ML18033B404
| ML18033B404 | |
| Person / Time | |
|---|---|
| Site: | Browns Ferry |
| Issue date: | 06/08/1990 |
| From: | Carpenter D, Little W, Patterson C NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | |
| Shared Package | |
| ML18033B402 | List: |
| References | |
| 50-259-90-14, 50-260-90-14, 50-296-90-14, NUDOCS 9006290006 | |
| Download: ML18033B404 (51) | |
See also: IR 05000259/1990014
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UNITEDSTATES
NUCLEAR REGULATORY COMMISSION
REGION II
101 MARIETTASTREET, N.W.
ATLANTA,GEORGIA 30323
Report Nos.:
50-259/90-14,
50-260/90-14,
and 50-296/90-14
Licensee:
Valley Authority
6N 38A Lookout Place
1101 Market Street
Chattanooga,
TN
37402-2801
Docket Nos.:
50-259,
50-260,
and 50-296
License Nos.:
DPR-52,'and
Facility Name:
Browns Ferry Units 1, 2,
and
3
Inspection at Browns Ferry Site near Decatur,
Inspection
Conducted: April 16 - Miay 18,
1990
,.,...,:, J~~~X6
atterlon,
R
Restart
oor
donator
Accompanied
by:
E. Christnot,
Resident
Inspector
W. Bearden,
Resident
Inspector
K. Ivey, Resident
Inspector
R. Bernhard,
Project Engineer
V
Approved by:
. S. Llt
e,
ection
C ie,
Inspection
Programs,
TVA Projects
Divis i on
SUMMARY
C/p'a
ate Signe
c
ate
igned
e
igne
Scope:
This routine
resident
inspection
was
conducted
in the
areas
of
surveillance
observation,
maintenance
observation,
modifications,
restart
test
program,
management
review
committee,
reportable
occurrences,
action
on
previous
inspection
findings,
power
supply concerns,
and nuclear safety review board.
Results:
One Technical
Specification violation was identified for failure to
perform independent verification during cable determination
due to a
programmatic
problem
,
paragraph
5.
There
was
a
lack of
understanding
of the differences
between
independent
verification
and
second
party
checks.
The
signature
blocks
used
in
the
modifications, work package
only contained
a single signature
block,
although
two signatures
by craft personnel
were required.
POC>62".OOVb
50CIb.i 4
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0
0
A second violation with two examples
was identified for failure to
implement
procedures
and drawings.
The first example
was for the
unauthorized
bypassing
of two pull points
for
a
pump
cable pull, paragraph
5.
NCVs had
been identified in IR 90-01 for
failure to follow procedures
during
cable pulling.
The
second
example
was for failure to have
an
adequate
drawing,
paragraph
5,
which later resulted in an inadvertent
DG start.
An unresolved
item for returning
a radiation monitor to service
without completing all of the SI steps
was identified, paragraph
2.
An
unresolved
item
concerning
relay
connection
problems
was
identified, paragraph
2.
This
URI has
two examples.
One connection
error involved
a
step
which
had
been
independently
verified.
A
second
example
involved
an
step
that.
had
been
previously
identified during the SI validation process
but had not been
acted
upon.
Overall,
the
monthly inspection
was
highly reactive.
Several
incident investigations
were initiated by the licensee for problems
that occurred
during the high potential testing of conductors.
The
investigations
were 'thorough
and self critical, but the
number of
problems
was of concern
since
the licensee
has
been
in
a recovery
program for
a
number of years.
A programmatic
problem
in IV was
identified.
The licensee
was
slow to respond to corrective actions.
Continuing problems existed during the performance of SIs.
Turnover of site
personnel
continues
to
be high.
Since
the last
full participation, exercise
several
key site
managers
have
changed.
A successful
full participation
graded
EP drill should
be completed
before
Unit 2 restart
using all
the
permanently
assigned
event
responders.
Eleven
LERs, five IFIs, two URIs and five violations were closed.
0'
REPORT DETAILS
1.
Persons
Contacted
Licensee
Employees:
0. Zeringue, Site Director
- L. Myers, Plant Manager
M. Herrell, Plant Operations
Manager
J. Hutson, Project Engineer
- J. Hutton, Operations
Superintendent
A. Sorrell, Maintenance
Superintendent
G. Turner, Site guality Assurance
Manager
P. Carier, Site Licensing Manager
- P. Salas,
Compliance Supervisor
J.
Corey, Site Radiological Control Superintendent
Other
licensee
employees
or contractors
contacted
included
. licensed
reactor
operators,
auxiliary operators,
craftsmen,
technicians,
and
public safety officers;
and quality assurance,
design,
and engineering
personnel.
NRC Personnel
- D. Carpenter,
Site Manager
- C. Patterson,
Restart Coordinator
- K. Ivey, Resident
Inspector
- Attended exit interview
Acronyms used throughout this report are listed in the last paragraph.
2.
Surveillance
Observation '(61726)
The inspectors
followed the licensee's
surveillance
testing
schedule
and
reviewed
completed
results
during this
reporting
period.
The
inspections
consisted
of reviews of the
SIs for technical
adequacy
and
conformance
to TS, confirmation of proper removal
from service
and return
to service of systems,
and reviews of test data.
The inspectors
verified
that
LCOs were met,
and that SIs were completed at the required frequency.
Problems
Related to Inadequate
Surveillance
Instructions
On
May 12,
1990, Unit
1 received
a
PCIS Group
6 Isolation during the
performance
of
O-SI-4.2.G-2,
Control
Room
Isolation
and
Pressurization
Functional
Test.
During the SI,, a fuse blew causing
a Unit
1 reactor
zone isolation,
a refuel
zone isolation
on all
units,
and
the autostart
of control
room pressurization
train A.
SBGT train
A
was
tagged
out of service
and train
C
was
already
running.
The licensee
made
a 4-hour non-emergency
ENS report of an
unplanned
ESF actuation
for this event.
The licensee
determined
that the fuse
blew because
incorrect contacts
were jumpered
during
the
performance
of the SI.
Personnel
performing the
SI jumpered
relay contacts
nine
and
10 instead
of contacts
five and six
as
called
for in
the
SI.
The
licensee
initiated
an
incident
investigation to determine the'root cause of this event.
Preliminary
results
indicated that this event
was
caused
by personnel
errors
and
an
inadequate
procedure.
These
problems
apparently
had
been
identified during the SI validation process,
but no action
was taken
to
correct
the
problems, before
the
was
performed
again.
Contributing to the
event
was
the fact that
contacts
were
not
numbered
on the relay
and are in a configuration where contacts
nine
and
10 are in the place where five and six would logically be.
This
event
is identified
as
example
I of URI 259,
260,
296/90-14-01,
Problems
With Surveillance
Instructions
and will
be
reviewed
following completion of the licensee's
investigation.
During the performance of I-POI-200.4,
Defeating
RPS/PCIS Logic-Unit
One,
on April 25,
1990,
technicians
discovered
that jumpers
placed
between
relay contacts
were not landed
on the correct contacts
as
required
by the
procedure.
This condition
was discdvered
on six
relays.
The contacts
on
each of these
relays
were
sequenced
such
that contacts
nine
and
10 were located
where five and six should
'ave
logically been.
The
odd
sequence
was
not noticed
by the
technicians
performing
the
work nor
was it identified
in
the
procedure.
This
procedure
step
was
also
independently
verified.
Upon identifying these
deficiencies,
WOs were initiated to return
the wiring to the actual
configuration required for the
procedure
and the procedure
was continued.
There were
no equipment or system
actuations
caused
by this incident since all
power
was
removed
as
part of previous
procedure
steps.
The
licensee
completed
an
incident investigation
which determined
the root cause of this event
was
an
inadequate
procedure.
The
procedure
did not specify
the
relay terminal configuration
and did not identify wire numbers.
This
is considered
a
second
example
of URI 259,
260,
296/90-14-01
and
will be addressed
by the followup of the URI.
Failure to Follow Surveillance Instruction
On May 15,
1990,
the licensee
identified that'urbine building vent
exhaust
radiation
monitor
3-RM-90-249
had
been
declared
without full completion
of required
surveillance
testing.
The
radiation monitor was
declared
on May 11,
1990.
However,
during
review of 3-SI-4.2.K.3A,
Turbine
Sui lding
Vent
Exhaust
Monitor
(3-RM-90-249)
Calibration,
TVA discovered
that certain
steps
had not
been
performed,
and the radiation monitor should not
have
been
considered
The
SOS
declared
the
monitor
and notified the chemistry
group to begin
compensatory
sampling
as
required
by
TS Table 3.2.K.
This event
was determined
'I
0
not to be reportable
in accordance
with 10 CFR 50.72;
however,
a
LER
was
to
be
submitted.
The
licensee
initiated
an
incident
investigation
to
determine
the
root
cause
of the
event.
The
investigation
was ongoing at the
end of this reporting period.
This
item is identified as
URI 259,
260, 296/90-14-02,
Failure to Follow
SI,
and will be
reviewed following completion of the licensee's
investigation.
No violations
or
deviations
,were
identified
in
the
Surveillance
Observation area..
Maintenance
Observation
(62703)
Plant
maintenance
activjties
on
selected
.safety-related
systems
and
components
were
inspected
to ascertain
that
they
were
conducted
in
accordance
with requirements'.
The following items were considered
during
this review:
LCOs were met, activities were accomplished
using
approved
procedures,
functional testing and/or calibrations
were performed prior to
returning
components
to service, quality control records
were maintained,
activities
were accomplished
by qualified personnel,
parts
and materials
used
were properly certified,
proper
tagout
clearance
procedures
were
adhered
to,
and radiological
controls
were
implemented
as required.
