Performance
Enhancement
Program
(P
W. Hasse,
Safety Engineering
Group Chairman
M. Vaux, Safety Engineering
Group Engineer
C. Grozan,
Licensing Engineer
Traczyk, Fire Protection
Department
Price,
General Office, Plant Support Staff
Other
licensee
employees
contacted
included
construction
craftsmen,
engineers,
technicians,
operators,
mechanics,
electricians
and
security
force members.
NRC Inspectors
¹L. Franklin
¹T. A. Peebles
¹Attended preliminary exit interview on September
27,
1985.
"Attended exit interview on October
15,
1985.
Exit Interview
The inspection
scope
and findings were
summarized
during management
inter-
views
held
throughout
the
reporting
period
with
the
Acting
Plant
Manager-Nuclear
and selected
members of his staff.
A preliminary exit meeting
was held to document inspection findings through
September
27,
1985.
A final exit meeting
was conducted
on October
15,
1985.
The areas
requiring management
attention
were reviewed.
The four items identified as violations were:
Failure
to
meet
the
requirements
of
TS 6.8. 1,
in that:
section
8.8.4
of
procedure
OP 3204. 1
was
not
implemented
(paragraph
8);
the Unit
4
instrument
air
dryers
were
removed
from
service
without
implementing
section
6. 1 of procedure
4-OP-013
(paragragh
9);
and
three
sections
of
procedure
O-AOM-503, relating
to
Temporary
System
Alterations
(TSAs),
were not implemented
(paragraph
14)
(250,251/85-30-01).
Failure to meet
the
requirements
of TS 6.5. 1.6.d in that the Plant Nuclear
Safety Committee
(PNSC) did not review TSAs until after they were installed
in the plant (paragraph
14)
(250,251/85-30-03).
Failure
to
meet Criterion
XVI of
Appendix
B, in that the
B
(AFW) pump was observed
to trip on electronic
and the repair effort did not address
identification and correction
of the
source
problem (paragraph
9)
(250,251/85-30-04).
Failure to meet
the requirements
of TS 3.3.3,
in that
a containment isola-
tion valve
was
open
and not capable
of automatic
closure
(paragraph
14)
(251/85-30-05).
No new Unresolved
Items were identified.
Two inspector
follow-up items (IFI) were identified;
Review the extent to
which
the
purchasing
department
expedites
the
purchase
of
spare
parts
(paragragh
9)
(IFI 250,251/85-30-06);
Review
the
extent
to which the
calibration
program
addresses
the periodic calibration of newly installed
equipment
(paragraph
8) - (IFI 250,251/85-30-02).
4v
I'
The licensee
did not identify as proprietary
any of the materials
provided
to or reviewed
by the
inspectors
during this inspection.
The
licensee
acknowledged
findings one through four without dissenting
comments.
However, the licensee felt that violation 251/85-30-05
should
be
addressed
as
an additional
example of violation 250,251/85-30-01,
item (c) since the
loss of the
containment
isolation function
was
related
to
an
inadequate
(TSA).
The licensee's
position
was
considered
by the inspectors
and
NRC Region II
management.
It was
rejected
for several
reasons.
Violation 85-30-01,
item (c) deals
with inadequate
implementation
of reviews
required
by
an
existing procedure.
With respect
to violation 85-30-05,
the
loss of con-
tainment isolation capability is
a violation of a specific
TS requirement
as
differentiated
from the general
requi rement of TS 6.8. 1 to implement
procedures.
The problem involved in violation 85-30-05
was
a design error.
Though identified
and reported
by the licensee,
the mitigation factors of
10 CFR 2, Appendix C, Section
V.A(4) were not all applied.
The corrective
action to detect this type of problem would have to include
a post-
installation test.
The
NRC staff concluded
that violation 85-30-05 is
a
different violation from 85-30-01,
item (c).
Licensee Action on Previous
Inspection
Findings (92702)
Performance
Enhancement
Program
(PEP)
Summary
In late
1983,
as
a r'esult of identified deficiencies,
the licensee
developed
an
informal program to improve site performance.
Subsequent
to enforcement
discussions
held in January
1984,
licensee
management
developed
the
PEP which the
NRC formalized by a Confirmatory Order
on
July 13,
1984 (EA-84-55).
The Order also
addressed
areas
of special
and
immediate
concern.
Specifically,
the
performance
of the Quality
Control
and Quality Assurance
organizations
on site
and the independent
verification program
had not
been effective.
The
PEP was intended to
address
NRC
concerns,
improve
regulatory
compliance
and
implement
regulatory
corrective
actions,
and it is scheduled
to continue
into
1987.
The
PEP coordinated
improvements
in the following areas:
organization
structure,
Quality Assurance
(QA) program
changes,
upgrade of the TS,
establishment
of safety
engineering
groups,
allocation
of additional
resources
arid upgrade of facilities, operations
enhancement,
procedures
upgrade,
improvement of the plant configuration control
program,
and
training
and
improvements
in maintenance
management.
As
a result of
subsequent
enforcement
action
(EA 84-121),
the
licensee
added
an
additional
program to
PEP.
The
Program for Improved Operation
(PIO)
included:
reviewing the Final Safety Analysi> Report
(FSAR) to assure
plant
operation
within
the
safety
analysis;
identification
and
correction
of
surveillance
program
deficiencies;
and
increased
management
awareness
and overview of operations.
This was confirmed by
a Confirmation of Concurrence
letter
on October
11,
1984.
The combined
program schedule
tracks several
aspects
of the following:
(1)
Site facility upgrade
(2)
Operations
enhancement
(3)
Procedures
(4)
Configuration control
(5)
Training
(6)
Management
action
program
(7)
Licensing
(8)
equality
assurance
and quality control
(9)
Maintenance
management
system
( 10)
Technical Specification revisions
(11)
Operability of safety
systems
Overal
1
PEP/PIO Evaluation
In general,
the
implementation
of the
PEP/PIO
has
shown
successes
in
that adequate
management
attention
and resources
have
been
focused
on
identified
problem
areas.
Scheduler
performance
and regional inter-
faces
have
been satisfactory
in most areas.
Upper management's
commit-
ment to excellence
is apparent
not only in the Turkey Point
PEP but
also in other corporate quality improvement
programs.
A summary of the significant areas
as
addressed
by the
ORDER and the
licensee's
April ll, 1984, letter follows.
Organizational
Structure
On-site
management
involvement
and
control
has
been
improved
by
modifying the Nuclear
Energy
Department
organization.
The Site Vice
President
has
assumed
overall
management
responsibility for the nuclear
facility which has
allowed better control
and allocation
of on-site
resources.
This
has
improved the control of construction activities,
especially
during
the
on-going
fire
protection
modifications.
