ML18033A538
| ML18033A538 | |
| Person / Time | |
|---|---|
| Site: | Browns Ferry |
| Issue date: | 01/30/1989 |
| From: | Carpenter D, Little W NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | |
| Shared Package | |
| ML18033A536 | List: |
| References | |
| 50-259-89-04, 50-259-89-4, 50-260-89-04, 50-260-89-4, 50-296-89-04, 50-296-89-4, NUDOCS 8902070057 | |
| Download: ML18033A538 (82) | |
See also: IR 05000259/1989004
Text
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UNITED STATES
bIUCLEAR REGULATORY COMMISSION
REGION II
101 MARIETTAST., N.W.
ATLANTA,GEORGIA 30323
Report No.:
50-259,-260,-296/89-04
Licensee:
Valley Authority
6N 38A Lookout Place
1101 Market Street
Chattanooga,
TN
37402-2801.
Docket No.:
50-259,-260,and
-296
License No.:
and
Facility Name:
Browns Ferry Units 1, 2,
and
3
Inspection at Browns Ferry Site near Decatur,
Inspection
Conducted:
January
4-12
19
Inspector
P. Burnett,
Reactor Inspector
P.
Castleman,
Plant
Systems
Engineer
E. Chri stnot,
Resident
Inspector
K. Ivey, Resident
Inspector
A. Johnson,
Project Engineer
A. Long, Project Engineer
D.
.
Ca
enter,
N
Site
M
er
Accompanied by:
/-3P'-
Date Signed
Approved by:
S
L
e, Section Chief,
Inspection
Programs,
TVA Projects Division
D
e
signed
SUMMARY
Scope:
.This special,
reactive
inspection
was
conducted
to determine
the
conditions that led to the loading of 74 fuel bundles into the
Browns
Ferry Unit 2 core without indication of core
neutron flux levels
as
identified by
NRC inspectors.
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Results:
Three apparent violations were identified:
260/89-04-01:
Potential
Failure
to
Comply with
by Proceeding
with Unmonitored
Core
Loading of Unit 2.
This
Constitutes
a
Potential
Unreviewed
Safety
Question
and
Com-
promises
Fundamental
Safety Principles
(paragraph
4.a)
259,260,296/89-04-02:
Failure to
Implement the Requirements
of
Procedure
SDSP-27.
1
to
Perform
Adequate
Unreviewed
Safety
Question
Determinations,
as
Evidenced
by Numerous
Inadequacies
in
the
Reviews
of
Fuel
Loading
Procedures
(paragraph
4.b)
259,260,296/89-04-03:
Failure
to
Provide
Adequate
Cross
- Disciplinary
Review
of
Procedu'res
Impacting
Plant
Safety
(paragraph
6)
Three
unresolved
items
were identified.
One
concerned
the adequacy
of the licensee
determination
that the
unmonitored core loading was
not reportable
per
or 50.73
(paragra'ph
10),
another
concerned
the
procedure
review process- (paragraph
6),
and the third
concerned
the
review
of
Technical
Specification
(TS)
requirements
for core monitoring (paragraph
5).
All of
the
identified violations
and
unresolved
items
must
be
satisfactorily resolved prior to Unit 2 restart.
The
inspection
noted
significant
weaknesses
in the
areas
of fuel
loading operations,
10 CFR 50.59 safety reviews,
review and approval
of procedures,
and
TSs.
The
inspection
also
indicated
that
the
licensee
accepted
without question
the provision of TSs which did
not preclude
unmonitored
and
may
have
taken
non-
conservative
and
improper
advantage
of existing
TS
wording
in
performing
unmonitored
As
a
consequence,
this
gives
indication of
a general
licensee
attitude
which appeared
to
emphasize
compliance rather than
safety
in order to
accommodate
the
easiest
option of performing the fuel loading operation.
When the problem was initially identified, the licensee's
assessment
and actions
were considered
to
be nonconservative,
incomplete,
and
inadequate.
Once
the licensee
acknowledged
the full significance of
the
issues
of unmonitored
core
loading,
however,
the
corrective
actions.
taken
were
appropriately
conservative,
thorough,
and
acceptable.
L1
-
1
REPORT
DETAILS
Persons
Contacted
Licensee
Employees:
0. Kingsley, Jr.,
Senior Vice President,
Nuclear
Power
C.
Fox, Vice President
and Nuclear Technical Director
J.
Bynum, Vice President,
Nuclear
Power Production
C. Mason, Acting Site Director
"G. Campbell,
Plant Manager
H. Bounds,
Project Engineer
.
"J. Hutton, Operations
Superintendent
"D. Mims, Technical
Services
Supervisor
G. Turner, Site gual,ity Assurance
Manager
P. Carier, Site Licensing Manager
- J. Savage,
Licensing Supervisor
A. Sorrell, Site Radiological
Control Superintendent
Other
licensee
employees
or contractors
contacted
included
licensed
reactor
operators,
auxiliary
operators,
craftsmen,
technicians,
and
quality assurance,
design,
and engineering
personnel.
NRC Attendees
"D. Carpenter
"E. Chri stnot
- K. Ivey
"P. Castleman
"Attended exit interview
On January
9
and
10,
1989,
while
NRC managers
were
on site for
a plant
tour
and
schedule
review,
TVA management
made presentations
to the staff
on the root cause
of the
unmonitored
core
loading,
corrective
actions
(short
term
and
long term),
and
plans
for resumption
of fuel loading
activities.
Attachment
A to this report
summarizes
TVA's presentations.
The following persons
were in -attendance:
Licensee
attendees:
0. Kingsley, Jr.,
Senior Vice President,
Nuclear
Power
J.
Bynum, Vice President,
Nuclear
Power Production
C.
Fox, Jr.,
Vice President
and Nuclear Technical Director
J.
Kirkebo, Vice President,
Nuclear Engineering
N. Kazanas,
Vice President,
Nuclear guality Assurance.
R. Gridley, Director, Nuclear Safety
and Licensing
J
~ Robertson,
Manager,
Nuclear
Fuel
C.
Mason, Acting Site Director,
Browns Ferry Nuclear Plant
G. Campbell,
Plant Manager.
G. Turner, Site guality Assurance
Manager
P. Carier, Site Licensing Manager
J.
Savage,
Licensing Supervisor
T. Overlid, Nuclear
Manager's
Review Group
Licensee contractor attendees:
W. Cobean,
TVA Consultant
P'. Marriott, General Electric
D. Janecek,
General
Electric
NRC attendees:
P. Burnett,
Reactor Inspector
D. Carpenter,
Site. Manager
P.
Castleman,
Plant Systems/TVA Projects
E. Christnot,
Resident
Inspector
K. Ivey, Resident
Inspector
A. Johnson,
Project
Engineer
B. Liaw, Director,
TVA Projects Division
W. Little, Section Chief, Inspection
Programs,
TVA Projects Division
A. Long, Project Engineer
E. Marinos,
Branch Chief, Reactor Operations
Branch
F.
McCoy, Assistant Director,
TVA Inspection
Programs
Acronyms used throughout this report are listed in the last paragraph.
Sequence
of Events
After an
extended
shutdown
of over four years
in duration,
Unit
2 fuel
loading
commenced at 9:50 a.m.,
on January
3,
1989.
The reactor
core
included four Source
Range Monitors
(SRMs),
one in each
quadrant,
to provide
neutron
monitoring during fuel
loading.
TS
3. 10
states
that
a minimum count rate of 3 cps is required for SRM operability
unless
other specified conditions are met.
Because
the
SRMs were reading
less
than
3 cps,
the licensee
performed fuel loading in accordance
with TS
3. 10.B. l.b.2.
This
allowed
count
rates
less
than
3
cps
provided
SRN
response
checks
were successfully
performed every
8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> using
a neutron
source,
both fresh
and irradiated
fuel were
b'eing
loaded,
and the core
was
loaded
in
a spiral
sequence.
The
TS does
not specify what
minimum
count rate is acceptable.
As the assemblies
were loaded,
the count rate
on
SRN
C fluctuated
between
0.2 cps
and 0.65 cps,
B indicated
between
zero cps
and 0. 17 cps,
and
A and
D showed
no detectable
count rates.
During the source
checks,
the
SRMs responded
with count rates
on the order of
3 cps.
The observed
responses
with
and without the
sources
indicated
that
the
SRNs
were
and capable of detecting
neutrons,
but at least
three
SRMs were
not continuously
responding
to core
neutrons
from the fuel configuration
~
~
1
established
during the,.core
reload
process.
The
response
of the fourth
SRM, channel
C,
was also questionable.
Both prior to and immediately following the initiation of the fuel loading
process,
NRC inspectors
questioned
the
licensee
regarding
whether
the
positive reactivity additions
from the fuel assembly
movements
were being
adequately
monitored
to
ensure
core
safety,
since
the
were
not
responding
to neutrons
from the fuel.