In
addition,
MRs and
WOs were reviewed to determine
the status of outstanding
jobs
and to assure
that priority was assigned
to safety-related
equipment
maintenance
which might affect plant safety.
Maintenance
activities
reviewed were as follows:
RHR Pump Impeller Wear Ring Replacement
HPCI Maintenance
No
violations
or
deviations
were
identified
in
the
maintenance
observation
area.
Operational
Safety Verification (71707)
The
inspectors
followed the overall plant status
and
any significant
safety matters
related
to plant operations.
Daily discussions
were held
with plant management
and various
members of the plant operating staff.
The
inspectors
made
routine visits to the control
rooms.
Inspection
observations
included
instrument
readings,
setpoints
and
recordings,
status
of operating
systems,
status
and alignments
of emergency
standby
systems,
onsite
and offsite
emergency
power
sources
available
for
a'utomatic
operation,
purpose of temporary
tags
on equipment controls
and
switches,
alarm status,
adherence
to procedures,
adherence
to
limiting conditions
for operations,
nuclear
instruments
operability,
temporary alterations
in effect, daily journals
and logs, stack monitor
recorder traces,
and control
room manning.
Thi's inspection activity also
included
numerous
informal discussions
with operators
and supervisors.
General
plant tours
were
conducted.
Portions of the turbine buildings,
each
reactor
building,
and
general
plant
areas
were
visited.
Observations
included
valve positions
and
system
alignment,
and
~
W
~
e
hanger conditions;
containment isolation alignments,
instrument readings,
housekeeping,
proper
power supply
and breaker alignments,
radiation
area
controls,
tag controls
on equipment,
work activities in progress,
and
radiation
protection
controls.
Informal discussions
were
held with
selected
plant personnel
in their functional areas
during these tours.
a.
Phase
Unbalance
in Electrical
Systems
The
radwaste
floor drain
holding
pump
motor
indicated
an
amperage
unbalance
and
was
tripping
on
thermal
overload
after
approximately
75 minutes of operation;
The licensee
determined that
phase
C of the three
phase
motor
was
drawing excessive
current,
resulting
in
the
overloading.
The
system
engineering
group
discovered
that
phase
C of the Unit
was set at
a
highe'r voltage
than
phase
A and
B.
The Unit I, Unit 2,
and Unit 3
each consist of three individual transformers,
one
per
phase,
which
can
be
adjusted
individually.
Additional
information supplied
by the licensee
indicated that, for the three
Unit I individual
phase
transformers,
the
tap for the
phase
C
transformer
was
not adjusted
properly.
The Unit I transformer
supplies
normal
power to the
4KV Shutdown
Boards
A and
B through the
Unit Station Service Transformer
IB.
This item will be reviewed to
determine
the affects
on safety related
systems
and tracked
as IFI
259,
260, 296/90-14-03,
Effects of Phase
Unbalance
on Safety Related
Electrical'ystems.
b.
Unit Status
All three units
remain defueled
and in an extended
outage
as part of
the
BFNP recovery
plans.
Work activities for returning Unit 2 to
service
continued.
The
main activities
were
completion of pipe
support
and restraints,
Eg work, and high potential
cable testing to
determine if cable pull-by damage
was evident.
No violations. or deviations
were identified in the Operational
Safety
Verification area.
5.
Yiodifications (37700,
37828)
a ~
Standby
Gas Treatment
System
An inspector
observed
work activities
on all three trains of the
system.
These activities
included
review of the
ECN/DCNs,
review of the work plans,
and observation of field activities.
Train
C activities involved five ECN/DCNs, ten
WPs,
and two MRs/WOs.
Train
A activities were similar to those
documented for Train
C with
the exception that the blower motor for Train
C was being replaced.
Train
B was waiting for a system tagout
so field work could start.
The inspector
observed that field activities were being performed in
accordance
with approved
procedures
and controls for WPs,
MRs,
and
WOs.
The inspector
reviewed
QC inspection
reports for
WPs
0150-90 thru
0153-90.
These
IRs
documented
the installation of cable
and limit
switches
for the motor operated
type
FCVs.
At the time of
this observation,
the licensee
was in the process
of determining if
the
SBGT system
damper type
FCV motors would require replacement.
The inspector
noted that an electrical
motor was lying on the floor
next to train
8 with
a metal
EQ tag
and
an "In .Use" tag attached.
The metal
tag indicated that the motor was for the train,B fan and
the "In Use" tag indicated that it was for
WP 0149-90.
A review of
WP 0149-90
indicated that it was written to implement
DCN-W7946A.
This
DCN requires
the replace'ment of non-EQ electrical
cables with EQ
cables
and
made
no mention of replacing the train
8 fan motor.
The
inspector
discussed
the
observation
with the
licensee
and
the
tagging
was corrected.
The inspector also
noted that the fan motor
on
C train was identified with the correct
EQ tag,
and
ECN tag.
b.
High Potential
Cable'Testing
(51061,
51063)
A wet high potential test
program
was initiated at
BFNP to determine
if significant cable pull-by insulation
damage
existed
at
Browns
Ferry.-
This test
program consisted
of selecting
the ten worst case
conduits for several
voltage
levels
in which cable pull-by's
had
occurred,
determinating
the cables
in these
conduits at both ends,
filling the
conduits
with water,
and
performing
a high potential
test
on the cables
to see if they were
damaged.
The inspectors
followed activities
associated
with the wet conduit
high potential
testing
of electrical
cables.
This testing
was
conducted
in accordance
with ST-90-01,
Special
Test Procedure for DC
High Potential
Testing of Low Voltage Cables.
An inspector
observed
and
reviewed
the results
of the wet conduit
high potential testing.
Major points of interest
were
as follows:
1)
Drawing Deviation
The
licensee
performed
post
high potential
testing activities
which involved and the retermination of electrical
leads lifted
to support
the
high potential
testing
and
post modification
testing.
A discrepancy
was discovered
in the wiring for the
C
Diesel
Generator
degraded
voltage
logic system,
on April 20,
1990.
During the lifting process,
a drawing discrepancy
was
identified when conductors
C272
and
C278 from cable
ES4082-IIC
were
found
reversed
from the
positions
on
the
drawing
on
terminal
block
ZT in compartment
25 of the
4160 volt shutdown
board
C.
Potential
DD 90-051
was initiated to .document
the
finding.
The
was
dispositioned
as if the
drawing
was
correct.
The leads
were reversed
from the
as
found condition.
J+
This resulted
in an unanticipated
start
and loading of the
C
Diesel
Generator.
This is the first example of a violation of
Appendix
B, Criterion V, Instructions,
Procedures
and
Drawings,
in that plant drawings
were not appropriate
to
the circumstances.
This item is identified as
VIO 259,
260,
296/90-14-04,
Failure to Implement Drawings
and Procedures.
The
licensee
temporarily
suspended
the testing
due
to the
wiring change
made to the
C
DG.
The site director established
the
requirements
that all
post
testing activity would
be
identified
and
approved
prior to taking out
an electrical
network for testing,
that all restoration activity would
be
aimed at
each circuit involved with the high pot testing,
and
that
(jA/gC would
be involved in the lifting and relanding of
individual electrical
terminations.
Testing
was
allowed
to
resume.
Independent Verification
Section
3.10 of ST-90-01
states
that wire lifting, relanding
and testing prior to return to service
are not within the scope
of that
procedu're
and
are to
be
performed
in accordance
with
established
plant
procedures.
For
cables
in
conduit
the
actual
conductor
determination
and
, retermination
had
been
performed
under
Work Order
90-02259
required
that
determination
and
termination
activities
were to
be
performed
in accordance
with MAI-3.3,
Cable
Termination
and Splicing for Cables
Rated
up to
15000
Volts.
During the
review of this
work order
the
inspector
noted
an apparent
discrepancy
in the documentation
of the work
activity.
Independent
verification of the
wire lifting
activities
had
not
been
conducted
prior to
commencement
of
testing.
The
inspector
noted
that for conduit
which included
66 separate
conductors,
the actual
determination
activities
were
performed
on April 3-4,
1990,
and
documented
for each
conductor
by a single signature for the date actually
performed
on
each
MAI-3.3 data
sheet.
Although the testing
associated
with these
cables
had started
on April 5, all of the
second
signatures
intended
as denoting
independent verification
were
made
by the
same
individual
and
dated April 7.
Cable
testing
had
been
stopped
on April 5 during testing of the 39th
conductor
due to problems
related
to test control
and failure
to properly determinate
three of the required
conductors prior
to
commencement
of testing.
The issue
concerning failure to
adequately
control testing
is
documented
in greater detail in
Inspection
Report 90-08.
The inspector
discussed
these
findings with members of the Site
guality Organizat'ion
on April 10,
1990.
The licensee initiated
an
investigation
and
conducted
interviews with modifications
personnel
involved in the activities.
As the result of this
licensee
investigation
the
NRC inspector
was
informed of the
following:
The conductor
determinations
had
been
performed
by a crew
of modification electrical
craft personnel.
The first
signature
on
each
of the
data
sheets
were those of the
personnel
that actually performed the determinations.
Although
a crew of several
electricians
were involved in
the
activity
and
second
party
checks
by
another
electrician
probably occurred
at the time, there
was
no
clearly defined requirement
or assigned
responsibility
to
perform
independent
verification of the
cable lifting
activities.
