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{{#Wiki_filter:June 9, 2017
{{#Wiki_filter:June 9, 2017  
 
   
   
Mr. William F. Maguire Site Vice President Entergy Operations, Inc.  
Mr. William F. Maguire  
Site Vice President  
Entergy Operations, Inc.  
River Bend Station  
River Bend Station  
5485 US Highway 61N  
5485 US Highway 61N  
St. Francisville, LA  70775
St. Francisville, LA  70775  
  SUBJECT: RIVER BEND STATION
- NRC PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000458/2017009 AND NOTICE OF  
SUBJECT:  
RIVER BEND STATION - NRC PROBLEM IDENTIFICATION AND  
RESOLUTION INSPECTION REPORT 05000458/2017009 AND NOTICE OF  
VIOLATION  
VIOLATION  
  Dear Mr. Maguire:  
   
Dear Mr. Maguire:  
   
   
On April 28, 2017, the U.S. Nuclear Regulatory Commission (NRC) completed a problem  
On April 28, 2017, the U.S. Nuclear Regulatory Commission (NRC) completed a problem  
 
identification and resolution inspection at your River Bend Station.  The NRC inspection team  
identification and resolution inspection at your River Bend Station.  The NRC inspection team discussed the results of this inspection with Mr. Marvin Chase, Director, Regulatory &  
discussed the results of this inspection with Mr. Marvin Chase, Director, Regulatory &  
Performance Improvement, and other members of your staff.  The results of this inspection are documented in Enclosure 2.  
Performance Improvement, and other members of your staff.  The results of this inspection are  
documented in Enclosure 2.  
   
   
The NRC inspection team reviewed the station's corrective action program and the station's
The NRC inspection team reviewed the stations corrective action program and the stations
implementation of the program to evaluate its effectiveness in identifying, prioritizing, evaluating  
implementation of the program to evaluate its effectiveness in identifying, prioritizing, evaluating  
and correcting problems, and to confirm that the station was complying with NRC regulations and licensee standards for corrective action programs.  Based on the samples reviewed, the team determined that your staff's performance in each of these areas adequately supported  
and correcting problems, and to confirm that the station was complying with NRC regulations  
nuclear safety.   
and licensee standards for corrective action programs.  Based on the samples reviewed, the  
 
team determined that your staffs performance in each of these areas adequately supported  
The team also evaluated the station's processes for use of industry and NRC operating  
nuclear safety.  
experience information and the effectiveness of the station's audits and self-assessments.  Based on the samples reviewed, the team determined that your staff's performance in each of these areas adequately supported nuclear safety.
   
 
The team also evaluated the stations processes for use of industry and NRC operating  
Finally, the team reviewed the station's programs to establish and maintain a safety-conscious  
experience information and the effectiveness of the stations audits and self-assessments.   
work environment, and interviewed station personnel to evaluate the effectiveness of these programs.  Based on the team's observations and the results of these interviews the team found no evidence of challenges to your organization's safety-conscious work environment.  Your employees appeared willing to raise nuclear safety concerns through at least one of the several  
Based on the samples reviewed, the team determined that your staffs performance in each of  
these areas adequately supported nuclear safety.  
Finally, the team reviewed the stations programs to establish and maintain a safety-conscious  
work environment, and interviewed station personnel to evaluate the effectiveness of these  
programs.  Based on the teams observations and the results of these interviews the team found  
no evidence of challenges to your organizations safety-conscious work environment.  Your  
employees appeared willing to raise nuclear safety concerns through at least one of the several  
means available.
The enclosed report discusses a Severity Level IV violation associated with a finding of 
very low safety significance (Green).  The NRC evaluated this violation in accordance
Section 2.3.2.a of the NRC Enforcement Policy, which can be located at
http://www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html.  The violation is cited in
UNITED STATES
NUCLEAR REGULATORY COMMISSION
REGION IV
1600 E. LAMAR BLVD.
ARLINGTON, TX  76011-4511


means available.
   
 
W. Maguire  
The enclosed report discusses a Severity Level IV violation associated with a finding of  very low safety significance (Green). The NRC evaluated this violation in accordance Section 2.3.2.a of the NRC Enforcement Policy, which can be located at
2  
http://www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html.  The violation is cited in  UNITED STATES
the enclosed Notice of Violation (Notice) and the circumstances surrounding it are described in  
NUCLEAR REGULATORY COMMISSION REGION IV 1600 E. LAMAR BLVD. ARLINGTON, TX  76011-4511
detail in the subject inspection report.  The violation is being cited because the licensee   
   
failed to restore compliance with a Title 10 of the Code of Federal Regulations (10 CFR) 50.59  
W. Maguire
violation associated with the failure to obtain a license amendment that resulted in a more than  
2 the enclosed Notice of Violation (Notice) and the circumstances surrounding it are described in detail in the subject inspection report.  The violation is being cited because the licensee   
minimal increase in the frequency of occurrence of an accident previously evaluated in the final  
failed to restore compliance with a Title 10 of the  
Code of Federal Regulations (10 CFR) 50.59 violation associated with the failure to obtain a license amendment that resulted in a more than minimal increase in the frequency of occurrence of an accident previously evaluated in the final  
safety analysis report when implementing a design change to the reactor core isolation cooling  
safety analysis report when implementing a design change to the reactor core isolation cooling  
injection location.  The NRC previously identified this violation as non-cited violation   
injection location.  The NRC previously identified this violation as non-cited violation   
(NCV) 05000458/2015007-02.     
(NCV) 05000458/2015007-02.     
 
You are required to respond to this letter and should follow the instructions specified in the enclosed Notice when preparing your response.  The NRC's review of your response will also  
You are required to respond to this letter and should follow the instructions specified in the  
enclosed Notice when preparing your response.  The NRCs review of your response will also  
determine whether further enforcement action is necessary to ensure your compliance with  
determine whether further enforcement action is necessary to ensure your compliance with  
regulatory requirements.  
regulatory requirements.  
 
If you contest the violation or significance of the violation, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear  
If you contest the violation or significance of the violation, you should provide a response within  
30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear  
Regulatory Commission, ATTN:  Document Control Desk, Washington, DC 20555-0001; with  
Regulatory Commission, ATTN:  Document Control Desk, Washington, DC 20555-0001; with  
copies to the Regional Administrator, Region IV; the Director, Office of Enforcement; and the  
copies to the Regional Administrator, Region IV; the Director, Office of Enforcement; and the  
NRC resident inspector at the River Bend Station.  
NRC resident inspector at the River Bend Station.  
  If you disagree with the cross-cutting aspect assignment in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your  
   
If you disagree with the cross-cutting aspect assignment in this report, you should provide a  
response within 30 days of the date of this inspection report, with the basis for your  
disagreement, to the U.S. Nuclear Regulatory Commission, ATTN:  Document Control Desk,  
disagreement, to the U.S. Nuclear Regulatory Commission, ATTN:  Document Control Desk,  
Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; and the  
Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; and the  
NRC resident inspector at the River Bend Station.  
NRC resident inspector at the River Bend Station.  
  This letter, its enclosure, and your response (if any) will be made available for public inspection  
   
 
This letter, its enclosure, and your response (if any) will be made available for public inspection  
and copying at  
and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document  
http://www.nrc.gov/reading-rm/adams.html
Room in accordance with 10 CFR 2.390, Public Inspections, Exemptions, Requests for  
and at the NRC Public Document Room in accordance with 10 CFR 2.390, "Public Inspections, Exemptions, Requests for Withholding."
Withholding.  
  Sincerely,  
  /RA Jeffrey Clark for/  
Sincerely,  
  Thomas R. Hipschman, Team Leader Inspection Program and Assessment Team  
   
 
/RA Jeffrey Clark for/  
Thomas R. Hipschman, Team Leader  
Inspection Program and Assessment Team  
Division of Reactor Safety  
Division of Reactor Safety  
   
   
Docket No. 50-458 License No. NPF-47  
Docket No. 50-458  
License No. NPF-47  
   
   
Enclosure 1:  Notice of Violation  
Enclosure 1:  Notice of Violation  
Enclosure 2:  Inspection Report 05000458/2017009  
Enclosure 2:  Inspection Report 05000458/2017009  
   w/ Attachments:  Supplemental Information &  
   w/ Attachments:  Supplemental Information &  
     Information Request  
     Information Request  
  cc w/ encl:  Electronic Distribution  
   
  Enclosure 1  
cc w/ encl:  Electronic Distribution
  NOTICE OF VIOLATION  
 
  Entergy Operations, Inc. Docket No. 50-458 River Bend Station License No. NPF-47  
Enclosure 1  
NOTICE OF VIOLATION  
   
Entergy Operations, Inc.  
Docket No. 50-458  
River Bend Station  
License No. NPF-47  
   
   
During an NRC inspection conducted April 10 - 28, 2017, a violation of NRC requirements was  
During an NRC inspection conducted April 10 - 28, 2017, a violation of NRC requirements was  
identified.  In accordance with the NRC Enforcement Policy, the violation is listed below:   
identified.  In accordance with the NRC Enforcement Policy, the violation is listed below:   
 
10 CFR 50.59(c)(2) requires, in part, that a licensee shall obtain a license amendment pursuant to 10 CFR 50.90 prior to implementing a proposed change, test, or experiment if the change, test, or experiment would result in more than a minimal increase in the  
10 CFR 50.59(c)(2) requires, in part, that a licensee shall obtain a license amendment  
pursuant to 10 CFR 50.90 prior to implementing a proposed change, test, or experiment  
if the change, test, or experiment would result in more than a minimal increase in the  
frequency of occurrence of an accident previously evaluated in the final safety analysis  
frequency of occurrence of an accident previously evaluated in the final safety analysis  
report (as updated).   
report (as updated).   
 
Contrary to the above, as of April 28, 2017, the licensee failed to obtain a license amendment pursuant to 10 CFR 50.90 prior to implementing a change, test, or  
Contrary to the above, as of April 28, 2017, the licensee failed to obtain a license  
amendment pursuant to 10 CFR 50.90 prior to implementing a change, test, or  
experiment that resulted in a more than minimal increase in the frequency of occurrence  
experiment that resulted in a more than minimal increase in the frequency of occurrence  
of an accident previously evaluated in the final safety analysis report (as updated).  
of an accident previously evaluated in the final safety analysis report (as updated).  
Specifically, on July 3, 1999, the licensee implemented a design change to the reactor core isolation cooling injection location from the reactor vessel head to a feedwater line, but failed to correctly evaluate that a spurious reactor core isolation cooling actuation  
Specifically, on July 3, 1999, the licensee implemented a design change to the reactor  
core isolation cooling injection location from the reactor vessel head to a feedwater line,  
but failed to correctly evaluate that a spurious reactor core isolation cooling actuation  
into the feedwater line resulted in a more than minimal increase in the frequency of  
into the feedwater line resulted in a more than minimal increase in the frequency of  
occurrence of the loss of feedwater heating accident previously evaluated in the updated final safety analysis report.  
occurrence of the loss of feedwater heating accident previously evaluated in the updated  
  This is a Severity Level IV violation (NRC Enforcement Policy Section 6.1.d.2).  
final safety analysis report.  
   
This is a Severity Level IV violation (NRC Enforcement Policy Section 6.1.d.2).  
   
   
Pursuant to the provisions of 10 CFR 2.201 Entergy Operations, Inc. is hereby required to  
Pursuant to the provisions of 10 CFR 2.201 Entergy Operations, Inc. is hereby required to  
submit a written statement or explanation to the U.S. Nuclear Regulatory Commission,   
submit a written statement or explanation to the U.S. Nuclear Regulatory Commission,   
ATTN:  Document Control Desk, Washington, DC 20555-0001 with a copy to the Regional Administrator, Region IV, 1600 E. Lamar Blvd, Arlington, Texas 76011, and a copy to the NRC resident inspector at the River Bend Station, within 30 days of the date of the letter transmitting  
ATTN:  Document Control Desk, Washington, DC 20555-0001 with a copy to the Regional  
Administrator, Region IV, 1600 E. Lamar Blvd, Arlington, Texas 76011, and a copy to the NRC  
resident inspector at the River Bend Station, within 30 days of the date of the letter transmitting  
this Notice of Violation (Notice).  This reply should be clearly marked as a "Reply to a Notice of  
this Notice of Violation (Notice).  This reply should be clearly marked as a "Reply to a Notice of  
Violation," and should include for each violation:  (1) the reason for the violation, or, if contested,  
Violation, and should include for each violation:  (1) the reason for the violation, or, if contested,  
the basis for disputing the violation or severity level; (2) the corrective steps that have been  
the basis for disputing the violation or severity level; (2) the corrective steps that have been  
taken and the results achieved; (3) the corrective steps that will be taken; and (4) the date when full compliance will be achieved.  Your response may reference or include previous docketed correspondence, if the correspondence adequately addresses the required response.   
taken and the results achieved; (3) the corrective steps that will be taken; and (4) the date when  
 
full compliance will be achieved.  Your response may reference or include previous docketed  
correspondence, if the correspondence adequately addresses the required response.   
   
   
If an adequate reply is not received within the time specified in this Notice, an order or a  
If an adequate reply is not received within the time specified in this Notice, an order or a  
Demand for Information may be issued as to why the license should not be modified, suspended, or revoked, or why such other action as may be proper should not be taken.  Where good cause is shown, consideration will be given to extending the response time.   
Demand for Information may be issued as to why the license should not be modified,  
suspended, or revoked, or why such other action as may be proper should not be taken.  Where  
good cause is shown, consideration will be given to extending the response time.
If you contest this enforcement action, you should also provide a copy of your response, with
the basis for your denial, to the Director, Office of Enforcement, United States Nuclear
Regulatory Commission, Washington, DC 20555-0001. 
   


   
   
If you contest this enforcement action, you should also provide a copy of your response, with the basis for your denial, to the Director, Office of Enforcement, United States Nuclear
2
Regulatory Commission, Washington, DC 20555-0001.  
   
 
Your response will be made available electronically for public inspection in the NRC Public  
Your response will be made available electronically for public inspection in the NRC Public Document Room or from the NRC's document system (ADAMS), accessible from the NRC Web  
Document Room or from the NRCs document system (ADAMS), accessible from the NRC Web  
site at http://www.nrc.gov/reading-rm/adams.html.  To the extent possible, it should not include any personal privacy, proprietary, or safeguards information so that it can be made available to the public without redaction.  If personal privacy or proprietary information is necessary to provide an acceptable response, then please provide a bracketed copy of your response that  
site at http://www.nrc.gov/reading-rm/adams.html.  To the extent possible, it should not include  
any personal privacy, proprietary, or safeguards information so that it can be made available to  
the public without redaction.  If personal privacy or proprietary information is necessary to  
provide an acceptable response, then please provide a bracketed copy of your response that  
identifies the information that should be protected, and a redacted copy of your response that  
identifies the information that should be protected, and a redacted copy of your response that  
deletes such information.  If you request withholding of such material, you must specifically identify the portions of your response that you seek to have withheld and provide in detail the bases for your claim of withholding (e.g., explain why the disclosure of information will create an unwarranted invasion of personal privacy or provide the information required by  
deletes such information.  If you request withholding of such material, you must specifically  
identify the portions of your response that you seek to have withheld and provide in detail the  
bases for your claim of withholding (e.g., explain why the disclosure of information will create an  
unwarranted invasion of personal privacy or provide the information required by  
10 CFR 2.390(b), to support a request for withholding confidential commercial or financial  
10 CFR 2.390(b), to support a request for withholding confidential commercial or financial  
information).   
information).   
In accordance with 10 CFR 19.11, you may be required to post this Notice within two working
days of receipt. 
Dated this 9th day of June 2017


In accordance with 10 CFR 19.11, you may be required to post this Notice within two working days of receipt. 
   
   
Dated this 9
th day of June 2017
 
   
   
 
  Enclosure 2 U.S. NUCLEAR REGULATORY COMMISSION REGION IV  
Enclosure 2  
  Dockets: 05000458 License: NPF-47  
U.S. NUCLEAR REGULATORY COMMISSION  
 
REGION IV  
Report: 05000458/2017009  
   
Licensee: Entergy Operations, Inc.  
Dockets:  
Facility: River Bend Station  
05000458  
Location: 5485 U.S. Highway 61N St. Francisville, LA  70775
License:  
Dates: April 10 through
NPF-47  
April 28, 2017
Report:  
Team Lead: R. Azua, Senior Reactor Inspector  
05000458/2017009  
 
Licensee:  
Entergy Operations, Inc.  
Facility:  
River Bend Station  
Location:  
5485 U.S. Highway 61N  
St. Francisville, LA  70775  
Dates:  
April 10 through April 28, 2017  
Team Lead:  
R. Azua, Senior Reactor Inspector  
Inspectors:  
Inspectors:  
  H. Freeman, Senior Reactor Inspector P. Jayroe, Project Engineer B. Parks, Resident Inspector Approved By: T. Hipschman, Team Leader Inspection Program and Assessment Team  
   
H. Freeman, Senior Reactor Inspector  
P. Jayroe, Project Engineer  
B. Parks, Resident Inspector  
Approved By:  
T. Hipschman, Team Leader  
Inspection Program and Assessment Team  
Division of Reactor Safety


Division of Reactor Safety  
   
  2  SUMMARY  IR 05000458/2017009; 04/10/2017 - 04/28/2017; River Bend Station; Problem Identification  
2  
   
SUMMARY  
   
IR 05000458/2017009; 04/10/2017 - 04/28/2017; River Bend Station; Problem Identification  
and Resolution (Biennial)  
and Resolution (Biennial)  
   
   
The inspection activities described in this report were performed between
The inspection activities described in this report were performed between April 10 and April 28,  
April 10 and
2017, by three inspectors from the NRCs Region IV office and the resident inspector at the  
April 28, 2017, by three inspectors from the NRC's Region IV office and the resident inspector at the River Bend Station.  The report documents one finding of very low safety significance (Green).  This finding involved a violation of NRC requirements; this violation was determined to be Severity Level IV under the traditional enforcement process.  The significance of inspection findings is indicated by their color (Green, White, Yellow, or Red), which is determined using  
River Bend Station.  The report documents one finding of very low safety significance (Green).   
Inspection Manual Chapter 0609, "Significance Determination Process." Their cross-cutting  
This finding involved a violation of NRC requirements; this violation was determined to be  
aspects are determined using Inspection Manual Chapter 0310, "Aspects Within the Cross-
Severity Level IV under the traditional enforcement process.  The significance of inspection  
Cutting Areas." Violations of NRC requirement
findings is indicated by their color (Green, White, Yellow, or Red), which is determined using  
s are dispositioned in accordance with the NRC Enforcement Policy.  The NRC's program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, "Reactor Oversight Process."
Inspection Manual Chapter 0609, Significance Determination Process.  Their cross-cutting  
  Assessment of Problem Identification and Resolution  
aspects are determined using Inspection Manual Chapter 0310, Aspects Within the Cross-
Cutting Areas.  Violations of NRC requirements are dispositioned in accordance with the NRC  
Enforcement Policy.  The NRC's program for overseeing the safe operation of commercial  
nuclear power reactors is described in NUREG-1649, Reactor Oversight Process.  
   
