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| issue date = 08/03/2017 | | issue date = 08/03/2017 | ||
| title = NRC Integrated Inspection Report 05000458/2017002 | | title = NRC Integrated Inspection Report 05000458/2017002 | ||
| author name = Kozal J | | author name = Kozal J | ||
| author affiliation = NRC/RGN-IV/DRP | | author affiliation = NRC/RGN-IV/DRP | ||
| addressee name = Maguire W | | addressee name = Maguire W | ||
| addressee affiliation = Entergy Operations, Inc | | addressee affiliation = Entergy Operations, Inc | ||
| docket = 05000458 | | docket = 05000458 | ||
Line 18: | Line 18: | ||
=Text= | =Text= | ||
{{#Wiki_filter: | {{#Wiki_filter:ugust 3, 2017 | ||
==SUBJECT:== | |||
RIVER BEND STATION - NRC INTEGRATED INSPECTION REPORT 05000458/2017002 | |||
SUBJECT: RIVER BEND STATION - NRC INTEGRATED INSPECTION REPORT 05000458/2017002 | |||
==Dear Mr. Maguire:== | ==Dear Mr. Maguire:== | ||
On June 30, 2017, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at your River Bend Station, Unit 1. On July 13, 2017, the NRC inspectors discussed the results of this inspection with you and other members of your staff. The results of this inspection are documented in the enclosed report. | On June 30, 2017, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at your River Bend Station, Unit 1. On July 13, 2017, the NRC inspectors discussed the results of this inspection with you and other members of your staff. The results of this inspection are documented in the enclosed report. | ||
NRC inspectors documented two findings of very low safety significance (Green) in this report | NRC inspectors documented two findings of very low safety significance (Green) in this report. | ||
Both of these findings involved violations of NRC requirements. The NRC is treating these violations as non-cited violations consistent with Section 2.3.2.a of the NRC Enforcement Policy. | |||
Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555 | If you contest the violations or significance of these non-cited violations, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; the Director, Office of Enforcement; and the NRC resident inspector at the River Bend Station. | ||
-0001; with copies to the Regional Administrator, Region IV; and the NRC resident inspector at the River Bend Station. | |||
If you disagree with a cross-cutting aspect assignment in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; and the NRC resident inspector at the River Bend Station. This letter, its enclosure, and your response (if any) will be made available for public inspection and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document Room in accordance with 10 CFR 2.390, Public Inspections, Exemptions, Requests for Withholding. | |||
.: | |||
Sincerely, | |||
Inspection Report 05000458/2017002 | /RA/ | ||
Jason W. Kozal, Chief Project Branch C Division of Reactor Projects Docket No.: 50-458 License No.: NPF-47 Enclosure: | |||
Inspection Report 05000458/2017002 w/Attachments: | |||
1. Supplemental Information 2. Cyber Security Follow-up Document Request | |||
ML17219A645 | |||
* SUNSI Review: ADAMS: Non-Publicly Available * Non-Sensitive Keyword: | |||
By: JKozal/dll * Yes No * Publicly Available Sensitive NRC-002 OFFICE SRI:DRP/C RI:DRP/C SPE:DRP/C C:DRS/EB1 C:DRS/EB2 C:DRS/OB NAME JSowa BParks CYoung TFarnholtz GWerner VGaddy SIGNATURE /RA/ /RA/ /RA/ /RA/ /RA/ /RA/ | |||
DATE 8/2/2017 7/18/2017 07/27/2017 07/20/2017 7/24/2017 7/20/17 OFFICE C:DRS/PSB2 TL:IPAT BC:DRP/C NAME HGepford THipschman JKozal SIGNATURE /RA/ /RA/ /RA/ | |||
DATE 07/20/2017 7/21/2017 8/2/2017 | |||
U.S. NUCLEAR REGULATORY COMMISSION | |||
==REGION IV== | |||
Docket: 05000458 License: NPF-47 Report: 05000458/2017002 Licensee: Entergy Operations, Inc. | |||
Facility: River Bend Station Location: 5485 U.S. Highway 61N St. Francisville, LA 70775 Dates: April 1 through June 30, 2017 Inspectors: J. Sowa, Senior Resident Inspector B. Parks, Resident Inspector S. Graves, Senior Reactor Inspector S. Hedger, Emergency Preparedness Inspector Approved By: J. Kozal, Chief Project Branch C Division of Reactor Projects Enclosure | |||
=SUMMARY= | =SUMMARY= | ||
IR | IR 05000458/2017002; 04/01/2017 - 06/30/2017; River Bend Station; Problem Identification & | ||
- 06/30/2017 | |||
; River Bend Station | |||
; Problem Identification & | |||
The NRC | Resolution; Follow-up of Events and Notices of Enforcement Discretion The inspection activities described in this report were performed between April 1 and June 30, 2017, by the resident inspectors at River Bend Station and inspectors from the NRCs Region IV office. Two findings of very low safety significance (Green) are documented in this report. Both of these findings involved violations of NRC requirements. The significance of inspection findings is indicated by their color (i.e., Green, greater than Green, White, Yellow, or Red), determined using NRC Inspection Manual Chapter 0609, Significance Determination Process, dated April 29, 2015. Their cross-cutting aspects are determined using NRC Inspection Manual Chapter 0310, Aspects within the Cross-Cutting Areas, dated December 4, 2014. Violations of NRC requirements are dispositioned in accordance with the NRC Enforcement Policy. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, dated July 2016. | ||
-1649, | |||
===Cornerstone: Mitigating Systems=== | ===Cornerstone: Mitigating Systems=== | ||
: '''Green.''' | : '''Green.''' | ||
The inspectors reviewed a self-revealing, non-cited violation of 10 CFR Part 50, Appendix B, Criterion III, | The inspectors reviewed a self-revealing, non-cited violation of 10 CFR Part 50, | ||
Appendix B, Criterion III, Design Control, for the licensees failure to correctly translate the design basis into plant specifications. Specifically, the licensee implemented a breaker design in the control building air conditioning system that allowed a single failure of one train of the system to render the other train inoperable, contrary to the design basis. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-01740. The licensee restored compliance by implementing modifications to the affected breakers designed to eliminate the single failure vulnerability. | |||
The failure to correctly translate the design basis into plant specifications was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it was associated with the design control attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the | The failure to correctly translate the design basis into plant specifications was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it was associated with the design control attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the licensees failure to implement an appropriate design in the main control room and standby switchgear room air conditioning subsystems adversely affected the availability, reliability, and capability of safety-related components that rely on those subsystems for cooling. The inspectors performed the initial significance determination using NRC Inspection Manual Chapter 0609, Appendix A, Exhibit 2, | ||
Mitigating Systems Screening Questions. The finding required a detailed risk evaluation because it involved a loss of system and/or function. A Region IV senior reactor analyst performed a detailed risk evaluation for the issue and determined the issue to be of very low safety significance (Green). No cross-cutting aspect was assigned because the finding did not reflect current performance. (Section 4OA3.3) | |||
===Cornerstone: Barrier Integrity=== | ===Cornerstone: Barrier Integrity=== | ||
: '''Green.''' | : '''Green.''' | ||
The inspectors reviewed multiple examples of a self-revealing, non-cited violation of Technical Specification 3.0.4, | The inspectors reviewed multiple examples of a self-revealing, non-cited violation of Technical Specification 3.0.4, Limiting Condition for Operation Applicability, for the licensees failure to restore safety-related equipment to operable status prior to changing modes. Specifically, the licensee failed to restore Division I of the Control Room Fresh Air system to operable status prior to entering Mode 2 on March 8, 2017, and again on March 11, 2017. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-03082. The licensee restored compliance by properly positioning damper HVC-DMP4A and restoring the Division I Control Room Fresh Air system to operable. | ||
, | |||
-RBS-2017-03082. The licensee restored compliance by properly positioning damper HVC | |||
-DMP4A and restoring the Division I Control Room Fresh Air system to operable. | |||
The failure to restore Division I of the Control Room Fresh Air system to operable status prior to entering Mode was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it affected the structures, systems, and components (SSC) and barrier performance attribute of the Barrier Integrity Cornerstone and adversely affected the cornerstone objective to provide reasonable assurance that physical design barriers (fuel cladding, reactor coolant system, and containment) protect the public from radionuclide releases caused by accidents or events. Specifically, the incorrect positioning of damper HVC | The failure to restore Division I of the Control Room Fresh Air system to operable status prior to entering Mode 2 was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it affected the structures, systems, and components (SSC) and barrier performance attribute of the Barrier Integrity Cornerstone and adversely affected the cornerstone objective to provide reasonable assurance that physical design barriers (fuel cladding, reactor coolant system, and containment) protect the public from radionuclide releases caused by accidents or events. Specifically, the incorrect positioning of damper HVC-DMP4A resulted in inadequate air flow through Division I of the Control Room Fresh Air system and rendered it inoperable. The inspectors screened the finding in accordance with NRC Inspection Manual Chapter 0609, Significance Determination Process. Using NRC Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-Power, Exhibit 3 - Barrier Integrity Screening Questions, the inspectors determined that the finding was of very low safety significance (Green) because it only represented a degradation of the radiological barrier function provided for the control room. This finding had a cross-cutting aspect in the area of human performance, challenge the unknown, because individuals did not stop when faced with uncertain conditions. Specifically, workers positioned damper HVC-DMP4A without work instructions or specified torque values [H.11]. (Section 4OA2.3) | ||
-DMP4A resulted in inadequate air flow through Division I of the Control Room Fresh Air system and rendered it inoperable. The inspectors screened the finding in accordance with NRC Inspection Manual Chapter 0609, | |||
- | |||
-DMP4A without work instructions or specified torque values [H.11]. | |||
=PLANT STATUS= | =PLANT STATUS= | ||
River Bend Station began the inspection period at 100 percent reactor thermal power | River Bend Station began the inspection period at 100 percent reactor thermal power. | ||
The station returned to 100 percent power on | On April 29, 2017, operators reduced power to 65 percent for suppression testing to find and suppress a suspected fuel leak. The station returned to 100 percent power on May 5, 2017. | ||
On June | On June 8, 2017, operators reduced power to 85 percent to conduct troubleshooting on the C feedwater regulating valve. The station returned to 100 percent power on June 10, 2017. | ||
Operators conducted a reactor startup on June 25 , 2017. Operators were in the process of increasing the reactor to full power at the end of the inspection period. Reactor power was 88 percent on June 30, 2017. | On June 23, 2017, an automatic reactor scram occurred due to equipment issues associated with the main turbine generator voltage regulator. Operators conducted a reactor startup on June 25, 2017. Operators were in the process of increasing the reactor to full power at the end of the inspection period. Reactor power was 88 percent on June 30, 2017. | ||
REPORT DETAILS | REPORT DETAILS | ||
==REACTOR SAFETY== | ==REACTOR SAFETY== | ||
Cornerstones: | Cornerstones: Initiating Events, Mitigating Systems, and Barrier Integrity {{a|1R01}} | ||
==1R01 Adverse Weather Protection== | |||
===.1 Summer Readiness | {{IP sample|IP=IP 71111.01}} | ||
===.1 Summer Readiness of Offsite and Alternate-AC Power Systems=== | |||
of Offsite and Alternate | |||
-AC Power Systems | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
On June 15, 2017, the inspectors completed an inspection of the | On June 15, 2017, the inspectors completed an inspection of the stations offsite and alternate-ac power systems. The inspectors inspected the material condition of these systems, including transformers and other switchyard equipment to verify that plant features and procedures were appropriate for operation and continued availability of offsite and alternate-ac power systems. The inspectors reviewed outstanding work orders and open condition reports for these systems. The inspectors walked down the switchyard to observe the material condition of equipment providing offsite power sources. The inspectors assessed corrective actions for identified degraded conditions and verified that the licensee had considered the degraded conditions in its risk evaluations and had established appropriate compensatory measures. The inspectors verified that the licensees procedures included appropriate measures to monitor and maintain availability and reliability of the offsite and alternate-ac power systems. | ||
-ac power systems. The inspectors reviewed outstanding work orders and open condition reports for these systems. The inspectors walked down the switchyard to observe the material condition of equipment providing offsite power sources. The inspectors assessed corrective actions for identified degraded conditions and verified that the licensee had considered the degraded conditions in its risk evaluations and had established appropriate compensatory measures. | |||
The inspectors verified that the | |||
-ac power systems. | |||
These activities constitute one sample of summer readiness of offsite and alternate | These activities constitute one sample of summer readiness of offsite and alternate-ac power systems, as defined in Inspection Procedure 71111.01. | ||
-ac power systems, as defined in Inspection Procedure 71111.01. | |||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. | ||
===.2 Readiness for Impending=== | ===.2 Readiness for Impending Adverse Weather Conditions=== | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
On May 3, 2017, the inspectors completed an inspection of the | On May 3, 2017, the inspectors completed an inspection of the stations readiness for impending adverse weather conditions. The inspectors reviewed plant design features, the licensees procedures to respond to tornadoes and high winds, and the licensees planned implementation of these procedures. The inspectors evaluated operator staffing and accessibility of controls and indications for those systems required to control the plant. | ||
These activities | These activities constitute one sample of readiness for impending adverse weather conditions, as defined in Inspection Procedure 71111.01. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1R04}} | ||
==1R04 Equipment Alignment== | |||
{{IP sample|IP=IP 71111.04}} | |||
Partial | Partial Walkdown | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors performed partial system walkdowns of the following risk | The inspectors performed partial system walkdowns of the following risk-significant systems: | ||
-significant systems: | * April 3, 2017, reactor core isolation cooling system | ||
* April 18, 2017, Division I standby service water system | |||
* April 20, 2017, Division I residual heat removal system The inspectors reviewed the licensees procedures and system design information to determine the correct lineup for the systems. They visually verified that critical portions of the systems were correctly aligned for the existing plant configuration. | |||
These activities constitute three partial system walkdown | These activities constitute three partial system walkdown samples, as defined in Inspection Procedure 71111.04. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1R05}} | ||
==1R05 Fire Protection== | |||
{{IP sample|IP=IP 71111.05}} | |||
===.1 Quarterly Inspection=== | ===.1 Quarterly Inspection=== | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors evaluated the | The inspectors evaluated the licensees fire protection program for operational status and material condition. The inspectors focused their inspection on four plant areas important to safety: | ||
April 3, 2017, reactor core isolation cooling pump room, fire area AB-4/Z-1 and Z-2 | * April 3, 2017, reactor core isolation cooling pump room, fire area AB-4/Z-1 and Z-2 | ||
* April 20, 2017, standby cooling tower pump A room, fire area PH-1/Z-1 | |||
* April 20, 2017, low pressure core spray pump room, fire area AB-6/Z-1 | |||
* April 20, 2017, standby liquid control area, fire area RC-4/Z-4 For each area, the inspectors evaluated the fire plan against defined hazards and defense-in-depth features in the licensees fire protection program. The inspectors evaluated control of transient combustibles and ignition sources, fire detection and suppression systems, manual firefighting equipment and capability, passive fire protection features, and compensatory measures for degraded conditions. | |||
These activities | These activities constitute four quarterly inspection samples, as defined in Inspection Procedure 71111.05. | ||
====b. Findings==== | ====b. Findings==== | ||
Line 170: | Line 140: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
This evaluation included observation of an announced fire drill for training on May 19, 2017 | This evaluation included observation of an announced fire drill for training on May 19, 2017. | ||
During this drill, the inspectors evaluated the capability of the fire brigade members, the leadership ability of the brigade leader, the brigades use of turnout gear and fire-fighting equipment, and the effectiveness of the fire brigades team operation. The inspectors also reviewed whether the licensees fire brigade met NRC requirements for training, dedicated size and membership, and equipment. | |||
These activities constitute one annual inspection sample, as defined in Inspection Procedure 71111.05. | |||
====b. Findings==== | |||
No findings were identified. {{a|1R11}} | |||
==1R11 Licensed Operator Requalification Program and Licensed Operator Performance== | |||
{{IP sample|IP=IP 71111.11}} | |||
===.1 Review of Licensed Operator Requalification=== | ===.1 Review of Licensed Operator Requalification=== | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
