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{{Adams|number = ML103140760}}
{{Adams
| number = ML103140760
| issue date = 11/10/2010
| title = IR 05000263-10-007, on 09/13/2010 - 10/01/2010; Monticello Nuclear Generating Station; Biennial Baseline Inspection of the Identification and Resolution of Problems
| author name = Riemer K
| author affiliation = NRC/RGN-III/DRP/B2
| addressee name = O'Connor T
| addressee affiliation = Northern States Power Co
| docket = 05000263
| license number = DPR-022
| contact person =
| document report number = IR-10-007
| document type = Inspection Report, Letter
| page count = 29
}}


{{IR-Nav| site = 05000263 | year = 2010 | report number = 007 }}
{{IR-Nav| site = 05000263 | year = 2010 | report number = 007 }}


=Text=
=Text=
{{#Wiki_filter:
{{#Wiki_filter:ber 10, 2010
[[Issue date::November 10, 2010]]


Mr. Timothy Site Vice President Monticello Nuclear Generating Plant Northern States Power Company, Minnesota 2807 West County Road 75 Monticello, MN 55362-9637
==SUBJECT:==
MONTICELLO NUCLEAR GENERATING PLANT PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000263/2010007


SUBJECT: MONTICELLO NUCLEAR GENERATING PLANT PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000263/2010007
==Dear Mr. OConnor:==
On October 1, 2010, the U.S. Nuclear Regulatory Commission (NRC) completed a Problem Identification and Resolution (PI&R) inspection at your Monticello Nuclear Generating Plant.


==Dear Mr. O'Connor:==
The enclosed report documents the inspection results, which were discussed on October 1, 2010, with you and other members of your staff.
On October 1, 2010, the U.S. Nuclear Regulatory Commission (NRC) completed a Problem Identification and Resolution (PI&R) inspection at your Monticello Nuclear Generating Plant. The enclosed report documents the inspection results, which were discussed on October 1, 2010, with you and other members of your staff. The inspection examined activities conducted under your license as they relate to safety and compliance with the Commission's rules and regulations and with the conditions of your license.


The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel. The inspection concluded that your staff was effective at identifying problems and incorporating them into the corrective action program (CAP). In general, issues were appropriately prioritized, evaluated, and corrected; audits and self-assessments were thorough and probing, and operating experience was appropriately screened and disseminated. Your staff was aware of the importance of having a strong safety-conscious work environment and expressed a willingness to raise safety issues. The inspectors also observed that actions taken to address a declining trend in Human Performance appeared to be effective. However, your staff was not fully effective in addressing an adverse trend in contractor oversight and in work control and planning, which had begun earlier this year. Although both issues were captured in the CAP program, the underlying causes were not fully understood. This resulted in corrective actions being more reactive, instead of proactive, when responding to related issues. The inspectors were concerned that this adverse trend, if not resolved, would negatively impact the significant number of work activities planned for next year. No violations or findings were identified during this inspection. In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
The inspection examined activities conducted under your license as they relate to safety and compliance with the Commissions rules and regulations and with the conditions of your license.


Sincerely,/RA/
The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel.
Kenneth Riemer, Chief Branch 2 Division of Reactor Projects


Docket No. 50-263 License No. DPR-22  
The inspection concluded that your staff was effective at identifying problems and incorporating them into the corrective action program (CAP). In general, issues were appropriately prioritized, evaluated, and corrected; audits and self-assessments were thorough and probing, and operating experience was appropriately screened and disseminated. Your staff was aware of the importance of having a strong safety-conscious work environment and expressed a willingness to raise safety issues. The inspectors also observed that actions taken to address a declining trend in Human Performance appeared to be effective.
 
However, your staff was not fully effective in addressing an adverse trend in contractor oversight and in work control and planning, which had begun earlier this year. Although both issues were captured in the CAP program, the underlying causes were not fully understood. This resulted in corrective actions being more reactive, instead of proactive, when responding to related issues.
 
The inspectors were concerned that this adverse trend, if not resolved, would negatively impact the significant number of work activities planned for next year. No violations or findings were identified during this inspection.
 
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS)
component of NRC's document system (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
 
Sincerely,
/RA/
Kenneth Riemer, Chief Branch 2 Division of Reactor Projects Docket No. 50-263 License No. DPR-22


===Enclosure:===
===Enclosure:===
Inspection Report 05000263/2010007  
Inspection Report 05000263/2010007 w/Attachment: Supplemental Information
 
REGION III==
Docket No. 50-263 License No. DPR-22 Report No: 05000263/2010007 Licensee: Northern States Power Company, Minnesota Facility: Monticello Nuclear Generating Station Location: Monticello, MN Dates: September 13 - October 1, 2010 Inspectors: N. Shah, Project Engineer - Team Lead D. Sand, Acting Resident Inspector - Monticello C. Scott, Reactor Engineer G. ODwyer, Reactor Engineer M. Phalen, Plant Support Specialist Approved by: Kenneth Riemer, Chief Branch 2 Division of Reactor Projects
 
=SUMMARY OF FINDINGS=
IR 05000263/2010007; 09/13/2010 - 10/01/2010; Monticello Nuclear Generating Station;
 
Biennial Baseline Inspection of the Identification and Resolution of Problems.
 
This team inspection was performed by four regional inspectors and the resident inspector.
 
No violations or findings were identified.
 
Identification and Resolution of Problems Overall, the Corrective Action Program (CAP) was good. Issues were effectively identified, evaluated and corrected. Nuclear Oversight (NOS) audits and department self-assessments were generally critical and identified issues that were captured in the (CAP). Operating Experience (OE) was well communicated and appropriately evaluated. A strong safety culture was evident, based on interviews with licensee staff and a review of the types of issues captured in the CAP and Employee Concerns Program (ECP).
 
The inspectors observed that the evaluation of OE in Apparent Cause Evaluations (ACEs) had improved since the 2008 PI&R inspection. Specifically, ACEs now discussed whether the failure to properly evaluate previously identified OE was a potential precursor of the event.
 
The licensee took proactive efforts to address a declining trend in the Security Department Safety-Conscious Work Environment (SCWE). The inspectors received positive feedback during interviews with Security officers, and noted an increasing trend in the number of issues identified by the Security force.
 
The licensees actions to address the previous cross-cutting issues in Human Performance and a potential cross-cutting issue in Issue Evaluation appeared good. The corrective actions appeared appropriate and the inspectors noted improving performance over the last six months in these areas.
 
However, the inspectors noted that the licensee had recurring problems with managing the CAP backlog and with ensuring that items identified during management observations were captured in the CAP. The inspectors also identified some examples where licensee staff had changed due dates for subtasks without referencing the source CAP report.
 
The inspectors identified that CAP implementing procedures did not provide good guidance regarding how to evaluate critical and non-critical component failures. Specifically, some component failures, which could reasonably be considered critical, (i.e., had significant consequences) could be classified as non-critical using the current guidance.
 
The inspectors observed that there were continuing issues related to work planning and execution and with contractor control. Although both problems were captured in the CAP, the underlying causes were not yet fully understood, resulting in most of the corrective actions being reactive rather than proactive. For example, it was unclear whether the underlying causes that affected site human performance were the same issues that were affecting the contractor performance. In addition, as previously stated, some issues identified through management observations associated with these topics may not be captured in the CAP.
 
Although the station continued to evaluate the issue, it remained an area of concern given the significant outage work planned for the next year.


===w/Attachment:===
===NRC-Identified===
Supplemental Information cc w/encl: Distribution via ListServe
and Self-Revealed Findings No findings were identified.


U. S. NUCLEAR REGULATORY COMMISSION REGION III Docket No. 50-263 License No. DPR-22 Report No: 05000263/2010007 Licensee: Northern States Power Company, Minnesota Facility: Monticello Nuclear Generating Station Location: Monticello, MN Dates: September 13 - October 1, 2010 Inspectors: N. Shah, Project Engineer - Team Lead D. Sand, Acting Resident Inspector - Monticello C. Scott, Reactor Engineer G. O'Dwyer, Reactor Engineer M. Phalen, Plant Support Specialist Approved by: Kenneth Riemer, Chief Branch 2 Division of Reactor Projects Enclosure
===Licensee-Identified Violations===


=SUMMARY OF FINDINGS=
No violations of significance were identified.
........................................................................................................... 1


=REPORT DETAILS=
=REPORT DETAILS=


==OTHER ACTIVITIES==
==OTHER ACTIVITIES==
...................................................................................................... 3
{{a|4OA2}}
{{a|4OA2}}
==4OA2 Problem Identification and Resolution==
==4OA2 Problem Identification and Resolution (PI&R)==
{{IP sample|IP=IP 71152B}}
{{IP sample|IP=IP 71152B}}
.................................................. 3 4OA6 Management Meetings ........................................................................................ 8
The activities documented in sections
 
===.1 through .4 constituted one biennial sample of===
 
PI&R as defined in Inspection Procedure (IP) 71152.
 
===.1 Assessment of the Corrective Action Program (CAP) Effectiveness===
 
====a. Inspection Scope====
The inspectors reviewed the licensees CAP implementing procedures and attended CAP program meetings to assess the implementation of the CAP by site personnel.
 
The inspectors reviewed risk and safety significant issues in the licensees CAP since the last NRC PI&R inspection in November 2008. The issues selected were appropriately varied across the NRC cornerstones, and were identified through routine daily plant activities, licensee audits and self-assessments, industry operating experience reports, and NRC inspection activities. The inspectors also reviewed a selection of apparent, common and root cause evaluations for more significant CAP items.
 
The inspectors performed a more extensive review of the licensees efforts to address ongoing issues with human performance and issue evaluation. This review consisted primarily of a five year search of related issues identified in the CAP and discussions with appropriate licensee staff to assess the licensees corrective actions.
 
During the reviews, the inspectors evaluated whether the licensee staffs actions were in compliance with the facilitys CAP and 10 CFR Part 50, Appendix B requirements.
 
Specifically, whether licensee personnel were identifying plant issues at the proper threshold, entering the plant issues into the stations CAP in a timely manner, and assigning the appropriate prioritization for resolution of the issues. The inspectors also evaluated the timeliness and effectiveness of corrective actions for selected issue reports, completed investigations, and NRC findings.
 
All documents reviewed during this inspection were listed in the Attachment to this report.
 
b. Assessment
: (1) Effectiveness of Problem Identification The licensees implementation of the CAP was generally good. Workers were encouraged to identify issues and were familiar with the various avenues available (NRC, CAP, etc). This was evident by the large number of CAP items generated annually, which were reasonably distributed across the various departments. A shared computerized database was used for creating individual reports and for subsequent management of the processes of issue evaluation and response. This included determining the issues significance, addressing such matters as regulatory compliance and reporting, and assigning any actions deemed necessary or appropriate.
 
In reviewing licensee management observations conducted between June and October 2010, the inspectors found several examples of items that were apparently not captured in the CAP. Most of the examples were concerned with industrial safety or work planning issues that should have been captured in the CAP. In one example, a worker observing an industrial safety concern stated that because the worker had not met a management expectation, vice a procedural requirement, the issue wasnt going to be documented in the CAP. The licensee documented the inspectors concern as CAP item 1251890.
 
The licensee was also good at identifying and resolving trends. The inspectors noted a large number of trends identified through the binning of issues or via the quarterly department roll-up meeting (DRUM) reports.
 
During the November 2008, PI&R review, the inspectors identified that the licensees trending program was somewhat limited in that it did not always identify trends with issues affecting the same functional area, but having dissimilar aspects. Subsequently, the licensee initiated an effort to assign cross-cutting criteria (analogous to NRC criteria)to apparent and root cause evaluations, which were then trended. Although the inspectors considered this a positive effort, it was too early to determine its overall effectiveness.
 
Findings No findings were identified.
: (2) Effectiveness of Prioritization and Evaluation of Issues Overall, CAP issues were being properly screened. The majorities of issues were of low level and were either closed to trend or at a level appropriate for a condition evaluation.
 
Licensee staff appropriately challenged CAP items during screening meetings and were cognizant of potential trends. Most issues were closed to a work request or to another CAP item. The inspectors noted that both the parent and daughter documents had the necessary verbiage to document the interrelationship. Although fewer in number, the inspectors did not have any concerns with those issues assigned an apparent cause evaluation (ACE) or root cause evaluation. There were no items in the operations, engineering, or maintenance backlogs that were risk significant, individually or collectively. There were no classifications or immediate operability determinations with which the inspectors disagreed.
 
Root and apparent cause evaluations were generally of good quality and were well documented. During the 2006 PI&R inspection, the inspectors noted that ACEs did not consider whether the failure to consider industry OE was a precursor to events.
 
Additionally, licensee management did not always address issues with ACE quality that were identified during the evaluation grading process. The inspectors noted that subsequent ACEs now addressed whether OE was properly used prior to the event and that ACE quality issues were communicated to the originating departments.
 
Station Procedure FP-E-SE-02, Component Classification, was used by licensee staff to distinguish between a critical and non-critical component failure. The procedure was written specifically to address equipment reliability, but was referenced in the CAP for use during cause evaluations. Although the stated guidance was adequate for equipment reliability considerations, it was not appropriate for CAP evaluations.
 
For example, this procedure specifically defines any component failure that results in a significant radiological release as a non-critical component failure. From a CAP perspective, any component failure resulting in significant radiological consequences would be critical. The inspectors were concerned that this procedure may result in some component failures being treated as less significant under the CAP, then appropriate. The licensee initiated CAP item 1250116 to review this issue.
 
Since 2006, the licensee has experienced numerous issues in human performance.
 
Initially, these issues were primarily of low significance (i.e., did not result in an NRC finding). However, the issues continued through 2008, with the significance of the findings increasing, until an adverse trend in human performance had become evident.
 
