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| number = ML13095A205
| number = ML13095A205
| issue date = 04/04/2013
| issue date = 04/04/2013
| title = Catawba Supplemental Inspection Report 2013008 and Assessment Follow Up Letter
| title = Supplemental Inspection Report 2013008 and Assessment Follow Up Letter
| author name = Bartley J H
| author name = Bartley J
| author affiliation = NRC/RGN-II/DRP/RPB1
| author affiliation = NRC/RGN-II/DRP/RPB1
| addressee name = Henderson K
| addressee name = Henderson K
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:UNITED STATES NUCLEAR REGULATORY COMMISSION REGION II 245 PEACHTREE CENTER AVENUE NE, SUITE 1200 ATLANTA, GEORGIA 30303-1257 April 4, 2013 Mr. Kelvin Henderson Site Vice President Duke Energy Corporation Catawba Nuclear Station 4800 Concord Road York, SC 29745-9635
{{#Wiki_filter:UNITED STATES NUCLEAR REGULATORY COMMISSION REGION II 245 PEACHTREE CENTER AVENUE NE, SUITE 1200 ATLANTA, GEORGIA 30303-1257 April 4, 2013 Mr. Kelvin Henderson Site Vice President Duke Energy Corporation Catawba Nuclear Station 4800 Concord Road York, SC 29745-9635


==SUBJECT:==
==SUBJECT:==
CATAWBA NUCLEAR STATION UNIT 1 - NRC SUPPLEMENTAL INSPECTION REPORT 05000413/2013008 AND ASSESSMENT FOLLOWUP LETTER  
CATAWBA NUCLEAR STATION UNIT 1 - NRC SUPPLEMENTAL INSPECTION REPORT 05000413/2013008 AND ASSESSMENT FOLLOWUP LETTER


==Dear Mr. Henderson:==
==Dear Mr. Henderson:==


On March 21, 2013, the U. S. Nuclear Regulatory Commission (NRC) completed a supplemental inspection pursuant to Inspection Procedure 95001, "Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area," at Catawba Unit 1. The enclosed inspection report documents the inspection results which were discussed on March 21, 2013, with Mr. T. Simril and other members of your staff. Jonathan Bartley conducted a regulatory performance meeting with you on March 20, 2013, to discuss your corrective actions associated with the finding.
On March 21, 2013, the U. S. Nuclear Regulatory Commission (NRC) completed a supplemental inspection pursuant to Inspection Procedure 95001, Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area, at Catawba Unit 1. The enclosed inspection report documents the inspection results which were discussed on March 21, 2013, with Mr. T.
In accordance with the NRC Reactor Oversight Process Action Matrix, this supplemental inspection was performed to follow-up on a low to moderate safety significance (White) finding which occurred in the second quarter of 2012. This finding was previously documented and assessed in NRC Inspection Reports 05000413, 414/2012009 and 05000413, 414/2012010. The NRC was informed of your readiness for this inspection on February 25, 2013.  
Simril and other members of your staff. Jonathan Bartley conducted a regulatory performance meeting with you on March 20, 2013, to discuss your corrective actions associated with the finding.
In accordance with the NRC Reactor Oversight Process Action Matrix, this supplemental inspection was performed to follow-up on a low to moderate safety significance (White) finding which occurred in the second quarter of 2012. This finding was previously documented and assessed in NRC Inspection Reports 05000413, 414/2012009 and 05000413, 414/2012010.
The NRC was informed of your readiness for this inspection on February 25, 2013.
The objectives of the supplemental inspection were to provide assurance that (1) the root causes and the contributing causes of risk-significant issues were understood; (2) the extent of condition and extent of cause the issues were identified; and (3) the licensees corrective actions were or will be sufficient to address and prevent repetition of the root and contributing causes.
The NRC has determined that the stated inspection objectives have been met. Therefore, in accordance with the guidance in Inspection Manual Chapter (IMC) 0305, Operating Reactor Assessment Program, the White finding will only be considered in assessing plant performance for a total of four quarters. As a result, the NRC determined the performance at Catawba Unit 1 to be in the Licensee Response Column of the ROP Action Matrix as of April 1, 2013.


The objectives of the supplemental inspection were to provide assurance that (1) the root causes and the contributing causes of risk-significant issues were understood; (2) the extent of condition and extent of cause the issues were identified; and (3) the licensee's corrective actions were or will be sufficient to address and prevent repetition of the root and contributing causes. The NRC has determined that the stated inspection objectives have been met. Therefore, in accordance with the guidance in Inspection Manual Chapter (IMC) 0305, "Operating Reactor Assessment Program," the White finding will only be considered in assessing plant performance for a total of four quarters. As a result, the NRC determined the performance at Catawba Unit 1 to be in the Licensee Response Column of the ROP Action Matrix as of April 1, 2013.
K. Henderson                                   2 In accordance with 10 CFR 2.390 of the NRCs Rules of Practice, a copy of this letter and its enclosure will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records (PARS) component of the NRCs Agencywide Document Access and Management System (ADAMS). ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
 
Sincerely,
K. Henderson 2  
                                                /RA/
 
Jonathan H. Bartley, Chief Projects Branch 1 Division of Reactor Projects Docket No.: 05000413 License No.: NPF-35
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosure will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records (PARS) component of the NRC's Agencywide Document Access and Management System (ADAMS). ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
 
Sincerely,
        /RA/ Jonathan H. Bartley, Chief Projects Branch 1 Division of Reactor Projects Docket No.: 05000413 License No.: NPF-35  


==Enclosure:==
==Enclosure:==
Inspection Report 05000413/2013008  
Inspection Report 05000413/2013008 cc w/encl.: (See page 3)
 
cc w/encl.: (See page 3)  
 
_________________________ X SUNSI REVIEW COMPLETE G FORM 665 ATTACHED OFFICE RII:DRP RII:DRP      SIGNATURE CWR /RA/ JHB /RA/      NAME CRapp JBartely      DATE 04/02/2013 04/03/2013      E-MAIL COPY?    YES NO      YES NO      YES NO      YES NO      YES NO      YES NO      YES NO K. Henderson 3
 
cc w/encl:
Scott L. Batson Plant Manager Catawba Nuclear Station Duke Energy Corporation Electronic Mail Distribution
 
William M. Suslick Design Engineering Manager Catawba Nuclear Station Duke Energy Corporation Electronic Mail Distribution Steven B. Putnam Organizational Effectiveness Manager Catawba Nuclear Station Duke Energy Corporation Electronic Mail Distribution
 
Randall D. Hart
 
Regulatory Compliance Manager Catawba Nuclear Station Duke Energy Corporation Electronic Mail Distribution
 
Joseph Michael Frisco, Jr.
Vice President, Nuclear Design Engineering
 
General Office Duke Energy Corporation Electronic Mail Distribution
 
M. Christopher Nolan
 
Director - Regulatory Affairs
 
General Office Duke Energy Corporation Electronic Mail Distribution
 
David A. Cummings (acting)
Fleet Regulatory Compliance & Licensing Manager General Office Duke Energy Corporation Electronic Mail Distribution
 
Alicia Richardson Licensing Administrative Assistant General Office Duke Energy Corporation Electronic Mail Distribution Lara S. Nichols Deputy General Counsel Duke Energy Corporation Electronic Mail Distribution
 
David A. Cummings Associate General Counsel General Office Duke Energy Corporation Electronic Mail Distribution
 
Beth J. Horsley Wholesale Customer Relations Duke Energy Corporation Electronic Mail Distribution
 
Sandra Threatt, Manager Nuclear Response and Emergency Environmental Surveillance