The licensee
contended
tha" per
TS
3. 10.B. l.b.2,
SRM response
to core
neutrons
during core
loading
was not
required.
On January
5,. 1989, after approximately
45 fuel assemblies
had
been
loaded
into the core without achieving
any observable
response
on
more than
one
SRM,
an
NRC inspector
again raised the issue of adequate
core monitoring.
The licensee
continued to maintain that it was unnecessary
to require
response
to core neutrons
because it was not required
by TS,
and obtained
concurrence
on this position from the
GE representative
on site.
Licensee
reactor engineers
indicated to the
NRC inspectors that,
due to the length
of the extended
shutdown,
the radioactivity level of the fuel
was
so
low
that the loading of approximately
200 bundles
was anticipated
before the
count rates
on all
SRMs would exceed
3 cps.
The licensee
was
requested
to provide the
NRC inspectors
with
a safety
analysis
supporting
the
unmonitored
core
loading,
including:
(1)
analytical
verification that
the
unresponding
would promptly
and
adequately
reflect
any
significant
adverse
flux trend;
and
(2)
the
calculations of the minimum number of assemblies
required for criticality.
Simultaneously,
the
NRC inspector's
concern
was
escalated
within
NRC
senior
management
and appropriate
NRC Regional
and Headquarters
technical
sections.
On January
5,
1989, at approximately 5:00 p.m., fuel loading
was halted
by
the licensee
pending review and resolution of the
NRC concerns,
with 74 of
the total
764 fuel assemblies
loaded.
Recorded
SRM count rate readings at
the termination of fuel loading
showed
C at 0.8
cps
and
the other
three detectors
reading essentially
zero.
On January
8,
1989,
at approximately
1: 15 a.m.,
the licensee
moved
D
to the location of
F near
the center of the core
and reestablished
core monitoring'n indication of 35 to 40 cps was attained
and the count
rate
remained stable at that level.
Safety Significance of the Event
Inadvertent criticality is prevented
during core alterations
by the margin
of safety
provided in the core design,
through refueling inter locks,
and
by continuous
core neutron flux monitoring.
Neutron
monitoring is essential
to
ensure
the
prompt detection
of and
operator
response
to
an
inadvertent
criticality.
The
safety
impact
of loading
fuel without the
on
scale
is that if a criticality
l
condition
did
occur, it would
continue
undetected
until flux levels
increased
enough -to bring the
SRM readings
on scale.
In such
an event,
the lack of core
neutron
monitoring could delay actions
to mitigate the
consequences
of an inadvertent criticality accident.
Detector
"response"
to neutrons
must
be distinguished
from
a detector
being
"operable"
per
TS
requirements.
The
were verified to
be
by the periodic source
checks
performed during the fuel loading;
however,
detector
operability
does
not
assure
the
monitoring of core
neutrons.
For monitoring to occur,
an operable
detector
must
be
in
a
geometry
which assures
exposure
to sufficient core flux for the detector
to
be
on scale
and
responding directly to changes
in the
magnitude
of
the neutron
flux'icensee
reactor engineers
indicated to the,NRC inspectors that as few as
eight fuel bundles
could
have
achieved criticality if two control
rods
were withdrawn.
The licensee
loaded
several
multiples of this potential
critical
mass
without
core
neutron
monitoring.
Based
on
additional
licensee
calculations,
criticality could
have
occurred
during the
core
loading
sequence if four worst case
loading errors
had occurred
combined
with the withdrawal of the highest worth control rod.
In this specific
case,
no control
rods
were
withdrawn
and
no loading
sequence
errors occurred.
Consequently,
as discussed
in paragraph
9, the
reactor
was in fact adequately
shutdown.
However, the licensee
did load
74 fuel bundles into the core without continuous
neutron flux monitoring.
This is contrary "to the fundamental
concept of not adding positive reacti-
vity or making
without the ability to determine
the
effect of that reactivity addition or alteration
on the core.
Unreviewed Safety Question Determinations
10 CFR 50.59 requires
that the holder of a license authorizing operation
of
a
production
or utilization facility must
receive
prior
Commission
approval
to
make
changes
in the procedures
as described
in the safety
analysis
report if the
proposed
changes
involve
an
unreviewed
safety
question
(USQ).
Two conditions
of
10 CFR 50.59 for which
a
proposed
change
shall.
be
deemed
to involve
an
unreviewed
safety
question
are:
(I) if the
consequences
of
an
accident
or malfunction of equipment
important to safety previously evaluated
in the safety analysis
report
may
be increased;
or (2) if the margin of safety
as defined in the basis for
any
TS is reduced.
The holder of
a license
authorizing
operation
of
a
utilization facility who desires
to
make
a
change
in the
procedures
described
in the safety analysis report which involve an unreviewed safety
question
must submit
an application for a license
amendment.
Site Director
Standard
Practice
(SDSP)
27. 1,
"Evaluations .of
Changes,
Tests,
and
Experiments-Unreviewed
Safety
Question
Determination,"
which
implements
the requirements
of 10 CFR 50.59, requires that
new procedures
or proposed
changes
to existing procedures
'be given
a screening
review to
determine
whether
the
proposed
change
could impact nuclear safety.
This
screening
review process
applies the criteria in 10 CFR 50.59 to determine
if proposed
changes
require
a safety
ev'aluation
or
TS
Change.
If it is
determined
that there
could
be
an
impact
on
nuclear
safety,
a safety
evaluation
of the
proposed
procedure
change
is required.
The
safety
evaluation
determines
whether
a proposed
change
involves
a
US/ or change
to
a
TS and therefore
would require prior NRC approval.
'a
~
Core Loading Procedures
In August 1988,
2-GOI-100-3, "Refueling Operations,"
was approved in
preparation for loading fuel in Unit 2.
This procedure
prescribed
a
fuel
loading
sequence
which did not provide for continuous
source
range
monitoring.
Specifically,
the
procedure
did
not
delineate
a
minimum
acceptable
count
rate
or
assure
that
the
were
responding
to core
neutrons.
The
screening
review of
the procedure,
conducted
per
SDSP 27. 1, indicated that the procedure
could not impact nuclear safety.
Therefore,
no safety evaluation
was
performed to determine
whether the proposed
change
involved a US/ or
required
a
TS change.
The inspectors
consider that
a procedure
which
allows unmonitored positive reactivity additions
does
impact nuclear
safety,
and
consequently
should
have
been
supported
by
a
proper
safety evaluation
as required
by 10 CFR 50.59.
The written justification
on the
screening
review,
which supported
the classification
of 2-GOI-100-3
as
having
no potential
safety
impact,
stated that the proposed
steps
were within the guidelines of
the
TS and
FSAR.
The TSs were
amended
in 1979 to allow fuel loading
with
SRM count rates
less
than
3 cps under certain conditions.
The
inspectors
considered
that
the
licensee's
safety
evaluation
supporting this amendment
was inadequate
as discussed
in paragraph
5.
FSAR Section 7.5.4. 1, which documents
the design
basis
of the
SRMs,
states
that
neutron
detectors
shall
be provided which result in
a
count
rate
of
no
less
than
3
cps with all
control
rods .fully
inserted.
The
FSAR was not updated
when the
TSs were changed,
so the
change
in TS 3. 10 was clearly in direct contradiction with the
requirement.
When
2-GOI-100-3
was written in
1988,
the trained initiator and
qualified reviewer performing the procedure
review failed to identify
the contradiction
between
the
and
TS.
Additionally, review of
the
applicable
portions
of the
and
TS,
as
required
by the
SDSP
27 '
screening
review apparently
did not include
a review of
the
TS Bases
and
SER,
which require
core
monitoring.
Due to the
inadequate
screening
review,
a safety
evaluation
was
not performed
and
a potential
unreviewed safety question
was not identified.
The inspectors
consider
that
had
an appropriate
10 CFR 50.59 safety
evaluation
of
2-GOI-100-3
been
performed
when
the
procedure
was
written, the necessity
for adequate
core
neutron monitoring
should
t
I
have
been identified
and the contradiction
between
the
FSAR and
TS
should
have
been resolved.
In addition,
an
adequate
evaluation
of 2-GOI-100-3
should
have
questioned
the applicability of TS 3. 10.B. l.b.2, which
allows fuel
loading with
SRN count
rate
levels
less
than
3
cps
provided that both fresh
and irradiated fuel are loaded.
Irradiated
fuel should provide adequate
minimum flux'levels for core monitoring,
to meet the intent of TS 3. 10.B. l.b.2.. In this case,
the irradiated
fuel should
have
been considered
equivalent to fresh fuel due to the
decay
of the
neutron
levels
in the irradiated
fuel
during the
extended
shutdown.