Corporate
engineering
has
become
more
responsive
to the plant
due to
the addition of on-site engineering
representatives.
gA Program Nodifications
The
thrust
of
the
program
has
changed
to
be
more
operationally
oriented,
additional
personnel
have
been
added
to the staffs
and
training has
been
and is being provided.
Some personnel
are receiving
operations
training similar to that of licensed
operators.
The early
on-shift
gA coverage
benefitted
operations
in establishing
procedural
compliance.
Licensee
management
is beginning
to derive insights
from
their program.
Standard
Technical Specifications
(STS)
The existing
TS are being modified to make the format and contents
more
explicit and consistent with STS.
Some questions
as to philosophy
have
arisen
in this area.
The submittal is scheduled
to be sent to the
NRC
Office of Nuclear Reactor
Regulation
in November
1985.
Safety Engineering
Group
(SEG)
The
SEG was established
to provide
an overview of nuclear safety issues
and
reports
to the Site
Vice President.
Duties
include
procedure
review,
system
walkdowns
and
review of operating
and
maintenance
practices.
Permanent
staff
positions
have
been
filled
and
the
expertise of these
engineers
is being utilized.
Resources
and Facilities
The on-shift administrative
burden of the shift supervisors
has
been
greatly alleviated
by the addition of shift administrative technicians.
Seventy-six
people
have
been
added to the plant staff including system
engineers
and training instructors.
Licensed
operator
classes
have
been provided with sufficient enrollment to alleviate the current shift
manning
problems
and to augment
the shifts by the spring of 1986.
The procedure
upgrade
project
has rewritten
and developed
many proce-
dures that have significantly aided in the plant's operational
enhance-
ment.
The
schedule
for completion
extends
to
1987 but the prioriti-
zation
of procedures
has
allowed essential
procedures
to
be either
changed
or developed
on
an
expedited
basis.
The project staff
has
responded
to the plant's
needs
by providing real
time
support
for
changes
to procedures
as the
need arises.
The effort to
achieve
Institute of Nuclear
Power
Operations
( INPO)
accreditation
for the training programs
in the operator licensing area
and
maintenance
area
is progressing
and
an
INPO progress
audit
was
completed
in
September
1985.
However,
the current training
program
for maintenance
personnel
has
been greatly curtailed while the licensee
utilizes instructors to develop the
INPO accreditation
program.
Formal
training lectures
addressing
mechanical
maintenance
techniques
have not
been
presented
since August 1984.
The
improvement to the site facilities includes
the following new or
refurbished buildings:
Health Physics building
Administrative building
Training and simulator building
Maintenance building
The progress
on the buildings
has
been
on schedule
The commitment to
upgrade
the facilities,
in conjunction with the actual
expenditure of
funds,
has
improved the morale of the plant staff.
Consolidation of
the
nuclear
plant staff
should
improve
management
effectiveness
and
overall
efficiency.
The
plant
specific
simulator
is
expected
to
enhance
operator training.
TS and
FSAR Operability Review
Reviews
of the
TS
and
were
performed, to identify systems
and
components
which were not receiving comprehensive
operability testing.
The results
of these
reviews are being. included in the
TS rewrite and
in the surveillance
program.
The comprehensiveness
of these
programs
is an area of concern
since the reviews performed to date are
known to
have
not identified all
components
which would benefit
from enhanced
operability testing.
Previously Identified Item Follow-up
(Closed)
UNR 250,251/85-26-04.
It
has
been
determined
that
the
licensee failed to aggressively
pursue
and identify the root cause
of
two electronic
over speed
trips of the
B
AFW pump
on June
26,
1985.
This omission contributed to the electronic
of the
same
pump
on
July 22,
1985.
The
unresolved
item
has
been
resolved
as
a
violation.
The failure of the licensee
to establish
measures
to assure
that
conditions
adverse
to
quality
are
promptly identified
and
corrected is
a violation of the requirements
Criterion XVI.
Corrective action for this occurrence will be tracked
as violation 251/85-30-04.
The details of the violation are
discussed
in paragraph
9 of this report.
(Open)
250,251/85-26-05.
The
licensee
has
acknowledged
that
extrapolation
of approximate
power
range
nuclear
instrument
currents
would provide information of value to the control
room operators
in
analyzing radial flux tilt.
However,
the
licensee
does
not feel that
interim currents
should
be
installed
in
the
power
range
nuclear
instruments
because
of the time constraints
the maintenance
places
on
the
instrument
and control
department.
The licensee
plans to provide
the
interim
information
to
the
control
room
operators
without
installing the currents.
The lengthy time presently
needed
to install
the currents is related to the relative inexperience
of the instrument
and control staff.
This item will remain
open pending
an evaluation of
the licensee's
proposal
by
a regional
reactor physics specialist.
4.
Unresolved
Items
An unresolved
item is
a matter about which more information is required to
determine
whether it is acceptable
or may involve
a violation or deviation.
No
new
unresolved
items
were
identified
during this
inspection.
Two
previously identified unresolved
items are discussed
in paragraph
3.
Licensee
Event Report
( LER) Follow-up (92700)
The following LERs were reviewed
and closed,
except where specifically noted
as remaining
open.
The inspectors verified that: reporting requirements
had
been
met,
causes
had
been identified, corrective actions
appeared
appro-
priate,
generic applicability had
been
considered,
and
the
LER forms were
complete.
A more detailed
review was
then
performed
to verify that:
the
licensee
had
reviewed
the
event,
corrective
action
had
been
taken,
no
unreviewed
safety questions
were involved,
and
no violations of regulations
or
TS conditions
had
been identified.
Exceptions
to the
above
evaluation
criteria are itemized below,
as applicable.
(Closed)
On
May 9,
1984, three Unit 4 480 volt load center
feeder
breakers
tripped
due to procedural
inadequacies
which allowed
the
connection
of direct current
(dc) electrical
power to alternating
current
(ac) coils.
Maintenance
Procedure
(MP) 4107.5, Electrical
Preparations
for
Integrated
Test of Engineered
Safeguards
and
Emergency
Power
Systems,
has
been modified to preclude
recurrence
of this problem.
(Closed)
On June
1,
1984, Unit 4 experienced
from 10 percent
power.
The root cause
was determined
to be personnel
error
in that the control
room operator allowed reactor
power to reach
10 percent
while the turbine generator
was
not latched.
This condition results
in an
automatic reactor trip.
Both units
have tripped previously during efforts
to
open
the
main
steam isolation valves.
The valves
are
not designed
to
open
when
a large differential pressure
exi sts
across
the valve seat.
To
equalize
the pressure,
the
steam
bypass
valve is opened.
Leakage
in the
secondary
system
precludes
full pressure
equalization.
Since
downstream
pressure
can not be raised,
the control
room operators
lower steam generator
pressure
by releasing
steam through the atmospheric
steam
dump valves.
The
resultant
cooldown is compensated
for by increasing
reactor
power.
