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{{#Wiki_filter:0312112016 U.S. Nuclear Regulatory Commission Operations Center Event Re ort Pae 1 Part 21 (PAR) Event# 51810 Rep Org: FISHER CONTROLS INTERNATIONAL, LLC Supplier: FISHER CONTROLS INTERNATIONAL, LLC Notification Date I Time: 03/21/2016 14:02 (EDT) Event Date I Time: 01/22/2016 (CDT) Region: 3 City: MARSHALL TOWN County: State: IA NRC Notified by: LYNN SANDERS HQ Ops Officer: DONG HWA PARK Emergency Class: 10 CFR Section: Last Modification: 03/21/2016 Docket#: Agreement State: Yes License#: Notifications: SHAKUR WALKER PART21ffi0.55REACTORS 21.21(d)(3)(i) DEFECTS AND NONCOMPLIANCE PART 21 -PLUG/STEM ASSEMBLY The following is a summary of an email provided by Fisher Controls International: R2DO EMAIL "Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025-N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this equipment, the essential-to-function groove pin was erroneously provided as commercial-grade. "Fisher Information Notice: FIN 2016-03 "Fisher requests that the recipient of this Fl N review it and take appropriate action in accordance with 1 O CFR 21. If there are any technical questions* or concerns, please contact: Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Benjamin.ahrens@emerson.com" ******************************************************************************************************************************** 
{{#Wiki_filter:0312112016                     U.S. Nuclear Regulatory Commission Operations Center Event Re ort                           Pae 1 Part 21 (PAR)                                                                                       Event#         51810 Rep Org: FISHER CONTROLS INTERNATIONAL, LLC                     Notification Date I Time: 03/21/2016 14:02         (EDT)
,.. Process Management Fisher Information Notice: FIN 2016-03 18 March 2016  
Supplier: FISHER CONTROLS INTERNATIONAL, LLC                            Event Date I Time: 01/22/2016               (CDT)
Last Modification: 03/21/2016 Region:   3                                                 Docket#:
City: MARSHALLTOWN                              Agreement State:                Yes County:                                                     License#:
State:   IA NRC Notified by: LYNN SANDERS                             Notifications: SHAKUR WALKER                          R2DO HQ Ops Officer: DONG HWA PARK                                               PART21ffi0.55REACTORS                EMAIL Emergency Class:
10 CFR Section:
21.21(d)(3)(i)       DEFECTS AND NONCOMPLIANCE PART 21 - PLUG/STEM ASSEMBLY The following is a summary of an email provided by Fisher Controls International:
"Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025-N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this equ ipment, the essential-to-function groove pin was erroneously provided as commercial-grade.
"Fisher Information Notice: FIN 2016-03 "Fisher requests that the recipient of this Fl N review it and take appropriate action in accordance with 10 CFR 21 .
If there are any technical questions* or concerns, please contact:
Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Benjamin.ahrens@emerson .com"
 
          ~,..
EMERSON ~                                                              Fisher Controls International LLC Process M anagement                                                    301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641 ) 754-301 1 F (641 ) 754-2830 Fisher Information Notice: FIN 2016-03 18 March 2016