On May 2, 2017, the inspectors observed an evaluated simulator scenario performed by an operating crew. The inspectors assessed the performance of the operators and the evaluators | On May 2, 2017, the inspectors observed an evaluated simulator scenario performed by an operating crew. The inspectors assessed the performance of the operators and the evaluators critique of their performance. The inspectors also assessed the modeling and performance of the simulator during the scenario. | ||
These activities constitute completion of one quarterly licensed operator requalification program sample, as defined in Inspection Procedure 71111.11. | These activities constitute completion of one quarterly licensed operator requalification program sample, as defined in Inspection Procedure 71111.11. | ||
Line 191: | Line 163: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
On April 30, 2017, the inspectors observed the performance of on | On April 30, 2017, the inspectors observed the performance of on-shift licensed operators in the plants main control room. At the time of the observations, the plant was in a period of heightened activity due to performance of power suppression testing. | ||
-shift licensed operators in the | |||
In addition, the inspectors assessed the operators | In addition, the inspectors assessed the operators adherence to plant procedures, including the conduct of operations procedure, and other operations department policies. | ||
, and other operations department policies. | |||
These activities constitute completion of one quarterly licensed operator performance sample, as defined in Inspection Procedure 71111.11. | These activities constitute completion of one quarterly licensed operator performance sample, as defined in Inspection Procedure 71111.11. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1R12}} | ||
==1R12 Maintenance Effectiveness== | |||
{{IP sample|IP=IP 71111.12}} | |||
Routine Maintenance Effectiveness | Routine Maintenance Effectiveness | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors reviewed two | The inspectors reviewed two instances of a degraded performance or condition of safety-significant structures, systems, and components (SSCs): | ||
* April 6, 2017, Division I control building chilled water system, functional failure review | |||
* June 22, 2017, reactor core isolation cooling system, functional failure review The inspectors reviewed the extent of condition of possible common cause SSC failures and evaluated the adequacy of the licensees corrective actions. The inspectors reviewed the licensees work practices to evaluate whether these may have played a role in the degradation of the SSCs. The inspectors assessed the licensees characterization of the degradation in accordance with 10 CFR 50.65 (the Maintenance Rule), and verified that the licensee was appropriately tracking degraded performance and conditions in accordance with the Maintenance Rule. | |||
These activities constitute completion of two maintenance effectiveness | These activities constitute completion of two maintenance effectiveness samples, as defined in Inspection Procedure 71111.12. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1R13}} | ||
==1R13 Maintenance Risk Assessments and Emergent Work Control== | |||
{{IP sample|IP=IP 71111.13}} | |||
1 | ====a. Inspection Scope==== | ||
The inspectors reviewed five risk assessments performed by the licensee prior to changes in plant configuration and the risk management actions taken by the licensee in response to elevated risk: | |||
* April 6, 2017, yellow risk condition during Division I residual heat removal surveillance testing concurrent with emergent work on Division I control room fresh air system | |||
* April 20, 2017, yellow risk condition during planned maintenance on normal service water pump SWP-P7C | |||
* May 1, 2017, green risk condition during Division I emergency diesel generator maintenance outage | |||
* May 16, 2017, yellow risk condition during signature testing of E12-MOVF068B, service water supply isolation to residual heat removal heat exchanger B | |||
* May 25, 2017, yellow risk condition during transmission and distribution system maintenance at Fancy Point switchyard The inspectors verified that these risk assessments were performed timely and in accordance with the requirements of 10 CFR 50.65 (the Maintenance Rule) and plant procedures. The inspectors reviewed the accuracy and completeness of the licensees risk assessments and verified that the licensee implemented appropriate risk management actions based on the results of the assessments. | |||
The inspectors verified that the licensee appropriately developed and followed a work plan for these activities. The inspectors verified that the licensee took precautions to minimize the impact of the work activities on unaffected SSCs. | |||
These activities constitute completion of five maintenance risk assessments and emergent work control inspection | These activities constitute completion of five maintenance risk assessments and emergent work control inspection samples, as defined in Inspection Procedure 71111.13. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1R15}} | ||
==1R15 Operability Determinations and Functionality Assessments== | |||
{{IP sample|IP=IP 71111.15}} | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors | The inspectors reviewed four operability determinations that the licensee performed for degraded or nonconforming SSCs: | ||
April 3, 2017, operability determination of high pressure core spray test return valve to the suppression pool anti | * April 3, 2017, operability determination of high pressure core spray test return valve to the suppression pool anti-rotation device misalignment (CR-RBS-2017-02790) | ||
-rotation device misalignment (CR-RBS-2017-02790) | * May 1, 2017, operability determination of Division I emergency diesel generator air start valve test failures (CR-RBS-2017-03640) | ||
-RBS-2017-03640) | * May 23, 2017, operability determination of incorrect lubricating oil added to Division III emergency diesel generator (CR-RBS-2017-04128) | ||
-RBS-2017- | * May 31, 2017, operability determination of reactor core isolation cooling with gland seal compressor non-functional (CR-RBS-2017-02465) | ||
-functional (CR | The inspectors reviewed the timeliness and technical adequacy of the licensees evaluations. Where the licensee determined the degraded SSC to be operable, the inspectors verified that the licensees compensatory measures were appropriate to provide reasonable assurance of operability. The inspectors verified that the licensee had considered the effect of other degraded conditions on the operability of the degraded SSC. | ||
-RBS-2017-02465) | |||
The inspectors reviewed the timeliness and technical adequacy of the | |||
These activities constitute completion of four operability and functionality review | These activities constitute completion of four operability and functionality review samples, as defined in Inspection Procedure 71111.15. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1R18}} | ||
==1R18 Plant Modifications== | |||
{{IP sample|IP=IP 71111.18}} | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
On April 26, 2017, the inspectors reviewed a permanent plant modification of the fire protection system to install plant connections to allow for connection of alternate backup pumps | On April 26, 2017, the inspectors reviewed a permanent plant modification of the fire protection system to install plant connections to allow for connection of alternate backup pumps. | ||
The inspectors reviewed the design and implementation of the modification. The inspectors verified that work activities involved in implementing the modification did not adversely impact operator actions that may be required in response to an emergency or other unplanned event. The inspectors verified that post-modification testing was adequate to establish the operability of the SSC as modified. | |||
These activities constitute completion of one permanent plant modification inspection sample, as defined in Inspection Procedure 71111.18. | |||
====b. Findings==== | |||
No findings were identified. {{a|1R19}} | |||
==1R19 Post-Maintenance Testing== | |||
{{IP sample|IP=IP 71111.19}} | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors | The inspectors reviewed six post-maintenance testing activities that affected risk-significant SSCs: | ||
April 5, 2017, work order (WO)00470284-02, | * April 5, 2017, work order (WO) 00470284-02, Standby Liquid Control Pump 1A Post Maintenance Test, following replacement of standby liquid control pump 1A discharge header relief valve C41-RVF029A | ||
-AOVF022B inboard main steam isolation valve actuator | * April 24, 2017, WO 52330677, MSIV Cold Shutdown Full Stroke Operability Test, following replacement of B21-AOVF022B inboard main steam isolation valve actuator | ||
-0010: | * May 11, 2017, WO 00443688, Division I Diesel Generator 184 Operability Test, following maintenance outage on Division I emergency diesel generator | ||
-P1A motor | * May 30, 2017, WO 52619978, TSP-0010: RCIC Over Speed Trip Test, following maintenance on reactor core isolation cooling trip throttle valve | ||
- | * June 1, 2017, WO 00476235, Retest of Control Building Chilled Water Pump HVK-P1A, following replacement of HVK-P1A motor | ||
- and design | * June 15, 2017, WO 00448738, Retest of Division II Emergency Diesel Generator, following replacement of solenoid operated valves EGS-SOV20B and EGS-SOV21B The inspectors reviewed licensing- and design-basis documents for the SSCs and the maintenance and post-maintenance test procedures. The inspectors observed the performance of the post-maintenance tests to verify that the licensee performed the tests in accordance with approved procedures, satisfied the established acceptance criteria, and restored the operability of the affected SSCs. | ||
-basis documents for the SSCs and the maintenance and post-maintenance test procedures. The inspectors observed the performance of the post | |||
-maintenance tests to verify that the licensee performed the tests in accordance with approved procedures, satisfied the established acceptance criteria, and restored the operability of the affected SSCs. | |||
These activities constitute completion of six post-maintenance testing inspection | These activities constitute completion of six post-maintenance testing inspection samples, as defined in Inspection Procedure 71111.19. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1R22}} | ||
==1R22 Surveillance Testing== | |||
{{IP sample|IP=IP 71111.22}} | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors observed three risk-significant surveillance | The inspectors observed three risk-significant surveillance tests and reviewed test results to verify that these tests adequately demonstrated that the SSCs were capable of performing their safety functions: | ||
In-service tests: | In-service tests: | ||
May 31, 2017, STP-209-6310, | * May 31, 2017, STP-209-6310, RCIC Quarterly Pump and Valve Operability Test, performed on March 12, 2017 Other surveillance tests: | ||
May 19, 2017, STP 0612, | * May 19, 2017, STP-309-0612, Division II Diesel Generator 24 Hour Run, performed on May 18, 2017 | ||
* June 27, 2017, STP-209-6800, RCIC Cold Shutdown Valve Operability Test, performed on February 27, 2017 The inspectors verified that these tests met technical specification requirements, that the licensee performed the tests in accordance with their procedures, and that the results of the tests satisfied appropriate acceptance criteria. The inspectors verified that the licensee restored the operability of the affected SSCs following testing. | |||
These activities constitute completion of three surveillance testing inspection | These activities constitute completion of three surveillance testing inspection samples, as defined in Inspection Procedure 71111.22. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. | ||
===Cornerstone:=== | ===Cornerstone: Emergency Preparedness=== | ||
{{a|1EP2}} | |||
==1EP2 Alert and Notification System Evaluation== | |||
{{IP sample|IP=IP 71114.02}} | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspector verified the adequacy of the | The inspector verified the adequacy of the licensees methods for testing the primary and backup alert and notification system (ANS). The inspector also reviewed the licensees program for identifying emergency planning zone locations requiring tone alert radios and for distributing the radios, and reviewed audits of distribution records. The inspector interviewed licensee personnel responsible for the maintenance of the primary and backup ANS and reviewed a sample of corrective action program reports written for ANS problems. The inspector compared the licensees ANS testing program with criteria in NUREG-0654, Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants, Revision 1; FEMA Report REP-10, Guide for the Evaluation of Alert and Notification Systems for Nuclear Power Plants; and the licensees current FEMA-approved ANS design report, River Bend Station ANS SWS Upgrade Project, FEMA REP-10 Design Report Addendum, Revision 0, dated March 1, 2013. | ||
-10, | |||
-approved ANS design report, | These activities constitute completion of one ANS evaluation sample, as defined in Inspection Procedure 71114.02. | ||
-10 Design Report Addendum, | |||
Revision 0, dated March 1, 2013 | |||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1EP3}} | ||
==1EP3 Emergency Response Organization (ERO) Staffing and Augmentation System== | |||
{{IP sample|IP=IP 71114.03}} | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspector verified the | The inspector verified the licensees ERO on-shift and augmentation staffing levels were in accordance with the licensees emergency plan commitments. The inspector reviewed documentation and discussed with licensee staff the operability of primary and backup systems for augmenting the on-shift emergency response staff to verify the adequacy of the licensees methods for staffing emergency response facilities, including the licensees ability to staff pre-planned alternate facilities. The inspector also reviewed records of ERO augmentation tests and events to determine whether the licensee had maintained a capability to staff emergency response facilities within emergency plan timeliness commitments. | ||
-shift and augmentation staffing levels were in accordance with the | |||
-shift emergency response staff to verify the adequacy of the | |||
-planned alternate facilities. The inspector also reviewed records of ERO augmentation tests and events to determine whether the licensee had maintained a capability to staff emergency response facilities within emergency plan timeliness commitments. | |||
These activities constitute completion of one ERO staffing and augmentation testing sample, as defined in Inspection Procedure 71114.03. | These activities constitute completion of one ERO staffing and augmentation testing sample, as defined in Inspection Procedure 71114.03. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1EP5}} | ||
==1EP5 Maintenance of Emergency Preparedness== | |||
{{IP sample|IP=IP 71114.05}} | |||
====a. Inspection Scope==== | |||
The inspector reviewed the following for the period of September 2015 to May 2017: | |||
* After-action reports for emergency classifications and events | |||
* After-action evaluation reports for licensee drills and exercises | |||
* Independent audits and surveillances of the licensees emergency preparedness program | |||
* Self-assessments of the emergency preparedness program conducted by the licensee | |||
* Licensee evaluations of changes made to the emergency plan and emergency plan implementing procedures | |||
* Drill and exercise performance issues entered into the licensees corrective action program | |||
* Emergency preparedness program issues entered into the licensees corrective action program | |||
* Maintenance records for equipment supporting the emergency preparedness program | |||
* Emergency response organization and emergency planner training records The inspector reviewed summaries of 115 corrective action program reports associated with emergency preparedness and selected 20 to review against program requirements to determine the licensees ability to identify, evaluate, and correct problems in accordance with planning standard 10 CFR 50.47(b)(14) and 10 CFR Part 50, Appendix E, IV.F. The inspector verified that the licensee accurately and appropriately identified and corrected emergency preparedness weaknesses during critiques and assessments. | |||
The inspector reviewed summaries of multiple licensee screenings and two licensee evaluations of the impact of changes to the emergency plan and implementing procedures, and selected six screenings and two evaluations to review against program requirements to determine the licensees ability to identify reductions in the effectiveness of the emergency plan in accordance with the requirements of 10 CFR 50.54(q)(3) and 50.54(q)(4). The inspector verified that evaluations of proposed changes to the licensees emergency plan appropriately identified the impact of the changes prior to being implemented. | |||
The inspector reviewed | |||
The inspector reviewed summaries of | The inspector reviewed summaries of 95 records pertaining to the maintenance of equipment and facilities used to implement the emergency plan, and selected 10 to review against program requirements to determine the licensees ability to maintain equipment in accordance with the requirements of 10 CFR 50.47(b)(8) and 10 CFR Part 50, Appendix E, IV.E. The inspector verified that equipment and facilities were maintained in accordance with the commitments of the licensees emergency plan. | ||
These activities constitute completion of one sample of the maintenance of the licensees emergency preparedness program, as defined in Inspection Procedure 71114.05. | |||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|1EP6}} | ||
==1EP6 Drill Evaluation== | |||
{{IP sample|IP=IP 71114.06}} | |||
Training Evolution Observation | Training Evolution Observation | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
On May 2, 2017, the inspectors observed simulator | On May 2, 2017, the inspectors observed simulator-based licensed operator requalification training that included implementation of the licensees emergency plan. | ||
-based licensed operator requalification training that included implementation of the | |||
The inspectors verified that the licensees emergency classifications, offsite notifications, and protective action recommendations were appropriate and timely. The inspectors verified that any emergency preparedness weaknesses were appropriately identified by the evaluators and entered into the corrective action program for resolution. | |||
These activities constitute completion of one training observation sample, as defined in Inspection Procedure 71114.06. | These activities constitute completion of one training observation sample, as defined in Inspection Procedure 71114.06. | ||
Line 334: | Line 319: | ||
==OTHER ACTIVITIES== | ==OTHER ACTIVITIES== | ||
