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| number = ML17325A002
| number = ML17325A002
| issue date = 11/20/2017
| issue date = 11/20/2017
| title = Grand Gulf Nuclear Station - NRC Inspection Report 05000416/2017014 and NRC Investigation Reports 4-2016-004 and 4- 2017-021
| title = NRC Inspection Report 05000416/2017014 and NRC Investigation Reports 4-2016-004 and 4- 2017-021
| author name = Pruett T W
| author name = Pruett T
| author affiliation = NRC/RGN-IV/DRP/RPB-C
| author affiliation = NRC/RGN-IV/DRP/RPB-C
| addressee name = Larson E
| addressee name = Larson E
Line 9: Line 9:
| docket = 05000416
| docket = 05000416
| license number = NPF-029
| license number = NPF-029
| contact person = Kozal J W
| contact person = Kozal J
| case reference number = 4-2016-004, 4-2017-021, AV 05000416/2017014-01, AV05000416/2017014-02, AV05000416/2017014-03, EA-17-132, EA-17-153, IR-2017014
| case reference number = 4-2016-004, 4-2017-021, AV 05000416/2017014-01, AV05000416/2017014-02, AV05000416/2017014-03, EA-17-132, EA-17-153, IR-2017014
| document report number = 05000146/2017014
| document report number = 05000146/2017014
Line 15: Line 15:
| page count = 7
| page count = 7
}}
}}
See also: [[followed by::IR 05000416/2017014]]
See also: [[see also::IR 05000416/2017014]]


=Text=
=Text=
{{#Wiki_filter:November 20, 2017   EA-17-132 EA-17-153 Mr. Eric Larson
{{#Wiki_filter:November 20, 2017
  Site Vice President
EA-17-132
Entergy Operations, Inc
EA-17-153
. Grand Gulf Nuclear Station
Mr. Eric Larson
P.O. Box 756
  Site Vice President
Port Gibson, MS 39150
Entergy Operations, Inc.
  SUBJECT: GRAND GULF NUCLEAR
Grand Gulf Nuclear Station
STATION - NRC INSPECTION REPORT 05000416/2017 01 4 AND NRC INVESTIGATION REPORTS 4-201 6-0 0 4 AND 4-201 7-0 21  Dear Mr. Larson: This letter refers to the investigation
P.O. Box 756
s conducted at the Grand Gulf Nuclear
Port Gibson, MS 39150
Station by the U.S. Nuclear Regulatory Commission's
SUBJECT:       GRAND GULF NUCLEAR STATION - NRC INSPECTION
(NRC's) Office of Investigations. The purpose of the investigation
                REPORT 05000416/2017014 AND NRC INVESTIGATION
s was to determine whether willful violations of NRC requirements occurred
                REPORTS 4-2016-004 AND 4-2017-021
at the Grand Gulf Nuclear Station involving the administration of training examination s and the performance of operator rounds. The investigations were initiated on November 5, 201 5, and March 6, 201 7 , and were completed on July 21 and August 2 5, 2017, respectively
Dear Mr. Larson:
. The iss ue s were discussed with you and other members of your staff
This letter refers to the investigations conducted at the Grand Gulf Nuclear Station by the
during a telephone conversation on
U.S. Nuclear Regulatory Commissions (NRCs) Office of Investigations. The purpose of the
November 16, 2017. A factual summary (Enclosure 1)
investigations was to determine whether willful violations of NRC requirements occurred at the
provides the details of the NRC's review of the case
Grand Gulf Nuclear Station involving the administration of training examinations and the
.    Based on the results of the investigation
performance of operator rounds. The investigations were initiated on November 5, 2015, and
s , three apparent violations were identified and are being considered for escalated enforcement action in
March 6, 2017, and were completed on July 21 and August 25, 2017, respectively. The issues
accordance with the  
were discussed with you and other members of your staff during a telephone conversation on
NRC Enforcement Policy. The Enforcement Policy
November 16, 2017. A factual summary (Enclosure 1) provides the details of the NRCs review
can be found on the NRC
of the case.
's Web site at
Based on the results of the investigations, three apparent violations were identified and are
http://www.nrc.gov/about
being considered for escalated enforcement action in accordance with the NRC Enforcement
-nrc/regulatory/enforcement/enforce
Policy. The Enforcement Policy can be found on the NRCs Web site at
-pol.html. The apparent violations being considered for escalated enforcement action involve the failure to ensure that training examinations were appropriately proctored, the failure of nonlicensed
http://www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html. The apparent violations
operators to perform required operator rounds, and the creation of falsified records of the performance of the operator rounds.
being considered for escalated enforcement action involve the failure to ensure that training
  The apparent violations are documented in Enclosure 2.
examinations were appropriately proctored, the failure of nonlicensed operators to perform
  Before the NRC makes its enforcement decision , we are providing you an
required operator rounds, and the creation of falsified records of the performance of the
opportunity to
operator rounds. The apparent violations are documented in Enclosure 2.
(1) request a predecisional enforcement conference (PEC)
Before the NRC makes its enforcement decision, we are providing you an opportunity to:
, or (2) request alternative  
(1) request a predecisional enforcement conference (PEC), or (2) request alternative dispute
dispute resolution (ADR).
resolution (ADR). If a PEC is held, the NRC may issue a press release to announce the time
  If a PEC is held, the  
and date of the conference; however, the PEC will be closed to public observation since
NRC may issue a press release to announce the time and date of the conference; however
information related to an Office of Investigations report will be discussed, and the report has not
, the PEC will be closed to public observation since information related to an Office of Investigations
been made public.
report will be discussed
 