The licensees early efforts to address this trend were largely ineffective, as the licensee originally believed that the human performance issues were limited to specific behaviors or work groups, instead of a more widespread concern involving fundamental human behaviors. Subsequently, the licensee identified that the issues were principally due to a lack of resources and an inappropriate tolerance for risk among workers. Several corrective actions were initiated, including additional training to site workers on configuration control and risk management. The inspectors noted that performance had improved among site workers in the past six months.
 
However, the licensee was still dealing with an adverse trend in contractor human performance, primarily related to oversight and work planning and execution.
 
Although this issue was captured in the CAP (items 1249158 and 1247197), the underlying causes are not yet fully understood, and many of the corrective actions, to date, have been more reactive than proactive. For example, it is unclear whether the underlying causes that affected site human performance were also affecting the contractor performance. To date, the majority of the issues have been of low significance (i.e., not resulting in an NRC finding); however, the overall trend was similar to the previous issue with site human performance.
 
Findings
 
=====Introduction:=====
The inspectors identified an Unresolved Item (URI) regarding the High Energy Line Break (HELB) Analyses.
 
=====Description:=====
As part of the review of the ACE for an adverse trend in double disc gate valve (DDGV) local leak rate testing (LLRT) performance documented in CAP 1202466, the inspectors noted that the ACE had determined that the valves performance degradation did not prevent the valves from performing their safety function. The ACE only addressed the valves safety function of providing containment isolation. The inspectors questioned if the safety function of the high pressure coolant injection (HPCI),reactor core isolation cooling (RCIC) and reactor water cleanup (RWCU) steam supply valves to close after detection of a HELB should have been considered. The licensee responded that the ACE did not need to consider the effect of the valves increased leakage on the HELB analyses because any leakage would not impact the alternate shutdown path. The inspectors reviewed the assumptions and acceptance criteria of the HELB calculations for HPCI, RCIC and RWCU line breaks and identified potential inconsistencies between the calculations assumptions with Technical Specifications and UFSAR allowed values for valve closure times, incorporation of delay actuations, and isolation initiation signals. The licensee entered the NRC concerns with these potential inconsistencies into the CAP by initiating CAP 01252363 on October 1, 2010.
 
The licensee stated that the calculations were appropriate and provided the inspectors with some original licensing documents for the HELB analyses; however, additional questions remained. This issue will be tracked as URI 05000263/201007-01 pending further NRC review of the licensee responses and the HELB analyses and determination of the original and current licensing bases.
: (3) Effectiveness of Corrective Actions The inspectors concluded that corrective actions for identified deficiencies were generally timely and adequately implemented, commensurate with their safety significance. Those corrective actions addressing selected NRC documented violations were also generally effective and timely.
 
The inspectors verified that work orders were in place (and scheduled) for selected, open actions that were two years old or greater.
 
During interviews, the inspectors noted that some individuals did not refer back to the parent CAP when changing due dates for associated subtasks (such as work requests).
 
The inspectors identified several examples where the revised due dates for subtasks were inconsistent with the parent CAP. Although none of the identified examples were highly significant, the inspectors were concerned that the practice may result in other changes having a greater operational impact. The licensee initiated CAP item 1250089 to evaluate this issue.
 
The station has a recurring problem with managing the backlog. A recent licensee initiative to redefine the items tracked in the backlog has reduced the numbers, but didnt necessarily address the issue. The licensee currently tracks only Corrective Actions, Corrective Actions to Prevent Recurrence, and operability issues. Other items, that used to be part of the backlog, were instead tracked as CAP action items. However, the inspectors noted that there was no formal effort to determine whether the CAP action items were being addressed in a timely fashion (i.e., no performance indicator similar to the formal backlog indicator). Since these action items were corrective actions (albeit of lower significance), the inspectors were concerned that some may not get implemented.
 
Complicating the issue was an apparent mixed message from station management, who expressed the view that the backlog numbers werent important so long as items were being properly managed. Since this issue was already captured in the CAP, the inspectors observations were included as part of the ongoing licensee evaluation.
 
Findings No findings were identified.
 
===.2 Assessment of the Use of Operating Experience (OE)===
 
====a. Inspection Scope====
The inspectors reviewed the licensees implementation of the facilitys OE program.
 
Specifically, the inspectors reviewed implementing OE program procedures, attended CAP meetings to observe the use of OE information, completed evaluations of OE issues and events, and selected assessments of the OE composite performance indicators. The inspectors review was to determine whether the licensee was effectively integrating OE experience into the performance of daily activities, whether evaluations of issues were proper and conducted by qualified personnel, whether the licensees program was sufficient to prevent future occurrences of previous industry events, and whether the licensee effectively used the information in developing departmental assessments and facility audits. The inspectors also assessed if corrective actions, as a result of OE experience, were identified and effectively and timely implemented.
 
Documents reviewed during this inspection are listed in the Attachment to this report.
 
b. Assessment In general, OE was effectively used at the station. The inspectors observed that OE was discussed as part of the daily station planning meetings, at shift turnover meetings, and at maintenance pre-briefings. Also, the inspectors determined that OE was appropriately reviewed during causal evaluations. During interviews, several licensee personnel commented favorably on the use of OE in their daily activities.
 
The inspectors noted that the OE evaluation for a relay failure that resulted in the inoperability of a safety-related train at Harris (Action Request (AR) 1233871) was somewhat limited in scope. The evaluation identified that similar relays were used at Monticello, but in non-safety related equipment; therefore, no actions were required.
 
However, there was no documented evaluation whether a failure of these relays in the affected equipment could have had any significant operational impact. The licensee documented this issue as CAP item 1252873.
 
Findings No findings were identified.
 
===.3 Assessment of Self-Assessments and Audits===


=SUPPLEMENTAL INFORMATION=
====a. Inspection Scope====
The inspectors assessed the licensee staffs ability to identify and enter issues into the CAP program, prioritize and evaluate issues, and implement effective corrective actions, through efforts from departmental assessments and audits.
 
b. Assessment The inspectors concluded that self-assessments and audits were typically accurate, thorough, and effective at identifying issues and enhancement opportunities at an appropriate threshold level. The audits and self-assessments were completed by personnel knowledgeable in the subject area, and the quality of the NOS audits was thorough and critical. The self-assessments were acceptable but were not at the same level of quality as the NOS audits. The inspectors observed that CAP items had been initiated for issues identified through the NOS audits and self-assessments.
 
The inspectors observed selected meetings of the Performance Assessment Review Board and reviewed board meeting minutes over the past six months. The Board provided oversight for the CAP including the self-assessment program. The inspectors identified no issues with the Boards performance during the inspection.
 
Findings No findings were identified.
 