Each
of the
second
signatures
dated
on
April 7
on each of the data
sheets
was that of the general
foreman assigned
to the crew.
The
inspector
noted
that
the
NAI-3.3 data
sheet
does
not
mention
a requirement for independent verification, nor are
two
separate,
signature
blanks
included
as
found
on other similar
documents.
SDSP-3. 11, guality Control Inspection
Program
does
not require
gC inspection of wire lifts where the conductor is
to
be
returned
to the
as
found condition,
and
independent
verification is only specified
for relanding of conductors.
However,
TYA Standard
STD-10. 1.53
and
PNI-8. 1
which
cover
control
of
'temporary
alterations
require
independent
'erification
for both lifting and
relanding
of electrical
wires.
Both
licensee
documents
include wire lifts as
an
example of
a
temporary alteration.
PNI-8.1 allows
temporary
alterations
to be performed
under maintenance
requests
or other
plant instructions
rather
than specifically requiring the
use
of
a
TACF,
but
in all
cases
independent
verification
requirements
for installation
and
removal
are required to
be
adhered
to.
This constitutes
a failure to
implement
the
independent
verification
requirements
of
STD-10. 1.53
and
PMI-8.1
for
a
temporary
alteration
(YIO
259,
260,
296/90-14-05).
As the result of the licensee's
investigation into this event,
CARR
BFP
900124
was
issued
to document
the issue.
However,
this
CARR was
not written until April 24,
two weeks after the
issue
was discussed
with the Site guality Organization.
Based
on the discussions
among
licensee
personnel
during the
NRC meeting
discussed
in paragraph
7, this failure appears
to
have
occurred
due to
a lack of understanding
of the actual
meaning of independent verification on the part of modifications
'ersonnel.
The
term
"second
party" or
"second
person"
is
frequently
used
rather
than
"independent
verification."
The
meaning
of
a
second
person
requirement
as
practiced
by
0
modifications
personnel
may not satisfy
the
requirements
for
independence
by separate
time and
space.
The inspector
also
noted that
SDSP - 3. 15, Section
4 states
that
"second
person"
verification
shall
be
synonymous
with
"independent
verification."
Additionally,
as
procedures
are
routinely
revised
"second
person"
should
be
replaced
with "independent
verification."
The
inspector
noted
that
Revision
2
to
MAI - 1.3,
General
Requirements
for Modifications, which
was
issued
within the last
month, still used .the
term
"second
party."
The inspectors will followup on this issue
again in
future inspections
and
as part of the closure to this violation.
The
inspector
noted
that
the
conductor
relanding
signature
blocks
on
each
of the
MAI - 3.3
data
sheets
included
two
signatures
for each
of the
cables
that
were
relanded
and
appeared
to
conform
to
the
independent
verification
requirements.
3)
Results
a.
Damaged
Cable
ES327-I
Cable
ES327-I
was
damaged
approximately
one inch below the
conduit bushing
on cohduit
ES337-I
in
a junction
box at
column
N-R3 at
elevation
586
in the
Unit I reactor
building.
The cable
was cut by
a sharp object
such
as
a
knife
or
screwdriver
apparently
while
removing
the
internal
condui't seal.
The person
performing the work did
not
pay
adequate
attention
to the existing cables
while
removing the seal
material.
The
damage
was determined
by
the
licensee
to
be
not
related
to
cable
pull-by
activities.
'.
Damaged'ables
LS 175,
187,
191
Five conductors
out of the cables
were found damaged.
The
licensee's
evaluation
was continuing at the
end of the
report period but initially the
damage
did not appear
to
be cable pullby related.
Cable Pull Deficiencies
On April 30,
1990,
the
licensee identified'hat
a multiple cable
pull
(gang pull)
made
in the Unit .I reactor
building apparently
exceeded
the
pull
tension
listed
. in
the
workplan.
A
CA(R
(no.
BFP900132)
was written to document this condition.
Disposition
of the
CARR determined
that
the
pull" tension
was
not actually
exceeded
and
no problem
had occurred.
During the
same
cable pull,
it was
noted that
two cable pull boxes
were bypassed
in violation of
the latest
engineering
requirements
for cable installation.
An
incident
investigation
was
initiated
for
cable
installation
practices
including the problems of bypassing
pull boxes.
General
Construction Specification
G-38, Installing Insulated
Cables
Rated
Up
To
15000 Volts, includes
the methods for establishing
and
bypassing
pull points.
Specification
Revision Notice
(SRN) G-38-69,
effective
April
6,
1990,
added
the
following requirement,
"Pullpoints (i.e.,
other
than
"C" condulets
used
to
inject lubricant,
manholes)
shall
not
be
bypassed
when pulling
cables
unless
authorized
by NE."
An
inspector
reviewed
the
licensee's
completed
incident
investigation
( II-B-90-054) and determined
the following:
DCN W5547 included five separate
workplans.
The
implementation
of
SRN G-38-69
was
inadequate
in that the
SRN signed
out April 6,
1990,
as "effective immediately" did
not arrive at
BFN document control until April 26,
1990,
and
was
then
given
a
due
date
for site
implementation
of
May 27,
1990.
Cables
ES325-I,
ES350-I,
ES363-I,
K307-1, ES825-I,
and
ES833-I
were
pulled
bypassing
two pull
points
without proper
NE
authorization.
NRC requi,rement
Appendix 8, Criterion
V "Instructions,
Procedures,
and Drawings" requires
that activities affecting quality
be prescribed
by procedures
and accomplished
in accordance
with the
procedures.
.
The
failure
to
implement
the
requirements
of
SRN G-38-69 during the
performance
of cable pulling activities
was
identified
as
another
example
of
a violation of
Appendix
B, Criterion
V
(VIO 259,
260,
296/90-14-04:
Failure to
Implement
Drawings
and
Procedures).
Although this
problem
was
identified
by the
licensee, it does
not meet
the criteria for a
non-cited violation since it is
a further example of cable pulling
deficiencies
as identified in
NCV 90-01-01
and
NCV 90-01-02.
6.
Restart Test Program
(70301,
70400)
The total
number of test procedures
written and
approved for performance
was
43.
Total tests
completed
and results
approved
by the plant manager
numbered
34.
Total
TEs identified as of April 20,
1990 involving hardware
issues
was
216.
Of this
number,
202
were resolved,
and
14 remained
outstanding.
7.
Management
Review Committee
(40700)
An inspector monitored the
MRC meeting
conducted
on April 25,
1990.
The
MRC meets daily, or when necessary
as part of the licensee's
corrective
action
program,
to provide adequate
oversight of corrective action.
Each
newly identified potential
CA( is
presented
to the
MRC which decides
whether the item constitutes
a
CARR or
PRD.
Additionally, determinations
are
made
concerning
generic implications, reportability, disposition;
and
other related
concerns.
One possible
disposition is to invalidate
the
10
item if it is not considered
to
be
a quality concern
or is below the
threshold for
a
CAQR or
PRD.
Neither the Site Director nor the Plant
Manager
were
present
at this
session.
A member of the Site Quality
Organization
acted
as chairman.
Four
new potential
CAQs were presented
during the
MRC meeting.
Two of
these
were delayed until
a later
date
because
the responsible
engineer
was
not available for discussion
of the item.
Another item was discussed
but
delayed
to allow the
responsible
section
supervisor
adequate
time to
review the issue prior to additional discussion,
The
MRC members
agreed
that in each of these
three
cases
that
a failure to take timely action
would not
occur
bacause
of the
delays.
Based
on
the
low safety
significance of these
three
issues,
the inspector did not disagree
with
the MRC's decision to postpone
formal action
on the issues.
The final item discussed
was
BFP 900124,
which concerned
the failure to
perform
independent
verification
on lifted electrical
conductors
discussed
in paragraph
S.b(2)
in this inspection report.
The inspector
reviewed
the potential
CAQ form and noted that it described
the
problem
as
a failure to perform
"second
party" verification of the
"as
found"
cable training radius
rather
than
the failure to perform "independent
verification"'f the corr'ect lifted cable.
This error
was
immediately
noted
by the
MRC and the chairman directed that
an additional
statement
be
added
to correct
the form.
Additionally the
chairman directed that
probable
inadequacies
in MAI - 1.3, General
Requirements for Modifications,
and
MAI - 3.3, Cable Termination
and Splicing for Cables
Rated
up to 15,000
Volts,
be considered
as part of the corrective action plan
and that the
failure
appeared
to
be
a training
problem
rather
than
a
case
of
personnel
error (thus not requiring disciplinary action).
The
inspector
had
several
concerns
relating to the
handling of this
item by the
MRC, which are
as follows:
The modifications representative
to the
MRC stated
that the
second
party verification actually occurred,
since
the general
foreman that
signed
the blocks at
a later date
was
present
during the time and
actually
observed
the
conductors
being lifted.
This implied that
the
only failure
was
one
of failing to
document
properly
the
activity when performed.
The
MRC did not recognize
that
a person
actually present
observing
the conductor lifting activity could not
be
considered
as
an
"independent verifier," nor did they question
whether the activity was ever independently verified.
Throughout
the
meeting
the
term
"second
party"
was
used
almost
exclusively, rather than "independent verification."
Members
did not discuss
that- the lifted conductor constituted
a
temporary alteration,
nor that
STD-10. 1.53,
SDSP-3.15,
and
PMI-8.1
had been violated.
The
CAQR only specified
a
single
cable
as
the
problem
when
approximately
half of the
66
conductors
in that
conduit
were
involved.