, and the report
E. Larson                                       2
has not been made public.    
If you decide to participate in a PEC or pursue ADR, please contact Mr. Jason Kozal, Chief,
E. Larson 2 If you decide to participate in a PEC or pursue ADR, please contact Mr. Jason Kozal, Chief, Project Branch C, at 817-200-11 44 within 10 days of the date of this letter.
Project Branch C, at 817-200-1144 within 10 days of the date of this letter. A PEC should be
A PEC should be held within 30
held within 30 days and an ADR session within 45 days of the date of this letter. If an adequate
days and an ADR session within 45
response is not received within the time specified or an extension of time has not been granted
days of the date of this letter. If an adequate response is not received within the time specified or an extension of time has not been granted by the NRC, the NRC will proceed with its enforcement decision or schedule a PEC.
by the NRC, the NRC will proceed with its enforcement decision or schedule a PEC.
  If you choose to request a PEC, the conference will afford you the opportunity to provide your perspective on these matters
If you choose to request a PEC, the conference will afford you the opportunity to provide your
and any other information that you believe the NRC should take into consideration before making an enforcement decision. The decision to hold a  
perspective on these matters and any other information that you believe the NRC should take
PEC does not mean that the NRC has determined that a violation has occurred or that enforcement action will be taken. This conference would be conducted to obtain information to assist the NRC in making an enforcement decision. The topics discussed during the conference may include information to determine whether a violation occurred, information to determine the significance of a violation, information related to the identification of a violation, and information related to any corrective actions taken or planned. In presenting your corrective action
into consideration before making an enforcement decision. The decision to hold a PEC does
s, you should be aware that the promptness and comprehensiveness of your actions will be considered in assessing any civil penalty for the apparent violations.
not mean that the NRC has determined that a violation has occurred or that enforcement action
  In lieu of a PEC, you may request ADR with the NRC in an attempt to resolve this issue.
will be taken. This conference would be conducted to obtain information to assist the NRC in
Alternative  
making an enforcement decision. The topics discussed during the conference may include
dispute resolution  
information to determine whether a violation occurred, information to determine the significance
is a general term encompassing various techniques for resolving conflicts using a neutral third party. The technique that the NRC has decided to employ is mediation.
of a violation, information related to the identification of a violation, and information related to
  Mediation is a voluntary, informal process in which a trained neutral mediator works with parties to help them reach resolution. If the parties agree to use ADR, they select a mutually agreeable neutral mediator who has no stake in the outcome and no power to make decisions. Mediation gives parties an opportunity to discuss issues, clear up misunderstandings, be creative, find areas of agreement, and reach a final resolution of the issues. Based on notifications to the NRC by Entergy Operations, Inc., on November 5, 2015 , January 31, April 19, and July 28, 2017, the NRC is aware of additional issues at the Grand Gulf Nuclear Station, as well as the River Bend Station and the Waterford Steam Electric Station, involving falsification of operator rounds
any corrective actions taken or planned. In presenting your corrective actions, you should be
and trainees receiving inappropriate assistance.
aware that the promptness and comprehensiveness of your actions will be considered in
  If ADR is selected, we would anticipate the scope of the mediation to include a discussion of these additional issues. Additional
assessing any civil penalty for the apparent violations.
information concerning
In lieu of a PEC, you may request ADR with the NRC in an attempt to resolve this issue.
the NRC's ADR program can be obtained at http://www.nrc.gov/about
Alternative dispute resolution is a general term encompassing various techniques for resolving
-nrc/regulatory/enforcement/adr/post
conflicts using a neutral third party. The technique that the NRC has decided to employ is
-investigation.html. The Institute on Conflict Resolution
mediation. Mediation is a voluntary, informal process in which a trained neutral mediator works
at Cornell University
with parties to help them reach resolution. If the parties agree to use ADR, they select a
has agreed to facilitate the NRC's program as a neutral third party. Please contact Cornell at 877-733-9415 within 10 days of the date of this letter if you are interested
mutually agreeable neutral mediator who has no stake in the outcome and no power to make
in pursuing resolution  
decisions. Mediation gives parties an opportunity to discuss issues, clear up
of this issue through ADR. In addition, please be advised that the number and characterization of apparent violations described in Enclosure 2
misunderstandings, be creative, find areas of agreement, and reach a final resolution of the
may change as a result of further NRC review. You will be advised by separate correspondence of the results of our deliberations on this matter.
issues.
  For administrative purposes
Based on notifications to the NRC by Entergy Operations, Inc., on November 5, 2015,
, this letter is issued as NRC Inspection Report
January 31, April 19, and July 28, 2017, the NRC is aware of additional issues at the Grand Gulf
050004 16/2017014, and the apparent violation
Nuclear Station, as well as the River Bend Station and the Waterford Steam Electric Station,
s will be issued as  
involving falsification of operator rounds and trainees receiving inappropriate assistance. If ADR
AV 05000416/2017014
is selected, we would anticipate the scope of the mediation to include a discussion of these
-01, AV 05000416/2017014
additional issues. Additional information concerning the NRCs ADR program can be obtained
-02, and AV 05000416/2017014
at http://www.nrc.gov/about-nrc/regulatory/enforcement/adr/post-investigation.html. The
-03 , as described in Enclosure 2
Institute on Conflict Resolution at Cornell University has agreed to facilitate the NRCs program
In accordance
as a neutral third party. Please contact Cornell at 877-733-9415 within 10 days of the date of
with 10 CFR 2.390 of the NRC's "Rules of Practice and Procedure," a copy of this letter, its enclosures, and your response, if you choose to provide one, will be made available electronically
this letter if you are interested in pursuing resolution of this issue through ADR.
for public inspection
In addition, please be advised that the number and characterization of apparent violations
in the NRC Public Document Room or from the NRC's Agencywide
described in Enclosure 2 may change as a result of further NRC review. You will be advised
Documents Access and Management
by separate correspondence of the results of our deliberations on this matter.
System (ADAMS), accessible
For administrative purposes, this letter is issued as NRC Inspection Report 05000416/2017014,
from the NRC
and the apparent violations will be issued as AV 05000416/2017014-01,
E. Larson 3 Web site at http://www.nrc.gov/reading
AV 05000416/2017014-02, and AV 05000416/2017014-03, as described in Enclosure 2.
-rm/adams.html
In accordance with 10 CFR 2.390 of the NRCs Rules of Practice and Procedure, a copy of this
. To the extent possible, your response should not include any personal privacy, proprietary, or safeguards information so that it can be made available to the  
letter, its enclosures, and your response, if you choose to provide one, will be made available
public without redaction.
electronically for public inspection in the NRC Public Document Room or from the NRCs
  If you have any questions concerning this matter, please contact Mr. Jason Kozal
Agencywide Documents Access and Management System (ADAMS), accessible from the NRC
of my staff at  
 