During this event,
the reactor operator
allowed power to exceed
the
one or two percent
which should
be maintained
during the evolution.
The
licensee
does
not consider the amount of secondary
leakage
to be excessive.
Diligent control
room operators
are
able to perform the desi red evolution
without tripping the reactor.
(Open)
On
May
27,
1984,
the
licensee
isolated
a failed
containment
isolation
valve
by closing
upstream
valves that
were
not
containment
isolation valves
and
had not
been
leak tested.
The resultant
violation of containment
isolation criteria
prompted corrective action to
develop
a procedure listing all containment
boundary valves
and specifying
the conditions necessary
to heat the primary coolant above
200 degrees.
As
of October
15,
1985,
the
procedure
had
not
been
implemented.
This
LER
remains
open pending final approval of procedure
4-0SP-053.4
by the
PNSC.
(Closed)
and
(Closed)
Both of these
LERs
pertain
to reactor trips that resulted
from failed
source
range
nuclear
detectors.
The first failure occurred
on July 16,
1984.
The detector
failed again
on October
16,
1984.
Both times
the detector
was replaced
and
calibrated.
The
licensee
was
not
able
to determine
a
reason
for
the
failures.
The procedures
used in the replacement
have proven to be adequate
during
subsequent
detector
change
outs.
Additional failures of this type
have not recurred during the past year.
(Closed)
The licensee
has
developed
procedures
to control
and verify the position of containment isolation valves.
These administra-
tive controls
should
preclude
the mispositioning of containment
isolation
valves in the future.
(Closed)
The licensee
has
implemented
improved cleanliness
criteria for the switchgear
rooms which should
preclude
additional
foreign
material
contamination
inside
the
breaker
cubicles.
All
4160
volt
electrical
switchgear
have
been
cleaned
and
inspected.
No additional
breakers
were
identified
as
having
severe
cleanliness
problems.
The
licensee
has
implemented periodic switchgear cleaning
on
a refueling outage
basis.
(Open)
This
LER fails to meet the content
requirements
of
Several
significant discrepancies
have
been
discussed
with
the
licensee.
The licensee
has
agreed
to submit
a revision to this
LER
within 30 days.
(Closed)
Inadequate
Emergency
Diesel
Generator
(EDG)
Surveillance
Procedure
(OP 4304.3,
Narch 18,
1983).
This procedure
was the
subject of a violation (250/84-14-03)
which was closed
by Inspection
Report
( IR) 50-250/84-18.
The procedure
had been revised to increase
the amount of
data taken to evaluate
EDG performance.
(Closed)
Inadequate
EDG Surveillance
Procedure
(OP 4304. 1).
The current revision
(June
12,
1985) of the procedure specifically directs
the operator to load the
EDG to
> 2500 kilowatts within ten
minutes after
starting
the engine.
Additionally, the licensee
has revised Administrative
Procedure
(AP) 103. 18 (February 7, 1985), Facility Operating
License
Amend-
ments and/or
Changes,
to ensure that
TS amendments
are tracked
and that all
associated
procedures
are appropriately
revised within 60
days after the
amendment
issued.
(Closed)
and (Closed)
LER 250/83-12 - Failure of the Auxiliary
(AFW)
Pump
To
Reach
Operating
Speed
and
Deliver
Flow.
The
licensee
evaluated
the failed differential pressure
transmitter
(DPT-2401)
as
unnecessary
for system
operation
and simplified the
pump turbine
governor
control
scheme
Change/Modification
(PC/M)
inspected
and evaluated
in
accordance
with IR 50-250,
to
operate
at
constant
speed
(Plant
83-49).
The entire
system
was
recently
detail; all corrective actions will be tracked in
251/85"32.
(Closed)
LER 250/84-17 - Primary Water
Storage
Tank
(PWST)
Valve
Leakage.
Removing
the
PWST from service
was not specifically addressed
by an action
statement
in the facility's TS.
The licensee
therefore applied
TS 3.0. 1 and
placed
the plant in
a 6-hour hot shutdown limiting condition for operation
(LCO).
Valve repairs
were
completed
in about
one
and
one half hours with
sufficient time remaining
in the
LCO to permit
a controlled unit shutdown
had it become
necessary.
(Open)
and
(Open)
Reactor
Coolant
System
Leakage
Requiring
Unit
Shutdown.
Two
PC/Ms
(84-115
and
84-129,
respectively)
were completed to modify the leaking valves
by replacing
the
damaged
original valve gland flanges with temporary
"strong-back" plates.
In discussions
with licensee
representatives,
the inspector determined
that
the engineering
evaluation
to determine
the root cause of the fai lures
and
provide
a permanent fix recommendation
had not been completed.
(Closed)
LER 250/84-22 - Missed Surveillance
Caused
by Operator Oversight.
Operating
Procedure
0204.2,
Schedule
of
Periodic
Tests,
Checks,
and
Operating
Evaluations,
has
been
revised
to incorporate
the required daily
power
range
nuclear
instrumentation
system
thermal calibration if power is
greater
than ten percent.
The operator initials the check sheet to certify
completion of the test
and the day shift Plant Supervisor-Nuclear
(or Senior
Reactor Operator
Designee)
signs the check sheet to verify the completion of
all periodic tests.
The inspector
reviewed the facility's training records
and verified that this
LER was
addressed
during
operator
requalification
training.
(Closed)
The equality
Control
(gC)
surveillance
tracking program
has
been
upgraded.
When
a surveillance's
due
date is passed,
a written reminder is sent to the cognizant department
head;
a follow-up reminder,
with a
copy to the Plant
Manager,
is sent
24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />
before
the expiration of the grace period.
The
IKC technicians
responsible
for the
missed
surveillance
were
counselled
regarding
the
importance
of
meeting
TS surveillance
requirements.
The plant
has
also
instituted
a
special
form for
documenting
counselling
and
instructional
sessions
performed
as corrective action for inspection findings,
LERs, etc.
(Closed)
Failure of the
4A Steam
Generator
(SG)
Blowdown
Isolation Valve to Close.
The root cause,
isolation of instrument air to
the
valve actuator,
has
been
corrected
by modifying the valve actuators
(PC/M 83-13) to ensure
positive closure of the
SG blowdown valves
upon
a
loss of instrument air pressure.
ll
l
10
Post Three Mile Island Implementation
Follow-up (NUREG-0737)
(Closed
Units
3 and 4) Item II.F.1/1.B.2 and 2.B.2
Accident Monitoring-
Noble
Gas Monitor and Iodine/Particulate
Sampling.
The
PC/M (¹80-131)
under
which the facility's wide
range
noble
gas
monitors
were
installed
was
implemented
on February
25,
1982.