Performance
of
an
unmonitored
core
loading is considered
to 'be
a
potential
Unreviewed
Safety Question'n
that it may
increase
the
consequences
and/or probability of an accident
previously evaluated
in the
SAR and
may
reduce
the margin of safety
as defined
in the
basis for TS 3. 10.B. l.b.2 (see
paragraph
5 of this report).
The fact that the licensee
began
an unmonitored core loading without
performing
a
proper
evaluation
and
obtaining prior
NRC approval
as
required
by
was identified
as
apparent
violation
260/89-04-01.
b.
Programmatic
Assessment
NRC inspectors
reviewed
the
adequacy
of the licensee's
program for
unreviewed safety question determinations.
The
NRC
reviewed
13 screening
reviews
(performed
between
June
and
December
1988)
associated
with refueling
procedures
and
their
revisions.
Several
errors
were
noted.
In
some
cases,
these
errors
were
not
in accordance
with SDSP-27. 1, while in other
cases,
the
errors
appeared
to violate the intent of both
SDSP-27.
1
and
10 CFR 50.59 to ensure that proposed
changes
do not adversely
impact nuclear
safety.
The following deficiencies
in implementation of SDSP-27.
1 were noted:
1)
Section
6.2.3
and Attachment
B
"Yes,"
"No " or "N/A" response
screening
review form be given
support
that
conclusion."
In
assessed,
there
were
a total of
these:
of SDSP-27.
1 require that
each
to the three
questions
on the
"sufficient justification... to
aggregate,
among
the
13
SRs
39 justifications required.
Of
Two were left blank.
Six merely stated that the proposed
changes
did not affect
nuclear
safety,
but
did
not
provide
any
supporting
analysis
or other
expl'anation.
The
inspectors
consider
that these
changes
could have affected nuclear safety.
Eleven
were
incomplete
and/or
included what the inspector
considered
to be illogical assessments
of the issues
being
screened.
Many of the justifications failed to answer
the
question of whether the issues
could impact nuclear safety.
Several
justifications
stated
that
the
changes
had
no
safety
impact
because
they were administrative
in nature,
but this
assumption
was
not
supported.
A
number
of
discrepancies
were
observed
between
the
information
provided
on
different
screening
forms
for
the
same
procedures.
Fourteen
were identified as
N/A as allowed by SDSP-27. 1.
Six were considered
to be satisfactory.
From
the
above
categorization
of justifications',
additional
analysis
and justification
should
have
been
performed
for
approximately half of the questions
reviewed.
For those
pro-
posed
changes
which could not be categorically
shown to have
no
impact
on safety,
a
safety
evaluation
(SE)
should
have
been
performed.
The
inspector
considers
that
for the
screening
reviews
(SRs)
assessed,
12
should
have
been
performed in
accordance
with the provisions of SDSP-27. 1.
2)
One activity which is included
in the screening
review process
is the
requirement
for screeners
to list
and
TS sections
researched
in conjunction with their
reviews.
There
are five
locations
on
each
screening
review form to list the applicable
research
documentation,
resulting
in
a total
of
65
research
citations required for the
sample of 13 SRs.
Of those
65:
Two were left blank
Four listed "ALL" as having been
reviewed (both
TS
& FSAR)
Six stated that
no
TS and/or
FSAR section applied.
It is not clear
from the inspectors
review of the
SRs that the
FSAR was properly researched
and reviewed
as required.
3)
On
the
SRs
reviewed
by the
NRC inspector,
there
were five
instances
where
the
wrong
box
("NO" instead
of "N/A") was
checked
as defined in SDSP-27. 1.
These errors were all made
in
response
to question
1 of the screening
review form:
"Does the
proposed
change
involve
a
change
in the facility (or plant
operating characteristics)
from that described
in the
FSAR and
which could
impact
nuclear
safety?"
In accordance
with the
guidelines
of Attachment
B of
SDSP-27. 1,
in
each
of these
instances
the "N/A" box should
have
been
checked
as the changes
did
not
involve
changes
to either
the facility or plant
operating characteristics.
The
deficiencies
described
above
indicated
that
SR preparers
neither
strictly
nor
consistently
adhered
to
the
requirements
of
SDSP-27. 1.
The resulting determinations
that
no safety
evaluations
were
necessary
appeared
to incorrectly bypass
the
mechanism
established
by SDSP-27.
1 to
ensure
that
proposed
changes
receive
the
appropriate
review regarding
safety impact., In summary, it is considered
that the licensee's
threshold
for performance
of safety
evaluations
based
on
the
screening
review
process
is too
high.
This
may result
in
a superficial
evaluation of
nuclear
safety
consequences.
Additionally, it is also
considered
that
the
numerous
deficiencies 'noted
in the
SRs indicate
a weakness
in the
diligence
with
which
the
screening
reviews
are
- performed.
These
concerns're
considered
to
have contributed to
a fai lure to perform
a
safety evaluation
to dete'rmine if a
US/ exists
as cited
in Violation
260/89-04"01.
r
Appendix
B, Criterion
V requires
that activities affecting
quality shall
be
accomplished
in accordance
with documented
procedures.
The
failure
to
implement
the
requirements
of
Appendix
B,
Criterion
V and
procedure
SDSP-27. 1 for
unreviewed
safety
question
determinations,
as indicated
by the .numerous deficiencies
iden-
tified by the
NRC inspectors
in the screening
reviews of the fuel loading
procedures,
was identified as Violation 259,260,296/89-04-02.
All of the
SRs
assessed
were
approved
by personnel
who were officially
designated
as
"Approvers."
Each
of these
personnel
had
successfully
completed
an
eight-hour training
course
in the
USED process
and
were
current in their
required
annual
requalification training.
Also, review
of the
USED training material
determined
that the required
information
from SDSP-27. 1,
10 CFR 50 '9,
and
other
NRC
and
industry
guidance
is
presented
during training courses for SR Preparers
and Approvers.
Per
SOSP-27. 1, the Approvers are charged with the responsibility to review
the
responses
to the
SR questions
and the associated
justifications for
technical
adequacy,
and to indicate their approval of the.SRs.
It appears
that the
standard
of technical.
adequacy
enforced
by 'the first level of
supervisory
review has not been sufficient.
Technical Specification
and
Bases
Adequacy
The inspectors
reviewed the technical
adequacy
of the specific
TS sections
used
by the licensee
as
a basis for conducting
unmonitored fuel'oading.
Technical
Specification
3. 10.B. 1 required that during core alterations,
other
than
a
complete
core
removal,
two
SRNs shall
be operable
in or
i
adjacent to any quadrant
where fuel or control rods are being moved.
For
an
SRM to be considered
the following shall
be satisfied:
TS 3.10.B.1.b.l:
The
SRNs shall
have
a
minimum of
3 cps with all
rods fully inserted
in the core, if one or more fuel
assemblies
are
in the core, or
'S 3. 10.B. l.b.2:
During
a full core reload where both irradiated
and
fresh fuel is being loaded,
may have
a count rate of less
than
3 cps provided that the
SRMs are
response
checked at least
once
every
8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> with a neutron
source until- greater
than
3 cps
can
be
maintained,
and provided also that the
core is loaded
in
a spiral
sequence
only, or
TS 3. 10.B. l.b.3:
During
a full core reload where both irradiated
and
fresh fuel are being loaded,
four irradiated fuel assemblies will be
placed adjacent to each
SRN to establish
a count rate of greater
than
3 cps,
provided
each
SRM is functionally tested prior to adjacent
fuel loading,
a neutron
response
is observed
as the adjacent fuel is
loaded,
and the core is loaded
in
a .spiral
sequence
only after the
SRM adjacent
fuel loading.
The provisions of TS Sections
3. 10.B. 1.b.2
and 3. 10.B. 1.b.3 could result
in fuel
loading
sequences
without continuous
monitoring of reactivity
changes
because
of the geometry of the.SRM locations.
As fuel is loaded
in
a spiral pattern
from the center of the core,
the flux is not initially
neutronically
coupled with the
SRM locations
due to attenuation
between
the
fuel
and
the
detectors.
In this
situation,
the
are
not
monitoring
core
neutrons.
Although the provision
of
TS
3. 10.8. l.b.3
should maintain
a
3 cps minimum count rate, this only provides continuous
demonstration
of
SRM operability
and
does
not ensure
monitoring of core
neutrons.
The licensee
had not performed
a safety analysis
to justify
that the
SRNs would promptly respond to
a criticality event if continuous
monitoring was not maintained,
Both the
TS
Basis
and
the
NRC
1979
indicated
the
necessity
for
continuous
core monitoring.
The
TS Basis for Section
3. 10 states
that the
SRNs
are
provided for monitoring
and for guidance of the operator during
refueling operations.
The
TS Basis further states
that
3 cps
on the
is required
to ensure
that the flux is being monitored.