817-200-11 44.   Sincerely,     /RA/   Troy W. Pruett, Director
E. Larson                                   3
  Division of Reactor Projects Docket No. 50-416 License No. NPF-29 Enclosure s:  1. Factual Summary  
Web site at http://www.nrc.gov/reading-rm/adams.html. To the extent possible, your response
2. NRC Inspection Report 05000416/2017014
should not include any personal privacy, proprietary, or safeguards information so that it can be
  cc w/enclosures
made available to the public without redaction.
: Electronic Distribution
If you have any questions concerning this matter, please contact Mr. Jason Kozal of my staff at
   
817-200-1144.
  Enclosure 1
                                                Sincerely,
FACTUAL SUMMARY
                                                /RA/
    Office of Investigations
                                                Troy W. Pruett, Director
Report 4-2016-00 4  An investigation was initiated by the U.S. Nuclear Regulatory Commission (NRC) Office of Investigations on November 5, 2015, to determine whether a former examination
                                                Division of Reactor Projects
proctor willfully failed to ensure that there was no examination misconduct and avoid compromise of the examination
Docket No. 50-416
when the proctor provided workers with answers to the training examination
License No. NPF-29
questions.
Enclosures:
  The NRC completed its investigation on July 21, 2017
1. Factual Summary
During an investigation interview, a trainee explained that the proctor
2. NRC Inspection Report 05000416/2017014
would offer directions while standing behind the trainee
cc w/enclosures: Electronic Distribution
and looking at the trainee's selected examination
 
answers on the computer screen. The trainee stated, "Well, she might have
                                        FACTUAL SUMMARY
came over and stood up and like say, you sure you want to do one like that? That's the answer right there."
Office of Investigations Report 4-2016-004
  The trainee recalled that the proctor provided this direction for "about three" examination
An investigation was initiated by the U.S. Nuclear Regulatory Commission (NRC) Office of
answers. During an investigation interview, another trainee explained that he met the proctor offsite and told her that he needed some help to pass a test. The trainee stated that the proctor said that she would take care of it. The trainee
Investigations on November 5, 2015, to determine whether a former examination proctor willfully
stated that  
failed to ensure that there was no examination misconduct and avoid compromise of the
a friend later told him that the proctor
examination when the proctor provided workers with answers to the training examination
had called to say that she had entered the trainee and his friend "in the computer . . . the only thing y'all got to do is go out there."
questions. The NRC completed its investigation on July 21, 2017.
  The trainee indicated that a friend provided him with a printout showing that
During an investigation interview, a trainee explained that the proctor would offer directions
the trainee's required examinations were completed. Examination
while standing behind the trainee and looking at the trainees selected examination answers on
records for the trainee showed examinations with completion times under 180 seconds. The former examination
the computer screen. The trainee stated, Well, she might have came over and stood up and
proctor is recorded as the "proctor" for those examination
like say, you sure you want to do one like that? Thats the answer right there. The trainee
s.  Based on the evidence, it appears that a former examination
recalled that the proctor provided this direction for about three examination answers.
proctor deliberately compromised examinations by providing inappropriate assistance to trainees. This appears to have caused the licensee to be in violation of 10 CFR 50.120. Office of Investigations
During an investigation interview, another trainee explained that he met the proctor offsite and
Report 4-2017-021 An investigation was initiated by the NRC Office of Investigations on March 6, 2017, to determine if nonlicensed operators deliberately failed to perform the required operator rounds and if the nonlicensed operators subsequently falsified records to show that they had conducted the rounds. The NRC completed its investigation on August 25, 2017.
told her that he needed some help to pass a test. The trainee stated that the proctor said that
  Security and badge access records showed that three nonlicensed operators
she would take care of it. The trainee stated that a friend later told him that the proctor had
failed to enter an area required as part of their rounds, even though the nonlicensed operators
called to say that she had entered the trainee and his friend in the computer . . . the only thing
in question entered completed round logs into the electronic recordkeeping system. During the investigation interviews, two nonlicensed operators admitted that they completed the electronic logs without entering the assigned areas.
yall got to do is go out there. The trainee indicated that a friend provided him with a printout
For the dates in question, door
showing that the trainees required examinations were completed. Examination records for the
access records do not show that the
trainee showed examinations with completion times under 180 seconds. The former
third nonlicensed operator
examination proctor is recorded as the proctor for those examinations.
entered the area recorded in the logs; in fact, the badge access records put him in another area of the plant on the date and time in question.
Based on the evidence, it appears that a former examination proctor deliberately compromised
  Based on the evidence, it appears that the nonlicensed operators deliberately failed to
examinations by providing inappropriate assistance to trainees. This appears to have caused
tour all required areas of their watch station
the licensee to be in violation of 10 CFR 50.120.
and deliberately entered inaccurate information into the operator logs. This appears to have caused the licensee to be in violation of 10 CFR Part 50, Appendix B, Criterion V
Office of Investigations Report 4-2017-021
an d 1 0 CFR 50.9.
An investigation was initiated by the NRC Office of Investigations on March 6, 2017, to
  Enclosure 2
determine if nonlicensed operators deliberately failed to perform the required operator rounds
SUMMARY OF APPARENT VIOLATION
and if the nonlicensed operators subsequently falsified records to show that they had conducted
A. 10 CFR 50.120, requires, in part, that each holder of an operating license shall implement a training program derived from a systems approach to training (SAT) as defined in 10
the rounds. The NRC completed its investigation on August 25, 2017.
CFR 55.4 that provides for the training and qualification of electrical maintenance, mechanical maintenance, and engineering support personnel.
Security and badge access records showed that three nonlicensed operators failed to enter an
    10 CFR 55.4 defines a SAT program as including, in part, an evaluation of trainee mastery of the objectives during training.
area required as part of their rounds, even though the nonlicensed operators in question
  Licensee Procedure EN
entered completed round logs into the electronic recordkeeping system. During the
-TQ-107, "General Employee Training,"
investigation interviews, two nonlicensed operators admitted that they completed the electronic
R evision 9, a quality related procedure, provides instructions for implementing the General Employee Training Program for Entergy
logs without entering the assigned areas. For the dates in question, door access records do not
Operations, Inc., including plant access training and radiation worker training
show that the third nonlicensed operator entered the area recorded in the logs; in fact, the
for electrical maintenance, mechanical maintenance, and engineering support personnel. Step 5.5[2] requires, in part, that all general employee training examinations provided to non
badge access records put him in another area of the plant on the date and time in question.
-utility personnel be proctored.
Based on the evidence, it appears that the nonlicensed operators deliberately failed to tour all
  Licensee Procedure EN
required areas of their watch station and deliberately entered inaccurate information into the
-TQ-201-04, "SAT - Implementation Phase,"
operator logs. This appears to have caused the licensee to be in violation of 10 CFR Part 50,
Revision 5, a quality related procedure, provides instructions for administering examinations in the training program. Step 5.12[7](h) requires that proctors answer trainees' questions carefully to avoid compromise of the examination
Appendix B, Criterion V and 10 CFR 50.9.
. Step 5.12[7](i) requires that the proctor not
                                                                                        Enclosure 1
modify a trainee's answer or direct a trainee to change an answer.
 