The inspector verified that monitors for
the air ejector vents (Units 3 and 4), the fuel pool vent stack
(RAD-6418),
the
common vent stack (RAD-6304),
and the
main
steam line were operational
and
they
had
been
calibrated
within the
periodicity
required
by
the
facility's TS.
(Closed
Unit 3) Item II.F. 1.3 - Containment
High Range
Radiation Monitors.
The
monitors
have
been
installed
and
are
operational.
The
inspector
verified that
the
instruments
were calibrated
during
the last refueling
outage
as required
by
TS 4. 1, Table 4. 1-1.
(Closed - Units
3 and 4) Item II.F. 1.4 - Containment
Pressure
Monitors.
The
narrow and wide range
instruments
on both units are fully operational.
The
inspector
verified that
the
monitors
were
calibrated
during
the
last
refueling outages
as required
by the facility's TS.
(Closed - Units
3
and
4) Item II.F. 1.5
Containment
Mater
Level Monitor.
The
PC/Ms
under which the level
instruments
were installed
(¹70-1328
and
¹79-133B)
were
closed
on
October
22,
1983.
Calibration
records
were
verified to ensure
compliance with the facility's TS.
IR 50-250,
251/82-06
noted that the licensee
had never submitted
a request
to
NRR to deviate
from
the
NUREG-0737 requirement to monitor the containment
level to an elevation
equivalent
to
a
600,000
gallon
capacity.
A deviation
request
was
subsequently
submitted
on
May 3,
1982 (L-82-180)
and
found acceptable
by
NRR.
(Closed - Units
3 and
4) Item II.F. 1.6
Containment
Hydrogen Monitors.
Both units containment
monitors
are installed, fully operational,
and calibrated in accordance
with the facility's TS.
(Open
Units
3
and
4) Item II.F.2.3B - Instrumentation
for Detection
of
Inadequate
Core Cooling.
The
PC/Ms (¹81-162
and ¹81-167)
under which this
instrumentation
is being installed were still open pending resolution of the
system's operability criteria with the
system
vendor.
IE Bulletin (IEB) Follow-up (92703)
(Open)
IEB 79-18, Audibility Problems
Encountered
on Evacuation of Personnel
From High-Noise Areas.
Previous
reviews of this bulletin are
documented
in
inspection
reports
250,251/84-11
and 250,251/85-13.
The licensee's
loud-
speaker
page
system
remains
inadequate.
There are
numerous
on site areas
in
which personnel
can
not clearly hear
announcements.
The licensee
has
been
notified of the problem by both the
NRC resident
inspectors
and subsequently
by
an
INPO evaluation
team.
The
licensee
has
shown
no inclination to
reevaluate
their
compliance with the audibility criteria set forth in the
bulletin.
Consequently,
audibility
has
not
improved
and
the
following
additional
problems
were noted:
a.
On
September
24,
1985,
during
a fire drill, one
member
of the fire
brigade did not respond to the drill site.
The fire brigade
member did
not
hear
the fire horn
and
did not
hear
loudspeaker
announcements
identifying the location of the fire.
One other brigade
member could
not identify the location of the fire drill site
because
he too could
not clearly hear
the
announcements.
He located
the drill site only
after questioning other members of the staff.
b.
On
September
26,
1985,
during
a fire drill, the fire brigade
team
leader
was
unable
to hear
the fire alarm
and
subsequent
information
announcements.
He was late arriving at the drill site, arriving only
after other staff members
informed him a drill was in progress.
c.
On
September
27,
1985,
the
inspectors
observed
rags
stuffed in the
loudspeaker
located in the safety injection
pump room.
Even though the
loudspeaker
announcements
sounded muffled, several
licensee
personnel,
including supervisory
personnel,
indicated that they were
unaware
of
the clearly visible obstruction.
d.
On
September
28,
1985,
the
loudspeaker
across
from the
chemistry
laboratory
was observed
to be inoperable.
This significantly degraded
the ability to hear
announcements
in the auxiliary building.
Conversations
with
members
of
the fire protection staff revealed
that
audibility problems
had interfered with fire brigade drill response
on
a
number
of occasions.
The inability to
hear
or clearly
under stand
loud-
speaker
announcements
constituted
a
common post drill critique comment.
Oue
to
past
NRC
and
comments
the
licensee
plans
to
implement
a
preventive
maintenance
plan for the
loudspeaker
system.
Guidelines
are
being
developed
and
upgraded
to create
a
formal plant
procedure
and
a
periodic test.
It is not anticipated
that this program will alleviate the
audibility
problems
in high
noise
areas
or fully correct audibility in
general
areas'owever,
if adequately
implemented, it should
improve
general
area audibility.
8.
Monthly and Annual Surveillance
Observation
(61726/61700)
The inspectors
observed
TS required surveillance testing
and verified: that
the test procedure
conformed to the requirements
of the TS, that testing
was
performed in accordance
with adequate
procedures,
that test
instrumentation
was calibrated,
that
LCOs were met, that test results
met acceptance
criteria
requirements
and
were
reviewed
by
personnel
other
than
the
individual
directing the test, that deficiencies
were identified,
as appropriate,
and
were properly reviewed
and resolved
by management
personnel
and that system
restoration
was adequate.
For completed tests,
the inspector verified that
IR y
12
testing
frequencies
were
met
and
tests
were
performed
by qualified
individuals.
The inspectors
witnessed/reviewed
portions of the following test activities:
Units
3 and
4 AFW Train
1 Operability Verification
Units 3 and
4 AFW Train
2 Operability Verification
Unit 4 Residual
Heat
Removal
(RHR) Periodic
Pump Testing
Unit 4 Containment
Spray
Pump Testing
Unit 3 Reactor Protection
System Periodic Test
Units
3 and
4
Unit 4 Containment
High Range
Area Radiation Monitor Calibration
Safety Injection
Pump Motor Vibration Monitoring
The Unit
4 containment
high
range
area
radiation monitors
were reported
operational
in inspection report 50-251/82-06.
The inspector contacted
the
IKC Department to determine if the surveillance
record for the monitors
was
up-to-date.
The licensee
conducted
a lengthy
search
for documentation
to
support its contention that the monitors
had
been calibrated during the last
Unit 4 refueling outage.
On September
26,
1985,
the licensee
abandoned
the
search
and concluded that periodic calibration
had not
been
performed.
It
was determined
that the
requi rements
of TS 4. 1, Table 4. 1-1,
as related to
containment
high radiation monitor survei llances,
did not
become effective
until
several
months after
the
completion
of the last Unit 4 refueling
outage.
Consequently,
no violation of the
TS
surveillance
periodicity
occurred;
however,
the radiation
monitors
were required to
be operable
by
and 82-10.
Though initially calibrated,
the radiation
monitors
were
not
added
to
the
periodic
recalibration
program.
Consequently,
following a
1983
source calibration,
the
monitors
were
not
again
calibrated
until
September
1985,
when
the inspector identified the
discrepancy.