===.4 Assessment of Safety-Conscious Work Environment (SCWE)===


==KEY POINTS OF CONTACT==
====a. Inspection Scope====
..................................................................................................... 1
The inspectors assessed the licensees SCWE through the reviews of the facilitys ECP implementing procedures, discussions with ECP coordinators, interviews with personnel from various departments, and reviews of issue reports. The inspectors also reviewed the results of licensee safety culture surveys.
==LIST OF ITEMS==
OPENED, CLOSED AND DISCUSSED ......................................................... 1
==LIST OF DOCUMENTS REVIEWED==
......................................................................................... 2
==LIST OF ACRONYMS==
: [[US]] [[]]
ED .................................................................................................. 15
Enclosure
: [[SUMMAR]] [[Y]]
: [[OF]] [[]]
: [[FINDIN]] [[]]
: [[GS]] [[]]
: [[IR]] [[05000263/2010007; 09/13/2010 - 10/01/2010; Monticello Nuclear Generating Station; Biennial Baseline Inspection of the Identification and Resolution of Problems. This team inspection was performed by four regional inspectors and the resident inspector. No violations or findings were identified. Identification and Resolution of Problems Overall, the Corrective Action Program (]]
CAP) was good. Issues were effectively identified, evaluated and corrected. Nuclear Oversight (NOS) audits and department self-assessments
were generally critical and identified issues that were captured in the (CAP). Operating Experience (OE) was well communicated and appropriately evaluated. A strong safety culture was evident, based on interviews with licensee staff and a review of the types of issues captured in the
: [[CAP]] [[and Employee Concerns Program (]]
: [[ECP]] [[). The inspectors observed that the evaluation of]]
: [[OE]] [[in Apparent Cause Evaluations (]]
: [[ACE]] [[s) had improved since the]]
: [[2008 PI&R]] [[inspection. Specifically,]]
: [[ACE]] [[s now discussed whether the failure to properly evaluate previously identified]]
: [[OE]] [[was a potential precursor of the event. The licensee took proactive efforts to address a declining trend in the Security Department Safety-Conscious Work Environment (]]
SCWE). The inspectors received positive feedback
during interviews with Security officers, and noted an increasing trend in the number of issues identified by the Security force. The licensee's actions to address the previous cross-cutting issues in Human Performance and a potential cross-cutting issue in Issue Evaluation appeared good. The corrective actions
appeared appropriate and the inspectors noted improving performance over the last six months in these areas. However, the inspectors noted that the licensee had recurring problems with managing the
: [[CAP]] [[backlog and with ensuring that items identified during management observations were captured in the]]
: [[CAP.]] [[The inspectors also identified some examples where licensee staff had changed due dates for subtasks without referencing the source]]
: [[CAP]] [[report. The inspectors identified that]]
CAP implementing procedures did not provide good guidance regarding how to evaluate "critical" and "non-critical" component failures. Specifically, some component failures, which could reasonably be considered "critical," (i.e., had significant consequences) could be classified as "non-critical" using the current guidance. The inspectors observed that there were continuing issues related to work planning and execution and with contractor control. Although both problems were captured in the CAP,
the underlying causes were not yet fully understood, resulting in most of the corrective actions
being reactive rather than proactive. For example, it was unclear whether the underlying
causes that affected site human performance were the same issues that were affecting the contractor performance. In addition, as previously stated, some issues identified through management observations associated with these topics may not be captured in the CAP.
Although the station continued to evaluate the issue, it remained an area of concern given the significant outage work planned for the next year.
Enclosure
: [[A.]] [[]]
NRC-Identified and Self-Revealed Findings No findings were identified. B. Licensee-Identified Violations No violations of significance were identified.
Enclosure
: [[REPORT]] [[]]
: [[DETAIL]] [[S 4.]]
: [[OTHER]] [[]]
: [[ACTIVI]] [[TIES]]
: [[4OA]] [[2 Problem Identification and Resolution (]]
: [[PI&R]] [[) (71152B) The activities documented in sections .1 through .4 constituted one biennial sample of]]
: [[PI&R]] [[as defined in Inspection Procedure (]]
: [[IP]] [[) 71152.  .1 Assessment of the Corrective Action Program (CAP) Effectiveness a. Inspection Scope The inspectors reviewed the licensee's]]
: [[CAP]] [[implementing procedures and attended]]
: [[CAP]] [[program meetings to assess the implementation of the]]
: [[CAP]] [[by site personnel. The inspectors reviewed risk and safety significant issues in the licensee's]]
: [[CAP]] [[since the last]]
: [[NRC]] [[]]
PI&R inspection in November 2008. The issues selected were appropriately varied across the NRC cornerstones, and were identified through
routine daily plant activities, licensee audits and self-assessments, industry operating
experience reports, and
: [[NRC]] [[inspection activities. The inspectors also reviewed a selection of apparent, common and root cause evaluations for more significant]]
: [[CAP]] [[items. The inspectors performed a more extensive review of the licensee's efforts to address ongoing issues with human performance and issue evaluation. This review consisted primarily of a five year search of related issues identified in the]]
: [[CAP]] [[and discussions with appropriate licensee staff to assess the licensee's corrective actions. During the reviews, the inspectors evaluated whether the licensee staff's actions were in compliance with the facility's]]
CAP and 10 CFR Part 50, Appendix B requirements.
Specifically, whether licensee personnel were identifying plant issues at the proper
threshold, entering the plant issues into the station's CAP in a timely manner, and
assigning the appropriate prioritization for resolution of the issues. The inspectors also evaluated the timeliness and effectiveness of corrective actions for selected issue reports, completed investigations, and
: [[NRC]] [[findings. All documents reviewed during this inspection were listed in the Attachment to this report. b. Assessment (1) Effectiveness of Problem Identification The licensee's implementation of the]]
: [[CAP]] [[was generally good. Workers were encouraged to identify issues and were familiar with the various avenues available (NRC,]]
: [[CAP]] [[, etc). This was evident by the large number of]]
CAP items generated
annually, which were reasonably distributed across the various departments. A shared
computerized database was used for creating individual reports and for subsequent
management of the processes of issue evaluation and response. This included
determining the issue's significance, addressing such matters as regulatory compliance
and reporting, and assigning any actions deemed necessary or appropriate.
Enclosure  In reviewing licensee management observations conducted between June and October
2010, the inspectors found several examples of items that were apparently not captured in the
: [[CAP.]] [[Most of the examples were concerned with industrial safety or work planning issues that should have been captured in the]]
CAP. In one example, a worker
observing an industrial safety concern stated that because the worker had not met a
management expectation, vice a procedural requirement, the issue wasn't going to be
documented in the
: [[CAP.]] [[The licensee documented the inspectors' concern as]]
CAP item 1251890. The licensee was also good at identifying and resolving trends. The inspectors noted a large number of trends identified through the "binning" of issues or via the quarterly department roll-up meeting (DRUM) reports. During the November 2008, PI&R review, the inspectors identified that the licensee's trending program was somewhat limited in that it did not always identify trends with
issues affecting the same functional area, but having dissimilar aspects. Subsequently,
the licensee initiated an effort to assign cross-cutting criteria (analogous to NRC criteria)
to apparent and root cause evaluations, which were then trended. Although the
inspectors considered this a positive effort, it was too early to determine its overall effectiveness. Findings No findings were identified.  (2) Effectiveness of Prioritization and Evaluation of Issues Overall, CAP issues were being properly screened. The majorities of issues were of low level and were either closed to trend or at a level appropriate for a condition evaluation.
Licensee staff appropriately challenged
: [[CAP]] [[items during screening meetings and were cognizant of potential trends. Most issues were closed to a work request or to another]]
CAP item. The inspectors noted that both the parent and daughter documents had the
necessary verbiage to document the interrelationship. Although fewer in number, the
inspectors did not have any concerns with those issues assigned an apparent cause
evaluation (ACE) or root cause evaluation. There were no items in the operations, engineering, or maintenance backlogs that were risk significant, individually or collectively. There were no classifications or immediate operability determinations with which the inspectors disagreed. Root and apparent cause evaluations were generally of good quality and were well documented. During the
: [[2006 PI&R]] [[inspection, the inspectors noted that]]
ACEs did not
consider whether the failure to consider industry OE was a precursor to events.
Additionally, licensee management did not always address issues with ACE quality that
were identified during the evaluation grading process. The inspectors noted that subsequent
: [[ACE]] [[s now addressed whether]]
: [[OE]] [[was properly used prior to the event and that]]
: [[ACE]] [[quality issues were communicated to the originating departments. Station Procedure]]
FP-E-SE-02, "Component Classification," was used by licensee staff to distinguish between a "critical" and "non-critical" component failure. The procedure
was written specifically to address equipment reliability, but was referenced in the CAP
for use during cause evaluations. Although the stated guidance was adequate for
Enclosure equipment reliability considerations, it was not appropriate for
: [[CAP]] [[evaluations. For example, this procedure specifically defines any component failure that results in a significant radiological release as a "non-critical" component failure. From a]]
CAP perspective, any component failure resulting in significant radiological consequences would be "critical."  The inspectors were concerned that this procedure may result in
some component failures being treated as less significant under the
: [[CAP]] [[, then appropriate. The licensee initiated]]
CAP item 1250116 to review this issue. Since 2006, the licensee has experienced numerous issues in human performance. Initially, these issues were primarily of low significance (i.e., did not result in an NRC finding). However, the issues continued through 2008, with the significance of the
findings increasing, until an adverse trend in human performance had become evident. The licensee's early efforts to address this trend were largely ineffective, as the licensee originally believed that the human performance issues were limited to specific behaviors or work groups, instead of a more widespread concern involving fundamental human
behaviors. Subsequently, the licensee identified that the issues were principally due to a
lack of resources and an inappropriate tolerance for risk among workers. Several
corrective actions were initiated, including additional training to site workers on
configuration control and risk management. The inspectors noted that performance had
improved among site workers in the past six months. However, the licensee was still dealing with an adverse trend in contractor human performance, primarily related to oversight and work planning and execution. Although this issue was captured in the CAP (items 1249158 and 1247197), the
underlying causes are not yet fully understood, and many of the corrective actions, to date, have been more reactive than proactive. For example, it is unclear whether the
underlying causes that affected site human performance were also affecting the contractor performance. To date, the majority of the issues have been of low significance (i.e., not resulting in an
: [[NRC]] [[finding); however, the overall trend was similar to the previous issue with site human performance. Findings Introduction:  The inspectors identified an Unresolved Item (]]
: [[URI]] [[) regarding the High Energy Line Break (HELB) Analyses. Description:  As part of the review of the]]
: [[ACE]] [[for an adverse trend in double disc gate valve (]]
DDGV) local leak rate testing (LLRT) performance documented in CAP 1202466,
the inspectors noted that the ACE had determined that the valves' performance
degradation did not prevent the valves from performing their safety function. The
: [[ACE]] [[only addressed the valves' safety function of providing containment isolation. The inspectors questioned if the safety function of the high pressure coolant injection (]]
HPCI), reactor core isolation cooling (RCIC) and reactor water cleanup (RWCU) steam supply
valves to close after detection of a
: [[HE]] [[]]
LB should have been considered. The licensee
responded that the ACE did not need to consider the effect of the valves' increased
leakage on the
: [[HELB]] [[analyses because any leakage would not impact the alternate shutdown path. The inspectors reviewed the assumptions and acceptance criteria of the]]
: [[HELB]] [[calculations for]]
: [[HPCI]] [[,]]
: [[RCIC]] [[and]]
: [[RW]] [[]]
CU line breaks and identified potential
inconsistencies between the calculations' assumptions with Technical Specifications'
and
: [[UFS]] [[]]
AR allowed values for valve closure times, incorporation of delay actuations,
and isolation initiation signals. The licensee entered the NRC concerns with these
Enclosure potential inconsistencies into the
: [[CAP]] [[by initiating]]
CAP 01252363 on October 1, 2010. The licensee stated that the calculations were appropriate and provided the inspectors
with some original licensing documents for the
: [[HELB]] [[analyses; however, additional questions remained. This issue will be tracked as]]
: [[URI]] [[05000263/201007-01 pending further]]
: [[NRC]] [[review of the licensee responses and the]]
: [[HELB]] [[analyses and determination of the original and current licensing bases.  (3) Effectiveness of Corrective Actions The inspectors concluded that corrective actions for identified deficiencies were generally timely and adequately implemented, commensurate with their safety significance. Those corrective actions addressing selected]]
: [[NRC]] [[documented violations were also generally effective and timely. The inspectors verified that work orders were in place (and scheduled) for selected, open actions that were two years old or greater. During interviews, the inspectors noted that some individuals did not refer back to the parent]]
CAP when changing due dates for associated subtasks (such as work requests).
The inspectors identified several examples where the revised due dates for subtasks were inconsistent with the parent CAP. Although none of the identified examples were highly significant, the inspectors were concerned that the practice may result in other
changes having a greater operational impact. The licensee initiated CAP item 1250089 to evaluate this issue. The station has a recurring problem with managing the backlog. A recent licensee initiative to redefine the items tracked in the backlog has reduced the numbers, but didn't
necessarily address the issue. The licensee currently tracks only Corrective Actions, Corrective Actions to Prevent Recurrence, and operability issues. Other items, that used to be part of the backlog, were instead tracked as CAP action items. However, the
inspectors noted that there was no formal effort to determine whether the CAP action
items were being addressed in a timely fashion (i.e., no performance indicator similar to
the formal backlog indicator). Since these action items were corrective actions (albeit of lower significance), the inspectors were concerned that some may not get implemented. Complicating the issue was an apparent mixed message from station management,
who expressed the view that the backlog numbers weren't important so long as items were being properly managed. Since this issue was already captured in the
: [[CAP]] [[, the inspectors' observations were included as part of the ongoing licensee evaluation. Findings No findings were identified.  .2 Assessment of the Use of Operating Experience (]]
: [[OE]] [[) a. Inspection Scope The inspectors reviewed the licensee's implementation of the facility's]]
: [[OE]] [[program. Specifically, the inspectors reviewed implementing]]
: [[OE]] [[program procedures, attended]]
: [[CAP]] [[meetings to observe the use of]]
OE information, completed evaluations of OE
issues and events, and selected assessments of the OE composite performance
indicators. The inspectors' review was to determine whether the licensee was effectively
Enclosure integrating OE experience into the performance of daily activities, whether evaluations of issues were proper and conducted by qualified personnel, whether the licensee's
program was sufficient to prevent future occurrences of previous industry events, and whether the licensee effectively used the information in developing departmental assessments and facility audits. The inspectors also assessed if corrective actions, as a result of
: [[OE]] [[experience, were identified and effectively and timely implemented. Documents reviewed during this inspection are listed in the Attachment to this report. b. Assessment In general,]]
: [[OE]] [[was effectively used at the station. The inspectors observed that]]
: [[OE]] [[was discussed as part of the daily station planning meetings, at shift turnover meetings, and at maintenance pre-briefings. Also, the inspectors determined that]]
OE was
appropriately reviewed during causal evaluations. During interviews, several licensee personnel commented favorably on the use of
: [[OE]] [[in their daily activities. The inspectors noted that the]]
OE evaluation for a relay failure that resulted in the inoperability of a safety-related train at Harris (Action Request (AR) 1233871) was
somewhat limited in scope. The evaluation identified that similar relays were used at Monticello, but in non-safety related equipment; therefore, no actions were required. However, there was no documented evaluation whether a failure of these relays in the
affected equipment could have had any significant operational impact. The licensee documented this issue as
: [[CAP]] [[item 1252873. Findings No findings were identified.  .3 Assessment of Self-Assessments and Audits a. Inspection Scope The inspectors assessed the licensee staff's ability to identify and enter issues into the]]
CAP program, prioritize and evaluate issues, and implement effective corrective actions, through efforts from departmental assessments and audits. b. Assessment The inspectors concluded that self-assessments and audits were typically accurate, thorough, and effective at identifying issues and enhancement opportunities at an
appropriate threshold level. The audits and self-assessments were completed by
personnel knowledgeable in the subject area, and the quality of the NOS audits was
thorough and critical. The self-assessments were acceptable but were not at the same
level of quality as the
: [[NOS]] [[audits. The inspectors observed that]]
CAP items had been
initiated for issues identified through the
: [[NOS]] [[audits and self-assessments. The inspectors observed selected meetings of the Performance Assessment Review Board and reviewed board meeting minutes over the past six months. The Board provided oversight for the]]
CAP including the self-assessment program. The inspectors identified no issues with the Board's performance during the inspection.
Enclosure  Findings No findings were identified.  .4 Assessment of Safety-Conscious Work Environment (SCWE) a. Inspection Scope The inspectors assessed the licensee's
: [[SCWE]] [[through the reviews of the facility's]]
: [[ECP]] [[implementing procedures, discussions with]]
: [[ECP]] [[coordinators, interviews with personnel from various departments, and reviews of issue reports. The inspectors also reviewed the results of licensee safety culture surveys. b. Assessment The inspectors determined that the plant staff were aware of the importance of having a strong]]
SCWE and expressed a willingness to raise safety issues. No one interviewed had experienced retaliation for safety issues raised, or knew of anyone who had failed to
raise issues. All persons interviewed had an adequate knowledge of the
: [[CAP]] [[and]]
: [[ECP]] [[process. These results were similar to the findings of the licensee's safety culture surveys. Based on these interviews, the inspectors concluded that there was no evidence of an unacceptable]]
: [[SCWE.]] [[The inspectors noted that the licensee had taken proactive efforts to address a declining]]
SCWE trend within the Security force. This trend had been identified through
self-assessments and audits conducted in 2009. The number of issues self-identified by
the security staff had increased since the corrective actions were implemented.
Additionally, during interviews with the inspectors, Security staff commented favorably
on the licensee initiatives to improve the
: [[SCWE.]] [[The inspectors determined that the]]
: [[ECP]] [[process was being effectively implemented. The review of the selected]]
: [[ECP]] [[issues indicated that site personnel were appropriately using the]]
CAP and ECP to identify concerns. However, many staff were unaware of the
other avenues the licensee had to raise concerns (collectively known as the
: [[PEA]] [[]]
CH process). For example, most staff were unaware of the Differing Professional Opinions
(DPO) program for addressing engineering issues. Additionally, some newer staff confused safety culture with industrial safety. Similar issues were identified during the
: [[2008 PI&R]] [[inspection. The licensee captured these issues as]]
CAP item 1252870. Findings No findings were identified. 4OA6  Management Meetings .1 Exit Meeting Summary On October 1, 2010, the inspectors presented the inspection results to Mr. O'Connor and other members of the licensee staff. The licensee acknowledged the issues
presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary.
: [[ATTACH]] [[]]
: [[MENT]] [[:]]
: [[SUPPLE]] [[]]
: [[MENTAL]] [[]]
: [[INFORM]] [[]]
: [[ATION]] [[Attachment]]
: [[SUPPLE]] [[]]
: [[MENTAL]] [[]]
: [[INFORM]] [[]]
: [[ATION]] [[]]
: [[KEY]] [[]]
: [[POINTS]] [[]]
: [[OF]] [[]]
CONTACT Licensee H. Butterworth, Fleet Operations Standards Director P. Byers, Security Manager
J. Early, Emergency Preparedness Manager
N. Haskell, Engineering Director
M. Holmes, Radiation Protection/Chemistry Manager
K. Jepson, Business Support Manager J. Mestad, Employ Concerns Program Manager D. Neve, Regulatory Affairs Manager
J. Ohotto, Design Engineering Manager
T. O'Connor, Site Vice-President
S. Porter, System Engineering Manager S. Radebaugh, Acting Plant Manager S. Sharpe, Operations Manager
: [[G.]] [[Sherwood, Program Engineering Manger]]
: [[T.]] [[Toglery, Nuclear Oversight Manager J. Windchill, Fleet Performance Assessment Manager Nuclear Regulatory Commission K. Riemer, Chief, Branch 2, Division of Reactor Projects]]
: [[LIST]] [[]]
: [[OF]] [[]]
: [[ITEMS]] [[]]
: [[OPENED]] [[,]]
: [[CLOSED]] [[]]
: [[AND]] [[]]
: [[DISCUS]] [[SED Opened:]]
: [[URI]] [[05000263/201007-01]]
HELB Analysis Potentially Non-Conservative
Attachment
: [[LIST]] [[]]
: [[OF]] [[]]
: [[DOCUME]] [[]]
: [[NTS]] [[]]
: [[REVIEW]] [[]]
: [[ED]] [[The following is a list of documents reviewed during the inspection. Inclusion on this list does not imply that the]]
: [[NRC]] [[inspectors reviewed the documents in their entirety, but rather, that selected sections of portions of the documents were evaluated as part of the overall inspection effort. Inclusion of a document on this list does not imply]]
: [[NRC]] [[acceptance of the document or any part of it, unless this is stated in the body of the inspection report.]]
: [[PLANT]] [[]]
: [[PROCED]] [[URES Number Description or Title Date or Revision]]
: [[FP]] [[-]]
: [[PA]] [[-ARP-01]]
: [[CAP]] [[Action Request Process Revision 27]]
: [[FG]] [[-PA-CAE-01 Corrective Action Effectiveness Review Manual Revision]]
: [[6 FG]] [[-]]
: [[PA]] [[-ACE-01 Apparent Cause Evaluation Manual Revision 17]]
: [[FG]] [[-]]
: [[PA]] [[-RCE-01 Root Cause Evaluation Manual Revision]]
: [[17 FG]] [[-]]
: [[PA]] [[-CTC-01]]
: [[CAP]] [[Trend Code Manual Revision 12]]
: [[FP]] [[-PA-OE-01 Operating Experience Program Revision 14]]
: [[FG]] [[-]]
: [[PA]] [[-KPI-01 Performance Indicator Data Reporting Revision]]
: [[0 FP]] [[-E-]]
: [[SE]] [[-02 Component Classification Revision 4 EWI-05.02.01 Maintenance Rule Program Document Revision 16]]
: [[B.]] [[5.12 System Basis Document:  Area Radiation Monitor Revision 3 B.7.1 System Basis Document:  Liquid Radwaste Revision 2]]
: [[CORREC]] [[TIVE]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
: [[NTS]] [[Number Description or Title Date or Revision]]
: [[AR]] [[114145-13 Incorrect Grounding Trucks Installed in 4]]
: [[KV]] [[Cubicles 9/8/2008]]
: [[AR]] [[1150968  Continuing Issues With]]
: [[FME]] [[Control on Turbine Floor 8/20/2009]]
: [[AR]] [[1168344-01]]
: [[TS]] [[Action for]]
: [[CREF]] [[Exited Prior to all]]
: [[PMT]] [[s Being Completed 3/8/2009]]
: [[AR]] [[1166773-01 Adverse Trend in Rigor of Implementing]]
: [[SOER]] [[Recommendations 2/26/2009]]
: [[AR]] [[1170876 Lack of Safety Related Material Control/Traceability 9/14/2009]]
: [[AR]] [[1167946-01 Level A and B]]
: [[CA]] [[s Closed to Actions Outside the]]
: [[CAP]] [[3/21/2009]]
: [[AR]] [[1205719-02]]
: [[ARM]] [[]]
: [[S&C]] [[Refurb Not Performed]]
: [[IAW]] [[Tech Manual 12/4/2009]]
: [[AR]] [[1211312]]
: [[NOS]] [[Finding:  Configuration Control Performance Issues 3/3/2010]]
: [[AR]] [[1226594 Work Tasks Authorized Without Proper C/O C/L Hung 6/18/2010]]
: [[AR]] [[]]
: [[1228190 NOS]] [[Finding-Weak Barriers in Work Management 5/25/2010]]
: [[AR]] [[1237891 Failed Bellows Spring in Positioned Removed from]]
: [[CV]] [[-1242 6/28/2010]]
AR 1158526 Adverse Trend In Work Package Quality 12/10/2008
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
NTS Number Description or Title Date or Revision AR 01167235
AR 01167240
: [[AR]] [[01173666]]
: [[AR]] [[01155107]]
AR 01184941
AR 01167237
: [[AR]] [[01139421]]
: [[AR]] [[01160675]]
AR 01143116 AR 01232720