Bureau of Land and Waste Management Department of Health and Environmental   
_________________________      X SUNSI REVIEW COMPLETE G FORM 665 ATTACHED OFFICE            RII:DRP      RII:DRP SIGNATURE        CWR /RA/      JHB /RA/
NAME              CRapp        JBartely DATE                04/02/2013    04/03/2013 E-MAIL COPY?          YES NO      YES    NO    YES    NO      YES  NO      YES  NO      YES    NO    YES  NO K. Henderson                              3 cc w/encl:                                  Lara S. Nichols Scott L. Batson                            Deputy General Counsel Plant Manager                              Duke Energy Corporation Catawba Nuclear Station                    Electronic Mail Distribution Duke Energy Corporation Electronic Mail Distribution                David A. Cummings Associate General Counsel William M. Suslick                          General Office Design Engineering Manager                  Duke Energy Corporation Catawba Nuclear Station                    Electronic Mail Distribution Duke Energy Corporation Electronic Mail Distribution                Beth J. Horsley Wholesale Customer Relations Steven B. Putnam                            Duke Energy Corporation Organizational Effectiveness Manager        Electronic Mail Distribution Catawba Nuclear Station Duke Energy Corporation                    Sandra Threatt, Manager Electronic Mail Distribution                Nuclear Response and Emergency Environmental Surveillance Randall D. Hart                            Bureau of Land and Waste Management Regulatory Compliance Manager              Department of Health and Environmental Catawba Nuclear Station                    Control Duke Energy Corporation                    Electronic Mail Distribution Electronic Mail Distribution Division of Radiological Health Joseph Michael Frisco, Jr.                  TN Dept. of Environment & Conservation Vice President, Nuclear Design Engineering 401 Church Street General Office                              Nashville, TN 37243-1532 Duke Energy Corporation Electronic Mail Distribution                David A. Repka Winston Strawn LLP M. Christopher Nolan                        Electronic Mail Distribution Director - Regulatory Affairs General Office                              County Manager of York County Duke Energy Corporation                    York County Courthouse Electronic Mail Distribution                P. O. Box 66 York, SC 29745-0066 David A. Cummings (acting)
Fleet Regulatory Compliance & Licensing    Piedmont Municipal Power Agency Manager                                    Electronic Mail Distribution General Office Duke Energy Corporation                    Vanessa Quinn Electronic Mail Distribution                Federal Emergency Management Agency Radiological Emergency Preparedness Alicia Richardson                          Program Licensing Administrative Assistant          1800 S. Bell Street General Office                              Arlington, VA 20598-3025 Duke Energy Corporation Electronic Mail Distribution


Control Electronic Mail Distribution Division of Radiological Health TN Dept. of Environment & Conservation
K. Henderson                             4 Letter to Kelvin Henderson from Jonathan H. Bartley dated April 4, 2013
 
401 Church Street Nashville, TN  37243-1532 David A. Repka Winston Strawn LLP Electronic Mail Distribution
 
County Manager of York County York County Courthouse P. O. Box 66 York, SC  29745-0066
 
Piedmont Municipal Power Agency Electronic Mail Distribution
 
Vanessa Quinn Federal Emergency Management Agency Radiological Emergency Preparedness
 
Program 1800 S. Bell Street Arlington, VA  20598-3025
 
K. Henderson 4  
 
Letter to Kelvin Henderson from Jonathan H. Bartley dated April 4, 2013  


==SUBJECT:==
==SUBJECT:==
CATAWBA NUCLEAR STATION UNIT 1 - NRC SUPPLEMENTAL INSPECTION REPORT 05000413/2013008 AND ASSESSMENT FOLLOWUP LETTER  
CATAWBA NUCLEAR STATION UNIT 1 - NRC SUPPLEMENTAL INSPECTION REPORT 05000413/2013008 AND ASSESSMENT FOLLOWUP LETTER Distribution w/encl:
 
C. Evans, RII L. Douglas, RII OE Mail RIDSNRRDIRS PUBLIC A. Adams, NRR RidsNrrPMCatawba Resource ROP Assessment
Distribution w/encl
: C. Evans, RII L. Douglas, RII OE Mail RIDSNRRDIRS PUBLIC A. Adams, NRR RidsNrrPMCatawba Resource ROP Assessment  
 
Enclosure U. S. NUCLEAR REGULATORY COMMISSION REGION II
 
Docket Nos.:  50-413
 
License Nos.:  NPF-35
 
Report Nos.:  05000413/2013008
 
Licensee:  Duke Energy Carolinas, LLC 
 
Facility:  Catawba Nuclear Station, Unit 1
 
Location:  York, SC 29745
 
Dates:  March 18, 2013, through March 21, 2013 
 
Inspector:  Curt Rapp, Senior Project Engineer
 
Approved by:  Jonathan H. Bartley, Chief Reactor Projects Branch 1    Division of Reactor Projects


Enclosure  
U. S. NUCLEAR REGULATORY COMMISSION REGION II Docket Nos.:  50-413 License Nos.: NPF-35 Report Nos.:  05000413/2013008 Licensee:    Duke Energy Carolinas, LLC Facility:    Catawba Nuclear Station, Unit 1 Location:    York, SC 29745 Dates:        March 18, 2013, through March 21, 2013 Inspector:    Curt Rapp, Senior Project Engineer Approved by:  Jonathan H. Bartley, Chief Reactor Projects Branch 1 Division of Reactor Projects Enclosure


==SUMMARY==
==SUMMARY==
OF FINDINGS  
OF FINDINGS Inspection Report 05000314/2013008; March 18-22, 2013; Catawba Nuclear Station, Unit 1; Inspection Procedure 95001, Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area This inspection was conducted by a senior project engineer. No findings were identified. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, Revision 4.
Cornerstone: Initiating Events This supplemental inspection was performed in accordance with Inspection Procedure 95001, Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area, to assess the licensees evaluations associated with an improper generator protection modification that caused a loss of offsite power (LOOP) on April 4, 2012. The inspector determined that the licensee performed a comprehensive root cause evaluation (RCE) to determine the root and contributing causes and to identify any causes common to other programs or processes. The licensee developed adequate corrective actions to preclude recurrence.
Given the licensees acceptable performance in addressing the improper generator protection modification, the White finding associated with this issue will only be considered in assessing plant performance for a total of four quarters in accordance with the guidance in IMC 0305, Operating Reactor Assessment Program.
Enclosure


Inspection Report 05000314/2013008; March 18-22, 2013; Catawba Nuclear Station, Unit 1; Inspection Procedure 95001, Supplemental Inspection for One or Two White Inputs in a
REPORT DETAILS
 
: 4. OTHER ACTIVITIES 4OA3 Event Follow-up (Closed) Licensee Event Report (LER) 05000413, 414/2012-001-00, -01, Unit 1 Automatic Reactor Trip Due to Faulted Reactor Coolant Pump Motor Cable Resulted in Zone G Relay Lockout and Subsequent Loss of Offsite Power and Emergency Diesel Generator Automatic Start for Both Units, Revisions 00 and 01 On April 4, 2012, Unit 1 tripped from 100% power due to the trip of the 1D reactor coolant (NC) pump. Shortly after the Unit 1 generator power circuit breakers opened, the generator (Zone G) protective relaying system unexpectedly actuated on an instantaneous underfrequency condition which opened the switchyard breakers causing a LOOP. At the time of the trip, Unit 2 was in Mode 5 with both of its essential busses aligned to Unit 1 offsite power. Therefore, Unit 2's essential busses also lost power as a result of the Unit 1 LOOP. Both emergency diesel generators (EDGs) on each unit automatically started and powered their respective essential busses. Approximately five and one-half hours later, after confirming that the sources of the fault were cleared, offsite power was restored to one essential bus on each unit. The Unit 1 LOOP occurred as a result of inadequate design input specification and insufficient control over vendor outsourcing in conjunction with a modification installed during the previous Unit 1 refueling outage. The inspector reviewed both revisions of the LER, the RCE performed for the LOOP, and the corrective actions completed or planned. No additional findings were identified.
Strategic Performance Area
4OA4 Supplemental Inspection
 
.01 Inspection Scope The inspector performed this supplemental inspection in accordance with IP 95001 to assess the licensees evaluation of the Unit1 LOOP occurring on April 4, 2012, which affected the Initiating Events cornerstone. The inspection objectives were to:
This inspection was conducted by a senior project engineer. No findings were identified. The NRC's program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, "Reactor Oversight Process," Revision 4.
 
