ML20206N226

LER 98-S03-00:on 981116,protected Area Was Entered Without Current Authorization for Unescorted Access Due to Programmatic Deficiency Error.Changed Badge Control Process

ML20206N226
Person / Time
Site:	LaSalle
Issue date:	12/09/1998
From:	Gengler V COMMONWEALTH EDISON CO.
To:
Shared Package
ML20206N223	List: ML20206N217 ML20206N226
References
LER-98-S03, LER-98-S3, NUDOCS 9812150176
Download: ML20206N226 (5)

Text

i NRC EOR \l366 L'.h. St CLEAR REGt la I ORY C0414 15510 % APPROVED BY 041H NO. 3150-0104 LXPIREs (6-l998) 06/3W200l I

• . Estimated burden per response to comply with this mandatory information collection request: 50 hrs. Reported leshons learned are LICENSEE EVENT REPORT (LER) incorporated into the licensing process and fed back to industry. Foruard comments regarding burden estimate to the Records Management Branch (T-6 F33), U. S. Nuclear Regulatory Commission, Washington. DC l 20555-0001, and to the Paperwork Reduction Project (3150-0104). Office 1 of Management and Budget, Washington, DC 20503. If an informction )

collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

FACILil V N A%IE (1): LaSalle County Station, Unit 1 DOCKE'I Sl3titLR(2) 05000373 PAGL (3) 1 of 5 l il'LE (4) Protected Area Entry Without Current Authorization for Unescorted Access Due to a l Programmatic Deficiency Error LVEN I' DA'I E (5) LER Nt31HER (6) REPORl DALE (7) OlllLR F ACll.lilES INVOLVED (8) 4 MUNIH DA) )LAR YEAR bl-Q( LN ilAL RB lSION MUN IH DAY ) LAR

"" "" l'ACILl!Y NANtE DOL KEI' NUMBER l LaSalle County Station, f Unit 2 l 11 16 98 98 S-03 00 12 09 98 FACILilY NAME DOCKl;l NUMBER  !

0'8e6 1 Tills REPORT IS SUBMITT ED PURSUANT TO Tile REQUIREMENTS OF 10 CFR g: (Check one or more)(ll)

Moom rowtu 99 IDTt. (tul

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20.2201(b) 20.2203(aM2 Hs )

50.73(aM2xi) 50.73(a)(2)(wiii) 20.2203(aH I) 20.2003(ax3xi) 50.73(aM2xii) 50.73(aM2X4 20.2203(aM2Hi) [ 20 2003(aH3Mii) [

50 73(aX2Mui) [

73 71 20.2203(aM2Xii) ] 20.2003(aM4) 50.73(aM2M n )

l 01lil R l 20.2203(aM2xiii) 50.36(ex t ) 50.73(aX2Xv) Specify n Abstract below j or F 20.2203(aK2Miv) 50 36(cH2) 50.73(aK2Mnii) in NRC Fonn 366A LICENNEL CON I ACT F OR lll151.LR (12)

NAML Ii LLPilONE NilMitLR (include Area Code)

Valheria Gengler, Security Administrator (815) 357-6761 Extension 2264 COstPI E'l E ONE LINE FOR tafil COstPONEN I FAILt'RE DL50RillLD IN 11115 REPORI'(13)

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NO St'B\llSSION (if yes. complete EXPLCT ED SUBMISSION DATE) D.VI E (15)

ABS ! RAC l (Limit to 1400 spaces, i c. approumately lineen single-space t)pewritten lines 16)

On November 16,1998, at 0845 hours0.00978 days <br />0.235 hours <br />0.0014 weeks <br />3.215225e-4 months <br />, it was discovered that a contract individual had been granted unescorted access to the protected area (PA) without a negative drug test. The individual was placed on the Denied Access list on November 9, 1998, for a presumptive positive Fitness For Duty test at the Braidwood Station. The individual was granted unescorted access on November 9, 1998, at LaSalle County Station.

The unauthorized individual was escorted out of the PA and his PA access was cancelled. Corrective actions included changing the badge control process, providing lessons learned to the other Comed nuclear stations, and conducting a review of all individuals placed on the Denied Access list for the previous thirty (30) days. The safety significance of this event was minimal. After review it was determined that the individual did not perform any work on safety related equipment. There have been two previous occurrences within the past two years. This event was reportable per 10 CFR 73.71(b), Appendix G as an actual entry of an unauthorized person into a protected area.