==Subject:==
==Subject:==
Groove Pin Dedication Equipment Affected by this Information Notice: Fisher Controls International LLC 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025 -N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this Equipment, the essential-to-function groove pin was erroneously provided as commercial-grade. Purpose: The purpose of this FIN is to alert the customer that, as of 22 January 2016, Fisher became aware of a situation which may affect the of the aforementioned Equipment, including its safety-related function. Fisher is informing the customer of this circumstance in accordance with Section 21.21 (b) of 10 CFR 21. Applicability: This FIN applies only to the Equipment supplied by Fisher to TVA Watts Bar via the aforementioned order. Discussion: The supplied Equipment in question features a plug tip which is connected to the plug by a simple threaded joint. A groove pin is used to prevent the plug tip from unscrewing from the plug block (please see attached Item 1for part identification). Because the threaded joint is not self-locking, the groove pin serves as a primary locking device. It is therefore considered essential-to-function and requires dedication per FMP2K27 (Control of Commercial Grade Items to be Dedicated for Use in Nuclear Safety-Related Applications). However, review of the documentation package reveals that the groove pin was not subjected to the requirements of FMP2K27; thus, the part was supplied as a commercial-grade item.
Groove Pin Dedication Equipment Affected by this Information Notice:
EMERSON_ Process Management March 21, 2016 To Whom It May Concern: Attached is Fisher Information Notice FIN 2016-03. Fisher Controls International LLC 301 South First Ave. P.O. Box 190 Marshalltown. Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 Emerson Process Management-Fisher Valves complies with the reporting requirements of 1 O CFR Part 21 Section 21.21 (b) and 1 O CFR Part 50.55 (e) by informing the U.S. Nuclear Regulatory Commission Licensees or Purchaser of deviations or failures to comply. Please review the attached Fisher Information Report. If you have questions, please contact the following: Benjamin Ahrens Manger, Quality Phone -641-754-2249 or email -Benjamin.Ahrens@Emerson.Com George Baitinger Director Quality Americas Fisher Controls International LLC Attachments (FISHER)
Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025 -
EMERSON .. P ocess Management Fisher Controls International LLC 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 Fisher has no reason to believe the groove pin supplied is defective, only that the part was not properly processed. The part in question does not pose an inherent safety risk and there are no known field issues with the affected Equipment. Action Required: Fisher will provide TVA with a properly dedicated groove pin. In addition, a Corrective Action Request (CAR 1796) has been initiated by Fisher to prevent reoccurrence of this issue. 10 CFR 21 Implications: Fisher requests that the recipient of this FIN review it and take appropriate action in accordance with 10 CFR 21. If there are any technical questions or concerns, please contact: Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Beniamin.ahrens@emerson.com t/) Nuclear Business Unit Director Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Fax: (641) 754-2854 Plug Block: ASME Code Part Plug Tip: Dedicated Part Soft SeW Dedicated Part Groove Pini Dedicated Part Stem Connection Plug Block Item 1 Part Identification Sketch Part 16A2&80X072 TVA PO 702607 \_ Plug Tip (Green) Soft Seat (Blue) Groove Pin (Orange) 0312112016 U.S. Nuclear Regulatory Commission Operations Center Event Re ort Pae 1 Part 21 (PAR) Event# 51810 Rep Org: FISHER CONTROLS INTERNATIONAL, LLC Supplier: FISHER CONTROLS INTERNATIONAL, LLC Notification Date I Time: 03/21/2016 14:02 (EDT) Event Date I Time: 01/22/2016 (CDT) Region: 3 City: MARSHALL TOWN County: State: IA NRC Notified by: LYNN SANDERS HQ Ops Officer: DONG HWA PARK Emergency Class: 10 CFR Section: Last Modification: 03/21/2016 Docket#: Agreement State: Yes License#: Notifications: SHAKUR WALKER PART21ffi0.55REACTORS 21.21(d)(3)(i) DEFECTS AND NONCOMPLIANCE PART 21 -PLUG/STEM ASSEMBLY The following is a summary of an email provided by Fisher Controls International: R2DO EMAIL "Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025-N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this equipment, the essential-to-function groove pin was erroneously provided as commercial-grade. "Fisher Information Notice: FIN 2016-03 "Fisher requests that the recipient of this Fl N review it and take appropriate action in accordance with 1 O CFR 21. If there are any technical questions* or concerns, please contact: Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Benjamin.ahrens@emerson.com" ******************************************************************************************************************************** 
N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In th is Equipment, the essential-to-function groove pin was erroneously provided as commercial-grade.
,.. Process Management Fisher Information Notice: FIN 2016-03 18 March 2016  
 
==Purpose:==
The purpose of this FIN is to alert the customer that, as of 22 January 2016 , Fisher became aware of a situation wh ich may affect the p~rformance of the aforementioned Equipment, including its safety-related function .
Fisher is informing the customer of this circumstance in accordance with Section 21 .21 (b) of 10 CFR 21 .
Applicability:
This FIN applies only to the Equipment supplied by Fisher to TVA Watts Bar via the aforementioned order.
Discussion:
The supplied Equipment in question features a plug tip which is connected to the plug by a simple threaded j oint. A groove pin is used to prevent the plug tip from unscrewing from the plug block (please see attached Item 1for part identification). Because the threaded joint is not self-locking , the groove pin serves as a primary locking device. It is therefore considered essential-to-function and requires dedication per FMP2K27 (Control of Commercial Grade Items to be Dedicated for Use in Nuclear Safety-Related Applications) . However, review of the documentation package reveals that the groove pin was not subjected to the requirements of FMP2K27 ; thus, the part was supplied as a commercial-grade item.
 