Cornerstone:  Initiating Events
 
This supplemental inspection was performed in accordance with Inspection Procedure 95001, "Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area," to assess the licensee's evaluations associated with an improper generator protection modification that caused a loss of offsite power (LOOP) on April 4, 2012. The inspector determined that the licensee performed a comprehensive root cause evaluation (RCE) to determine the root and contributing causes and to identify any causes common to other programs or processes. The licensee developed adequate corrective actions to preclude recurrence.
 
Given the licensee's acceptable performance in addressing the improper generator protection modification, the White finding associated with this issue will only be considered in assessing plant performance for a total of four quarters in accordance with the guidance in IMC 0305, "Operating Reactor Assessment Program."
.
Enclosure REPORT DETAILS  
: 4. OTHER ACTIVITIES 4OA3 Event Follow-up
 
(Closed) Licensee Event Report (LER) 05000413, 414/2012-001-00, -01, Unit 1 Automatic Reactor Trip Due to Faulted Reactor Coolant Pump Motor Cable Resulted in Zone G Relay Lockout and Subsequent Loss of Offsite Power and Emergency Diesel Generator Automatic Start for Both Units, Revisions 00 and 01 On April 4, 2012, Unit 1 tripped from 100% power due to the trip of the 1D reactor coolant (NC) pump. Shortly after the Unit 1 generator power circuit breakers opened, the generator (Zone G) protective relaying system unexpectedly actuated on an instantaneous underfrequency condition which opened the switchyard breakers causing a LOOP. At the time of the trip, Unit 2 was in Mode 5 with both of its essential busses aligned to Unit 1 offsite power. Therefore, Unit 2's essential busses also lost power as a result of the Unit 1 LOOP. Both emergency diesel generators (EDGs) on each unit automatically started and powered their respective essential busses. Approximately five and one-half hours later, after confirming that the sources of the fault were cleared, offsite power was restored to one essential bus on each unit. The Unit 1 LOOP occurred as a result of inadequate design input specification and insufficient control over vendor outsourcing in conjunction with a modification installed during the previous Unit 1 refueling outage. The inspector reviewed both revisions of the LER, the RCE performed for the LOOP, and the corrective actions completed or planned. No additional findings were identified.
4OA4 Supplemental Inspection  
 
.01 Inspection Scope The inspector performed this supplemental inspection in accordance with IP 95001 to assess the licensee's evaluation of the Unit1 LOOP occurring on April 4, 2012, which affected the Initiating Events cornerstone. The inspection objectives were to:
* provide assurance that the root and contributing causes of risk-significant issues were understood
* provide assurance that the root and contributing causes of risk-significant issues were understood
* provide assurance that the extent of condition and extent of cause of risk-significant performance issues were identified
* provide assurance that the extent of condition and extent of cause of risk-significant performance issues were identified
* provide assurance that the licensee's corrective actions for risk-significant issues were or will be sufficient to address the root and contributing causes and to preclude repetition  
* provide assurance that the licensees corrective actions for risk-significant issues were or will be sufficient to address the root and contributing causes and to preclude repetition The licensee entered the Regulatory Response Column of the NRCs Action Matrix for Unit 1 in the second quarter of 2012 as a result of a White finding due to an improper modification to Zone G protective relaying (NRC Inspection Reports 05000413, 414/2012009 and 05000413, 414/2012010). The licensee performed a RCE, documented in PIP C-12-3403, Revision 4, to identify process or program weaknesses and to determine the organizational attributes that resulted in the White finding. The licensee also completed a safety culture review as part of the RCE.
 
Enclosure
The licensee entered the Regulatory Response Column of the NRC's Action Matrix for Unit 1 in the second quarter of 2012 as a result of a White finding due to an improper  
 
modification to Zone G protective relaying (NRC Inspection Reports 05000413, 414/2012009 and 05000413, 414/2012010). The licensee performed a RCE, documented in PIP C-12-3403, Revision 4, to identify process or program weaknesses and to determine the organizational attributes that resulted in the White finding. The licensee also completed a safety culture review as part of the RCE.
Enclosure The inspector reviewed corrective actions that were completed or planned to address the identified root and contributing causes. The inspector also held discussions with licensee personnel to ensure that the root and contributing causes and the contribution of safety culture components were understood and corrective actions taken or planned were appropriate to preclude repetition.


.02 Evaluations of the Inspection Requirements 02.01 Problem Identification a.) IP 95001 requires that the inspection staff determine the licensee's evaluation of the issue documents who identified the issue (i.e., licensee-identified, self-revealing, or NRC-identified) and the conditions under which the issue was identified.  
4 The inspector reviewed corrective actions that were completed or planned to address the identified root and contributing causes. The inspector also held discussions with licensee personnel to ensure that the root and contributing causes and the contribution of safety culture components were understood and corrective actions taken or planned were appropriate to preclude repetition.
.02   Evaluations of the Inspection Requirements 02.01 Problem Identification a.) IP 95001 requires that the inspection staff determine the licensees evaluation of the issue documents who identified the issue (i.e., licensee-identified, self-revealing, or NRC-identified) and the conditions under which the issue was identified.
The licensees RCE documented that the LOOP was self-revealing as a result of the reactor trip when the 1D NC pump lost power. The RCE documented that the failure to include a generator underfrequency block as part of the generator (Zone G) protective relaying modification resulted in unintended opening of the switchyard breakers. The inspector concluded the RCE documented who identified the issue and the conditions under which the issue was identified.
b.) IP 95001 requires that the inspection staff determine the licensees evaluation of the issue documents how long the issue existed and prior opportunities for identification.
The licensees RCE included a timeline of the Zone G protective relaying modification. The modification was installed during the April 2011 Unit 1 refueling outage. Testing of the modification during Unit 1 startup in June 2011 did not identify any problems and the Zone G relaying operated as expected during two subsequent unit shutdowns prior to the LOOP. The licensees RCE documented there were several barriers that would have identified the problem prior to installation. These barriers included providing proper specifications to the vendor, oversight of vendor work, independent verification of work product, and proper post modification testing. The inspector concluded the RCE documented how long the issue existed and prior opportunities for identification.
c.) IP 95001 requires that the inspection staff determine the licensees evaluation documents the plant specific risk consequences, as applicable, and compliance concerns associated with the issue.
Both Unit 1 and Unit 2 emergency diesel generators started and powered safety-related loads for the duration of the LOOP. The plant responded as expected with core cooling provided by natural circulation and cycling of the steam generator relief valves. The licensee determined the Unit 1 LOOP was of moderate to low safety significance (White). The inspector concluded the RCE documented the plant specific risk consequences of the Unit 1 LOOP.
Enclosure


The licensee's RCE documented that the LOOP was self-revealing as a result of the reactor trip when the 1D NC pump lost power. The RCE documented that the failure to include a generator underfrequency block as part of the generator (Zone G) protective relaying modification resulted in unintended opening of the switchyard breakers. The inspector concluded the RCE documented who identified the issue and the conditions under which the issue was identified.
5 The compliance concerns associated with the Technical Specification requirements for off-site power circuits were documented in PIP C-12-08719.
b.) IP 95001 requires that the inspection staff determine the licensee's evaluation of the issue documents how long the issue existed and prior opportunities for identification.
This PIP referenced the corrective actions for the RCE. The inspector concluded that the associated compliance concerns were addressed.
The licensee's RCE included a timeline of the Zone G protective relaying modification. The modification was installed during the April 2011 Unit 1 refueling outage. Testing of the modification during Unit 1 startup in June 2011 did not identify any problems and the Zone G relaying operated as expected during two subsequent unit shutdowns prior to the LOOP. The licensee's RCE documented there were several barriers that would have identified the problem prior to installation. These barriers included providing proper specifications to the vendor, oversight of vendor work, independent verification of work product, and proper post modification testing. The inspector concluded the RCE documented how long the issue existed and prior opportunities for identification.
d.) Findings No findings were identified.
c.) IP 95001 requires that the inspection staff determine the licensee's evaluation documents the plant specific risk consequences, as applicable, and compliance concerns associated with the issue.
02.02 Root Cause, Extent of Condition, and Extent of Cause Evaluation a.) IP 95001 requires that the inspection staff determine the licensee evaluated the issue using a systematic methodology to identify the root and contributing causes.
 