Additional evaluation will be
performed
to
determine
the
extent
to which the
licensee's
periodic calibi ation
program
incorporates
newly installed equipment - (IFI 250,251/85-30-02).
On
September
5,
1985,
the inspector
observed
the performance
of OP 3204. 1,
Residual
Heat
Removal
System
Periodic
Test,
revision
dated
December
20,
1984.
The procedure
provides instructions for performing the periodic test
of the
pumps
and
obtaining test
reference
values
used
to certify
conformance
to the
requirements
of
and the inservice test
(IST)
program.
Section
8.8.4
of the
procedure
requires
that
a
second
person
independently
verify that four valves
are
locked
open.
The
valves
were
unlocked
and closed
in
a proceeding
step.
Section 8.8.4 of the
procedure
was initialled as
complete
by
an operator
who
had
not verified that
the
valves
were
locked
open.
Apparently the operator
misread
the requirements
of the section
and verified only that remote indicator lights indicated the
valves
were
open.
Prior to noticing this discrepancy,
the
4A RHR pump was
started.
Thus,
the
pump was operated prior to the completion of the lineup
procedure.
When questioned
about the discrepancy,
the operator
immediately
acknowledged
his
error
and
the
required
independent
verification
was
properly
performed.
The breakers
were verified to have
been positioned
and
locked as required
when the
pump was operating.
I
13
Technical Specification (TS) 6.8.1
requires
that written
procedures
and
administrative policies
be established,
implemented
and maintained that meet
or exceed
the requirements
and
recommendations
of sections
5. 1
and 5.3 of
and Appendix
A of USNRC Regulatory
Guide 1.33.
The failure to fully implement
OP 3204. 1,
section 8.8.4,
is
one of three
examples
of the failure to meet
the
requirements
of TS 6.8. 1 contained
in
this report (250,251/85-30-01)
.
Maintenance
Observations
(62703/62700)
Station maintenance activities of safety-related
systems
and components
were
observed
and
reviewed to ascertain
that they were
conducted
in accordance
with approved
procedures,
regulatory guides,
industry
codes
and
standards
and in conformance with TS.
The
following items
were
considered
during this
review,
as appropriate:
that
LCOs were
met while components
or systems
were
removed
from service;
that approvals
were obtained prior to initiating work; that activities were
accomplished
using
approved
procedures
and
were
inspected
as applicable;
that procedures
used
were
adequate
to control
the activity; that trouble-
shooting activities were controlled
and repair records accurately reflected
what took place; that functional testing and/or calibrations
were
performed
prior to returning
components
or systems
to service;
that
gC records
were
maintained;
that activities
were
accomplished
by qualified personnel;
that
parts
and materials
used
were properly certified; that radiological controls
were properly implemented;
that
gC hold points were established
and observed
where required; that fire prevention controls were implemented;
that outside
contractor force activities were controlled in accordance
with the
approved
gA program;
and that housekeeping
was actively pursued.
The following maintenance activities were observed
and/or reviewed:
Unit 4 Steam Generator
Blowdown Isolation Valve 6275C Repair
Unit 3B Safety Injection
Pump Repair
AFW Pumps
A,
B and
C Steam Trap Repairs
AFW Pumps A,
B and
C Drain Line Repairs
AFW Pump
C Governor Valve Repair
Unit 3 Wide Range Fission
Chamber -Troubleshooting
B Diesel Generator Air Start Regulator
Replacement
AFW Pump
C Electronic Overspeed
Trip Troubleshooting
Unit 4 Containment
Water Level Monitor Indicator Repair
AFW Pump
B Electronic Overspeed
Trip Repair
During
a review of, outstanding
maintenance
activities, the inspector
noted
that the Unit 4 containment water level monitor narrow range level indicator
(LI-6308 B) was
and that
a plant work order
(PWO) was initiated
'on February 7,
1985 to repair the failed indicator.
The inspector
requested
a current
status
report for the repair effort and
was informed that
a
new
was
on order.
Upon further investigation,
however, it was discovered
that the purchase
order
had
been lost during internal routing and
had never
been
submitted to the supplier.
Action was promptly taken to ensure that
a
replacement
was
purchased.
The failure of the purchasing
department
to properly expedite
the
purchase
of repair parts will be tracked
as IFI
250,251/85-30-06.
On
September
20,
1985,
the Unit 4 instrument air dryers were
removed
from
service
due to
a failed purge valve.
Procedure
4-0P-013,
Instrument Air
System,
requires,
in section
6. 1, that the Unit 4 air compressor
output
be
routed through the Unit 3 instrument air dryers
when the Unit 4 dryers
are
inoperative.
A specific caution
in the
procedure
states
that inoperative
Unit
4 dryers
shall
be
bypassed
only
when
the
Unit
3 dryers
are
also
inoperative.
In addition,
4-OP-013
requires,
in section
7.5. 1, that the
bypassing
evolution, if performed,
be
documented
by initialing numerous
procedural
steps.
Contrary to these
requirements,
the Unit 4 dryer bypass
valve was opened,
allowing air to bypass
the Unit
4 dryers without passing
through
the
Unit
3 dryers.
Consequently,
for approximately
six hours,
potentially moist instrument air was
being
supplied to safety-related
air
operated
control
valves
which are
known to
be susceptible
to failure from
water in the air system.
In July 1985, it was determined that water in the instrument air system
was
responsible
for numerous
failures of
AFW flow control valves.
The water
entered
the
system
because
the instrument air water separators
and dryers
were not properly operated
and maintained.
The problem forced the cooldown
of the Unit 3 reactor
and contributed to
a malfunction of the
AFW system.
AFW valve operability
was
restored
only after
a
time
consuming
repair
effort.
Violation 250,251/85-26-03
was written.
Corrective
action for the
violation
stressed
the
need
to
properly
implement
the
instrument
air
procedure
[4-OP-013]
to
assure
that
the
AFW system,
as
well
as
other
important systems
remained fully functional.
The breakdown of the corrective action
program for the instrument air system
shortly after its
implementation
is disconcerting.
While
the
licensee
identified the
discrepancy
within six hours,
the discrepancy
should
have
been precluded
by the licensee's
corrective action for the
events
of July
1985.
Consequently,
this event
does not meet the requirements
of 10 CFR 2,
Appendix C, item V.A(5) and is
a violation in that the
requirements
of TS 6.8. 1 were not met.
The failure to implement procedure
4-OP-013 is one of
three
examples of the failure to meet the requirements
of TS 6.8. 1 contained
in this report (250,251/85-30-01).
During surveillance
testing of the
B
AFW pump
on June
23,
1985,
the
pump
failed its operability test
because it twice tripped
on electronic
over-
speed.
The
pump was determined to be running at 5980 revolutions per minute
(rpm) instead
of the desired
5900
rpm.