0
11
The
item
was
determined
by the
tlRC to
be
a
CAQR with potential
prograomatic
concerns,
and it was
placed
on the calendar for followup
within two weeks.
8.
Reportable
Occurrences
(92?00)
The
LERs listed
below were
reviewed
to determine if the information
provided
met
NRC requirements.
The review included the verification of
compliance
with
TS
and
regulatory
requirements,
and
addressed
the
adequacy
of the
event description,
the corrective
actions
taken,
the
existence
of potential
generic
problems,
compliance
with reporting
requirements,
and
the relative
safety
significance
of each
event.
Additional in-plant
reviews
and
discussions
with plant personnel,
as
appropriate,
were conducted.
a.
(CLOSED)
Loose
Electrical
Connection
to
Safety Systems
Actuation.
This
LER was
associated
with erratic voltage
and frequency
on
Shutdown
Board
A due to
A voltage regulator failure during the
monthly starting
and loading testing.
Investigation
by licensee
electrical
maintenance
personnel
found
that
a loose electrical
connection
between
the
power boost current
transformer
(XCT)
and
the
voltage
regulator
had
created
a
high
resistance.
The loose'onnection
subsequently
burned
open
under
load.
The
damaged
electrical
connection
was
repaired
and
the
voltage regulator'as
replaced.
All components
and connections
of
the
A
DG control
system
were
inspected
with
no further
damage.
identified.
Subsequent
inspections
on
the
remaining
7
were
performed
and
no other
problems
identified.
The
licensee
has
revised
the
annual
DG inspection
surveillance
instruction
(SI)
4.9.A. 1.d,
to require
removal of insulation from bolted connections
to allow inspections.
The
inspector
reviewed
documentation
provided
by the
licensee
to
verify the
completeness
of the
above
corrective
action.
The
inspector
determined
that
the
licensee's
corrective
actions
have
been
adequate
to prevent
recurrence
of this event.
This
item is
closed.
b.
(CLOSED)
Revision
2,
480
Volt Shutdown
Board
Voltage Transient Initiates Engineered
Safeguards
Features.
This
LER involved
two
RPS circuit protector trip events
which
occurred
in Unit 2 in 1988.
An inspector
reviewed this
LER in IR
89-40
and
determined
that it met
the reporting
requirements
of
and
that corrective
actions
had
been
completed.
However,
this
LER
was left open
pendino
completion of circuit
protector modifications planned
by the licensee.
12
From the time that these
events
occurred
in 1988 until the current
reporting
period,
there
have
been
several
RPS circuit protector
trips for all three units.
The licensee 'issued
a
LER for each of
the events
and
each
event
was
reviewed
by the resident
inspectors
when
they occurred.
To reduce
the
number
of items tracking the
status
of the
RPS circuit protector modifications,
will be kept open
as
a Unit 2 restart
item until completion of the
modifications
and
resolution
of
power
supply
concerns.
Therefore, this
LER is closed.
(CLOSED)
Technical
Specification
Violation
Due
On
February
22,
1989,
the
licensee
identified that
the
previous
weekly surveillance,
due
February
14,
1989,
had not been
performed
on the
C
and
D 250 Volt Shutdown Batteries.
The next required
surveillance
had
been
performed
on, February
21,
1989, resulting=in
exceeding
the. time
period
specified
in
T.S.
3.9.C
between
February
15 and February 21,
1989.
The licensee
determined
during the subsequent
investigation that the
occurred
due to inadequate
controls
and tracking
of surveillances
and failure
by maintenance
supervision
to ensure
that the surveill'ance
was performed.
Licensee
management
conducted
training with maintenance
supervisory
personnel
to emphasize
the importance of reviewing SI schedules
and
proper
communications
between
foreman
and
the
SI scheduling
group.
Additionally, the licensee
created
a task force for evaluating
the
existing
SI scheduling. program
and identifying any recommendations
for improvement.
The
inspector
reviewed
documentation
to verify that
the
above
training
was
performed.
The
inspectors
have
noted
a
gradual
improvement in this area largely resulting from increased
manag'ement
attention.
The inspector
agrees
that
adequate
corrective
actions
have occurred that should prevent recurrence.
This item is closed.
(CLOSED)
Personnel
Error
Results
in
an
Unplanned Start of a Diesel Generator.
On
September
6,
1989,
Unit 3 experienced
an
unplanned
automatic
start of the
3D
DG during
the
performance
of post
maintenance
testing following replacement
of the start failure relay,
SFD1.
The
licensee
immediately stopped all related testing until the
cause of
the event could
be determined
and the diesel
generator
secured.
The
licensee
determined
during
the
subsequent
investigation that the
event occurred
due to an inadequate
maintenance
request,
YiR 919735,
which did not r'equire that the start failure relay
be reset prior to
closing
the start circuit breaker
in order to preclude
automatic
starting of the diesel
generator.
0
13
The inspector
reviewed
LRED, 89-3-151,
and
Incident Investigation
Report 89-70,
which covered this event.
As corrective actions
the
licensee
counseled
the maintenance
planner that
had
performed
the
planning
on
MR 919735
and
conducted
training concerning
the event
with all maintenance
planning
personnel.
The inspector
reviewed
documentation
provided
by the licensee
to verify performance
of the
above corrective
actions
and
concu'rs
that the completed corrective
actions
should
be
adequate
to prevent
recurrence.
This
item is
closed.
(CLOSED)
Unplanned
Actuations
Due
to
the
Loss of Reactor
Protection
System
Motor Generator
Output Caused
by
Personnel
Standing
on Breaker Cabinet.
On March 31,
1989, Unit 2 experienced
an unplanned
ESF actuation
due
to the deenergization
of the
2B
RPS Bus.
After an investigation,
the
l,icensee
determined
the
event
had
occurred
due to modifications
personnel
climbing onto the associated
RPS output breaker cabinet.
The
2B
Bus
was, placed
on the alternate
power supply and affected
systems
returned to normal.
The
licensee
later
determined
that .scaffolding
provided for the
personnel
to
use
which
was
located
above
the cabinet
was
not
constructed
with
a ladder
to provide direct access.
The breaker
overvoltage
relay
was identified as
being sensitive to direct, small
magnitude
mechanical
shock.
The licensee
evaluated
this condition
(vibration sensitivity)
as
being
an
acceptable
condition
under
normal plant operating conditions.
As corrective actions
the licensee
performed
the following:
SDSP
14.32,
Scaffold
Construction
Procedure
was
revised
to
include
as part of the -final checks,
a survey of the area to
identify any plant equipment
that
may
be inappropriately
used
during the planned
work activity.
A critique of the event
was provided to modifications personnel
along
with
a
management
memorandum
urging
increased
care
in
preparation of workplans
and their implementation.
The related
breaker
cabinet
was
marked with a pepaanent
label
to
warn of sensitive
plant
equipment.
A team of licensee
personnel
was assigned
to tour the plant for identifying other
similar equipment that might require labeling.
The
inspector
reviewed
Incident Investigation
Report
89-28,
and
Modifications Manager
Memorandum
dated April 17,
1989 which covered
this
event.
A list of potentially sensitive
components
that
received
warning labels
was also
reviewed.
The inspector
concurs
with the
licensee's
evaluation
of the
above
event
and resulting
corrective action.
This item is closed.
14
'(CLOSED)
Technical
Specification
Violation Caused
by Personnel
Error.
On July
10,
1989,
the licensee
determined
that
a 4-hour
TS
LCO for
neutron
monitoring
system testing
had
been
exceeded
by
2 minutes.
Surveillance test 2-SI-4.2.C-1.2,
"Instrumentation that Initiates
Rod
Blocks/Scrams,
APRN
Functional
Test,"
includes
jumpering
relay
contacts
to
remove
APRN
2F
and
IRN 2F inputs to the
RPS,
making
~these
instruments
IRN 2H was inoperable at the time of
the test
due to other conditions.
TS 3. 1, Table 3. 1.A requires
that=
a minimum of three
IRN channels
be operable for each
RPS trip system
during the shutdown
mode except during required surveillance testing.
Table 3. 1.A, note 23, allows
a channel
to be placed in an inoperable
status
for up to 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br />
provided at least
one operable
channel
in
the
same trip system is monitoring that parameter.
Due to problems
encountered
during
the
performance
of the SI,
personnel
errors
in
monitoring
the
LCO time,
and failure to notify the
SOS of the
impending time limit, the 4-hour
LCO limit was exceeded.
Additional licensee
reviews
determined
that applicab'le
TS actions
were
.in place at the time of this event
and
no violation of TS
had
occurred.
Table 3. 1;A, Action 1.A requires
that the trip system
be
tripped
within
one
hour;
or, all
operations
involving core
alterations
be
suspended
and all
control
rods
inserted
within one
hour.
During this event,
Unit 2
was in cold
shutdown'ith
all control
rods inserted
and
in progress.
Under
these
plant
conditions,
compliance
with Action
1.A
was
'aintained
throughout
the
event
and
no violation of TS occurred.
The licensee
submitted revision
1 of the
LER on February
12,
1990,
to change
the report to a voluntary LER.
The inspector
reviewed Revision
0 of the
LER, dated
August 9, 1989,
Revision
1 of the
LER,
and the Unit 2 TS.
The inspector
concluded
that
no
TS violation had o'ccurred
and this event
was not reportable
per
This item is closed.
In addition,
the
inspector
reviewed
the
licensee's
corrective
actions,
proposed
i'n revision
0 of the
LER, to prevent recurrence
of
the event.