AR 01158536
b. Assessment The inspectors determined that the plant staff were aware of the importance of having a strong SCWE and expressed a willingness to raise safety issues. No one interviewed had experienced retaliation for safety issues raised, or knew of anyone who had failed to raise issues. All persons interviewed had an adequate knowledge of the CAP and ECP process. These results were similar to the findings of the licensees safety culture surveys. Based on these interviews, the inspectors concluded that there was no evidence of an unacceptable SCWE.
: [[AR]] [[01157274]]
: [[AR]] [[01150364]]
AR 01151413
: [[AR]] [[01213390]]
: [[AR]] [[01211101]]
AR 01190071 AR 01189968
AR 01188955
: [[AR]] [[01187271]]
: [[AR]] [[01177444]]
AR 00826605


AR 01083164
The inspectors noted that the licensee had taken proactive efforts to address a declining SCWE trend within the Security force. This trend had been identified through self-assessments and audits conducted in 2009. The number of issues self-identified by the security staff had increased since the corrective actions were implemented.
AR 01151933
: [[AR]] [[01154270]]
: [[AR]] [[01153455]]
AR 01116586


AR 01136919
Additionally, during interviews with the inspectors, Security staff commented favorably on the licensee initiatives to improve the SCWE.
AR 0123272
AR 01182625
: [[AR]] [[01196988]]
: [[AR]] [[01194357 Potential Trend]]
: [[WM]] [[]]
: [[ID]] [['d in Ops 4th Qtr 2008]]
: [[DRUM]] [[Potential Trend]]
: [[JP&P]] [[]]
: [[ID]] [['d in Ops 4th Qtr]]
: [[2008 DR]] [[]]
UM
Adverse Trend in FME issues
Ops
: [[CSE]] [[]]
ID's AFI in Objective 3 Adverse Trend:  work plan changes made w/o review & approval
Potential trend
: [[DP]] [[]]
: [[ID]] [['d in Ops 4th Qtr]]
: [[2008 DR]] [[]]
: [[UM]] [[Adverse Trend in Program Management Issues]]
: [[AFI]] [[Independent]]
: [[FSA]] [[Monti Human Performance Adverse Trend in]]
: [[OS]] [[]]
HA reportable injuries Recirc riser relay did not respond to de-energize
position during IST
LOR Annual Operating Exam Issues
Proposed NRC Violation - Reactor Level Control
- 9/11 Scram
: [[HP]] [[]]
CI failed to trip when Rx level rose to 48" Rx Low Low Water Level signal received during
CRD pump start
Voltage of cell 116 in #17 battery is at 2.07 Volts
Not all Tech Specs were entered 2009 Ops
: [[CSE]] [[-]]
: [[AFI]] [[Objective]]
: [[5 AFI]] [[5.1 A]]
SBGT Flow Not Within Band
Assessment
: [[AFI]] [[]]
ID'd for licensed operator
medicals
B
: [[SB]] [[]]
GT failed to operate as expected
Adverse Trend - Procedure performed without
: [[OPS]] [[Auth.]]
GE Part 21 (SC05-03) Potential to exceed low
pressure limit
Main Steam Line plugs interfere with separator
removal
: [[SP]] [[]]
DS Disp 710 showing incorrect configuration of circuit breaker
NRC Commitments in procedures not meeting
requirements
Station challenged by projects interface/alignment issues Unplanned rise in Offgas Radiation and Stack
: [[WG]] [[]]
RM's
Loss of motor cooling to Div
: [[II]] [[]]
: [[RHRSW]] [[Pumps]]
: [[LP]] [[]]
CI Select Interlock Channel Functional
Test Failure Adverse Trend; Inadequate maintenance of QA reports
Adverse Trend; Badge control by site personnel
Door-18, Condenser room flood door found closed1/29/2009
1/29/2009


3/18/2009
The inspectors determined that the ECP process was being effectively implemented.
10/13/2008 6/09/2009
1/29/2009
9/07/2010
11/26/2008 8/5/2008 5/13/2010


11/7/2008
The review of the selected ECP issues indicated that site personnel were appropriately using the CAP and ECP to identify concerns. However, many staff were unaware of the other avenues the licensee had to raise concerns (collectively known as the PEACH process). For example, most staff were unaware of the Differing Professional Opinions (DPO) program for addressing engineering issues. Additionally, some newer staff confused safety culture with industrial safety. Similar issues were identified during the 2008 PI&R inspection. The licensee captured these issues as CAP item 1252870.
3/26/2009
9/21/2008 9/21/2008  


1/12/2010
Findings No findings were identified.
2/17/2009 7/20/2009 7/20/2009
7/10/2009


6/28/2009
{{a|4OA6}}
4/9/2009  3/30/2005
==4OA6 Management Meetings==


3/20/2007
===.1 Exit Meeting Summary===
9/24/2008
10/8/2008


10/2/2008  10/31/2007
On October 1, 2010, the inspectors presented the inspection results to Mr. OConnor and other members of the licensee staff. The licensee acknowledged the issues presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary.


5/6/2008
ATTACHMENT:  
6/25/2010
5/19/2009
9/9/2009
8/20/2009
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
: [[NTS]] [[Number Description or Title Date or Revision]]
: [[AR]] [[01178894]]
AR 01159084
: [[AR]] [[01150362]]
: [[AR]] [[01151075]]
: [[AR]] [[01216130]]
: [[FME]] [[- Drier Measurement Platform Wheel Inadequate shutdown margin during]]
EOC-23 core
alterations
Reactor Scram Number 121 occurred on Sept
11th, 2008 Ops Trng
: [[CSE]] [[identifies]]
AFI's in Objective 1-4 Performance gaps to industry standards not recognized 4/20/2009 11/13/2008


9/12/2008
=SUPPLEMENTAL INFORMATION=


9/18/2008 1/30/2010
==KEY POINTS OF CONTACT==
: [[AR]] [[01144214-02 Trend-]]
: [[RCE]] [[Grades Low in 2 Areas 7/2008]]
: [[AR]] [[01173245 Actions to Address Equipment Problems are Shortsighted 4/15/2009]]
: [[AR]] [[01186832 Core Spray Pump Quarterly Test Terminated Due to No Flow 6/25/2009]]
: [[AR]] [[1191812 Adverse Trend in Failure Rates to]]
: [[ACE]] [[s Assigned to Projects 7/31/2009]]
: [[AR]] [[01216127]]
: [[PI.]] [[2-2]]
: [[ACE]] [[s Do Not Always Address Org or Prgrm Contributors 1/30/2010]]
: [[AR]] [[]]
: [[01174411 PRNMS]] [[:  Ineffective Condition Evaluation]]
: [[CE]] [[01162340-02 3/23/2009]]
: [[AR]] [[01187909 Accountability in Meeting]]
: [[CAP]] [[Action Due Dates Tracking 7/2/2009]]
: [[AR]] [[01238254]]
: [[PI&R]] [[]]
: [[FSA]] [[]]
: [[AFI]] [[:  Rigor in Resolving]]
: [[NRC]] [[Violations Not Consistent 6/22/2010]]
: [[AR]] [[]]
: [[1222439 MNGP]] [[]]
: [[EPU]] [[Mod 3 Surveillance 3/12/2010]]
: [[AR]] [[01208801 Three]]
: [[NRC]] [[X-Cutting Findings in One Aspect 12/1/2009]]
: [[AR]] [[01216516 Station hs Three Potential Findings in One]]
: [[NRC]] [[Xcut Aspect 2/2/2010]]
: [[AR]] [[01215513 Potential Adverse Trend Recent Events/Near Misses 1/27/2010]]
: [[AR]] [[01170720 Inconsistent]]
: [[CAP]] [[Problem Statements]]
: [[CA]] [[Quality]]
: [[ACE]] [[Quality 2/25/2009]]
: [[AR]] [[01232886 Adverse Trend-Corrective Action Backlog Exceeding Goal 5/14/2010]]
: [[AR]] [[01150601 Ops Tng]]
: [[CSE]] [[Identifies Ineffective Closure of]]
: [[CA]] [[9/15/2008]]
: [[AR]] [[01157287 Red]]
: [[KPI]] [[-]]
: [[NRC]] [[Cross Cutting Aspects (H.4.c.) Oversight 10/29/2008]]
: [[AR]] [[1226438 Site Received Fourth P.1.c Cross Cutting Aspect from]]
: [[NRC]] [[4/8/2010]]
: [[AR]] [[01147103 Adv Trnd in Organization Perf. Leads to Near Miss Events 8/9/2008]]
: [[AR]] [[01137245 Station]]
: [[KPI]] [[for]]
: [[NRC]] [[Cross-Cutting Issue-Potential Red 5/9/2008]]
: [[AR]] [[01184816 Evaluation of Project Dept Clock Resets During 2009 Outage 6/8/2009]]
: [[AR]] [[01163396 Adverse Trend in]]
: [[HU]] [[Identified in 3 Quarter 2008 Site]]
DRUM 12/22/2008
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
: [[NTS]] [[Number Description or Title Date or Revision]]
: [[AR]] [[01135426]]
: [[CAPR]] [[s From]]
: [[RCE]] [[s Non Institutionalized 4/23/2008]]
: [[AR]] [[01138493 Adverse Trend in Human Performance 5/22/2008]]
: [[AR]] [[01158802 Potential Adverse Trend-Station Cross Cutting Issues]]
: [[PI&R]] [[11/11/2008]]
: [[AR]] [[1161531 Reoccurring Qualification Issues at Monticello 12/05/2008]]
: [[AR]] [[1199160 Unexpected]]
: [[AR]] [[-10 Discharges on the Range 12/01/2010]]
: [[AR]] [[1140153 Adverse Trend in Refueling Floor Activities 12/17/2009]]
: [[AR]] [[1169027 High Radiation Controls Violation 06/01/2010]]
: [[AR]] [[1170636 Security Human Performance Adverse Trend 03/24/2009]]
: [[AR]] [[1161679 Potential Adverse Trend - Security Weapons / Ammo Handling 01/16/2009]]
: [[AR]] [[1210338 Adverse Trend -]]
: [[BRE]] [[Issues 12/30/2010]]
: [[AR]] [[1150642 Incomplete Information Sent to]]
: [[NRC]] [[on an Operator's License Renewal Application 09/15/2008]]
: [[AR]] [[1136955 Adverse Trend in Service Water Radiation Monitor Flow 05/07/2008]]
: [[AR]] [[1177731 Adverse Trend in]]
: [[LLRT]] [[Radiation Exposure 04/10/2009]]
: [[AR]] [[1164409 Increased Trend in Badge Control Issues 03/02/2009]]
: [[AR]] [[1135335 Adverse Trend in Emergency Planning Drill / Exercise Report Timeliness 08/21/2008]]
: [[AR]] [[1215924]]
: [[EP]] [[Department Performance Has Declined 03/12/2010]]
: [[AR]] [[1174197 Lengthy Out Of Service Time for]]
: [[EP]] [[Equipment 07/31/2009]]
: [[AR]] [[1216118]]
: [[EP]] [[1-1]]
: [[ERO]] [[personnel Make Knowledge Based Errors 09/03/2010]]
: [[AR]] [[1215924 Site]]
: [[EP]] [[Precursors to Further Declining Performance 10/29/2010]]
: [[AR]] [[1188771 Follow-up]]
: [[PAR]] [[Development Inaccurate / Untimely 11/17/2009]]
: [[AR]] [[1135335 Adverse Trend in Emergency Planning Drill / Exercise Report Timeliness 08/21/2008]]
: [[AR]] [[1215924]]
: [[EP]] [[Department Performance Has Declined 03/12/2010]]
: [[AR]] [[1217199 Security Officer Failed to Perform a Security Patrol 08/31/2010]]
: [[AR]] [[1168195 Rx Water Soluble Co-60 No Longer Trending Down 02/05/2009]]
: [[AR]] [[1207385]]
: [[SGI]] [[Package Not Properly Marked 03/31/2010]]
: [[AR]] [[1204338 New Security Door to Intake Tunnel Found Closed04/23/2010]]
: [[AR]] [[1156598 Security Force on Force Exercises 08/21/2009]]
: [[AR]] [[1238171 Unexpected Dose rates Encountered During]]
: [[RWCU]] [[]]
: [[BW]] [[06/21/2010]]
: [[AR]] [[1164240 Movement of Radioactive material Not in Accordance with]]
: [[AWI]] [[01/02/2009]]
: [[AR]] [[1196952 Low level of Tritium in Monitoring Well (MW-9) 09/09/2009 AR 1207960]]
: [[AR]] [[01214941 Unexpected Change in]]
DW CAM Particulate Activity
Inadequate Documentation of Design Inputs 12/10/2009  02/22/2010
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
NTS Number Description or Title Date or Revision AR 01222023
AR 01214814