Assessment of Problem Identification and Resolution  
   
   
Based on its inspection sample the team concluded that the licensee maintained a corrective action program in which individuals generally identified issues at an appropriately low threshold.   
Based on its inspection sample the team concluded that the licensee maintained a corrective  
Once entered into the corrective action program, the licensee generally evaluated and addressed these issues appropriately and timely, commensurate with their safety significance.   
action program in which individuals generally identified issues at an appropriately low threshold.   
The licensee's corrective actions were generally effective, addressing the causes and extents of condition of problems.  
Once entered into the corrective action program, the licensee generally evaluated and  
  The licensee appropriately evaluated industry operating experience for relevance to the facility and entered applicable items in the corrective action program.  The licensee incorporated  
addressed these issues appropriately and timely, commensurate with their safety significance.   
The licensees corrective actions were generally effective, addressing the causes and extents of  
condition of problems.  
   
The licensee appropriately evaluated industry operating experience for relevance to the facility  
and entered applicable items in the corrective action program.  The licensee incorporated  
industry and internal operating experience in its root cause and apparent cause evaluations.   
industry and internal operating experience in its root cause and apparent cause evaluations.   
The licensee performed effective and self-critical nuclear oversight audits and self-assessments.  The licensee maintained an effective process to ensure significant findings from these audits and self-assessments were addressed.  However, the team identified a potential weakness in  
The licensee performed effective and self-critical nuclear oversight audits and self-assessments.   
the station's timeliness for processing certain 10 CFR Part 21 notifications through the operating  
The licensee maintained an effective process to ensure significant findings from these audits  
and self-assessments were addressed.  However, the team identified a potential weakness in  
the stations timeliness for processing certain 10 CFR Part 21 notifications through the operating  
experience and corrective action programs.  The licensee acknowledged this potential  
experience and corrective action programs.  The licensee acknowledged this potential  
weakness and indicated their plan to address this through the Entergy fleet.   
weakness and indicated their plan to address this through the Entergy fleet.   
The licensee maintained a safety-conscious work environment in which personnel were willing
to raise nuclear safety concerns without fear of retaliation. 
Cornerstone:  Initiating Events
*
Green.  The NRC identified a Severity Level IV violation for the licensees failure to restore
compliance for a non-cited violation (NCV) associated with failure to obtain NRC approval
prior to making a change to the reactor core isolation cooling injection point.  Specifically, as
of April 28, 2017, the licensee had not restored compliance with a violation the NRC
identified on October 8, 2015.  This violation described a previously made change to the
facility without prior NRC approval in violation of 10 CFR 50.59, Changes, Tests, and
Experiments.  The team determined that the licensees failure to restore compliance within
a reasonable amount of time was a performance deficiency.  Title 10 CFR 50, Appendix B,
Criterion XVI, requires in part that, measures shall be established to assure that conditions


  The licensee maintained a safety-conscious work environment in which personnel were willing to raise nuclear safety concerns without fear of retaliation. 
   
 
   
  Cornerstone:  Initiating Events
3
* Green.  The NRC identified a Severity Level IV violation for the licensee's failure to restore compliance for a non-cited violation (NCV) associated with failure to obtain NRC approval prior to making a change to the reactor core isolation cooling injection point.  Specifically, as of April 28, 2017, the licensee had not restored compliance with a violation the NRC
   
identified on October 8, 2015.  This violation described a previously made change to the
adverse to quality, such as failures, malfunctions, deficiencies, deviations, defective material  
facility without prior NRC approval in violation of 10 CFR 50.59, "Changes, Tests, and
and equipment, and nonconformances are promptly identified and corrected.  The   
Experiments."  The team determined that the licensee's failure to restore compliance within a reasonable amount of time was a performance deficiency.  Title 10 CFR 50, Appendix B, Criterion XVI, requires in part that, "measures shall be established to assure that conditions  
licensee entered this issue into their corrective action program as Condition Report   
  3  adverse to quality, such as failures, malfunctions, deficiencies, deviations, defective material and equipment, and nonconformances are promptly identified and corrected." The   
CR-RBS-2017-03505.   
licensee entered this issue into their corrective action program as Condition Report  CR-RBS-2017-03505.   
   
   
The finding was more than minor because it is associated with the initiating events aspect of  
The finding was more than minor because it is associated with the initiating events aspect of  
the reactor safety cornerstone and affected the cornerstone objective to limit the likelihood  
the reactor safety cornerstone and affected the cornerstone objective to limit the likelihood  
of events that upset plant stability and challenge critical safety functions during power  
of events that upset plant stability and challenge critical safety functions during power  
operations.  The finding is of very low safety significance (Green) because it did not cause a reactor trip and the loss of mitigation equipment relied upon to transition the plant from the onset of the trip to a stable shutdown condition.  The finding has a human performance  
operations.  The finding is of very low safety significance (Green) because it did not cause a  
reactor trip and the loss of mitigation equipment relied upon to transition the plant from the  
onset of the trip to a stable shutdown condition.  The finding has a human performance  
cross-cutting aspect associated with procedural adherence because individuals failed to  
cross-cutting aspect associated with procedural adherence because individuals failed to  
follow the procedures delineated by the corrective action program [H.8].  Originally, the  
follow the procedures delineated by the corrective action program [H.8].  Originally, the  
licensee met the criteria for dispositioning the issue (50.59) as a NCV.  However, based upon the fact that the condition report, which documented the NCV, was closed without restoring compliance, the licensee no longer met the criteria for a NCV and therefore, this  
licensee met the criteria for dispositioning the issue (50.59) as a NCV.  However, based  
upon the fact that the condition report, which documented the NCV, was closed without  
restoring compliance, the licensee no longer met the criteria for a NCV and therefore, this  
violation is being cited in a notice of violation (4OA2.5).  
violation is being cited in a notice of violation (4OA2.5).  


   
   
   
  4  REPORT DETAILS
   
   
  4. OTHER ACTIVITIES (OA)  
4
REPORT DETAILS
   
4.  
OTHER ACTIVITIES (OA)  
   
   
4OA2 Problem Identification and Resolution (71152)  
4OA2 Problem Identification and Resolution (71152)  
  The team based the following conclusions on a sample of corrective action documents that were open during the assessment period, which ranged from July 12, 2015, to the end of the on-site portion of this inspection on April 27, 2017.  
   
  .1  Assessment of the Corrective Action Program Effectiveness  
The team based the following conclusions on a sample of corrective action documents that were  
  a. Inspection Scope  
open during the assessment period, which ranged from July 12, 2015, to the end of the on-site  
portion of this inspection on April 27, 2017.  
   
.1   
Assessment of the Corrective Action Program Effectiveness  
   
a. Inspection Scope  
   
   
The team reviewed approximately 200 condition reports (CRs), including associated root  
The team reviewed approximately 200 condition reports (CRs), including associated root  
cause analyses and apparent cause evaluations, from approximately 20,000 that the  
cause analyses and apparent cause evaluations, from approximately 20,000 that the  
licensee had initiated or closed between July 12, 2015, and April 27, 2017.  The majority  
licensee had initiated or closed between July 12, 2015, and April 27, 2017.  The majority  
of these (approximately 20,000) were lower-level condition reports that did not require cause evaluations.  The inspection sample focused on higher-significance condition reports for which the licensee evaluated and took actions to address the cause of the  
of these (approximately 20,000) were lower-level condition reports that did not require  
cause evaluations.  The inspection sample focused on higher-significance condition  
reports for which the licensee evaluated and took actions to address the cause of the  
condition.  In performing its review, the team evaluated whether the licensee had  
condition.  In performing its review, the team evaluated whether the licensee had  
properly identified, characterized, and entered issues into the corrective action program,  
properly identified, characterized, and entered issues into the corrective action program,  
and whether the licensee had appropriately evaluated and resolved the issues in  
and whether the licensee had appropriately evaluated and resolved the issues in  
accordance with established programs, processes, and procedures.  The team also reviewed these programs, processes, and procedures to determine if any issues existed that may impair their effectiveness.   
accordance with established programs, processes, and procedures.  The team also  
 
reviewed these programs, processes, and procedures to determine if any issues existed  
that may impair their effectiveness.   
   
   
The team reviewed a sample of performance metrics, system health reports, operability determinations, self-assessments, trending reports and metrics, and various other documents related to the licensee's corrective action program.  The team evaluated the licensee's efforts in determining the scope of problems by reviewing selected logs, work  
The team reviewed a sample of performance metrics, system health reports, operability  
orders, self-assessment results, audits, system health reports, action plans, and results from surveillance tests and preventive maintenance tasks.  The team reviewed daily CRs and attended the licensee's CR screening meetings and Plant Review Group  
determinations, self-assessments, trending reports and metrics, and various other  
(PRG) meetings to assess the reporting threshold and prioritization efforts, and to observe the corrective action program's interfaces with the operability assessment and work control processes.  The team's review included an evaluation of whether the  
documents related to the licensees corrective action program.  The team evaluated the  
licensees efforts in determining the scope of problems by reviewing selected logs, work  
orders, self-assessment results, audits, system health reports, action plans, and results  
from surveillance tests and preventive maintenance tasks.  The team reviewed daily  
CRs and attended the licensees CR screening meetings and Plant Review Group  
(PRG) meetings to assess the reporting threshold and prioritization efforts, and to  
observe the corrective action programs interfaces with the operability assessment and  
work control processes.  The teams review included an evaluation of whether the  
licensee considered the full extent of cause and extent of condition for problems, as well  
licensee considered the full extent of cause and extent of condition for problems, as well  
as a review of how the licensee assessed generic implications and previous occurrences  
as a review of how the licensee assessed generic implications and previous occurrences  
of issues.  The team assessed the timeliness and effectiveness of corrective actions, completed or planned, and looked for additional  
of issues.  The team assessed the timeliness and effectiveness of corrective actions,  
examples of problem
completed or planned, and looked for additional examples of problems similar to those  
s similar to those the licensee had previously addressed.  The team conducted interviews with plant  
the licensee had previously addressed.  The team conducted interviews with plant  
personnel to identify other processes that may exist, where problems may be identified  
personnel to identify other processes that may exist, where problems may be identified  
and addressed outside the corrective action program.  
and addressed outside the corrective action program.  
   
   
The team reviewed corrective action doc
The team reviewed corrective action documents that addressed past NRC-identified  
uments that addressed past NRC-identified violations to evaluate whether corrective actions addressed the issues described in the inspection reports.  The team reviewed a sample of corrective actions closed to other  
violations to evaluate whether corrective actions addressed the issues described in the  
inspection reports.  The team reviewed a sample of corrective actions closed to other  
corrective action documents to ensure that the ultimate corrective actions remained  
corrective action documents to ensure that the ultimate corrective actions remained  
appropriate and timely.  The team reviewed a sample of condition reports where the 
appropriate and timely.  The team reviewed a sample of condition reports where the  
  5  licensee had changed the significance level after initial classification to determine whether the level changes were in accordance with station procedures and that the  


5
licensee had changed the significance level after initial classification to determine
whether the level changes were in accordance with station procedures and that the
conditions were appropriately addressed.  
conditions were appropriately addressed.  
  The team considered risk insights from both the NRC's and the River Bend Station's risk  
   
The team considered risk insights from both the NRCs and the River Bend Stations risk  
models to focus the sample selection and plant tours on risk-significant systems and  
models to focus the sample selection and plant tours on risk-significant systems and  
components.  The team focused a portion of its sample on the control building heating  
components.  The team focused a portion of its sample on the control building heating  
and ventilation (HVK) system and automatic depressurization system, which the team selected for a five-year in-depth review.  The team conducted walk-downs of the HVK system and other plant areas to assess whether licensee personnel identified problems at a low threshold and entered them into the corrective action program.  In addition, the  
and ventilation (HVK) system and automatic depressurization system, which the team  
team also reviewed the licensee's use of operational experience and the 10 CFR Part 21  
selected for a five-year in-depth review.  The team conducted walk-downs of the HVK  
(Part 21) process' with respect to these systems.   
system and other plant areas to assess whether licensee personnel identified problems  
  b. Assessments  
at a low threshold and entered them into the corrective action program.  In addition, the  
  1. Effectiveness of Problem Identification   
team also reviewed the licensees use of operational experience and the 10 CFR Part 21  
  During the 22-month inspection period, licensee staff generated approximately 20,000 condition reports.  The team determined that most conditions that required generation of a condition report per Procedure EN-LI-102, "Corrective Action  
(Part 21) process with respect to these systems.   
 
   
Program," were entered appropriately into  
b. Assessments  
the corrective action program.  However, the Team identified a few errors in the development and processing of CR's:  
   
 
1. Effectiveness of Problem Identification   
* These errors included assigning the wrong priority to a CR, and/or closing CRs to a lesser CR, contrary to plant procedures.  In most of these instances, the subsequent actions taken to correct these issues were appropriate to the higher priority designation.  One instance was noted where actions taken were not commensurate with the required actions for a condition adverse to quality.   
   
During the 22-month inspection period, licensee staff generated approximately  
20,000 condition reports.  The team determined that most conditions that required  
generation of a condition report per Procedure EN-LI-102, Corrective Action  
Program, were entered appropriately into the corrective action program.  However,  
the Team identified a few errors in the development and processing of CRs:  
*  
These errors included assigning the wrong priority to a CR, and/or closing CRs to  
a lesser CR, contrary to plant procedures.  In most of these instances, the  
subsequent actions taken to correct these issues were appropriate to the higher  
priority designation.  One instance was noted where actions taken were not  
commensurate with the required actions for a condition adverse to quality.   
Specifically, Condition Report CR-RBS-2015-7259, which was issued in  
Specifically, Condition Report CR-RBS-2015-7259, which was issued in  
response to a 10 CFR 50.59 NCV.  The licensee closed the CR to a Licensing  
response to a 10 CFR 50.59 NCV.  The licensee closed the CR to a Licensing  
Action Request process, which was not an approved process in the corrective action program.  This failure by the licensee to follow their process contributed to the failure to address the issue in a timely manner, which resulted in a cited  
Action Request process, which was not an approved process in the corrective  
 
action program.  This failure by the licensee to follow their process contributed to  
the failure to address the issue in a timely manner, which resulted in a cited  
violation.  (Section 4OA2.5)  
violation.  (Section 4OA2.5)  
   
   
Overall, the team concluded that the licensee generally maintained a low threshold  
Overall, the team concluded that the licensee generally maintained a low threshold  
for the formal identification of problems  
for the formal identification of problems and entry into the corrective action program  
and entry into the corrective action program for evaluation.  Licensee personnel initiated over
for evaluation.  Licensee personnel initiated over 760 CRs per month during the  
760 CRs per month during the inspection period.  Most of the personnel interviewed by the team understood the  
inspection period.  Most of the personnel interviewed by the team understood the  
requirements for condition report initiation; most expressed a willingness to enter  
requirements for condition report initiation; most expressed a willingness to enter  
newly identified issues into the corrective action program at a very low threshold.   
newly identified issues into the corrective action program at a very low threshold.   
2. Effectiveness of Prioritization and Evaluation of Issues 
The sample of CRs reviewed by the team focused primarily on issues screened by
the licensee as having higher-level significance, including those that received cause
evaluations, those classified as significant conditions adverse to quality, and those
that required engineering evaluations.  The team also reviewed a number of
condition reports that included or should have included immediate operability


  2. Effectiveness of Prioritization and Evaluation of Issues  
   
The sample of CRs reviewed by the team focused primarily on issues screened by the licensee as having higher-level significance, including those that received cause
   
evaluations, those classified as significant conditions adverse to quality, and those that required engineering evaluations.  The team also reviewed a number of condition reports that included or should have included immediate operability  
6
  6  determinations to assess the quality, timeliness, and prioritization of these determinations.   
   
 
determinations to assess the quality, timeliness, and prioritization of these  
Based on the walk-down of the risk-significant systems selected for the five-year in-depth review, the team observed that the material condition of these systems  
determinations.   
Based on the walk-down of the risk-significant systems selected for the five-year in-
depth review, the team observed that the material condition of these systems  
appeared to be adequate.  With regard to the HVK system, the team noted that the  
appeared to be adequate.  With regard to the HVK system, the team noted that the  
plant had experienced a number of recurring i
plant had experienced a number of recurring issues with this system, over several  
ssues with this system, over several years, where corrective actions appeared to
years, where corrective actions appeared to have been previously ineffective.  This  
have been previously ineffective.  This was one of the reasons the team selected this system for review.   
was one of the reasons the team selected this system for review.   
  The team's focused review of the licensee's more recent actions, with regard to the  
   
The teams focused review of the licensees more recent actions, with regard to the  
HVK system, indicated a more rigorous effort was being applied by the licensee to  
HVK system, indicated a more rigorous effort was being applied by the licensee to  
get this issue under control.  One such action was the licensee's placement of this  
get this issue under control.  One such action was the licensees placement of this  
system in their Top Ten Equipment Reliability Action Plan, which focuses more plant resources to listed systems in an effort to correct identified problems.  Interviews with licensee staff also indicate that a more concerted effort was being made by plant  
system in their Top Ten Equipment Reliability Action Plan, which focuses more plant  
resources to listed systems in an effort to correct identified problems.  Interviews with  
licensee staff also indicate that a more concerted effort was being made by plant  
management to address identified problems with the HVK system with more  
management to address identified problems with the HVK system with more  
 
permanent solutions.  Having said that, this effort is in its nascent stage.  The NRC  
permanent solutions.  Having said that, this effort is in its nascent stage.  The NRC will continue to monitor these systems to ascertain the effectiveness of the licensee's corrective actions over time.  
will continue to monitor these systems to ascertain the effectiveness of the licensees
corrective actions over time.  
   
   
Overall, the team determined that the licensee's process for screening and  
Overall, the team determined that the licensees process for screening and  
prioritizing issues that had been entered into the corrective action program,  
prioritizing issues that had been entered into the corrective action program,  
supported nuclear safety.  The licensee's operability determinations were consistent,  
supported nuclear safety.  The licensees operability determinations were consistent,  
accurately documented, and completed in accordance with procedures.  
accurately documented, and completed in accordance with procedures.  
3. Effectiveness of Corrective Actions
   
   
Overall, the team concluded that the licensee generally identified effective corrective actions for the problems evaluated in the corrective action program.  The licensee generally implemented these corrective acti
3. Effectiveness of Corrective Actions
ons in a timely manner, commensurate with their safety significance, and reviewed the effectiveness of the corrective actions  
Overall, the team concluded that the licensee generally identified effective corrective  
actions for the problems evaluated in the corrective action program.  The licensee  
generally implemented these corrective actions in a timely manner, commensurate  
with their safety significance, and reviewed the effectiveness of the corrective actions  
appropriately.  
appropriately.  
   