Cornerstones: | Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, Emergency Preparedness, Public Radiation Safety, Occupational Radiation Safety, and Security | ||
{{a|4OA1}} | |||
==4OA1 Performance Indicator Verification== | |||
{{IP sample|IP=IP 71151}} | |||
===.1 Safety System Functional Failures (MS05)=== | ===.1 Safety System Functional Failures (MS05)=== | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
For the period of April 2016 through March 2017 , the inspectors reviewed licensee event reports, maintenance rule evaluations, and other records that could indicate whether safety system functional failures had occurred. The inspectors used definitions and guidance contained in Nuclear Energy Institute Document 99-02, | For the period of April 2016 through March 2017, the inspectors reviewed licensee event reports, maintenance rule evaluations, and other records that could indicate whether safety system functional failures had occurred. The inspectors used definitions and guidance contained in Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, and NUREG-1022, Event Reporting Guidelines: 10 CFR 50.72 and 50.73, Revision 3, to determine the accuracy of the data reported. | ||
-1022, | |||
10 CFR 50.72 and 50.73, | |||
These activities constitute verification of the safety system functional failures performance indicator | These activities constitute verification of the safety system functional failures performance indicator, as defined in Inspection Procedure 71151. | ||
, as defined in Inspection Procedure 71151. | |||
====b. Findings==== | ====b. Findings==== | ||
Line 352: | Line 336: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors reviewed the | The inspectors reviewed the licensees mitigating system performance index data for the period of April 2016 through March 2017 to verify the accuracy and completeness of the reported data. The inspectors used definitions and guidance contained in Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. | ||
These activities constitute verification of the mitigating system performance index for emergency ac power systems, as defined in Inspection Procedure 71151. | These activities constitute verification of the mitigating system performance index for emergency ac power systems, as defined in Inspection Procedure 71151. | ||
Line 362: | Line 346: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors reviewed the | The inspectors reviewed the licensees mitigating system performance index data for the period of April 2016 through March 2017 to verify the accuracy and completeness of the reported data. The inspectors used definitions and guidance contained in Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. | ||
These activities constitute verification of the mitigating system performance index for high pressure injection systems, as defined in Inspection Procedure 71151. | These activities constitute verification of the mitigating system performance index for high pressure injection systems, as defined in Inspection Procedure 71151. | ||
Line 372: | Line 356: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors reviewed the | The inspectors reviewed the licensees evaluated exercises, and selected drill and training evolutions that occurred between July 2016 and March 2017 to verify the accuracy of the licensees data for classification, notification, and protective action recommendation opportunities. The inspectors reviewed a sample of the licensees completed classifications, notifications, and protective action recommendations to verify their timeliness and accuracy. The inspectors used Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. The specific documents reviewed are described in the attachment to this report. | ||
These activities constitute verification of the drill/exercise performance indicator, as defined in Inspection Procedure 71151. | |||
These activities constitute verification of the drill/exercise performance indicator | |||
, as defined in Inspection Procedure 71151. | |||
====b. Findings==== | ====b. Findings==== | ||
Line 385: | Line 366: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors reviewed the | The inspectors reviewed the licensees records for participation in drill and training evolutions between July 2016 and March 2017 to verify the accuracy of the licensees data for drill participation opportunities. The inspectors verified that all members of the licensees Emergency Response Organization (ERO) in the identified key positions had been counted in the reported performance indicator data. The inspectors reviewed the licensees basis for reporting the percentage of ERO members who participated in a drill. | ||
These activities constitute verification of the ERO drill participation performance indicator , as defined in Inspection Procedure 71151. | The inspectors reviewed drill attendance records and verified a sample of those reported as participating. The inspectors used Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. The specific documents reviewed are described in the attachment to this report. | ||
These activities constitute verification of the ERO drill participation performance indicator, as defined in Inspection Procedure 71151. | |||
====b. Findings==== | ====b. Findings==== | ||
Line 396: | Line 378: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors reviewed the | The inspectors reviewed the licensees records of ANS tests conducted between July 2016 and March 2017 to verify the accuracy of the licensees data for siren system testing opportunities. The inspectors reviewed procedural guidance on assessing ANS opportunities and the results of periodic ANS operability tests. The inspectors used Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. The specific documents reviewed are described in the attachment to this report. | ||
-02, | |||
These activities constitute verification of the ANS reliability performance indicator | These activities constitute verification of the ANS reliability performance indicator, as defined in Inspection Procedure 71151. | ||
, as defined in Inspection Procedure 71151. | |||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. {{a|4OA2}} | ||
==4OA2 Problem Identification and Resolution== | |||
{{IP sample|IP=IP 71152}} | |||
===.1 Routine Review=== | ===.1 Routine Review=== | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
Throughout the inspection period, the inspectors performed daily reviews of items entered into the | Throughout the inspection period, the inspectors performed daily reviews of items entered into the licensees corrective action program and periodically attended the licensees condition report screening meetings. The inspectors verified that licensee personnel were identifying problems at an appropriate threshold and entering these problems into the corrective action program for resolution. The inspectors verified that the licensee developed and implemented corrective actions commensurate with the significance of the problems identified. The inspectors also reviewed the licensees problem identification and resolution activities during the performance of the other inspection activities documented in this report. | ||
====b. Findings==== | ====b. Findings==== | ||
Line 418: | Line 397: | ||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors reviewed the | The inspectors reviewed the licensees corrective action program, performance indicators, system health reports, causal analyses, and other documentation to identify trends that might indicate the existence of a more significant safety issue. The inspectors verified that the licensee was taking corrective actions to address identified adverse trends. | ||
These activities constitute completion of one semiannual trend review sample, as defined in Inspection Procedure 71152. | |||
March 13, 2017: | b. Observations and Assessments The inspectors identified an adverse trend in the area of oversight of contractor maintenance. After observing an increased number of contractor maintenance issues in the most recent refueling outage (RFO19), the inspectors performed a condition report search for the term contractor for the period from January 1, 2017, to June 30, 2017, which included RFO19. The search yielded 35 condition reports, six of which involved a failure on the part of contractors to follow site work procedures. The inspectors performed the same search over the period from January 1, 2015, to June 30, 2015, which included the previous refueling outage (RFO18). The search yielded 24 condition reports, two of which involved a failure on the part of contractors to follow site work procedures. In addition to the increase in condition reports, three additional contractor-related work control failures from the most recent outage provide evidence for the adverse trend: | ||
* March 7, 2017: A valve in the Division I penetration valve leakage control system was removed and replaced. A step in the restoration procedure required contractor personnel to inform the control room when the valve was reinstalled so that it could be positioned in accordance with the system lineup. Contractor personnel failed to perform this step, and the valve was never restored to its appropriate position. During subsequent surveillance testing of the system, the Division I penetration valve leakage control system compressor tripped on high temperature due to the valve being in the wrong position. | |||
* March 10, 2017: Improper installation of a tee compression fitting associated with the new turbine digital electrohydraulic control system modification caused a steam leak that ultimately led to a reactor scram during startup. After identifying the leak, contractor personnel involved in the installation tightened down on the compression fitting, likely making the leak worse. They took this action without informing the control room or obtaining the required permission. | |||
* March 13, 2017: Contractor personnel incorrectly landed leads for the control room indicators for main steam line B and C flow. The condition was discovered at power when these indicators were observed to be downscale. | |||
====c. Findings==== | ====c. Findings==== | ||
No findings were identified. | No findings were identified. | ||
===.3 Annual Follow | ===.3 Annual Follow-up of Selected Issues=== | ||
-up of Selected Issues | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
The inspectors selected two | The inspectors selected two issues for an in-depth follow-up: | ||
-up: | * On April 6, 2017, the station conducted surveillance testing of the Division I Control Room Fresh Air (CRFA) system. The test found that measured flow was lower than the acceptance criteria. The station conducted a Failure Modes and Effects Analysis and determined manual volume damper HVC-DMP4A was not in the correct position. Station personnel found the damper in a nearly closed position, which caused low air flow through the CRFA system and resulted in failed surveillance tests. The inspectors reviewed the Adverse Condition Analysis (ACA) for the event. The ACA concluded that damper HVC-DMP4A was out of position because previous maintenance on the damper did not use proper work instructions and also did not include vendor specified torque values. The licensee repositioned damper HVC-DMP4A and successfully conducted surveillance testing. During the period of time when HVC-DMP4A was closed, Division I CRFA system was inoperable. With the Division I CRFA system inoperable, the plant conducted a plant startup on March 8, 2017, and again on March 11, 2017. Changing reactor modes during a plant startup with the Division I CRFA system inoperable is a condition prohibited by technical specifications. | ||
-DMP4A was not in the correct position. Station personnel found the damper in a nearly closed position, which caused low air flow through the CRFA system and resulted in failed surveillance tests. The inspectors reviewed the Adverse Condition Analysis (ACA) for the event. The ACA concluded that damper HVC | |||
-DMP4A was out of position because previous maintenance on the damper did not use proper work instructions and also did not include vendor specified torque values. The licensee repositioned damper HVC | |||
-DMP4A and successfully conducted surveillance testing. During the period of time when HVC | |||
-DMP4A was closed, Division I CRFA system was inoperable. With the Division I CRFA system inoperable, the plant conducted a plant startup on March 8, 2017, and again on March 11, 2017. Changing reactor modes during a plant startup with the Division I CRFA system inoperable is a condition prohibited by technical specifications. | |||
The inspectors assessed the | The inspectors assessed the licensees completed corrective actions. The inspectors verified that the licensee appropriately prioritized the planned corrective actions and that these actions were adequate to correct the condition. | ||
* During an in-office inspection from April 24, 2017, through May 3, 2017, the inspector reviewed the cyber security-related finding documented in Inspection Report 05000458/2015405, Inspection of Implementation of Interim Cyber Security Milestones 1-7, for in-depth follow-up review. The inspector reviewed a sample of updated program documents and procedures, updated critical digital asset listings, training documents, and corrective action documents. | |||
The inspector assessed the licensees completed corrective actions. The inspector verified that the licensee appropriately prioritized the corrective actions and that these actions were adequate to correct the conditions. | |||
These activities constitute completion of two annual follow-up samples, as defined in Inspection Procedure 71152. | |||
These activities constitute completion of two annual follow | |||
-up | |||
====b. Findings==== | ====b. Findings==== | ||
=====Introduction.===== | =====Introduction.===== | ||
The inspectors reviewed multiple examples of a self | The inspectors reviewed multiple examples of a self-revealing, Green, non-cited violation of Technical Specification 3.0.4, Limiting Condition for Operation Applicability, for the licensees failure to restore safety-related equipment to operable status prior to changing modes. Specifically, the licensee failed to restore Division I of the CRFA system to operable status prior to entering Mode 2 on March 8, 2017, and again on March 11, 2017. | ||
-revealing, Green, non-cited violation of Technical Specification 3.0.4, | |||
, | |||
-related equipment to operable status prior to changing modes. Specifically, the licensee failed to restore Division I of the CRFA system to operable status prior to entering | |||
=====Description.===== | =====Description.===== | ||
On April 5, 2017, the station performed Procedure STP-740-3002, | On April 5, 2017, the station performed Procedure STP-740-3002, Control Building Envelope Tracer Gas Test. The test was not performed satisfactorily due to an unexpected low flow rate through the charcoal filter train. Technical Specification (TS)3.7.2 requires two CRFA subsystems to be operable in Modes 1, 2, and 3. The station declared the Division I CRFA system inoperable and appropriately entered the 7-day shutdown action statement associated with TS Limiting Condition for Operation (LCO)3.7.2 Condition A, which requires the licensee to restore the CRFA subsystem to an operable status within seven days. On April 6, 2017, the station performed Procedure STP-402-4501, Control Room Fresh Air Flow Rate Test Division I. The test found that measured flow was lower than the acceptance criteria. The station conducted a Failure Modes and Effects Analysis and determined manual volume damper HVC-DMP4A was not in the correct position. Station personnel found the damper in a nearly closed position, which caused low air flow through the CRFA system and resulted in two failed surveillance tests. The licensee repositioned damper HVC-DMP4A and successfully conducted surveillance testing. | ||
-DMP4A was not in the correct position. Station personnel found the damper in a nearly closed position, which caused low air flow through the CRFA system and resulted in two failed surveillance tests. The licensee repositioned damper HVC | |||
-DMP4A and successfully conducted surveillance testing | |||
The licensees apparent cause analysis (ACA), which was documented in Condition Report CR-RBS-2017-03082, concluded that mechanical maintenance personnel did not have adequate procedural guidance for properly positioning damper HVC-DMP4A. | |||
Damper HVC-DMP4A was repositioned from closed to open on March 4, 2017, following troubleshooting associated with engineering modifications to control building and control room heating, ventilation, and air conditioning systems. Damper HVC-DMP4A was positioned to open without any guidance: no work order or procedure was generated or used, and torque specifications were not referenced when damper HVC-DMP4A was positioned to open. The vendor manual associated with damper HVC-DMP4A specifies a torque requirement of 29 foot-pounds. | |||
Upon review of main control room log data, the inspectors determined that the station entered Mode 2 following a refueling outage on March 8, 2017, with the Division I CRFA system inoperable. On March 10, 2017, the station initiated a manual scram due to a steam leak in the turbine building. The plant restarted on March 11, 2017, with the Division I CRFA system inoperable. | |||
The inspectors screened the finding in accordance with NRC Inspection Manual Chapter 0609, | =====Analysis.===== | ||
-Power, | The failure to restore Division I of the CRFA system to operable status prior to entering Mode 2 was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it affected the structures, systems, and components (SSC) and barrier performance attribute of the Barrier Integrity Cornerstone and adversely affected the cornerstone objective to provide reasonable assurance that physical design barriers (fuel cladding, reactor coolant system, and containment) protect the public from radionuclide releases caused by accidents or events. Specifically, the incorrect positioning of damper HVC-DMP4A resulted in inadequate air flow through Division I of the CRFA and rendered it inoperable. The inspectors screened the finding in accordance with NRC Inspection Manual Chapter 0609, Significance Determination Process. Using NRC Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-Power, Exhibit 3 - Barrier Integrity Screening Questions, the inspectors determined that the finding was of very low safety significance (Green) because it only represented a degradation of the radiological barrier function provided for the control room. This finding had a cross-cutting aspect in the area of human performance, challenge the unknown, because individuals did not stop when faced with uncertain conditions. Specifically, workers positioned damper HVC-DMP4A without work instructions or specified torque values [H.11]. | ||
- | |||
-cutting aspect in the area of human performance, challenge the unknown, because individuals did not stop when faced with uncertain conditions. Specifically, workers positioned damper HVC-DMP4A without work instructions or specified torque values [H.11]. | |||