AR 01197923
Licensee
AR 01228141
: [[contact::H. Butterworth]], Fleet Operations Standards Director
: [[AR]] [[01176068]]
: [[contact::P. Byers]], Security Manager
: [[AR]] [[01179388]]
: [[contact::J. Early]], Emergency Preparedness Manager
AR 01194527
: [[contact::N. Haskell]], Engineering Director
AR 01195119
: [[contact::M. Holmes]], Radiation Protection/Chemistry Manager
: [[AR]] [[01197202]]
: [[contact::K. Jepson]], Business Support Manager
: [[AR]] [[01171823]]
: [[contact::J. Mestad]], Employ Concerns Program Manager
AR 01174949
: [[contact::D. Neve]], Regulatory Affairs Manager
: [[AR]] [[01227229]]
: [[contact::J. Ohotto]], Design Engineering Manager
: [[AR]] [[01166312]]
: [[contact::T. OConnor]], Site Vice-President
AR 01170967
: [[contact::S. Porter]], System Engineering Manager
AR 01088210
: [[contact::S. Radebaugh]], Acting Plant Manager
: [[AR]] [[01139415]]
: [[contact::S. Sharpe]], Operations Manager
: [[AR]] [[01137297]]
: [[contact::G. Sherwood]], Program Engineering Manger
AR 01209649-01
: [[contact::T. Toglery]], Nuclear Oversight Manager
AR 01065983
: [[contact::J. Windchill]], Fleet Performance Assessment Manager
AR 1088210-01
Nuclear Regulatory Commission
AR 01181868
: [[contact::K. Riemer]], Chief, Branch 2, Division of Reactor Projects
: [[AR]] [[01192130]]
: [[AR]] [[01190129]]
AR 01120865
: [[AR]] [[01166314]]
: [[AR]] [[01107707]]
AR 01166308
AR 01155275
P-109C,
: [[13 RHR]] [[]]
SW Pump D/P in Alert Range
Adverse Trend in Bearing Failures on
: [[11 CRD]] [[Pump]]
: [[CBDI]] [[]]
FOF Mod Did Not Assess Impact to T-44
Tank SRV Lift Test Surveillance Interval Potentially Missed
Thin Pipe Identified During
: [[MIC]] [[Exam On 18 A]]
: [[RHR]] [[]]
SW
Appendix J Programmatic Deficiencies  Post-Modification Testing Issues
Adverse Trend in Engineering Department
: [[HP]] [[Clock Resets]]
: [[CD]] [[]]
BI- Calculation Quality- Adverse Trend
: [[EPU]] [[-Wiring Discrepancy Discovered in Field Adverse Trend in Feedwater Heater Level Transmitter Replacement]]
: [[1AR]] [[]]
XFMR Lockout Caused By 1N^ Ground
Fault
Declining Trend-Engineering Work Process-Work Control Mgmt Adverse Trend Control of Engineering MTE
Part of Head Vent Line Not Insulated
D10 125VDC Div 1 Battery Charger Unavailability
Exceeds MR Goal
D10 Exhibits Erratic Voltage Output During Surveillance Clearance and Tagging Issues
Degraded
: [[HELB]] [[Flow Path Over The]]
SLAE Room
Missing Instillation On The Head Vent Valve
Manifold Equalizing Valve Failure Causes 'B' Main Steam Line Flow Isolation Instrument to Become Inoperable
Work Performed Without Adequate Tag-Out
Protection
Failure to Promptly Identify Failed
: [[SBGT]] [[Surveillance Failures of V-]]
AC-4 (B4305) and V-AC-5 (B3305)