   
The team identified that since early 2016, there has been a reduction in the number  
The team identified that since early 2016, there has been a reduction in the number  
of adverse events caused by human performance errors and work management deficiencies on the part of River Bend Station employees.  However, this positive data point was tempered by the team having noticed that a potential area of  
of adverse events caused by human performance errors and work management  
deficiencies on the part of River Bend Station employees.  However, this positive  
data point was tempered by the team having noticed that a potential area of  
vulnerability may still exist in the area of supplemental (contract) employees, for  
vulnerability may still exist in the area of supplemental (contract) employees, for  
example transmission and distribution personnel.  The licensee stated that they were aware of this vulnerability and indicated were working to address it.  
example transmission and distribution personnel.  The licensee stated that they were  
  .2 Assessment of the Use of Operating Experience
aware of this vulnerability and indicated were working to address it.  
  a. Inspection Scope 
   
.2  
Assessment of the Use of Operating Experience
   
   
The team examined the licensee's program for  
a. Inspection Scope 
reviewing industry operating experience, including reviewing the governing procedures.  The team reviewed a sample of eight industry operating experience communications and the associated site evaluations to  
assess whether the licensee had appropriately assessed the communications for
The team examined the licensees program for reviewing industry operating experience,  
  7  relevance to the facility.  The team also reviewed assigned actions to determine whether they were appropriate. 
including reviewing the governing procedures.  The team reviewed a sample of eight  
industry operating experience communications and the associated site evaluations to  
assess whether the licensee had appropriately assessed the communications for  


  b. Assessment   
   
  Overall, the team determined that the licensee appropriately evaluated industry  
operating experience for its relevance to the  
7
facility.  Operating experience information was incorporated into plant procedures and processes as appropriate.  The licensee was  
effective in implementing lessons learned through operating experience.  They took full advantage of being part of the Entergy fleet, to give a thorough review of the operational experience from a variety of sources.  Licensee personnel ensured that significant  
relevance to the facility.  The team also reviewed assigned actions to determine whether
they were appropriate. 
b. Assessment   
   
Overall, the team determined that the licensee appropriately evaluated industry  
operating experience for its relevance to the facility.  Operating experience information  
was incorporated into plant procedures and processes as appropriate.  The licensee was  
effective in implementing lessons learned through operating experience.  They took full  
advantage of being part of the Entergy fleet, to give a thorough review of the operational  
experience from a variety of sources.  Licensee personnel ensured that significant  
issues were dealt with in a thorough and timely manner.  This was also true for the  
issues were dealt with in a thorough and timely manner.  This was also true for the  
Part 21 process that is within the licensee's operational experience program.  
Part 21 process that is within the licensees operational experience program.  
 
The team further determined that the licensee appropriately evaluated industry operating experience when performing root cause analysis and apparent cause evaluations.  The  
The team further determined that the licensee appropriately evaluated industry operating  
experience when performing root cause analysis and apparent cause evaluations.  The  
licensee appropriately incorporated both internal and external operating experience into  
licensee appropriately incorporated both internal and external operating experience into  
lessons learned for training and pre-job briefs.  
lessons learned for training and pre-job briefs.  
 
The team identified one potential weakness with respect to the timeliness of review of Part 21 notices.  Specifically, with regard to Part 21's received where the River Bend  
The team identified one potential weakness with respect to the timeliness of review of  
Part 21 notices.  Specifically, with regard to Part 21s received where the River Bend  
Station was not identified as being affected.  In these instances, the notices would be  
Station was not identified as being affected.  In these instances, the notices would be  
sent to Entergy's Corporate Supply office to be researched.  If during this research the  
sent to Entergys Corporate Supply office to be researched.  If during this research the  
Part 21 was determined to apply to the River Bend Station, the information would be  
Part 21 was determined to apply to the River Bend Station, the information would be  
returned to the site.  However, there were no further timeliness goals regarding when this item should be entered into the corrective action program.  The team identified four examples where the time that lapsed between the publication of a Part 21 notice and  
returned to the site.  However, there were no further timeliness goals regarding when  
entry into the corrective action program was excessive (80 days to 105 days).  None of the examples identified had an adverse impact on the safety of the plant.  Following discussions with the licensee staff, they acknowledged this insight and indicated that they plan to address it through the Entergy fleet.  The licensee entered this issue into their corrective action program (Condition Reports CR-RBS-2017-03549 and   
this item should be entered into the corrective action program.  The team identified four  
examples where the time that lapsed between the publication of a Part 21 notice and  
entry into the corrective action program was excessive (80 days to 105 days).  None of  
the examples identified had an adverse impact on the safety of the plant.  Following  
discussions with the licensee staff, they acknowledged this insight and indicated that  
they plan to address it through the Entergy fleet.  The licensee entered this issue into  
their corrective action program (Condition Reports CR-RBS-2017-03549 and   
CR-HQN-2017-00617).   
CR-HQN-2017-00617).   
.3
Assessment of Self-Assessments and Audits
 
a. Inspection Scope 
The team reviewed a sample of licensee self-assessments and audits to assess whether
the licensee was regularly identifying performance trends and effectively addressing
them.  The team also reviewed audit reports to assess the effectiveness of assessments
in specific areas.  The specific self-assessment documents and audits reviewed are
listed in Attachment 1.
b. Assessment 
Overall, the team concluded that the licensee had an effective self-assessment and audit
process.  The team determined that self-assessments were self-critical and thorough
enough to identify deficiencies. 


  .3 Assessment of Self-Assessments and Audits    a. Inspection Scope 
   
  The team reviewed a sample of licensee self-assessments and audits to assess whether
   
the licensee was regularly identifying performance trends and effectively addressing
8
them.  The team also reviewed audit reports to assess the effectiveness of assessments in specific areas.  The specific self-assessment documents and audits reviewed are listed in Attachment 1.
   
  b. Assessment 
   
Overall, the team concluded that the licensee had an effective self-assessment and audit process.  The team determined that self-assessments were self-critical and thorough enough to identify deficiencies.  
.4  
 
Assessment of Safety-Conscious Work Environment
 
  8  .4 Assessment of Safety-Conscious Work Environment  
1. Inspection Scope   
  1. Inspection Scope   
   
  The team interviewed 26 individuals in five focus groups.  The purpose of these  
The team interviewed 26 individuals in five focus groups.  The purpose of these  
interviews was:  (1) to evaluate the willingness of licensee staff to raise nuclear safety  
interviews was:  (1) to evaluate the willingness of licensee staff to raise nuclear safety  
issues, either by initiating a condition report or by another method, (2) to evaluate the  
issues, either by initiating a condition report or by another method, (2) to evaluate the  
perceived effectiveness of the corrective action program at resolving identified problems, and (3) to evaluate the licensee's safety-conscious work environment (SCWE).  The focus group participants included personnel from Engineering, Maintenance  
perceived effectiveness of the corrective action program at resolving identified problems,  
(Mechanical, Electrical, and Instrumentation and Controls), Security and Supplemental (Contract) Engineering personnel.  At the team's request, the licensee's regulatory  
and (3) to evaluate the licensees safety-conscious work environment (SCWE).  The  
affairs staff selected the participants blindly from these work groups, based partially on availability.  To supplement these focus group discussions, the team interviewed the Employee Concerns Program manager to assess her perception of the site employees' willingness to raise nuclear safety concerns.  The team reviewed the Employee Concerns Program case log and select case files.  The team also reviewed the minutes  
focus group participants included personnel from Engineering, Maintenance  
from the licensee's most recent safety culture monitoring panel meetings.  
(Mechanical, Electrical, and Instrumentation and Controls), Security and Supplemental  
  2. Assessment   
(Contract) Engineering personnel.  At the teams request, the licensees regulatory  
  1. Willingness to Raise Nuclear Safety Issues  
affairs staff selected the participants blindly from these work groups, based partially on  
  All individuals interviewed indicated that they would raise nuclear safety concerns.  All felt that their management was receptive to nuclear safety concerns and was willing to address them promptly.  All of the interviewees further stated that if they were not satisfied with the response from their immediate supervisor, they had the  
availability.  To supplement these focus group discussions, the team interviewed the  
Employee Concerns Program manager to assess her perception of the site employees  
willingness to raise nuclear safety concerns.  The team reviewed the Employee  
Concerns Program case log and select case files.  The team also reviewed the minutes  
from the licensees most recent safety culture monitoring panel meetings.  
   
2. Assessment   
1. Willingness to Raise Nuclear Safety Issues  
   
All individuals interviewed indicated that they would raise nuclear safety concerns.   
All felt that their management was receptive to nuclear safety concerns and was  
willing to address them promptly.  All of the interviewees further stated that if they  
were not satisfied with the response from their immediate supervisor, they had the  
ability to escalate the concern to a higher organizational level.  Most expressed  
ability to escalate the concern to a higher organizational level.  Most expressed  
positive experiences after raising issues to their supervisors.  All expressed positive experiences documenting most issues in condition reports.   
positive experiences after raising issues to their supervisors.  All expressed positive  
experiences documenting most issues in condition reports.   
   
   
The team questioned focus group participants whether they were able to submit a  
The team questioned focus group participants whether they were able to submit a  
condition report anonymously.  Most individuals were aware that they could submit  
condition report anonymously.  Most individuals were aware that they could submit  
condition reports anonymously, and were knowledgeable of the process.  The team  
condition reports anonymously, and were knowledgeable of the process.  The team  
noted that the number of anonymous CRs has dropped over the last year.  This, in conjunction with the positive staff comments during interviews, was considered an indicator of improving personnel confidence in the plant and plant management.
noted that the number of anonymous CRs has dropped over the last year.  This, in  
  2. Employee Concerns Program  
conjunction with the positive staff comments during interviews, was considered an  
  All interviewees were aware of the Employee Concerns Program.  Most explained that they had heard about the program through various means, such as posters,  
indicator of improving personnel confidence in the plant and plant management.  
training, presentations, and discussion by s
upervisors or management at meetings.  All interviewees stated that they would us
2. Employee Concerns Program  
e Employee Concerns if they felt it was necessary.  All expressed confidence that t
   
heir confidentiality would be maintained if they brought issues to Employee Concerns.   
All interviewees were aware of the Employee Concerns Program.  Most explained  
   
that they had heard about the program through various means, such as posters,  
  9  4. Preventing or Mitigating Perceptions of Retaliation  
training, presentations, and discussion by supervisors or management at meetings.   
  When asked if there have been any instances where individuals experienced retaliation or other negative reaction for raising issues, all individuals interviewed stated that they had neither experienced nor heard of an instance of retaliation,  
All interviewees stated that they would use Employee Concerns if they felt it was  
necessary.  All expressed confidence that their confidentiality would be maintained if  
they brought issues to Employee Concerns.  
   
 
9  
   
4. Preventing or Mitigating Perceptions of Retaliation  
   
When asked if there have been any instances where individuals experienced  
retaliation or other negative reaction for raising issues, all individuals interviewed  
stated that they had neither experienced nor heard of an instance of retaliation,  
harassment, intimidation or discrimination at the site.  The team determined that  
harassment, intimidation or discrimination at the site.  The team determined that  
processes in place to mitigate these issues were being successfully implemented.   
processes in place to mitigate these issues were being successfully implemented.   
   
   
Responses from the focus group interviewees indicate that they believe that management has established and promoted a safety-conscious work environment where individuals feel free to raise safety concerns without fear of retaliation.   
Responses from the focus group interviewees indicate that they believe that  
Overall, employees indicated that they have noticed an improved culture on-site.  As described, there was a sense that management is more interested now in addressing  
management has established and promoted a safety-conscious work environment  
issues in a manner that will result in more lasting solutions.  They indicated that there is more management support for their efforts.
where individuals feel free to raise safety concerns without fear of retaliation.   
  .5 Findings  
Overall, employees indicated that they have noticed an improved culture on-site.  As  
  Failure to restore compliance for a 10 CFR 50.59 Violation  
described, there was a sense that management is more interested now in addressing  
  Introduction.  The team identified a Green, Severity Level IV, violation for the licensee's failure to restore compliance for a NCV associated with the licensee's failure to obtain  
issues in a manner that will result in more lasting solutions.  They indicated that there  
is more management support for their efforts.  
.5  
Findings  
   
Failure to restore compliance for a 10 CFR 50.59 Violation  
   
Introduction.  The team identified a Green, Severity Level IV, violation for the licensees
failure to restore compliance for a NCV associated with the licensees failure to obtain  
NRC approval prior to making a change to the reactor core isolation cooling injection  
NRC approval prior to making a change to the reactor core isolation cooling injection  
point.  Specifically, as of April 28, 2017, the licensee had not restored compliance with  
point.  Specifically, as of April 28, 2017, the licensee had not restored compliance with  
the NCV the NRC identified on October 8, 2015.  This violation described a change, which was previously made to the facility without prior NRC approval in violation of 10 CFR 50.59, "Changes, Tests, and Experiments," because the evaluation did not  
the NCV the NRC identified on October 8, 2015.  This violation described a change,  
which was previously made to the facility without prior NRC approval in violation  
of 10 CFR 50.59, Changes, Tests, and Experiments, because the evaluation did not  
provide adequate justification as to why the change did not result in a more than minimal  
provide adequate justification as to why the change did not result in a more than minimal  
increase in the frequency of occurrence of an accident previously evaluated in the final safety analysis report.  
increase in the frequency of occurrence of an accident previously evaluated in the final  
  Description.  In 1998, the licensee modified the reactor core isolation cooling injection point from the reactor head spray nozzle to the 'A' feedwater line via the 'A' residual heat  
safety analysis report.  
removal shutdown cooling return line.  At that time, the licensee's evaluation stated that  
   
Description.  In 1998, the licensee modified the reactor core isolation cooling injection  
point from the reactor head spray nozzle to the 'A' feedwater line via the 'A' residual heat  
removal shutdown cooling return line.  At that time, the licensees evaluation stated that  
the modification did not increase the probability of occurrence of an accident evaluated  
the modification did not increase the probability of occurrence of an accident evaluated  
previously in the Safety Analysis Report (SAR) and, as a result, did not represent an unreviewed safety question which would have required NRC approval.  
previously in the Safety Analysis Report (SAR) and, as a result, did not represent an  
  In October 2015 the NRC reviewed the licensee's modification to the reactor core  
unreviewed safety question which would have required NRC approval.  
   
In October 2015 the NRC reviewed the licensees modification to the reactor core  
isolation cooling injection point as one of the samples during an inspection on  
isolation cooling injection point as one of the samples during an inspection on  
evaluations of changes, tests, and experiments and permanent plant modifications (Inspection Procedure 71111.17T).  The NRC determ
evaluations of changes, tests, and experiments and permanent plant modifications  
ined that the licensee's evaluation for this modification was inadequate because the licensee had failed to correctly  
(Inspection Procedure 71111.17T).  The NRC determined that the licensees evaluation  
for this modification was inadequate because the licensee had failed to correctly  
evaluate that a spurious reactor core isolation cooling actuation injecting through the  
evaluate that a spurious reactor core isolation cooling actuation injecting through the  
feedwater line would also result in the same characteristics, (and therefore increase the  
feedwater line would also result in the same characteristics, (and therefore increase the  
probability of occurrence) of another accident previously evaluated (loss of feedwater  
probability of occurrence) of another accident previously evaluated (loss of feedwater  
heating) and that this would be more than a minimal increase in frequency.  
heating) and that this would be more than a minimal increase in frequency.  
  The requirements governing the authority of production and utilization facility licensees  
   
to make changes to their facilities without prior NRC approval are contained in  
The requirements governing the authority of production and utilization facility licensees  
  10  10 CFR 50.59. At the time of implementation of this modification, the regulation provided that licensees may make changes to the facility or procedures as described in
to make changes to their facilities without prior NRC approval are contained in   
the safety analysis report (SAR), without prior Commission approval, unless the proposed change, test, or experiment involved a change to the Technical Specifications incorporated in the license or an unreviewed safety question.  Section 50.59(a)(2), stated the following:
A proposed change, test, or experiment shall be deemed to involve an unreviewed
safety question:  (i) if the probability of occurrence or the consequences of an accident or malfunction of equipment important to sa
fety previously evaluated in the safety analysis report may be increased; (ii) if a possibility for an accident or malfunction of a


different type than any evaluated previously in the safety analysis report may be created; or (iii) if the margin of safety as defined in the basis for any technical specification is  
 
reduced.  At the time of the modification, any increase in probability of occurrence or consequence  
10
10 CFR 50.59.  At the time of implementation of this modification, the regulation
provided that licensees may make changes to the facility or procedures as described in
the safety analysis report (SAR), without prior Commission approval, unless the
proposed change, test, or experiment involved a change to the Technical Specifications
incorporated in the license or an unreviewed safety question.  Section 50.59(a)(2),
stated the following:
A proposed change, test, or experiment shall be deemed to involve an unreviewed
safety question:  (i) if the probability of occurrence or the consequences of an accident
or malfunction of equipment important to safety previously evaluated in the safety
analysis report may be increased; (ii) if a possibility for an accident or malfunction of a
different type than any evaluated previously in the safety analysis report may be created;  
or (iii) if the margin of safety as defined in the basis for any technical specification is  
reduced.  
   
At the time of the modification, any increase in probability of occurrence or consequence  
was considered an unreviewed safety question.  On October 4, 1999, the NRC issued a  
was considered an unreviewed safety question.  On October 4, 1999, the NRC issued a  
revision to 10 CFR 50.59 in the Federal Register (64 FR 53582), effective 90 days after  
revision to 10 CFR 50.59 in the Federal Register (64 FR 53582), effective 90 days after  
approval of Regulatory Guide 1.187 (issued in November 2000).  Among the changes implemented to the revised rule, the NRC eliminated the term "unreviewed safety question," and clarified the requirements to allow changes, which involved only "minimal  
approval of Regulatory Guide 1.187 (issued in November 2000).  Among the changes  
increases" in probability or consequences to be made without prior NRC approval.   
implemented to the revised rule, the NRC eliminated the term unreviewed safety  
  Because this performance deficiency did not meet the requirements of the revised rule  
question, and clarified the requirements to allow changes, which involved only minimal  
(which allowed for a minimal increase in frequency), it did not meet the criteria for enforcement discretion, and therefore, was documented as a Severity Level IV, NCV, consistent with the Enforcement Policy.  On October 29, 2015, the NRC documented  
increases in probability or consequences to be made without prior NRC approval.   
   
Because this performance deficiency did not meet the requirements of the revised rule  
(which allowed for a minimal increase in frequency), it did not meet the criteria for  
enforcement discretion, and therefore, was documented as a Severity Level IV, NCV,  
consistent with the Enforcement Policy.  On October 29, 2015, the NRC documented  
this issue in NRC Inspection Report 05000458/2015007.  The licensee entered the  
this issue in NRC Inspection Report 05000458/2015007.  The licensee entered the  
performance deficiency into their corrective action program as Condition Report   
performance deficiency into their corrective action program as Condition Report   
CR-RBS-2015-7259 and did not deny the violation.  
CR-RBS-2015-7259 and did not deny the violation.  
  During the current inspection, the NRC team selected Condition Report   
   
During the current inspection, the NRC team selected Condition Report   
CR-RBS-2015-7259 as one of the samples reviewed to assess the adequacy of   
CR-RBS-2015-7259 as one of the samples reviewed to assess the adequacy of   
the licensee's problem identification and resolution program.  The team found that  the licensee had not restored compliance with the rule and found several aspects  
the licensees problem identification and resolution program.  The team found that   
associated with how the licensee addressed the NCV that deviated from their corrective action program as specified in Procedure EN-LI-102, Revision 25.  These aspects  
the licensee had not restored compliance with the rule and found several aspects  
include:  * The licensee initiated the condition report as significance C and directed it be upgraded to a significance "B ACE CARB" [apparent cause evaluation, corrective action review board] when the finding was issued as a NCV.  The NRC documented  
associated with how the licensee addressed the NCV that deviated from their corrective  
the finding on October 29, 2015, and yet the licensee did not upgrade the condition report until December 17, 2015.  This delayed initiation of the apparent cause  
action program as specified in Procedure EN-LI-102, Revision 25.  These aspects  
include:  
   
*  
The licensee initiated the condition report as significance C and directed it be  
upgraded to a significance B ACE CARB [apparent cause evaluation, corrective  
action review board] when the finding was issued as a NCV.  The NRC documented  
the finding on October 29, 2015, and yet the licensee did not upgrade the condition  
report until December 17, 2015.  This delayed initiation of the apparent cause  
evaluation.  
evaluation.  
  * The licensee initially characterized the condition report as a significance C even though it met two of the criteria listed in Attachment 9.1, "Condition Report Classification Guidance," of Procedure EN-LI-102 to be classified as significance B.  
   