The
SER states
that
one function of the minimum count rate requirements
in the
TS is to
provide assurance
that the
SRN detectors
are close
enough to the array of
fuel assemblies
to monitor core neutron flux levels.
Both
TS 3. 10.8. l.b.2 and
TS 3. 10.B. l.b.3 are only applicable
when the fuel
being
loaded
contains
irradiated
assemblies.
The
SER indicates that the
relaxation of the
3 cps
minimum count rate
applies
only when irradiated
fuel is being
loaded
because
the
neutrons
from spontaneous
fission
and
fission product decay,
and photoneutrons
provide
a minimum neutron flux to
demonstrate
SRM response.
Section
3. 1 of the
SER states
that the presence
of exposed
fuel will ensur'e
the required
minimum flux levels required for
'
10
monitoring.
The
SER further states
that the .loading of a core containing
only fresh'fuel
must
use
lumped
neutron
sources
and
FLCs to
meet
the
normal
3 cps
minimum count rate.
The inspectors
consider that the intent
of the
TS 3. 10.B. 1.b.2
and
TS 3. 10.B. l.b.3
requirements
for irradiated
fuel relates
to an assumed
minimum flux level from the presence
of photo-
neutrons
even
though
a minimum flux level
is
not specified.
Although
the
previously
exposed
fuel
assemblies
being
loaded
in Unit
2 were
"irradiated", the radiation levels
had
decayed
during the
extended
shut-
down
such that the assemblies
should
have
been
considered
equivalent to
new fuel with respect
to neutron levels.
The inspector
concluded
that
loading of fuel,
under
the existing conditions,
would appear
to preclude
the
use of TS 3. 10.B. l.b.2 and
TS 3. 10.B. 1.b.3.
Based
on the assumption
of loading irradiated fuel of sufficient activity
level
to
meet
minimum flux requirements
for monitoring,
the
TS Basis
states
that
a large
number
of fuel assemblies
will not
be required
to
maintain
3 cps'he
licensee's
plan
to
load
200
assemblies
before
achieving
the
specified
minimum count
rate
appears
to contradict this
Basis.
Originally, the
TSs required
fuel loadings to
be monitored with
SRMs or
FLCs reading greater
than
3 cps.
FLCs -were to be used during .fuel loading
until
3 cps could
be achieved
on the
SRMs.
In 1975,
the
TS were changed to allow for a full core unload with SRM or
FLC count rates
of less
than
3 cps.
Also, the requirement
to
have
an
neutron monitor in the quadrant in which fuel was being
moved and
in the adjacent
quadrant
was inadvertently
changed to require
an operable
monitor in the quadrant
of fuel
movement
or the adjacent
quadrant.
Thus
an operable
monitor was
no longer required in the quadrant
in which fuel
was actually being loaded.
In 1979,
TSs were
changed
to allow a full core reload with less
than
3 cps
if the core is loaded in a spiral
sequence.
This loading
method did not
provide continuous
core monitoring.
TVA based their safety evaluation
on
the fact that the
NRC had
approved
a simi.lar change
for Nine Mile Point
Unit 1.
Records
indicated that the
BFNP submission
simply referenced
the
NMP Unit
1
SER without describing
any
differences
between
the
two
reactors
and the required procedures
and process
in carrying out the fuel
loading
and core monitoring.
The
inspectors
considered
the
licensee
safety
analysis
supporting
the
1979
TS
amendment
to
be
inadequate
in that it did not provide
any
minimum count rate.
If relief from the
3 cps
minimum was justifiable,
a
new
minimum
should
have
been
established
which would'e
based
on
signal to noise ratio parameters.
Written relief from the requirement for
3 cps
was obtained,
but
no
new
minimum count rate requirement
was esta-
blished.
This did not relieve
the
licensee
of the responsibility for
providing
adequate
procedures
including specifying
a
minimum acceptable
11
count rate.
Although a count rate of zero literally complies with the
TS
requirements, it is considered
unacceptable
from
a conservative
safety
perspective.
In 1984,
TS were changed to allow loading irradiated fuel around
each
to obtain
a
3
cps
minimum count
rate with
a spiral
loading pattern.
Again, this loading method did not provide adequate
core monitoring.
All three of the
TS revisions singularly and collectively are considered
to
be
non-conservative
and
appear
at variance
with fundamental
core
physics
requirements
to
monitor
core
neutron
population
as
positive
reactivity is added or as core alterations
are
made.
On
January
6,
1989,
following the
termination
of fuel
loading,
the
licensee's
Plant
Manager
informed the
NRC inspectors
that
the
licensee
safety
analysis
supporting
the
1979
TS
amendment
which allowed
core
loading without a minimum
SRM count rate
level of
3 cps
was
inadequate.
The
Plant
Manager
also
acknowledged
that
inadequate
safety evaluations
were provided to the
NRC for the
TS submittal in 1984,
and that management
should
have provided
an in-depth review of the adequacy
of the evaluations
for both the
1979
and
1984 submittals.
The inspectors
questioned
the validity of TSs which allow unmonitored core
alterations.
This is identified
as
Unresolved
Item 259,260,296/89-04-04
pending completion of licensee
aetio'n to generically
review
TSs for this
.
type of concern
and further
NRC review.
6.
Fuel
Load Procedure
Review, Approval,
and Adequacy
The
NRC inspectors
reviewed the following procedures
which controlled the
fuel loading process:
2-GOI-100-3, "Refueling Operations"
TI-147, "Fuel Loading After a Complete
Core Unload"
2-SI-4. 10.8,
"Oemonstration of Source
Range Operability"
TI-14, "Special
Nuclear Material Control"
The following conclusions
were reached
and discussed
with the licensee:
A minimum acceptable
count rate
was
not mentioned,
directly or by
reference,
in the procedure.
b.
The concept of detector
response
as
opposed
to detector operability
was
not adequately
addressed
in the
fuel
loading
procedures
(see
paragraph
3).
Licensee
insensitivity
to
the
requirement
for
and
benefit
of
continuous monitoring was reflected in TI-147, "Fuel
Loading After A
Complete
Core Unload",
step 4.2.8,
which stated
that fuel
movement
12
should
be halted if two or more
SRM readings
double after loading
a
single
fuel
assembly
provided that three
out of four
were
reading
greater
than
3.0
cps without the
Response
Check
Neutron
Source,
prior to loading that bundle.
The
NRC inspectors
did not
consider
this
a
meaningful
precaution
when
the
were
not
continuously
responding
to
core
neutrons.
A large portion of the
core,
many critical masses,
could have
been
loaded
before
the
3 cps
count rate
was achieved.
d.
A primary purpose
of the spiral
loading pattern
being
used
by the
licensee
was
to
ensure
that
no
control
cell
size
(four fuel
assemblies)
flux traps were created
in the loading
sequence.
A flux
trap is
a region of high flux created
in
an unfilled fuel
assembly
location which is surrounded
by fuel.
A fuel assembly
inserted into
a flux trap could
have especially
high reactivity worth.
Although
cell-size flux traps did not occur
in the loading
sequence,
the
NRC
inspectors
determined that fuel
assembly
size flux traps did occur.
This is
due to the
need
to
use
control
rod blade guides during the
loading
sequ'ence.
In the first
36
steps
of the
loading, sequence
'there were two instances
of fuel assemblies
being added to
a position
that was completely surrounded
by fuel.
The
NRC inspectors
'reviewed
the loading error analysis
and
concluded
that
a fuel-assembly
size
flux trap
was within the
bounding
analysis..
The insertion
of
a
single fuel assembly
into a flux trap region of high worth should not
result
in criticality.
Therefore
the
assembly
size
flux traps
allowed by the loading
sequence
did not present
a safety hazard.
NRC
inspectors
observing
the
count
rate
meters
during fuel
loading
noted that
count
rates
on
the
order of
100
cps
occurred
whenever
a fire
alarm
or
medical
emergency
code call
occurred.
Although neutron monitoring capability was lost during these
alarms,
the
procedures
contained
no precaution
to stop fuel
movement
when
this situation occurred.
An. NRC inspector
assessed
the operability of the
by observing
the
response
of the count rate
meters
in the control
room when the
SRMs were checked,
with eight hour frequency,
using
a fixed neutron
source
in
an adjacent
core position.
The
response
was surprisingly
slow,
but
stable
once
complete.
The
inspector
also
checked
the
response
of two channels
with
a stop watch.
The apparent
response
time'onstants
were
34 seconds
and
25 seconds
for channels
A and 8,
respectively.
The
time constant
is the time to reach
63% of the
final
reading.
Review
of
7.5.4.2.4
indicated
that
this
performance
is expected at low count rates
but will improve at higher
- count .rates.
The
fuel
handling
procedures
did
not
include
a
requirement
to confirm that
SRM indications
have stabilized prior to
releasing
the fuel handling grapple.
The
need for such
a provision
was identified to the licensee
by the
NRC inspectors.