  Licensee Procedure EN
                        SUMMARY OF APPARENT VIOLATIONS
-TQ-217, "Examination Security," Revision 4, a quality related procedure, provides controls necessary for examination security. Step 3.0
A. 10 CFR 50.120, requires, in part, that each holder of an operating license shall
[3] defines "Exam Compromise"
  implement a training program derived from a systems approach to training (SAT) as
as any activity that could affect equitable and consistent administration of the examination in question regardless of whether the activity takes place, before, during, or after the examination administrated. Step 4.0
  defined in 10 CFR 55.4 that provides for the training and qualification of electrical
[5] states, in part, that instructors
  maintenance, mechanical maintenance, and engineering support personnel.
are responsible for establishing and maintaining examination security and immediately reporting to training management any potential or actual examination compromise.
  10 CFR 55.4 defines a SAT program as including, in part, an evaluation of trainee
  Contrary to the above, from January through September 2015, the licensee failed to implement the SAT training program that provides for the training and qualification of electrical maintenance, mechanical maintenance, and engineering support personnel. Specifically, the licensee failed to ensure that general employee training examinations  
  mastery of the objectives during training.
provided to non
  Licensee Procedure EN-TQ-107, General Employee Training, Revision 9, a quality
-utility (contractor) personnel were appropriately proctored. An examination
  related procedure, provides instructions for implementing the General Employee
proctor compromised examinations by providing inappropriate assistance (i.e., answers and/or information leading to answers) during trainee examinations.
  Training Program for Entergy Operations, Inc., including plant access training and
  This apparent violation is designated as  
  radiation worker training for electrical maintenance, mechanical maintenance, and
AV 050004 16/201 7 01 4-01, "Inappropriate Proctoring of Training Examinations
  engineering support personnel. Step 5.5[2] requires, in part, that all general employee
."  B. 10 CFR Part 50, Appendix B, Criterion V, requires, in part, that activities affecting quality shall be accomplished in accordance with documented instructions or procedures of a type appropriate to the circumstances.   Procedure EN
  training examinations provided to non-utility personnel be proctored.
-OP-115-01, "Operator Rounds,"
  Licensee Procedure EN-TQ-201-04, SAT - Implementation Phase, Revision 5, a quality
Revision 1, a quality related procedure, provides instructions for operators to conduct watchstanding rounds. Subparagraph
  related procedure, provides instructions for administering examinations in the training
5.1[7] requires, in part, that watchstanders
  program. Step 5.12[7](h) requires that proctors answer trainees questions carefully to
tour all required areas of their watch station.
  avoid compromise of the examination. Step 5.12[7](i) requires that the proctor not
 
  modify a trainees answer or direct a trainee to change an answer.
2 Contrary to the above, between February and December, 2016, three watchstanders
  Licensee Procedure EN-TQ-217, Examination Security, Revision 4, a quality related
failed to tour all required areas of their watchstation.
  procedure, provides controls necessary for examination security. Step 3.0[3] defines
  Specifically, three non-licensed operator s deliberately
  Exam Compromise as any activity that could affect equitable and consistent
failed to tour the area of the standby service water pump houses, which is an area they were required to tour for that watch station.
  administration of the examination in question regardless of whether the activity takes
  This apparent violation is designated as  
  place, before, during, or after the examination administrated. Step 4.0[5] states, in part,
AV 05000416/2017014
  that instructors are responsible for establishing and maintaining examination security
-02, "Failure to Perform Operator Rounds
  and immediately reporting to training management any potential or actual examination
."  C. 10 CFR 50.9 requires, in part, that information required by the Commission's regulations, orders, or license conditions to be maintained by the licensee shall be complete and accurate in all material respects.
  compromise.
  10 CFR Part 50, Appendix B, Criterion XVII, "Quality Assurance Records" requires, in part, that sufficient records shall be maintained to furnish evidence of activities affecting quality. The records shall include at least the following: operating logs and the results of reviews, inspections, tests, audits, monitoring of work performance, and materials analyses. Procedure EN
  Contrary to the above, from January through September 2015, the licensee failed to
-OP-115-01, "Operator Rounds," Revision 1, a quality related procedure, provides instructions for operators to conduct watchstanding rounds.
  implement the SAT training program that provides for the training and qualification of
  It defines "operator rounds" as "electronic media or data sheets used by the operator to record parameters or conditions existing in his area of responsibility. Subparagraph 5.1[7] requires, in part, that operators tour all required areas of their watch station, and Subparagraph 5.2[3] requires operators assigned to an area to complete rounds applicable to that area
  electrical maintenance, mechanical maintenance, and engineering support personnel.
Contrary to the above, between February and December 2016, the licensee failed to ensure that information required by the Commission's regulations, orders, or license conditions to be maintained by the licensee were complete and accurate in all material respects. Specifically, non
  Specifically, the licensee failed to ensure that general employee training examinations
-licensed operators did not tour all required areas of their watch station, and then deliberately completed falsified rounds for their assigned area. These operator rounds are material to the NRC because when performing inspections , the NRC uses the information contained in the rounds to ensure that the condition of safety-related equipment
  provided to non-utility (contractor) personnel were appropriately proctored. An
is being monitored as required by station procedures.
  examination proctor compromised examinations by providing inappropriate assistance
  This apparent violation is designated as  
  (i.e., answers and/or information leading to answers) during trainee examinations.
AV 05000416/2017014
  This apparent violation is designated as AV 05000416/2017014-01, Inappropriate
-03, "Falsification of Operator Rounds Records
  Proctoring of Training Examinations.
." 
B. 10 CFR Part 50, Appendix B, Criterion V, requires, in part, that activities affecting quality
E. Larson 4 GRAND GULF NUCLEAR
  shall be accomplished in accordance with documented instructions or procedures of a
STATION - NRC INSPECTION REPORT
  type appropriate to the circumstances.
05000416/2017014 AND NRC INVESTIGATION REPORTS 4
  Procedure EN-OP-115-01, Operator Rounds, Revision 1, a quality related procedure,
-2016-004 AND 4-2017-021 DATED NOVEMBER
  provides instructions for operators to conduct watchstanding rounds. Subparagraph
20 , 2017 Distribution
  5.1[7] requires, in part, that watchstanders tour all required areas of their watch station.
w/o enclosure
                                                                                    Enclosure 2
RidsOeMailCenter Resource;
 