The electronic
setpoint
should
have
been
6200
rpm.
The
B AFW pump governor
was adjusted
such that
the turbine rotated at 5900
rpm.
The
pump was tested
and it did not trip on
electronic
over speed.
A
L
15
Discussions with technical
support personnel
indicated that the
pump was not
demonstrating
significant oscillations
in speed.
The
maximum anticipated
speed
change,
during
normal
operation,
is
no
more
than
100
rpm.
Consequently,
on June
23,
1985,
the electronic
for the
B AFW .pump
could
have
been
estimated
to
have
occurred
at
no more than
6080 rpm.
The
licensee did not perform this extrapolation
and after the overspeed
symptom
had
been corrected,
a verification of the actual
setpoint
was not performed.
Following an additional unanticipated
B AFW pump overspeed trip on July 22,
1985,
the electronic
setpoint
was tested.
The setpoint
was
found
to
beq 6066
rpm which
was
134
rpm too
low.
Apparently
the electronic
on June
23 and July 22 were
due to
an incorrectly
adjusted
setpoint.
10 CFR 50, Appendix B, Criterion XVI, as
implemented
by FPL Topical Quality
Assurance
Report
(FPL-NQA-100A) Revision
7,
TQR 16.0,
Corrective
Action,
requires,
in part,
that
measures
shall
be
established
to
assure
that
conditions adverse
to quality,
such
as failures, malfunctions deficiencies,
deviations,
defective
material
and
equipment,
and
nonconformances
are
promptly identified and
corrected'PL
Quality Assurance
Manual,
Quality
Procedure
(QP)
16. 1,
Revision
8,
delineates
requirements
for assuring
that conditions adverse
to quality are
corrected.
AP 0190. 13,
dated
May 21,
1985, entitled Corrective Action for Conditions
Adverse to Quality, itemizes
the
mechanisms
by which conditions adverse
to
quality are promptly identified, tracked
and corrected.
Contrary to the
above,
the licensee failed to establish
measures
to assure
that conditions
adverse
to quality were promptly identified and corrected,
in that,
the
licensee's
corrective
action
program
was
implemented
in
a
manner
which allowed
symptom correction without requiring the identifica-
tion, evaluation
and correction of the
source
problem.
Consequently,
on
June
23,
1985,
the
B AFW pump failed its operability test, tripping twice on
electronic
and maintenance
repairs resulted in symptom correction
rather
than root cause
identification
and repair.
As
a result,
the
B AFW
pump again tripped
on electronic
on July 22,
1985.
Subsequent
testing
revealed
that
the electronic
trip occurred
below the
required
setpoint.
The licensee
did not fully address
the
reason
for the
June
23 overspeed trips until the problem recurred
in July.
The fai lure to meet the requirements
of 10 CFR 50, Appendix B, Criterion XVI
is
a violation (250,251/85-30-04).
10.
Operational
Safety Verification (71707)
The inspectors
observed
control
room operations,
reviewed applicable
logs,
conducted
discussions
with control
room operators,
observed shift turnovers
and confirmed operability of instrumentation.
The inspectors
verified the
operability of selected
emergency
systems,
verified that maintenance
work
i
III
16
orders
had
been
submitted
as required
and that followup and prioritization
of work was accomplished.
The inspectors
reviewed tagout records, verified
compliance with TS
LCOs
and verified the
return
to service
of affected
components'y
observation
and direct
interviews,
verification
was
made
that
the
physical security plan was being implemented.
Plant housekeeping/cleanliness
conditions
and implementation of radiological
controls were observed.
Tours of the intake structure
and diesel,
auxiliary, control
and turbine
buildings
were
conducted
to observe
plant
equipment
conditions
including
potential fire hazards,
fluid leaks
and excessive
vibrations.
The
inspectors
walked
down
accessible
portions
of the
following safety-
related
systems
on Unit
3
and
Unit
4 to verify operability
and
proper
valve/switch alignment:
4160 volt and
480 volt Switchgear
Containment
Spray
Containment Penetrations
Nuclear Instrumentation
Drawers
Refueling Water Storage
High Head Safety Injection
Spent
Fuel Pit Cooling
Control
Room Vertical Panels
No violations or deviations
were identified.
11.
Engineered
Safety
Features
Walkdown (71710)
The inspector
verified operability of the
AFW system,
which is
common to
Units 3 and 4, the Unit 4 containment
spray
system
and the
common
standby
system
by performing
a complete
walkdown of the accessible
portion
of the
system.
The following specifics
were
reviewed and/or
observed
as
appropriate:
a.
that the licensee's
system lineup procedures
matched plant drawings
and
the as-built configuration;
b.
that the
equipment
conditions
were satisfactory
and
items that might
degrade
performance
were identified
and evaluated
(e.g.
hangers
and
supports
were operable,
housekeeping
was adequate,
etc.);
c.
that instrumentation
was properly valved in and functioning
and that
calibration dates
were not exceeded;
17
that
valves
were
in proper position,
breaker
alignment
was correct,
power was available,
and valves were locked/lockwired
as required;
local
and
remote position indication
was
compared
and
remote instru-
mentation
was functional;
breakers
and
instrumentation
cabinets
were
inspected
to verify that
they were free of damage
and interference.
The licensee
has
proposed
using the standby
system
as
a backup for
the
AFW system in the event of a complete
loss of AFW in conjunction with a
loss of main
feedwater capability.
A walkdown of the
standby
system
was performed to ascertain its status.
The following system discre-
pancies
were noted:
Discharge
pressure
gages
for both
standby
pumps
(SFWP)
are
broken.
Work orders for-gage repair were issued
on August 5,
1985 but
repairs
have not been
accomplished.
(PI 6511
A & B).
b.
Suction
pressure
gages
for both
standby
pumps
have
been
physically disconnected
and removed.
The discrepancy is documented
on
a
work order dated August 5,
1985.
C.
d.
e.
Temperature
indicator
TX
6571 is
not installed
on the
pump suction
piping.
The indicator
has
been
removed.
Drawing 5610-T-E-4062,
Revision 8, sheet
5 of 7, incorrectly indicates
that
valves
DWDS 4-012
and
3-012
are
normally
open
valves.
These
valves
are
normally closed
and
must
be manually
opened
to provide
a
discharge
path to the
There is
no remote level indication for the normal water
supply to the
SFWP
from the demineralized
water storage
tank
(DWST).
Consequently,
the control
room operator s can not easily monitor tank level changes.
One of two local
DWST level indicators
has
been disconnected.
The other
level
gage (feet of water) is not
on
a routine periodic calibration
schedule
and was last verified to be calibrated
on October
19,
1983
'.
Remote
tank level
alarms
which operate
control
room annunciators
are
not
on
a routine periodic calibration
schedule
and were last verified
to
be calibrated
on January
22,
1982.