Adverse Trend for Engineering Non-Mod
==LIST OF ITEMS==
EC Backlog
Failures of V-AC-4 Declining Trend for Engineering- Process Failure Mode-RR1
Increasing Trend for System Health Assessment
KPI 04/06/2010  03/31/2010  11/02/2009
05/14/2010
03/31/2009  04/23/2009
11/13/2009 09/25/2009
11/11/2009 03/04/2009 10/25/2009  04/14/2010
2/19/2009
05/29/2009 09/21/2010 09/29/2010
05/09/2008  02/04/2010
01/05/2007 04/20/2007 05/12/2009
08/03/2009
08/21/2009 05/22/2009  01/22/2009
09/19/2007 01/01/2009
10/14/2008
Attachment
: [[ROOT]] [[,]]
: [[APPARE]] [[NT]]
: [[AND]] [[]]
: [[COMMON]] [[]]
: [[CAUSE]] [[]]
: [[EVALUA]] [[TIONS Number Description or Title Date or Revision]]
: [[AR]] [[1140145 Incorrect Grounding Trucks Installed in 4]]
: [[KV]] [[Cubicles 6/6/2008]]
: [[EFR]] [[1140145-24 Effectiveness Review of]]
: [[CAP]] [[1140145-05 Truck Installation Procedure 11/6/2009]]
: [[EFR]] [[114145-25 Effectiveness Review of Grounding Truck Installation 11/6/2009]]
: [[AR]] [[]]
: [[1150968 JLG]] [[Lift Basket Contacts 115]]
: [[KV]] [[9/17/2008]]
: [[EFR]] [[1150968-10 Effectiveness Review for]]
: [[AR]] [[]]
: [[CAP]] [[1150968 Lift Contacts 115]]
: [[KV]] [[9/30/2009]]
: [[PCR]] [[1152979 Revise]]
: [[FP]] [[-SC-GEN-08 Revision 2 9/30/2008]]
: [[AR]] [[1158526 Adverse Trend in Work Package Quality 11/7/2008]]
: [[AR]] [[1166773 Adverse Trend in Rigor of Implementing]]
: [[SOER]] [[Recommendations 1/26/2009]]
: [[AR]] [[1167946 Mid Cycle]]
: [[FSA]] [[]]
: [[AFI]] [[11-CAsClosed to Actions Outside the]]
: [[CAP]] [[2/3/2009]]
: [[AR]] [[]]
: [[1168344 TS]] [[Action for]]
: [[CREF]] [[Exited Prior to all]]
: [[PMT]] [[s Being Completed 2/5/2009]]
: [[AR]] [[1170876 Lack of Safety Related Material Control/Traceability 2/25/2009]]
: [[AR]] [[1183728 Continuing Issues with]]
: [[FME]] [[Control on Turbine Floor 5/29/2009]]
: [[AR]] [[1183728 Continuing Issues with]]
: [[FME]] [[Control on Turbine Floor 5/29/2009]]
: [[AR]] [[1166773-01 Adverse Trend in Rigor of Implementing]]
: [[SOER]] [[Recommendations 1/26/2009]]
: [[AR]] [[1167946-01 Level A and B]]
: [[CA]] [[s Closed to Actions Outside the]]
: [[CAP]] [[2/3/2009]]
: [[AR]] [[]]
: [[1168344 TS]] [[Action for]]
: [[CREF]] [[Exited Prior to All]]
: [[PMT]] [[s Being Completed 2/5/2009]]
: [[AR]] [[1202466 Adverse Trend in Double Disc Gate Valve]]
: [[LLRT]] [[Performance 10/14/2009]]
: [[AR]] [[]]
: [[1205719 ARM]] [[S&C Refurb not Performed]]
: [[IAW]] [[Tech Manual 11/4/2009]]
: [[AR]] [[1211312]]
: [[NOS]] [[Finding:  Configuration Control Performance Issues 12/18/2009]]
: [[AR]] [[1226594 Work Tasks Authorized Without Proper C/O C/L Hung 4/9/2010]]
: [[AR]] [[]]
: [[1228190 NOS]] [[Finding-Weak Barriers in Work Management 4/20/2010]]
: [[AR]] [[1237891 Failed Bellows Spring In Positioned Removed from]]
: [[CV]] [[-1242 6/18/2010]]
: [[AR]] [[]]
: [[1095181 PRA]] [[Compliance With Regulatory Guide 1.200 6/5/2007]]
: [[AR]] [[]]
: [[1121269 SOER]] [[07-02 on Intake Cooling Water Blockage 12/14/2007]]
: [[AR]] [[]]
: [[01237478 PI&R]] [[]]
: [[FSA]] [[; All req's for]]
: [[CAP]] [[01189206 not performed 6/16/2010]]
: [[AR]] [[]]
: [[01237558 PI&R]] [[]]
FSA; Trend in security trng team used for shift needs 6/16/2010
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
: [[NTS]] [[Number Description or Title Date or Revision]]
: [[AR]] [[01237585]]
: [[PI&R]] [[]]
: [[FSA]] [[;]]
: [[CAP]] [[closed out to action in]]
: [[GAR]] [[6/16/2010]]
: [[AR]] [[]]
: [[01237702 PI&R]] [[]]
: [[FSA]] [[; Documenting Completion of actions unclear in]]
: [[2 FBM]] [[s 6/17/2010]]
: [[AR]] [[]]
: [[01237779 PI&R]] [[]]
: [[FSA]] [[; No]]
: [[CAP]] [[tracking completion of Top Ten Eqp. Items 6/17/2010]]
: [[AR]] [[]]
: [[01237802 PI&R]] [[]]
: [[FSA]] [[; No action to track completion of work under B]]
: [[CAP]] [[6/17/2010]]
: [[AR]] [[]]
: [[01237820 CAP]] [[extension documentation missing, found during]]
: [[PI&R]] [[]]
: [[FSA]] [[6/18/2010]]
: [[AR]] [[]]
: [[01237838 PI&R]] [[]]
: [[FSA]] [[-]]
: [[CAPR]] [[process not followed for form revision 6/18/2010]]
: [[AR]] [[]]
: [[01237839 PI&R]] [[]]
: [[FSA]] [[: Typos and dated info in Ops Burden Report 6/18/2010]]
: [[AR]] [[01237876]]
: [[PI&R]] [[]]
: [[OE]] [[evaluation uploaded in sharepoin is not correct 6/18/2010]]
: [[AR]] [[]]
: [[01237905 PI&R]] [[]]
: [[FSA]] [[- overdue operating experience actions 6/18/2010]]
: [[AR]] [[01237917 2010]]
: [[PI&R]] [[]]
: [[FSA]] [[: Lack of documentation for level of effort 6/18/2010]]
: [[AR]] [[01237928]]
: [[2010 PI&R]] [[]]
: [[FSA]] [[:]]
: [[CAP]] [[not written for identified issue 6/18/2010]]
: [[AR]] [[]]
: [[01238082 PI&R]] [[]]
: [[FSA]] [[]]
: [[CAP]] [[s -]]
: [[INPO]] [[]]
: [[AFI]] [[s don't considtently meet standards 6/21/2010]]
: [[AR]] [[]]
: [[01238284 PI&R]] [[]]
: [[FSA]] [[]]
: [[AFI]] [[: Root Cause Statements -]]
: [[CA]] [[Line of Sight 6/22/2010]]
: [[AR]] [[01238292]]
: [[PI&R]] [[]]
: [[FSA]] [[]]
: [[AFI]] [[: Independent workers applying own standards on]]
: [[CAP]] [[initially 6/22/2010]]
: [[AR]] [[]]
: [[01243250 PI&R]] [[]]
: [[FSA]] [[- Ops Status Notes Not Sustainalbe for Fire Pump 7/28/2010]]
: [[AR]] [[01243411]]
: [[PI&R]] [[]]
: [[FSA]] [[Review]]
: [[ACE]] [[to]]
: [[CE]] [[for 01174955 7/29/2010]]
: [[AR]] [[]]
: [[01243430 PI&R]] [[]]
: [[FSA]] [[corrective action for]]
: [[AR]] [[1199936 7/29/2010]]
: [[AR]] [[]]
: [[01243485 PI&R]] [[]]
: [[FSA]] [[-]]
: [[CAP]] [[Improperly closed to no action 7/29/2010]]
: [[AR]] [[]]
: [[01243644 PI&R]] [[]]
: [[FSA]] [[-]]
: [[CAP]] [[01141018 Screening N Notes are incorrect 7/30/2010]]
: [[AR]] [[]]
: [[01243728 PI&R]] [[]]
: [[FSA]] [[-]]
: [[EFR]] [[assignment]]
: [[CAP]] [[01165741 had no goal stated 7/30/2010]]
: [[AR]] [[01244435]]
: [[PI&R]] [[Inspection self assessment identified 4kv rooms issue 8/5/2010]]
: [[AR]] [[01139415 D10 125]]
: [[VDC]] [[Battery Charger Unavailability exceeds]]
: [[MR]] [[goal 5/30/2008]]
: [[AR]] [[01155593 Inability to attract personnel due to Industry Competition 10/15/2008]]
: [[AR]] [[01158868]]
: [[RF]] [[]]
: [[24 MS]] [[38 for preoutage work in jeopardy 11/11/2008]]
: [[AR]] [[]]
: [[01159308 IR]] [[24]]
MS 13 for work order planning above control band 11/15/2008
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
: [[NTS]] [[Number Description or Title Date or Revision]]
: [[AR]] [[01167860 Mid cycle]]
: [[FSA]] [[]]
: [[AFI]] [[3 - Insufficient operations staffing plan 2/3/2009]]
: [[AR]] [[01179605 Greater than 1 yr will be needed to qualify a]]
: [[SM]] [[candidate 4/25/2009]]
: [[AR]] [[01180220 Quality issues found on Isophase Bus Cooling System 4/30/2009]]
: [[AR]] [[01200192 Emergent Contractor Trng request diverts Maint Training resource 9/29/2009]]
: [[AR]] [[]]
: [[01217990 EP]] [[Drill - Not enough controllers in the Plant during drill 2/12/2010]]
: [[AR]] [[]]
: [[01227941 RWCU]] [[restoration time discrepancy 4/19/2010]]
: [[AR]] [[]]
: [[01230850 EM&P]] [[Resource Availability impacts scheduled work 5/3/2010]]
: [[AR]] [[01233699 Operations unable to support system walkdown 5/20/2010]]
: [[AR]] [[01237487 Personnel removed from Training to cover Shift staffing need 6/15/2010]]
: [[AR]] [[01240903 Supervisor pulled from training to meet staffing needs 7/9/2010]]
: [[AR]] [[01227056 One Live Ammo Round at]]
: [[STF]] [[Mixed with Training Rounds 4/13/2010]]
: [[AR]] [[01225619 Unable to Obtain Definitive Reading of]]
: [[TS]] [[Required Parameter 4/2/2010]]
: [[AR]] [[01181388 "B" Safety Relief Valve Leaking 5/8/2009]]
: [[AR]] [[01243585 Program Deficiencies From]]
: [[PHC]] [[Not Incorporated into]]
: [[CAP]] [[7/30/2010]]
: [[AR]] [[01181249]]
: [[HPCI]] [[Governor Valve Failed to Open During Overspeed Test 5/7/2009]]
: [[AR]] [[01083169 Crack Like Indication on Steam Dryer Found in 2007]]
: [[RFO]] [[3/20/2007]]
: [[AR]] [[01070668 Rx Bldg]]
: [[RR]] [[Doors Switched in]]
: [[HELB]] [[Gothic Model 1/8/2007]]
: [[AR]] [[01206949 Incorrect Severity Assigned to]]
: [[CAP]] [[01184369-02 11/16/2009]]
: [[AR]] [[]]
: [[01243568 PI&R]] [[]]
: [[FSA]] [[Potential]]
: [[AR]] [[1150849 Screening 7/30/2010]]
: [[AR]] [[01225682]]
: [[1AR]] [[Transformer Pad Has Sunk about 1 inch since Install 4/4/2010]]
: [[AR]] [[01225762 #12]]
: [[RHRSW]] [[Pump has Excessive Packing Leakage 4/5/2010]]
: [[AR]] [[01225888]]
: [[11 SW]] [[Pump Inducing Vibrations on 13]]
: [[ESW]] [[Pump  4/6/2010]]
: [[AR]] [[01225997]]
: [[CAP]] [[Closure Review-"B" Action Closure Quality Issues 4/6/2010]]
: [[AR]] [[01226060 12]]
: [[RFP]] [[]]
: [[L.O.]] [[Cooler Piping Rusting Through Upstream of]]
: [[TI]] [[-1555 4/6/2010]]
: [[AR]] [[01135291 Internal Threads on]]
: [[WDW]] [[7 Look Bad 4/22/2008]]
: [[AR]] [[01135409 Questionable Off-Gas Sample 4/23/2008]]
AR 01136879 Oil Flush on 11 Service Water Motor Ineffective 5/6/2008
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
NTS Number Description or Title Date or Revision  AR 01137901  The Site Lacks a Single Tracking Mechanism for
Failed
: [[PMT]] [[s 5/15/2008]]
: [[AR]] [[]]
: [[01138283 CAP]] [[1102406 Trending Closed to "B']]
: [[ACE]] [[With No Reference 5/20/2008]]
: [[AR]] [[01138824 Battery Chargers Maintenance Rule Status Declining 5/27/2008]]
: [[AR]] [[01178034 Employee Exceeded Work Hours 4/13/2009]]
: [[AR]] [[01179554]]
: [[SBLC]] [[Tank Level is Lower After Draining and Refilling 4/25/2009]]
: [[AR]] [[01179701 Lack of Alternative Access Increases Operator Response Time 4/27/2009]]
: [[AR]] [[01216080 Snowmelt Causes Possible]]
: [[EOP]] [[Entry Alarm 1/29/2010]]
: [[AR]] [[]]
: [[01217767 RR]] [[-4902 Has Incorrect Chart paper During Test 0289-A 2/11/2010]]
: [[AR]] [[01219159 Alt N2 Train Pressures at Low End of Allowed Operating Band 2/19/2010]]
: [[AR]] [[01212202]]
: [[RCIC]] [[is Conservatively Declared Inoperable 12/31/2009]]
: [[AR]] [[01212209 Both]]
: [[LPCI]] [[Subsystems Declared Inoperable During Venting 12/31/2009]]
: [[AR]] [[0119936 Voltage Drop Evaluation for]]
: [[RHR]] [[and]]
: [[RHRSW]] [[]]
: [[ASCO]] [[Sol. Valves 9/28/2009]]
: [[AR]] [[01197431]]
: [[CDBI]] [[-Undocumented Assumption in Calculation 06-104 9/12/2009]]
: [[AR]] [[01200723]]
: [[CDBI]] [[P-111B Calculated Starter Voltage Lower Than Expected 10/2/2009]]
: [[AR]] [[01210817]]
: [[NRC]] [[Feedback on Reportability of]]
: [[SBGTS]] [[Event 12/15/2009]]
: [[AR]] [[01150773 Some Station Log Entries Were Not Made During]]
: [[SCRAM]] [[121 9/16/2008]]
: [[AR]] [[01151413 Rx Low Low Water Level Signal Received During]]
: [[CRD]] [[Pump Start 9/21/2008]]
: [[AR]] [[]]
: [[01200304 AO]] [[-2945 Failed to Open During 0253-01 "A"]]
: [[SBGT]] [[]]
: [[QTRLY]] [[Test 9/29/2009]]
: [[AR]] [[]]
: [[01220488 NRC]] [[Violation for Failure to Make 10]]
: [[CFR]] [[50.72 Notification 3/1/2010]]
: [[AR]] [[01175537]]
: [[NDE]] [[Examiner Procedure Non-Compliance 3/29/2009]]
: [[AR]] [[01216894 Loss of Offsite Power 10]]
: [[CFR]] [[50.72 Reporting Reqts. 2/4/2010]]
: [[AR]] [[01082564 Reactor Core Water Level Recorder Found Failed Upscale 3/16/2007]]
: [[AR]] [[]]
: [[01131103 ITS]] [[125V]]
: [[DC]] [[Charger]]
: [[SR]] [[3.8.4.2-Option 2 Unachievable 3/14/2008]]
: [[AR]] [[01106816 Charcoal Filter Iodine Loading Calcs Non-Conservative 8/14/2007]]
: [[AR]] [[01143954 11/12]]
CT Pump Operation Safety Enhancement Opportunity 07/13/2008
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
: [[NTS]] [[Number Description or Title Date or Revision]]
: [[AR]] [[01243644]]
: [[PI&R]] [[]]
: [[FSA]] [[-]]
: [[CAP]] [[01141018 Screening N Notes are Incorrect 07/30/2010]]
: [[AR]] [[01237813 Buried Pipe Health Report Issues/ Exemplary Rating Questioned  06/18/2010]]
: [[AR]] [[01158314 11 Air Compressor]]
: [[PM]] [[Deleted But Has]]
: [[NRC]] [[Commitement 11/05/2008]]
: [[AR]] [[01184683 Adverse Trend-]]
: [[DW]] [[Floor and Equipment Drain Sump Issues 06/05/2009]]
: [[AR]] [[01184683-03]]
: [[EFR]] [[- Effectiveness of Potentiometers]]
: [[DWEDS]] [[,]]
: [[DWFDS]] [[07/31/2010]]
: [[AR]] [[01197773 Revise]]
: [[ISP]] [[-RHR-0558-01 as Interim Action for]]
: [[RCE]] [[1181868 11/09/2009]]
: [[AR]] [[01197769 Revise 0056 as Interim Corrective Action For]]
: [[RCE]] [[1181868 12/11/2009]]
: [[AR]] [[01181868 Leaking Manifold Valve for]]
: [[DPIS]] [[-2-117A B Stm Line Flow 05/13/2009]]
: [[AR]] [[01093089 Non-Conservative Input to]]
: [[AST]] [[Post- Local pH  06/15/2009]]
: [[AR]] [[01064602 Shortcomings in Cross Referencing]]
: [[CAPS]] [[and]]
: [[WR]] [[s 06/10/2008]]
: [[AR]] [[01087740 Pipe Downstream of]]
: [[PCV]] [[-1242 is Significantly Thinned 06/05/2009]]
: [[AR]] [[01070668]]
: [[RX]] [[Bldg]]
: [[RR]] [[Doors Switched in]]
: [[HELB]] [[Gothic Model 01/16/2009]]
: [[AR]] [[01127660 Surveillance 1467 Extended Twice 03/29/2008]]
: [[AR]] [[01119232 Abandoned Limit Swithces in Second Floor]]
: [[EFT]] [[Building 03/27/2008]]
: [[AR]] [[01107610 3 Inch Movement on Moisture Sep. to 14B Htr Pipe 07/15/2009]]
: [[AR]] [[01105975 Guidance for Use of Third]]
: [[RBCCW]] [[Heat Exchanger Inadequate 09/30/2008]]
: [[AR]] [[01130761]]
: [[CV]] [[-1729 Not Controlling at 7000gpm, Results in Unplanned]]
: [[LCO]] [[03/12/2008]]
: [[AR]] [[01149748 Loss of Level Indication C]]
: [[MSDT]] [[Dump Controller]]
: [[LC]] [[-1003 09/05/2008]]
: [[AR]] [[01243477 Question Regarding the Control of Radiograpers 07/29/2010]]
: [[AR]] [[01129677 Area for Improvement 03/03/2008]]
: [[AR]] [[01243430]]
: [[PI&R]] [[]]
: [[FSA]] [[Corrective Action for]]
: [[AR]] [[1199936 07/29/2009 01150085 Possible Inconsistency Between]]
: [[MPR]] [[Setpoint and Calc Input 09/10/2008 01149441 Results of]]
: [[MET]] [[]]
: [[CSP]] [[Assessment Concluded Further Migration 09/03/2008 01079705]]
LAR Required for Use of Tormis Code Methodology 02/28/2007 01197771
011977701
Revise
: [[ISP]] [[-]]
RHR-0552-01 as interim action for RCE1181868
Revise 0060 As Interim Corrective Action for
RCE1181868 09/15/2009 09/15/2009
09/15/2009 09/15/2009
Attachment
: [[CORREC]] [[]]
: [[TIVE]] [[]]
: [[ACTION]] [[]]
: [[PROGRA]] [[M]]
: [[DOCUME]] [[]]
NTS Number Description or Title Date or Revision 01197768
01197774