Of the
fuel
load
procedures
reviewed,
only TI-14,
"Special
Nuclear
Material Control", which provided the'pecific
fuel
movement
steps,
had
been
reviewed
by the
PORC.
The other procedures,
all of which contained
steps
and precautions
essential
to the safety of the loading 'process
and
13
described
cross disciplinary activities, received only Section Supervisor
and
RSPC review.
The inspectors
reviewed the
TS requirements
applicable to procedure
review
and
approval.
itemizes
those
plant activities for which
written procedures
shall
be established,
implemented
and maintained,
and
includes the applicable
procedures
recommended
in Appendix A of Regulatory
Guide 1.33.
Appendix
A includes plant operating
procedures
for refueling
and
core
alterations.
TS 6.8. 1.2
requires
that
each
administrative
procedure
recommended
in Regulatory
Guide
1.33 shall
be
reviewed
by the
PORC,
and all other procedures
required
by Regulatory
Guide 1.33 shall
be
reviewed
in accordance
with
Section
6.5.3
requires
independent
review and cross-disciplinary
review when necessary.
These
TS
provisions
were, implemented
by the
licensee
through
SDSP
7.4,
"Onsite
Technical
Review
and Approval
For Procedures,"
which defines
when cross
disciplinary review is necessary,
and
PMI-7.1, "Plant Operations
Review
Committee."
These
procedures
require
PORC review for the administrative
procedures
and require
a qualified independent
review for other safety-related
procedures.
Step
4.4 of SDSP 7.4 states
that cross-disciplinary
reviews
shall
be performed
whenever
any of the
following conditions apply:
Steps
in
a
procedure
may affect
equipment
under
another
g'roup's
direct control
'henever
another
group will be required to perform physical actions
not included in previously approved instructions
In
cases
where
parts
of the procedure
are outside
the reviewer's
expertise.
The
above
requirements
indicate that the fuel loading
procedures
should
have
received
cross disciplinary review.
Of particular significance
was
the
fact
that
2-GOI-100-3
did
not
receive
the
appropriate
cross-disciplinary
reviews
by RadCon,
Operations,
Industrial Safety,
Over sight,
Training,
Vendor
Manual
Coordinator,
Site
Licensing,
Instrumentation
Section,
Mechanical
Section,
and
other
relevant
disciplines.
The
NRC inspectors identified that
none of the procedures
for fuel loading
were classified during the review and approval
process
as safety-related,
despite
the
obvious
safety
implications.
The
inspector
noted
that
Regulatory
Guide 1.33 specifically designates
procedures
for refueling and
as safety-related.
The
NRC
inspectors
considered
the
lack of
adequate
review to
be
a
significant contributing factor to the occurrence
of the unmonitored fuel
loading.
Fuel
loading
was of particular safety significance
considering
that
Unit
2
had
been
shut
down .for over
four years
due
to
poor
performance,
the majority of operators
were either newly qualified or had
not recently operated,
and
the condition of the fuel after the extended
shutdown differed from
a typical refueling.
Procedures
to conduct
core
loading should
have
been
given the highest level of review.
Failure to provide cross disciplinary review as required
by TS 6.5.3
and
administrative
procedure
SDSP 7.4,
was identified as
apparent
Violation
259,260,296/89-04-03.
The
NRC inspectors further noted that
an issue involving inadequate
review
and approval
of procedures
had recently
been
raised
in
NRC Inspection
Report
259,260,296/88-36,
but the - licensee's
corrective
actions
focused
only on addressing
the specific procedure
questioned
by the
NRC.
A review
of
TS 6.5. 1
concerning
PORC activities
revealed
an
ambiguously
worded
specification that provided only for
review of administrative
pro-
cedures
and
emergency
operating
procedures
and did not appear to address
either
PORC overview of potential
unreviewed
safety
questions
associated
with procedures
or
PORC overview of the implementation of the independent
qualified reviewer process.
The adequacy
of the procedure
review process
including the responsibilities
of the
PORC for procedure
review is identi-
fied as Unresolved
Item 259,260,296/89-04-05.
Previous
NRC Findings
on
SRM Monitoring During Refueling
The inspectors
reviewed
previous
NRC inspection
findings in the
area
of
core monitoring during fuel
movement to assess
whether the
licensee
had
previous
opportunity
to identify
and
evaluate
the
adequacy
of core
monitoring.
NRC
Inspection
Reports
259,260,296/85-43
and
85-44
documented
NRC
concerns
regarding
TS requi rements
for.
SRM count rates during Unit
1 core
unloading.
The specific
issue
involved
an apparent conflict between
TS
3. 10.B. 1, which required
a
minimum
3 cps
count rate for
SRM operability
except
during certain
specific
reloading -conditions,
and
TS
3. 10.B.2,
which allowed the
SRM count rate to drop
below
3 cps during
a complete
core removal.
Although the concern
was identified during
an inspection of
core unloading,
a key concept is that core monitoring is required
as long
as fuel is in the core.
Additionally, the concern brought the ambiguity
of the
TS to the attention of the licensee.
The licensee
committed to
a
reevaluation
of the operability requi rements
in TS 3. 10 for the
SRMs,
and
made
an interim procedure
change
to leave fuel around the
SRMs to maintain
a
minimum count
rate
indication.
This previous
inspection
finding was
identified as IFI 259/85-44-02.
The
same
concern
surfaced
again
during
Unit
3
fuel
unloading,
as
documented
in
NRC Inspection
Report
259,260,296/87-09.
The
inspection
report
again
raised
the
issue
of adequate
monitoring
and reiterated
the
licensee's
commitment to evaluate
the
adequacy
of TS 3. 10.
At that time
the inspectors
questioned
the
adequacy
of
management
oversight
because
this was the
second
incidence of the
same
concern.
Since
the
items
addressed
concerns
with defueling,
they
were inappro-
priately classified
as not affecting fuel load or startup.
Therefore,
the
adequacy
of
TS 3. 10 with respect
to
SRM .operability requirements
had not
been formally evaluated
by the licensee.
4s
15
8.
Other Opportunities
To Identify Unmonitored
Fuel
Loading
As previously discussed,
the licensee
should
have identified the safety
,issue
of unmonitored
core
loading
through
the
performance
of adequate
reviews,
through the procedure
review and approval
process
required
by TS,
through
reference
to the
TS Bases
and/or
SER, or through
adequate
response
to previous
NRC inspection findings.
In addition, other
specific
opportunities
for the
licensee
to identify and correct
the
problem
had also existed.
a.
Previous
communications
between
the licensee
and
GE should
have led
to earlier identification of the problem.
In 1987,
as part of the
design
process,
the licensee
began
discussions
with
on
neutron
source
requirements
for
fuel
loading.
Licensee
engineers
were
concerned
that
TS 3.3.B.4, which requires
greater
than
3 cps
on the
SRMs prior to pulling rods to go critical, could not be met because
of the effects of the
long
shutdown
on the fuel.
In May 1987,
recommended
the
use of startup
sources
and
FLCs for fuel loading.
Based
on reference
to the TS, the licensee
did not believe that
would
be required
and declined the recommendation
of GE.
GE further
recommended
a change to TS to allow a reduction
in the required
cps
and spiral
loading
around
an
SRM.
The licensee
also rejected this
proposal
as unnecessary
based
on the wording of the existing TS.
.b.
On
December
16,
1988,
GE issued
Nuclear Services
Information Letter
(SIL) No. 478,
"SRM Minimum Count Rate"', which stated that owners of
BWRs which have not operated for an extended
period find that the
signal
is less
than following briefer outages.
The SIL raised
the
concept
of
adequate
core
monitoring.
In particular,
the
addressed
the
need for establishing
a minimum count rate limit.
The
SIL also
stated
that
SRM monitoring of neutrons
requires
a
minimum
count rate of 0.7 with
a signal
to noise ratio of 20 to 1.
During
the fuel load at
BFNP even
C did not maintain
a count rate level
of 0.7.
The
inspectors
also
observed
that
the
licensee
did not
appear to have
a formal process
to ensure that
addressed
in a timely manner.
C.
Prior to fuel loading,
the licensee
conducted training for nuclear
engineers,
GE field engineers,
gA personnel,
and operations
personnel
who
would
be
involved
in
the
loading activities.
The training
focused primarily on the actions
to
be taken
and did not cover the
technical
bases
for these
actions.
The licensee
reported that
field engineers
did informally question
the lack of core monitoring,
but were convinced
by TVA personnel
that the planned methodology
was
acceptable
because
of the wording of the approved
TS.
Adequate
engineering
design
review should also
have identified the problem
of unmonitored
core
loading.
The
licensee's
Nuclear
Fuels
Department
performed the core design
and safety analyses,
and developed
the full core
loading
pattern
used
as
a
basis
for the detailed
loading
sequence.