=====Enforcement.===== | =====Enforcement.===== | ||
Technical Specification 3.0.4, | Technical Specification 3.0.4, Limiting Condition for Operation Applicability, requires, in part, that when an LCO is not met, entry into a mode in which the LCO is applicable shall only be made when the associated actions to be entered permit continued operation in the mode for an unlimited period of time. LCO 3.7.2, which requires two CRFA subsystems to be operable, is applicable in Modes 1, 2, and 3. | ||
, | |||
The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-03082. The licensee restored compliance by properly positioning damper HVC | Contrary to the above, on March 8, 2017, and March 11, 2017, with LCO 3.7.2 not met, the licensee entered Mode 2 when the associated actions to be entered did not permit continued operation in Mode 2 for an unlimited period of time. Specifically, one CRFA subsystem was inoperable, and associated Actions A.1 and C.1 did not permit continued operation in Mode 2 for an unlimited period of time. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-03082. The licensee restored compliance by properly positioning damper HVC-DMP4A and restoring the Division I CRFA system to an operable status. Because this violation was of very low safety significance (Green) and was entered into the licensees corrective action program as Condition Report CR-RBS-2017-03082, it is being treated as a non-cited violation consistent with Section 2.3.2.a of the NRC Enforcement Policy: | ||
-DMP4A and restoring the Division I CRFA system to an operable status. Because this violation was of very low safety significance (Green) and was entered into the | NCV 05000458/2017002-01, Failure to Maintain Operability of the Division I Control Room Fresh Air System While Changing Reactor Modes. | ||
{{a|4OA3}} | |||
-cited violation consistent with Section 2.3.2.a of the NRC Enforcement Policy: | ==4OA3 Follow-up of Events and Notices of Enforcement Discretion== | ||
NCV 05000458/2017002-01, | {{IP sample|IP=IP 71153}} | ||
===.1 (Closed) Licensee Event Report (LER) 050458/2016-003-01, Operations Prohibited by=== | |||
Technical Specifications Due to Reactor Control Blade Drift During Core Alterations | |||
===. | ====a. Inspection Scope==== | ||
On January 19, 2016, while conducting core alterations, the main control room received an alarm indicating that a reactor control rod had drifted out of the fully inserted position. | |||
At the time, a fuel bundle was being raised out of the core, and the control rod in the same cell drifted out one notch without a corresponding withdraw command present. | |||
This condition actuated a corresponding alarm on the refueling platform, and system interlocks stopped the platform hoist with the partially withdrawn fuel bundle. After a detailed assessment of the situation, the fuel bundle and control rod 16-53 were returned to their original positions. The drive mechanism for the control rod was disabled, and the control rod remained fully inserted for the remainder of the fuel cycle. The event was caused by the development of a bulge in one or more wings on the affected control rod that caused sufficient friction to support the rod without the collet fingers in the drive mechanism engaged. Based on industry experience and vendor recommendations, the station replaced a total of 18 control rods of the same model and similar boron-10 depletion rates as part of an extent of condition corrective action. | |||
-10 depletion rates as part of an extent of condition corrective action. | |||
Technical Specification 3.3.1.1, | Technical Specification 3.3.1.1, RPS Instrumentation, requires three channels per trip system for the intermediate range monitor function to be operable when in Mode 2 or in Mode 5 with any control rod withdrawn from a core cell containing one or more fuel assemblies. When control rod 16-53 drifted out one notch, all rods were not fully inserted, and three channels per trip system for the intermediate range monitor function were not operable since required surveillance testing had not occurred to verify operability. The failure to perform surveillance testing of intermediate range monitors prior to withdrawing a control rod in Mode 5 was a performance deficiency. The performance deficiency was of minor safety significance because the one step withdrawal of control rod 16-53 did not adversely affect the Barrier Integrity Cornerstone objective of providing reasonable assurance that physical design barriers protect the public from radionuclide releases caused by accidents or events. Specifically, River Bend Station Technical Specifications require that adequate shutdown margin exist at all times. One of the base assumptions in the shutdown margin calculation is that the control rod with the highest reactivity is fully withdrawn. The one step withdrawal of control rod 16-53 was bounded by this assumption and did not adversely affect the assumptions of the shutdown margin calculation. The licensee restored compliance by returning the control rod to the fully inserted position. This failure to comply with Technical Specification 3.3.1.1 constitutes a minor violation that is not subject to enforcement action in accordance with the NRC Enforcement Policy. | ||
-53 drifted out one notch, all rods were not fully inserted , and three channels per trip system for the intermediate range monitor function were not operable since required surveillance testing had not occurred to verify operability. The failure to perform surveillance testing of intermediate range monitors prior to withdrawing a control rod in | |||
-53 was bounded by this assumption and did not adversely affect the assumptions of the shutdown margin calculation. The licensee restored compliance by returning the control rod to the fully inserted position. This failure to comply with Technical Specification 3.3.1.1 constitutes a minor violation that is not subject to enforcement action in accordance with the NRC Enforcement Policy. | |||
LER 05000458/2016 01 is closed. | LER 05000458/2016-003-01 is closed. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. | ||
===.2 (Closed) LER 05000458/2017=== | ===.2 (Closed) LER 05000458/2017-001-00, Operations Prohibited by Technical=== | ||
Specifications (Conduct of Operations with a Potential to Drain the Reactor Vessel with Primary Containment Open) | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
During a refueling outage that commenced on January 28, 2017, there were occasions during which maintenance was performed without taking the required actions to comply with the applicable technical specifications. Specifically, operations with a potential to drain the reactor vessel were conducted without establishing primary containment integrity, and the provisions of NRC Enforcement Guidance Memorandum 11-003, Revision 3, were invoked instead. Provisions included maintaining refueling cavity water level greater than 23 feet above the reactor pressure vessel flange, maintaining high pressure core spray system available for inventory makeup, minimizing the size of the allowable drainage path to maintain time | During a refueling outage that commenced on January 28, 2017, there were occasions during which maintenance was performed without taking the required actions to comply with the applicable technical specifications. Specifically, operations with a potential to drain the reactor vessel were conducted without establishing primary containment integrity, and the provisions of NRC Enforcement Guidance Memorandum 11-003, Revision 3, were invoked instead. Provisions included maintaining refueling cavity water level greater than 23 feet above the reactor pressure vessel flange, maintaining high pressure core spray system available for inventory makeup, minimizing the size of the allowable drainage path to maintain time-to-draindown at greater than 24 hours, and establishing two independent means of monitoring reactor cavity water level. | ||
-to-draindown at greater than 24 hours, and establishing two independent means of monitoring reactor cavity water level. | |||
All activities were completed with no transients in reactor cavity water level. On December 20, 2016, the NRC approved a generic technical specification amendment that can be used by licensees to reconcile the condition. The enforcement guidance memorandum requires applicable licensees to submit a request for the amendment by December 20, 2017. River Bend Station is preparing a license amendment request to incorporate this technical specification change. LER 05000458/2017 00 is closed. | All activities were completed with no transients in reactor cavity water level. On December 20, 2016, the NRC approved a generic technical specification amendment that can be used by licensees to reconcile the condition. The enforcement guidance memorandum requires applicable licensees to submit a request for the amendment by December 20, 2017. River Bend Station is preparing a license amendment request to incorporate this technical specification change. LER 05000458/2017-001-00 is closed. | ||
====b. Findings==== | ====b. Findings==== | ||
No findings were identified. | No findings were identified. | ||
===.3 (Closed) LER=== | ===.3 (Closed) LER 05000458/2017-002-01, Loss of Safety Function of Onsite Electrical=== | ||
Distribution Due to Malfunction of Control Building HVAC System | |||
====a. Inspection Scope==== | ====a. Inspection Scope==== | ||
On February 18, 2017, with a refueling outage in progress, operators attempted to swap the running division of the main control building ventilation system from Division II to Division I. After the swap, operators noted that air flow in the control room was abnormally low. Approximately 4 minutes later, the Division I | On February 18, 2017, with a refueling outage in progress, operators attempted to swap the running division of the main control building ventilation system from Division II to Division I. After the swap, operators noted that air flow in the control room was abnormally low. Approximately 4 minutes later, the Division I C chiller tripped. | ||
Operators attempted to restore a Division II chiller to service but were unsuccessful. | |||
The station therefore entered the abnormal operating procedure for loss of control building ventilation and declared electrical distribution systems in the control building inoperable due to loss of ventilation. | |||
The licensee subsequently discovered that the damper for the Division II control room air handling unit had failed to properly shut during the evolution. As a consequence, the running Division I control room air handling unit recirculated air back through the discharge line of the Division II control room air handling unit, causing the observed reduction in ventilation flow to the control room as well as the trip of the Division I | The licensee subsequently discovered that the damper for the Division II control room air handling unit had failed to properly shut during the evolution. As a consequence, the running Division I control room air handling unit recirculated air back through the discharge line of the Division II control room air handling unit, causing the observed reduction in ventilation flow to the control room as well as the trip of the Division I C chiller. The licensee was able to close the damper and restore ventilation flow to the control room by removing the dampers control power fuse. | ||
The inspectors reviewed the LER and determined that the report adequately summarized the event. LER 05000458/2017 01 is closed. | The inspectors reviewed the LER and determined that the report adequately summarized the event. LER 05000458/2017-002-01 is closed. | ||
====b. Findings==== | ====b. Findings==== | ||
=====Introduction.===== | =====Introduction.===== | ||
The inspectors reviewed a self-revealing, Green , non-cited violation of 10 CFR Part 50, Appendix B, Criterion III, | The inspectors reviewed a self-revealing, Green, non-cited violation of 10 CFR Part 50, Appendix B, Criterion III, Design Control, for the licensees failure to correctly translate the design basis into plant specifications. Specifically, the licensee implemented a breaker design in the control building air conditioning system that allowed a single failure of one train of the system to render the other train inoperable, contrary to the design basis. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-01740. | ||
=====Description.===== | =====Description.===== | ||
The control building ventilation system at River Bend Station contains a main control room air conditioning subsystem that cools the control room and a standby switchgear room air conditioning subsystem that cools vital equipment rooms in the control building. By design, each of these subsystems is required to be capable of providing air conditioning to its associated spaces under emergency conditions on the assumption of a single failure of any one active component. The station satisfies this design requirement through the use of divisional separation. Each subsystem contains two redundant divisions of equipment, both of which are independently capable of providing air conditioning under accident scenarios. | The control building ventilation system at River Bend Station contains a main control room air conditioning subsystem that cools the control room and a standby switchgear room air conditioning subsystem that cools vital equipment rooms in the control building. By design, each of these subsystems is required to be capable of providing air conditioning to its associated spaces under emergency conditions on the assumption of a single failure of any one active component. The station satisfies this design requirement through the use of divisional separation. Each subsystem contains two redundant divisions of equipment, both of which are independently capable of providing air conditioning under accident scenarios. | ||
The main control room air conditioning subsystem contains two air handling units, | The main control room air conditioning subsystem contains two air handling units, HVC-ACU1A and HVC-ACU1B, powered by the Division I and Division II safety-related electrical busses, respectively. Similarly, the standby switchgear room air conditioning subsystem contains two air handling units, HVC-ACU2A and HVC-ACU2B, also powered by the Division I and Division II safety-related electrical busses, respectively. The air handling units work by drawing in air from the spaces and blowing it across coils (which are cooled by refrigerant units powered by the same division) back into the spaces. To prevent recirculation backflow from the running air handling unit through the ventilation ducting of the idle unit, each air handling unit has an inlet and an outlet damper that is designed to close whenever the circuit breaker for that air handling unit is open. | ||
-ACU1B, powered by the Division I and Division II safety-related electrical busses, respectively. Similarly, the standby switchgear room air conditioning subsystem contains two air handling units, HVC | |||
-ACU2A and HVC | |||
-ACU2B, also powered by | |||
In April of 2007, the licensee changed out the circuit breakers for control room air handling units HVC | In April of 2007, the licensee changed out the circuit breakers for control room air handling units HVC-ACU1A, HVC-ACU1B, HVC-ACU2A, and HVC-ACU2B, switching from a General Electric (GE) type AKR model to a Nuclear Logistics Incorporated (NLI) | ||
-ACU1A, HVC | |||
-ACU1B, HVC | |||
-ACU2A, and HVC | |||
-ACU2B, switching from a General Electric (GE) type AKR model to a Nuclear Logistics Incorporated (NLI) | |||
Masterpact model. To fit the smaller Masterpact circuit breakers into the spaces of the larger GE AKR breakers, the licensee procured and installed cradle assemblies with mechanism operated contact (MOC) linkages. These linkages mechanically translated the position of the air handling unit breakers into the positions of contacts that controlled the inlet and outlet dampers. | Masterpact model. To fit the smaller Masterpact circuit breakers into the spaces of the larger GE AKR breakers, the licensee procured and installed cradle assemblies with mechanism operated contact (MOC) linkages. These linkages mechanically translated the position of the air handling unit breakers into the positions of contacts that controlled the inlet and outlet dampers. | ||
In February of 2017, with the plant shut down in a refueling outage, the licensee attempted to swap the control building ventilation system from Division II to Division I. In the swap, air handling unit HVC-ACU1B, which had been in service, was secured, and air handling unit HVC-ACU1A automatically started, consistent with system design. After a few minutes, control room operators noticed a lack of normal air flow in the space | In February of 2017, with the plant shut down in a refueling outage, the licensee attempted to swap the control building ventilation system from Division II to Division I. In the swap, air handling unit HVC-ACU1B, which had been in service, was secured, and air handling unit HVC-ACU1A automatically started, consistent with system design. After a few minutes, control room operators noticed a lack of normal air flow in the space. | ||
Shortly thereafter, the running Division I refrigerant unit HVK-CHL1C and the running control room air handling unit HVC-ACU1A both tripped, causing a loss of air conditioning to the control room and the entire control building. After an initial unsuccessful attempt to restart HVK-CHL1C and HVC-ACU1A, the licensee successfully swapped back to Division II. | |||
- | |||
-ACU1A | |||
-CHL1C | |||
During initial troubleshooting, the licensee noticed that even though HVC-ACU1B had been secured, control room indication showed it as running. The licensee subsequently determined that this was because an improperly sized screw in the MOC linkage for the associated breaker had fallen out during the swap, causing the breaker control logic to incorrectly signal that the breaker was closed and that the unit was running. With the breaker appearing closed to the breaker control logic, the dampers for the air handling unit stayed open. Consequently, air flow from the running air handling unit HVC-ACU1A recirculated through HVC-ACU1B, depriving flow to the control room and ultimately causing the running refrigerant unit, HVK-CHL1C, to trip on a lack of sufficient heat loading. | |||
The | Upon investigation, the licensee discovered that a similar failure of an MOC linkage in a Masterpact breaker had occurred at the plant in 2012, during surveillance testing on the standby gas treatment system. That event demonstrated that the failure mechanism was credible and capable of occurring during breaker operations. The licensees extent of condition review did not include a review of the potential impacts that the vulnerability might have on other Masterpact breakers in the plant; therefore, the vulnerability in the air handling units did not get assessed or corrected. | ||