No maintenance
instructions
or
procedures
exist addressing
an approved
method of calibration.
h.
A chainfall is attached
to the discharge
piping just upstream of valve
DWDS-3-012.
The standby
piping and chainfall are temporarily
supporting
a large-diameter
section of electrical conduit.
18
i.
Several
vent valves are required to be operated
during system prepara-
tion for operation.
The valves are
capped
but are not shown
as
capped
on
drawing
5610-T-E-4062
or
referenced
as
capped
in
the
system
operating
procedure.
The motor heater light for the
A standby
pump has
been
broken
since
September
23,
1985,
making verification of heater
circuit
operability difficult. Similarly, the
pump off indicator lights are
not functioning.
Within this area,
no violations or deviations
were identified.
12.
Plant Events
(93702)
An independent
review was conducted of the following events.
On
September
30,
1985,
a
manual
actuation
of
a portion of the engineered
safeguards
features
was initiated
due to maintenance
problems
on both the
Unit
3
and Unit 4 process
radiation monitor R-ll and
R-12 filter drives.
Since
R-11 (particulate)
and
R-12 (gaseous)
monitors
were
the
trip logic was
for the control
room
and containment
isolation
valves.
Fuses
were pulled which caused
all automatic isolation valves to
fail closed
to establish
the
desired
isolation'.
During the
maintenance
repairs
no actual
high radiation
conditions
existed.
Deenergizing
the
failed circuit closes
the
isolation
valves
as
a
required
precautionary
measure.
On
October
7,
1985,
a Unit
3 turbine
load limit runback
occurred while
direct current (dc)
ground isolation
procedures
were in progress
on the
3A
bus.
When
breaker
49
on
panel
3D01
was
opened,
a
false
rod
bottom
indication alarm initiated the runback.
Two fuses
were found to be blown on
the alternating
current (ac)
power supply.
Rod position indication
power
was
shifted
to
an
ac lighting panel until the
fuses
were replaced.
All
required
control
systems
operated
satisfactorily
including
automatic
rod
control
and automatic
condenser
steam
dump valves.
On October
11,
1985,
the Unit 3 startup transformer
was
removed
from service
to allow switchyard
work to
be
performed
in
support
of the
auxiliary
electrical
power
system
upgrade.
The transformer
was out of service for
approximately
24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.
During that time both Units
3
and
4 were
operated
at approximately
50 per cent power to preclude
the
need for the
B main feed-
water pumps-which
are
powered
from the
C buses.
All work was
performed
as
part of
a preplanned
evolution.
No unexpected
problems
were
encountered.
Both diesel
generators
were verified to be operable prior to initiating the
maintenance
evolution.
A similar
maintenance
effort
is
planned
for
October
18,
1985 to complete similar modifications for the Unit 4 switchyard
upgrade.
h%
19
On October
15,
1985, the Unit 3 reactor tripped from 100 per cent power.
A
construction
worker
in
the
cable
spreading
room is
thought
to
have
inadvertently
and
unknowingly jarred
the
main
transformer
differential
relay.
The operation
of the relay tripped the turbine generator
which in
turn tripped the reactor
through
the protection
logic matrix.
All major
systems
operated
as
designed.
The
system ,initiated
on
low
steam
generator
level
due
to
steam
generator
level
shrink.
Approximately.
40
minutes
following the trip, the
AFW system
again
initiated
due
to
steam
generator
B high level.
The high level condition tripped the main feedwater
pump which in turn initiates
AFW operation.
The high level
in the
B steam
generator
was due to leakage
through the
B flow control
bypass
valve.
The
B
pump
was
out of service
during
the
event
while testing
was
being
performed
on
some motor operated
steam
supply valves.
The A and
C
AFW pumps
operated
satisfactorily.
A cooldown of the Unit
3 reactor
primary system
was initiated because
the
TS do not allow both units
3 and
4 to be above
350
degrees
unless all three
AFW pumps are in service.
Independent
Inspection
During the report
period the inspectors
routinely attended
meetings
with
licensee
management
and monitored shift turnovers
between shift supervisors,
shift
foremen
and
licensed
operators.
These
meetings
included
daily
discussions
of plant operating
and testing activities
as well as discussions
of significant problems or incidents.
As
a result,
the inspector s reviewed
potential
problem
areas
to
independently
assess:
their
importance
to
safety;
the
adequacy
of proposed
solutions;
improvement
and progress;
and
adequacy
of corrective
actions .
The inspector
'
. reviews of these ,matters
were not limited to the defined inspection
program.
Independent
inspection
efforts were conducted
in the following areas:
Fire Drills
AFW System Nitrogen Bottle Testing
Turbine Runback Design Basis
Maintenance
Management
Controls
Standby
System Operability
Fire Brigade Staffing
Within this area
no violations or deviations
were identified.
Design
Changes
and Modifications (37700)
On
June
26,
1985,
a
TSA was
issued
to install
a
jumper in the control
circuit for
steam
generator
blowdown
isolation
valve
CV-4-6275C.
The
approved
jumper
arrangement
was
inappropriate
in that it prevented
the
containment
isolation
valve
from closing
as
required
on
receipt
of
a
containment
phase
A isolation
signal.
The
licensee
identified
the
discrepancy
on August 8,
1985,
and issued
an additional
TSA that corrected
the
problem.
LER 251-85-20
was issued
on September
6,
1985, discussing
the
event
and related corrective actions.
20
One of the corrective
actions
was
to review
and
revise
the
method
of
controlling
and processing
TSAs.
As
a result,
procedure
O-ADM-503, Control
and
Use
of
Temporary
System
Alterations,
superseded
and
replaced
administrative
procedure
0103.3, of the
same
name.
During October
1985,
a review was
conducted
of administrative
procedures
0-ADM-503 and 0103.3 to determine if the implementation of these
procedures
affected
the loss of isolation function for CV-4-6275C.
The purpose of the
procedures
is to provide instructions for the administrative control
and
use
of TSAs which constitute modifications to circuits,
systems
and equipment.
Both
procedures
require
that
the
Plant
Nuclear
Safety
Committee
(PNSC)
review TSAs within
14 days of approval
by the
Plant
Supervisor
Nuclear.
Contrary to this requirement,
the
PNSC did not review the June
26 TSA within
the
required
time limit.
On
August
9
a
second
was
issued
which
alleviated
the inability of CV-4-6275C to close
on receipt of
a
phase
A
isolation signal.
The
TSA was issued
as
a direct result of the
CV-4-6275C
closure
discrepancy
and
was
one
of the
corrective
actions
for the
discrepancy,
as identified in
LER 251-85-20.
The
PNSC did not review this
TSA within the required time frame either.
Both administrative
procedures
require that the technical
department
review
the
TSA records
on
a quarterly basis to determine
the continued necessity
of
the
alterations.