252368
===OPENED, CLOSED AND DISCUSSED===
250089
2149351


01159968  Revise 0060 As Interim Corrective Action for RCE1181868
Opened:
Revise
URI
: [[ISP]] [[-]]
: 05000263/201007-01       HELB Analysis Potentially Non-Conservative Attachment
RHR-0558-02 As Interim Action for
: [[RCE]] [[1181868]]
: [[NRC]] [[-]]
PI&R-Question on Classification of
: [[DW]] [[Sumps]]
: [[NRC]] [[]]
: [[PI&R]] [[-]]
: [[CA]] [['s Not Created for Interim]]
RCE Actions
Several
: [[NRC]] [[Findings had Improper]]
: [[AR]] [[Assignments per]]
ARP-01
IPB Mod Design Issues with Service Water Valves  10/10/2010
09/16/2010 10/04/2010 11/20/2008
: [[OPERAT]] [[]]
: [[ING]] [[]]
: [[EXPERI]] [[]]
: [[ENCE]] [[Number Description or Title Date or Revision]]
: [[OE]] [[31215 Jet Pump Wedge Wear 5/25/2010 01175420]]
NRC IN 2009-03:  Solid State Protection System Card Failure Results in Spurious Safety Injection
Actuation and Reactor Trip 6/11/2009 01137557 Station
: [[OE]] [[Evaluation of Industry Documents 5/13/2008 01143701 Station]]
: [[OE]] [[Evaluation of]]
: [[OE]] [[26794 7/10/2008]]
OE 31105 Water Detected in a Cable Pit Beneath a MCC which Contained Safety-Related Cables
(Cook Plant) 5/7/2010 01245020 Station
: [[OE]] [[Evaluation of]]
: [[OE]] [[31283 8/10/2010 01149696 Fisher Information Notice 1997-01, Supplement 1  9/5/2008]]
: [[01193202 MNGP]] [[]]
: [[OE]] [[Evaluation of]]
: [[PINGP]] [[]]
: [[AR]] [[01192430 8/11/2009 01126257 Part 21:]]
: [[GE]] [[Fuel Rod Thermal-Mechanical Methodology 02/05/2008  Weekly]]
: [[OE]] [[Screening Minutes 06/10/2010 01180269  Fleet]]
: [[OE]] [[Evaluation of]]
: [[INPO]] [[]]
: [[OE]] [[28618  01142237]]
: [[OE]] [[26962 Flux Map Gaps Ginna 12/02/2009 01145374 Station]]
: [[OE]] [[Screen Team Review of]]
: [[OE]] [[for Week 07/18/2008 09/23/2008 01142952 Westinghouse Detached P-Grid Dimples  01/09/2009 01149492 Station]]
: [[OE]] [[Screen Team Review of]]
: [[OE]] [[For Week of 08/29/2008 10/31/2008 01157701  Station]]
: [[OE]] [[Evaluation of]]
EO for Week of 10/31/2008 09/30/2009
Attachment
: [[AUDITS]] [[,]]
: [[ASSESS]] [[MENTS]]
: [[AND]] [[]]
: [[SELF]] [[-ASSESSMENTS Number Description or Title Date or Revision 01121234]]
: [[FASA]] [[of]]
: [[XCEL]] [[s Energy's]]
: [[MNGP]] [[]]
: [[EPU]] [[Outage Project Readiness 12/17/2008]]
: [[1205004 EPU]] [[Outage Readiness Assessment 6/10/2010 2010-02-014 Corrective Action Program 5/14/2010 2010-01-029 Corrective Action Program 3/12/2010]]
: [[SAR]] [[]]
: [[01205025 PI&R]] [[Readiness 9/9/2010]]
: [[SAR]] [[01249160 Site Roll-up Meeting Results 1st and 2nd Quarter]]
: [[2010 SAR]] [[01116710  Component Design Bases Inspection Focused Self-Assessments 11/17/2008]]
: [[NOS]] [[1st Quarter 2010 Assessment Report 05/14/2010]]
: [[NOS]] [[4th Quarter 2009 Assessment Report 03/01/2010]]
: [[QF]] [[-0426 Focused Self-Assessment]]
: [[MNGP]] [[Dry Cask Loading Readiness Revision 2]]
: [[QF]] [[-0402 Fleet Focused Self Assessment Report: Reportability]]
: [[SAR]] [[01117506 Revision 3 1133118 Exposure Monitoring and Dose Control 11/06/2008]]
: [[CONDIT]] [[ION]]
: [[REPORT]] [[S]]
: [[GENERA]] [[TED]]
: [[DURING]] [[]]
: [[INSPEC]] [[TION Number Description or Title Date or Revision]]
: [[AR]] [[1250188]]
: [[NRC]] [[]]
: [[PI&R]] [[Process Control for]]
: [[WO]] [[from]]
: [[CA]] [[Process]]
: [[AR]] [[]]
: [[1250127 NRC]] [[]]
: [[PI&R]] [[:  Closure Documentation for 1150601-06 Inadequate 9/17/2010]]
: [[AR]] [[1250089]]
: [[NRC]] [[]]
: [[PI&R]] [[:]]
: [[CA]] [[s Not Created for Interim]]
: [[RCE]] [[Actions 9/16/2010]]
: [[AR]] [[]]
: [[1249923 NRC]] [[]]
: [[PI&R]] [[:]]
: [[NRC]] [[is Questioning Status of 125V]]
: [[DC]] [[9/15/2010]]
: [[AR]] [[1251890]]
: [[PI&R]] [[:  Inconsistencies in Observation Program 9/29/2010]]
: [[AR]] [[1249158 Contactor Oversight Insufficient to Prevent Performance Issues 10/11/2010]]
: [[AR]] [[1243583 Incorrect]]
: [[CAP]] [[Severity Determination 9/24/2010]]
: [[AR]] [[]]
: [[1252870 NRC]] [[]]
: [[PI&R]] [[:]]
: [[PEACH]] [[Process Not Well Understood 10/5/2010]]
AR 1252873 OE Not Well Evaluated Beyond the Event 10/5/2010
Attachment
: [[MISCEL]] [[]]
: [[LANEOU]] [[S  Number Description or Title Date or Revision 3784 A(1) Action/Performance Improvement Plant Revision 0]]
: [[NSPM]] [[]]
: [[CAP]] [[Screening Package 9/16/2010  Performance Assessment Review Board Package 9/14/2010  Alignment Teamwork and Oversight Meeting 9/15/2010]]
: [[WO]] [[384150]]
: [[IC]] [[-RHR,]]
: [[ISP]] [[-]]
: [[RHR]] [[-0552-01]]
: [[RX]] [[Recirc Loop]]
: [[DP]] [[-LPCI]]
: [[INTR]] [[]]
: [[FUNCT]] [[T 01/27/2010]]
: [[WO]] [[00388188]]
: [[IC]] [[-RCI,]]
: [[0060 RC]] [[]]
IC High Steam Flow Sensor Test 2/18/2010
Attachment
: [[LIST]] [[]]
: [[OF]] [[]]
: [[ACRONY]] [[]]
: [[MS]] [[]]
: [[USED]] [[]]
: [[ACE]] [[Apparent Cause Evaluation]]
: [[ADAMS]] [[Agencywide Document Access Management System]]
AR Action Request CAP Corrective Action Program
CFR Code of Federal Regulations
CAQ Condition Adverse to Quality
: [[DPO]] [[Differing Professional Opinion]]
: [[DRP]] [[Division of Reactor Projects]]
DRUM Department roll-up meeting ECP Employee Concerns Program
: [[GAR]] [[General Action Request]]
: [[HE]] [[]]
: [[LB]] [[High Energy Line Break]]
: [[HPCI]] [[High Pressure Coolant Injection]]
IMC Inspection Manual Chapter IN Information Notices
IP Inspection Procedure
: [[IST]] [[In-service test]]
: [[LER]] [[Licensee Event Report]]
: [[MNGP]] [[Monticello Nuclear Generating Plant]]
: [[MP]] [[]]
FF Maintenance Preventable Functional Failure
NCV Non-Cited Violation
NOS Nuclear Oversight
: [[NRC]] [[U.S. Nuclear Regulatory Commission]]
: [[OE]] [[Operating Experience]]
PARS Publicly Available Records System PM Preventive Maintenance
: [[PI&R]] [[Problem Identification & Resolution]]
: [[RC]] [[]]
: [[IC]] [[Reactor Core Isolation Cooling]]
: [[RHR]] [[Residual Heat Removal]]
RHRSW Residual Heat Removal Service Water RPS Radiation Protection Specialist
: [[RPS]] [[Reactor Protection System]]
: [[SC]] [[]]
: [[AQ]] [[Significant Condition Adverse to Quality]]
: [[SC]] [[]]
: [[WE]] [[Safety-Conscious Work Environment]]
: [[SDP]] [[Significance Determination Process]]
: [[SFP]] [[Spent Fuel Pool]]
: [[US]] [[]]
AR Updated Safety Analysis Report
WO Work Order
T. O'Connor    -2- 


No violations or findings were identified during this inspection. In accordance with
==LIST OF DOCUMENTS REVIEWED==
: [[10 CFR]] [[2.390 of the]]
: [[NRC]] [['s "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the]]
: [[NRC]] [[Public Document Room or from the Publicly Available Records System (]]
: [[PARS]] [[) component of]]
: [[NRC]] [['s document system (]]
: [[ADAMS]] [[).]]
: [[ADAMS]] [[is accessible from the]]
NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).        Sincerely,
      /RA/
Kenneth Riemer, Chief      Branch 2      Division of Reactor Projects


Docket No. 50-263
License No. DPR-22  Enclosure: Inspection Report 05000263/2010007  w/Attachment:  Supplemental Information
cc w/encl: Distribution via ListServe
}}
}}

Latest revision as of 07:18, 13 November 2019

IR 05000263-10-007, on 09/13/2010 - 10/01/2010; Monticello Nuclear Generating Station; Biennial Baseline Inspection of the Identification and Resolution of Problems
ML103140760
Person / Time
Site: Monticello Xcel Energy icon.png
Issue date: 11/10/2010
From: Kenneth Riemer
NRC/RGN-III/DRP/B2
To: O'Connor T
Northern States Power Co
References
IR-10-007
Download: ML103140760 (29)


Text

ber 10, 2010

SUBJECT:

MONTICELLO NUCLEAR GENERATING PLANT PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000263/2010007

Dear Mr. OConnor:

On October 1, 2010, the U.S. Nuclear Regulatory Commission (NRC) completed a Problem Identification and Resolution (PI&R) inspection at your Monticello Nuclear Generating Plant.

The enclosed report documents the inspection results, which were discussed on October 1, 2010, with you and other members of your staff.

The inspection examined activities conducted under your license as they relate to safety and compliance with the Commissions rules and regulations and with the conditions of your license.

The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel.

The inspection concluded that your staff was effective at identifying problems and incorporating them into the corrective action program (CAP). In general, issues were appropriately prioritized, evaluated, and corrected; audits and self-assessments were thorough and probing, and operating experience was appropriately screened and disseminated. Your staff was aware of the importance of having a strong safety-conscious work environment and expressed a willingness to raise safety issues. The inspectors also observed that actions taken to address a declining trend in Human Performance appeared to be effective.

However, your staff was not fully effective in addressing an adverse trend in contractor oversight and in work control and planning, which had begun earlier this year. Although both issues were captured in the CAP program, the underlying causes were not fully understood. This resulted in corrective actions being more reactive, instead of proactive, when responding to related issues.

The inspectors were concerned that this adverse trend, if not resolved, would negatively impact the significant number of work activities planned for next year. No violations or findings were identified during this inspection.

In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS)

component of NRC's document system (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,

/RA/

Kenneth Riemer, Chief Branch 2 Division of Reactor Projects Docket No. 50-263 License No. DPR-22

Enclosure:

Inspection Report 05000263/2010007 w/Attachment: Supplemental Information

REGION III==

Docket No. 50-263 License No. DPR-22 Report No: 05000263/2010007 Licensee: Northern States Power Company, Minnesota Facility: Monticello Nuclear Generating Station Location: Monticello, MN Dates: September 13 - October 1, 2010 Inspectors: N. Shah, Project Engineer - Team Lead D. Sand, Acting Resident Inspector - Monticello C. Scott, Reactor Engineer G. ODwyer, Reactor Engineer M. Phalen, Plant Support Specialist Approved by: Kenneth Riemer, Chief Branch 2 Division of Reactor Projects

SUMMARY OF FINDINGS

IR 05000263/2010007; 09/13/2010 - 10/01/2010; Monticello Nuclear Generating Station;

Biennial Baseline Inspection of the Identification and Resolution of Problems.

This team inspection was performed by four regional inspectors and the resident inspector.

No violations or findings were identified.

Identification and Resolution of Problems Overall, the Corrective Action Program (CAP) was good. Issues were effectively identified, evaluated and corrected. Nuclear Oversight (NOS) audits and department self-assessments were generally critical and identified issues that were captured in the (CAP). Operating Experience (OE) was well communicated and appropriately evaluated. A strong safety culture was evident, based on interviews with licensee staff and a review of the types of issues captured in the CAP and Employee Concerns Program (ECP).

The inspectors observed that the evaluation of OE in Apparent Cause Evaluations (ACEs) had improved since the 2008 PI&R inspection. Specifically, ACEs now discussed whether the failure to properly evaluate previously identified OE was a potential precursor of the event.

The licensee took proactive efforts to address a declining trend in the Security Department Safety-Conscious Work Environment (SCWE). The inspectors received positive feedback during interviews with Security officers, and noted an increasing trend in the number of issues identified by the Security force.

The licensees actions to address the previous cross-cutting issues in Human Performance and a potential cross-cutting issue in Issue Evaluation appeared good. The corrective actions appeared appropriate and the inspectors noted improving performance over the last six months in these areas.

However, the inspectors noted that the licensee had recurring problems with managing the CAP backlog and with ensuring that items identified during management observations were captured in the CAP. The inspectors also identified some examples where licensee staff had changed due dates for subtasks without referencing the source CAP report.

The inspectors identified that CAP implementing procedures did not provide good guidance regarding how to evaluate critical and non-critical component failures. Specifically, some component failures, which could reasonably be considered critical, (i.e., had significant consequences) could be classified as non-critical using the current guidance.

The inspectors observed that there were continuing issues related to work planning and execution and with contractor control. Although both problems were captured in the CAP, the underlying causes were not yet fully understood, resulting in most of the corrective actions being reactive rather than proactive. For example, it was unclear whether the underlying causes that affected site human performance were the same issues that were affecting the contractor performance. In addition, as previously stated, some issues identified through management observations associated with these topics may not be captured in the CAP.

Although the station continued to evaluate the issue, it remained an area of concern given the significant outage work planned for the next year.

NRC-Identified

and Self-Revealed Findings No findings were identified.

Licensee-Identified Violations

No violations of significance were identified.

REPORT DETAILS

OTHER ACTIVITIES

4OA2 Problem Identification and Resolution (PI&R)

The activities documented in sections

.1 through .4 constituted one biennial sample of

PI&R as defined in Inspection Procedure (IP) 71152.

.1 Assessment of the Corrective Action Program (CAP) Effectiveness

a. Inspection Scope

The inspectors reviewed the licensees CAP implementing procedures and attended CAP program meetings to assess the implementation of the CAP by site personnel.