; therefore , the vulnerability in the air handling units did not get assessed or corrected. | |||
The event revealed that, under the existing design of both the main control room air conditioning subsystem and the standby switchgear room air conditioning subsystem, a single failure in a component of a breaker for the air handling unit of one division in the subsystem had the potential to cause a complete loss of both divisions of the subsystem, contrary to the design basis. The licensee corrected the condition by implementing a modification to the air handling units on both subsystems designed to ensure that the dampers for the air handling units would not remain open on any single active failure of a component. | The event revealed that, under the existing design of both the main control room air conditioning subsystem and the standby switchgear room air conditioning subsystem, a single failure in a component of a breaker for the air handling unit of one division in the subsystem had the potential to cause a complete loss of both divisions of the subsystem, contrary to the design basis. The licensee corrected the condition by implementing a modification to the air handling units on both subsystems designed to ensure that the dampers for the air handling units would not remain open on any single active failure of a component. | ||
=====Analysis.===== | =====Analysis.===== | ||
The failure to correctly translate the design basis into plant specifications was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it was associated with the design control attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the | The failure to correctly translate the design basis into plant specifications was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it was associated with the design control attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the licensees failure to implement an appropriate design in the main control room and standby switchgear room air conditioning subsystems adversely affected the availability, reliability, and capability of safety-related components that rely on those subsystems for cooling. The inspectors performed the initial significance determination using NRC Inspection Manual Chapter 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions. The finding required a detailed risk evaluation because it involved a loss of system and/or function. A Region IV senior reactor analyst performed a detailed risk evaluation for the issue. | ||
The analyst assumed that the deficiency would have caused a loss of both air handling units HVC-ACU1A and HVC | The analyst assumed that the deficiency would have caused a loss of both air handling units HVC-ACU1A and HVC-ACU1B during any demand over the past year. The basic events were treated as failures with the potential for common cause failures on air handling units HVC-ACU2A and HVC-ACU2B. The analyst ran River Bend SPAR model, Version 8.50, on SAPHIRE, Version 8.1.5, to obtain an estimate of the increase in core damage frequency of 8.5E-8 per year due to the loss of air conditioning in the control building. Dominant initiators were transient and loss of offsite power events which were mitigated by manual actions to open doors on a loss of air conditioning to the control building. The impact of the loss of control room cooling was estimated to result in an increase in core damage frequency of less than 3.2E-7 per year, based on data obtained from NRC Inspection Report 05000458/2016008. This estimate included the effects of external events. Large early release frequency was reviewed and determined not to be a significant risk contributor. The total increase in core damage frequency of the performance deficiency was less than 4.1E-7 per year, making the issue of very low safety significance (Green). No cross-cutting aspect was assigned because the finding did not reflect current performance. | ||
-ACU1B during any demand over the past year. The basic events were treated as failures with the potential for common cause failures on air handling units HVC-ACU2A and HVC | |||
-ACU2B. The analyst ran River Bend SPAR model, Version 8.50, on SAPHIRE, Version 8.1.5, to obtain an estimate of the increase in core damage frequency of 8.5E | |||
-8 per year due to the loss of air conditioning in | |||
The impact of the loss of control room cooling was estimated to result in an increase in core damage frequency of less than 3.2E | |||
-7 per year, based on data obtained from NRC Inspection Report 05000458/2016008. This estimate included the effects of external events. Large early release frequency was reviewed and determined not to be a significant risk contributor. The total increase in core damage frequency of the performance deficiency was less than 4.1E | |||
-7 per year, making the issue of very low safety significance (Green). No cross | |||
-cutting aspect was assigned because the finding did not reflect current performance. | |||
=====Enforcement.===== | =====Enforcement.===== | ||
Title 10 CFR Part 50, Appendix B, Criterion III, | Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires, in part, that measures shall be established to assure that the design basis for those structures, systems, and components to which Appendix B applies is correctly translated into specifications, drawings, procedures, and instructions. Contrary to the above, from April 4, 2007, through February 18, 2017, the licensee failed to assure that the design basis was correctly translated into specifications for the main control room and standby switchgear room air conditioning subsystems. Specifically, the licensee implemented a breaker design containing specifications that allowed a single failure of an active component in the breaker for one division in a subsystem to render both divisions of that subsystem inoperable, contrary to design basis requirements associated with single component failures. The licensee restored compliance by implementing modifications to the affected breakers designed to eliminate the single failure vulnerability. Because this violation was of very low safety significance (Green) and was entered into the licensees corrective action program as Condition Report CR-RBS-2017-01740, it is being treated as a non-cited violation consistent with Section 2.3.2.a of the NRC Enforcement Policy: | ||
NCV 05000458/2017002-02, Single Component Failure Leads to Loss of Both Divisions of Control Building Air Conditioning. | |||
===.4 (Closed) LER 05000458/2017-005-00, Operations Prohibited by Technical=== | |||
Specifications Due to Inoperable Main Control Room Filter Train | |||
====a. Inspection Scope==== | |||
On April 6, 2017, the station conducted surveillance test STP-402-4501, Control Room Fresh Air Flow Rate Test Division I. The test found that measured flow was lower than the acceptance criteria. The station conducted a Failure Modes and Effects Analysis and determined manual volume damper HVC-DMP4A was not in the correct position. | |||
Station personnel found the damper in a nearly closed position which caused low air flow through the Control Room Fresh Air (CRFA) system and resulted in failed surveillance tests. The licensee repositioned damper HVC-DMP4A and successfully conducted surveillance testing. During the period of time when HVC-DMP4A was closed, Division I CRFA system was inoperable. With Division I CRFA system inoperable, the plant conducted a plant startup on March 8, 2017, and again on March 11, 2017. Changing reactor modes during a plant startup with Division I CRFA system inoperable is a condition prohibited by technical specifications. LER 05000458/2017-005-00 is closed. | |||
-DMP4A and successfully conducted surveillance testing. During the period of time when HVC | |||
-DMP4A was closed, Division I CRFA system was inoperable. With Division I CRFA system inoperable, the plant conducted a plant startup on March 8, 2017, and again on March 11, 2017. Changing reactor modes during a plant startup with Division I CRFA system inoperable is a condition prohibited by technical specifications. LER 05000458/2017 00 is closed. | |||
====b. Findings==== | ====b. Findings==== | ||
The finding associated with this LER is discussed in Section 4OA2.3 of this report. | The finding associated with this LER is discussed in Section 4OA2.3 of this report. | ||
These activities constitute completion of four event follow-up | These activities constitute completion of four event follow-up samples, as defined in Inspection Procedure 71153. | ||
{{a|4OA6}} | |||
==4OA6 Meetings, Including Exit== | |||
===Exit Meeting Summary=== | ===Exit Meeting Summary=== | ||
On May 3, 2017, the inspector presented the cyber security inspection results to Mr. W. Maguire , Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The inspectors did not review any proprietary information. | On May 3, 2017, the inspector presented the cyber security inspection results to Mr. W. Maguire, Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The inspectors did not review any proprietary information. | ||
On May 26, 2017, the inspector presented the results of the onsite inspection of the | On May 26, 2017, the inspector presented the results of the onsite inspection of the licensees ANS, ERO staffing and augmentation, and performance indicator verification pertaining to emergency preparedness to Mr. M. Chase, Director, Regulatory and Performance Improvement, and other members of the licensee staff. The licensee acknowledged the issues presented. | ||
The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed. | |||
W. Maguire, Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed. | On June 22, 2017, the inspector presented the results of the onsite inspection of the licensees emergency preparedness maintenance to Mr. W. Maguire, Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed. | ||
On July 13, 2017, the inspectors presented the integrated inspection results to Mr. W. Maguire , Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed. | On July 13, 2017, the inspectors presented the integrated inspection results to Mr. W. Maguire, Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed. | ||
=SUPPLEMENTAL INFORMATION= | =SUPPLEMENTAL INFORMATION= | ||
Line 634: | Line 560: | ||
: [[contact::D. Burnett]], Director, Emergency Planning, Entergy South | : [[contact::D. Burnett]], Director, Emergency Planning, Entergy South | ||
: [[contact::M. Chase]], Director, Regulatory & Performance Improvement | : [[contact::M. Chase]], Director, Regulatory & Performance Improvement | ||
: [[contact::B. Cole]], Corporate Radiation | : [[contact::B. Cole]], Corporate Radiation Protection | ||
Protection | |||
: [[contact::R. Conner]], Manager, Nuclear Oversight | : [[contact::R. Conner]], Manager, Nuclear Oversight | ||
: [[contact::R. Cook]], Manager, Security | : [[contact::R. Cook]], Manager, Security | ||
Line 650: | Line 575: | ||
: [[contact::P. Lucky]], Manager, Performance Improvement | : [[contact::P. Lucky]], Manager, Performance Improvement | ||
: [[contact::W. Maguire]], Site Vice President | : [[contact::W. Maguire]], Site Vice President | ||
: [[contact::J. | : [[contact::J. OConnor]], Senior Manager, Maintenance | ||
: [[contact::S. Peterkin]], Manager, Radiation Protection | : [[contact::S. Peterkin]], Manager, Radiation Protection | ||
: [[contact::J. Reynolds]], Manager, Operations | : [[contact::J. Reynolds]], Manager, Operations | ||
Line 667: | Line 592: | ||
===Opened and Closed=== | ===Opened and Closed=== | ||
Failure to Maintain Operability of the Division I Control Room | |||
: 05000458/2017002-01 NCV Fresh Air System While Changing Reactor Modes (Section 4OA2.3) | |||
I Control Room Fresh Air System While Changing Reactor Modes | Single Component Failure Leads to Loss of Both Divisions of | ||
: 05000458/2017002-02 NCV Control Building Air Conditioning (Section 4OA3.3) | |||
.3) | |||
===Closed=== | ===Closed=== | ||
Operations Prohibited by Technical Specifications Due to | |||
: 05000458/2016-003-01 LER Reactor Control Blade Drift During Core Alterations (Section 4OA3.1) | |||
Operations Prohibited by Technical Specifications (Conduct | |||
: 05000458/2017-001-00 LER of Operations with a Potential to Drain the Reactor Vessel with Primary Containment Open) (Section 4OA3.2) | |||
: | Loss of Safety Function of Onsite Electrical Distribution Due | ||
: 05000458/2017-002-01 LER to Malfunction of Control Building HVAC System (Section 4OA3.3) | |||
Operations Prohibited by Technical Specifications Due to | |||
: 05000458/2017-005-00 LER Inoperable Main Control Room Filter Train (Section 4OA3.4) | |||
: | |||
: | |||
: | |||
( | |||
== | ==LIST OF DOCUMENTS REVIEWED== | ||
}} | }} |
Latest revision as of 13:11, 19 December 2019
ML17219A645 | |
Person / Time | |
---|---|
Site: | River Bend |
Issue date: | 08/03/2017 |
From: | Jason Kozal NRC/RGN-IV/DRP |
To: | Maguire W Entergy Operations |
JASON KOZAL | |
References | |
IR 2017002 | |
Download: ML17219A645 (49) | |
Text
ugust 3, 2017
SUBJECT:
RIVER BEND STATION - NRC INTEGRATED INSPECTION REPORT 05000458/2017002
Dear Mr. Maguire:
On June 30, 2017, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at your River Bend Station, Unit 1. On July 13, 2017, the NRC inspectors discussed the results of this inspection with you and other members of your staff. The results of this inspection are documented in the enclosed report.
NRC inspectors documented two findings of very low safety significance (Green) in this report.
Both of these findings involved violations of NRC requirements. The NRC is treating these violations as non-cited violations consistent with Section 2.3.2.a of the NRC Enforcement Policy.
If you contest the violations or significance of these non-cited violations, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; the Director, Office of Enforcement; and the NRC resident inspector at the River Bend Station.
If you disagree with a cross-cutting aspect assignment in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; and the NRC resident inspector at the River Bend Station. This letter, its enclosure, and your response (if any) will be made available for public inspection and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document Room in accordance with 10 CFR 2.390, Public Inspections, Exemptions, Requests for Withholding.
Sincerely,
/RA/
Jason W. Kozal, Chief Project Branch C Division of Reactor Projects Docket No.: 50-458 License No.: NPF-47 Enclosure:
Inspection Report 05000458/2017002 w/Attachments:
1. Supplemental Information 2. Cyber Security Follow-up Document Request
- SUNSI Review: ADAMS: Non-Publicly Available * Non-Sensitive Keyword:
By: JKozal/dll * Yes No * Publicly Available Sensitive NRC-002 OFFICE SRI:DRP/C RI:DRP/C SPE:DRP/C C:DRS/EB1 C:DRS/EB2 C:DRS/OB NAME JSowa BParks CYoung TFarnholtz GWerner VGaddy SIGNATURE /RA/ /RA/ /RA/ /RA/ /RA/ /RA/
DATE 8/2/2017 7/18/2017 07/27/2017 07/20/2017 7/24/2017 7/20/17 OFFICE C:DRS/PSB2 TL:IPAT BC:DRP/C NAME HGepford THipschman JKozal SIGNATURE /RA/ /RA/ /RA/
DATE 07/20/2017 7/21/2017 8/2/2017
U.S. NUCLEAR REGULATORY COMMISSION
REGION IV
Docket: 05000458 License: NPF-47 Report: 05000458/2017002 Licensee: Entergy Operations, Inc.
Facility: River Bend Station Location: 5485 U.S. Highway 61N St. Francisville, LA 70775 Dates: April 1 through June 30, 2017 Inspectors: J. Sowa, Senior Resident Inspector B. Parks, Resident Inspector S. Graves, Senior Reactor Inspector S. Hedger, Emergency Preparedness Inspector Approved By: J. Kozal, Chief Project Branch C Division of Reactor Projects Enclosure
SUMMARY
IR 05000458/2017002; 04/01/2017 - 06/30/2017; River Bend Station; Problem Identification &
Resolution; Follow-up of Events and Notices of Enforcement Discretion The inspection activities described in this report were performed between April 1 and June 30, 2017, by the resident inspectors at River Bend Station and inspectors from the NRCs Region IV office. Two findings of very low safety significance (Green) are documented in this report. Both of these findings involved violations of NRC requirements. The significance of inspection findings is indicated by their color (i.e., Green, greater than Green, White, Yellow, or Red), determined using NRC Inspection Manual Chapter 0609, Significance Determination Process, dated April 29, 2015. Their cross-cutting aspects are determined using NRC Inspection Manual Chapter 0310, Aspects within the Cross-Cutting Areas, dated December 4, 2014. Violations of NRC requirements are dispositioned in accordance with the NRC Enforcement Policy. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, dated July 2016.
Cornerstone: Mitigating Systems
- Green.
The inspectors reviewed a self-revealing, non-cited violation of 10 CFR Part 50,
Appendix B, Criterion III, Design Control, for the licensees failure to correctly translate the design basis into plant specifications. Specifically, the licensee implemented a breaker design in the control building air conditioning system that allowed a single failure of one train of the system to render the other train inoperable, contrary to the design basis. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-01740. The licensee restored compliance by implementing modifications to the affected breakers designed to eliminate the single failure vulnerability.
The failure to correctly translate the design basis into plant specifications was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it was associated with the design control attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the licensees failure to implement an appropriate design in the main control room and standby switchgear room air conditioning subsystems adversely affected the availability, reliability, and capability of safety-related components that rely on those subsystems for cooling. The inspectors performed the initial significance determination using NRC Inspection Manual Chapter 0609, Appendix A, Exhibit 2,
Mitigating Systems Screening Questions. The finding required a detailed risk evaluation because it involved a loss of system and/or function. A Region IV senior reactor analyst performed a detailed risk evaluation for the issue and determined the issue to be of very low safety significance (Green). No cross-cutting aspect was assigned because the finding did not reflect current performance. (Section 4OA3.3)
Cornerstone: Barrier Integrity
- Green.
The inspectors reviewed multiple examples of a self-revealing, non-cited violation of Technical Specification 3.0.4, Limiting Condition for Operation Applicability, for the licensees failure to restore safety-related equipment to operable status prior to changing modes. Specifically, the licensee failed to restore Division I of the Control Room Fresh Air system to operable status prior to entering Mode 2 on March 8, 2017, and again on March 11, 2017. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-03082. The licensee restored compliance by properly positioning damper HVC-DMP4A and restoring the Division I Control Room Fresh Air system to operable.