The
proposed
actions
included revising the
SI writers
guide to require notification of the
SOS prior to exceeding
a
LCO
time limit when it becomes
apparent
that the
time limit cannot
be
met
and revising the
conduct of testing
procedure
to specifically
assign
responsibility for monitoring
LCO time limits created
and
controlled
by testing.
The inspector verified that the conduct of
testing
procedure
had
been
revised,
but noted that the
SI writers
guide
had
not
been
revised.
Discussions
with licensee
personnel
revealed
that
SDSP 7.4,
Procedure
Review,
had
been revised
instead
of the
SI writers guide.
This
was
done to ensure that existing SIs
would
be revised
to include
these
requirements
as well
as
newly
written SIs,
The
inspector
verified that
SDSP
7.4,
Form
171
"Procedure
Verification
Review
Checklist"
had
been
revised
to
require notification of the
SOS
when it becomes
apparent
that
a
LCO
time limit can
not
be
met.
The
inspector
also verified that
2-SI-4.2.C-1.2
had
been revised to include these
requirements.
0
15
(CLOSED)
Performance
of Surveillance
Testing
-Results
in Inoperable
Eme'rgency
Equipment
Cooling Water
System
and
Diesel
Generators
Which is
On August
15,
1989,
the licensee
identified that all
12
EECW pumps
and all
8
DGs were
made
in violation of TS requirements
during
the
performance
of surveillance
testing.
Procedure
O-SI-4.2.B-67,
Residual
Heat
Removal
Service
Water Initiation Logic,
included disabling
the automatic start'ogic of the
EECW system
to
perform the test.
The
EECW system
is required
to automatically
provide cooling water to essential
equipment,
including the
DGs, in
the event of an accident.
The
cause of the event
was
a deficient
test procedure.
The inspector
reviewed the licensee's
closure
package for this item
'nd
the incident investigation
RCA 89-66
which
was
performed for
this event.
The incident investigation
determined
that the SI was
revised
in 1976 to include disabling
the
EECW automatic start logic
to
reduce
the
number of, pump starts.
The licensee's
immediate
corrective action
was to place an, administrative
hold on the SI
so
it could
not
be
used
again.
'Other
immediate
actions
included
screening
the
schedule
of SIs to
be performed
in the following two
weeks
for similar deficiencies.
One
was
identified
which
required
revision prior to its performance.
Long term corrective
actions, included
the establishing
of
a
procedure
review group to
review scheduled
SIs for problems.
The inspector verified that the
LER met the reporting requirements
of
and verified that
the corrective
actions
were
complete.
This event
was
included
as
an example of a Severity Level
III violation (VIO 89-43-01)
issued for a programmatic
breakdown of
the surveillance
testing
program.
The long term corrective actions
committed
to for the overall surveillance
testing
program will be
verified during the followup of VIO 89-43-01.
This item is closed.
(CLOSED)
and
Deenergization
of
Bus
by Motor Generator
Circuit Protector
Operations
Caused
by
Inadequate
Design of Protector Setpoints.
These
LERs
involved
three
events
between
August
26
and
October
16,
1989,
where the Unit
1
bus
1B was deenergized
due to
RPS circuit protector trips.
Each event resulted
in
ESF actuations
which occurred
as
designed.
The root
cause
in each
event
was
determined
to
be
an
inadequate
design
of the setpoints
for the
circuit protectors.
The
inspector
reviewed
the
LERs
and verified that .they met the
reporting
requirements
of
Following each
event
the
licensee
returned all systems
to the normal status
and corrected
the
cause
of the
power supply fluctuations.
The corrective actions
given for both
LERs and the inspectors
findings were
as follows:
0
16
(1)
The
licensee
performed
an
evaluation
to
determine if the
existing
MG set voltage adjustment
should
be
replaced with ones of a different type.
From this evaluation,
the
licensee
decided
to
replace
the existing
open-design
with ones
having
an enclosed
design
that would
be
less
susceptible
to dust disposition.
Three
DCNs
were
approved
by the
on October
14,
1989, for replacement
in
all three units.
(2)
The licensee
performed
an evaluation of the design
basis for
the
MG set circuit protection
setpoints
and initiated
design
changes.
From this evaluation,
the licensee initiated
design
changes
for modification of the circuit protector
setpoints.
These
LERs
are
closed.
Completion of the
RPS circuit protector
design
changes
and modifications will be resolved
by the followup of
(CLOSED)
Failure to
Sample All Seven-Day
Fuel Oil
Storage
Tanks for the Diesel
Generators
Resulting in a Violation of
Technical Specifications.
This item involved the failure to sample
DG fuel oil for'quality on
a monthly basis
as
required
by
TS 4.9.A.l.e'.
The licensee
had
interpreted
the
TS to mean that the
DG seven-day
fuel oil storage
tanks
were to be sampled
once
a month
on
a staggered
basis
and the
was written to reflect this interpretation.
On September
12,
1989,
the licensee
determined
that the staggered
sampling
frequency
was in violation of the TS.
The inspector
reviewed
the
LER, dated
October
11,
1989,
and
the
licensee's
closure
package for'his item.
The licensee
implemented
immediate
corrective
action
by sampling all of the
DG seven-day
tanks
on
a monthly frequency.
The licensee
then revised
procedure
O-SI-4.9.A. l.e,
Diesel
Generator
Fuel
Oil Analysis,
to
implement
monthly sampling
of all
DG seven-day
tanks.
Subsequent
licensee
review of this
issue
identified that
a monthly sampling
frequency
was excessive
relative to the standardized
technical specifications.
A TS change
request
was,submitted
to the
NRC to request
a quarterly
sampling frequency for each
DG seven-day
tank.
The inspector verified that the
LER met the reporting requirements
of
and verified that
the corrective
actions
were
complete.
The
TS change will be resolved
between
the licensee
and
NRR in accordance
with
NRC procedures
governing
TS amendments.
This
event
was
included
as
an example of a Severity Level III violation
(VIO 89-43-01)
issued for
a
breakdown of the surveillance
testing
program.
The
long
term corrective
actions
committed
to for the
overall
surveillance
testing
program will be verified during
the
followup of VIO 89-43-01.
This item is closed.
17
(CLOSED)
Failed
Solder
Connecti'on
on
Scram Pilot
Air Header During Instrument Calibration Results
in
RPS Actuation.
This item involved
a
RPS actuation
on
a low scram pilot air pressure
signal
which occurred
during the calibration of a pressure
indicator
(2-PI-'85-67A) .on
December
6,
1989.
The
cause
of the trip was the
failure of
a soldered
connection
which caused
the instrument
tap
piping to disconnect
from the air header
piping.
The resultant air
leak
reduced
the
pressure
to the trip setpoint.
Licensee
investigation
and
examination
of the failed connection
did not
uncover sufficient evidence
to determine
the root
cause
of the
failure.
The
connection
had
been
in service for
14 years
and
2-PI-85-67A
had
been
removed
several
times for calibrations.
The
licensee
indicated
that
stresses
added
from the
removal
and
reinstallation of the
pressure
indicator for each calibration
may
have contributed to the failure.
The
inspector
reviewed
the
LER,
dated
January
5,
1989,
and
the
licensee's
closure
package for this
item and verified that the
LER
met
the reporting
requirements
of
The
licensee
repaired
the solder connection
and replaced
the pressure
indicator.
The
licensee
also
performed
leak testing
of the other
soldered
connections
in the
and identified three
more
air
leaks
These
leaks
were
repaired
also.
As
a
long
term
corrective action,
the licensee
planned to perform
an evaluation of
the present
system piping to determine if additional
actions
should
be
taken
to
increase
system reliability.
However,
the current
system
meets
design
requirements
and
provides
a fail safe
actuation
on loss of air.
This item is closed.
9.
Action on Previous
Inspection
Findings
(92701,
92702)
(CLOSED)
IFI 259,
260,
296/86-28-03,
Failure
to Specify
Overload
Element Ratings
on Drawings.
This item involved
a licensee
finding that design
documents
did not
reflect the overload
element ratings for HCC starters.
It could not
be established
whether
the overloads
were properly specified
by the=
designers.
The
licensee
initiated
a
and
established
a
corrective action
plan to resolve
the issue.
This IFI was
opened
to
record
the
progress
of the licensee's
corrective
actions
and to
follow any adverse
findings.
During this reporting'period,
an inspector
reviewed
the licensee's
closure
package
for this
item
and
held discussions
with licensee
personnel
concerning
the
status
of the corrective
actions.
The
resolution of this issue
was
committed to by the licensee
in Section
13.4 of the
NPP,
Volume 3.
The commitment was to inspect
and modify
Unit 2 safety related
NCC thermal
overloads
and Units I and
3 safety
related
thermal
overloads
required for Unit 2 safe
shutdown prior to
18
restart.
At the
time
of this
report,
they
had
completed
modifications for all committed overloads
except for one
DCN.
This
DCN included
changing
out
3 sets
of overloads
and revising
the
setpoints
on
several
others.
This
DCN will be
completed
and
implemented prior to Unit 2 restart.
The
inspector
verified that
the
resolution
of this
issue
was
included
in the licensee's
system
to track
NPP comoitments.
The
inspector
concluded
that, the
purpose
of this IFI was
adequately
resolved
by the
licensee's
'NPP
commitment.
The resolution
and
closure of
commitments will be
addressed
by the
NRC for the
restart of Unit 2.
This item is closed.
(CLOSED) IFI 259, 260, 296/87-02-06,
System
Walkdowns.