These examples included inadequate 10 CFR 50.59 review, evaluation or screening, and Green NCV, Green finding violation, or traditional enforcement from the NRC.   
*  
  11   * The licensee closed the significance B condition report without having corrected the condition adverse to quality (namely the 10 CFR 50.59 violation for failure to obtain NRC approval prior to making a change to the facility).  In order to restore  
The licensee initially characterized the condition report as a significance C even  
compliance, the licensee had three choices:  (1) restore the facility to a condition that did not require NRC approval (restore original design); (2) perform an adequate evaluation that provided justification as to why the change did not increase the  
though it met two of the criteria listed in Attachment 9.1, Condition Report  
Classification Guidance, of Procedure EN-LI-102 to be classified as significance B.  
These examples included inadequate 10 CFR 50.59 review, evaluation or screening,  
and Green NCV, Green finding violation, or traditional enforcement from the NRC.  
 
   
11  
*  
The licensee closed the significance B condition report without having corrected the  
condition adverse to quality (namely the 10 CFR 50.59 violation for failure to obtain  
NRC approval prior to making a change to the facility).  In order to restore  
compliance, the licensee had three choices:  (1) restore the facility to a condition that  
did not require NRC approval (restore original design); (2) perform an adequate  
evaluation that provided justification as to why the change did not increase the  
probability or consequences of an accident by more than a minimal amount [based  
probability or consequences of an accident by more than a minimal amount [based  
upon the current standard] and deny the violation; or (3) submit a license  
upon the current standard] and deny the violation; or (3) submit a license  
amendment request requesting NRC approval [a
amendment request requesting NRC approval [after the fact] for a change to the  
fter the fact] for a change to the facility as described in the safety analysis report.  
facility as described in the safety analysis report.  
  * The licensee closed the condition report to a process that was not allowed by the corrective action program.  Section 5.5[5] "CR [condition report] Disposition Requirements" of Procedure EN-LI-102 allows a condition report to be closed to  
   
*  
The licensee closed the condition report to a process that was not allowed by the  
corrective action program.  Section 5.5[5] CR [condition report] Disposition  
Requirements of Procedure EN-LI-102 allows a condition report to be closed to  
another condition report as long as the condition report being closed is the same as  
another condition report as long as the condition report being closed is the same as  
or lower category level than the remaining condition report.  Attachment 9.6 "CR and  
or lower category level than the remaining condition report.  Attachment 9.6 CR and  
CA [corrective action] Closure to WMS [Work Management System] and Tracking," also allows a condition report/corrective action to be closed to the work management system if they have Condition Review Group approval.  In this case, the licensee closed the condition report to a licensing action request system, which was neither  
CA [corrective action] Closure to WMS [Work Management System] and Tracking,  
also allows a condition report/corrective action to be closed to the work management  
system if they have Condition Review Group approval.  In this case, the licensee  
closed the condition report to a licensing action request system, which was neither  
another condition report nor part of the work management system, and therefore, not  
another condition report nor part of the work management system, and therefore, not  
allowed by the corrective action program.  The licensee's license action request  
allowed by the corrective action program.  The licensees license action request  
system did not have comparable controls or requirements for due date extensions as specified by the corrective action program.  
system did not have comparable controls or requirements for due date extensions as  
  * The corrective actions did not meet the guidance of Section 5.6[2] "Corrective Action Initiation" of Procedure EN-LI-102 for crafting corrective actions, which states that corrective action content should be "specific , measurable, achievable, realistic, and timely." The licensee did not initiate a corrective action to specifically address the  
specified by the corrective action program.  
adverse condition.  The action that was initiated was an indirect action that was assigned to the Design Engineering department to provide technical input to the Licensing department to support generation of a license amendment request for  
   
*  
The corrective actions did not meet the guidance of Section 5.6[2] Corrective Action  
Initiation of Procedure EN-LI-102 for crafting corrective actions, which states that  
corrective action content should be specific, measurable, achievable, realistic, and  
timely.  The licensee did not initiate a corrective action to specifically address the  
adverse condition.  The action that was initiated was an indirect action that was  
assigned to the Design Engineering department to provide technical input to the  
Licensing department to support generation of a license amendment request for  
submission to the NRC.  Once the technical input was provided, the corrective action  
submission to the NRC.  Once the technical input was provided, the corrective action  
and the condition report were closed.  An adequate corrective action should have  
and the condition report were closed.  An adequate corrective action should have  
required the Licensing department to obtain a license amendment accepting the design change prior to closing the condition report.  The failure to restore compliance continues to exist up until the licensee receives a license amendment.  
required the Licensing department to obtain a license amendment accepting the  
  * The closure review performed by the assigned manager failed to identify that the condition adverse to quality had not been corrected and that the condition report was not ready to close.  Specific questions contained in Attachment 9.2, "Checklist for Level B CR Closure" of Procedure EN-LI-102 that could have identified that the condition report was not ready for closure include:  
design change prior to closing the condition report.  The failure to restore compliance  
  o Question 13 stated, "verify the corrective actions corrected the condition identified -" was checked "SAT" even though no corrective actions had been  
continues to exist up until the licensee receives a license amendment.  
   
*  
The closure review performed by the assigned manager failed to identify that the  
condition adverse to quality had not been corrected and that the condition report was  
not ready to close.  Specific questions contained in Attachment 9.2, Checklist for  
Level B CR Closure of Procedure EN-LI-102 that could have identified that the  
condition report was not ready for closure include:  
   
o Question 13 stated, verify the corrective actions corrected the condition  
identified was checked SAT even though no corrective actions had been  
generated to restore compliance.  
generated to restore compliance.  


 
  12  o Question 14 stated, "verify that each corrective action identified in the evaluation and that was otherwise issued to address the condition was completed as  
intended.  Recommendations and enhancements may be tracked by other processes," was checked "SAT" even though a sub question (also marked SAT) stated, "Verify the action item was not closed to a promise of a future action  
12  
item." In this case, the future action was implied that the Licensing department  
   
o Question 14 stated, verify that each corrective action identified in the evaluation  
and that was otherwise issued to address the condition was completed as  
intended.  Recommendations and enhancements may be tracked by other  
processes, was checked SAT even though a sub question (also marked SAT)  
stated, Verify the action item was not closed to a promise of a future action  
item.  In this case, the future action was implied that the Licensing department  
would submit and obtain approval from the NRC for a license amendment.  
would submit and obtain approval from the NRC for a license amendment.  
  o Questions 15 through 17 were left unchecked even though they were required to be checked "SAT," including Question 16 which states, "verify the corrective action is not closed to another process other than WO [work order] approved by the CRG [Condition Review Group]." In this case the implied corrective action  
   
o Questions 15 through 17 were left unchecked even though they were required to  
be checked SAT, including Question 16 which states, verify the corrective  
action is not closed to another process other than WO [work order] approved by  
the CRG [Condition Review Group].  In this case the implied corrective action  
(obtaining NRC approval) was closed to another process, which was not a work  
(obtaining NRC approval) was closed to another process, which was not a work  
order approved by the Condition Review Group.  
order approved by the Condition Review Group.  
  o Question 19 (left blank) states, "if this quality closure review identifies an unsatisfactory closure of a checklist item annotated "SAT," issue a corrective  
   
action using the "UNSAT RESPONSE  
o Question 19 (left blank) states, if this quality closure review identifies an  
PI" action type, with specific recommendations or identified discrepancies that need further review." As noted above, three questions that should have been annotated "SAT," were left blank and a corrective action was not generated using the "UNSAT RESPONSE PI," as  
unsatisfactory closure of a checklist item annotated SAT, issue a corrective  
 
action using the UNSAT RESPONSE PI" action type, with specific  
recommendations or identified discrepancies that need further review.  As noted  
above, three questions that should have been annotated SAT, were left blank  
and a corrective action was not generated using the UNSAT RESPONSE PI, as  
required.  
required.  
 
o Question 20 (left blank) states:  "When all items in the checklist are satisfactorily completed, the CR is ready to close."
o Question 20 (left blank) states:  When all items in the checklist are satisfactorily  
  * Corrective Action 14 was closed on October 6, 2016, even though the attached closure checklist was not completed.  
completed, the CR is ready to close.  
  On April 12, 2017, the team determined that the licensee had not restored   
   
*  
Corrective Action 14 was closed on October 6, 2016, even though the attached  
closure checklist was not completed.  
   
On April 12, 2017, the team determined that the licensee had not restored   
compliance with this ongoing violation within a reasonable amount of time for   
compliance with this ongoing violation within a reasonable amount of time for   
NCV 05000458/2015007-02, and that any future corrective actions could not be considered timely and commensurate with the significance.  The team concluded that while the licensee originally met the criteria for dispositioning the 10 CFR 50.59 issue as  
NCV 05000458/2015007-02, and that any future corrective actions could not be  
considered timely and commensurate with the significance.  The team concluded that  
while the licensee originally met the criteria for dispositioning the 10 CFR 50.59 issue as  
a NCV, based upon the fact that the condition report that documented the violation was  
a NCV, based upon the fact that the condition report that documented the violation was  
closed and the licensee had not restored compliance within a reasonable time (nearly   
closed and the licensee had not restored compliance within a reasonable time (nearly   
18 months), the team determined that the licensee no longer met the criteria for a NCV,  
18 months), the team determined that the licensee no longer met the criteria for a NCV,  
and therefore, this violation would be cited in a notice of violation.  
and therefore, this violation would be cited in a notice of violation.  
  Analysis.  The team determined that the licensee's failure to restore compliance within a reasonable amount of time for a violation of regulatory requirements associated with a  
   
Analysis.  The team determined that the licensees failure to restore compliance within a  
reasonable amount of time for a violation of regulatory requirements associated with a  
design modification was a performance deficiency.  Specifically, on October 29, 2015,  
design modification was a performance deficiency.  Specifically, on October 29, 2015,  
the NRC notified the licensee that a plant design change, which was implemented in 1999, had increased the probability of a loss-of-feedwater accident by more than a  
the NRC notified the licensee that a plant design change, which was implemented in  
1999, had increased the probability of a loss-of-feedwater accident by more than a  
minimal amount and was made without requesting prior NRC approval, was a violation  
minimal amount and was made without requesting prior NRC approval, was a violation  
of 10 CFR 50.59 requirements.  Title 10 CFR 50, Appendix B, Criterion XVI, requires in  
of 10 CFR 50.59 requirements.  Title 10 CFR 50, Appendix B, Criterion XVI, requires in  
part that, "measures shall be established to assure that conditions adverse to quality,  
part that, measures shall be established to assure that conditions adverse to quality,  
such as failures, malfunctions, deficiencies, deviations, defective material and equipment, and nonconformances are promptly identified and corrected." As of April 28, 2017, the licensee failed to correct a condition adverse to quality by restoring  
such as failures, malfunctions, deficiencies, deviations, defective material and  
compliance with 10 CFR 50.59.   
equipment, and nonconformances are promptly identified and corrected.  As of April 28,  
  13   The finding was more than minor because it is associated with the initiating events  
2017, the licensee failed to correct a condition adverse to quality by restoring  
aspect of the reactor safety cornerstone and affected the cornerstone objective to limit the likelihood of events that upset plant stability and challenge critical safety functions during power operations.  Using Inspection Manual Chapter 0609, Appendix A, "The  
compliance with 10 CFR 50.59.  
Significance Determination Process (SDP) for Findings At-Power," Exhibit 1, "Initiating  
 
Events Screening Questions," dated June 19, 2012, the team determined that the   
   
13  
The finding was more than minor because it is associated with the initiating events  
aspect of the reactor safety cornerstone and affected the cornerstone objective to limit  
the likelihood of events that upset plant stability and challenge critical safety functions  
during power operations.  Using Inspection Manual Chapter 0609, Appendix A, The  
Significance Determination Process (SDP) for Findings At-Power, Exhibit 1, Initiating  
Events Screening Questions, dated June 19, 2012, the team determined that the   
finding is of very low safety significance (Green).  This was because the finding did not  
finding is of very low safety significance (Green).  This was because the finding did not  
cause a reactor trip and the loss of mitigation equipment relied upon to transition the plant from the onset of the trip to a stable shutdown condition.  The finding has a  human performance cross-cutting aspect associated with procedural adherence because individuals failed to follow the procedures delineated by the corrective action  
cause a reactor trip and the loss of mitigation equipment relied upon to transition the  
plant from the onset of the trip to a stable shutdown condition.  The finding has a   
human performance cross-cutting aspect associated with procedural adherence  
because individuals failed to follow the procedures delineated by the corrective action  
program [H.8].  
program [H.8].  
  The reactor oversight process' (ROP's) significance determination process does not specifically consider the regulatory process impact in its assessment of licensee performance.  Therefore, it is necessary to address this violation, which impedes the  
   
NRC's ability to regulate, using traditional enforcement to deter non-compliance.  Since  
The reactor oversight process (ROPs) significance determination process does not  
the violation is associated with a Green reactor oversight process violation, the traditional enforcement violation was determined to be a Severity Level IV violation, consistent with the example in paragraph 6.1.d(2) of the NRC Enforcement Policy.  
specifically consider the regulatory process impact in its assessment of licensee  
  The NRC's Enforcement Policy dictates that severity level IV violations and violations associated with green ROP findings are normally dispositioned as NCVs if they meet all  
performance.  Therefore, it is necessary to address this violation, which impedes the  
of the following:  (1) the violation is placed into a corrective action program to restore compliance and address recurrence; (2) the licensee must restore compliance within a reasonable period of time (commensurate with the significance); (3) the violation must  
NRCs ability to regulate, using traditional enforcement to deter non-compliance.  Since  
the violation is associated with a Green reactor oversight process violation, the  
traditional enforcement violation was determined to be a Severity Level IV violation,  
consistent with the example in paragraph 6.1.d(2) of the NRC Enforcement Policy.  
   
The NRCs Enforcement Policy dictates that severity level IV violations and violations  
associated with green ROP findings are normally dispositioned as NCVs if they meet all  
of the following:  (1) the violation is placed into a corrective action program to restore  
compliance and address recurrence; (2) the licensee must restore compliance within a  
reasonable period of time (commensurate with the significance); (3) the violation must  
either not be repetitive as a result of inadequate corrective action, or if repetitive, the  
either not be repetitive as a result of inadequate corrective action, or if repetitive, the  
repetitive violation must not have been identified by the NRC (does not apply to green  
repetitive violation must not have been identified by the NRC (does not apply to green  
ROP findings); and (4) the violation must not be willful.  For the purposes of Criterion 2, this includes actions taken to stop an ongoing violation from continuing (which should be as soon as possible).  The team concluded that while the licensee originally met the  
ROP findings); and (4) the violation must not be willful.  For the purposes of Criterion 2,  
this includes actions taken to stop an ongoing violation from continuing (which should be  
as soon as possible).  The team concluded that while the licensee originally met the  
criteria for dispositioning the issue 10 CFR 50.59 as a NCV; based upon the fact that the  
criteria for dispositioning the issue 10 CFR 50.59 as a NCV; based upon the fact that the  
licensee closed the condition report without restoring compliance, the licensee no longer  
licensee closed the condition report without restoring compliance, the licensee no longer  
met the criteria for a NCV, and therefore, this violation will be cited in a notice of  
met the criteria for a NCV, and therefore, this violation will be cited in a notice of  
violation.  
violation.  
  Enforcement.  The team identified a Severity Level IV, Green violation of 10 CFR 50.59, "Changes, Tests, and Experiments," Section (c)(2) which states in part that, "a licensee  
   
Enforcement.  The team identified a Severity Level IV, Green violation of 10 CFR 50.59,  
Changes, Tests, and Experiments, Section (c)(2) which states in part that, a licensee  
shall obtain a license amendment pursuant to Section 50.90 prior to implementing a  
shall obtain a license amendment pursuant to Section 50.90 prior to implementing a  
proposed change, test, or experiment if the change, test, or experiment would result in more than a minimal increase in the frequency of occurrence of an accident previously evaluated in the final safety analysis report (as updated)." Contrary to the above, as of April 28, 2017, the licensee failed to obtain a license amendment pursuant to  
proposed change, test, or experiment if the change, test, or experiment would result in  
more than a minimal increase in the frequency of occurrence of an accident previously  
evaluated in the final safety analysis report (as updated).  Contrary to the above, as of  
April 28, 2017, the licensee failed to obtain a license amendment pursuant to  
Section 50.90, prior to implementing a change, test, or experiment that resulted in a  
Section 50.90, prior to implementing a change, test, or experiment that resulted in a  
more than minimal increase in the frequency of occurrence of an accident previously  
more than minimal increase in the frequency of occurrence of an accident previously  
evaluated in the final safety analysis report (as updated).  Specifically, on July 3, 1999, the licensee implemented a design change to the reactor core isolation cooling injection location from the reactor vessel head to a feedwater line.  However, the licensee failed  
evaluated in the final safety analysis report (as updated).  Specifically, on July 3, 1999,  
the licensee implemented a design change to the reactor core isolation cooling injection  
location from the reactor vessel head to a feedwater line.  However, the licensee failed  
to correctly evaluate that a spurious reactor core isolation cooling actuation into the  
to correctly evaluate that a spurious reactor core isolation cooling actuation into the  
feedwater line resulted in a more than minimal increase in the frequency of occurrence
feedwater line resulted in a more than minimal increase in the frequency of occurrence  
  14  of the loss of feedwater heating accident, previously evaluated in the updated final safety analysis report.  This performance deficiency was previously identified by the NRC and
documented as NCV 05000458/2015007-02.  In accordance with Section 2.3.2.a of the NRC Enforcement Policy, this finding is being cited because the licensee failed to restore compliance within a reasonable amount of time after the violation was initially
identified.  This finding was entered into the licensee's corrective action program as


Condition Report CR-RBS-2017-03505, (VIO 05000458/2017009-01, "Failure to Obtain  
Prior NRC Approval for a Change in Reactor Core Isolation Cooling Injection Point.")  
  4OA6 Meetings, Including Exit  
14
  Exit Meeting Summary  
  On April 28, 2017, the inspectors presented the inspection results to Mr. Marvin Chase, Director, Regulatory & Performance Improvement, and other members of the licensee staff.  The licensee acknowledged the issues presented.  The licensee  
of the loss of feedwater heating accident, previously evaluated in the updated final safety
confirmed that any proprietary information reviewed by the inspectors had been returned or destroyed.  
analysis report.  This performance deficiency was previously identified by the NRC and
documented as NCV 05000458/2015007-02.  In accordance with Section 2.3.2.a of the
NRC Enforcement Policy, this finding is being cited because the licensee failed to
restore compliance within a reasonable amount of time after the violation was initially
identified.  This finding was entered into the licensees corrective action program as
Condition Report CR-RBS-2017-03505, (VIO 05000458/2017009-01, Failure to Obtain  
Prior NRC Approval for a Change in Reactor Core Isolation Cooling Injection Point.)  
   