Both Unit 1 and Unit 2 emergency diesel generators started and powered safety-related loads for the duration of the LOOP. The plant responded as expected with core cooling provided by natural circulation and cycling of the steam generator relief valves. The licensee determined the Unit 1 LOOP was of moderate to low safety significance (White). The inspector concluded the RCE documented the plant specific risk consequences of the Unit 1 LOOP.
 
5 Enclosure The compliance concerns associated with the Technical Specification requirements for off-site power circuits were documented in PIP C-12-08719. This PIP referenced the corrective actions for the RCE. The inspector concluded that the associated compliance concerns were addressed.
d.) Findings  
 
No findings were identified.
02.02 Root Cause, Extent of Condition, and Extent of Cause Evaluation a.) IP 95001 requires that the inspection staff determine the licensee evaluated the issue using a systematic methodology to identify the root and contributing causes.
The inspector determined that the licensee evaluated the LOOP using the following a systematic methods to identify root and contributing causes.
The inspector determined that the licensee evaluated the LOOP using the following a systematic methods to identify root and contributing causes.
* hazard-barrier-target analysis
* hazard-barrier-target analysis
* event and causal factors chart  
* event and causal factors chart
* "Why" tree
* Why tree
* MORT analysis
* MORT analysis
* change analysis
* change analysis
* organizational and programmatic review b.) IP 95001 requires that the inspection staff determine the licensee's RCE was conducted to a level of detail commensurate with the significance of the issue.  
* organizational and programmatic review b.) IP 95001 requires that the inspection staff determine the licensees RCE was conducted to a level of detail commensurate with the significance of the issue.
 
The licensee used the analysis tools listed in section 02.02 a. to assess the LOOP. The licensee also conducted a review of recent modifications that involved vendor provided work products and found no deficiencies. The licensees RCE documented the root cause of the finding to be weaknesses in the licensees design control processes which resulted in not defining critical design inputs in sufficient detail and less than adequate review of vendor supplied design change products. The licensee determined that the contributing causes included inadequate vendor oversight, ineffective design process barriers, and inadequate vendor self-checking. The inspector concluded that the RCE was conducted to a level of detail commensurate with the significance of the problem.
The licensee used the analysis tools listed in section 02.02 a. to assess the LOOP. The licensee also conducted a review of recent modifications that involved vendor provided work products and found no deficiencies. The licensee's RCE documented the root cause of the finding to be weaknesses in the licensee's design control processes which resulted in not defining critical design inputs in sufficient detail and less than adequate review of vendor supplied design change products. The licensee determined that the contributing causes included inadequate vendor oversight, ineffective design process barriers, and inadequate vendor self-checking. The inspector concluded that the RCE was conducted to a level of detail commensurate with the significance of the problem.  
c.) IP 95001 requires that the inspection staff determine the licensees RCE included a consideration of prior occurrences of the issue and knowledge of Operating Experience (OE.)
 
The RCE included a comparison of this LOOP to a LOOP that occurred in 2006. The 2006 LOOP was caused by an improper relay setting and occurred when switchyard current transformers failed. These conditions were fundamentally different from the conditions which caused the current LOOP. The RCE documented a review of both Enclosure
c.) IP 95001 requires that the inspection staff determine the licensee's RCE included a consideration of prior occurrences of the issue and knowledge of Operating  
 
Experience (OE.)
The RCE included a comparison of this LOOP to a LOOP that occurred in 2006. The 2006 LOOP was caused by an improper relay setting and occurred when switchyard current transformers failed. These conditions were fundamentally different from the conditions which caused the current LOOP. The RCE documented a review of both Enclosure internal and external OE to identify prior occurrences. The licensee determined there was relevant industry OE related to vendor products; however, none were applicable to the Zone G modification. As a result, the licensee determined the LOOP was not OE preventable. The inspector concluded that the licensee's RCE included a consideration of prior occurrences of the problem and knowledge of prior OE.
d.) IP 95001 requires that the inspection staff determine that the licensee's RCE addresses the extent of condition and extent of cause of the issues.
 
The RCE included an extent of condition (EoCo) analysis of the LOOP to examine the licensee's response. There were two EoCos documented in the RCE. The event and causal factor chart showed that procedural guidance on specifying vendor deliverables and vendor oversight were the primary factors. The licensee reviewed engineering changes (ECs) for the previous five years associated with these EoCos and did not identify any deficiencies. To assess Extent of Cause (EoCa), the licensee evaluated if the root causes actually or had the potential to impact other units, other processes, equipment, or human performance. The licensee reviewed ECs with vendor products over the pr evious five years and pending ECs and did not identify any deficiencies. The inspector concluded that the licensee's RCE addressed both the EoCo and the EoCa.
 
e.) IP 95001 requires that the inspection staff determine that the licensee's root cause, extent of condition, and extent of cause evaluations appropriately considered the safety culture components as described in IMC 0310.
 
The licensee conducted a review of the four areas of safety culture. The licensee determined if a component applied to root or contributing cause and the basis for that determination. The EoCo and EoCa were addressed through the review of the root and contributing causes. The inspector concluded that the licensee had effectively considered the safety culture components in the RCE.
 
f.) Findings No findings were identified.
 
02.03 Corrective Actions a.) IP 95001 requires that the inspection staff determines that (1) the licensee specified appropriate corrective actions for each root and/or contributing cause, or (2) an evaluation that states no actions are necessary is adequate.


6 internal and external OE to identify prior occurrences. The licensee determined there was relevant industry OE related to vendor products; however, none were applicable to the Zone G modification. As a result, the licensee determined the LOOP was not OE preventable. The inspector concluded that the licensees RCE included a consideration of prior occurrences of the problem and knowledge of prior OE.
d.) IP 95001 requires that the inspection staff determine that the licensees RCE addresses the extent of condition and extent of cause of the issues.
The RCE included an extent of condition (EoCo) analysis of the LOOP to examine the licensees response. There were two EoCos documented in the RCE. The event and causal factor chart showed that procedural guidance on specifying vendor deliverables and vendor oversight were the primary factors. The licensee reviewed engineering changes (ECs) for the previous five years associated with these EoCos and did not identify any deficiencies. To assess Extent of Cause (EoCa), the licensee evaluated if the root causes actually or had the potential to impact other units, other processes, equipment, or human performance. The licensee reviewed ECs with vendor products over the previous five years and pending ECs and did not identify any deficiencies. The inspector concluded that the licensees RCE addressed both the EoCo and the EoCa.
e.) IP 95001 requires that the inspection staff determine that the licensees root cause, extent of condition, and extent of cause evaluations appropriately considered the safety culture components as described in IMC 0310.
The licensee conducted a review of the four areas of safety culture. The licensee determined if a component applied to root or contributing cause and the basis for that determination. The EoCo and EoCa were addressed through the review of the root and contributing causes. The inspector concluded that the licensee had effectively considered the safety culture components in the RCE.
f.) Findings No findings were identified.
02.03 Corrective Actions a.) IP 95001 requires that the inspection staff determines that (1) the licensee specified appropriate corrective actions for each root and/or contributing cause, or (2) an evaluation that states no actions are necessary is adequate.
The inspector determined the licensee had identified appropriate corrective actions to prevent recurrence (CAPRs) for the two identified root causes; design control processes did not require definition of critical design inputs to an appropriate level of detail and design control processes for specification of vendor services were inadequate to ensure a required design feature was incorporated. The licensee identified the following CAPRs for root cause 1.
The inspector determined the licensee had identified appropriate corrective actions to prevent recurrence (CAPRs) for the two identified root causes; design control processes did not require definition of critical design inputs to an appropriate level of detail and design control processes for specification of vendor services were inadequate to ensure a required design feature was incorporated. The licensee identified the following CAPRs for root cause 1.
Enclosure


