ML17348A503

LER 90-015-00:on 900720,roving Fire Watch Failed to Complete Tech Spec Required Rounds.Caused by Cognitive Personnel Error.Individual Escorted from Site & Access Authorization to Site terminated.W/900814 Ltr

ML17348A503
Person / Time
Site:	Turkey Point
Issue date:	08/14/1990
From:	Harris K, Dawn Powell FLORIDA POWER & LIGHT CO.
To:	NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
L-90-289, LER-90-015, LER-90-15, NUDOCS 9008170149
Download: ML17348A503 (7)

Text

A('CELEBRATED DISTRIBUTION DEMONSTRATION SYSTEM

~ ~

REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)

ACCESSION NBR:9008170149 DOC.DATE: 90/08/14 NOTARXZED: NO DOCKET FACIL:50-250 Turkey Point Plant, Unit 3, Florida'ower and Light C 05000250 AUTH. NAME AUTHOR AFFILIATION POWELL,D.R. Florida Power & Light Co.

HARRIS,K AN ~ Florida Power & Light Co.

RECIP.NAME RECIPIENT AFFILIATION

SUBJECT:

LER 90-015-00:on 900720,roving fire watch failed to complete TS required rounds due to cognitive personnel error.

W/9 ltr.

DXSTRIBUTXON CODE: IE22T COPIES RECEIVED LTR 'NCL SXZE:

TXTLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.

V NOTES:

RECIPIENT COPIES RECXPIENT COPXES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-2 LA 1 1 PD2-2 PD 1 1 EDISON,G 1 1 INTERNAL: ACNW 2 2 AEOD/DOA 1 1 AEOD/DS P/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB9H3 1 1' NRR/DLPQ/LHFB11 1, 1 NRR/DLPQ/LPEB10 1 NRR/DOEA/OEAB11 1 1 NRR/DREP/PRPB11 2 2 NRR/DST/SELB 8D 1 NRR/DST/SICB 7E '1 1 NR LB8D1 1 1 NRR/DST/SRXB 8E 1 1 EG F L 02 1 1 RES/DSXR/EIB 1 1 R FILE 01 1 1 EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 LPDR 1 1 NRC PDR 1 1 NSXC MAYS,G 1 1 NSIC MURPHY g G ~ A 1 1 NUDOCS FULL TXT 1 1 NOTE TO ALL "RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM P 1-37 (EXT. 2%79) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!

FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 32 ENCL 32

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AUG ] g )99O L-90-289 10 CFR 50.73 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, D. C. 20555 Gentlemen:

Re: Turkey Point Unit 3 Docket No. 50-250 Reportable Event: 90-15-00 Date of Event: July 20, 1990 Roving Fire Watch Failed to Complete Technical Specification Required Rounds Due to a Cognitive Personnel Error The attached Licensee Event Report is being submitted pursuant to the requirements of 10 CFR 50.73 to provi'de notification of the subject event. t Very truly yours, K. Harris Pla Vice President Turkey Point Plant Nuclear KNH/DPS/ds attachment cc: Stewart D. Ebneter, Regional Administrator, Region II, USNRC Senior Resident Inspector, USNRC, Turkey Point Plant 9008170149 900-'l4 PDR ADOCK 0 0002':-0 PDC VVVJV an FPL Group company

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~I OS LICENSEE EVENT REPORT ILER) tXPlltlLOlt)W fAC(LITT NAW Ill oocxlT NUMoth (TI TURKEY POINT UNIT 3 0 6 0 0 0 2 5 0 1 Of 0 3 ROYING FIRE WATCH FAILED TO COMPLETE TECHNICAL SPECIFICATION RE(VIREO ROUNDS A IVE PERSONNEL ERROR aVaNT OATt (ll Llh NLORCh Ill hafONT OATl (Tl OTHlh P AC(LIT)llINVOLVaO Sl MONTH GAY YlAII UeccpcAI.

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>%: cecsses1 OAY PACIUTY NAMOl OocxlT NUMoah(t) 0 6 0 0 0 0 72 0 90 9 0 0 15 00 0 8 1 4 9 0 0 6 0 0 0 TH(a h aPONT Io oUW(TTtO PUNN)ANT TO THl htCX)lhaMaNTt Of 'll cfh pl (Casse eae et cases el Me ~ ccsJce( 111 Oft hATHSO Steel th ~ ETON)(TNNI POIPth tLeooNN1) Io ~ 0~() I W.TOOO(t) ls) 1 0 0 tOAW4sl(I I (tl ~ LOOM)(t) ~ O(sht) Iso) OTHlh NeeeeY Ac Aeseses

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Ta LaPHON a NUMltlt D. R. POWELL, SUPERINTENDENT OF LICENSING 3 05 2 46 - 65 59 CCXMLaTt ONa LINl PCS f aACH COIMONtNT AILUha OttChloaO IN 11ltl haPONT 11%