4OA6 Meetings, Including Exit  
   
Exit Meeting Summary  
   
On April 28, 2017, the inspectors presented the inspection results to Mr. Marvin Chase, Director,  
Regulatory & Performance Improvement, and other members of the licensee staff.  The licensee  
acknowledged the issues presented.  The licensee confirmed that any proprietary information  
reviewed by the inspectors had been returned or destroyed.  


 
  Attachment 1 SUPPLEMENTAL INFORMATION  
  KEY POINTS OF CONTACT  
  Licensee Personnel     
Attachment 1  
SUPPLEMENTAL INFORMATION  
   
KEY POINTS OF CONTACT
Licensee Personnel     
   
   
M. Chase, Director, Regulatory & Performance Improvement  
M. Chase, Director, Regulatory & Performance Improvement  
A. Coates, Sr. Engineer, Regulatory Assurance  
A. Coates, Sr. Engineer, Regulatory Assurance  
R. Crawford, Supervisor, Engineering  
R. Crawford, Supervisor, Engineering  
K. Huffstatler, Sr. Licensing Specialist, Regulatory Assurance J. Lea, HVK System Engineer  
K. Huffstatler, Sr. Licensing Specialist, Regulatory Assurance  
J. Lea, HVK System Engineer  
P. Lucky, Manager, Performance Improvement  
P. Lucky, Manager, Performance Improvement  
B. Maguire, Vice President, Operations  
B. Maguire, Vice President, Operations  
J. Reynolds, Sr. Manager, Operations T. Schenk, Manager, Regulatory Assurance K. Stupak, Manager, Training  
J. Reynolds, Sr. Manager, Operations  
T. Schenk, Manager, Regulatory Assurance  
K. Stupak, Manager, Training  
T. Trask, Director, Recovery  
T. Trask, Director, Recovery  
 
S. Vazquez, Director, Engineering  
S. Vazquez, Director, Engineering
  NRC Personnel  
NRC Personnel  
  J. Sowa, Senior Resident, River Bend Station  
   
J. Sowa, Senior Resident, River Bend Station  
A. Vegel, Director, Division of Reactor Safety  
A. Vegel, Director, Division of Reactor Safety  
LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED 
Opened
05000458/2017-009-01
NOV
Failure to Obtain Prior NRC Approval for a Change in Reactor
Core Isolation Cooling Injection Point (Section 4OA2.5)
Discussed
05000458/2015-007-02
NCV
Failure to Obtain Prior NRC Approval for a Change in Reactor
Core Isolation Cooling Injection Point
LIST OF DOCUMENTS REVIEWED
Procedures
Number
Title
Revision
ADM-0073
Temporary Services and Equipment
307
AOP-0001
Reactor Scram
36
AOP-0029
Severe Weather Operation
38
CSP-0006
Chemistry Surveillance and Scheduling System
41


  LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED  
   
  Opened 05000458/2017-009-01 NOV Failure to Obtain Prior NRC Approval for a Change in Reactor Core Isolation Cooling Injection Point (Section 4OA2.5)
   
  Discussed
A1-2
05000458/2015-007-02 NCV Failure to Obtain Prior NRC Approval for a Change in Reactor Core Isolation Cooling Injection Point    LIST OF DOCUMENTS REVIEWED
   
Procedures
Procedures  
Number Title Revision ADM-0073 Temporary Services and Equipment 307 AOP-0001 Reactor Scram 36
Number  
AOP-0029 Severe Weather Operation 38
Title  
CSP-0006 Chemistry Surveillance and Scheduling System 41 
Revision  
  A1-2  Procedures
CSP-0109
Number Title Revision CSP-0109 Chemistry Surveillance for Non-Routing Samples 0 EN-LI-102 Corrective Action Program 24 EN-LI-102 Corrective Action Program 25  
Chemistry Surveillance for Non-Routing Samples  
EN-LI-102 Corrective Action Program 26  
0  
EN-LI-102 Corrective Action Program 27  
EN-LI-102  
EN-LI-102 Corrective Action Program 28  
Corrective Action Program  
EN-LI-102 Corrective Action Program 29 EN-LI-104 Self-Assessment and Benchmark Process 13 EN-LI-118 Cause Evaluation Process 21  
24  
EN-LI-118 Cause Evaluation Process 22  
EN-LI-102  
EN-LI-118 Cause Evaluation Process 23  
Corrective Action Program  
EN-LI-118 Cause Evaluation Process 24 EN-LI-121 Trending and Performance Review Process 18 EN-LI-121 Trending and Performance Review Process 19  
25  
EN-LI-121 Trending and Performance Review Process 20  
EN-LI-102  
EN-LI-121 Trending and Performance Review Process 21  
Corrective Action Program  
EN-LI-121 Trending and Performance Review Process 22  
26  
EN-OE-100 Operating Experience Program 27 EN-OP-104 Operability Determination Process 11 EN-QV-109 Audit Process 32  
EN-LI-102  
EN-RP-110-004 Radiation Protection Risk Assessment Process 7  
Corrective Action Program  
EN-TQ-201 Systematic Approach to Training Process 22  
27  
GOP-001 Plant Startup 84 GOP-001 Plant Startup 85 GOP-001 Plant Startup 97  
EN-LI-102  
GOP-002 Power Decrease/Plant Shutdown 70  
Corrective Action Program  
GOP-002 Power Decrease/Plant Shutdown 71  
28  
GOP-002 Power Decrease/Plant Shutdown 72  
EN-LI-102  
GOP-002 Power Decrease/Plant Shutdown 77 GOP-005 Power Maneuvering 321 
Corrective Action Program  
  A1-3  Procedures
29  
Number Title Revision GOP-005 Power Maneuvering 322 GOP-005 Power Maneuvering 323 GOP-005 Power Maneuvering 328
EN-LI-104  
OSP-0014 Administrative control of Equipment and/or Devices 306
Self-Assessment and Benchmark Process  
OSP-0022 Operations General Administration Guidelines 103
13  
OSP-0043 Freeze Protection and Temperature Maintenance 30
EN-LI-118  
SOP-0093 Condensate Demineralizer System 40 STP-000-0201 Monthly Operating Log 310 STP-000-0201 Monthly Operating Log 311
Cause Evaluation Process  
STP-251-3700 Fire System Yard Water Loop Flow Test 10
21  
STP-251-3700 Fire System Yard Water Loop Flow Test 11
EN-LI-118  
Cause Evaluation Process  
22  
EN-LI-118  
Cause Evaluation Process  
23  
EN-LI-118  
Cause Evaluation Process  
24  
EN-LI-121  
Trending and Performance Review Process  
18  
EN-LI-121  
Trending and Performance Review Process  
19  
EN-LI-121  
Trending and Performance Review Process  
20  
EN-LI-121  
Trending and Performance Review Process  
21  
EN-LI-121  
Trending and Performance Review Process  
22  
EN-OE-100  
Operating Experience Program  
27  
EN-OP-104  
Operability Determination Process  
11  
EN-QV-109  
Audit Process  
32  
EN-RP-110-004  
Radiation Protection Risk Assessment Process  
7  
EN-TQ-201  
Systematic Approach to Training Process  
22  
GOP-001  
Plant Startup  
84  
GOP-001  
Plant Startup  
85  
GOP-001  
Plant Startup  
97  
GOP-002  
Power Decrease/Plant Shutdown  
70  
GOP-002  
Power Decrease/Plant Shutdown  
71  
GOP-002  
Power Decrease/Plant Shutdown  
72  
GOP-002  
Power Decrease/Plant Shutdown  
77  
GOP-005  
Power Maneuvering  
321


  Other Documents Title Revision/DateEC-000001578 B33-MOV067 A/B Stem to Upper Wedge Torque Value 0  
   
A1-3
Procedures
Number
Title
Revision
GOP-005
Power Maneuvering
322
GOP-005
Power Maneuvering
323
GOP-005
Power Maneuvering
328
OSP-0014
Administrative control of Equipment and/or Devices
306
OSP-0022
Operations General Administration Guidelines
103
OSP-0043
Freeze Protection and Temperature Maintenance
30
SOP-0093
Condensate Demineralizer System
40
STP-000-0201
Monthly Operating Log
310
STP-000-0201
Monthly Operating Log
311
STP-251-3700
Fire System Yard Water Loop Flow Test
10
STP-251-3700
Fire System Yard Water Loop Flow Test
11
Other Documents Title  
Revision/Date
EC-000001578  
B33-MOV067 A/B Stem to Upper Wedge Torque Value  
0  
EC-000052077  
EC-000052077  
"Evaluation of the Shear Capability of the Wedge Pin for Double Disc Gate Valves B-33-MOVF023 A/B"
Evaluation of the Shear Capability of the Wedge Pin for  
0 QA-9-2016- RBS-1 Fire Protection Audit  
Double Disc Gate Valves B-33-MOVF023 A/B  
March 24, 2016 QA-14/15-2015-RBS-1 Radiation Protection / Radwaste Audit  
0  
October 19, 2015 RLO-2016-00049 Special Nuclear Material Pre-NRC Assessment July 2, 2016 RLO-2016-00145 Pre-NRC Radiological Hazard Assessment and Exposure  
QA-9-2016-  
RBS-1  
Fire Protection Audit  
March 24,  
2016  
QA-14/15-2015-
RBS-1  
Radiation Protection / Radwaste Audit  
October 19,  
2015  
RLO-2016-00049 Special Nuclear Material Pre-NRC Assessment  
July 2, 2016  
RLO-2016-00145 Pre-NRC Radiological Hazard Assessment and Exposure  
Control Performance Indicator Verification  
Control Performance Indicator Verification  
January 17, 2017   Corrective Action Documents  
January 17,  
Condition Reports CR-RBS-1994-00830 CR-RBS-2013-2054 CR-RBS-2013-04083 CR-RBS-2013-05180 CR-RBS-2013-07316 CR-RBS-2014-00321 CR-RBS-2014-00711 CR-RBS-2014-03089 CR-RBS-2014-03150 CR-RBS-2014-03408 CR-RBS-2014-03413 CR-RBS-2014-04049 CR-RBS-2014-04802 CR-RBS-2014-05022 CR-RBS-2014-05209 CR-RBS-2014-06233  
2017  
CR-RBS-2014-06284 CR-RBS-2014-06357 CR-RBS-2014-06581 CR-RBS-2015-00153 CR-RBS-2015-00626 CR-RBS-2015-01783 CR-RBS-2015-02245 CR-RBS-2015-02354
  A1-4  Condition Reports CR-RBS-2015-02668 CR-RBS-2015-02855 CR-RBS-2015-03360 CR-RBS-2015-03373 CR-RBS-2015-03374 CR-RBS-2015-03437 CR-RBS-2015-03622 CR-RBS-2015-03829 CR-RBS-2015-03877 CR-RBS-2015-03951 CR-RBS-2015-03952 CR-RBS-2015-03974 CR-RBS-2015-04071 CR-RBS-2015-04259 CR-RBS-2015-04265 CR-RBS-2015-04298
  Corrective Action Documents  
CR-RBS-2015-04375 CR-RBS-2015-04413 CR-RBS-2015-04725 CR-RBS-2015-04790 CR-RBS-2015-04791 CR-RBS-2015-04794 CR-RBS-2015-04818 CR-RBS-2015-04937 CR-RBS-2015-05008 CR-RBS-2015-05038 CR-RBS-2015-05306 CR-RBS-2015-05469
Condition Reports  
CR-RBS-2015-05473 CR-RBS-2015-05474 CR-RBS-2015-05530 CR-RBS-2015-05549 CR-RBS-2015-05601 CR-RBS-2015-05644 CR-RBS-2015-06164 CR-RBS-2015-06369 CR-RBS-2015-06370 CR-RBS-2015-06371 CR-RBS-2015-06704 CR-RBS-2015-06891
CR-RBS-1994-00830  
CR-RBS-2015-06943 CR-RBS-2015-06952 CR-RBS-2015-06961 CR-RBS-2015-07011 CR-RBS-2015-07012 CR-RBS-2015-07013 CR-RBS-2015-07028 CR-RBS-2015-07142 CR-RBS-2015-07147 CR-RBS-2015-07259 CR-RBS-2015-07264 CR-RBS-2015-07331
CR-RBS-2013-2054  
CR-RBS-2015-07399 CR-RBS-2015-07532 CR-RBS-2015-07838 CR-RBS-2015-08332 CR-RBS-2015-08463 CR-RBS-2015-08508 CR-RBS-2015-08831 CR-RBS-2015-08892 CR-RBS-2015-08992 CR-RBS-2015-09052 CR-RBS-2016-00033 CR-RBS-2016-00095
CR-RBS-2013-04083  
CR-RBS-2016-00134 CR-RBS-2016-00150 CR-RBS-2016-00180 CR-RBS-2016-00210 CR-RBS-2016-00211 CR-RBS-2016-00251 CR-RBS-2016-00294 CR-RBS-2016-00310 CR-RBS-2016-00370 CR-RBS-2017-00513 CR-RBS-2016-00573 CR-RBS-2016-00608
CR-RBS-2013-05180  
CR-RBS-2016-00765 CR-RBS-2016-00887 CR-RBS-2016-00890 CR-RBS-2016-00893 CR-RBS-2016-01027 CR-RBS-2016-01031 CR-RBS-2016-01069 CR-RBS-2016-01152 CR-RBS-2016-01157 CR-RBS-2016-01226 CR-RBS-2016-01232 CR-RBS-2016-01971
CR-RBS-2013-07316  
CR-RBS-2016-02178 CR-RBS-2016-02200 CR-RBS-2016-02335 CR-RBS-2016-02355
CR-RBS-2014-00321  
CR-RBS-2016-02392 CR-RBS-2016-02398 CR-RBS-2016-02632 CR-RBS-2016-02645
CR-RBS-2014-00711  
CR-RBS-2016-02811 CR-RBS-2016-02813 CR-RBS-2016-02953 CR-RBS-2016-03152
CR-RBS-2014-03089  
CR-RBS-2016-03177 CR-RBS-2016-03212 CR-RBS-2016-03264 CR-RBS-2016-03344
CR-RBS-2014-03150  
CR-RBS-2016-03375 CR-RBS-2016-03533 CR-RBS-2016-03580 CR-RBS-2016-04010
CR-RBS-2014-03408  
CR-RBS-2016-04092 CR-RBS-2016-04095 CR-RBS-2016-04368 CR-RBS-2016-04385
CR-RBS-2014-03413  
CR-RBS-2016-04886 CR-RBS-2016-05016 CR-RBS-2016-05263 CR-RBS-2016-05478
CR-RBS-2014-04049  
CR-RBS-2016-05490 CR-RBS-2016-05539 CR-RBS-2016-05596 CR-RBS-2016-05600
CR-RBS-2014-04802  
CR-RBS-2016-05866 CR-RBS-2016-06055 CR-RBS-2016-06103 CR-RBS-2016-06108
CR-RBS-2014-05022  
CR-RBS-2016-06296 CR-RBS-2016-06393 CR-RBS-2016-06564 CR-RBS-2016-06619
CR-RBS-2014-05209  
CR-RBS-2016-06652 CR-RBS-2016-06694 CR-RBS-2016-06701 CR-RBS-2016-06807
CR-RBS-2014-06233  
CR-RBS-2016-06808 CR-RBS-2016-06809 CR-RBS-2016-06879 CR-RBS-2016-06880
CR-RBS-2014-06284  
CR-RBS-2016-06926 CR-RBS-2016-07098 CR-RBS-2016-07298 CR-RBS-2016-07753 
CR-RBS-2014-06357  
  A1-5  Condition Reports CR-RBS-2016-07796 CR-RBS-2016-08195 CR-RBS-2016-08577 CR-RBS-2017-00781 CR-RBS-2017-00836 CR-RBS-2017-00996 CR-RBS-2017-01658 CR-RBS-2017-02075
CR-RBS-2014-06581  
CR-RBS-2017-02113 CR-RBS-2017-02291 CR-RBS-2017-02314 CR-RBS-2017-02395
CR-RBS-2015-00153  
CR-RBS-2017-02403 CR-RBS-2017-02405 CR-RBS-2017-02529 CR-RBS-2017-02579
CR-RBS-2015-00626  
CR-RBS-2017-02828 CR-RBS-2017-02865 CR-RBS-2017-03549 CR-HQN-2017- 0617
CR-RBS-2015-01783  
Work Orders 174865 174866 316468 346576 346577 350485 419997 419999 438116   
CR-RBS-2015-02245  
      Attachment 2
CR-RBS-2015-02354  
  Info Request
Biennial Problem Identification and Resolution
Inspection
River Bend Station
January 23, 2017  Inspection Report:              50-458/2017009
On-site Inspection Dates:  April 10-14 & 24-28, 2017
  This inspection will cover the period from July 12, 2013, through April 28, 2017. All
requested information is limited to this period or to the date of this request unless otherwise
specified. To the extent possible, the requested information should be provided electronically in
word-searchable Adobe PDF (preferred) or Microsoft Office format. Any sensitive information
should be provided in hard copy during the team's first week on site; do not provide any
sensitive or proprietary information electronically.
Lists of documents ("summary lists") should be provided in Microsoft Excel or a similar sortable
format. Please be prepared to provide any significant updates to this information during the
team's first week of on-site inspection. As used in this request, "corrective action documents"
refers to condition reports, notifications, action requests, cause evaluations, and/or other
similar documents, as applicable to the River Bend Station.
Please provide the following information no later than March 20, 2017:
1.      Document Lists
Note: For these summary lists, please include the document/reference number, the
document title, initiation date, current status, and long-text description of the issue.
a. Summary list of all corrective action documents related to significant


conditions
  adverse to quality that were opened, closed, or evaluated during the period
   
  b. Summary list of all corrective action documents related to conditions adverse
A1-4
   