          ~
          ~
EMERSON_                                                           Fisher Controls International LLC Process Management                                                  301 South First Ave.
P.O. Box 190 Marshalltown. Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 March 21, 2016 To Whom It May Concern :
Attached is Fisher Information Notice FIN 2016-03.
Emerson Process Management- Fisher Valves complies with the reporting requirements of 1 O CFR Part 21 Section 21.21 (b) and 10 CFR Part 50.55 (e) by informing the U.S. Nuclear Regulatory Commission Licensees or Purchaser of deviations or failures to comply.
Please review the attached Fisher Information Report. If you have questions, please contact the following :
Benjamin Ahrens Manger, Quality Phone - 641-754-2249 or email - Benjamin.Ahrens@Emerson.Com George Baitinger Director Quality Americas Fisher Controls International LLC Attachments (FISHER)
 
EMERSON .                                                           Fisher Controls International LLC P ocess M anagement                                                  301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641 ) 754-2830 Fisher has no reason to believe the groove pin supplied is defective, only that the part was not properly processed. The part in question does not pose an inherent safety risk and there are no known field issues with the affected Equipment.
Action Required:
Fisher will provide TVA with a properly dedicated groove pin. In addition, a Corrective Action Request (CAR 1796) has been initiated by Fisher to prevent reoccurrence of this issue.
10 CFR 21 Implications:
Fisher requests that the recipient of this FIN review it and take appropriate action in accordance with 10 CFR 21. If there are any technical questions or concerns, please contact:
Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 30 1 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Beniamin.ahrens@emerson.com
{!J~ t/)
Nuclear Business Unit Director Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Fax: (641) 754-2854
 
Item 1 Part Identification Sketch Plug Block: ASME Code Part                                     Part 16A2&80X072 Plug Tip:   Dedicated Part                                     TVA PO 702607 Soft SeW Dedicated Part Groove Pini Dedicated Part Stem Connection
                                                                    \ _ Plug Tip (Green)
Soft Seat (Blue)
Plug Block Groove Pin (Orange)
 
0312112016                     U.S. Nuclear Regulatory Commission Operations Center Event Re ort                           Pae 1 Part 21 (PAR)                                                                                       Event#         51810 Rep Org: FISHER CONTROLS INTERNATIONAL, LLC                     Notification Date I Time: 03/21/2016 14:02         (EDT)
Supplier: FISHER CONTROLS INTERNATIONAL, LLC                            Event Date I Time: 01/22/2016               (CDT)
Last Modification: 03/21/2016 Region:   3                                                 Docket#:
City: MARSHALLTOWN                              Agreement State:                Yes County:                                                     License#:
State:   IA NRC Notified by: LYNN SANDERS                             Notifications: SHAKUR WALKER                          R2DO HQ Ops Officer: DONG HWA PARK                                               PART21ffi0.55REACTORS                EMAIL Emergency Class:
10 CFR Section:
21.21(d)(3)(i)       DEFECTS AND NONCOMPLIANCE PART 21 - PLUG/STEM ASSEMBLY The following is a summary of an email provided by Fisher Controls International:
"Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025-N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this equ ipment, the essential-to-function groove pin was erroneously provided as commercial-grade.
"Fisher Information Notice: FIN 2016-03 "Fisher requests that the recipient of this Fl N review it and take appropriate action in accordance with 10 CFR 21 .
If there are any technical questions* or concerns, please contact:
Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Benjamin.ahrens@emerson .com"
 
          ~,..
EMERSON ~                                                              Fisher Controls International LLC Process M anagement                                                    301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641 ) 754-301 1 F (641 ) 754-2830 Fisher Information Notice: FIN 2016-03 18 March 2016