Nuclear
Fuels
reviewed
the
fuel
assembly
transfer
forms for technical
adequacy
and concurred that they were acceptable
to safely load fuel.
The
16
safety
analyses
per formed for the core
were. directed
toward confirming
that the core for Cycle
6 would operate
within the thermal limits of TS
and the bounds of the analyzed accidents
in the
FSAR.
The safety of the
refueling
operation
was
not
addressed
by the
licensee's
Nuclear
Fuels
Department
in any of the design
documents
reviewed
by the
NRC inspectors.
The
inspectors
considered it significant that
the
licensee
made
a
conscious
decision to apply
TS 3. 10.B. l.b.2 to load fuel with less than
3
cps
based
on loading irradiated fuel.
Licensee
engineers
made
statements
to the inspectors
on several
occasions
which demonstrated full awareness
that the irradiated
fuel being
loaded
was the equivalent of fresh fuel
with respect
to
neutron
levels.
In fact,
licensee
engineers
indicated
that
a decision
was
made
not to apply
TS
3. 10.B. l.b.3,
and
load four
irradiated
assemblies
around =each
SRM to achieve
a
3 cps
SRM count rate,
because
the
licensee
did not believe
that
the
neutron
levels of the
irradiated assemblies
was sufficient to comply with the TS.
The inspector
considered
that the licensee
took nonconservative
and
improper
advantage
'of the
TS wording.
g
emphasize
compliance rather than safe
9.
Licensee
Immediate
Corr ective Actions
In each of the various opportunities to have identified and corrected this
basic safety concern,
the licensee
seemed
to accept
without question
the
provisions of the
TSs which allowed
unmonitored
As
a
conse
uence
this
ives indication of a general attitude which appears
to
ty.
Upon termination of fuel loading
on January
5,
1989,
the licensee
took the
following immediate corrective-actions
to assure
adequate
shutdown
margin
would be maintained:
Licensee
nuclear
engineers
analyzed
the
shutdown
margin of the
74
fuel
assembly
configuration,
conservatively
approximated
in
the
calculations
by
a symmetric pattern of 76 assemblies.
The calculated
SDM with 76 assemblies
correctly
loaded
and all control
rods fully
inserted
was
7.59
% delta k/k, which represented
a very substantial
safety
margin.
The calculated
SDM with
76
assemblies
correctly
loaded
and
a single
stuck rod withdrawn was 2.65
% delta k/k, which
remained substantially
more conservative
than .the
SDM of 0.38
% delta
k/k required
by TS.
The
SDM remained
safely above the
TS limit even
with three
worst-case
loading errors
assumed
and
one
stuck
rod
withdrawn.
The calculations
predicted criticality would occur only
with the
assumption
of four worst
case
loading errors
plus
a stuck
rod.
The
NRC inspectors
concluded that
adequate
core safety margin
had been analytically demonstrated.
'b.
A core verification was performed to confirm that the core
was loaded
as
designed
and analyzed.
No discrepancies
were identified.
An
NRC
inspector
reviewed
the
licensee's
process
for administratively
assuring that the core
was loaded in accordance
with the design.
The
following documents
were reviewed in the assessment:
17
TVA Memorandum, Verification of Browns Ferry Nuclear Plant Unit
2
(BFN2),
Cycle
6
Core
Loading
Fuel
Assembly
Transfer
Forms
(FATFs) BFN-2-21,
November 28,
1988.
TVA Memorandum,
Unit 2 Cycle
6 Final
Core Loading Pattern,
November
17,
1988.
BCD-3&5 (Revision 2/ July 21,
1988),
Fuel Cycle Report,
Volume
I,
Fuel
Cycle Design,
for Browns Ferry Nuclear Plant Unit 2,
Cycle 6.
SAS-366
(Revision 0/ July 1988),
Fuel
Cycle Report,
Volume II,
for Browns Ferry Nuclear:Plant
Unit 2,
Cycle 6, Trans'ient
and
'ccident Analysis (Reconstituted
Core).
TVA-RLR-002 (Revision 2/ July 1988),
Reload
Licensing
Report,
Browns Ferry Nuclear Plant Unit 2, Cycle 6.
TI-14 (Revision 8),
Special
Nuclear Material Control,
Appendix
B, Fuel
Assembly Transfer
Form.
The
inspector
concluded
that
there
was
a
continuous trail
of
documentation
of the licensee's
activities from the outset of
core design to the designation
of each fuel assembly
by unique serial
number to be installed into each
unique core location.
The inspector
.
concluded
that
the
core
was
loaded
in the configuration that
was
designed
and analyzed.
c.
Control
rod
movement
was
inhibited 'by
removing
power
to
the
directional control valves.
d.
D,
which
was
reading
zero
cps in its original installed
core
position,
was
moved to
IRM F location near the center of the core to
provide flux monitoring and trip capability.
A stable
count rate of
35-40 cps
was obtained.
e.
Source
range monitor operability
checks
continued to be performed at
least
every eight
hours
per 2-SI-4. 10.B,
"Demonstration
of Source
Range Monitor System Operability During Core Alterations."
The
NRC
inspectors
reviewed
these
immediate
corrective
actions
and
considered
them
adequate
to maintain
core
safety for the as-terminated
core configuration.
Subsequent
to the
termination
of fuel
loading,
the
licensee initially
persisted
in maintaining that
one
responding
SRM would
be sufficient to
support
continued
fuel
loading,
and
was
supported
by
in this
contention.
The
NRC inspectors
considered
that this proposal
was contrary
to
TS requirements,
as well
as
safe
engineering
practices.
Only after
additional
consideration
and extensive
interaction with the
NRC
and
GE,
was
the decision
made
by the
licensee
to
use
FLCs to provide
redundant
e
18
core
monitor ing
in
each
quadrant, in which fuel
was
being
moved,
as
required
by TS.
Prior to
resuming
fuel
loading,
the
following additional
corrective
actions
were taken
by the licensee:
Redundancy
in neutron
monitoring
was established
through the use of
A and
B.
Core
loading
and
support
procedures
were appropriately
revised
and
reviewed
by the
PORC.
A review of the revised
procedures
by
NRC
inspectors
reflected that fuel loading procedural
concerns
had
been
adequately
resolved.
Obs'er,vations
by
NRC inspectors
of the
meetings
indicated that the meetings
were satisfactorily conducted.
Training of refueling
personnel
was
conducted,
including
a critique
of the
event
and training
on
the
procedure
revisions.
The
NRC
inspectors
attended
a
number
of
these
training
sessions,
and
concluded
that
the
licensee
provided
a
good critique
and
lessons
learned
session
with all personnel
involved with fuel
handling
and
provided
a good overview of revisions to the procedures.
Once
the licensee
acknowledged
the safety significance, of the
issue of
unmonitored
core
loading,
the
immediate
corrective
actions
taken
were
acceptable.
10.
Reportabi lity
Licensee
Reportable
Event
Determination
89-2-004,
issued
on
January
6,
1989, classified the termination of fuel loading due to lack of monitoring
as
non-reportable
per
50.73,
or plant
implementing
procedures.
The basis
for this
assessment
was that all applicable
TS
requirements
were satisfied
throughout
fuel loading,
and that the plant
had
been
analyzed
for the
fuel
loading
method
as
described
in
TS
3. 10.B. l.b.2.
The
NRC inspectors
consider
this event to be reportable
under
and that there
may also
be basis for reportabi lity
under
The
adequacy
of the repor tabi lity determination for
this event
was identified as
Unresolved
Item 260/89-04-06
pending
review
of the licensee's
basis of not reporting it under
and pending
licensee disposition pursuant to
ll.
Exit Interview (30703)
0
The
inspection
scope
and findings were
summarized
on January
13,
1989,
with
those
persons
indicated
in
paragraph
1
above.
The
inspectors
described
the areas
inspected
and discussed
the inspection findings listed
below.
Proprietary
material
was
reviewed
by the inspectors
but was not
retained.
Dissenting
comments
were not received
from the licensee.
Inspection
Findings:
\\
Apparent
Violation 260/89-04-01:
Fai lure to Obtain
NRC Approval
Prior to Proceeding
with Unmonitored
Core
Loading of Unit 2, which
Constituted
a Potential
Unreviewed Safety Question
and
Compromised
Fundamental
Safety Principles (paragraph
4.a)
Apparent
Violation 259,260,296/89-04-02:
Programmatic
Failure
to
Implement the
Requirements
of
and
Procedure
SDSP-27.
1
Unreviewed
Safety Question
Determinations,
as
Evidenced
by Numerous
Inadequacies
in the
Reviews of Fuel
Loading
Procedures
(paragraph
4.b)
Apparent
Violation 259,260,296/89-04-03:
Failure
to Provide
Cross
Disciplinary Review of Procedures
Impacting Plant Safety
(paragraph
6)
Unresolved
Item
259,260,296/89-04-04:
Review
of
TS
Requirements
(paragraph
5)
Unresolved
Item
259,260,296/89-04-05:
Procedure
Review
Process
Adequacy (paragraph
6)
Unresolved
Item
259,260,296/89-04-06:
Adequacy
of the
Licensee
.