Condition Reports
CR-RBS-2015-02668
CR-RBS-2015-02855
CR-RBS-2015-03360
CR-RBS-2015-03373
CR-RBS-2015-03374
CR-RBS-2015-03437
CR-RBS-2015-03622
CR-RBS-2015-03829
CR-RBS-2015-03877
CR-RBS-2015-03951
CR-RBS-2015-03952
CR-RBS-2015-03974
CR-RBS-2015-04071
CR-RBS-2015-04259
CR-RBS-2015-04265
CR-RBS-2015-04298
CR-RBS-2015-04375
CR-RBS-2015-04413
CR-RBS-2015-04725
CR-RBS-2015-04790
CR-RBS-2015-04791
CR-RBS-2015-04794
CR-RBS-2015-04818
CR-RBS-2015-04937
CR-RBS-2015-05008
CR-RBS-2015-05038
CR-RBS-2015-05306
CR-RBS-2015-05469
CR-RBS-2015-05473
CR-RBS-2015-05474
CR-RBS-2015-05530
CR-RBS-2015-05549
CR-RBS-2015-05601
CR-RBS-2015-05644
CR-RBS-2015-06164
CR-RBS-2015-06369
CR-RBS-2015-06370
CR-RBS-2015-06371
CR-RBS-2015-06704
CR-RBS-2015-06891
CR-RBS-2015-06943
CR-RBS-2015-06952
CR-RBS-2015-06961
CR-RBS-2015-07011
CR-RBS-2015-07012
CR-RBS-2015-07013
CR-RBS-2015-07028
CR-RBS-2015-07142
CR-RBS-2015-07147
CR-RBS-2015-07259
CR-RBS-2015-07264
CR-RBS-2015-07331
CR-RBS-2015-07399
CR-RBS-2015-07532
CR-RBS-2015-07838
CR-RBS-2015-08332
CR-RBS-2015-08463
CR-RBS-2015-08508
CR-RBS-2015-08831
CR-RBS-2015-08892
CR-RBS-2015-08992
CR-RBS-2015-09052
CR-RBS-2016-00033
CR-RBS-2016-00095
CR-RBS-2016-00134
CR-RBS-2016-00150
CR-RBS-2016-00180
CR-RBS-2016-00210
CR-RBS-2016-00211
CR-RBS-2016-00251
CR-RBS-2016-00294
CR-RBS-2016-00310
CR-RBS-2016-00370
CR-RBS-2017-00513
CR-RBS-2016-00573
CR-RBS-2016-00608
CR-RBS-2016-00765
CR-RBS-2016-00887
CR-RBS-2016-00890
CR-RBS-2016-00893
CR-RBS-2016-01027
CR-RBS-2016-01031
CR-RBS-2016-01069
CR-RBS-2016-01152
CR-RBS-2016-01157
CR-RBS-2016-01226
CR-RBS-2016-01232
CR-RBS-2016-01971
CR-RBS-2016-02178
CR-RBS-2016-02200
CR-RBS-2016-02335
CR-RBS-2016-02355
CR-RBS-2016-02392
CR-RBS-2016-02398
CR-RBS-2016-02632
CR-RBS-2016-02645
CR-RBS-2016-02811
CR-RBS-2016-02813
CR-RBS-2016-02953
CR-RBS-2016-03152
CR-RBS-2016-03177
CR-RBS-2016-03212
CR-RBS-2016-03264
CR-RBS-2016-03344
CR-RBS-2016-03375
CR-RBS-2016-03533
CR-RBS-2016-03580
CR-RBS-2016-04010
CR-RBS-2016-04092
CR-RBS-2016-04095
CR-RBS-2016-04368
CR-RBS-2016-04385
CR-RBS-2016-04886
CR-RBS-2016-05016
CR-RBS-2016-05263
CR-RBS-2016-05478
CR-RBS-2016-05490
CR-RBS-2016-05539
CR-RBS-2016-05596
CR-RBS-2016-05600
CR-RBS-2016-05866
CR-RBS-2016-06055
CR-RBS-2016-06103
CR-RBS-2016-06108
CR-RBS-2016-06296
CR-RBS-2016-06393
CR-RBS-2016-06564
CR-RBS-2016-06619
CR-RBS-2016-06652
CR-RBS-2016-06694
CR-RBS-2016-06701
CR-RBS-2016-06807
CR-RBS-2016-06808
CR-RBS-2016-06809
CR-RBS-2016-06879
CR-RBS-2016-06880
CR-RBS-2016-06926
CR-RBS-2016-07098
CR-RBS-2016-07298
CR-RBS-2016-07753


A1-5
Condition Reports
CR-RBS-2016-07796
CR-RBS-2016-08195
CR-RBS-2016-08577
CR-RBS-2017-00781
CR-RBS-2017-00836
CR-RBS-2017-00996
CR-RBS-2017-01658
CR-RBS-2017-02075
CR-RBS-2017-02113
CR-RBS-2017-02291
CR-RBS-2017-02314
CR-RBS-2017-02395
CR-RBS-2017-02403
CR-RBS-2017-02405
CR-RBS-2017-02529
CR-RBS-2017-02579
CR-RBS-2017-02828
CR-RBS-2017-02865
CR-RBS-2017-03549
CR-HQN-2017- 0617
Work Orders
174865
174866
316468
346576
346577
350485
419997
419999
438116
Attachment 2
Info Request
Biennial Problem Identification and Resolution
Inspection River Bend Station
January 23, 2017
Inspection Report:              50-458/2017009
On-site Inspection Dates:  April 10-14 & 24-28, 2017
This inspection will cover the period from July 12, 2013, through April 28, 2017. All requested
information is limited to this period or to the date of this request unless otherwise specified. To
the extent possible, the requested information should be provided electronically in word-
searchable Adobe PDF (preferred) or Microsoft Office format. Any sensitive information
should be provided in hard copy during the teams first week on site; do not provide any
sensitive or proprietary information electronically.
Lists of documents (summary lists) should be provided in Microsoft Excel or a similar sortable
format. Please be prepared to provide any significant updates to this information during the
teams first week of on-site inspection. As used in this request, corrective action documents
refers to condition reports, notifications, action requests, cause evaluations, and/or other
similar documents, as applicable to the River Bend Station.
Please provide the following information no later than March 20, 2017:
1.      Document Lists
Note: For these summary lists, please include the document/reference number, the
document title, initiation date, current status, and long-text description of the issue.
a.
Summary list of all corrective action documents related to significant
conditions adverse to quality that were opened, closed, or evaluated during
the period
b.
Summary list of all corrective action documents related to conditions adverse
to quality that were opened or closed during the period  
to quality that were opened or closed during the period  
  c. Summary lists of all corrective action documents that were upgraded or
   
downgraded in priority/significance during the period (these may be limited  
c.  
Summary lists of all corrective action documents that were upgraded or  
downgraded in priority/significance during the period (these may be limited  
to those downgraded from, or upgraded to, apparent-cause level or higher)  
to those downgraded from, or upgraded to, apparent-cause level or higher)  
  d. Summary list of all corrective action documents initiated during the period  
   
 
d.  
that "roll up" multiple similar or related issues, or that identify a trend  
Summary list of all corrective action documents initiated during the period  
  e. Summary lists of operator workarounds, operator burdens, temporary
that roll up multiple similar or related issues, or that identify a trend  
modifications, and control room deficiencies (1) currently open and (2) that  
   
e.  
Summary lists of operator workarounds, operator burdens, temporary  
modifications, and control room deficiencies (1) currently open and (2) that  
were evaluated and/or closed during the period  
were evaluated and/or closed during the period  
  f. Summary list of safety system deficiencies that required prompt  
   
 
f.  
operability
Summary list of safety system deficiencies that required prompt  
determinations (or other engineering evaluations) to provide  
operability determinations (or other engineering evaluations) to provide  
reasonable
reasonable assurance of operability  
assurance of operability  
   
 
  A2-2  g. Summary list of plant safety issues raised or addressed by the Employee
  Concerns Program (or equivalent) (sensitive information should be made
available during the team's first week on site-do not provide electronically)
h. Summary list of all Apparent Cause Evaluations completed during the
 
period  2.        Full Documents with Attachments
a. Root Cause Evaluations completed during the period; include a list of


A2-2
g.
Summary list of plant safety issues raised or addressed by the Employee
Concerns Program (or equivalent) (sensitive information should be made
available during the teams first week on sitedo not provide
electronically)
h.
Summary list of all Apparent Cause Evaluations completed during the
period
2.        Full Documents with Attachments
a.
Root Cause Evaluations completed during the period; include a list of
any planned or in progress  
any planned or in progress  
  b. Quality Assurance audits performed during the period  
   
  c. Audits/surveillances performed during the period on the Corrective  
b.  
Quality Assurance audits performed during the period  
   
c.  
Audits/surveillances performed during the period on the Corrective  
Action Program, of individual corrective actions, or of cause  
Action Program, of individual corrective actions, or of cause  
evaluations  
evaluations  
  d. Functional area self-assessments and non-NRC third-party assessments (e.g., peer assessments performed as part of routine or focused station self- and
   
independent assessment activities; do not include INPO assessments) that  
d.  
were performed or completed during the period; include a list of those that are
Functional area self-assessments and non-NRC third-party assessments (e.g.,  
currently in progress  
peer assessments performed as part of routine or focused station self- and  
  e. Any assessments of the safety-conscious work environment at the River  
independent assessment activities; do not include INPO assessments) that  
were performed or completed during the period; include a list of those that are  
currently in progress  
   
e.  
Any assessments of the safety-conscious work environment at the River  
Bend Station  
Bend Station  
  f. Corrective action documents generated during the period associated with  
   
 
f.  
Corrective action documents generated during the period associated with  
the following:  
the following:  
  i. NRC findings and/or violations issued to the River Bend Station  
   
  ii. Licensee Event Reports issued by the River Bend Station  
i.  
  g. Corrective action documents generated for the following, if they were  
NRC findings and/or violations issued to the River Bend Station  
 
   
determined
ii.  
to be applicable to the River Bend Station (for those that were
Licensee Event Reports issued by the River Bend Station  
evaluated but determined not to be applicable, provide a summary list):  
   
  i. NRC Information Notices, Bulletins, and Generic Letters  
g.  
 
Corrective action documents generated for the following, if they were  
determined to be applicable to the River Bend Station (for those that were  
evaluated but determined not to be applicable, provide a summary list):  
   
i.  
NRC Information Notices, Bulletins, and Generic Letters  
issued or evaluated during the period  
issued or evaluated during the period  
  ii. Part 21 reports issued or evaluated during the period  
   
  iii. Vendor safety information letters (or equivalent) issued or  
ii.  
Part 21 reports issued or evaluated during the period  
   
iii.  
Vendor safety information letters (or equivalent) issued or  
evaluated during the period  
evaluated during the period  
  iv. Other external events and/or Operating Experience evaluated  
   
 
iv.  
Other external events and/or Operating Experience evaluated  
for applicability during the period  
for applicability during the period  
  h. Corrective action documents generated for the following:
   
  A2-3  i. Emergency planning drills and tabletop exercises performed during
h.  
Corrective action documents generated for the following:  


the period  ii. Maintenance preventable functional failures which occurred or were evaluated during the period  
  iii. Adverse trends in equipment, processes, procedures, or  
A2-3
i.
Emergency planning drills and tabletop exercises performed during
the period  
   
ii.  
Maintenance preventable functional failures which occurred or  
were evaluated during the period  
   
iii.  
Adverse trends in equipment, processes, procedures, or  
programs that were evaluated during the period  
programs that were evaluated during the period  
  iv. Action items generated or addressed by offsite review committees during the period  
   
  3.        Logs and Reports  
iv.  
  a. Corrective action performance trending/tracking information generated during  
Action items generated or addressed by offsite review committees  
during the period  
   
3.        Logs and Reports  
   
a.  
Corrective action performance trending/tracking information generated during  
the period and broken down by functional organization (if this information is  
the period and broken down by functional organization (if this information is  
fully included in item 3.c, it need not be provided separately)  
fully included in item 3.c, it need not be provided separately)  
  b. Corrective action effectiveness review reports generated during the period  
   
  c. Current system health reports, Management Review Meeting package, or  
b.  
similar information; provide past reports as necessary to include 12 months of
Corrective action effectiveness review reports generated during the period  
metric/trending data  
   
  d. Radiation protection event logs during the period  
c.  
  e. Security event logs and security incidents during the period (sensitive  
Current system health reports, Management Review Meeting package, or  
information
similar information; provide past reports as necessary to include 12 months of  
should be made available during the team's first week on site-do not provide
metric/trending data  
electronically)  
   
  f. Employee Concern Program (or equivalent) logs (sensitive information should  
d.  
be made available during the team's first week on site-do not provide
Radiation protection event logs during the period  
electronically)  
   
  g. List of training deficiencies, requests for training improvements, and simulator deficiencies for the period  
e.  
  Note: For items 3.d-3.g, if there is no log or report maintained separate from the
Security event logs and security incidents during the period (sensitive  
corrective action program, please provide a summary list of corrective action  
information should be made available during the teams first week on sitedo
not provide electronically)  
   
f.  
Employee Concern Program (or equivalent) logs (sensitive information should  
be made available during the teams first week on sitedo not provide  
electronically)  
   
g.  
List of training deficiencies, requests for training improvements, and  
simulator deficiencies for the period  
   
Note: For items 3.d-3.g, if there is no log or report maintained separate from the  
corrective action program, please provide a summary list of corrective action  
program items for the category described.  
program items for the category described.  
  4. Procedures  
   
  Note: For these procedures, please include all revisions that were in effect at any time
4.  
during the period.  
Procedures  
  a. Corrective action program procedures, to include initiation and evaluation
   
procedures, operability determination procedures, apparent and root cause
Note: For these procedures, please include all revisions that were in effect at any time  
evaluation/determination procedures, and any other procedures that  
during the period.  
implement the corrective action program at the River Bend Station
   
  A2-4  b. Quality Assurance program procedures (specific audit procedures are
a.  
Corrective action program procedures, to include initiation and evaluation  
procedures, operability determination procedures, apparent and root cause  
evaluation/determination procedures, and any other procedures that  
implement the corrective action program at the River Bend Station  


A2-4
b.
Quality Assurance program procedures (specific audit procedures are
not necessary)  
not necessary)  
  c. Employee Concerns Program (or equivalent) procedures  
   
  d. Procedures which implement/maintain a Safety Conscious Work Environment  
c.  
  5.        Other  
Employee Concerns Program (or equivalent) procedures  
  a. List of risk-significant components and systems, ranked by risk worth  
   
  b. Organization charts for plant staff and long-term/permanent contractors  
d.  
  c. Electronic copies of the UFSAR (or equivalent), technical specifications, and technical specification bases, if available  
Procedures which implement/maintain a Safety Conscious Work Environment  
  d. Table showing the number of corrective action documents (or equivalent)
   
initiated during each month of the inspection period, by screened  
5.        Other  
 
   
a.  
List of risk-significant components and systems, ranked by risk worth  
   
b.  
Organization charts for plant staff and long-term/permanent contractors  
   
c.  
Electronic copies of the UFSAR (or equivalent), technical specifications,  
and technical specification bases, if available  
   
d.  
Table showing the number of corrective action documents (or equivalent)  
initiated during each month of the inspection period, by screened  
significance  
significance  
  e. For each day the team is on site,  i. Planned work/maintenance schedule for the station  
   
  ii. Schedule of management or corrective action review meetings (e.g., operations focus meetings, condition report screening meetings, CARBs, MRMs, challenge meetings for cause evaluations, etc.)  
e.  
  iii. Agendas for these meetings  
For each day the team is on site,  
  Note: The items listed in 5.d may be provided on a weekly or daily basis after  
   
i.  
Planned work/maintenance schedule for the station  
   
ii.  
Schedule of management or corrective action review meetings (e.g.,  
operations focus meetings, condition report screening meetings,  
CARBs, MRMs, challenge meetings for cause evaluations, etc.)  
   
iii.  
Agendas for these meetings  
   
Note: The items listed in 5.d may be provided on a weekly or daily basis after  
the team arrives on site.  
the team arrives on site.  
All requested documents should be provided electronically where possible. Regardless of
whether they are uploaded to an internet-based file library (e.g., Certrec's IMS), please provide
copies on CD or DVD. One copy of the CD or DVD should be provided to the resident inspector office
at the River Bend Station; three additional copies should be provided to the
team lead, to arrive no later than March 20, 2017:
   
   
  Ray Azua  
All requested documents should be provided electronically where possible. Regardless of
whether they are uploaded to an internet-based file library (e.g., Certrecs IMS), please provide
copies on CD or DVD. One copy of the CD or DVD should be provided to the resident
inspector office at the River Bend Station; three additional copies should be provided to the
team lead, to arrive no later than March 20, 2017:
   
Ray Azua  
U.S. NRC Senior Reactor Inspector  
U.S. NRC Senior Reactor Inspector  
 
Division of Reactor Safety, Region IV  
Division of Reactor Safety, Region IV 1600 E. Lamar Blvd, Arlington, TX  76011  
1600 E. Lamar Blvd, Arlington, TX  76011  
Office: (817) 200-1445  
Office: (817) 200-1445  
Cell:  (817) 319-4376


Cell:  (817) 319-4376


  ML17160A401
SUNSI Review: 
ADAMS: 
Non-Publicly Available      Non-Sensitive      Keyword:  NRC-002
By:  RVA
Yes    No
Publicly Available            Sensitive 
OFFICE
SRI:DRS/IPAT
SRI:DRS/IPAT
PE:DRS/IP
AT
RI:DRP/PBC
C:DRS/IPAT
C:DRP/PBC
NAME
RAzua
HFreeman
PJayroe
BParks
THipschman
JKozal
SIGNATURE
RA
RA
RA
RA
RA
/RA/
DATE
05/10/2017
05/22/2017
05/15/2017
05/23/2017
05/23/2017
06/08/2017
OFFICE
SEP:ORA/ACES
C:DRS/IPAT
NAME
JKramer
THipschman
   
   
 
 
   
  ML17160A401  SUNSI Review:  ADAMS:    Non-Publicly Available      Non-Sensitive      Keyword: NRC-002 By:  RVA  Yes    No  Publicly Available            Sensitive  OFFICE SRI:DRS/IPAT SRI:DRS/IPAT PE:DRS/IP
SIGNATURE  
AT RI:DRP/PBC C:DRS/IPAT C:DRP/PBC NAME RAzua HFreeman PJayroe BParks THipschman JKozal SIGNATURE  
/RA/  
RA RA RA RA RA /RA/ DATE 05/10/2017
/RA/JClark for
05/22/2017
   
05/15/2017
   
  05/23/2017
   
  05/23/2017
   
  06/08/2017
DATE  
  OFFICE SEP:ORA/ACES C:DRS/IPAT    NAME JKramer THipschman    SIGNATURE
06/02/2017  
/RA/ /RA/JClark for    DATE 06/02/2017
06/09/2017
06/09/2017
}}
}}

Latest revision as of 19:22, 8 January 2025

NRC Problem Identification and Resolution Inspection Report 05000458/2017009 and Notice of Violation
ML17160A401
Person / Time
Site: River Bend 
Issue date: 06/09/2017
From: Thomas Hipschman
Division of Reactor Safety IV
To: Maguire W
Entergy Operations
Hipschman T
References
IR 2017009
Download: ML17160A401 (28)


See also: IR 05000458/2017009

Text

June 9, 2017

Mr. William F. Maguire

Site Vice President

Entergy Operations, Inc.

River Bend Station

5485 US Highway 61N

St. Francisville, LA 70775

SUBJECT:

RIVER BEND STATION - NRC PROBLEM IDENTIFICATION AND

RESOLUTION INSPECTION REPORT 05000458/2017009 AND NOTICE OF

VIOLATION

Dear Mr. Maguire:

On April 28, 2017, the U.S. Nuclear Regulatory Commission (NRC) completed a problem

identification and resolution inspection at your River Bend Station. The NRC inspection team

discussed the results of this inspection with Mr. Marvin Chase, Director, Regulatory &

Performance Improvement, and other members of your staff. The results of this inspection are

documented in Enclosure 2.

The NRC inspection team reviewed the stations corrective action program and the stations

implementation of the program to evaluate its effectiveness in identifying, prioritizing, evaluating

and correcting problems, and to confirm that the station was complying with NRC regulations

and licensee standards for corrective action programs. Based on the samples reviewed, the

team determined that your staffs performance in each of these areas adequately supported

nuclear safety.

The team also evaluated the stations processes for use of industry and NRC operating

experience information and the effectiveness of the stations audits and self-assessments.

Based on the samples reviewed, the team determined that your staffs performance in each of

these areas adequately supported nuclear safety.