==Subject:==
==Subject:==
Groove Pin Dedication Equipment Affected by this Information Notice: Fisher Controls International LLC 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025 -N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this Equipment, the essential-to-function groove pin was erroneously provided as commercial-grade. Purpose: The purpose of this FIN is to alert the customer that, as of 22 January 2016, Fisher became aware of a situation which may affect the of the aforementioned Equipment, including its safety-related function. Fisher is informing the customer of this circumstance in accordance with Section 21.21 (b) of 10 CFR 21. Applicability: This FIN applies only to the Equipment supplied by Fisher to TVA Watts Bar via the aforementioned order. Discussion: The supplied Equipment in question features a plug tip which is connected to the plug by a simple threaded joint. A groove pin is used to prevent the plug tip from unscrewing from the plug block (please see attached Item 1for part identification). Because the threaded joint is not self-locking, the groove pin serves as a primary locking device. It is therefore considered essential-to-function and requires dedication per FMP2K27 (Control of Commercial Grade Items to be Dedicated for Use in Nuclear Safety-Related Applications). However, review of the documentation package reveals that the groove pin was not subjected to the requirements of FMP2K27; thus, the part was supplied as a commercial-grade item.
Groove Pin Dedication Equipment Affected by this Information Notice:
EMERSON_ Process Management March 21, 2016 To Whom It May Concern: Attached is Fisher Information Notice FIN 2016-03. Fisher Controls International LLC 301 South First Ave. P.O. Box 190 Marshalltown. Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 Emerson Process Management-Fisher Valves complies with the reporting requirements of 1 O CFR Part 21 Section 21.21 (b) and 1 O CFR Part 50.55 (e) by informing the U.S. Nuclear Regulatory Commission Licensees or Purchaser of deviations or failures to comply. Please review the attached Fisher Information Report. If you have questions, please contact the following: Benjamin Ahrens Manger, Quality Phone -641-754-2249 or email -Benjamin.Ahrens@Emerson.Com George Baitinger Director Quality Americas Fisher Controls International LLC Attachments (FISHER)
Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025 -
EMERSON .. P ocess Management Fisher Controls International LLC 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 Fisher has no reason to believe the groove pin supplied is defective, only that the part was not properly processed. The part in question does not pose an inherent safety risk and there are no known field issues with the affected Equipment. Action Required: Fisher will provide TVA with a properly dedicated groove pin. In addition, a Corrective Action Request (CAR 1796) has been initiated by Fisher to prevent reoccurrence of this issue. 10 CFR 21 Implications: Fisher requests that the recipient of this FIN review it and take appropriate action in accordance with 10 CFR 21. If there are any technical questions or concerns, please contact: Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Beniamin.ahrens@emerson.com t/) Nuclear Business Unit Director Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Fax: (641) 754-2854 Plug Block: ASME Code Part Plug Tip: Dedicated Part Soft SeW Dedicated Part Groove Pini Dedicated Part Stem Connection Plug Block Item 1 Part Identification Sketch Part 16A2&80X072 TVA PO 702607 \_ Plug Tip (Green) Soft Seat (Blue) Groove Pin (Orange)}}
N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In th is Equipment, the essential-to-function groove pin was erroneously provided as commercial-grade.
 
==Purpose:==
The purpose of this FIN is to alert the customer that, as of 22 January 2016 , Fisher became aware of a situation wh ich may affect the p~rformance of the aforementioned Equipment, including its safety-related function .
Fisher is informing the customer of this circumstance in accordance with Section 21 .21 (b) of 10 CFR 21 .
Applicability:
This FIN applies only to the Equipment supplied by Fisher to TVA Watts Bar via the aforementioned order.
Discussion:
The supplied Equipment in question features a plug tip which is connected to the plug by a simple threaded j oint. A groove pin is used to prevent the plug tip from unscrewing from the plug block (please see attached Item 1for part identification). Because the threaded joint is not self-locking , the groove pin serves as a primary locking device. It is therefore considered essential-to-function and requires dedication per FMP2K27 (Control of Commercial Grade Items to be Dedicated for Use in Nuclear Safety-Related Applications) . However, review of the documentation package reveals that the groove pin was not subjected to the requirements of FMP2K27 ; thus, the part was supplied as a commercial-grade item.
 