NRREnforcement.Resource
  Contrary to the above, between February and December, 2016, three watchstanders
; RidsNrrDirsEnforcement Resource
  failed to tour all required areas of their watchstation. Specifically, three non-licensed
; RidsSecyMailCenter Resource;
  operators deliberately failed to tour the area of the standby service water pump houses,
RidsOcaMailCenter Resource;  
  which is an area they were required to tour for that watch station.
RidsOgcMailCenter Resource;  
  This apparent violation is designated as AV 05000416/2017014-02, Failure to Perform
RidsEdoMailCenter Resource;  
  Operator Rounds.
EDO_Managers
C. 10 CFR 50.9 requires, in part, that information required by the Commissions regulations,
; RidsOigMailCenter Resource;
  orders, or license conditions to be maintained by the licensee shall be complete and
RidsOiMailCenter Resource;  
  accurate in all material respects.
RidsRgn1MailCenter Resource;
  10 CFR Part 50, Appendix B, Criterion XVII, Quality Assurance Records requires, in
RidsRgn2MailCenter Resource; RidsRgn3MailCenter Resource;
  part, that sufficient records shall be maintained to furnish evidence of activities affecting
RidsOcfoMailCenter Resource;
  quality. The records shall include at least the following: operating logs and the results of
R4ALLEGATION.resource
  reviews, inspections, tests, audits, monitoring of work performance, and materials
; R4DRS-BC; R4_DRS_AA;
  analyses.
R4DRP-BC; KKennedy, RA
  Procedure EN-OP-115-01, Operator Rounds, Revision 1, a quality related procedure,
BMaier, ORA
  provides instructions for operators to conduct watchstanding rounds. It defines operator
ABoland, OE SMorris, DRA
  rounds as electronic media or data sheets used by the operator to record parameters
MVasquez, ORA FPeduzzi, OE
  or conditions existing in his area of responsibility. Subparagraph 5.1[7] requires, in part,
AVegel, DRS
  that operators tour all required areas of their watch station, and Subparagraph 5.2[3]
JKramer, ORA
  requires operators assigned to an area to complete rounds applicable to that area.
DFurst, OE
  Contrary to the above, between February and December 2016, the licensee failed to
JClark, DRS
  ensure that information required by the Commission's regulations, orders, or license
CAlldredge, ORA
  conditions to be maintained by the licensee were complete and accurate in all material
RFretz, OE
  respects. Specifically, non-licensed operators did not tour all required areas of their
TPruett, DRP
  watch station, and then deliberately completed falsified rounds for their assigned area.
JKozal, DRP
  These operator rounds are material to the NRC because when performing inspections,
GGulla, OE
  the NRC uses the information contained in the rounds to ensure that the condition of
RLantz, DRP
  safety-related equipment is being monitored as required by station procedures.
JWeaver, ORA
  This apparent violation is designated as AV 05000416/2017014-03, Falsification of
GFigueroa, OE
  Operator Rounds Records.
GWalker, OI
                                              2
VDricks, ORA
 