The inspectors reviewed risk and safety significant issues in the licensees CAP since the last NRC PI&R inspection in November 2008. The issues selected were appropriately varied across the NRC cornerstones, and were identified through routine daily plant activities, licensee audits and self-assessments, industry operating experience reports, and NRC inspection activities. The inspectors also reviewed a selection of apparent, common and root cause evaluations for more significant CAP items.

The inspectors performed a more extensive review of the licensees efforts to address ongoing issues with human performance and issue evaluation. This review consisted primarily of a five year search of related issues identified in the CAP and discussions with appropriate licensee staff to assess the licensees corrective actions.

During the reviews, the inspectors evaluated whether the licensee staffs actions were in compliance with the facilitys CAP and 10 CFR Part 50, Appendix B requirements.

Specifically, whether licensee personnel were identifying plant issues at the proper threshold, entering the plant issues into the stations CAP in a timely manner, and assigning the appropriate prioritization for resolution of the issues. The inspectors also evaluated the timeliness and effectiveness of corrective actions for selected issue reports, completed investigations, and NRC findings.

All documents reviewed during this inspection were listed in the Attachment to this report.

b. Assessment

(1) Effectiveness of Problem Identification The licensees implementation of the CAP was generally good. Workers were encouraged to identify issues and were familiar with the various avenues available (NRC, CAP, etc). This was evident by the large number of CAP items generated annually, which were reasonably distributed across the various departments. A shared computerized database was used for creating individual reports and for subsequent management of the processes of issue evaluation and response. This included determining the issues significance, addressing such matters as regulatory compliance and reporting, and assigning any actions deemed necessary or appropriate.

In reviewing licensee management observations conducted between June and October 2010, the inspectors found several examples of items that were apparently not captured in the CAP. Most of the examples were concerned with industrial safety or work planning issues that should have been captured in the CAP. In one example, a worker observing an industrial safety concern stated that because the worker had not met a management expectation, vice a procedural requirement, the issue wasnt going to be documented in the CAP. The licensee documented the inspectors concern as CAP item 1251890.

The licensee was also good at identifying and resolving trends. The inspectors noted a large number of trends identified through the binning of issues or via the quarterly department roll-up meeting (DRUM) reports.

During the November 2008, PI&R review, the inspectors identified that the licensees trending program was somewhat limited in that it did not always identify trends with issues affecting the same functional area, but having dissimilar aspects. Subsequently, the licensee initiated an effort to assign cross-cutting criteria (analogous to NRC criteria)to apparent and root cause evaluations, which were then trended. Although the inspectors considered this a positive effort, it was too early to determine its overall effectiveness.

Findings No findings were identified.

(2) Effectiveness of Prioritization and Evaluation of Issues Overall, CAP issues were being properly screened. The majorities of issues were of low level and were either closed to trend or at a level appropriate for a condition evaluation.

Licensee staff appropriately challenged CAP items during screening meetings and were cognizant of potential trends. Most issues were closed to a work request or to another CAP item. The inspectors noted that both the parent and daughter documents had the necessary verbiage to document the interrelationship. Although fewer in number, the inspectors did not have any concerns with those issues assigned an apparent cause evaluation (ACE) or root cause evaluation. There were no items in the operations, engineering, or maintenance backlogs that were risk significant, individually or collectively. There were no classifications or immediate operability determinations with which the inspectors disagreed.

Root and apparent cause evaluations were generally of good quality and were well documented. During the 2006 PI&R inspection, the inspectors noted that ACEs did not consider whether the failure to consider industry OE was a precursor to events.

Additionally, licensee management did not always address issues with ACE quality that were identified during the evaluation grading process. The inspectors noted that subsequent ACEs now addressed whether OE was properly used prior to the event and that ACE quality issues were communicated to the originating departments.

Station Procedure FP-E-SE-02, Component Classification, was used by licensee staff to distinguish between a critical and non-critical component failure. The procedure was written specifically to address equipment reliability, but was referenced in the CAP for use during cause evaluations. Although the stated guidance was adequate for equipment reliability considerations, it was not appropriate for CAP evaluations.

For example, this procedure specifically defines any component failure that results in a significant radiological release as a non-critical component failure. From a CAP perspective, any component failure resulting in significant radiological consequences would be critical. The inspectors were concerned that this procedure may result in some component failures being treated as less significant under the CAP, then appropriate. The licensee initiated CAP item 1250116 to review this issue.

Since 2006, the licensee has experienced numerous issues in human performance.

Initially, these issues were primarily of low significance (i.e., did not result in an NRC finding). However, the issues continued through 2008, with the significance of the findings increasing, until an adverse trend in human performance had become evident.

The licensees early efforts to address this trend were largely ineffective, as the licensee originally believed that the human performance issues were limited to specific behaviors or work groups, instead of a more widespread concern involving fundamental human behaviors. Subsequently, the licensee identified that the issues were principally due to a lack of resources and an inappropriate tolerance for risk among workers. Several corrective actions were initiated, including additional training to site workers on configuration control and risk management. The inspectors noted that performance had improved among site workers in the past six months.

However, the licensee was still dealing with an adverse trend in contractor human performance, primarily related to oversight and work planning and execution.

Although this issue was captured in the CAP (items 1249158 and 1247197), the underlying causes are not yet fully understood, and many of the corrective actions, to date, have been more reactive than proactive. For example, it is unclear whether the underlying causes that affected site human performance were also affecting the contractor performance. To date, the majority of the issues have been of low significance (i.e., not resulting in an NRC finding); however, the overall trend was similar to the previous issue with site human performance.

Findings

Introduction:

The inspectors identified an Unresolved Item (URI) regarding the High Energy Line Break (HELB) Analyses.

Description:

As part of the review of the ACE for an adverse trend in double disc gate valve (DDGV) local leak rate testing (LLRT) performance documented in CAP 1202466, the inspectors noted that the ACE had determined that the valves performance degradation did not prevent the valves from performing their safety function. The ACE only addressed the valves safety function of providing containment isolation. The inspectors questioned if the safety function of the high pressure coolant injection (HPCI),reactor core isolation cooling (RCIC) and reactor water cleanup (RWCU) steam supply valves to close after detection of a HELB should have been considered. The licensee responded that the ACE did not need to consider the effect of the valves increased leakage on the HELB analyses because any leakage would not impact the alternate shutdown path. The inspectors reviewed the assumptions and acceptance criteria of the HELB calculations for HPCI, RCIC and RWCU line breaks and identified potential inconsistencies between the calculations assumptions with Technical Specifications and UFSAR allowed values for valve closure times, incorporation of delay actuations, and isolation initiation signals. The licensee entered the NRC concerns with these potential inconsistencies into the CAP by initiating CAP 01252363 on October 1, 2010.

The licensee stated that the calculations were appropriate and provided the inspectors with some original licensing documents for the HELB analyses; however, additional questions remained. This issue will be tracked as URI 05000263/201007-01 pending further NRC review of the licensee responses and the HELB analyses and determination of the original and current licensing bases.

(3) Effectiveness of Corrective Actions The inspectors concluded that corrective actions for identified deficiencies were generally timely and adequately implemented, commensurate with their safety significance. Those corrective actions addressing selected NRC documented violations were also generally effective and timely.

The inspectors verified that work orders were in place (and scheduled) for selected, open actions that were two years old or greater.

During interviews, the inspectors noted that some individuals did not refer back to the parent CAP when changing due dates for associated subtasks (such as work requests).

The inspectors identified several examples where the revised due dates for subtasks were inconsistent with the parent CAP. Although none of the identified examples were highly significant, the inspectors were concerned that the practice may result in other changes having a greater operational impact. The licensee initiated CAP item 1250089 to evaluate this issue.

The station has a recurring problem with managing the backlog. A recent licensee initiative to redefine the items tracked in the backlog has reduced the numbers, but didnt necessarily address the issue. The licensee currently tracks only Corrective Actions, Corrective Actions to Prevent Recurrence, and operability issues. Other items, that used to be part of the backlog, were instead tracked as CAP action items. However, the inspectors noted that there was no formal effort to determine whether the CAP action items were being addressed in a timely fashion (i.e., no performance indicator similar to the formal backlog indicator). Since these action items were corrective actions (albeit of lower significance), the inspectors were concerned that some may not get implemented.

Complicating the issue was an apparent mixed message from station management, who expressed the view that the backlog numbers werent important so long as items were being properly managed. Since this issue was already captured in the CAP, the inspectors observations were included as part of the ongoing licensee evaluation.

Findings No findings were identified.

.2 Assessment of the Use of Operating Experience (OE)

a. Inspection Scope

The inspectors reviewed the licensees implementation of the facilitys OE program.

Specifically, the inspectors reviewed implementing OE program procedures, attended CAP meetings to observe the use of OE information, completed evaluations of OE issues and events, and selected assessments of the OE composite performance indicators. The inspectors review was to determine whether the licensee was effectively integrating OE experience into the performance of daily activities, whether evaluations of issues were proper and conducted by qualified personnel, whether the licensees program was sufficient to prevent future occurrences of previous industry events, and whether the licensee effectively used the information in developing departmental assessments and facility audits. The inspectors also assessed if corrective actions, as a result of OE experience, were identified and effectively and timely implemented.

Documents reviewed during this inspection are listed in the Attachment to this report.

b. Assessment In general, OE was effectively used at the station. The inspectors observed that OE was discussed as part of the daily station planning meetings, at shift turnover meetings, and at maintenance pre-briefings. Also, the inspectors determined that OE was appropriately reviewed during causal evaluations. During interviews, several licensee personnel commented favorably on the use of OE in their daily activities.

The inspectors noted that the OE evaluation for a relay failure that resulted in the inoperability of a safety-related train at Harris (Action Request (AR) 1233871) was somewhat limited in scope. The evaluation identified that similar relays were used at Monticello, but in non-safety related equipment; therefore, no actions were required.

However, there was no documented evaluation whether a failure of these relays in the affected equipment could have had any significant operational impact. The licensee documented this issue as CAP item 1252873.

Findings No findings were identified.

.3 Assessment of Self-Assessments and Audits

a. Inspection Scope

The inspectors assessed the licensee staffs ability to identify and enter issues into the CAP program, prioritize and evaluate issues, and implement effective corrective actions, through efforts from departmental assessments and audits.

b. Assessment The inspectors concluded that self-assessments and audits were typically accurate, thorough, and effective at identifying issues and enhancement opportunities at an appropriate threshold level. The audits and self-assessments were completed by personnel knowledgeable in the subject area, and the quality of the NOS audits was thorough and critical. The self-assessments were acceptable but were not at the same level of quality as the NOS audits. The inspectors observed that CAP items had been initiated for issues identified through the NOS audits and self-assessments.

The inspectors observed selected meetings of the Performance Assessment Review Board and reviewed board meeting minutes over the past six months. The Board provided oversight for the CAP including the self-assessment program. The inspectors identified no issues with the Boards performance during the inspection.

Findings No findings were identified.

.4 Assessment of Safety-Conscious Work Environment (SCWE)

a. Inspection Scope

The inspectors assessed the licensees SCWE through the reviews of the facilitys ECP implementing procedures, discussions with ECP coordinators, interviews with personnel from various departments, and reviews of issue reports. The inspectors also reviewed the results of licensee safety culture surveys.

b. Assessment The inspectors determined that the plant staff were aware of the importance of having a strong SCWE and expressed a willingness to raise safety issues. No one interviewed had experienced retaliation for safety issues raised, or knew of anyone who had failed to raise issues. All persons interviewed had an adequate knowledge of the CAP and ECP process. These results were similar to the findings of the licensees safety culture surveys. Based on these interviews, the inspectors concluded that there was no evidence of an unacceptable SCWE.

The inspectors noted that the licensee had taken proactive efforts to address a declining SCWE trend within the Security force. This trend had been identified through self-assessments and audits conducted in 2009. The number of issues self-identified by the security staff had increased since the corrective actions were implemented.

Additionally, during interviews with the inspectors, Security staff commented favorably on the licensee initiatives to improve the SCWE.

The inspectors determined that the ECP process was being effectively implemented.

The review of the selected ECP issues indicated that site personnel were appropriately using the CAP and ECP to identify concerns. However, many staff were unaware of the other avenues the licensee had to raise concerns (collectively known as the PEACH process). For example, most staff were unaware of the Differing Professional Opinions (DPO) program for addressing engineering issues. Additionally, some newer staff confused safety culture with industrial safety. Similar issues were identified during the 2008 PI&R inspection. The licensee captured these issues as CAP item 1252870.

Findings No findings were identified.

4OA6 Management Meetings

.1 Exit Meeting Summary

On October 1, 2010, the inspectors presented the inspection results to Mr. OConnor and other members of the licensee staff. The licensee acknowledged the issues presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary.

ATTACHMENT:

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee

H. Butterworth, Fleet Operations Standards Director
P. Byers, Security Manager
J. Early, Emergency Preparedness Manager
N. Haskell, Engineering Director
M. Holmes, Radiation Protection/Chemistry Manager
K. Jepson, Business Support Manager
J. Mestad, Employ Concerns Program Manager
D. Neve, Regulatory Affairs Manager
J. Ohotto, Design Engineering Manager
T. OConnor, Site Vice-President
S. Porter, System Engineering Manager
S. Radebaugh, Acting Plant Manager
S. Sharpe, Operations Manager
G. Sherwood, Program Engineering Manger
T. Toglery, Nuclear Oversight Manager
J. Windchill, Fleet Performance Assessment Manager

Nuclear Regulatory Commission

K. Riemer, Chief, Branch 2, Division of Reactor Projects

LIST OF ITEMS

OPENED, CLOSED AND DISCUSSED

Opened:

URI

05000263/201007-01 HELB Analysis Potentially Non-Conservative Attachment

LIST OF DOCUMENTS REVIEWED