This item was originally identified when the inspector
reviewed the
licensee's
configuration control
program.
The IFI contained
three
specific
areas
with
the
majority of
the
emphasis
on
the
Configuration Control Drawings.
All items with the exception of the
item dealing
the
FSAR updating
were closed
in IR 87-42
and 89-35.
The
remaining
item involved the correcting'f
FSAR figure 8.5-2.
The
licensee
is
currently
updating
the
including all
modifications
and
design
issues.
This process
includes
reviews
by
technical
personnel
including the
system
engineers.
Based
on this
method
and the total updating of the
FSAR, this item was adequately
addressed.
This item is closed.
(CLOSED)
IFI
259,
260,
296/88-33-01,
Lack of
Locked
Valve
Criteria.
This item concerned
the 'criteria for and
use of locking chains
on
plant valves.
Two specific
valves
were
used
as
examples.
The
'licensee
formalized
the criteria
by issuing
procedure
GOI-300-3,
General
Valve Operations,
on
December
7,
1989.
This procedure
not
only listed the locked valve criteria, but Attachment
1 is
a 58 page
list of all locked valves
by valve number,
valve description,
and
required position for normal plant operation.
Procedure
GOI-300-3
is
now
the
"Yiaster"
procedure
for locked
valve criteria
and
performing
locked
valve verification.
The
system
operating
instruction checklists
have
been
revised
to the
requirements
of
GOI-300-3
and verification is
complete.
The
next
locked
valve
verification will be
performed
by using
GOI-300-3
instead of the
various
system
OIs.
The inspectors
have reviewed
the procedure
and
its implementation,
including the
two examples
cited
and
have
found
the licensee
response
acceptable.
This item is closed.
(OPEN)
IFI
259,
260,
296/89-27-03,
Verification That
DG Output
Breakers
Recharge
in 2.5 Seconds
or Less.
This
item
addressed
the
steps
being
taken
to
ensure
that this
significant modification was adequately
addressed
by the appropriate
plant procedures.
19
The licensee
indicated
that
the timing of the
DG breakers
would
occur
only during
the
performance
of procedure
EMI 7.9, Initial
Installation,
Test,
and
Checkout
of
4KV Circuit Breakers
and
Procedures
for Alignment of Circuit Breakers
to Cubicle.
The
inspector
reviewed
the procedure.
It indicated that the recharge
time of the
DG breakers
would be tested
only for a
new breaker or if
a rebuilt breaker
was being placed'in
the
DG output breaker cubicle
of the
shutdown
board
and it had not been
in that specific cubicle
before.
That
would mean,a
DG breakers'echarging
time would
be
tested
every five years
and only if a different rebuilt breaker
was
going -to
be used.
Therefore,
the
DG output breakers
do not have
a
testing interval for verifying that the recharge
time is 2.5 seconds
or less.
During the
a
LOP/LOCA situation
where
the
.DG output breakers
take
longer than
2.5
seconds
to recharge,
a possibility exists that the
DG output
breakers
would fail to reclose
due
to the
antipump
circuity of
each
breaker.
Additional
discussions
with the
licensee's
system engineering
group indicated
they have
an excellent
understanding
of this issues.
They informed the inspector
of the
following:
The
3
second
time delay relays
are calibrated
in accordance
with SI-4.9.A.4.c,
4160V
Shutdown
Board Under/Degraded
Voltage
Time Delay Relay Calibration.
The verification that the
8
DG output breakers will recharge
in
2.5
seconds
or less will be
made
a yearly requirement
as part
of the SI
~
The
inspector
reviewed
SI-4.9.A.4.c
and
noted
that section
1.2,
frequency,
stated:
This
SI is to
be
performed
annually
and
when
required
by
maintenance
performed
on
the relays.
Degraded
Voltage
and
Diesel
Breaker
timing relays will be calibrated
every six
months.
Additional
changes
to the surveillance
program instructions
for
the
4160Y. shutdown- boards
involving the eight
DGs output breakers
are
needed.
This
item will remain
open
pending
review of these
changes.
(CLOSED)
IFI
259,
260,
296/89-43-06,
Non-Intent
Changes
to
Surveillance Instructions.
This
item involved
a
concern
over
the
abnormal
number
(nine) of
non-intent
procedure
changes
(NICs) which were
issued
during the
validation
performance
of
procedure
1/2-SI-4.9.A. l.d(B),
Diesel
Generator
B Annual Inspection.
The inspector
considered
the large
number of changes
to
be
excessive
since
the
had already
been
through
the verification review process.
The inspector
also
noted
20
'that
some of the
NICs were required to complete
the SI.
This item
was
opened
pending further review of the licensee's
usage of NICs.
The inspector
reviewed
the licensee's
closure
package for this item.
Procedure
SDSP-2. 11,
Implementation
and
Change of Site
Procedures,
covers
the generation
and
usage of NICs. 'n response
to the large
numbers
of NICs generated
for many site
procedures,
including the
subject SI, the licensee
revised
SDSP-2. 11 to restrict the
scope of
NICs and simplify the wording of the criteria for determination of a
NIC.
These
revisions
should
ensure
that
NICs are
used for minor
changes
and will not
change
the
scope
of procedure
steps.
The
inspector
reviewed
a compilation of NICs for the period of August
1989,
through
March
1990,
and
noted that
the
number
of NICs
had
decreased
significantly
since
the
revisions
to
SDSP-2. 11
were
implemented.
This
reduction
can be'ttributed
to the
SDSP-2.11
'evisions
and
improvements
made
to the
procedure verification
and
validation program.
This item is closed.
(CLOSED)
IFI
259,
260,
296/89-47-02,
Unit
1
Cross-Tie
Operability.
TS 3.5.B. 11
requires
that
two
pumps
and
associated
heat
exchangers
from an adjacent
unit
be
whenever
irradiated
fuel is in the reactor
and
when pressure
is greater
than atmospheric.
The licensee
plans to use
the Unit
1
RHR System II to provide backup
to Unit 2 and to meet these
requirement.
This IFI was
opened
since
it was unclear
what the licensee's
intentions
were regarding Unit
1
RHR operability for seismic,
Eg, fire protection,
and
system
operation.
The
licensee
conducted
a
systematic
review of the
various
Unit
2 programs
to determine their need for the Unit
1
backup.
No requirements
were identified for Eg and fire protection.
The inspector
discussed
this with the applicable
NRR reviewers
and
likewise
no
issues
were identified.
The Unit .1
RHR System
I to
System II crosstie
line is not seismically qualified.
To provide
a
seismically qualified
backup
to Unit 2
a
seismically
qualified
blind flange will be installed.
This work will be accomplished
under
DCN W9364A.
The inspector
reviewed
the
DCN
and drawings.
This
design
change
fixes the seismic
boundary
and avoids significant pipe
support
modification
required
to
seismically
qualify existing
pressure
boundaries.
The
inspector
concluded
that this
design
change
provided
a seismically qualified
RHR backup to Unit 2.
Unit
2 OI-74,
Residual
Heat
Removal
Opera'ting
Instruction,
was
reviewed.
Section
8=..18 of Revision
14,
dated April 5,
1990,
contains
instructions for initiation of shutdown cooling using the
RHR Unit
1 backup.
The
issues
concerning
the
RHR unit to unit cross
connect
are
resolved.
This IFI is closed.
(CLOSED)
259,
260,
296/89-43-02,
Adequacy
of
Flow
During O-SI-4.2.8-67.
21
This
item involved
a concern
on the
adequacy
of the valve lineup
used
during the performance of procedure
O-SI-4.2.8-67,
RHR Service
Water -Initiation Logic.
The lineup utilized in the SI connected
the
discharge
of all of the
pumps to both
EECW and
RHRSW service.
The licensee
was in the process
of performing
a safety evaluation at
the
end of the inspection
period to determine
whether the resulting
flow would meet
TS requirements
for
RHRSW flow through the
RHR heat
exchangers
during accident conditions.
This iteq was
opened
pending
NRC review of the completed safety evaluation.
The inspector
reviewed the licensee's
closure
package for this item,
including the
completed
safety evaluation.
The
RHRSW system is
a
standby
system
that
must
be
manually initiated
and
aligned
to
perform its safety functions.
Chapter
10.9 of the
FSAR allows
1
hour to provide six
pumps to supply cooling water to the
heat
exchangers
and three
pumps for the design basis
LOCA.
The
valve lineup used
in the SI did not affect
RHRSW system flow since
licensed
operators
were available
to place
the system into service
in the event of an accident. 'he
valve lineup did not affect
system
flow since
four
pumps
are
dedicated
to
EECW service.
The
inspector
concluded that the valve lineup for the
SI was acceptable
and
no violation occurred.
This item is 'closed.
(CLOSED)
259,
260,
296/89-52-01,
Adequate
Inventory
Controls of Special
Nuclear Materials.
During
a routine radiation
protection
inspection,
the
inspectors
were
made
aware of special
nuclear material accountability problems.
Since this
URI was
opened,
a special
SNM inspection
was
conducted.
A notice of violation and
proposed
imposition of civil penalty
was
issued for IR 259,
260,
296/89-55
on May 2,
1990.
The issuance
of
the
NOY closes
the URI.
TVA's response
to the
NOV will be evaluated
in future inspections.
(CLOSED)
VIO 259,
260,
296/86-25-06,
Failure
to Maintain
Records
of Facility Changes,
Including the
10 CFR 50.59 Safety Evaluation.
This violation resulted
from
a
change
to plant flood protection
features.