          ~
          ~
EMERSON_                                                           Fisher Controls International LLC Process Management                                                  301 South First Ave.
P.O. Box 190 Marshalltown. Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 March 21, 2016 To Whom It May Concern :
Attached is Fisher Information Notice FIN 2016-03.
Emerson Process Management- Fisher Valves complies with the reporting requirements of 1 O CFR Part 21 Section 21.21 (b) and 10 CFR Part 50.55 (e) by informing the U.S. Nuclear Regulatory Commission Licensees or Purchaser of deviations or failures to comply.
Please review the attached Fisher Information Report. If you have questions, please contact the following :
Benjamin Ahrens Manger, Quality Phone - 641-754-2249 or email - Benjamin.Ahrens@Emerson.Com George Baitinger Director Quality Americas Fisher Controls International LLC Attachments (FISHER)
 
EMERSON .                                                           Fisher Controls International LLC P ocess M anagement                                                  301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641 ) 754-2830 Fisher has no reason to believe the groove pin supplied is defective, only that the part was not properly processed. The part in question does not pose an inherent safety risk and there are no known field issues with the affected Equipment.
Action Required:
Fisher will provide TVA with a properly dedicated groove pin. In addition, a Corrective Action Request (CAR 1796) has been initiated by Fisher to prevent reoccurrence of this issue.
10 CFR 21 Implications:
Fisher requests that the recipient of this FIN review it and take appropriate action in accordance with 10 CFR 21. If there are any technical questions or concerns, please contact:
Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 30 1 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Beniamin.ahrens@emerson.com
{!J~ t/)
Nuclear Business Unit Director Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Fax: (641) 754-2854
 
Item 1 Part Identification Sketch Plug Block: ASME Code Part                                     Part 16A2&80X072 Plug Tip:   Dedicated Part                                     TVA PO 702607 Soft SeW Dedicated Part Groove Pini Dedicated Part Stem Connection
                                                                    \ _ Plug Tip (Green)
Soft Seat (Blue)
Plug Block Groove Pin (Orange)}}

Latest revision as of 04:47, 5 February 2020

Emerson Process Management, LLC - Part 21 Report Regarding Plug/Stem Assembly, Per Watts Bar
ML16098A447
Person / Time
Site: Watts Bar  Tennessee Valley Authority icon.png
Issue date: 03/21/2016
From: Baitinger G
Emerson Process Management, Fisher Controls International
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
51810
Download: ML16098A447 (5)


Text

0312112016 U.S. Nuclear Regulatory Commission Operations Center Event Re ort Pae 1 Part 21 (PAR) Event# 51810 Rep Org: FISHER CONTROLS INTERNATIONAL, LLC Notification Date I Time: 03/21/2016 14:02 (EDT)

Supplier: FISHER CONTROLS INTERNATIONAL, LLC Event Date I Time: 01/22/2016 (CDT)

Last Modification: 03/21/2016 Region: 3 Docket#:

City: MARSHALLTOWN Agreement State: Yes County: License#:

State: IA NRC Notified by: LYNN SANDERS Notifications: SHAKUR WALKER R2DO HQ Ops Officer: DONG HWA PARK PART21ffi0.55REACTORS EMAIL Emergency Class:

10 CFR Section:

21.21(d)(3)(i) DEFECTS AND NONCOMPLIANCE PART 21 - PLUG/STEM ASSEMBLY The following is a summary of an email provided by Fisher Controls International:

"Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025-N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this equ ipment, the essential-to-function groove pin was erroneously provided as commercial-grade.

"Fisher Information Notice: FIN 2016-03 "Fisher requests that the recipient of this Fl N review it and take appropriate action in accordance with 10 CFR 21 .

If there are any technical questions* or concerns, please contact:

Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Benjamin.ahrens@emerson .com"

~,..

EMERSON ~ Fisher Controls International LLC Process M anagement 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641 ) 754-301 1 F (641 ) 754-2830 Fisher Information Notice: FIN 2016-03 18 March 2016

Subject:

Groove Pin Dedication Equipment Affected by this Information Notice:

Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025 -

N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In th is Equipment, the essential-to-function groove pin was erroneously provided as commercial-grade.