Finally, the team reviewed the stations programs to establish and maintain a safety-conscious

work environment, and interviewed station personnel to evaluate the effectiveness of these

programs. Based on the teams observations and the results of these interviews the team found

no evidence of challenges to your organizations safety-conscious work environment. Your

employees appeared willing to raise nuclear safety concerns through at least one of the several

means available.

The enclosed report discusses a Severity Level IV violation associated with a finding of

very low safety significance (Green). The NRC evaluated this violation in accordance

Section 2.3.2.a of the NRC Enforcement Policy, which can be located at

http://www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html. The violation is cited in

UNITED STATES

NUCLEAR REGULATORY COMMISSION

REGION IV

1600 E. LAMAR BLVD.

ARLINGTON, TX 76011-4511

W. Maguire

2

the enclosed Notice of Violation (Notice) and the circumstances surrounding it are described in

detail in the subject inspection report. The violation is being cited because the licensee

failed to restore compliance with a Title 10 of the Code of Federal Regulations (10 CFR) 50.59

violation associated with the failure to obtain a license amendment that resulted in a more than

minimal increase in the frequency of occurrence of an accident previously evaluated in the final

safety analysis report when implementing a design change to the reactor core isolation cooling

injection location. The NRC previously identified this violation as non-cited violation

(NCV)05000458/2015007-02.

You are required to respond to this letter and should follow the instructions specified in the

enclosed Notice when preparing your response. The NRCs review of your response will also

determine whether further enforcement action is necessary to ensure your compliance with

regulatory requirements.

If you contest the violation or significance of the violation, you should provide a response within

30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear

Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with

copies to the Regional Administrator, Region IV; the Director, Office of Enforcement; and the

NRC resident inspector at the River Bend Station.

If you disagree with the cross-cutting aspect assignment in this report, you should provide a

response within 30 days of the date of this inspection report, with the basis for your

disagreement, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk,

Washington, DC 20555-0001; with copies to the Regional Administrator, Region IV; and the

NRC resident inspector at the River Bend Station.

This letter, its enclosure, and your response (if any) will be made available for public inspection

and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document

Room in accordance with 10 CFR 2.390, Public Inspections, Exemptions, Requests for

Withholding.

Sincerely,

/RA Jeffrey Clark for/

Thomas R. Hipschman, Team Leader

Inspection Program and Assessment Team

Division of Reactor Safety

Docket No. 50-458

License No. NPF-47

Enclosure 1: Notice of Violation

Enclosure 2: Inspection Report 05000458/2017009

w/ Attachments: Supplemental Information &

Information Request

cc w/ encl: Electronic Distribution

Enclosure 1

NOTICE OF VIOLATION

Entergy Operations, Inc.

Docket No. 50-458

River Bend Station

License No. NPF-47

During an NRC inspection conducted April 10 - 28, 2017, a violation of NRC requirements was

identified. In accordance with the NRC Enforcement Policy, the violation is listed below:

10 CFR 50.59(c)(2) requires, in part, that a licensee shall obtain a license amendment

pursuant to 10 CFR 50.90 prior to implementing a proposed change, test, or experiment

if the change, test, or experiment would result in more than a minimal increase in the

frequency of occurrence of an accident previously evaluated in the final safety analysis

report (as updated).

Contrary to the above, as of April 28, 2017, the licensee failed to obtain a license

amendment pursuant to 10 CFR 50.90 prior to implementing a change, test, or

experiment that resulted in a more than minimal increase in the frequency of occurrence

of an accident previously evaluated in the final safety analysis report (as updated).

Specifically, on July 3, 1999, the licensee implemented a design change to the reactor

core isolation cooling injection location from the reactor vessel head to a feedwater line,

but failed to correctly evaluate that a spurious reactor core isolation cooling actuation

into the feedwater line resulted in a more than minimal increase in the frequency of

occurrence of the loss of feedwater heating accident previously evaluated in the updated

final safety analysis report.

This is a Severity Level IV violation (NRC Enforcement Policy Section 6.1.d.2).

Pursuant to the provisions of 10 CFR 2.201 Entergy Operations, Inc. is hereby required to

submit a written statement or explanation to the U.S. Nuclear Regulatory Commission,

ATTN: Document Control Desk, Washington, DC 20555-0001 with a copy to the Regional

Administrator, Region IV, 1600 E. Lamar Blvd, Arlington, Texas 76011, and a copy to the NRC

resident inspector at the River Bend Station, within 30 days of the date of the letter transmitting

this Notice of Violation (Notice). This reply should be clearly marked as a "Reply to a Notice of

Violation, and should include for each violation: (1) the reason for the violation, or, if contested,

the basis for disputing the violation or severity level; (2) the corrective steps that have been

taken and the results achieved; (3) the corrective steps that will be taken; and (4) the date when

full compliance will be achieved. Your response may reference or include previous docketed

correspondence, if the correspondence adequately addresses the required response.

If an adequate reply is not received within the time specified in this Notice, an order or a

Demand for Information may be issued as to why the license should not be modified,

suspended, or revoked, or why such other action as may be proper should not be taken. Where

good cause is shown, consideration will be given to extending the response time.

If you contest this enforcement action, you should also provide a copy of your response, with

the basis for your denial, to the Director, Office of Enforcement, United States Nuclear

Regulatory Commission, Washington, DC 20555-0001.

2

Your response will be made available electronically for public inspection in the NRC Public

Document Room or from the NRCs document system (ADAMS), accessible from the NRC Web

site at http://www.nrc.gov/reading-rm/adams.html. To the extent possible, it should not include

any personal privacy, proprietary, or safeguards information so that it can be made available to

the public without redaction. If personal privacy or proprietary information is necessary to

provide an acceptable response, then please provide a bracketed copy of your response that

identifies the information that should be protected, and a redacted copy of your response that

deletes such information. If you request withholding of such material, you must specifically

identify the portions of your response that you seek to have withheld and provide in detail the

bases for your claim of withholding (e.g., explain why the disclosure of information will create an

unwarranted invasion of personal privacy or provide the information required by

10 CFR 2.390(b), to support a request for withholding confidential commercial or financial

information).

In accordance with 10 CFR 19.11, you may be required to post this Notice within two working

days of receipt.

Dated this 9th day of June 2017

Enclosure 2

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

Dockets:

05000458

License:

NPF-47

Report:

05000458/2017009

Licensee:

Entergy Operations, Inc.

Facility:

River Bend Station

Location:

5485 U.S. Highway 61N

St. Francisville, LA 70775

Dates:

April 10 through April 28, 2017

Team Lead:

R. Azua, Senior Reactor Inspector

Inspectors:

H. Freeman, Senior Reactor Inspector

P. Jayroe, Project Engineer

B. Parks, Resident Inspector

Approved By:

T. Hipschman, Team Leader

Inspection Program and Assessment Team

Division of Reactor Safety

2

SUMMARY

IR 05000458/2017009; 04/10/2017 - 04/28/2017; River Bend Station; Problem Identification

and Resolution (Biennial)

The inspection activities described in this report were performed between April 10 and April 28,

2017, by three inspectors from the NRCs Region IV office and the resident inspector at the

River Bend Station. The report documents one finding of very low safety significance (Green).

This finding involved a violation of NRC requirements; this violation was determined to be

Severity Level IV under the traditional enforcement process. The significance of inspection

findings is indicated by their color (Green, White, Yellow, or Red), which is determined using

Inspection Manual Chapter 0609, Significance Determination Process. Their cross-cutting

aspects are determined using Inspection Manual Chapter 0310, Aspects Within the Cross-

Cutting Areas. Violations of NRC requirements are dispositioned in accordance with the NRC

Enforcement Policy. The NRC's program for overseeing the safe operation of commercial

nuclear power reactors is described in NUREG-1649, Reactor Oversight Process.

Assessment of Problem Identification and Resolution

Based on its inspection sample the team concluded that the licensee maintained a corrective

action program in which individuals generally identified issues at an appropriately low threshold.

Once entered into the corrective action program, the licensee generally evaluated and

addressed these issues appropriately and timely, commensurate with their safety significance.

The licensees corrective actions were generally effective, addressing the causes and extents of

condition of problems.

The licensee appropriately evaluated industry operating experience for relevance to the facility

and entered applicable items in the corrective action program. The licensee incorporated

industry and internal operating experience in its root cause and apparent cause evaluations.

The licensee performed effective and self-critical nuclear oversight audits and self-assessments.

The licensee maintained an effective process to ensure significant findings from these audits

and self-assessments were addressed. However, the team identified a potential weakness in

the stations timeliness for processing certain 10 CFR Part 21 notifications through the operating

experience and corrective action programs. The licensee acknowledged this potential

weakness and indicated their plan to address this through the Entergy fleet.

The licensee maintained a safety-conscious work environment in which personnel were willing

to raise nuclear safety concerns without fear of retaliation.

Cornerstone: Initiating Events

Green. The NRC identified a Severity Level IV violation for the licensees failure to restore

compliance for a non-cited violation (NCV) associated with failure to obtain NRC approval

prior to making a change to the reactor core isolation cooling injection point. Specifically, as

of April 28, 2017, the licensee had not restored compliance with a violation the NRC

identified on October 8, 2015. This violation described a previously made change to the

facility without prior NRC approval in violation of 10 CFR 50.59, Changes, Tests, and

Experiments. The team determined that the licensees failure to restore compliance within

a reasonable amount of time was a performance deficiency. Title 10 CFR 50, Appendix B,

Criterion XVI, requires in part that, measures shall be established to assure that conditions

3

adverse to quality, such as failures, malfunctions, deficiencies, deviations, defective material

and equipment, and nonconformances are promptly identified and corrected. The

licensee entered this issue into their corrective action program as Condition Report

CR-RBS-2017-03505.

The finding was more than minor because it is associated with the initiating events aspect of

the reactor safety cornerstone and affected the cornerstone objective to limit the likelihood

of events that upset plant stability and challenge critical safety functions during power

operations. The finding is of very low safety significance (Green) because it did not cause a

reactor trip and the loss of mitigation equipment relied upon to transition the plant from the

onset of the trip to a stable shutdown condition. The finding has a human performance

cross-cutting aspect associated with procedural adherence because individuals failed to

follow the procedures delineated by the corrective action program [H.8]. Originally, the

licensee met the criteria for dispositioning the issue (50.59) as a NCV. However, based

upon the fact that the condition report, which documented the NCV, was closed without

restoring compliance, the licensee no longer met the criteria for a NCV and therefore, this

violation is being cited in a notice of violation (4OA2.5).

4

REPORT DETAILS

4.

OTHER ACTIVITIES (OA)

4OA2 Problem Identification and Resolution (71152)

The team based the following conclusions on a sample of corrective action documents that were

open during the assessment period, which ranged from July 12, 2015, to the end of the on-site

portion of this inspection on April 27, 2017.

.1

Assessment of the Corrective Action Program Effectiveness

a. Inspection Scope

The team reviewed approximately 200 condition reports (CRs), including associated root

cause analyses and apparent cause evaluations, from approximately 20,000 that the

licensee had initiated or closed between July 12, 2015, and April 27, 2017. The majority

of these (approximately 20,000) were lower-level condition reports that did not require

cause evaluations. The inspection sample focused on higher-significance condition

reports for which the licensee evaluated and took actions to address the cause of the

condition. In performing its review, the team evaluated whether the licensee had

properly identified, characterized, and entered issues into the corrective action program,

and whether the licensee had appropriately evaluated and resolved the issues in

accordance with established programs, processes, and procedures. The team also

reviewed these programs, processes, and procedures to determine if any issues existed

that may impair their effectiveness.

The team reviewed a sample of performance metrics, system health reports, operability

determinations, self-assessments, trending reports and metrics, and various other

documents related to the licensees corrective action program. The team evaluated the

licensees efforts in determining the scope of problems by reviewing selected logs, work

orders, self-assessment results, audits, system health reports, action plans, and results

from surveillance tests and preventive maintenance tasks. The team reviewed daily

CRs and attended the licensees CR screening meetings and Plant Review Group

(PRG) meetings to assess the reporting threshold and prioritization efforts, and to

observe the corrective action programs interfaces with the operability assessment and

work control processes. The teams review included an evaluation of whether the

licensee considered the full extent of cause and extent of condition for problems, as well

as a review of how the licensee assessed generic implications and previous occurrences

of issues. The team assessed the timeliness and effectiveness of corrective actions,

completed or planned, and looked for additional examples of problems similar to those

the licensee had previously addressed. The team conducted interviews with plant

personnel to identify other processes that may exist, where problems may be identified

and addressed outside the corrective action program.

The team reviewed corrective action documents that addressed past NRC-identified

violations to evaluate whether corrective actions addressed the issues described in the

inspection reports. The team reviewed a sample of corrective actions closed to other

corrective action documents to ensure that the ultimate corrective actions remained

appropriate and timely. The team reviewed a sample of condition reports where the

5

licensee had changed the significance level after initial classification to determine

whether the level changes were in accordance with station procedures and that the

conditions were appropriately addressed.

The team considered risk insights from both the NRCs and the River Bend Stations risk

models to focus the sample selection and plant tours on risk-significant systems and

components. The team focused a portion of its sample on the control building heating

and ventilation (HVK) system and automatic depressurization system, which the team

selected for a five-year in-depth review. The team conducted walk-downs of the HVK

system and other plant areas to assess whether licensee personnel identified problems

at a low threshold and entered them into the corrective action program. In addition, the

team also reviewed the licensees use of operational experience and the 10 CFR Part 21

(Part 21) process with respect to these systems.

b. Assessments

1. Effectiveness of Problem Identification

During the 22-month inspection period, licensee staff generated approximately

20,000 condition reports. The team determined that most conditions that required

generation of a condition report per Procedure EN-LI-102, Corrective Action

Program, were entered appropriately into the corrective action program. However,

the Team identified a few errors in the development and processing of CRs:

These errors included assigning the wrong priority to a CR, and/or closing CRs to

a lesser CR, contrary to plant procedures. In most of these instances, the

subsequent actions taken to correct these issues were appropriate to the higher

priority designation. One instance was noted where actions taken were not

commensurate with the required actions for a condition adverse to quality.

Specifically, Condition Report CR-RBS-2015-7259, which was issued in

response to a 10 CFR 50.59 NCV. The licensee closed the CR to a Licensing

Action Request process, which was not an approved process in the corrective

action program. This failure by the licensee to follow their process contributed to

the failure to address the issue in a timely manner, which resulted in a cited

violation. (Section 4OA2.5)

Overall, the team concluded that the licensee generally maintained a low threshold

for the formal identification of problems and entry into the corrective action program

for evaluation. Licensee personnel initiated over 760 CRs per month during the

inspection period. Most of the personnel interviewed by the team understood the

requirements for condition report initiation; most expressed a willingness to enter

newly identified issues into the corrective action program at a very low threshold.

2. Effectiveness of Prioritization and Evaluation of Issues

The sample of CRs reviewed by the team focused primarily on issues screened by

the licensee as having higher-level significance, including those that received cause

evaluations, those classified as significant conditions adverse to quality, and those

that required engineering evaluations. The team also reviewed a number of

condition reports that included or should have included immediate operability

6

determinations to assess the quality, timeliness, and prioritization of these

determinations.

Based on the walk-down of the risk-significant systems selected for the five-year in-

depth review, the team observed that the material condition of these systems

appeared to be adequate. With regard to the HVK system, the team noted that the

plant had experienced a number of recurring issues with this system, over several

years, where corrective actions appeared to have been previously ineffective. This

was one of the reasons the team selected this system for review.

The teams focused review of the licensees more recent actions, with regard to the

HVK system, indicated a more rigorous effort was being applied by the licensee to

get this issue under control. One such action was the licensees placement of this

system in their Top Ten Equipment Reliability Action Plan, which focuses more plant

resources to listed systems in an effort to correct identified problems. Interviews with

licensee staff also indicate that a more concerted effort was being made by plant

management to address identified problems with the HVK system with more

permanent solutions. Having said that, this effort is in its nascent stage. The NRC

will continue to monitor these systems to ascertain the effectiveness of the licensees

corrective actions over time.

Overall, the team determined that the licensees process for screening and

prioritizing issues that had been entered into the corrective action program,

supported nuclear safety. The licensees operability determinations were consistent,

accurately documented, and completed in accordance with procedures.

3. Effectiveness of Corrective Actions

Overall, the team concluded that the licensee generally identified effective corrective

actions for the problems evaluated in the corrective action program. The licensee

generally implemented these corrective actions in a timely manner, commensurate

with their safety significance, and reviewed the effectiveness of the corrective actions

appropriately.

The team identified that since early 2016, there has been a reduction in the number

of adverse events caused by human performance errors and work management

deficiencies on the part of River Bend Station employees. However, this positive

data point was tempered by the team having noticed that a potential area of

vulnerability may still exist in the area of supplemental (contract) employees, for

example transmission and distribution personnel. The licensee stated that they were

aware of this vulnerability and indicated were working to address it.

.2

Assessment of the Use of Operating Experience

a. Inspection Scope

The team examined the licensees program for reviewing industry operating experience,

including reviewing the governing procedures. The team reviewed a sample of eight

industry operating experience communications and the associated site evaluations to

assess whether the licensee had appropriately assessed the communications for

7

relevance to the facility. The team also reviewed assigned actions to determine whether

they were appropriate.

b. Assessment

Overall, the team determined that the licensee appropriately evaluated industry

operating experience for its relevance to the facility. Operating experience information

was incorporated into plant procedures and processes as appropriate. The licensee was

effective in implementing lessons learned through operating experience. They took full

advantage of being part of the Entergy fleet, to give a thorough review of the operational

experience from a variety of sources. Licensee personnel ensured that significant

issues were dealt with in a thorough and timely manner. This was also true for the

Part 21 process that is within the licensees operational experience program.

The team further determined that the licensee appropriately evaluated industry operating

experience when performing root cause analysis and apparent cause evaluations. The

licensee appropriately incorporated both internal and external operating experience into

lessons learned for training and pre-job briefs.

The team identified one potential weakness with respect to the timeliness of review of

Part 21 notices. Specifically, with regard to Part 21s received where the River Bend

Station was not identified as being affected. In these instances, the notices would be

sent to Entergys Corporate Supply office to be researched. If during this research the

Part 21 was determined to apply to the River Bend Station, the information would be

returned to the site. However, there were no further timeliness goals regarding when

this item should be entered into the corrective action program. The team identified four

examples where the time that lapsed between the publication of a Part 21 notice and

entry into the corrective action program was excessive (80 days to 105 days). None of

the examples identified had an adverse impact on the safety of the plant. Following

discussions with the licensee staff, they acknowledged this insight and indicated that

they plan to address it through the Entergy fleet. The licensee entered this issue into

their corrective action program (Condition Reports CR-RBS-2017-03549 and

CR-HQN-2017-00617).

.3

Assessment of Self-Assessments and Audits

a. Inspection Scope

The team reviewed a sample of licensee self-assessments and audits to assess whether

the licensee was regularly identifying performance trends and effectively addressing

them. The team also reviewed audit reports to assess the effectiveness of assessments

in specific areas. The specific self-assessment documents and audits reviewed are

listed in Attachment 1.

b. Assessment

Overall, the team concluded that the licensee had an effective self-assessment and audit

process. The team determined that self-assessments were self-critical and thorough

enough to identify deficiencies.