Originally, flood doors
to the
reactor
building
and
radwaste
building were maintained
closed
except for personnel
and
equipment
access
as
stated
in the
FSAR.
In
1981,
the
licensee
changed
this practice
to maintain
the
doors
normally open.
When
questioned
by
a
NRC inspector
in
1986, no'0
CFR 50.59 safety
evaluation
could
be
retrieved
to
document
acceptability
of the
change.
The
licensee's
corrective
actions
consisted
of reevaluating
the
existing conditions
and performing
a
new safety evaluation.
A
NRC
inspector
reviewed
the
new safety
evaluation
and
documented
the
findings in IR 88-32.
The evaluation
adequately justified revising
the
FSAR to reflect leaving the doors
open
and the revision was
made
in
Amendment
5 to
the
FSAR in August
1987.
The evaluation
recommended
that
the
Bases for Section
3.2 of the
TS
be
changed
to
,22
delete
the statement,
"Plant flood protection is always in place
and
does
not depend
in any way on advanced
warning."
This statement
was
not
accurate
under
the
circumstances
since
operator
action
was
required
to close
the flood doors.
As of October
18,
1988, this
change
had not
been
made.
The evaluation additionally recommended
that
an
administrative
instruction
be
developed
to ensure
that
operators
close
the
flood
doors
whenever
the
Wheeler
Reservoir
elevation
reaches
558 feet.
The plant
responded
by adding
the
necessary
operator
action, to procedure
The
inspector
considered
this
to
be
inappropriate
since
the
entry condition into the procedure
was
the actuation of the
"Lake
Elevation High" alarm which occurs at 564 feet.
This alarm point is
6 feet above that at which operator action is required
by the safety
evaluation.
This item was left open
pending licensee
resolution of
the above
two outstanding
issues.
The inspector
reviewed the licensee's
closure
package for this item
and determined
the following:
(1)
The
licensee
had
a
commitment
to revise
the
TS
Bases
for
Section
3.2
by
October
31,
1990,
and
was
tracking
the
completion of this item on the commitment tracking system
under
item number
NC0860334008.
(2)
Steps
were
added
to GOI-300-1,
Operations
Routine
Sheets,
to
require verification that
the reservoir
level
is less
than
558 ft.,
or if flood water
enters
the
service
building
corridor, the
doors
and
hatches
listed in Attachments
1 and
2
of O-AOI-100-3, Flood Above Elevation
565 ft., must
be closed.
The
inspector verified that Attachment
1 contained
the flood
doors for the reactor
building
and
radwaste
building.
The
inspector verified that the approved
procedures
were in place.
Based
on the requirements
contained
in the
GOI, AOI, and
ARP,
and
the commitment to revised
the
TS Bases,
this item is closed.
(CLOSED)
259,
260,
296/88-05-03,
Failure
to
Follow
Procedures
-
2 Examples.
This violation was
issued for two examples
of the'ailure
to follow
procedures.
The first example
involved surveillance testing
on the
SGTS.
This example
was
reviewed
and. closed in IR 88-34.
The second
example
involved the failure to initiate a,LRED for a reportability
determination
when rust
was
found in the containment
spray
A
LRED was
subsequently
initiated following discussions
with
NRC
inspectors.
The
inspector
reviewed
the, licensee's
response
to
second
example
of the violation.
A -CARR
was initiated
as
the result of
an
inspection
which revealed
clogged containment
spray
nozzles.
As part of the
CARR review,
a determination
was
made that
the
finding was
not reportable.
The
CARR was
taken to the
SOS
on duty
23
who
incorrectly
decided
that'
'LRED
was
not
required
since
reportability had already
been
addressed
on the
CARR.
This was not
in accordance
with
PMI 15.4,
Unique Reporting
Requirements,-
which
governs
the initiation of LREDs.
As corrective
actions,"
a
LRED
was
subsequently
issued
and
an
informational
LER was submitted to the
NRC.
A critique of the event
was also
prepared
and reviewed
by the
SOSs,
STAs,
and reportability
engineers.
The critique emphasized
the requirements
of PMI 15.4.
The inspector
concluded
that this event
was
an isolated
occurrence
and
adequate
corrective
actions
were
implemented.
The inspector
noted that
LREDs are
used conservatively
by the current operations
staff.
This item is closed.
k.
(CLOSED)
259,
260,
296/89-08-02,
Failure
to
Perform
Surveillance
on Shutdown
Board Batteries.
During
a
previous
inspection,
the
licensee
informed
the
NRC
inspectors
that 2-SI-4.9.A.2.a-2,
Meekly Check for Shutdown
Boards
C
and
D Batteries,
was not performed within its
TS required frequency.
This violation was
issued for a failure to meet
TS requirements
for
the performance of surveillance testing.
The
licensee
responded
to
the
violation
by letter
dated
May 12,
1989.
The inspector
reviewed
the
response
and
noted that
the
licensee
admitted
the violation
and attributed
the
cause
to
inadequate
control
and
tracking of survei llances
and
personnel
error.
The licensee
performed
the following corrective actions
and
the inspector verified that they were complete.
The
missed
was
successfully
performed
on
the
C
and
D
shutdown
board batteries.
I
The surveillance
scheduling
and tracking program
was evaluated
as
part of
a
task
force
reviewing
the entire surveillance
program.
A SI task
force
recommendation
was
implemented
requiring
the
work control unit to ensure
positive verification that
a SI
has
been
completed
on
the
due
date.
This
requirement
was
proceduralized
in PMI 17.1, Conduct of Testing.
This item is closed.
This example
was included
as part of a special
inspection
on SI program deficiencies
(IR 89-43) which resulted
in a
severity
level III violation.
Review of the overall
program
upgrades will be conducted
during the followup of VIO 89-43-01.
l.
(CLOSED)
259,
260,
296/89-33-03:
Failure
to
Follow
Procedure.
0
0
24
This violation involved two examples
of failure to follow procedures
during the performance of
EECW pump surveillance testing.
The first
example
was
the failure to take complete vibration data.
The second,
example
was
the failure to complete
the analysis
of the
SI data
within the
4 working day time frame required
by the SI.
The data
analysis
was
not completed until six days following performance of
the SI.
The
inspector
reviewed
the licensee's
response
to this violation
dated
September
25,
1989.
The licensee
admitted the first example
of the violation.
The reason for the violation was
personnel
error
in that
an operator initialed the step which noted that displacement
vibration
amplitude
was
within the
limits of the
acceptance
criteria.
This
was
due to misinformation provided to the operator
from
a
mechanical
test
technician
who didn't clearly
know the
vibration baseline
status
for the
pump being tested.
In May 1989,
the
licensee
received
relief from
the
NRC
changing
vibration
requirements
from the displacement
vibration amplitude to a velocity
vibration
amplitude
method.
Because
of this
change,
velocity
vibration data
was
recorded
instead of displacement
vibration data
during the SI; however,
the velocity vibration baseline
had not been
established
at the
t'ime .of the test.
The deficiency
was
noted
by
the licensee
during
a technical
review of the completed SI.
At that
time,
the
pump
was
declared
and
a retest
was
performed.
The retest
confirmed that the
pump met the displacement
vibration
acceptance
criteria.
The operator
involved was counseled
on signing
off steps without complete information.
This example is closed.
The licensee
denied
the
second
example of the violation.
The reason
for the denial
was that the six day analysis
included Saturday
and
Sunday
which are
not
normal
working days for the Mechanical
Test
Section-.
Therefore,
only four working
days
were
required
to
complete
the analysis.
This denial
was
accepted
by the
NRC in an
acknowledgement
letter
dated
October
16,
1989.
This
example
is
closed.
(CLOSED)
259,
260,
296/89-47-01,
Document
Control
of
Technical Specifications.
This violation concerned
three
examples
of where
BFN TSs
were not
maintained
in accordance
with SDSP 2.2, Controlling Documents.
The
first example
was
where
TS Amendment
135,
131,
106
had
been entered
into the controlled
copies
but not into the plant licensing master
copy.
Subsequently,
TS Amendment
158,
157,
129 revised different
information
on
the
same
page
resulting
in inadvertent
use
of
outdated
wording that
had
been
changed
by
TS
Amendment
135,
131,
106.
The
licensee
has
corrected
the
mix
up
and
submitted
the
correct
TS
page
to the
NRC.
The inspectors
have verified that the
TS amendments
are correct.
25
The
second
example
was
that- TS controlled copy 52 was not properly
maintained with the latest
amendment
to TS.
Example three
was that
Unit 2 Control
Room
TS Copy 40 was not properly maintained
in that
two copies
of page
3.7/4.7-16
existed
but only one
was
annotated
with information pertaining
to
compensatory
measures
88-64-2-007
which was in effect at the time.
These
two examples
were resolved
by
a
1005 audit of all
TS controlled
copies.
Further,
Document
Control
procedure
DCRM 302.2
was
issued
to describe
and control
audits
of various controlled
documents.
Section
2.2.A requires
a
100% annual
audit
on manuals
contained
in the Technical
Information
Center
and
Key Distribution Points.
As
a result of the initial
audits,
only a few minor additional discrepancies
were identified by
the
licensee
which
have
been
corrected;
The
NRC inspector
has
reviewed
DCRM 302.2
and
the audit
schedule
and
determined
the
licensees
action
on this violation is acceptable.
This violation is
closed.
No violations or deviations
were identified during the Followup of Open
Inspection
Items.
10.
Power Supply Concerns
An inspector
reviewed
power supply events
as part of IR 90-01.