Determination
that
Loading
Fuel without
Core
Monitoring
was
not
reportable
per
10 CFR 50.72 or 50.73 (paragraph
10).
12.
List of Acronyms
BFNP
CFR
GOI
IFI
NRC
PMI
RCNS
RSPC
SDSP
Browns Ferry Nuclear
Power Plant
Boiling Water Reactor
Code of Federal
Regulations
Counts
Per
Second
Enforcement Action
Fuel Assembly Transfer
Form
Fuel
Loading Chamber
Final Safety Analysis Report
General
Operating Instruction
Inspector
Followup Item
Intermediate
Range Monitor
Nine Mile Point
Nuclear Regulatory
Commission
(NRC Office of) Nuclear Reactor Regulation
Plant Manager Instruction
Plant Operations
Review Committee
Quality Assurance
Response
Check Neutron Source
Responsible
Section
Procedure
Coordinator
Safety Analysis Report
Site Director Standard
Pract'ice
20
SR
TI
TS
USQD
Safety Evaluation
Safety Evaluation
Report
Surveillance'nstruction
(General .Electric) Service Information Letter
Screening
Review
Source
Range Monitor
Technical Instruction
Technical Specifications
Valley Authority
Unreviewed Safety Question
Unreviewed Safety Question Determination
ATTACHMENT A
SLIDES
FROM TVA PRESENTATION
TVA/NRC MANAGEMENTMEETING " JANUARY 9, 1989
AGENDA
~OP C
I.
= INTRODUCT ION
SPEAKER
O. KINGSLEY, JR
II.
'BFN RELOAD ASSESSMENT
~ HISTORY - TECH SPECS
4 LOADINQ SEQUENCE J. BYNUM
~ ROOT CAUSE
~ OE SUPPORT
P. MARRIOTT
~ CORE REACTIVITY
J.BYN UM
III.
RESUMING FUEL LOAD
~ RELOAD PLAN AND CORE MONITORING
~ RELOAD SEQUENCE / QE TECH OVERVIEW
I3. CAMPBELL
P. MARRIOTT
IV. ADDITIONALTVA INITIATIVES
~ SHORT TERM TECH SPEC ASSESSMENT
~ PLANNED TECH SPEC ASSESSMENT
~ SECTION 6 TECH SPEC
~ EXPERIENCE REVIEW
~ VENDOR INTERFACE
CAMPSKLL/OYERLID
N. KAZANAS
P. CARIER
C. FOX
C. MASON
V.
SUMMARY
O. KINI3SLEY, JR
I L AOEND.CKT
TVA/NRC MANAGEMENTMEETING
JANUARY 9, 1989
INTRODUCTORY REMARKS
BY O. D. KINGSLEY, JR.
PL~INTRO.CHT
pe/ERG MANAGEMENTM~~~~~~
JANOARY 9, 1989
t
~FN RELOAo assessors~
BY J. R. BYNUM
FL ASMT.CHT
4
l
TECH SPEC HlSTORY
/
ONE IN QUADRANT BEING LOADED
AND ONE IN ADJACENT QUADRANT
~ 1976 - TWO SRM'e OR FLC's ONE IN
QUADRANT BEING LOADED~ONE
IN ADJACENT QUADRANT, LESS
T.HAN 3 CPS ALLOWED DURING FULL
CORE UNLOAD
1979 - TWO SRM's OR FLC's, LESS THAN
3 CPS ALLOWED IF FULL CORE RELOAD
AND CORE LOADED IN SPIRAL
SEQUENCE ONLY
~ 1984 - TWO SRM's OR FLC's, FOUR ASSEMBLIES
MAY BE LOADED ADJACENT TO SRMS TO
ESTABLISH A GREATER THAN 3 CPS AND
FUEL LOADED IN SPIRAL SEQUENCE
FL TS1.CHT
CORE LOADING SEQUENCE HISTORY
~ LOADED USING SRM's AND FUEL
LOADING CHAMBERS
~ MAINTAINEDGREATER THAN 3 CPS
~ U3 CYCLE 6 - USED PRESENT
METHOD
r
FL CLH.CHT
h
RELOAD SEQUENCE DEVELOPMENT
V/er
INPUT
NF CORE
DESIGN
INP UT
7/88
8/88
REVIEW
NF CORE
LOADINe
PATTERN
88
TRANSFER
FOP
NF
VERIFY
11/88
QE
REVIEW
11/5 5
REF UELINe
P ROCED URE
NF
REVIEW
11/88
ASSIST
12/55
CORE
LOAD
1/89
F L-GE2.CHT
~ NORMAL SITE ENGINEERING FUNCTIONS
~ LOCAL PONER RANGE MONITOR REPLACEMENT SUPPORT
~ FUEL LOADING ASSISTANCE
- ASSISTED ItIIITHPLANNING
'- INSPECTED REFUELING BRIDGE CRANE
- CRITIQUED TRAINING
- ASSESSED
READINESS
- SUPPORTED EXECUTION
CURRENT CORE CONFlGURATION
REACTIVtTY ANALYSls
(S-K}
,SHUT DOWN MARGIN
8RO
78 BUNDLES LOADED
IN CORRECT CONFIGURATION
7.69
2.66
76 BUNDLES LOADED
ASSUMING 3 WORST LOADING ERRORS
6.72
0.83
76 BUNDLES LOADED
ASSUMING 4 V/ORST LOADING ERRORS
REQUIRED SHUTDOWN MARGIN
6.34
-0.19
0.38
GE PERFORMED INDEPENDENT CALCULATIONS
-ON THE 76 BUNDLE CONFIGURATION AND
YERIFIED THE TVA RESULTS
~ ACHIEYES CRITICALLY.
FL REACT.CHT
TVA/NRC MANAGEMENTMEETING
JANUARY 9, 1989
RESUMING FUEL LOAD
BY G. G. CAMPBELL
AND P. W. MARRIOTT
PL RFL.CHT
CORE MONITORING
~ lNSTALLATIONOF ADDITIONALNEUTRON
MONITORING INSTRUMENTS
~ CONVERTED IRM F TO ADDITIONALSRM
IN REGION 2S-24 W)TH FUEL MONITORING
AND TRIP CAPABILITY
~ PROCURED DUNKING CHAMBERS TO BE USED
FOR,RE-COMMENCEMENT OF FUEL LOAD
CM.CHT
ma'am~ ts
)- i-S'I
EaRv UNIT >
KflON MAP
CORK ~
Xx
ASt~~
+0~ olossoo 4
N
~O
~rem ~ mam
oo
'l4
+~, ~-F+
+ 'I
'j
'
I
I
+++i++
+i+ +~+ +
m fg
I
I
I
I
I
i
I
I
oo
oo
oo
oo
so
so
so
0
so
so
oo
co
oo
so
so
so
!o
a
os
or
or
oo
so
so
so
sr
a
oo
oo
os
or
ro
a
oo
ss
vt
I
I
So
$
75
Tr
lg gR%
P
Coro.
lOCA ~ I'< ~
WSPh
RELOAD PLANS
~
~
~ VfILLACCOMPLISH RELOAD UNDER TECH SPEC 3.10.8.1.b.1
2 SRM'8 OPERABLE AND GREATER THAN 3 CPS
r
~ ONE SRM IN QUADRANT OF FUEL MOVEMENT, AND ONE
SRM IN ADJACENT QUADRANT
NOTE: WILL ACTUALLYUSE INSTALLED SRM'S
PIJJ5 TWO DUNKING CHAMBERS
~ GE HAS DEVELOPED RELOAD SEQUENCE TO RE-COMMENCE
FUEL LOADING
, FL ALP.CHT
r
Iy
MODIFIED REFUELING PROCEDURE
~ SIMILAR TO INITIALCORE LOADING
REFUELING PREREQUISITES DEFINED
+ ACHIEVES CORE MONITORING IN LOADING REGION
PLUS ADJACENT REGION
- SUBSTITUTE SRM,
" TNO FUEL LOADING CHAMBERS
~ NON-COINCIDENT SCRAM
- SRM/FLC
- IRM
- APRM
~ MINOR MODIFICATIONS TO ORIGINAL LOADING
SEQUENCE
~ NO MODIFICATIONS TO CURRENT TECH SPECS
REQUIRED
EXCEEDS THE BEST PRACT)CES
OF OTHER UTILITIES
FL-MFLP.CHT
V
RELOAD PLANS SUMMARY
~ . ADDITIONALNEUTRON MONITORING INSTALLED
~ EXCEEDS THE BEST INDUSTRY PRACTICE
FOR LOADING
~ GE DEVELOPMENT OF LOADING SEQUENCE
+ APPLICABLE PERSONNEL TRAINED ON PROCEDURE
REVISIONS AND MONITORING OF SOURCE
RANGE INSTRUMENTATION
'
GE REACTOR ENGINEER OYERYIEVf FOR REMAINING
FUEL LOAD 'ACTIVITIES
FI. RLSUhl.CHT
TVA/NRG MANAGEMENTMEETING
JANUARY 9, 1989
AQDITIONALTYA INITIATIVES
SHORT-TERM TECH SPEC ASSESSMENT
BY e. CAMPBELL & T. OVERLID
PLANNED TECH SPEC ASSESSMENT
BY N. KAZANAS
ADMINISTRATIVETECH SPECS.