The failure to restore Division I of the Control Room Fresh Air system to operable status prior to entering Mode 2 was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it affected the structures, systems, and components (SSC) and barrier performance attribute of the Barrier Integrity Cornerstone and adversely affected the cornerstone objective to provide reasonable assurance that physical design barriers (fuel cladding, reactor coolant system, and containment) protect the public from radionuclide releases caused by accidents or events. Specifically, the incorrect positioning of damper HVC-DMP4A resulted in inadequate air flow through Division I of the Control Room Fresh Air system and rendered it inoperable. The inspectors screened the finding in accordance with NRC Inspection Manual Chapter 0609, Significance Determination Process. Using NRC Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-Power, Exhibit 3 - Barrier Integrity Screening Questions, the inspectors determined that the finding was of very low safety significance (Green) because it only represented a degradation of the radiological barrier function provided for the control room. This finding had a cross-cutting aspect in the area of human performance, challenge the unknown, because individuals did not stop when faced with uncertain conditions. Specifically, workers positioned damper HVC-DMP4A without work instructions or specified torque values [H.11]. (Section 4OA2.3)
PLANT STATUS
River Bend Station began the inspection period at 100 percent reactor thermal power.
On April 29, 2017, operators reduced power to 65 percent for suppression testing to find and suppress a suspected fuel leak. The station returned to 100 percent power on May 5, 2017.
On June 8, 2017, operators reduced power to 85 percent to conduct troubleshooting on the C feedwater regulating valve. The station returned to 100 percent power on June 10, 2017.
On June 23, 2017, an automatic reactor scram occurred due to equipment issues associated with the main turbine generator voltage regulator. Operators conducted a reactor startup on June 25, 2017. Operators were in the process of increasing the reactor to full power at the end of the inspection period. Reactor power was 88 percent on June 30, 2017.
REPORT DETAILS
REACTOR SAFETY
Cornerstones: Initiating Events, Mitigating Systems, and Barrier Integrity
1R01 Adverse Weather Protection
.1 Summer Readiness of Offsite and Alternate-AC Power Systems
a. Inspection Scope
On June 15, 2017, the inspectors completed an inspection of the stations offsite and alternate-ac power systems. The inspectors inspected the material condition of these systems, including transformers and other switchyard equipment to verify that plant features and procedures were appropriate for operation and continued availability of offsite and alternate-ac power systems. The inspectors reviewed outstanding work orders and open condition reports for these systems. The inspectors walked down the switchyard to observe the material condition of equipment providing offsite power sources. The inspectors assessed corrective actions for identified degraded conditions and verified that the licensee had considered the degraded conditions in its risk evaluations and had established appropriate compensatory measures. The inspectors verified that the licensees procedures included appropriate measures to monitor and maintain availability and reliability of the offsite and alternate-ac power systems.
These activities constitute one sample of summer readiness of offsite and alternate-ac power systems, as defined in Inspection Procedure 71111.01.
b. Findings
No findings were identified.
.2 Readiness for Impending Adverse Weather Conditions
a. Inspection Scope
On May 3, 2017, the inspectors completed an inspection of the stations readiness for impending adverse weather conditions. The inspectors reviewed plant design features, the licensees procedures to respond to tornadoes and high winds, and the licensees planned implementation of these procedures. The inspectors evaluated operator staffing and accessibility of controls and indications for those systems required to control the plant.
These activities constitute one sample of readiness for impending adverse weather conditions, as defined in Inspection Procedure 71111.01.
b. Findings
No findings were identified.
1R04 Equipment Alignment
Partial Walkdown
a. Inspection Scope
The inspectors performed partial system walkdowns of the following risk-significant systems:
- April 3, 2017, reactor core isolation cooling system
- April 18, 2017, Division I standby service water system
- April 20, 2017, Division I residual heat removal system The inspectors reviewed the licensees procedures and system design information to determine the correct lineup for the systems. They visually verified that critical portions of the systems were correctly aligned for the existing plant configuration.
These activities constitute three partial system walkdown samples, as defined in Inspection Procedure 71111.04.
b. Findings
No findings were identified.
1R05 Fire Protection
.1 Quarterly Inspection
a. Inspection Scope
The inspectors evaluated the licensees fire protection program for operational status and material condition. The inspectors focused their inspection on four plant areas important to safety:
- April 3, 2017, reactor core isolation cooling pump room, fire area AB-4/Z-1 and Z-2
- April 20, 2017, standby cooling tower pump A room, fire area PH-1/Z-1
- April 20, 2017, low pressure core spray pump room, fire area AB-6/Z-1
- April 20, 2017, standby liquid control area, fire area RC-4/Z-4 For each area, the inspectors evaluated the fire plan against defined hazards and defense-in-depth features in the licensees fire protection program. The inspectors evaluated control of transient combustibles and ignition sources, fire detection and suppression systems, manual firefighting equipment and capability, passive fire protection features, and compensatory measures for degraded conditions.
These activities constitute four quarterly inspection samples, as defined in Inspection Procedure 71111.05.
b. Findings
No findings were identified.
.2 Annual Inspection
a. Inspection Scope
This evaluation included observation of an announced fire drill for training on May 19, 2017.
During this drill, the inspectors evaluated the capability of the fire brigade members, the leadership ability of the brigade leader, the brigades use of turnout gear and fire-fighting equipment, and the effectiveness of the fire brigades team operation. The inspectors also reviewed whether the licensees fire brigade met NRC requirements for training, dedicated size and membership, and equipment.
These activities constitute one annual inspection sample, as defined in Inspection Procedure 71111.05.
b. Findings
No findings were identified.
1R11 Licensed Operator Requalification Program and Licensed Operator Performance
.1 Review of Licensed Operator Requalification
a. Inspection Scope
On May 2, 2017, the inspectors observed an evaluated simulator scenario performed by an operating crew. The inspectors assessed the performance of the operators and the evaluators critique of their performance. The inspectors also assessed the modeling and performance of the simulator during the scenario.
These activities constitute completion of one quarterly licensed operator requalification program sample, as defined in Inspection Procedure 71111.11.
b. Findings
No findings were identified.
.2 Review of Licensed Operator Performance
a. Inspection Scope
On April 30, 2017, the inspectors observed the performance of on-shift licensed operators in the plants main control room. At the time of the observations, the plant was in a period of heightened activity due to performance of power suppression testing.
In addition, the inspectors assessed the operators adherence to plant procedures, including the conduct of operations procedure, and other operations department policies.
These activities constitute completion of one quarterly licensed operator performance sample, as defined in Inspection Procedure 71111.11.
b. Findings
No findings were identified.
1R12 Maintenance Effectiveness
Routine Maintenance Effectiveness
a. Inspection Scope
The inspectors reviewed two instances of a degraded performance or condition of safety-significant structures, systems, and components (SSCs):
- April 6, 2017, Division I control building chilled water system, functional failure review
- June 22, 2017, reactor core isolation cooling system, functional failure review The inspectors reviewed the extent of condition of possible common cause SSC failures and evaluated the adequacy of the licensees corrective actions. The inspectors reviewed the licensees work practices to evaluate whether these may have played a role in the degradation of the SSCs. The inspectors assessed the licensees characterization of the degradation in accordance with 10 CFR 50.65 (the Maintenance Rule), and verified that the licensee was appropriately tracking degraded performance and conditions in accordance with the Maintenance Rule.
These activities constitute completion of two maintenance effectiveness samples, as defined in Inspection Procedure 71111.12.
b. Findings
No findings were identified.
1R13 Maintenance Risk Assessments and Emergent Work Control
a. Inspection Scope
The inspectors reviewed five risk assessments performed by the licensee prior to changes in plant configuration and the risk management actions taken by the licensee in response to elevated risk:
- April 6, 2017, yellow risk condition during Division I residual heat removal surveillance testing concurrent with emergent work on Division I control room fresh air system
- April 20, 2017, yellow risk condition during planned maintenance on normal service water pump SWP-P7C
- May 1, 2017, green risk condition during Division I emergency diesel generator maintenance outage
- May 16, 2017, yellow risk condition during signature testing of E12-MOVF068B, service water supply isolation to residual heat removal heat exchanger B
- May 25, 2017, yellow risk condition during transmission and distribution system maintenance at Fancy Point switchyard The inspectors verified that these risk assessments were performed timely and in accordance with the requirements of 10 CFR 50.65 (the Maintenance Rule) and plant procedures. The inspectors reviewed the accuracy and completeness of the licensees risk assessments and verified that the licensee implemented appropriate risk management actions based on the results of the assessments.
The inspectors verified that the licensee appropriately developed and followed a work plan for these activities. The inspectors verified that the licensee took precautions to minimize the impact of the work activities on unaffected SSCs.
These activities constitute completion of five maintenance risk assessments and emergent work control inspection samples, as defined in Inspection Procedure 71111.13.
b. Findings
No findings were identified.
1R15 Operability Determinations and Functionality Assessments
a. Inspection Scope
The inspectors reviewed four operability determinations that the licensee performed for degraded or nonconforming SSCs:
- April 3, 2017, operability determination of high pressure core spray test return valve to the suppression pool anti-rotation device misalignment (CR-RBS-2017-02790)
- May 1, 2017, operability determination of Division I emergency diesel generator air start valve test failures (CR-RBS-2017-03640)
- May 23, 2017, operability determination of incorrect lubricating oil added to Division III emergency diesel generator (CR-RBS-2017-04128)
- May 31, 2017, operability determination of reactor core isolation cooling with gland seal compressor non-functional (CR-RBS-2017-02465)
The inspectors reviewed the timeliness and technical adequacy of the licensees evaluations. Where the licensee determined the degraded SSC to be operable, the inspectors verified that the licensees compensatory measures were appropriate to provide reasonable assurance of operability. The inspectors verified that the licensee had considered the effect of other degraded conditions on the operability of the degraded SSC.
These activities constitute completion of four operability and functionality review samples, as defined in Inspection Procedure 71111.15.
b. Findings
No findings were identified.
1R18 Plant Modifications
a. Inspection Scope
On April 26, 2017, the inspectors reviewed a permanent plant modification of the fire protection system to install plant connections to allow for connection of alternate backup pumps.
The inspectors reviewed the design and implementation of the modification. The inspectors verified that work activities involved in implementing the modification did not adversely impact operator actions that may be required in response to an emergency or other unplanned event. The inspectors verified that post-modification testing was adequate to establish the operability of the SSC as modified.
These activities constitute completion of one permanent plant modification inspection sample, as defined in Inspection Procedure 71111.18.
b. Findings
No findings were identified.
1R19 Post-Maintenance Testing
a. Inspection Scope
The inspectors reviewed six post-maintenance testing activities that affected risk-significant SSCs:
- April 5, 2017, work order (WO) 00470284-02, Standby Liquid Control Pump 1A Post Maintenance Test, following replacement of standby liquid control pump 1A discharge header relief valve C41-RVF029A
- April 24, 2017, WO 52330677, MSIV Cold Shutdown Full Stroke Operability Test, following replacement of B21-AOVF022B inboard main steam isolation valve actuator
- May 11, 2017, WO 00443688, Division I Diesel Generator 184 Operability Test, following maintenance outage on Division I emergency diesel generator
- May 30, 2017, WO 52619978, TSP-0010: RCIC Over Speed Trip Test, following maintenance on reactor core isolation cooling trip throttle valve
- June 1, 2017, WO 00476235, Retest of Control Building Chilled Water Pump HVK-P1A, following replacement of HVK-P1A motor
- June 15, 2017, WO 00448738, Retest of Division II Emergency Diesel Generator, following replacement of solenoid operated valves EGS-SOV20B and EGS-SOV21B The inspectors reviewed licensing- and design-basis documents for the SSCs and the maintenance and post-maintenance test procedures. The inspectors observed the performance of the post-maintenance tests to verify that the licensee performed the tests in accordance with approved procedures, satisfied the established acceptance criteria, and restored the operability of the affected SSCs.
These activities constitute completion of six post-maintenance testing inspection samples, as defined in Inspection Procedure 71111.19.
b. Findings
No findings were identified.
1R22 Surveillance Testing
a. Inspection Scope
The inspectors observed three risk-significant surveillance tests and reviewed test results to verify that these tests adequately demonstrated that the SSCs were capable of performing their safety functions:
In-service tests:
- May 31, 2017, STP-209-6310, RCIC Quarterly Pump and Valve Operability Test, performed on March 12, 2017 Other surveillance tests:
- May 19, 2017, STP-309-0612, Division II Diesel Generator 24 Hour Run, performed on May 18, 2017
- June 27, 2017, STP-209-6800, RCIC Cold Shutdown Valve Operability Test, performed on February 27, 2017 The inspectors verified that these tests met technical specification requirements, that the licensee performed the tests in accordance with their procedures, and that the results of the tests satisfied appropriate acceptance criteria. The inspectors verified that the licensee restored the operability of the affected SSCs following testing.
These activities constitute completion of three surveillance testing inspection samples, as defined in Inspection Procedure 71111.22.
b. Findings
No findings were identified.
Cornerstone: Emergency Preparedness
1EP2 Alert and Notification System Evaluation
a. Inspection Scope
The inspector verified the adequacy of the licensees methods for testing the primary and backup alert and notification system (ANS). The inspector also reviewed the licensees program for identifying emergency planning zone locations requiring tone alert radios and for distributing the radios, and reviewed audits of distribution records. The inspector interviewed licensee personnel responsible for the maintenance of the primary and backup ANS and reviewed a sample of corrective action program reports written for ANS problems. The inspector compared the licensees ANS testing program with criteria in NUREG-0654, Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants, Revision 1; FEMA Report REP-10, Guide for the Evaluation of Alert and Notification Systems for Nuclear Power Plants; and the licensees current FEMA-approved ANS design report, River Bend Station ANS SWS Upgrade Project, FEMA REP-10 Design Report Addendum, Revision 0, dated March 1, 2013.
These activities constitute completion of one ANS evaluation sample, as defined in Inspection Procedure 71114.02.
b. Findings
No findings were identified.
1EP3 Emergency Response Organization (ERO) Staffing and Augmentation System
a. Inspection Scope
The inspector verified the licensees ERO on-shift and augmentation staffing levels were in accordance with the licensees emergency plan commitments. The inspector reviewed documentation and discussed with licensee staff the operability of primary and backup systems for augmenting the on-shift emergency response staff to verify the adequacy of the licensees methods for staffing emergency response facilities, including the licensees ability to staff pre-planned alternate facilities. The inspector also reviewed records of ERO augmentation tests and events to determine whether the licensee had maintained a capability to staff emergency response facilities within emergency plan timeliness commitments.
These activities constitute completion of one ERO staffing and augmentation testing sample, as defined in Inspection Procedure 71114.03.
b. Findings
No findings were identified.
1EP5 Maintenance of Emergency Preparedness
a. Inspection Scope
The inspector reviewed the following for the period of September 2015 to May 2017:
- After-action reports for emergency classifications and events
- After-action evaluation reports for licensee drills and exercises
- Independent audits and surveillances of the licensees emergency preparedness program
- Self-assessments of the emergency preparedness program conducted by the licensee
- Licensee evaluations of changes made to the emergency plan and emergency plan implementing procedures
- Drill and exercise performance issues entered into the licensees corrective action program
- Emergency preparedness program issues entered into the licensees corrective action program
- Maintenance records for equipment supporting the emergency preparedness program
- Emergency response organization and emergency planner training records The inspector reviewed summaries of 115 corrective action program reports associated with emergency preparedness and selected 20 to review against program requirements to determine the licensees ability to identify, evaluate, and correct problems in accordance with planning standard 10 CFR 50.47(b)(14) and 10 CFR Part 50, Appendix E, IV.F. The inspector verified that the licensee accurately and appropriately identified and corrected emergency preparedness weaknesses during critiques and assessments.