The
inspector
noted that
numerous
RPS trips
had occurred
due to power supply
difficulties.
In addition,
the
inspector
expanded
IFI 88-28-03
to
include all three
BFN units
due
to- the potential effects of having
an
actuation
in Units
1
and
3 during Unit
2 operation.
However,
IFI
88-28-03
was previously closed
by inspection
in IR 89-.35.
This IFI will
remain
closed
and
the followup of all
RPS circuit protector
and
power
supply concerns will be tracked
by LER 296/90-01.
11.
Site Management
and Organization
(36301,
36800,
40700)
During this
inspection
period,
two senior
site
management
changes
occurred.
The Plant Manager
and the Project
Engineer
have
been replaced
with individuals
from within TVA.
The
new Plant
Manger
was recently
hired
from
and
was working
on Unit 3 restart
plan.
The Project
Engineer
has
been
at
BFNP
working in Nuclear
Engineering.
Both
individuals appear
to be fully qualified for this position.
One area of
concern
exists
in the
area
of Emergency
Preparedness.
Since
the last
full participation
EP exercise
several
key site individuals
have
changed
and their experience
in
BWRs is limited.
The
new Plant Manager is from
INPO and
a
CE plant.
The Operations
Manager is from a
BSW plant.
The
Technical
Support
Manager
is from a Westinghouse
plant.
All three of
these
individuals are
key players
in an event.
Due to their inexperience
at
BFNP or even
a
BWR plant alternates
must
be- used.
With the
new Plant
Manager, it is not clear
who will be the Site
Emergency Director or when
the
new managers will be fully qualified to assume their leadership
roles
during
an event.
A successful
full participation
graded
EP drill should
be
completed
before
Unit
2 restart
using all the
permanently
assigned
event responders.
26
In general,
turnover
of site
personnel
continues
to
be
high.
The
licensee
needs
to strive for staff stability which will lead to
a
"BFNP
team" that
can
function in unison
to support
the Unit
2 restart
and
testing
program.
Nuclear Safety Review Board
This inspection
concerned
mainly the activities of the Nuclear Safety
Review
Board
(NSRB).
The
requirements
of the
NSRB are specified
in
The
two upper tier corporate
documents
that provide guidance
on
the activities of the
NSRB are
NP Standard
STD 1.1. 1. Revision 0,
Nuclear
Safety
Oversight,
Section
2.2.;
Requirements;
and
NP
Directive
DIR 1.1.
Revision
0, Nuclear Safety Oversight,
Section 3.2.1
NSRB.
These
two
procedures
were
reviewed
to
determine if the
requirements
of
were fully implemented.
DIR 1. 1
provided
basically
the
same list of review
and audit activities
as
except it added
non-destructive
testing
and did not clearly identify
Quality Assurance
Practices.
The only potential
problem
was that under
the qualification sections
the
members
are required to have
a minimum of five years
experience
in 'at least
one of the technical
areas
of TS 6.5.2. 1.
A situation could exist where under
DIR 1.1
a person with
only NDT background could'be
on the
NSRB and counted for a quorum,
when in
fact
he is not even eligible for participation
on the
NSRB per the
TS.
Procedure
DIR 1. 1.
as written has the potential
to delete
the requirement
of the
TS.
This was discussed
with the
NSRB Chairman
and
he immediatel'y
issued
DCN-2,
an interim change
to DIR 1. 1 to make the procedure
exactly
match the TS.
No member
or alternate
on the
in qualification for the board.
In DIR l. 1 mention is
made of the
use of subcommittees
which may not be
made
up of
members
to conduct the business
of the
NSRB.
Also the
use
of teleconferencing
for
NSRB meetings
is outlined.
Both of the
practices
are
neither
allowed or prohibited
by the
TS.
Both of the
practices
are
used
throughout
the industry but they must
be carefully
controlled
by the
NSRB to ensure
that the
NSRB function does
not
become
diluted.
The
inspector
reviewed
the
resumes
of ten full board
members
and five
expert advisor
board
members
(non-TVA).
These
resumes
were
accompanied
with the
appointment letter to the
NSRB signed
by the
TVA Senior
Vice
President,
Nuclear
Power,
dated
January
10,
1990.
No discrepancies
were
identified with either the experience
levels of the
NSRB or the letter of
appointment.
The mix of areas
of expertise
was'road
enough to ensure
the requirements
of TS 6.5.2.1
were met.
The inspector also reviewed the charter for the following subcommittees:
USQD Subcommittee
Quality Assurance
and Safety Oversight Subcommittee
Chemistry,
Waste
Management,
Radiological
Control Subcommittee
Engineering
Subcommittee
Operations,
Maintenance,
and.Modifications
Subcommittee
0
27
These
charters
were all
concise,
provided clear
purpose
as
well
as
function/scope
sections,
and
were fully acceptable.
The inspector also
reviewed
four selected
NSRB implementing
procedures.
These
procedures
were clear
and accurate
to provide guidance
in the applicable
areas.-
The
NSRB meetings
are generally
held at
BFN on approximately
a one month
frequency.
Generally,. but not always,
there is senior TVA'anagement in
attendance
for at least part of the meetings.
The meeting usually lasts
two days.
The first day is overview and subcommittee
work.
The
second
day is
a full board meeting,
subcommittee
presentations
and
an executive
meeting.
A resident
generally
attends
all or part of these
regular
meeting
when held at
BFN.
The presentations
are
good
and the board
asks
thorough questions.
Action items are assigned
and old action
items are
discussed
for closure.
For example,
during the
NSRB meeting
number
245
held
on March 27-28,
1990,
there
were nine
new action
items
added to the
list of eleven
existing
items.
The backlog is adequate
with no long
overdue
item.
The oldest
was about
seven
months.
The
NSRB action item
tracking system is good.
The inspector
reviewed
the
gA audit schedule
and concluded that the audit
matrix is correct
in scheduling
audits
required
by
TS 6.5.2.8 at the
required frequency.
'
brief review of selected
audits indicates
they are
of
good quality
and
have
appropriate
findings.
A review of the
transmittal files indicate that the submittal
requirements
of TS 6.5.2. 10
are
being met in all examples
reviewed.
The
NSRB Chairman
and Techni'cal
Secretary
were
very helpful
and responsive
to the inspectors
questions
and requests.
No open items were identified.
Exit Interview (30703)
The iyspection
scope
and findings were
summarized
on
May 18,
1990 with
those
persons
indicated
in paragraph
1 above.
The inspectors
described
the
areas
inspected
and
discussed
in detail
the
inspection
findings
listed below.
The licensee
did not identify as proprietary
any of the
material
provided
to
or
reviewed
by
the
inspectors
during this
inspection.
Dissenting
comments
were not received
from the licensee.
Item
259, 260, 296/90-14-01
259, 260, 296/90-14-02
259, 260, 296/90-14-03
259,
260, 296/90-14-04
259,
260, 296/90-14-05
URI, Problems with Surveillance
Instructions,
paragraph
2.
URI, Failure to Follow SI, paragraph
2.
IFI, Effects of Phase
Unbalance
on Safety
Related Electrical
Systems,
paragraph
4.
VIO, Failure to Implement Drawings
and
Procedures,
paragraph
5.
VIO, Failure to Implement IV, paragraph
5.
28
AOI
BFNP
BSW
CAQR
CFR
DCN
GOI
IFI
IR
IV
KV
LCO
LER
LOP/LOCA
LRED
MAI
fiG
NE
NI C
NRC
OSIL
PMI
Abnormal Operating Instruction
Average
Power
Range Monitor
Annunciator Response
Procedure
Browns Ferry Nuclear Plant
Boiling Water Reactor
Babcock
5 Wilcox
Condition Adverse to Quality Report
Combustion Engineering
Code of Federal
Regulations
Design
Change Notice
Diesel Generator
Engineering
Change Notice
. Emergency
Equipment Cooling Water
Electrical Maintenance
Instruction
Emergency Notification System
Emergency
Preparedness
Environmental Qualification
Engineered
Safety Feature
Flow Control Valve
Final Safety Analysis Report
General
Operating Instructions
Inspector
Followup Item
Institute of Nuclear
Power Operations
Inspection
Report
Intermediate
Range Monitor
Independent Verification
Ki 1 ovolt
Limiting Condition for Operation
Licensee
Event Report
Loss of Power/Loess
of Coolant Accident
Licensee
Reportable
Event Determination
Modification Addition Instruction
Motor Control Center
Motor Generator
Management
Review Committee
Maintenance
Request
Non-Cited Violation
Nuclear Engineering
Non-intent Procedure
Change
Nuclear Performance
Plan
Nuclear Regulatory Commission
Nuclear Reactor Regulation
Nuclear Safety Review Board
Operating Instruction
Operations
Section Instruction Letter
Primary Containment Isolation System
Plant Manager Instruction
Plant Operations
Review Committee
Problem Reporting
Document
Quality Assurance
0
29
SDSP
~
SOS
SRN
ST"
TACF
TS
WP
Quality Control
Residual
Heat
Removal
Residual
Heat
Removal
Service
Water
Reactor Protection
System
Restart Test Program
Standby
Gas Treatment
System
Significant Condition Report
Site Director Standard
Practice
Surveillance Instruction
Special
Nuclear Material
Shift Operations
Supervisor
Specification Revision Notice
Special
Test
Temporary Alteration Change
Form
Test Exception
Technical Specification
Valley Authority
Unresolved
Item
Violation
Work'Order
Work Plan