BY P. CARIER
EXP ERI ENCE REVIEVf
BY C. H. FOX
VENDOR INTERFACE
BY C. C, MASON
SHORT TERM TECH SPEC ASSESSMENT
RQQEK
~ OTHER TECH SPEC REQUIRED TO SUPPORT
FUEL LOAD UP TO HEAD TENSIONING
FL ST.CHT
TECHNICAL SPECIFICATIONS
ASSESSMENT TEAM MEMBERS
3
hah%
TERRY OVERLID
NMRG
YEARS
- SRO LICENSE/
NUCLEAR
JOE CARIGNAN
SRO CERT.
13
LARRY NEWMAN
NMRG
14
14
MIKE F ECHT
NUCLEAR
PROCEDURES
16
STEVE BLAKE
QUALITY
ASSURANCE
SRO CERT.
16
J. D. WOLCOTT
GLENN PRATT
NUCI EAR
ENGINEERING
ENGINEER
SRO CERT.
SRO CERT.
12
10
ALLEN BRUCH
NUCLEAR
FUELS
12
MICHAEL GARRETT
NUCLEAR
FUELS
NUCLEAR MANAGERS REVIEW GROUP
FL TEAM.CHT
4
L~
TECH SPEC ASSESSMENT
E
HOOOLOGY
ASSESSMENT TEAM REVIEWED U2 TECH SPEC
APPLICABLE OR POTENTIALLY APPLICABLE
TO REFUEL/SHUTDOWN
REVIEWED TECH SPECS AGAINST SPOC LIST
BASES, SERS, SILS, BFN TECH SPEC
INTERPRETATION MANUALAND THE BWR 4
STANDARD TECH SPEC
FOR CONSISTENCY AND
GOOD OPERATING PRACTICES
RESULTS OF ASSESSMENT:
1. NO SIGNIFICANT SAFETY CONCERNS
2. ITEMS REQUIRING CLARIFICATION
THROUGH ADMINISTRATIVECONTROLS
3, FURTHER EVALUATIONS FOR POTENTIAL
ENHANCEMENTS
Ft. METH.CHT
L~
I
CLARlFY BY FURTHER ADMlNISTRATlVECONTROLS
~ OPERABLE SRM IN THE QUADRAhlT WHERE CORE
ALTERATIONS ARE BEING MADE {3.10.B.1)
~ CORE ALTERATIONS SUSPENSION IF RHR AND CORE
SPRAY INOPERABLE (3.5.A
8c 3.5.8)
+ REACTOR BUILDING ISOLATION FUNCTIONS TO BE
OPERABLE WHEN SECONDARY CONTAINMENT INTEGRITY
IS REQUIRED (3.2.A)
+ EECW PUMPS NECESSARY WHILE REFUELING (3.6.C.1)
'UEL LOADING ENHANCEMENTS WILL BE ADMINISTRATIVELY
CONTROLLED AND OPERATIONS PERSONS
TRAINED
+ SCHEDULE TO COMPLETE - JANUARY 10, 1989
FL RESL.CHT
(4
PLANNED TECH. SPEC ASSESSMENT PROGRAM
PURPOSE:
COMPLIANCE WITH PLANT HARDWARE, DESIGN
BASIS, AND NRC SAFETY EVALUATIONS
~ INDEPENDENT TEAM
~ ADMINISTRATIVE PROCESS
~ TECH SPEC VS SAFETY ANALYSIS REPORT (SAR)
TECH SPEC VS HARDWARE
~ SETPOINTS I CALCULATIONS
~ TECH SPEC INTERPRETATION
~ SCHEDULE
FL TSASM.CHT
(1
A4
ADMINISTRATIVETECH SPECS
~ PLANT PROCEDURES
REVISED TO DELINEATE COMPOSITION AND SPECIFY
QUORUM REQUIREMENTS
+ REVIEW PORC PROCEDURE REVIEW LIST AND DETERMINE
NEED FOR REVISION
COMPLETE BY JANUARY 24, 1989
o SUBMIT STANDARDIZED BFN AND SQN SECTION 6 IN
NEAR FUTURE
IMPLEMENT'PRIOR TO RESTART AT BFN
FL 8ECd.CHT
('E
4r
EXPERIENCE REVIEW
~ PERFORM CRITICAL INDEPENDENT REVIEW OF EXISTING
NER PROCESS
'
PROGRAM SCOPE SURVEY VENDORS AND
OTHER UTILITYPROGRAMS
- RESPONSIBILITY AND ACCOUNTABILITYOF
NUCLEAR POWER ORGANIZATION
- SCREENING CRITERIA
- DISTRIBUTION OF INFORMATION
- ORGANIZATION
o STRUCTURE
o QUALIFICATIONS OF REVIEWERS
o TRAINING
~ ESTABLISH ACTION PLAN TO IMPLEMENT
R ECOMMENDATIONS
~ ESTABLISH NECESSARY PROGRAMMATIC CHANGES AND
MONITOR EFFECTIVENESS
FL KR2.CHT
I
e
EXPERlENCE REVlEW
NUCLEAR EXPERIENCE REVIEW NEEDS STRENGTHENING
MMEDIATE ACTIONS
~ ASSIGN PROJECT MANAGER FOR EACH SIGNIFICANT
EXP ERIE NCE REVIEW
~ REQUIRE ACTION PLAN FOR SIGNIFICANT ISSUES
~ IMPOSE SCHEDULE FOR INITIATlONOF ACTION PLAN
~ ESTABLISH A SINGLE POINT OF CONTACT AT SITES
AND EN G I N EE RI N G
~ PREPARE GUIDANCE FOR PROMPT NOTIF)CATION TO
. SENIOR MANAGEMENT
FL KR1.CHT
0
GE/SITE INTERFACE
EXlSTIN8
~ SITE SERVICES MANAGER
INTERFACES - PLANT MANAGER LEVEL
~ OPERATIONS
ENG IN EER
INTERFACES AT TECHNICAL SERVICES MANAGER LEVEL
VOTING MEMBER OF JTG
~ NUCLEAR SERVICES MANAGER
INTERFACES AT CORPORATE LEVEL AND SITE
~ REFUELING FLOOR SUPPORT
7 GE ENGINEERS
OPERATIONS AND MODII')CAT)ONS
HARRY HENDON - TECHNICAL CONSULTING
~ RESTART ENGINEER/POWER ASCENSION ENGINEERS
- 6 GE ENGINEERS
~ VENDOR MANUALPROJECT
SITE AND SAN JOSE ENGINEERS
~ ECN CLOSEOUT AND SYSTEM OPERABILITY
ECKERT AND 6 GE ENGINEERS
FL 067.CHT
GE-SITE INTERFACE
ENHANCEMENTS
T-T
~ SITE SERVICES MANAGER AT PLANT MANAGER'S STAFF
MEETING
~ INFORMATION -. TRANSMITTALS AND
~ PERIODIC (WEEKLY) SITE DIRECTOR/SOUTHERN TERRITORY
MANAGER MEETING
~ ESTABLISH CORPORATE/GE INTERFACE (KINGSLEY STAFF)
~ PEOPLE ADDITIONS THROUGH FUEL LOAD/POWER
ASCENSION
TECH SPEC REVIEW
ENGINEERING/FUEL ENGI NEER
OPERATIONAL SHIFT TECHNICAL ADVISOR.
SYSTEM ENGINEER
"'TARTUP ASSISTANT
~ OVERSIGHT REVIEW TEAM
GE MANAGEMENT, SITE MANAGEMENT, CORPORATE
MANAGEMENT
FL GES.CHT
GE-SITE INTERFACE
ENHANCEMENTS
o gRPWNS FERRY ORGANIZATIONAL/PROCESS ASSESSMENT
i STARTVP READINESS REVIEW
~ ENGINEERING EVALUATIONOF VENDOR INTERFACE:.
FL GK4.CHT
TVA/NRC MANAGEMENTMEETiNG
JANUARY 9, 1989
SUMMARY REMARKS
BY O. D. KlNGSLEY, JR
F L, SUM1.CHT
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