Purpose:

The purpose of this FIN is to alert the customer that, as of 22 January 2016 , Fisher became aware of a situation wh ich may affect the p~rformance of the aforementioned Equipment, including its safety-related function .

Fisher is informing the customer of this circumstance in accordance with Section 21 .21 (b) of 10 CFR 21 .

Applicability:

This FIN applies only to the Equipment supplied by Fisher to TVA Watts Bar via the aforementioned order.

Discussion:

The supplied Equipment in question features a plug tip which is connected to the plug by a simple threaded j oint. A groove pin is used to prevent the plug tip from unscrewing from the plug block (please see attached Item 1for part identification). Because the threaded joint is not self-locking , the groove pin serves as a primary locking device. It is therefore considered essential-to-function and requires dedication per FMP2K27 (Control of Commercial Grade Items to be Dedicated for Use in Nuclear Safety-Related Applications) . However, review of the documentation package reveals that the groove pin was not subjected to the requirements of FMP2K27 ; thus, the part was supplied as a commercial-grade item.

~

~

EMERSON_ Fisher Controls International LLC Process Management 301 South First Ave.

P.O. Box 190 Marshalltown. Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 March 21, 2016 To Whom It May Concern :

Attached is Fisher Information Notice FIN 2016-03.

Emerson Process Management- Fisher Valves complies with the reporting requirements of 1 O CFR Part 21 Section 21.21 (b) and 10 CFR Part 50.55 (e) by informing the U.S. Nuclear Regulatory Commission Licensees or Purchaser of deviations or failures to comply.

Please review the attached Fisher Information Report. If you have questions, please contact the following :

Benjamin Ahrens Manger, Quality Phone - 641-754-2249 or email - Benjamin.Ahrens@Emerson.Com George Baitinger Director Quality Americas Fisher Controls International LLC Attachments (FISHER)

EMERSON . Fisher Controls International LLC P ocess M anagement 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641 ) 754-2830 Fisher has no reason to believe the groove pin supplied is defective, only that the part was not properly processed. The part in question does not pose an inherent safety risk and there are no known field issues with the affected Equipment.

Action Required:

Fisher will provide TVA with a properly dedicated groove pin. In addition, a Corrective Action Request (CAR 1796) has been initiated by Fisher to prevent reoccurrence of this issue.

10 CFR 21 Implications:

Fisher requests that the recipient of this FIN review it and take appropriate action in accordance with 10 CFR 21. If there are any technical questions or concerns, please contact:

Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 30 1 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Beniamin.ahrens@emerson.com

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Nuclear Business Unit Director Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Fax: (641) 754-2854

Item 1 Part Identification Sketch Plug Block: ASME Code Part Part 16A2&80X072 Plug Tip: Dedicated Part TVA PO 702607 Soft SeW Dedicated Part Groove Pini Dedicated Part Stem Connection

\ _ Plug Tip (Green)

Soft Seat (Blue)

Plug Block Groove Pin (Orange)

0312112016 U.S. Nuclear Regulatory Commission Operations Center Event Re ort Pae 1 Part 21 (PAR) Event# 51810 Rep Org: FISHER CONTROLS INTERNATIONAL, LLC Notification Date I Time: 03/21/2016 14:02 (EDT)

Supplier: FISHER CONTROLS INTERNATIONAL, LLC Event Date I Time: 01/22/2016 (CDT)

Last Modification: 03/21/2016 Region: 3 Docket#:

City: MARSHALLTOWN Agreement State: Yes County: License#:

State: IA NRC Notified by: LYNN SANDERS Notifications: SHAKUR WALKER R2DO HQ Ops Officer: DONG HWA PARK PART21ffi0.55REACTORS EMAIL Emergency Class:

10 CFR Section:

21.21(d)(3)(i) DEFECTS AND NONCOMPLIANCE PART 21 - PLUG/STEM ASSEMBLY The following is a summary of an email provided by Fisher Controls International:

"Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025-N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In this equ ipment, the essential-to-function groove pin was erroneously provided as commercial-grade.