NHilton, OE
E. Larson                                     4
MYoung, DRP CYoung, DRP
GRAND GULF NUCLEAR STATION - NRC INSPECTION REPORT 05000416/2017014 AND
LCasey, NRR
NRC INVESTIGATION REPORTS 4-2016-004 AND 4-2017-021 DATED NOVEMBER 20, 2017
NDay, DRP JMartin, OGC
Distribution w/o enclosure
RArrighi, OE
RidsOeMailCenter Resource;       NRREnforcement.Resource;           RidsNrrDirsEnforcement Resource;
MHerrera, DRMA
RidsSecyMailCenter Resource;     RidsOcaMailCenter Resource;         RidsOgcMailCenter Resource;
JWeil, CA JPeralta, OE
RidsEdoMailCenter Resource;     EDO_Managers;                       RidsOigMailCenter Resource;
JBowen, OEDO AMoreno, CA
RidsOiMailCenter Resource;       RidsRgn1MailCenter Resource;       RidsRgn2MailCenter Resource;
      ADAMS ACCESSION NUMBER:
RidsRgn3MailCenter Resource;     RidsOcfoMailCenter Resource;       R4ALLEGATION.resource;
  ML17325A00
R4DRS-BC;                       R4_DRS_AA;                         R4DRP-BC;
2 SUNSI Review:
KKennedy, RA                     BMaier, ORA                         ABoland, OE
ADAMS: Non-Publicly Available         Non-Sensitive  
SMorris, DRA                     MVasquez, ORA                       FPeduzzi, OE
Keyword:  By: CHY/rdr  Yes    No Publicly Available
AVegel, DRS                     JKramer, ORA                       DFurst, OE
  Sensitive  
JClark, DRS                     CAlldredge, ORA                     RFretz, OE
NRC-002 OFFICE SPE:PBC C:PBC TL:ACES NRR OE OGC NAME CYoung JKozal MVasquez LCasey RFretz DCylkowski
TPruett, DRP                     JKozal, DRP                         GGulla, OE
  SIGNATURE /RA/ /RA/ /RA/ JK for /RA/ E /RA/ E /NLO/ E DATE 11/02/17 11/03/17 11/03/17 11/16/17 11/16/17 11/16/17 OFFICE OGC D:DRS D:DRP   NAME LBaer AVegel TPruett     SIGNATURE /NLO/ E /RA/ /RA/   DATE 11/16/17 11/20/17 11/20/17   OFFICAL RECORD COPY
RLantz, DRP                     JWeaver, ORA                       GFigueroa, OE
GWalker, OI                     VDricks, ORA                       NHilton, OE
MYoung, DRP                     CYoung, DRP                         LCasey, NRR
NDay, DRP                       JMartin, OGC                       RArrighi, OE
MHerrera, DRMA                   JWeil, CA                           JPeralta, OE
JBowen, OEDO                     AMoreno, CA
ADAMS ACCESSION NUMBER: ML17325A002
  SUNSI Review:           ADAMS:           Non-Publicly Available     Non-Sensitive   Keyword:
  By: CHY/rdr               Yes No       Publicly Available           Sensitive     NRC-002
OFFICE         SPE:PBC       C:PBC         TL:ACES         NRR           OE           OGC
NAME           CYoung       JKozal         MVasquez       LCasey         RFretz       DCylkowski
  SIGNATURE       /RA/         /RA/           /RA/ JK for     /RA/ E         /RA/ E       /NLO/ E
DATE           11/02/17     11/03/17       11/03/17       11/16/17       11/16/17     11/16/17
OFFICE         OGC           D:DRS         D:DRP
NAME           LBaer         AVegel         TPruett
SIGNATURE       /NLO/ E       /RA/           /RA/
DATE           11/16/17     11/20/17       11/20/17
                                        OFFICAL RECORD COPY
}}
}}

Latest revision as of 06:00, 29 October 2019

NRC Inspection Report 05000416/2017014 and NRC Investigation Reports 4-2016-004 and 4- 2017-021
ML17325A002
Person / Time
Site: Grand Gulf Entergy icon.png
Issue date: 11/20/2017
From: Troy Pruett
NRC/RGN-IV/DRP/RPB-C
To: Emily Larson
Entergy Operations
Kozal J
References
4-2016-004, 4-2017-021, AV 05000416/2017014-01, AV05000416/2017014-02, AV05000416/2017014-03, EA-17-132, EA-17-153, IR-2017014 05000146/2017014
Download: ML17325A002 (7)


See also: IR 05000416/2017014

Text

November 20, 2017

EA-17-132

EA-17-153

Mr. Eric Larson

Site Vice President

Entergy Operations, Inc.

Grand Gulf Nuclear Station

P.O. Box 756

Port Gibson, MS 39150

SUBJECT: GRAND GULF NUCLEAR STATION - NRC INSPECTION

REPORT 05000416/2017014 AND NRC INVESTIGATION

REPORTS 4-2016-004 AND 4-2017-021

Dear Mr. Larson:

This letter refers to the investigations conducted at the Grand Gulf Nuclear Station by the

U.S. Nuclear Regulatory Commissions (NRCs) Office of Investigations. The purpose of the

investigations was to determine whether willful violations of NRC requirements occurred at the

Grand Gulf Nuclear Station involving the administration of training examinations and the

performance of operator rounds. The investigations were initiated on November 5, 2015, and

March 6, 2017, and were completed on July 21 and August 25, 2017, respectively. The issues

were discussed with you and other members of your staff during a telephone conversation on

November 16, 2017. A factual summary (Enclosure 1) provides the details of the NRCs review

of the case.

Based on the results of the investigations, three apparent violations were identified and are

being considered for escalated enforcement action in accordance with the NRC Enforcement

Policy. The Enforcement Policy can be found on the NRCs Web site at

http://www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html. The apparent violations

being considered for escalated enforcement action involve the failure to ensure that training

examinations were appropriately proctored, the failure of nonlicensed operators to perform

required operator rounds, and the creation of falsified records of the performance of the

operator rounds. The apparent violations are documented in Enclosure 2.

Before the NRC makes its enforcement decision, we are providing you an opportunity to:

(1) request a predecisional enforcement conference (PEC), or (2) request alternative dispute

resolution (ADR). If a PEC is held, the NRC may issue a press release to announce the time

and date of the conference; however, the PEC will be closed to public observation since

information related to an Office of Investigations report will be discussed, and the report has not

been made public.

E. Larson 2

If you decide to participate in a PEC or pursue ADR, please contact Mr. Jason Kozal, Chief,

Project Branch C, at 817-200-1144 within 10 days of the date of this letter. A PEC should be

held within 30 days and an ADR session within 45 days of the date of this letter. If an adequate

response is not received within the time specified or an extension of time has not been granted

by the NRC, the NRC will proceed with its enforcement decision or schedule a PEC.

If you choose to request a PEC, the conference will afford you the opportunity to provide your

perspective on these matters and any other information that you believe the NRC should take

into consideration before making an enforcement decision. The decision to hold a PEC does

not mean that the NRC has determined that a violation has occurred or that enforcement action

will be taken. This conference would be conducted to obtain information to assist the NRC in

making an enforcement decision. The topics discussed during the conference may include

information to determine whether a violation occurred, information to determine the significance

of a violation, information related to the identification of a violation, and information related to

any corrective actions taken or planned. In presenting your corrective actions, you should be

aware that the promptness and comprehensiveness of your actions will be considered in

assessing any civil penalty for the apparent violations.