9812150176 981209 PDR ADOCK 05000373 S PDR

NRC 60RM 366A LI.S. Nt' CLEAR REGt'IAIORY COMMISSION I

(6-1998),

. j LICENSEE EVENT REPORT (LER)

. . TEXT CONTINUATION I ACILi1 Y NAME (1) IH)CI(E I' NOM HER (2) LER NL:MBER (6) PAGE 0) l YEAR htQLLhilAL Rt.M510N NtamER NtimER LaSalle County Station, Unit 1 05000373 98 S-03 00 2 of 5 (if more space is required, vee additional copies of NRC Form 366A)(17)

PLANT AND SYSTEM IDENTIFICATION General Electric - Boiling Water Reactor, 3323 Megawatts Thermal Rated Core Power l l

Energy Industry Identification System (EIIS) codes are identified in the text as l IXX] . l A. CONDITION PRIOR TO EVENT Unit (s) : 1/2 Event Date: 11/16/98 Event Time: 0745 Hours Reactor Mode (s): 1/N Power Level (s);

099/000 Mode (s) Name: l Run/Defueled

3. DESCRIPTION OF EVENT I J

On November 16, 1998, at 0845 hours0.00978 days <br />0.235 hours <br />0.0014 weeks <br />3.215225e-4 months <br /> the LaSalle Station Security Administrator  !

was notified by telephone by Nuclear Generation Group (NGG) Fitness For Duty coordinator that unescorted access for a contract individual on the Personnel Denied Access (PDA) list had been granted at LaSalle County Station. Access was granted on November 9, 1998, after the individual was screened and had met all of the Access Authorization Requirements.

On November 3, 1998, the contract individual was randomly tested under Fitness For Duty at the Braidwood Station. The individual's sample was sent to the lab for further testing and was determined to be presumptive positive on November 6, 1998. Notification was made to the Medical Review Officer (MRO) on the morning of November 9, 1998. Upon notification the MRO attempted to contact the individual at the Braidwood Station and was informed that the individual had ,

already been laid off. The MRO office then placed the individual on the PDA and sent the individual a registered letter.

At 0730 hours0.00845 days <br />0.203 hours <br />0.00121 weeks <br />2.77765e-4 months <br /> on November 9, 1998, the individual reported for work at LaSalle Station. Screening had been completed and showed that the individual was current at the Braidwood Station and all training needs had been met so the individual was processed for badging.

At 1136 hours0.0131 days <br />0.316 hours <br />0.00188 weeks <br />4.32248e-4 months <br /> on November 9, 1998, NGG Security faxed a list of individuals.that were being added and/or removed from the PDA to the Badge Fabrication Supervisor.

Upon receipt of the fax the supervisor reviewed the additions against the active badge file and did not find any of the additions in the active database. The Badge Fabrication then updated the computerized PDA List and proceeded to screen i in-coming personnel. Since the involved individual had already been screened his record was not re-checked against the additional list.

NRC FORM JMA LL%. NL'CLIAR REGt LAIORY COMMIRSION ~

(6-1998), -

LICENSEE EVENT REPORT (LER)  ;

. . TEXT CONTINUATION l

FACilJI Y NAME (1) DOCKET Nt!MBER (2) LER NL:MBER (6) PAG E (3)

RAR SLQLENilAL RL% 1SION NL%mFR NL%iBFR LaSalle County Station, Unit-1 05000373- 98 S-03 00 3 of 5 (if more space is required, use additional copies of NRC Fonn 366A)(17)

At 1411 hours0.0163 days <br />0.392 hours <br />0.00233 weeks <br />5.368855e-4 months <br /> on November 9, 1998, the individual's badge.was activated in the Security Computer and access was authorized. Initial entry into the PA was on November 9, 1998 at 1526 hours0.0177 days <br />0.424 hours <br />0.00252 weeks <br />5.80643e-4 months <br />. The. individual entered the PA each day between November 9 and November 14, then again on November 16, 1998.

-On November 14, 1998, the individual reported to the Post Office and picked up I his registered letter from the MRO.

Upon reporting to work on November 16 the individual attempted to contact the MRO l as instructed in the letter. The MRO was unavailable and the individual talked  !

to'the NGG Fitness For Duty Administrator and informed her that he was currently working at the LaSalle Station. j i

This was determined to be a security reportable event in accordance with' )

10 CFR 73.71(b); Part 73, App. G, paragraph I (b). The Shift Manager was notified '

of the event. An ENS notification was made to the NRC on November 16, 1998, at 0941 hours0.0109 days <br />0.261 hours <br />0.00156 weeks <br />3.580505e-4 months <br />.