The inspector reviewed summaries of multiple licensee screenings and two licensee evaluations of the impact of changes to the emergency plan and implementing procedures, and selected six screenings and two evaluations to review against program requirements to determine the licensees ability to identify reductions in the effectiveness of the emergency plan in accordance with the requirements of 10 CFR 50.54(q)(3) and 50.54(q)(4). The inspector verified that evaluations of proposed changes to the licensees emergency plan appropriately identified the impact of the changes prior to being implemented.
The inspector reviewed summaries of 95 records pertaining to the maintenance of equipment and facilities used to implement the emergency plan, and selected 10 to review against program requirements to determine the licensees ability to maintain equipment in accordance with the requirements of 10 CFR 50.47(b)(8) and 10 CFR Part 50, Appendix E, IV.E. The inspector verified that equipment and facilities were maintained in accordance with the commitments of the licensees emergency plan.
These activities constitute completion of one sample of the maintenance of the licensees emergency preparedness program, as defined in Inspection Procedure 71114.05.
b. Findings
No findings were identified.
1EP6 Drill Evaluation
Training Evolution Observation
a. Inspection Scope
On May 2, 2017, the inspectors observed simulator-based licensed operator requalification training that included implementation of the licensees emergency plan.
The inspectors verified that the licensees emergency classifications, offsite notifications, and protective action recommendations were appropriate and timely. The inspectors verified that any emergency preparedness weaknesses were appropriately identified by the evaluators and entered into the corrective action program for resolution.
These activities constitute completion of one training observation sample, as defined in Inspection Procedure 71114.06.
b. Findings
No findings were identified.
OTHER ACTIVITIES
Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, Emergency Preparedness, Public Radiation Safety, Occupational Radiation Safety, and Security
4OA1 Performance Indicator Verification
.1 Safety System Functional Failures (MS05)
a. Inspection Scope
For the period of April 2016 through March 2017, the inspectors reviewed licensee event reports, maintenance rule evaluations, and other records that could indicate whether safety system functional failures had occurred. The inspectors used definitions and guidance contained in Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, and NUREG-1022, Event Reporting Guidelines: 10 CFR 50.72 and 50.73, Revision 3, to determine the accuracy of the data reported.
These activities constitute verification of the safety system functional failures performance indicator, as defined in Inspection Procedure 71151.
b. Findings
No findings were identified.
.2 Mitigating Systems Performance Index: Emergency AC Power Systems (MS06)
a. Inspection Scope
The inspectors reviewed the licensees mitigating system performance index data for the period of April 2016 through March 2017 to verify the accuracy and completeness of the reported data. The inspectors used definitions and guidance contained in Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data.
These activities constitute verification of the mitigating system performance index for emergency ac power systems, as defined in Inspection Procedure 71151.
b. Findings
No findings were identified.
.3 Mitigating Systems Performance Index: High Pressure Injection Systems (MS07)
a. Inspection Scope
The inspectors reviewed the licensees mitigating system performance index data for the period of April 2016 through March 2017 to verify the accuracy and completeness of the reported data. The inspectors used definitions and guidance contained in Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data.
These activities constitute verification of the mitigating system performance index for high pressure injection systems, as defined in Inspection Procedure 71151.
b. Findings
No findings were identified.
.4 Drill/Exercise Performance (EP01)
a. Inspection Scope
The inspectors reviewed the licensees evaluated exercises, and selected drill and training evolutions that occurred between July 2016 and March 2017 to verify the accuracy of the licensees data for classification, notification, and protective action recommendation opportunities. The inspectors reviewed a sample of the licensees completed classifications, notifications, and protective action recommendations to verify their timeliness and accuracy. The inspectors used Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. The specific documents reviewed are described in the attachment to this report.
These activities constitute verification of the drill/exercise performance indicator, as defined in Inspection Procedure 71151.
b. Findings
No findings were identified.
.5 Emergency Response Organization Drill Participation (EP02)
a. Inspection Scope
The inspectors reviewed the licensees records for participation in drill and training evolutions between July 2016 and March 2017 to verify the accuracy of the licensees data for drill participation opportunities. The inspectors verified that all members of the licensees Emergency Response Organization (ERO) in the identified key positions had been counted in the reported performance indicator data. The inspectors reviewed the licensees basis for reporting the percentage of ERO members who participated in a drill.
The inspectors reviewed drill attendance records and verified a sample of those reported as participating. The inspectors used Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. The specific documents reviewed are described in the attachment to this report.
These activities constitute verification of the ERO drill participation performance indicator, as defined in Inspection Procedure 71151.
b. Findings
No findings were identified.
.6 Alert and Notification System Reliability (EP03)
a. Inspection Scope
The inspectors reviewed the licensees records of ANS tests conducted between July 2016 and March 2017 to verify the accuracy of the licensees data for siren system testing opportunities. The inspectors reviewed procedural guidance on assessing ANS opportunities and the results of periodic ANS operability tests. The inspectors used Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 7, to determine the accuracy of the reported data. The specific documents reviewed are described in the attachment to this report.
These activities constitute verification of the ANS reliability performance indicator, as defined in Inspection Procedure 71151.
b. Findings
No findings were identified.
4OA2 Problem Identification and Resolution
.1 Routine Review
a. Inspection Scope
Throughout the inspection period, the inspectors performed daily reviews of items entered into the licensees corrective action program and periodically attended the licensees condition report screening meetings. The inspectors verified that licensee personnel were identifying problems at an appropriate threshold and entering these problems into the corrective action program for resolution. The inspectors verified that the licensee developed and implemented corrective actions commensurate with the significance of the problems identified. The inspectors also reviewed the licensees problem identification and resolution activities during the performance of the other inspection activities documented in this report.
b. Findings
No findings were identified.
.2 Semiannual Trend Review
a. Inspection Scope
The inspectors reviewed the licensees corrective action program, performance indicators, system health reports, causal analyses, and other documentation to identify trends that might indicate the existence of a more significant safety issue. The inspectors verified that the licensee was taking corrective actions to address identified adverse trends.
These activities constitute completion of one semiannual trend review sample, as defined in Inspection Procedure 71152.
b. Observations and Assessments The inspectors identified an adverse trend in the area of oversight of contractor maintenance. After observing an increased number of contractor maintenance issues in the most recent refueling outage (RFO19), the inspectors performed a condition report search for the term contractor for the period from January 1, 2017, to June 30, 2017, which included RFO19. The search yielded 35 condition reports, six of which involved a failure on the part of contractors to follow site work procedures. The inspectors performed the same search over the period from January 1, 2015, to June 30, 2015, which included the previous refueling outage (RFO18). The search yielded 24 condition reports, two of which involved a failure on the part of contractors to follow site work procedures. In addition to the increase in condition reports, three additional contractor-related work control failures from the most recent outage provide evidence for the adverse trend:
- March 7, 2017: A valve in the Division I penetration valve leakage control system was removed and replaced. A step in the restoration procedure required contractor personnel to inform the control room when the valve was reinstalled so that it could be positioned in accordance with the system lineup. Contractor personnel failed to perform this step, and the valve was never restored to its appropriate position. During subsequent surveillance testing of the system, the Division I penetration valve leakage control system compressor tripped on high temperature due to the valve being in the wrong position.
- March 10, 2017: Improper installation of a tee compression fitting associated with the new turbine digital electrohydraulic control system modification caused a steam leak that ultimately led to a reactor scram during startup. After identifying the leak, contractor personnel involved in the installation tightened down on the compression fitting, likely making the leak worse. They took this action without informing the control room or obtaining the required permission.
- March 13, 2017: Contractor personnel incorrectly landed leads for the control room indicators for main steam line B and C flow. The condition was discovered at power when these indicators were observed to be downscale.
c. Findings
No findings were identified.
.3 Annual Follow-up of Selected Issues
a. Inspection Scope
The inspectors selected two issues for an in-depth follow-up:
- On April 6, 2017, the station conducted surveillance testing of the Division I Control Room Fresh Air (CRFA) system. The test found that measured flow was lower than the acceptance criteria. The station conducted a Failure Modes and Effects Analysis and determined manual volume damper HVC-DMP4A was not in the correct position. Station personnel found the damper in a nearly closed position, which caused low air flow through the CRFA system and resulted in failed surveillance tests. The inspectors reviewed the Adverse Condition Analysis (ACA) for the event. The ACA concluded that damper HVC-DMP4A was out of position because previous maintenance on the damper did not use proper work instructions and also did not include vendor specified torque values. The licensee repositioned damper HVC-DMP4A and successfully conducted surveillance testing. During the period of time when HVC-DMP4A was closed, Division I CRFA system was inoperable. With the Division I CRFA system inoperable, the plant conducted a plant startup on March 8, 2017, and again on March 11, 2017. Changing reactor modes during a plant startup with the Division I CRFA system inoperable is a condition prohibited by technical specifications.
The inspectors assessed the licensees completed corrective actions. The inspectors verified that the licensee appropriately prioritized the planned corrective actions and that these actions were adequate to correct the condition.
- During an in-office inspection from April 24, 2017, through May 3, 2017, the inspector reviewed the cyber security-related finding documented in Inspection Report 05000458/2015405, Inspection of Implementation of Interim Cyber Security Milestones 1-7, for in-depth follow-up review. The inspector reviewed a sample of updated program documents and procedures, updated critical digital asset listings, training documents, and corrective action documents.
The inspector assessed the licensees completed corrective actions. The inspector verified that the licensee appropriately prioritized the corrective actions and that these actions were adequate to correct the conditions.
These activities constitute completion of two annual follow-up samples, as defined in Inspection Procedure 71152.
b. Findings
Introduction.
The inspectors reviewed multiple examples of a self-revealing, Green, non-cited violation of Technical Specification 3.0.4, Limiting Condition for Operation Applicability, for the licensees failure to restore safety-related equipment to operable status prior to changing modes. Specifically, the licensee failed to restore Division I of the CRFA system to operable status prior to entering Mode 2 on March 8, 2017, and again on March 11, 2017.
Description.
On April 5, 2017, the station performed Procedure STP-740-3002, Control Building Envelope Tracer Gas Test. The test was not performed satisfactorily due to an unexpected low flow rate through the charcoal filter train. Technical Specification (TS)3.7.2 requires two CRFA subsystems to be operable in Modes 1, 2, and 3. The station declared the Division I CRFA system inoperable and appropriately entered the 7-day shutdown action statement associated with TS Limiting Condition for Operation (LCO)3.7.2 Condition A, which requires the licensee to restore the CRFA subsystem to an operable status within seven days. On April 6, 2017, the station performed Procedure STP-402-4501, Control Room Fresh Air Flow Rate Test Division I. The test found that measured flow was lower than the acceptance criteria. The station conducted a Failure Modes and Effects Analysis and determined manual volume damper HVC-DMP4A was not in the correct position. Station personnel found the damper in a nearly closed position, which caused low air flow through the CRFA system and resulted in two failed surveillance tests. The licensee repositioned damper HVC-DMP4A and successfully conducted surveillance testing.
The licensees apparent cause analysis (ACA), which was documented in Condition Report CR-RBS-2017-03082, concluded that mechanical maintenance personnel did not have adequate procedural guidance for properly positioning damper HVC-DMP4A.
Damper HVC-DMP4A was repositioned from closed to open on March 4, 2017, following troubleshooting associated with engineering modifications to control building and control room heating, ventilation, and air conditioning systems. Damper HVC-DMP4A was positioned to open without any guidance: no work order or procedure was generated or used, and torque specifications were not referenced when damper HVC-DMP4A was positioned to open. The vendor manual associated with damper HVC-DMP4A specifies a torque requirement of 29 foot-pounds.
Upon review of main control room log data, the inspectors determined that the station entered Mode 2 following a refueling outage on March 8, 2017, with the Division I CRFA system inoperable. On March 10, 2017, the station initiated a manual scram due to a steam leak in the turbine building. The plant restarted on March 11, 2017, with the Division I CRFA system inoperable.
Analysis.
The failure to restore Division I of the CRFA system to operable status prior to entering Mode 2 was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it affected the structures, systems, and components (SSC) and barrier performance attribute of the Barrier Integrity Cornerstone and adversely affected the cornerstone objective to provide reasonable assurance that physical design barriers (fuel cladding, reactor coolant system, and containment) protect the public from radionuclide releases caused by accidents or events. Specifically, the incorrect positioning of damper HVC-DMP4A resulted in inadequate air flow through Division I of the CRFA and rendered it inoperable. The inspectors screened the finding in accordance with NRC Inspection Manual Chapter 0609, Significance Determination Process. Using NRC Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process (SDP) for Findings At-Power, Exhibit 3 - Barrier Integrity Screening Questions, the inspectors determined that the finding was of very low safety significance (Green) because it only represented a degradation of the radiological barrier function provided for the control room. This finding had a cross-cutting aspect in the area of human performance, challenge the unknown, because individuals did not stop when faced with uncertain conditions. Specifically, workers positioned damper HVC-DMP4A without work instructions or specified torque values [H.11].
Enforcement.
Technical Specification 3.0.4, Limiting Condition for Operation Applicability, requires, in part, that when an LCO is not met, entry into a mode in which the LCO is applicable shall only be made when the associated actions to be entered permit continued operation in the mode for an unlimited period of time. LCO 3.7.2, which requires two CRFA subsystems to be operable, is applicable in Modes 1, 2, and 3.
Contrary to the above, on March 8, 2017, and March 11, 2017, with LCO 3.7.2 not met, the licensee entered Mode 2 when the associated actions to be entered did not permit continued operation in Mode 2 for an unlimited period of time. Specifically, one CRFA subsystem was inoperable, and associated Actions A.1 and C.1 did not permit continued operation in Mode 2 for an unlimited period of time. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-03082. The licensee restored compliance by properly positioning damper HVC-DMP4A and restoring the Division I CRFA system to an operable status. Because this violation was of very low safety significance (Green) and was entered into the licensees corrective action program as Condition Report CR-RBS-2017-03082, it is being treated as a non-cited violation consistent with Section 2.3.2.a of the NRC Enforcement Policy:
NCV 05000458/2017002-01, Failure to Maintain Operability of the Division I Control Room Fresh Air System While Changing Reactor Modes.
4OA3 Follow-up of Events and Notices of Enforcement Discretion
.1 (Closed) Licensee Event Report (LER) 050458/2016-003-01, Operations Prohibited by
Technical Specifications Due to Reactor Control Blade Drift During Core Alterations
a. Inspection Scope
On January 19, 2016, while conducting core alterations, the main control room received an alarm indicating that a reactor control rod had drifted out of the fully inserted position.
At the time, a fuel bundle was being raised out of the core, and the control rod in the same cell drifted out one notch without a corresponding withdraw command present.
This condition actuated a corresponding alarm on the refueling platform, and system interlocks stopped the platform hoist with the partially withdrawn fuel bundle. After a detailed assessment of the situation, the fuel bundle and control rod 16-53 were returned to their original positions. The drive mechanism for the control rod was disabled, and the control rod remained fully inserted for the remainder of the fuel cycle. The event was caused by the development of a bulge in one or more wings on the affected control rod that caused sufficient friction to support the rod without the collet fingers in the drive mechanism engaged. Based on industry experience and vendor recommendations, the station replaced a total of 18 control rods of the same model and similar boron-10 depletion rates as part of an extent of condition corrective action.
