ML20045G249

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Forwards Insp Rept 50-341/93-11 on 930504-0603 & Forwards Nov.Example of Particular Concern Was with Instrumentation & Control Dept Procedures
ML20045G249
Person / Time
Site: Fermi DTE Energy icon.png
Issue date: 07/02/1993
From: Greenman E
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Gipson D
DETROIT EDISON CO.
Shared Package
ML20045G250 List:
References
NUDOCS 9307130093
Download: ML20045G249 (4)


See also: IR 05000341/1993011

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The Detroit Edison Company

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The second violation is of concern because it was indicative of inattention to

detail on the part of control room personnel, who failed to identify an

inoperable instrument during two shift turnovers.

In areas where verification

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activities were reviewed by the inspectors, a relatively high incidence of

personnel errors was identified.

Contributing factors to these errors were

,

failure of management to make its expectations clear to plant workers,

,

confusion between various plant procedures, and inattention to detail on the

part of plant staff as evidenced by the above control room recorder violation.

.

In light of the fact that there appeared to be an issue of management

effectiveness in reducing personnel errors over the last 2% years, our

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inspectors discussed with your staff the Independent Safety Engineering Group

(ISEG) requirement to assure that personnel errors were reduced as much as

practical.

In your response to this inspection, please address your views as

to the effectiveness of ISEG in discharging its responsibilities and any

i

planned efforts to resolve the broader issues related to the violations in

this inspection.

You are required to respond to this letter and should follow the instructions

j

specified in the enclosed Notice when preparing your response.

In your

-response, you should document the specific actions taken and any additional

'

actions you plan to prevent recurrence.

In addition, we request that ycu

respond to the unresolved item discussed above.

Your response should provide

the basis for determining whether the associated regulatory requirements have

been met. We also request that you provide a description of actions you have

taken or plan to take to reduce the rate of personnel errors at your facility.

.

After reviewing your response to this Notice, including your proposed

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corrective actions and the results of future inspections, the NRC will

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determine whether further NRC enforcement action is necessary to ensure

compliance with NRC regulatory requirements.

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In accordance with 10 CFR 2.790 of the Commission's regulations, a copy of

this letter and the enclosed inspection report will be placed in the NRC

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Public Document Room.

The responses directed by this letter and the enclosed Notice are not subject

to the clearance procedures of the Office of Management and Budget as required

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by the Paperwork Reduction Act of 1980, Pub. L. No. 96.511.

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We will gladly discuss any questions you have concerning this inspection.

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Sincerely,

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Edward G. Greenman, Director

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Division of Reactor Projects

Enclosures:

1.

Notice of Violation

2.

Inspection Report

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No. 50-341/93011(DRP)

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See Attached Distribution

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JUL 0 21933

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Docket No. 50-341

License No. NPF-43

The Detroit Edison Company

ATIN:

Mr. D. R. Gipson

Senior Vice President

Nuclear Operations

6400 North Dixie Highway

Newport, MI 48166

Dear Mr. Gipson:

SUBJECT: NOTICE OF VIOLATION (NRC INSPECTION REPORT NO. 50-341/930ll(DRP))

lhis refers to the inspection conducted by Messrs. W. Stearns, K. Riemer and

R. Twigg of this office from May 4 through June 3,1993.

The inspection

included a review of activities authorized for your Fermi 2 Nuclear Generating

Station. At the conclusion of the inspection, the preliminary findings were

discussed with those members of your staff identified in the enclosed report.

In addition, a telephone conferenLe was conducted on June 24, 1993, to present

the final results of this inspection with those members of your staff

identified in the enclosed report.

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Areas examined during the inspection are identified in the report.

Within

these areas, the inspection consisted of a selective examination of procedures

and representative records, observations, and interviews with personnel.

The

purpose of this inspection was to assess the self-checking, verification, and

independent verification practices used at Fermi 2 and to determine whether

activities authorized by the license were conducted safely and in accordance

with NRC requirements.

Some of the results of this inspection appeared to be in violation of NRC

requirements, as specified in the enclosed Notice of Violation (Notice). One

apparent violation involved three examples where procedures were inadequate to

ensure acceptable performance of the intended task.

This violation involved

multiple examples of inadequate procedures for the performance of independent

verification requirements.

One example of particular concern was with the

Instrumentation & Control (l&C) department procedures.

The adequacy of these

procedures in meeting your Fermi Management Directives on Independent

Verification (IV) was identified as a problem by your staff in June of 1992.

In addition, an audit performed by your QA organization in September 1992

f ailed to identify any specific examples of inadequate IV in 1&C procedures.

As a result, your corrective action of reviewing all 1&C surveillance

procedures for adequate IV was not developed until April 1993.

Given the

earlier opportunities to conclude that this corrective action was needed, the

exercise of enforcement discretion was not deemed to be warranted.

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JUL 0 21993 <

The Detroit Edison Company

2

The second violation is of concern because it was indicative of inattention to

-

detail on the part of control room personnel, who failed to identify an

inoperable instrument during two shift turnovers.

In areas where verification

activities were reviewed by the inspectors, a relatively high incidence of

!

personnel errors was identified. Contributing factors to these errors were

'

failure of management to make its expectations clear to plant workers,

confusion between various plant procedures, and inattention to detail on the

part of plant staff ar evidenced by the above control room recorder violation.

In light of the fact that there appeared to be an issue of management

effectiveness ir. reducing personnel errcrs over the 'last 2% years, our

inspectors discussed with your staff the Independent Safety Engineering Group

(ISEG) requirement to assure that personnel errors were reduced as much as

!

practical.

In your response to this inspection, please address your views as

to the effectiveness of ISEG in discharging its responsibilities and any

planned efforts to resolve the broader issues related to the violations in

this inspection.

You are required to respond to this letter and should follow the instructions

!

specified in the enclosed Notice when preparing your response.

In your

response, you should document the specific actions taken and any additional

actions you plan to prevent recurrence.

In addition, we request that you

respond to the unresolved item discussed above.

Your response should provide

the basis for determining whether the associated regulatory requirements have

3

been met. We also request that you provide a description of actions you have

taken or plan to take to reduce the rate of personnel errors at your facility.

After reviewing your response to this Notice, including your propo. sed

corrective actions and the results of future inspections, the NR W ill

_j

determine whether further NRC enforcement action is necessary to ensure

compliance with NRC regulatory requirements.

In accordance with 10 CFR 2.790 of the Commission's regulations, a copy of

this letter and the enclosed inspection report will be placed in the NRC

Public Document Room.

The responses directed by this letter and the enclosed Notice are not subject

j

to the clearance procedures of the Office of Management and Budget as required

by the Paperwork Reduction Act of 1980, Pub. L. No. 96.511.

I

We will gladly discuss any questions you have concerning this inspection.

Sincerely,

&

-

-- &

Edward G. Greenman, Director

Division of Reactor Projects

Enclosures:

1.

Notice of Violation

2.

Inspection Report

No. 50-341/93011(DRP)

See Attached Distribution

. _ _ _

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JUL 02 3993

The Detroit Edison Company

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.

Distribution:

cc w/ enclosures:

John A. Tibai, Supervisor

of Compliance

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P. A. Marquardt, Corporate

'

Legal Department

OC/LFDCB

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Resident inspector, RIII

James R. Padgett, Michigan Public

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Service Commission

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Michigan Department of

,

Public Health

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Monroe County Office of

Civil Preparedness

Fermi, LPM, NRR

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