7 Enclosure
7
* revise EDM-601, Engineering Change Manual, to include specific direction related to identifying and validating all design functions (CAPR 1)
* revise EDM-601, Engineering Change Manual, to include specific direction related to identifying and validating all design functions (CAPR 1)
* revise EDM-101, Engineering Calculations/Analyses, to ensure all critical design inputs are clearly documented, describe the responsibilities of the Checker, determine the minimum actions required for a non-QA calculation, and ensure adequate technical review of a vendor calculation (CAPR 3)  
* revise EDM-101, Engineering Calculations/Analyses, to ensure all critical design inputs are clearly documented, describe the responsibilities of the Checker, determine the minimum actions required for a non-QA calculation, and ensure adequate technical review of a vendor calculation (CAPR 3)
 
The licensee identified the following CAPR to address root cause 2.
The licensee identified the following CAPR to address root cause 2.
* revise EDM-141, Procurement Specifications for Services, to ensure all design inputs are specified and testing verifies all aspects of the design and describe the vendor Checker's responsibilities (CAPR 2)
* revise EDM-141, Procurement Specifications for Services, to ensure all design inputs are specified and testing verifies all aspects of the design and describe the vendor Checkers responsibilities (CAPR 2)
The corrective actions for the contributing causes relied mainly on these three CAPRs. The licensee had previously begun a company-wide review to identify improvements in the design change process. Selected corrective actions from this review were also credited as corrective actions for the LOOP. The inspector concluded that the identified corrective actions were adequate to address both the root and contributing causes.
The corrective actions for the contributing causes relied mainly on these three CAPRs. The licensee had previously begun a company-wide review to identify improvements in the design change process. Selected corrective actions from this review were also credited as corrective actions for the LOOP. The inspector concluded that the identified corrective actions were adequate to address both the root and contributing causes.
b.) IP 95001 requires that the inspection staff determine that the licensee prioritized corrective actions with consideration of risk significance and regulatory compliance.
b.) IP 95001 requires that the inspection staff determine that the licensee prioritized corrective actions with consideration of risk significance and regulatory compliance.
 
The licensees corrective actions to address the root and contributing causes were prioritized as documented in the RCE. The inspector noted that most of the corrective actions had been completed. The inspectors determined that the corrective actions were prioritized with consideration of the risk significance and regulatory compliance.
The licensee's corrective actions to address the root and contributing causes were prioritized as documented in the RCE. The inspector noted that most of the corrective actions had been completed. The inspectors determined that the corrective actions were prioritized with consideration of the risk significance and  
c.) IP 95001 requires that the inspection staff determine that the licensee established a schedule for implementing and completing the corrective actions.
 
The inspector concluded that the licensee established a reasonable schedule for implementing and completing corrective actions. Most of the corrective actions, including all the CAPRs, were completed at the time of the inspection. The remaining corrective actions were scheduled to be completed by January 31, 2014.
regulatory compliance.  
d.) IP 95001 requires that the inspection staff determine that the licensee developed quantitative and/or qualitative measures of success for determining the effectiveness of the corrective actions to preclude repetition.
 
c.) IP 95001 requires that the inspection staff determine that the licensee established a schedule for implementing and completing the corrective actions.
 
The inspector concluded that the licensee established a reasonable schedule for implementing and completing corrective actions. Most of the corrective actions, including all the CAPRs, were completed at the time of the inspection. The remaining corrective actions were scheduled  
 
to be completed by January 31, 2014.  
 
d.) IP 95001 requires that the inspection staff determine that the licensee developed quantitative and/or qualitative measures of success for determining the effectiveness of the corrective actions to preclude repetition.  
 
The licensee established effectiveness assessments for the CAPRs. These assessments included:
The licensee established effectiveness assessments for the CAPRs. These assessments included:
* A review of engineering changes to verify proper identification of design inputs, logic, testing, and checking requirements.
* A review of engineering changes to verify proper identification of design inputs, logic, testing, and checking requirements.
8 Enclosure
Enclosure
 
8
* A review of specifications for vendor products to verify critical design inputs and checker requirements were incorporated.
* A review of specifications for vendor products to verify critical design inputs and checker requirements were incorporated.
* A review of calculations to verify critical design inputs, and checker and minimum non-QA requirements were incorporated.
* A review of calculations to verify critical design inputs, and checker and minimum non-QA requirements were incorporated.
The licensee entered these effectiveness assessments into their corrective action program with a due date of about one year after the CAPRs had been implemented. The inspector determined that appropriate success criteria had been developed for determining the effectiveness of the CAPRs.
The licensee entered these effectiveness assessments into their corrective action program with a due date of about one year after the CAPRs had been implemented.
e.) IP 95001 requires that the inspection staff determine that the licensee's planned or taken corrective actions adequately address a Notice of Violation (NOV) that was the basis for the supplemental inspection, if applicable.
The inspector determined that appropriate success criteria had been developed for determining the effectiveness of the CAPRs.
Although a notice of violation was issued for inoperable off-site power circuits exceeding the TS allowed outage time limit, it was not the basis for this inspection. The violation is dispositioned in section 4OA5.
e.) IP 95001 requires that the inspection staff determine that the licensees planned or taken corrective actions adequately address a Notice of Violation (NOV) that was the basis for the supplemental inspection, if applicable.
f.) Findings No findings were identified.
Although a notice of violation was issued for inoperable off-site power circuits exceeding the TS allowed outage time limit, it was not the basis for this inspection.
4OA5 Other
The violation is dispositioned in section 4OA5.
 
f.)   Findings No findings were identified.
(Closed) Violation 05000413/2012009-01, Failure to Provide Vendor with Accurate Design Information As documented in PIP C-12-08719, the licensee credited the RCE and associated CAPRs for the White finding to address both the cause and the corrective actions for this violation.
4OA5 Other (Closed) Violation 05000413/2012009-01, Failure to Provide Vendor with Accurate Design Information As documented in PIP C-12-08719, the licensee credited the RCE and associated CAPRs for the White finding to address both the cause and the corrective actions for this violation.
The inspector reviewed the PIP and determined that RCE and CAPRS adequately addressed the cause of the violation and the corrective actions to restore compliance and  
The inspector reviewed the PIP and determined that RCE and CAPRS adequately addressed the cause of the violation and the corrective actions to restore compliance and prevent recurrence.
 
4OA6 Meetings, Including Exit On March 21, 2013, the inspector presented the inspection results to Mr. T. Simril, Plant Manager, and other members of his staff, who acknowledge there were no findings.
prevent recurrence.
Proprietary information provided by the licensee was handled in accordance with NRC policy for proprietary information.
4OA6 Meetings, Including Exit  
ATTACHMENT: SUPPLEMENTAL INFORMATION Enclosure
 
On March 21, 2013 , the inspector presented the inspection results to Mr. T. Simril, Plant Manager, and other members of his staff, who acknowledge there were no findings. Proprietary information provided by the licensee was handled in accordance with NRC policy for proprietary information.  
 