"Fisher Information Notice: FIN 2016-03 "Fisher requests that the recipient of this Fl N review it and take appropriate action in accordance with 10 CFR 21 .

If there are any technical questions* or concerns, please contact:

Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Benjamin.ahrens@emerson .com"

~,..

EMERSON ~ Fisher Controls International LLC Process M anagement 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641 ) 754-301 1 F (641 ) 754-2830 Fisher Information Notice: FIN 2016-03 18 March 2016

Subject:

Groove Pin Dedication Equipment Affected by this Information Notice:

Items subject to this Fisher Information Notice (FIN) were provided to Tennessee Valley Authority (TVA) Watts Bar Nuclear Plant per TVA Order 702507 (Fisher Order Number 025 -

N230331922). Specifically, this FIN applies to a plug/stem assembly that Fisher Controls International LLC (Fisher) supplied to TVA, item number 15A2560X072 (Equipment). In th is Equipment, the essential-to-function groove pin was erroneously provided as commercial-grade.

Purpose:

The purpose of this FIN is to alert the customer that, as of 22 January 2016 , Fisher became aware of a situation wh ich may affect the p~rformance of the aforementioned Equipment, including its safety-related function .

Fisher is informing the customer of this circumstance in accordance with Section 21 .21 (b) of 10 CFR 21 .

Applicability:

This FIN applies only to the Equipment supplied by Fisher to TVA Watts Bar via the aforementioned order.

Discussion:

The supplied Equipment in question features a plug tip which is connected to the plug by a simple threaded j oint. A groove pin is used to prevent the plug tip from unscrewing from the plug block (please see attached Item 1for part identification). Because the threaded joint is not self-locking , the groove pin serves as a primary locking device. It is therefore considered essential-to-function and requires dedication per FMP2K27 (Control of Commercial Grade Items to be Dedicated for Use in Nuclear Safety-Related Applications) . However, review of the documentation package reveals that the groove pin was not subjected to the requirements of FMP2K27 ; thus, the part was supplied as a commercial-grade item.

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EMERSON_ Fisher Controls International LLC Process Management 301 South First Ave.

P.O. Box 190 Marshalltown. Iowa 50158-0190 USA T (641) 754-3011 F (641) 754-2830 March 21, 2016 To Whom It May Concern :

Attached is Fisher Information Notice FIN 2016-03.

Emerson Process Management- Fisher Valves complies with the reporting requirements of 1 O CFR Part 21 Section 21.21 (b) and 10 CFR Part 50.55 (e) by informing the U.S. Nuclear Regulatory Commission Licensees or Purchaser of deviations or failures to comply.

Please review the attached Fisher Information Report. If you have questions, please contact the following :

Benjamin Ahrens Manger, Quality Phone - 641-754-2249 or email - Benjamin.Ahrens@Emerson.Com George Baitinger Director Quality Americas Fisher Controls International LLC Attachments (FISHER)

EMERSON . Fisher Controls International LLC P ocess M anagement 301 South First Ave P.O. Box 190 Marshalltown, Iowa 50158-0190 USA T (641) 754-3011 F (641 ) 754-2830 Fisher has no reason to believe the groove pin supplied is defective, only that the part was not properly processed. The part in question does not pose an inherent safety risk and there are no known field issues with the affected Equipment.

Action Required:

Fisher will provide TVA with a properly dedicated groove pin. In addition, a Corrective Action Request (CAR 1796) has been initiated by Fisher to prevent reoccurrence of this issue.

10 CFR 21 Implications:

Fisher requests that the recipient of this FIN review it and take appropriate action in accordance with 10 CFR 21. If there are any technical questions or concerns, please contact:

Ben Ahrens Quality Manager Emerson Process Management Fisher Controls International LLC 30 1 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Beniamin.ahrens@emerson.com

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Nuclear Business Unit Director Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Fax: (641) 754-2854

Item 1 Part Identification Sketch Plug Block: ASME Code Part Part 16A2&80X072 Plug Tip: Dedicated Part TVA PO 702607 Soft SeW Dedicated Part Groove Pini Dedicated Part Stem Connection

\ _ Plug Tip (Green)

Soft Seat (Blue)

Plug Block Groove Pin (Orange)