C. CAUSE OF EVENT The root cause of the event was a Program to Program Interface Deficiency in that the prescreening process was completed on Friday, and not reverified on Monday. ]

This was not in the procedure at the time, and caused this event to occur.

Contributing factors include: (1) different actions requested by two or more l programs for given situation as the PDA is received via fax and the badge fabrication personnel are required to check active database then transfer the list to a site database, (2) inadequate program design in that the PDA is loaded into a computerized database that does not prevent the loading of a badge for an individual on the PDA; and (3) a program-work-planning process in that the PDA j was not re-verified immediately prior to loading a badge into the security j computer.

D. SAFETY ANALYSIS l The' safety significance of this event was minimal. The individual was a pipe insulator and performed no safety-related work, although he did work in a vital area of the plant. Following his removal from the site, his management performed an evaluation of his work, including a walk down of the work area to identify any i abnormalities. No problems were found.

, . . . . .. - - _ - . . _, _ . . . .~ , . . - . _ . . . . . - _ . . ~ . . ~ .

SRC I ORM 366A U.S. NL'CIMR REGtLVIOR) l COMMISSION (6-19981 E

LICENSEE EVENT REPORT (LER)

. . TEXT CONTINUATION f

FACILITV NAME (t) DOCKE I' N UM BER (2) LER Nt'MBER (6) PAGE (3) e i LAM . Sil/ULM i AL REi thlON AUMBER NUMhF R LaSalle County Station, Unit 1 05000373 98 S-03 00 4 of 5 )

(if more space is required, use additional copies of NRC Fonn 366A)(17) l l

E. CORRECTIVE ACTIONS l

l Insmediate Actions: I

)

i

1. The Badge Fabrication Department supervisor conducted a stand down with all badging personnel to discuss the event. (Complete) i  !

l

'2 . Contacted all Comed station badge fabrication offices and provided a lessons learned from the incident'. (Complete) i \

3. Completed a review of all individuals added to the PDA within the past 30

days and verified that they were not currently active. (Complete) l Corrective Actions To Prevent Recurrence

4. LPI #116 (Badge Fabrication Post Instruction) will be revised to include final verification prior to loading a badge into security computer, j (NTS #373-181-98-SCAQ00003.01)

5. A weekly spot check, of the PDA against the active badge file, will be  ;

e performed, through February 28, 1999. (NTS #373-181-98-SCAQ00003.02) l

6. A monthly spot check, of the PDA against the active badge file, will be performed, through December 31, 1999. (NTS #373-181-98-SCAQ00003.03)

7. An evaluation, with NGG Security, for possible ways of merging the PDA and the active badge file. (NTS #373-181-98-SCAQ00003.04)

8. An evaluation of all Badge Fabrication Processes will be conducted to ensure that no other programmatic deficiency exists. Individuals from NGG Security reported to the Station on November 17, 1998 to provide assistance on this evaluation. (NTS #373-181-98-SCAQ00003.05)  ;

9. The Badge Fabrication process was revised to require a re-verification of the PDA prior to loading a badge into the security computer.

(NTS #373-181-90-SCAQ00003.06) (Complete)

Nuc t oust 366A U.s. St CLEAR Rect LAlon) -l CosississioN j (6 1998) '

l l

LICENSEE EVENT REPORT (LER) l

- . TEXT CONTINUATION '

1 l

l ACILII'Y NA%lE(1) DoCKEl Nlt.%IBER (2) LER NL'%IBER (6) PAGE (3)

YEAR htQUEN ILAL ILL% l stun Nt %1BER Nt %1BE R LaSalle-County Station, Unit 1 05000373 98 S-03 00 5 of 5 (if more space is required, use additional copies of NRC Fonn 366A)(17)

F. PREVIOUS OCCURRENCES

.SER NUMBER TITLE 98-S01-00 Protected Area Entry Without Current Authorization For Unescorted Access Due to Procedural Non compliance j 98-S02-00 Protected Area Entry Without Current Authorization For Unescorted Access Due to Human. Performance Error There have been two similar events in the past two years. The first event  ;

occurred on April 10, 1998, and involved a contracting company's failure to notify the licensee of the termination of one of their employees who subsequently i entered the PA on three separate occasions. The second event occurred on June 29, 1998, and involved an individual performance failure when a contracting company notified the licensee of the termination of an employee and the badge fabrication supervisor failed to take appropriate actions upon notification. The corrective actions for these events would not have precluded the current event, because the previous two events were Human Performance Errors and this event was a programmatic failure.

G. COMPONENT FAILURE DATA Since no component failure occurred, this section is not applicable i

, - . . .