ATTACHMENT: SUPPLEMENTAL INFORMATION Attachment SUPPLEMENTAL INFORMATION KEY POINTS OF CONTACT Licensee personnel T. Hamilton, Engineering Manager R. Hart, Regulatory Compliance Manager K. Henderson, Site Vice-President P. McIntyre, Design Engineering Supervisor - Electrical P. Simbrat, Senior Operations Specialist - Regulatory Affairs T. Simril, Plant Manager


NRC personnel J. Bartley, Chief, Projects Branch 1, Division of Reactor Projects LIST OF REPORT ITEMS Closed LER 05000413/2012-001-00 and -01 Manual Reactor Scram During Startup Due to Multiple Control Rod Insertion (Section 4OA3.1)
SUPPLEMENTAL INFORMATION KEY POINTS OF CONTACT Licensee personnel T. Hamilton, Engineering Manager R. Hart, Regulatory Compliance Manager K. Henderson, Site Vice-President P. McIntyre, Design Engineering Supervisor - Electrical P. Simbrat, Senior Operations Specialist - Regulatory Affairs T. Simril, Plant Manager NRC personnel J. Bartley, Chief, Projects Branch 1, Division of Reactor Projects LIST OF REPORT ITEMS Closed LER 05000413/2012-001-00 and -01             Manual Reactor Scram During Startup Due to Multiple Control Rod Insertion (Section 4OA3.1)
Violation 05000413/2012010-001 Failure to Provide Vendor with Accurate Design Information (Section 4OA5)
Violation 05000413/2012010-001               Failure to Provide Vendor with Accurate Design Information (Section 4OA5)
LIST OF DOCUMENTS REVIEWED Section 4OA3, Event Follow-up LER 05000413, 414/2012-001-00 and -01, Automatic Reactor Trip Due to Faulted Reactor Coolant Pump Motor Cable Resulting in Zone G Relay Lockout and Subsequent Loss of Offsite Power and Emergency Diesel Generator Automatic Start for Both Units Section 4OA4, Supplemental Inspection PIPs C-12-03494, C-12-5142, C-12-5866, G-12-0712, and G-12-1431}}
LIST OF DOCUMENTS REVIEWED Section 4OA3, Event Follow-up LER 05000413, 414/2012-001-00 and -01, Automatic Reactor Trip Due to Faulted Reactor Coolant Pump Motor Cable Resulting in Zone G Relay Lockout and Subsequent Loss of Offsite Power and Emergency Diesel Generator Automatic Start for Both Units Section 4OA4, Supplemental Inspection PIPs C-12-03494, C-12-5142, C-12-5866, G-12-0712, and G-12-1431 Attachment}}

Latest revision as of 05:53, 6 February 2020

Supplemental Inspection Report 2013008 and Assessment Follow Up Letter
ML13095A205
Person / Time
Site: Catawba Duke Energy icon.png
Issue date: 04/04/2013
From: Bartley J
NRC/RGN-II/DRP/RPB1
To: Henderson K
Duke Energy Corp
References
IR-13-008
Download: ML13095A205 (14)


Text

UNITED STATES NUCLEAR REGULATORY COMMISSION REGION II 245 PEACHTREE CENTER AVENUE NE, SUITE 1200 ATLANTA, GEORGIA 30303-1257 April 4, 2013 Mr. Kelvin Henderson Site Vice President Duke Energy Corporation Catawba Nuclear Station 4800 Concord Road York, SC 29745-9635

SUBJECT:

CATAWBA NUCLEAR STATION UNIT 1 - NRC SUPPLEMENTAL INSPECTION REPORT 05000413/2013008 AND ASSESSMENT FOLLOWUP LETTER

Dear Mr. Henderson:

On March 21, 2013, the U. S. Nuclear Regulatory Commission (NRC) completed a supplemental inspection pursuant to Inspection Procedure 95001, Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area, at Catawba Unit 1. The enclosed inspection report documents the inspection results which were discussed on March 21, 2013, with Mr. T.

Simril and other members of your staff. Jonathan Bartley conducted a regulatory performance meeting with you on March 20, 2013, to discuss your corrective actions associated with the finding.

In accordance with the NRC Reactor Oversight Process Action Matrix, this supplemental inspection was performed to follow-up on a low to moderate safety significance (White) finding which occurred in the second quarter of 2012. This finding was previously documented and assessed in NRC Inspection Reports 05000413, 414/2012009 and 05000413, 414/2012010.

The NRC was informed of your readiness for this inspection on February 25, 2013.

The objectives of the supplemental inspection were to provide assurance that (1) the root causes and the contributing causes of risk-significant issues were understood; (2) the extent of condition and extent of cause the issues were identified; and (3) the licensees corrective actions were or will be sufficient to address and prevent repetition of the root and contributing causes.

The NRC has determined that the stated inspection objectives have been met. Therefore, in accordance with the guidance in Inspection Manual Chapter (IMC) 0305, Operating Reactor Assessment Program, the White finding will only be considered in assessing plant performance for a total of four quarters. As a result, the NRC determined the performance at Catawba Unit 1 to be in the Licensee Response Column of the ROP Action Matrix as of April 1, 2013.

K. Henderson 2 In accordance with 10 CFR 2.390 of the NRCs Rules of Practice, a copy of this letter and its enclosure will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records (PARS) component of the NRCs Agencywide Document Access and Management System (ADAMS). ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,

/RA/

Jonathan H. Bartley, Chief Projects Branch 1 Division of Reactor Projects Docket No.: 05000413 License No.: NPF-35

Enclosure:

Inspection Report 05000413/2013008 cc w/encl.: (See page 3)

_________________________ X SUNSI REVIEW COMPLETE G FORM 665 ATTACHED OFFICE RII:DRP RII:DRP SIGNATURE CWR /RA/ JHB /RA/

NAME CRapp JBartely DATE 04/02/2013 04/03/2013 E-MAIL COPY? YES NO YES NO YES NO YES NO YES NO YES NO YES NO K. Henderson 3 cc w/encl: Lara S. Nichols Scott L. Batson Deputy General Counsel Plant Manager Duke Energy Corporation Catawba Nuclear Station Electronic Mail Distribution Duke Energy Corporation Electronic Mail Distribution David A. Cummings Associate General Counsel William M. Suslick General Office Design Engineering Manager Duke Energy Corporation Catawba Nuclear Station Electronic Mail Distribution Duke Energy Corporation Electronic Mail Distribution Beth J. Horsley Wholesale Customer Relations Steven B. Putnam Duke Energy Corporation Organizational Effectiveness Manager Electronic Mail Distribution Catawba Nuclear Station Duke Energy Corporation Sandra Threatt, Manager Electronic Mail Distribution Nuclear Response and Emergency Environmental Surveillance Randall D. Hart Bureau of Land and Waste Management Regulatory Compliance Manager Department of Health and Environmental Catawba Nuclear Station Control Duke Energy Corporation Electronic Mail Distribution Electronic Mail Distribution Division of Radiological Health Joseph Michael Frisco, Jr. TN Dept. of Environment & Conservation Vice President, Nuclear Design Engineering 401 Church Street General Office Nashville, TN 37243-1532 Duke Energy Corporation Electronic Mail Distribution David A. Repka Winston Strawn LLP M. Christopher Nolan Electronic Mail Distribution Director - Regulatory Affairs General Office County Manager of York County Duke Energy Corporation York County Courthouse Electronic Mail Distribution P. O. Box 66 York, SC 29745-0066 David A. Cummings (acting)