In lieu of a PEC, you may request ADR with the NRC in an attempt to resolve this issue.

Alternative dispute resolution is a general term encompassing various techniques for resolving

conflicts using a neutral third party. The technique that the NRC has decided to employ is

mediation. Mediation is a voluntary, informal process in which a trained neutral mediator works

with parties to help them reach resolution. If the parties agree to use ADR, they select a

mutually agreeable neutral mediator who has no stake in the outcome and no power to make

decisions. Mediation gives parties an opportunity to discuss issues, clear up

misunderstandings, be creative, find areas of agreement, and reach a final resolution of the

issues.

Based on notifications to the NRC by Entergy Operations, Inc., on November 5, 2015,

January 31, April 19, and July 28, 2017, the NRC is aware of additional issues at the Grand Gulf

Nuclear Station, as well as the River Bend Station and the Waterford Steam Electric Station,

involving falsification of operator rounds and trainees receiving inappropriate assistance. If ADR

is selected, we would anticipate the scope of the mediation to include a discussion of these

additional issues. Additional information concerning the NRCs ADR program can be obtained

at http://www.nrc.gov/about-nrc/regulatory/enforcement/adr/post-investigation.html. The

Institute on Conflict Resolution at Cornell University has agreed to facilitate the NRCs program

as a neutral third party. Please contact Cornell at 877-733-9415 within 10 days of the date of

this letter if you are interested in pursuing resolution of this issue through ADR.

In addition, please be advised that the number and characterization of apparent violations

described in Enclosure 2 may change as a result of further NRC review. You will be advised

by separate correspondence of the results of our deliberations on this matter.

For administrative purposes, this letter is issued as NRC Inspection Report 05000416/2017014,

and the apparent violations will be issued as AV 05000416/2017014-01,

AV 05000416/2017014-02, and AV 05000416/2017014-03, as described in Enclosure 2.

In accordance with 10 CFR 2.390 of the NRCs Rules of Practice and Procedure, a copy of this

letter, its enclosures, and your response, if you choose to provide one, will be made available

electronically for public inspection in the NRC Public Document Room or from the NRCs

Agencywide Documents Access and Management System (ADAMS), accessible from the NRC

E. Larson 3

Web site at http://www.nrc.gov/reading-rm/adams.html. To the extent possible, your response

should not include any personal privacy, proprietary, or safeguards information so that it can be

made available to the public without redaction.

If you have any questions concerning this matter, please contact Mr. Jason Kozal of my staff at

817-200-1144.

Sincerely,

/RA/

Troy W. Pruett, Director

Division of Reactor Projects

Docket No. 50-416

License No. NPF-29

Enclosures:

1. Factual Summary

2. NRC Inspection Report 05000416/2017014

cc w/enclosures: Electronic Distribution

FACTUAL SUMMARY

Office of Investigations Report 4-2016-004

An investigation was initiated by the U.S. Nuclear Regulatory Commission (NRC) Office of

Investigations on November 5, 2015, to determine whether a former examination proctor willfully

failed to ensure that there was no examination misconduct and avoid compromise of the

examination when the proctor provided workers with answers to the training examination

questions. The NRC completed its investigation on July 21, 2017.

During an investigation interview, a trainee explained that the proctor would offer directions

while standing behind the trainee and looking at the trainees selected examination answers on

the computer screen. The trainee stated, Well, she might have came over and stood up and

like say, you sure you want to do one like that? Thats the answer right there. The trainee

recalled that the proctor provided this direction for about three examination answers.

During an investigation interview, another trainee explained that he met the proctor offsite and

told her that he needed some help to pass a test. The trainee stated that the proctor said that

she would take care of it. The trainee stated that a friend later told him that the proctor had

called to say that she had entered the trainee and his friend in the computer . . . the only thing

yall got to do is go out there. The trainee indicated that a friend provided him with a printout

showing that the trainees required examinations were completed. Examination records for the

trainee showed examinations with completion times under 180 seconds. The former

examination proctor is recorded as the proctor for those examinations.

Based on the evidence, it appears that a former examination proctor deliberately compromised

examinations by providing inappropriate assistance to trainees. This appears to have caused

the licensee to be in violation of 10 CFR 50.120.

Office of Investigations Report 4-2017-021

An investigation was initiated by the NRC Office of Investigations on March 6, 2017, to

determine if nonlicensed operators deliberately failed to perform the required operator rounds

and if the nonlicensed operators subsequently falsified records to show that they had conducted

the rounds. The NRC completed its investigation on August 25, 2017.

Security and badge access records showed that three nonlicensed operators failed to enter an

area required as part of their rounds, even though the nonlicensed operators in question

entered completed round logs into the electronic recordkeeping system. During the

investigation interviews, two nonlicensed operators admitted that they completed the electronic

logs without entering the assigned areas. For the dates in question, door access records do not

show that the third nonlicensed operator entered the area recorded in the logs; in fact, the

badge access records put him in another area of the plant on the date and time in question.

Based on the evidence, it appears that the nonlicensed operators deliberately failed to tour all

required areas of their watch station and deliberately entered inaccurate information into the

operator logs. This appears to have caused the licensee to be in violation of 10 CFR Part 50,

Appendix B, Criterion V and 10 CFR 50.9.

Enclosure 1

SUMMARY OF APPARENT VIOLATIONS

A. 10 CFR 50.120, requires, in part, that each holder of an operating license shall

implement a training program derived from a systems approach to training (SAT) as

defined in 10 CFR 55.4 that provides for the training and qualification of electrical

maintenance, mechanical maintenance, and engineering support personnel.

10 CFR 55.4 defines a SAT program as including, in part, an evaluation of trainee

mastery of the objectives during training.

Licensee Procedure EN-TQ-107, General Employee Training, Revision 9, a quality

related procedure, provides instructions for implementing the General Employee

Training Program for Entergy Operations, Inc., including plant access training and

radiation worker training for electrical maintenance, mechanical maintenance, and

engineering support personnel. Step 5.5[2] requires, in part, that all general employee

training examinations provided to non-utility personnel be proctored.