A
records
examination
revealed
that
no
technical
department
review was
performed
between
January
1,
1985
and
June
3,
1985.
Consequently,
the
quarterlv
review
performed
on
June
3
was
late
by
approximately
two months.
Similarly, based
on the June
3 review,
another
review was
due
on
September
3,
1985.
As of October 3,
1985
the
September
review had not been
performed.
Section
5.5.3 of procedure
0-ADM-503 requires
that the
TSA tracking log
sheets
be updated following the implementation of a TSA.
On October 4,
1985,
the following TSAs had been
implemented but their status
was not recorded
in
the "Date/Time Altered" column of the
TSA log book.
TSA Number
3-85-157-77
3-85-160-41
3"85-161-13
3-85-136-92
3-85-107-77
3-85-108-77
4-85-35"75
4-85-40-41
4-85-44-27
Administrative
Procedure
(AP)
O-ADM-503,
dated
July 10,
1985,
entitled
Control
and
Use of Temporary
System Alterations,
requires,
in
section
3.6.2,
the
performance
of quarterly
reviews of TSAs.
Section
5.5.3 of AP
0-ADM-503 requires
that the
TSA log tracking sheets
be updated following the
21
implementation
of
a
TSA.
Section
5.6. 1 of
AP 0-ADM-503 requires
that the
Plant
Nuclear
Safety
Committee
review
TSA's
within
14
days
of
the
performance
date.
Contrary
to the
above,
prior to
October
3,
1985,
0-ADM-503 sections
3.6.2,
5.5.3,
and
5.6. 1
were
not
implemented,
in that
the
procedural
requirements
of
each
section
were
not
met.
The fai lure to
implement
procedure
0-ADM-503 is
a violation of TS 6.8.1 (250,251/85-30-01).
This is
one of three
examples
of the failure to meet
the requi rements of TS 6.8. 1
contained
in this report.
On
July 20,
1984,
the
licensee
was
notified,
in
inspection
report
250,251/84-04,
finding 2.a.4,
that
an
unreviewed
safety
question
was
not
initiated
as required
by
AP 0103.3, prior to removing the automatic fill
capability of the diesel
generator
day tank.
The licensee
was notified, in
finding 2.a.7 of the
same
report,
that
a differential
pressure
cell
was
installed
on
a
safety
related
pump without adequate
controls
over
the
modification.
The
licensee's
response
to
these
findings,
issued
on
November
13,
1984, states,
in part:
"Development
and
implementation
of Administrative
Procedure
0103.3,
Control
and
Use of Temporary
System Alterations,
has
been
completed to
provide instructions
for the control
and record
keeping
requirements
necessary
to assure
that
TSAs are
properly
evaluated
to allow safe
plant operations.
This procedure
interfaces
and
complements
existing
plant controls
and procedures
concerning
the removal
and maintenance
of
plant
equipment.
Plant
personnel
were
trained
on
the
purpose
and
correct execution of this procedure."
Consequently,
previous
corrective
action
for discrepancies
related
to
equipment
and
system modifications
included
the
completed
development
and
implementation of AP 0103.3.
However,
on June
26,
1985,
an ill-advised
was
implemented
that
removed
the ability of CV-4-6275C to close
on receipt
of a containment
phase
A isolation signal.
Fourteen
days after the issuance
of the
TSA,
AP 0103.3
was
not implemented
in that the
PNSC did not review
the
TSA as required.
An additional
TSA was
issued
on August 9,
1985,
to
correct
the
discrepancy
and that
TSA was also
not reviewed
by the
PNSC
within the required fourteen
days.
A review of additional
records
revealed
that
TSAs were routinely not reviewed
by the
PNSC
as required.
A partial
review of TSAs and their implementation
dates
indicates that several
months
passed prior to
PNSC review.
For the below listed
TSAs the
PNSC review was
completed
on
October
3,
1985,
after
the
inspectors
inquired
about
the
discrepancies.
'l,
r
22
TSA Number
Im lementation
Date
3-85-146-65
3-85-154-74
3-85-73-101
3-85-103-37
3-85-74-33
3-85-45-30
4-85-22-30
4-85-29-27
3-85-131-27
July 23,
1985
July 28,
1985
April 22,
1985
June
5,
1985
April 24,
1985
May 5,
1985
April 25,
1985
June
22,
1985
June
22,
1985
requires,
in part, that containment isolation valves for phase
A
containment
isolation
be operable
and that automatic
valves
be capable
of
closing within the
time frames
specified
in section
XI of the
ASME Boiler
and
Pressure
Vessel
code
and applicable
Addenda
as required
by by
10 CFR 50.55 a.(g).
Contrary to the above,
between
June
26,
1985
and August 8,
1985, the Unit 4C
steam
generator
blowdown isolation valve,
CV-4-6275C
was not operable,
in
that it was not capable of automatic closure
as specified in section 6.6 of
the Final Safety Analysis Report.
A TSA containing
a design error resulted
in the inability of the valve to close
on
a phase
A containment isolation
signal
.
Though identified
and reported
by the licensee,
the containment
isolation
discrepancy
does
not meet
the criteria of
10 CFR 2, Appendix
C,
section
V.A.(4) because
corrective actions to prevent recurrence
did not address
the
root
cause
of the
problem.
Therefore,
a violation occurred
in that the
requirements
of
were not met
between
June
26
and August 9,
1985
(251/85-30-05).
This violation applies to Unit 4 only.
Additional reviews were performed to establish
the basis for the licensee'
requirement
that the
PNSC
review
TSAs within 14 days of approval
by the
Plant Supervisor Nuclear.
It was determined that
TS 6.5. 1.6.d requires that
the Plant Nuclear Safety
Committee
(PNSC)
review all
proposed
changes
or
modifications to plant systems
or equipment that affect nuclear safety.
Contrary to the above, prior to October 3,
1985,
numerous
TSAs, constituting
temporary nuclear
safety related
equipment
changes
or system modifications,
were not reviewed by the
PNSC until after they were installed in the plant.
Consequently,
they were not reviewed
as proposed
changes.
Failure
to
meet
the
requirements
of
TS 6.5. 1.6.d
is
a
violation
(250,251/85-30-03).
During the review and evaluation of the
TSA program,
a major discrepancy
was
noted in that the
program did not require functional testing of equipment
following the
installation
and
removal
of modifications.
Though
not
identified
in
LER
251-85-20,
a
major
reason
the
loss
of
containment
23
isolation
function
was
not
immediately
detected
was
that
no
post-
modification testing
was
performed after the isolation
valve control
was
Jumpered.
Had the licensee's
program required that
a simulated isolation
signal
be
supplied
at valve
CV-4-6275C, it would
have
been
immediately
apparent
that the
chosen
jumper arrangement
did not fulfill its intended
function.
~l