Fleet Regulatory Compliance & Licensing Piedmont Municipal Power Agency Manager Electronic Mail Distribution General Office Duke Energy Corporation Vanessa Quinn Electronic Mail Distribution Federal Emergency Management Agency Radiological Emergency Preparedness Alicia Richardson Program Licensing Administrative Assistant 1800 S. Bell Street General Office Arlington, VA 20598-3025 Duke Energy Corporation Electronic Mail Distribution

K. Henderson 4 Letter to Kelvin Henderson from Jonathan H. Bartley dated April 4, 2013

SUBJECT:

CATAWBA NUCLEAR STATION UNIT 1 - NRC SUPPLEMENTAL INSPECTION REPORT 05000413/2013008 AND ASSESSMENT FOLLOWUP LETTER Distribution w/encl:

C. Evans, RII L. Douglas, RII OE Mail RIDSNRRDIRS PUBLIC A. Adams, NRR RidsNrrPMCatawba Resource ROP Assessment

U. S. NUCLEAR REGULATORY COMMISSION REGION II Docket Nos.: 50-413 License Nos.: NPF-35 Report Nos.: 05000413/2013008 Licensee: Duke Energy Carolinas, LLC Facility: Catawba Nuclear Station, Unit 1 Location: York, SC 29745 Dates: March 18, 2013, through March 21, 2013 Inspector: Curt Rapp, Senior Project Engineer Approved by: Jonathan H. Bartley, Chief Reactor Projects Branch 1 Division of Reactor Projects Enclosure

SUMMARY

OF FINDINGS Inspection Report 05000314/2013008; March 18-22, 2013; Catawba Nuclear Station, Unit 1; Inspection Procedure 95001, Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area This inspection was conducted by a senior project engineer. No findings were identified. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, Revision 4.

Cornerstone: Initiating Events This supplemental inspection was performed in accordance with Inspection Procedure 95001, Supplemental Inspection for One or Two White Inputs in a Strategic Performance Area, to assess the licensees evaluations associated with an improper generator protection modification that caused a loss of offsite power (LOOP) on April 4, 2012. The inspector determined that the licensee performed a comprehensive root cause evaluation (RCE) to determine the root and contributing causes and to identify any causes common to other programs or processes. The licensee developed adequate corrective actions to preclude recurrence.

Given the licensees acceptable performance in addressing the improper generator protection modification, the White finding associated with this issue will only be considered in assessing plant performance for a total of four quarters in accordance with the guidance in IMC 0305, Operating Reactor Assessment Program.

Enclosure

REPORT DETAILS

4. OTHER ACTIVITIES 4OA3 Event Follow-up (Closed) Licensee Event Report (LER) 05000413, 414/2012-001-00, -01, Unit 1 Automatic Reactor Trip Due to Faulted Reactor Coolant Pump Motor Cable Resulted in Zone G Relay Lockout and Subsequent Loss of Offsite Power and Emergency Diesel Generator Automatic Start for Both Units, Revisions 00 and 01 On April 4, 2012, Unit 1 tripped from 100% power due to the trip of the 1D reactor coolant (NC) pump. Shortly after the Unit 1 generator power circuit breakers opened, the generator (Zone G) protective relaying system unexpectedly actuated on an instantaneous underfrequency condition which opened the switchyard breakers causing a LOOP. At the time of the trip, Unit 2 was in Mode 5 with both of its essential busses aligned to Unit 1 offsite power. Therefore, Unit 2's essential busses also lost power as a result of the Unit 1 LOOP. Both emergency diesel generators (EDGs) on each unit automatically started and powered their respective essential busses. Approximately five and one-half hours later, after confirming that the sources of the fault were cleared, offsite power was restored to one essential bus on each unit. The Unit 1 LOOP occurred as a result of inadequate design input specification and insufficient control over vendor outsourcing in conjunction with a modification installed during the previous Unit 1 refueling outage. The inspector reviewed both revisions of the LER, the RCE performed for the LOOP, and the corrective actions completed or planned. No additional findings were identified.

4OA4 Supplemental Inspection

.01 Inspection Scope The inspector performed this supplemental inspection in accordance with IP 95001 to assess the licensees evaluation of the Unit1 LOOP occurring on April 4, 2012, which affected the Initiating Events cornerstone. The inspection objectives were to:

  • provide assurance that the root and contributing causes of risk-significant issues were understood
  • provide assurance that the extent of condition and extent of cause of risk-significant performance issues were identified
  • provide assurance that the licensees corrective actions for risk-significant issues were or will be sufficient to address the root and contributing causes and to preclude repetition The licensee entered the Regulatory Response Column of the NRCs Action Matrix for Unit 1 in the second quarter of 2012 as a result of a White finding due to an improper modification to Zone G protective relaying (NRC Inspection Reports 05000413, 414/2012009 and 05000413, 414/2012010). The licensee performed a RCE, documented in PIP C-12-3403, Revision 4, to identify process or program weaknesses and to determine the organizational attributes that resulted in the White finding. The licensee also completed a safety culture review as part of the RCE.

Enclosure

4 The inspector reviewed corrective actions that were completed or planned to address the identified root and contributing causes. The inspector also held discussions with licensee personnel to ensure that the root and contributing causes and the contribution of safety culture components were understood and corrective actions taken or planned were appropriate to preclude repetition.

.02 Evaluations of the Inspection Requirements 02.01 Problem Identification a.) IP 95001 requires that the inspection staff determine the licensees evaluation of the issue documents who identified the issue (i.e., licensee-identified, self-revealing, or NRC-identified) and the conditions under which the issue was identified.

The licensees RCE documented that the LOOP was self-revealing as a result of the reactor trip when the 1D NC pump lost power. The RCE documented that the failure to include a generator underfrequency block as part of the generator (Zone G) protective relaying modification resulted in unintended opening of the switchyard breakers. The inspector concluded the RCE documented who identified the issue and the conditions under which the issue was identified.

b.) IP 95001 requires that the inspection staff determine the licensees evaluation of the issue documents how long the issue existed and prior opportunities for identification.

The licensees RCE included a timeline of the Zone G protective relaying modification. The modification was installed during the April 2011 Unit 1 refueling outage. Testing of the modification during Unit 1 startup in June 2011 did not identify any problems and the Zone G relaying operated as expected during two subsequent unit shutdowns prior to the LOOP. The licensees RCE documented there were several barriers that would have identified the problem prior to installation. These barriers included providing proper specifications to the vendor, oversight of vendor work, independent verification of work product, and proper post modification testing. The inspector concluded the RCE documented how long the issue existed and prior opportunities for identification.

c.) IP 95001 requires that the inspection staff determine the licensees evaluation documents the plant specific risk consequences, as applicable, and compliance concerns associated with the issue.

Both Unit 1 and Unit 2 emergency diesel generators started and powered safety-related loads for the duration of the LOOP. The plant responded as expected with core cooling provided by natural circulation and cycling of the steam generator relief valves. The licensee determined the Unit 1 LOOP was of moderate to low safety significance (White). The inspector concluded the RCE documented the plant specific risk consequences of the Unit 1 LOOP.

Enclosure

5 The compliance concerns associated with the Technical Specification requirements for off-site power circuits were documented in PIP C-12-08719.

This PIP referenced the corrective actions for the RCE. The inspector concluded that the associated compliance concerns were addressed.

d.) Findings No findings were identified.

02.02 Root Cause, Extent of Condition, and Extent of Cause Evaluation a.) IP 95001 requires that the inspection staff determine the licensee evaluated the issue using a systematic methodology to identify the root and contributing causes.

The inspector determined that the licensee evaluated the LOOP using the following a systematic methods to identify root and contributing causes.

  • hazard-barrier-target analysis
  • event and causal factors chart
  • Why tree
  • change analysis
  • organizational and programmatic review b.) IP 95001 requires that the inspection staff determine the licensees RCE was conducted to a level of detail commensurate with the significance of the issue.