Licensee Procedure EN-TQ-201-04, SAT - Implementation Phase, Revision 5, a quality

related procedure, provides instructions for administering examinations in the training

program. Step 5.12[7](h) requires that proctors answer trainees questions carefully to

avoid compromise of the examination. Step 5.12[7](i) requires that the proctor not

modify a trainees answer or direct a trainee to change an answer.

Licensee Procedure EN-TQ-217, Examination Security, Revision 4, a quality related

procedure, provides controls necessary for examination security. Step 3.0[3] defines

Exam Compromise as any activity that could affect equitable and consistent

administration of the examination in question regardless of whether the activity takes

place, before, during, or after the examination administrated. Step 4.0[5] states, in part,

that instructors are responsible for establishing and maintaining examination security

and immediately reporting to training management any potential or actual examination

compromise.

Contrary to the above, from January through September 2015, the licensee failed to

implement the SAT training program that provides for the training and qualification of

electrical maintenance, mechanical maintenance, and engineering support personnel.

Specifically, the licensee failed to ensure that general employee training examinations

provided to non-utility (contractor) personnel were appropriately proctored. An

examination proctor compromised examinations by providing inappropriate assistance

(i.e., answers and/or information leading to answers) during trainee examinations.

This apparent violation is designated as AV 05000416/2017014-01, Inappropriate

Proctoring of Training Examinations.

B. 10 CFR Part 50, Appendix B, Criterion V, requires, in part, that activities affecting quality

shall be accomplished in accordance with documented instructions or procedures of a

type appropriate to the circumstances.

Procedure EN-OP-115-01, Operator Rounds, Revision 1, a quality related procedure,

provides instructions for operators to conduct watchstanding rounds. Subparagraph

5.1[7] requires, in part, that watchstanders tour all required areas of their watch station.

Enclosure 2

Contrary to the above, between February and December, 2016, three watchstanders

failed to tour all required areas of their watchstation. Specifically, three non-licensed

operators deliberately failed to tour the area of the standby service water pump houses,

which is an area they were required to tour for that watch station.

This apparent violation is designated as AV 05000416/2017014-02, Failure to Perform

Operator Rounds.

C. 10 CFR 50.9 requires, in part, that information required by the Commissions regulations,

orders, or license conditions to be maintained by the licensee shall be complete and

accurate in all material respects.

10 CFR Part 50, Appendix B, Criterion XVII, Quality Assurance Records requires, in

part, that sufficient records shall be maintained to furnish evidence of activities affecting

quality. The records shall include at least the following: operating logs and the results of

reviews, inspections, tests, audits, monitoring of work performance, and materials

analyses.

Procedure EN-OP-115-01, Operator Rounds, Revision 1, a quality related procedure,

provides instructions for operators to conduct watchstanding rounds. It defines operator

rounds as electronic media or data sheets used by the operator to record parameters

or conditions existing in his area of responsibility. Subparagraph 5.1[7] requires, in part,

that operators tour all required areas of their watch station, and Subparagraph 5.2[3]

requires operators assigned to an area to complete rounds applicable to that area.

Contrary to the above, between February and December 2016, the licensee failed to

ensure that information required by the Commission's regulations, orders, or license

conditions to be maintained by the licensee were complete and accurate in all material

respects. Specifically, non-licensed operators did not tour all required areas of their

watch station, and then deliberately completed falsified rounds for their assigned area.

These operator rounds are material to the NRC because when performing inspections,

the NRC uses the information contained in the rounds to ensure that the condition of

safety-related equipment is being monitored as required by station procedures.

This apparent violation is designated as AV 05000416/2017014-03, Falsification of

Operator Rounds Records.

2

E. Larson 4

GRAND GULF NUCLEAR STATION - NRC INSPECTION REPORT 05000416/2017014 AND

NRC INVESTIGATION REPORTS 4-2016-004 AND 4-2017-021 DATED NOVEMBER 20, 2017

Distribution w/o enclosure

RidsOeMailCenter Resource; NRREnforcement.Resource; RidsNrrDirsEnforcement Resource;

RidsSecyMailCenter Resource; RidsOcaMailCenter Resource; RidsOgcMailCenter Resource;

RidsEdoMailCenter Resource; EDO_Managers; RidsOigMailCenter Resource;

RidsOiMailCenter Resource; RidsRgn1MailCenter Resource; RidsRgn2MailCenter Resource;

RidsRgn3MailCenter Resource; RidsOcfoMailCenter Resource; R4ALLEGATION.resource;

R4DRS-BC; R4_DRS_AA; R4DRP-BC;

KKennedy, RA BMaier, ORA ABoland, OE

SMorris, DRA MVasquez, ORA FPeduzzi, OE

AVegel, DRS JKramer, ORA DFurst, OE

JClark, DRS CAlldredge, ORA RFretz, OE

TPruett, DRP JKozal, DRP GGulla, OE

RLantz, DRP JWeaver, ORA GFigueroa, OE

GWalker, OI VDricks, ORA NHilton, OE

MYoung, DRP CYoung, DRP LCasey, NRR

NDay, DRP JMartin, OGC RArrighi, OE

MHerrera, DRMA JWeil, CA JPeralta, OE

JBowen, OEDO AMoreno, CA

ADAMS ACCESSION NUMBER: ML17325A002

SUNSI Review: ADAMS: Non-Publicly Available Non-Sensitive Keyword:

By: CHY/rdr Yes No Publicly Available Sensitive NRC-002

OFFICE SPE:PBC C:PBC TL:ACES NRR OE OGC

NAME CYoung JKozal MVasquez LCasey RFretz DCylkowski

SIGNATURE /RA/ /RA/ /RA/ JK for /RA/ E /RA/ E /NLO/ E

DATE 11/02/17 11/03/17 11/03/17 11/16/17 11/16/17 11/16/17

OFFICE OGC D:DRS D:DRP

NAME LBaer AVegel TPruett

SIGNATURE /NLO/ E /RA/ /RA/

DATE 11/16/17 11/20/17 11/20/17

OFFICAL RECORD COPY