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~ xpacTao tUaMIllION OATl (Ill Y at OY psA tXPOCTTO OUOSNtt)ON OATN AwTIIAOT(Lsah M )coo ce, efpceccsaeescy lthoee fcseesse Nfeannsa lscesl Ilol On July 20, 1990, at 2400 EDT, the limiting condition for operation of Technical Specification (TS) 3.14.1 was not met when the roving fire watch, established to 2400 rotation. A different person, in accordance with this TS did.not perform the watch during the 2300 who had the route for the following hour, did complete the route and found no indication of any fire protection related p'roblems. The non-cause of the event was cognitive personnel error. by a contract the licensed worker. The contract worker claimed to have made required rotation. When presented with conclusive evidence that the controlled access part of the route had not been entered during the required time frame, the individual confessed that the watch rotation was not performed. The individual was then escorted from the site and access authorization to the, site was terminated.

NAC Pena OOO Itot I )

NAC Pena SSSA V.S. NVCLSAN AS4VLAYOAYCOMMISSION (SSSl UCFNS ENT REPORT (LER) TEXT CONTlNU N APPIIOV tO OMS NO. 3160M!04 SXPIIII5! S!3I!SS PACILIYY NAMC lll OOCXSY NLNNSII ISI LSII HI%%gll (Sl PA4S IS1 Y S A II g?g'. SSOOSNtIAL VNION n M A TURKEY POINT UNIT 3 0 5 0 0 0 2 5 0 9 00 1 5 00 0 2 OF 0 3 5SF (S INNS Maes lI ISSSSSC ew oANssV ASSC!!sac ~ll lttl EVENT DESCRZPTZON On July 20, 1990, at 2400 EDT, the limiting condition for operation of Technical Specification (TS) 3.14.1 was not met when the roving fire watch, established in accordance with this TS, did not perform the watch during the 2300 to 2400 rotation. . The roving fire watch for Firewatch Route 2 called the Fire Watch Shift Supervisor stating that he had forgotten to sign the log and that he would sign the log at his next opportunity. The Fire Watch Shift Supervisor agreed to this. However, one of the continuous, fire watches reporting to the Fire Watch .Shift Supervisor after being relieved said that the roving fire watch never came to relieve him for his break and was not seen in the required watch area. The shift supervisor expressed a concern that the watch may have been missed. On Monday morning, July 23, 1990, a review of a printout from the access computer confirmed that at least part of the roving fire watch had been missed between 2300 and 2400 EDT on July 20, 1990.

On Monday, July 24, 1990P at 1000 EDTP applicable FPL and contract personnel met to evaluate a potential missed roving fire watch tour and possible falsification of the Fire Watch Log by .a contract individual on Friday night, Ju y 20, 1990. Conclusive evidence that the individual performing the fire watch in question had not entered the controlled access part of the roving fire watch route during the required time frame was available from the access computer and witnesses.

ZZ. EVENT CAUSE I

The cause of the event was cognitive personnel error by a contract non-licensed worker. The contract worker claimed to have made the required rotation but later confessed when presented with conclusive evidence that the controlled access part of the route had not been performed during the require'd time frame.

ZZZ. EVENT SAFETY ANALYSZS complete tour of the missed route was completed by different personnel the hour before and the hour after the missed tour. No fire protection problems were noted during either of these tours.

During the period the fire watch was absent, no fires occurred. Had a fire occurred in one of the areas covered by the missed fire watch tour, .other personnel working in the area'r operable fire detection instrumentation could have detected the fire and brought prompt response. In addition, FPL policy on maintaining flammable material at a minimum has helped limit the potential for a fire in these areas.

NAC POIIaI SSSA IS4$ 1

NlIC Svv )SSA V.L NUCLSA1 IISOULATOIIYCOMMISSION (545(

UCENSEE Nl REPORT tLER) TEXT CONTINUA ASSIIOVSO OMS NO. 5(SOM(04 5XSIII55: 415(/SS

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TURKEY POINT UNIT 3 AS(C /iNIN ~'sl ((7(

0 S 0 0 0 2 5 0 9 0 0 1 50 0 0 3 OF 0 3 IV. CORRECTIVE ACTIONS A. The fire watch was escorted from the controlled area.

B. Unescorted access authorization for the individual was terminated.

C.

a In addition, the result of this incident.

fire watch was discharged by the contractor as D. Contract firewatch management has held training sessions with contract firewatch personnel to discuss this occurrence.

V. ADDITIONAL INFORMATION A. Similar Events LER 250/89-019, issued January 12, 1990 reported a missed roving fire watch due to personnel error. In this case, a fire watch was removed from the space due to a precautionary evacuation ordered by health physics technicians. area fire watch was not re-established immediately after the However, the evacuation was canceled.

B. Equipment Failures None NIIC SOIIU SSSA (5451

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