The licensee used the analysis tools listed in section 02.02 a. to assess the LOOP. The licensee also conducted a review of recent modifications that involved vendor provided work products and found no deficiencies. The licensees RCE documented the root cause of the finding to be weaknesses in the licensees design control processes which resulted in not defining critical design inputs in sufficient detail and less than adequate review of vendor supplied design change products. The licensee determined that the contributing causes included inadequate vendor oversight, ineffective design process barriers, and inadequate vendor self-checking. The inspector concluded that the RCE was conducted to a level of detail commensurate with the significance of the problem.

c.) IP 95001 requires that the inspection staff determine the licensees RCE included a consideration of prior occurrences of the issue and knowledge of Operating Experience (OE.)

The RCE included a comparison of this LOOP to a LOOP that occurred in 2006. The 2006 LOOP was caused by an improper relay setting and occurred when switchyard current transformers failed. These conditions were fundamentally different from the conditions which caused the current LOOP. The RCE documented a review of both Enclosure

6 internal and external OE to identify prior occurrences. The licensee determined there was relevant industry OE related to vendor products; however, none were applicable to the Zone G modification. As a result, the licensee determined the LOOP was not OE preventable. The inspector concluded that the licensees RCE included a consideration of prior occurrences of the problem and knowledge of prior OE.

d.) IP 95001 requires that the inspection staff determine that the licensees RCE addresses the extent of condition and extent of cause of the issues.

The RCE included an extent of condition (EoCo) analysis of the LOOP to examine the licensees response. There were two EoCos documented in the RCE. The event and causal factor chart showed that procedural guidance on specifying vendor deliverables and vendor oversight were the primary factors. The licensee reviewed engineering changes (ECs) for the previous five years associated with these EoCos and did not identify any deficiencies. To assess Extent of Cause (EoCa), the licensee evaluated if the root causes actually or had the potential to impact other units, other processes, equipment, or human performance. The licensee reviewed ECs with vendor products over the previous five years and pending ECs and did not identify any deficiencies. The inspector concluded that the licensees RCE addressed both the EoCo and the EoCa.

e.) IP 95001 requires that the inspection staff determine that the licensees root cause, extent of condition, and extent of cause evaluations appropriately considered the safety culture components as described in IMC 0310.

The licensee conducted a review of the four areas of safety culture. The licensee determined if a component applied to root or contributing cause and the basis for that determination. The EoCo and EoCa were addressed through the review of the root and contributing causes. The inspector concluded that the licensee had effectively considered the safety culture components in the RCE.

f.) Findings No findings were identified.

02.03 Corrective Actions a.) IP 95001 requires that the inspection staff determines that (1) the licensee specified appropriate corrective actions for each root and/or contributing cause, or (2) an evaluation that states no actions are necessary is adequate.

The inspector determined the licensee had identified appropriate corrective actions to prevent recurrence (CAPRs) for the two identified root causes; design control processes did not require definition of critical design inputs to an appropriate level of detail and design control processes for specification of vendor services were inadequate to ensure a required design feature was incorporated. The licensee identified the following CAPRs for root cause 1.

Enclosure

7

  • revise EDM-601, Engineering Change Manual, to include specific direction related to identifying and validating all design functions (CAPR 1)
  • revise EDM-101, Engineering Calculations/Analyses, to ensure all critical design inputs are clearly documented, describe the responsibilities of the Checker, determine the minimum actions required for a non-QA calculation, and ensure adequate technical review of a vendor calculation (CAPR 3)

The licensee identified the following CAPR to address root cause 2.

  • revise EDM-141, Procurement Specifications for Services, to ensure all design inputs are specified and testing verifies all aspects of the design and describe the vendor Checkers responsibilities (CAPR 2)

The corrective actions for the contributing causes relied mainly on these three CAPRs. The licensee had previously begun a company-wide review to identify improvements in the design change process. Selected corrective actions from this review were also credited as corrective actions for the LOOP. The inspector concluded that the identified corrective actions were adequate to address both the root and contributing causes.

b.) IP 95001 requires that the inspection staff determine that the licensee prioritized corrective actions with consideration of risk significance and regulatory compliance.

The licensees corrective actions to address the root and contributing causes were prioritized as documented in the RCE. The inspector noted that most of the corrective actions had been completed. The inspectors determined that the corrective actions were prioritized with consideration of the risk significance and regulatory compliance.

c.) IP 95001 requires that the inspection staff determine that the licensee established a schedule for implementing and completing the corrective actions.

The inspector concluded that the licensee established a reasonable schedule for implementing and completing corrective actions. Most of the corrective actions, including all the CAPRs, were completed at the time of the inspection. The remaining corrective actions were scheduled to be completed by January 31, 2014.

d.) IP 95001 requires that the inspection staff determine that the licensee developed quantitative and/or qualitative measures of success for determining the effectiveness of the corrective actions to preclude repetition.

The licensee established effectiveness assessments for the CAPRs. These assessments included:

  • A review of engineering changes to verify proper identification of design inputs, logic, testing, and checking requirements.

Enclosure

8

  • A review of specifications for vendor products to verify critical design inputs and checker requirements were incorporated.
  • A review of calculations to verify critical design inputs, and checker and minimum non-QA requirements were incorporated.

The licensee entered these effectiveness assessments into their corrective action program with a due date of about one year after the CAPRs had been implemented.

The inspector determined that appropriate success criteria had been developed for determining the effectiveness of the CAPRs.

e.) IP 95001 requires that the inspection staff determine that the licensees planned or taken corrective actions adequately address a Notice of Violation (NOV) that was the basis for the supplemental inspection, if applicable.

Although a notice of violation was issued for inoperable off-site power circuits exceeding the TS allowed outage time limit, it was not the basis for this inspection.

The violation is dispositioned in section 4OA5.

f.) Findings No findings were identified.

4OA5 Other (Closed) Violation 05000413/2012009-01, Failure to Provide Vendor with Accurate Design Information As documented in PIP C-12-08719, the licensee credited the RCE and associated CAPRs for the White finding to address both the cause and the corrective actions for this violation.

The inspector reviewed the PIP and determined that RCE and CAPRS adequately addressed the cause of the violation and the corrective actions to restore compliance and prevent recurrence.

4OA6 Meetings, Including Exit On March 21, 2013, the inspector presented the inspection results to Mr. T. Simril, Plant Manager, and other members of his staff, who acknowledge there were no findings.

Proprietary information provided by the licensee was handled in accordance with NRC policy for proprietary information.

ATTACHMENT: SUPPLEMENTAL INFORMATION Enclosure

SUPPLEMENTAL INFORMATION KEY POINTS OF CONTACT Licensee personnel T. Hamilton, Engineering Manager R. Hart, Regulatory Compliance Manager K. Henderson, Site Vice-President P. McIntyre, Design Engineering Supervisor - Electrical P. Simbrat, Senior Operations Specialist - Regulatory Affairs T. Simril, Plant Manager NRC personnel J. Bartley, Chief, Projects Branch 1, Division of Reactor Projects LIST OF REPORT ITEMS Closed LER 05000413/2012-001-00 and -01 Manual Reactor Scram During Startup Due to Multiple Control Rod Insertion (Section 4OA3.1)

Violation 05000413/2012010-001 Failure to Provide Vendor with Accurate Design Information (Section 4OA5)

LIST OF DOCUMENTS REVIEWED Section 4OA3, Event Follow-up LER 05000413, 414/2012-001-00 and -01, Automatic Reactor Trip Due to Faulted Reactor Coolant Pump Motor Cable Resulting in Zone G Relay Lockout and Subsequent Loss of Offsite Power and Emergency Diesel Generator Automatic Start for Both Units Section 4OA4, Supplemental Inspection PIPs C-12-03494, C-12-5142, C-12-5866, G-12-0712, and G-12-1431 Attachment