Technical Specification 3.3.1.1, RPS Instrumentation, requires three channels per trip system for the intermediate range monitor function to be operable when in Mode 2 or in Mode 5 with any control rod withdrawn from a core cell containing one or more fuel assemblies. When control rod 16-53 drifted out one notch, all rods were not fully inserted, and three channels per trip system for the intermediate range monitor function were not operable since required surveillance testing had not occurred to verify operability. The failure to perform surveillance testing of intermediate range monitors prior to withdrawing a control rod in Mode 5 was a performance deficiency. The performance deficiency was of minor safety significance because the one step withdrawal of control rod 16-53 did not adversely affect the Barrier Integrity Cornerstone objective of providing reasonable assurance that physical design barriers protect the public from radionuclide releases caused by accidents or events. Specifically, River Bend Station Technical Specifications require that adequate shutdown margin exist at all times. One of the base assumptions in the shutdown margin calculation is that the control rod with the highest reactivity is fully withdrawn. The one step withdrawal of control rod 16-53 was bounded by this assumption and did not adversely affect the assumptions of the shutdown margin calculation. The licensee restored compliance by returning the control rod to the fully inserted position. This failure to comply with Technical Specification 3.3.1.1 constitutes a minor violation that is not subject to enforcement action in accordance with the NRC Enforcement Policy.
LER 05000458/2016-003-01 is closed.
b. Findings
No findings were identified.
.2 (Closed) LER 05000458/2017-001-00, Operations Prohibited by Technical
Specifications (Conduct of Operations with a Potential to Drain the Reactor Vessel with Primary Containment Open)
a. Inspection Scope
During a refueling outage that commenced on January 28, 2017, there were occasions during which maintenance was performed without taking the required actions to comply with the applicable technical specifications. Specifically, operations with a potential to drain the reactor vessel were conducted without establishing primary containment integrity, and the provisions of NRC Enforcement Guidance Memorandum 11-003, Revision 3, were invoked instead. Provisions included maintaining refueling cavity water level greater than 23 feet above the reactor pressure vessel flange, maintaining high pressure core spray system available for inventory makeup, minimizing the size of the allowable drainage path to maintain time-to-draindown at greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, and establishing two independent means of monitoring reactor cavity water level.
All activities were completed with no transients in reactor cavity water level. On December 20, 2016, the NRC approved a generic technical specification amendment that can be used by licensees to reconcile the condition. The enforcement guidance memorandum requires applicable licensees to submit a request for the amendment by December 20, 2017. River Bend Station is preparing a license amendment request to incorporate this technical specification change. LER 05000458/2017-001-00 is closed.
b. Findings
No findings were identified.
.3 (Closed) LER 05000458/2017-002-01, Loss of Safety Function of Onsite Electrical
Distribution Due to Malfunction of Control Building HVAC System
a. Inspection Scope
On February 18, 2017, with a refueling outage in progress, operators attempted to swap the running division of the main control building ventilation system from Division II to Division I. After the swap, operators noted that air flow in the control room was abnormally low. Approximately 4 minutes later, the Division I C chiller tripped.
Operators attempted to restore a Division II chiller to service but were unsuccessful.
The station therefore entered the abnormal operating procedure for loss of control building ventilation and declared electrical distribution systems in the control building inoperable due to loss of ventilation.
The licensee subsequently discovered that the damper for the Division II control room air handling unit had failed to properly shut during the evolution. As a consequence, the running Division I control room air handling unit recirculated air back through the discharge line of the Division II control room air handling unit, causing the observed reduction in ventilation flow to the control room as well as the trip of the Division I C chiller. The licensee was able to close the damper and restore ventilation flow to the control room by removing the dampers control power fuse.
The inspectors reviewed the LER and determined that the report adequately summarized the event. LER 05000458/2017-002-01 is closed.
b. Findings
Introduction.
The inspectors reviewed a self-revealing, Green, non-cited violation of 10 CFR Part 50, Appendix B, Criterion III, Design Control, for the licensees failure to correctly translate the design basis into plant specifications. Specifically, the licensee implemented a breaker design in the control building air conditioning system that allowed a single failure of one train of the system to render the other train inoperable, contrary to the design basis. The licensee entered this condition into their corrective action program as Condition Report CR-RBS-2017-01740.
Description.
The control building ventilation system at River Bend Station contains a main control room air conditioning subsystem that cools the control room and a standby switchgear room air conditioning subsystem that cools vital equipment rooms in the control building. By design, each of these subsystems is required to be capable of providing air conditioning to its associated spaces under emergency conditions on the assumption of a single failure of any one active component. The station satisfies this design requirement through the use of divisional separation. Each subsystem contains two redundant divisions of equipment, both of which are independently capable of providing air conditioning under accident scenarios.
The main control room air conditioning subsystem contains two air handling units, HVC-ACU1A and HVC-ACU1B, powered by the Division I and Division II safety-related electrical busses, respectively. Similarly, the standby switchgear room air conditioning subsystem contains two air handling units, HVC-ACU2A and HVC-ACU2B, also powered by the Division I and Division II safety-related electrical busses, respectively. The air handling units work by drawing in air from the spaces and blowing it across coils (which are cooled by refrigerant units powered by the same division) back into the spaces. To prevent recirculation backflow from the running air handling unit through the ventilation ducting of the idle unit, each air handling unit has an inlet and an outlet damper that is designed to close whenever the circuit breaker for that air handling unit is open.
In April of 2007, the licensee changed out the circuit breakers for control room air handling units HVC-ACU1A, HVC-ACU1B, HVC-ACU2A, and HVC-ACU2B, switching from a General Electric (GE) type AKR model to a Nuclear Logistics Incorporated (NLI)
Masterpact model. To fit the smaller Masterpact circuit breakers into the spaces of the larger GE AKR breakers, the licensee procured and installed cradle assemblies with mechanism operated contact (MOC) linkages. These linkages mechanically translated the position of the air handling unit breakers into the positions of contacts that controlled the inlet and outlet dampers.
In February of 2017, with the plant shut down in a refueling outage, the licensee attempted to swap the control building ventilation system from Division II to Division I. In the swap, air handling unit HVC-ACU1B, which had been in service, was secured, and air handling unit HVC-ACU1A automatically started, consistent with system design. After a few minutes, control room operators noticed a lack of normal air flow in the space.
Shortly thereafter, the running Division I refrigerant unit HVK-CHL1C and the running control room air handling unit HVC-ACU1A both tripped, causing a loss of air conditioning to the control room and the entire control building. After an initial unsuccessful attempt to restart HVK-CHL1C and HVC-ACU1A, the licensee successfully swapped back to Division II.
During initial troubleshooting, the licensee noticed that even though HVC-ACU1B had been secured, control room indication showed it as running. The licensee subsequently determined that this was because an improperly sized screw in the MOC linkage for the associated breaker had fallen out during the swap, causing the breaker control logic to incorrectly signal that the breaker was closed and that the unit was running. With the breaker appearing closed to the breaker control logic, the dampers for the air handling unit stayed open. Consequently, air flow from the running air handling unit HVC-ACU1A recirculated through HVC-ACU1B, depriving flow to the control room and ultimately causing the running refrigerant unit, HVK-CHL1C, to trip on a lack of sufficient heat loading.
Upon investigation, the licensee discovered that a similar failure of an MOC linkage in a Masterpact breaker had occurred at the plant in 2012, during surveillance testing on the standby gas treatment system. That event demonstrated that the failure mechanism was credible and capable of occurring during breaker operations. The licensees extent of condition review did not include a review of the potential impacts that the vulnerability might have on other Masterpact breakers in the plant; therefore, the vulnerability in the air handling units did not get assessed or corrected.
The event revealed that, under the existing design of both the main control room air conditioning subsystem and the standby switchgear room air conditioning subsystem, a single failure in a component of a breaker for the air handling unit of one division in the subsystem had the potential to cause a complete loss of both divisions of the subsystem, contrary to the design basis. The licensee corrected the condition by implementing a modification to the air handling units on both subsystems designed to ensure that the dampers for the air handling units would not remain open on any single active failure of a component.
Analysis.
The failure to correctly translate the design basis into plant specifications was a performance deficiency. The performance deficiency was more than minor, and therefore a finding, because it was associated with the design control attribute of the Mitigating Systems Cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the licensees failure to implement an appropriate design in the main control room and standby switchgear room air conditioning subsystems adversely affected the availability, reliability, and capability of safety-related components that rely on those subsystems for cooling. The inspectors performed the initial significance determination using NRC Inspection Manual Chapter 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions. The finding required a detailed risk evaluation because it involved a loss of system and/or function. A Region IV senior reactor analyst performed a detailed risk evaluation for the issue.
The analyst assumed that the deficiency would have caused a loss of both air handling units HVC-ACU1A and HVC-ACU1B during any demand over the past year. The basic events were treated as failures with the potential for common cause failures on air handling units HVC-ACU2A and HVC-ACU2B. The analyst ran River Bend SPAR model, Version 8.50, on SAPHIRE, Version 8.1.5, to obtain an estimate of the increase in core damage frequency of 8.5E-8 per year due to the loss of air conditioning in the control building. Dominant initiators were transient and loss of offsite power events which were mitigated by manual actions to open doors on a loss of air conditioning to the control building. The impact of the loss of control room cooling was estimated to result in an increase in core damage frequency of less than 3.2E-7 per year, based on data obtained from NRC Inspection Report 05000458/2016008. This estimate included the effects of external events. Large early release frequency was reviewed and determined not to be a significant risk contributor. The total increase in core damage frequency of the performance deficiency was less than 4.1E-7 per year, making the issue of very low safety significance (Green). No cross-cutting aspect was assigned because the finding did not reflect current performance.
Enforcement.
Title 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires, in part, that measures shall be established to assure that the design basis for those structures, systems, and components to which Appendix B applies is correctly translated into specifications, drawings, procedures, and instructions. Contrary to the above, from April 4, 2007, through February 18, 2017, the licensee failed to assure that the design basis was correctly translated into specifications for the main control room and standby switchgear room air conditioning subsystems. Specifically, the licensee implemented a breaker design containing specifications that allowed a single failure of an active component in the breaker for one division in a subsystem to render both divisions of that subsystem inoperable, contrary to design basis requirements associated with single component failures. The licensee restored compliance by implementing modifications to the affected breakers designed to eliminate the single failure vulnerability. Because this violation was of very low safety significance (Green) and was entered into the licensees corrective action program as Condition Report CR-RBS-2017-01740, it is being treated as a non-cited violation consistent with Section 2.3.2.a of the NRC Enforcement Policy:
NCV 05000458/2017002-02, Single Component Failure Leads to Loss of Both Divisions of Control Building Air Conditioning.
.4 (Closed) LER 05000458/2017-005-00, Operations Prohibited by Technical
Specifications Due to Inoperable Main Control Room Filter Train
a. Inspection Scope
On April 6, 2017, the station conducted surveillance test STP-402-4501, Control Room Fresh Air Flow Rate Test Division I. The test found that measured flow was lower than the acceptance criteria. The station conducted a Failure Modes and Effects Analysis and determined manual volume damper HVC-DMP4A was not in the correct position.
Station personnel found the damper in a nearly closed position which caused low air flow through the Control Room Fresh Air (CRFA) system and resulted in failed surveillance tests. The licensee repositioned damper HVC-DMP4A and successfully conducted surveillance testing. During the period of time when HVC-DMP4A was closed, Division I CRFA system was inoperable. With Division I CRFA system inoperable, the plant conducted a plant startup on March 8, 2017, and again on March 11, 2017. Changing reactor modes during a plant startup with Division I CRFA system inoperable is a condition prohibited by technical specifications. LER 05000458/2017-005-00 is closed.
b. Findings
The finding associated with this LER is discussed in Section 4OA2.3 of this report.
These activities constitute completion of four event follow-up samples, as defined in Inspection Procedure 71153.
4OA6 Meetings, Including Exit
Exit Meeting Summary
On May 3, 2017, the inspector presented the cyber security inspection results to Mr. W. Maguire, Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The inspectors did not review any proprietary information.
On May 26, 2017, the inspector presented the results of the onsite inspection of the licensees ANS, ERO staffing and augmentation, and performance indicator verification pertaining to emergency preparedness to Mr. M. Chase, Director, Regulatory and Performance Improvement, and other members of the licensee staff. The licensee acknowledged the issues presented.
The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed.
On June 22, 2017, the inspector presented the results of the onsite inspection of the licensees emergency preparedness maintenance to Mr. W. Maguire, Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed.
On July 13, 2017, the inspectors presented the integrated inspection results to Mr. W. Maguire, Site Vice President, and other members of the licensee staff. The licensee acknowledged the issues presented. The licensee confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed.
SUPPLEMENTAL INFORMATION
KEY POINTS OF CONTACT
Licensee Personnel
- D. Burnett, Director, Emergency Planning, Entergy South
- M. Chase, Director, Regulatory & Performance Improvement
- B. Cole, Corporate Radiation Protection
- R. Conner, Manager, Nuclear Oversight
- R. Cook, Manager, Security
- K. Crissman, Senior Manager, Production
- D. Durocher, Supervisor, Code Program
- D. Fletcher, Manager, Supply Chain
- B. Ford, Senior Manager, Fleet Regulatory Assurance
- J. Henderson, Manager, Systems & Components Engineering
- R. Hite, Supervisor, Radiation Protection
- K. Huffstatler, Senior Licensing Specialist, Regulatory Assurance
- J. Hurst, Manager, Emergency Preparedness
- C. King, Superintendent, Maintenance Support
- R. Leasure, Superintendent, Radiation Protection
- P. Lucky, Manager, Performance Improvement
- W. Maguire, Site Vice President
- J. OConnor, Senior Manager, Maintenance
- S. Peterkin, Manager, Radiation Protection
- J. Reynolds, Manager, Operations
- W. Runion, Senior Manager, Site Projects and Maintenance Services
- D. Sandlin, Manager, Design & Program Engineering
- T. Schenk, Manager, Regulatory Assurance
- K. Stupak, Manager, Training
- S. Vazquez, Director, Engineering
- T. Venable, Assistant Manager, Operations
- S. Vercelli, General Manager, Plant Operations
- J. Vukovics, Supervisor, Reactor Engineering
- J. Wilson, Manager, Chemistry
LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED
Opened and Closed
Failure to Maintain Operability of the Division I Control Room
- 05000458/2017002-01 NCV Fresh Air System While Changing Reactor Modes (Section 4OA2.3)
Single Component Failure Leads to Loss of Both Divisions of
- 05000458/2017002-02 NCV Control Building Air Conditioning (Section 4OA3.3)
Closed
Operations Prohibited by Technical Specifications Due to
- 05000458/2016-003-01 LER Reactor Control Blade Drift During Core Alterations (Section 4OA3.1)
Operations Prohibited by Technical Specifications (Conduct
- 05000458/2017-001-00 LER of Operations with a Potential to Drain the Reactor Vessel with Primary Containment Open) (Section 4OA3.2)
Loss of Safety Function of Onsite Electrical Distribution Due
- 05000458/2017-002-01 LER to Malfunction of Control Building HVAC System (Section 4OA3.3)
Operations Prohibited by Technical Specifications Due to
- 05000458/2017-005-00 LER Inoperable Main Control Room Filter Train (Section 4OA3.4)