8

.4

Assessment of Safety-Conscious Work Environment

1. Inspection Scope

The team interviewed 26 individuals in five focus groups. The purpose of these

interviews was: (1) to evaluate the willingness of licensee staff to raise nuclear safety

issues, either by initiating a condition report or by another method, (2) to evaluate the

perceived effectiveness of the corrective action program at resolving identified problems,

and (3) to evaluate the licensees safety-conscious work environment (SCWE). The

focus group participants included personnel from Engineering, Maintenance

(Mechanical, Electrical, and Instrumentation and Controls), Security and Supplemental

(Contract) Engineering personnel. At the teams request, the licensees regulatory

affairs staff selected the participants blindly from these work groups, based partially on

availability. To supplement these focus group discussions, the team interviewed the

Employee Concerns Program manager to assess her perception of the site employees

willingness to raise nuclear safety concerns. The team reviewed the Employee

Concerns Program case log and select case files. The team also reviewed the minutes

from the licensees most recent safety culture monitoring panel meetings.

2. Assessment

1. Willingness to Raise Nuclear Safety Issues

All individuals interviewed indicated that they would raise nuclear safety concerns.

All felt that their management was receptive to nuclear safety concerns and was

willing to address them promptly. All of the interviewees further stated that if they

were not satisfied with the response from their immediate supervisor, they had the

ability to escalate the concern to a higher organizational level. Most expressed

positive experiences after raising issues to their supervisors. All expressed positive

experiences documenting most issues in condition reports.

The team questioned focus group participants whether they were able to submit a

condition report anonymously. Most individuals were aware that they could submit

condition reports anonymously, and were knowledgeable of the process. The team

noted that the number of anonymous CRs has dropped over the last year. This, in

conjunction with the positive staff comments during interviews, was considered an

indicator of improving personnel confidence in the plant and plant management.

2. Employee Concerns Program

All interviewees were aware of the Employee Concerns Program. Most explained

that they had heard about the program through various means, such as posters,

training, presentations, and discussion by supervisors or management at meetings.

All interviewees stated that they would use Employee Concerns if they felt it was

necessary. All expressed confidence that their confidentiality would be maintained if

they brought issues to Employee Concerns.

9

4. Preventing or Mitigating Perceptions of Retaliation

When asked if there have been any instances where individuals experienced

retaliation or other negative reaction for raising issues, all individuals interviewed

stated that they had neither experienced nor heard of an instance of retaliation,

harassment, intimidation or discrimination at the site. The team determined that

processes in place to mitigate these issues were being successfully implemented.

Responses from the focus group interviewees indicate that they believe that

management has established and promoted a safety-conscious work environment

where individuals feel free to raise safety concerns without fear of retaliation.

Overall, employees indicated that they have noticed an improved culture on-site. As

described, there was a sense that management is more interested now in addressing

issues in a manner that will result in more lasting solutions. They indicated that there

is more management support for their efforts.

.5

Findings

Failure to restore compliance for a 10 CFR 50.59 Violation

Introduction. The team identified a Green, Severity Level IV, violation for the licensees

failure to restore compliance for a NCV associated with the licensees failure to obtain

NRC approval prior to making a change to the reactor core isolation cooling injection

point. Specifically, as of April 28, 2017, the licensee had not restored compliance with

the NCV the NRC identified on October 8, 2015. This violation described a change,

which was previously made to the facility without prior NRC approval in violation

of 10 CFR 50.59, Changes, Tests, and Experiments, because the evaluation did not

provide adequate justification as to why the change did not result in a more than minimal

increase in the frequency of occurrence of an accident previously evaluated in the final

safety analysis report.

Description. In 1998, the licensee modified the reactor core isolation cooling injection

point from the reactor head spray nozzle to the 'A' feedwater line via the 'A' residual heat

removal shutdown cooling return line. At that time, the licensees evaluation stated that

the modification did not increase the probability of occurrence of an accident evaluated

previously in the Safety Analysis Report (SAR) and, as a result, did not represent an

unreviewed safety question which would have required NRC approval.

In October 2015 the NRC reviewed the licensees modification to the reactor core

isolation cooling injection point as one of the samples during an inspection on

evaluations of changes, tests, and experiments and permanent plant modifications

(Inspection Procedure 71111.17T). The NRC determined that the licensees evaluation

for this modification was inadequate because the licensee had failed to correctly

evaluate that a spurious reactor core isolation cooling actuation injecting through the

feedwater line would also result in the same characteristics, (and therefore increase the

probability of occurrence) of another accident previously evaluated (loss of feedwater

heating) and that this would be more than a minimal increase in frequency.

The requirements governing the authority of production and utilization facility licensees

to make changes to their facilities without prior NRC approval are contained in

10

10 CFR 50.59. At the time of implementation of this modification, the regulation

provided that licensees may make changes to the facility or procedures as described in

the safety analysis report (SAR), without prior Commission approval, unless the

proposed change, test, or experiment involved a change to the Technical Specifications

incorporated in the license or an unreviewed safety question. Section 50.59(a)(2),

stated the following:

A proposed change, test, or experiment shall be deemed to involve an unreviewed

safety question: (i) if the probability of occurrence or the consequences of an accident

or malfunction of equipment important to safety previously evaluated in the safety

analysis report may be increased; (ii) if a possibility for an accident or malfunction of a

different type than any evaluated previously in the safety analysis report may be created;

or (iii) if the margin of safety as defined in the basis for any technical specification is

reduced.

At the time of the modification, any increase in probability of occurrence or consequence

was considered an unreviewed safety question. On October 4, 1999, the NRC issued a

revision to 10 CFR 50.59 in the Federal Register (64 FR 53582), effective 90 days after

approval of Regulatory Guide 1.187 (issued in November 2000). Among the changes

implemented to the revised rule, the NRC eliminated the term unreviewed safety

question, and clarified the requirements to allow changes, which involved only minimal

increases in probability or consequences to be made without prior NRC approval.

Because this performance deficiency did not meet the requirements of the revised rule

(which allowed for a minimal increase in frequency), it did not meet the criteria for

enforcement discretion, and therefore, was documented as a Severity Level IV, NCV,

consistent with the Enforcement Policy. On October 29, 2015, the NRC documented

this issue in NRC Inspection Report 05000458/2015007. The licensee entered the

performance deficiency into their corrective action program as Condition Report

CR-RBS-2015-7259 and did not deny the violation.

During the current inspection, the NRC team selected Condition Report

CR-RBS-2015-7259 as one of the samples reviewed to assess the adequacy of

the licensees problem identification and resolution program. The team found that

the licensee had not restored compliance with the rule and found several aspects

associated with how the licensee addressed the NCV that deviated from their corrective

action program as specified in Procedure EN-LI-102, Revision 25. These aspects

include:

The licensee initiated the condition report as significance C and directed it be

upgraded to a significance B ACE CARB [apparent cause evaluation, corrective

action review board] when the finding was issued as a NCV. The NRC documented

the finding on October 29, 2015, and yet the licensee did not upgrade the condition

report until December 17, 2015. This delayed initiation of the apparent cause

evaluation.

The licensee initially characterized the condition report as a significance C even

though it met two of the criteria listed in Attachment 9.1, Condition Report

Classification Guidance, of Procedure EN-LI-102 to be classified as significance B.

These examples included inadequate 10 CFR 50.59 review, evaluation or screening,

and Green NCV, Green finding violation, or traditional enforcement from the NRC.

11

The licensee closed the significance B condition report without having corrected the

condition adverse to quality (namely the 10 CFR 50.59 violation for failure to obtain

NRC approval prior to making a change to the facility). In order to restore

compliance, the licensee had three choices: (1) restore the facility to a condition that

did not require NRC approval (restore original design); (2) perform an adequate

evaluation that provided justification as to why the change did not increase the

probability or consequences of an accident by more than a minimal amount [based

upon the current standard] and deny the violation; or (3) submit a license

amendment request requesting NRC approval [after the fact] for a change to the

facility as described in the safety analysis report.

The licensee closed the condition report to a process that was not allowed by the

corrective action program. Section 5.5[5] CR [condition report] Disposition

Requirements of Procedure EN-LI-102 allows a condition report to be closed to

another condition report as long as the condition report being closed is the same as

or lower category level than the remaining condition report. Attachment 9.6 CR and

CA [corrective action] Closure to WMS [Work Management System] and Tracking,

also allows a condition report/corrective action to be closed to the work management

system if they have Condition Review Group approval. In this case, the licensee

closed the condition report to a licensing action request system, which was neither

another condition report nor part of the work management system, and therefore, not

allowed by the corrective action program. The licensees license action request

system did not have comparable controls or requirements for due date extensions as

specified by the corrective action program.

The corrective actions did not meet the guidance of Section 5.6[2] Corrective Action

Initiation of Procedure EN-LI-102 for crafting corrective actions, which states that

corrective action content should be specific, measurable, achievable, realistic, and

timely. The licensee did not initiate a corrective action to specifically address the

adverse condition. The action that was initiated was an indirect action that was

assigned to the Design Engineering department to provide technical input to the

Licensing department to support generation of a license amendment request for

submission to the NRC. Once the technical input was provided, the corrective action

and the condition report were closed. An adequate corrective action should have

required the Licensing department to obtain a license amendment accepting the

design change prior to closing the condition report. The failure to restore compliance

continues to exist up until the licensee receives a license amendment.

The closure review performed by the assigned manager failed to identify that the

condition adverse to quality had not been corrected and that the condition report was

not ready to close. Specific questions contained in Attachment 9.2, Checklist for

Level B CR Closure of Procedure EN-LI-102 that could have identified that the

condition report was not ready for closure include:

o Question 13 stated, verify the corrective actions corrected the condition

identified was checked SAT even though no corrective actions had been

generated to restore compliance.

12

o Question 14 stated, verify that each corrective action identified in the evaluation

and that was otherwise issued to address the condition was completed as

intended. Recommendations and enhancements may be tracked by other

processes, was checked SAT even though a sub question (also marked SAT)

stated, Verify the action item was not closed to a promise of a future action

item. In this case, the future action was implied that the Licensing department

would submit and obtain approval from the NRC for a license amendment.

o Questions 15 through 17 were left unchecked even though they were required to

be checked SAT, including Question 16 which states, verify the corrective

action is not closed to another process other than WO [work order] approved by

the CRG [Condition Review Group]. In this case the implied corrective action

(obtaining NRC approval) was closed to another process, which was not a work

order approved by the Condition Review Group.

o Question 19 (left blank) states, if this quality closure review identifies an

unsatisfactory closure of a checklist item annotated SAT, issue a corrective

action using the UNSAT RESPONSE PI" action type, with specific

recommendations or identified discrepancies that need further review. As noted

above, three questions that should have been annotated SAT, were left blank

and a corrective action was not generated using the UNSAT RESPONSE PI, as

required.

o Question 20 (left blank) states: When all items in the checklist are satisfactorily

completed, the CR is ready to close.

Corrective Action 14 was closed on October 6, 2016, even though the attached

closure checklist was not completed.

On April 12, 2017, the team determined that the licensee had not restored

compliance with this ongoing violation within a reasonable amount of time for

NCV 05000458/2015007-02, and that any future corrective actions could not be

considered timely and commensurate with the significance. The team concluded that

while the licensee originally met the criteria for dispositioning the 10 CFR 50.59 issue as

a NCV, based upon the fact that the condition report that documented the violation was

closed and the licensee had not restored compliance within a reasonable time (nearly

18 months), the team determined that the licensee no longer met the criteria for a NCV,

and therefore, this violation would be cited in a notice of violation.

Analysis. The team determined that the licensees failure to restore compliance within a

reasonable amount of time for a violation of regulatory requirements associated with a

design modification was a performance deficiency. Specifically, on October 29, 2015,

the NRC notified the licensee that a plant design change, which was implemented in

1999, had increased the probability of a loss-of-feedwater accident by more than a

minimal amount and was made without requesting prior NRC approval, was a violation

of 10 CFR 50.59 requirements. Title 10 CFR 50, Appendix B, Criterion XVI, requires in

part that, measures shall be established to assure that conditions adverse to quality,

such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and nonconformances are promptly identified and corrected. As of April 28,

2017, the licensee failed to correct a condition adverse to quality by restoring

compliance with 10 CFR 50.59.

13

The finding was more than minor because it is associated with the initiating events

aspect of the reactor safety cornerstone and affected the cornerstone objective to limit

the likelihood of events that upset plant stability and challenge critical safety functions

during power operations. Using Inspection Manual Chapter 0609, Appendix A, The

Significance Determination Process (SDP) for Findings At-Power, Exhibit 1, Initiating

Events Screening Questions, dated June 19, 2012, the team determined that the

finding is of very low safety significance (Green). This was because the finding did not

cause a reactor trip and the loss of mitigation equipment relied upon to transition the

plant from the onset of the trip to a stable shutdown condition. The finding has a

human performance cross-cutting aspect associated with procedural adherence

because individuals failed to follow the procedures delineated by the corrective action

program [H.8].

The reactor oversight process (ROPs) significance determination process does not

specifically consider the regulatory process impact in its assessment of licensee

performance. Therefore, it is necessary to address this violation, which impedes the

NRCs ability to regulate, using traditional enforcement to deter non-compliance. Since

the violation is associated with a Green reactor oversight process violation, the

traditional enforcement violation was determined to be a Severity Level IV violation,

consistent with the example in paragraph 6.1.d(2) of the NRC Enforcement Policy.

The NRCs Enforcement Policy dictates that severity level IV violations and violations

associated with green ROP findings are normally dispositioned as NCVs if they meet all

of the following: (1) the violation is placed into a corrective action program to restore

compliance and address recurrence; (2) the licensee must restore compliance within a

reasonable period of time (commensurate with the significance); (3) the violation must

either not be repetitive as a result of inadequate corrective action, or if repetitive, the

repetitive violation must not have been identified by the NRC (does not apply to green

ROP findings); and (4) the violation must not be willful. For the purposes of Criterion 2,

this includes actions taken to stop an ongoing violation from continuing (which should be

as soon as possible). The team concluded that while the licensee originally met the

criteria for dispositioning the issue 10 CFR 50.59 as a NCV; based upon the fact that the

licensee closed the condition report without restoring compliance, the licensee no longer

met the criteria for a NCV, and therefore, this violation will be cited in a notice of

violation.

Enforcement. The team identified a Severity Level IV, Green violation of 10 CFR 50.59,

Changes, Tests, and Experiments, Section (c)(2) which states in part that, a licensee

shall obtain a license amendment pursuant to Section 50.90 prior to implementing a

proposed change, test, or experiment if the change, test, or experiment would result in

more than a minimal increase in the frequency of occurrence of an accident previously

evaluated in the final safety analysis report (as updated). Contrary to the above, as of

April 28, 2017, the licensee failed to obtain a license amendment pursuant to

Section 50.90, prior to implementing a change, test, or experiment that resulted in a

more than minimal increase in the frequency of occurrence of an accident previously

evaluated in the final safety analysis report (as updated). Specifically, on July 3, 1999,

the licensee implemented a design change to the reactor core isolation cooling injection

location from the reactor vessel head to a feedwater line. However, the licensee failed

to correctly evaluate that a spurious reactor core isolation cooling actuation into the

feedwater line resulted in a more than minimal increase in the frequency of occurrence

14

of the loss of feedwater heating accident, previously evaluated in the updated final safety

analysis report. This performance deficiency was previously identified by the NRC and

documented as NCV 05000458/2015007-02. In accordance with Section 2.3.2.a of the

NRC Enforcement Policy, this finding is being cited because the licensee failed to

restore compliance within a reasonable amount of time after the violation was initially

identified. This finding was entered into the licensees corrective action program as

Condition Report CR-RBS-2017-03505, (VIO 05000458/2017009-01, Failure to Obtain

Prior NRC Approval for a Change in Reactor Core Isolation Cooling Injection Point.)

4OA6 Meetings, Including Exit

Exit Meeting Summary

On April 28, 2017, the inspectors presented the inspection results to Mr. Marvin Chase, Director,

Regulatory & Performance Improvement, and other members of the licensee staff. The licensee

acknowledged the issues presented. The licensee confirmed that any proprietary information

reviewed by the inspectors had been returned or destroyed.

Attachment 1

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee Personnel

M. Chase, Director, Regulatory & Performance Improvement

A. Coates, Sr. Engineer, Regulatory Assurance

R. Crawford, Supervisor, Engineering

K. Huffstatler, Sr. Licensing Specialist, Regulatory Assurance

J. Lea, HVK System Engineer

P. Lucky, Manager, Performance Improvement

B. Maguire, Vice President, Operations

J. Reynolds, Sr. Manager, Operations

T. Schenk, Manager, Regulatory Assurance

K. Stupak, Manager, Training

T. Trask, Director, Recovery

S. Vazquez, Director, Engineering

NRC Personnel

J. Sowa, Senior Resident, River Bend Station

A. Vegel, Director, Division of Reactor Safety

LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

05000458/2017-009-01

NOV

Failure to Obtain Prior NRC Approval for a Change in Reactor

Core Isolation Cooling Injection Point (Section 4OA2.5)

Discussed

05000458/2015-007-02

NCV

Failure to Obtain Prior NRC Approval for a Change in Reactor

Core Isolation Cooling Injection Point

LIST OF DOCUMENTS REVIEWED

Procedures

Number

Title

Revision

ADM-0073

Temporary Services and Equipment

307

AOP-0001

Reactor Scram

36

AOP-0029

Severe Weather Operation

38

CSP-0006

Chemistry Surveillance and Scheduling System

41

A1-2

Procedures

Number

Title

Revision

CSP-0109

Chemistry Surveillance for Non-Routing Samples

0

EN-LI-102

Corrective Action Program

24

EN-LI-102

Corrective Action Program

25

EN-LI-102

Corrective Action Program

26

EN-LI-102

Corrective Action Program

27

EN-LI-102

Corrective Action Program

28

EN-LI-102

Corrective Action Program

29

EN-LI-104

Self-Assessment and Benchmark Process

13

EN-LI-118

Cause Evaluation Process

21

EN-LI-118

Cause Evaluation Process

22

EN-LI-118

Cause Evaluation Process

23

EN-LI-118

Cause Evaluation Process

24

EN-LI-121

Trending and Performance Review Process

18

EN-LI-121

Trending and Performance Review Process

19

EN-LI-121

Trending and Performance Review Process

20

EN-LI-121

Trending and Performance Review Process

21

EN-LI-121

Trending and Performance Review Process

22

EN-OE-100

Operating Experience Program

27

EN-OP-104

Operability Determination Process

11

EN-QV-109

Audit Process

32

EN-RP-110-004

Radiation Protection Risk Assessment Process

7

EN-TQ-201

Systematic Approach to Training Process

22

GOP-001

Plant Startup

84

GOP-001

Plant Startup

85

GOP-001

Plant Startup

97

GOP-002

Power Decrease/Plant Shutdown

70

GOP-002

Power Decrease/Plant Shutdown

71

GOP-002

Power Decrease/Plant Shutdown

72

GOP-002

Power Decrease/Plant Shutdown

77

GOP-005

Power Maneuvering

321

A1-3

Procedures

Number

Title

Revision

GOP-005

Power Maneuvering

322

GOP-005

Power Maneuvering

323

GOP-005

Power Maneuvering

328

OSP-0014

Administrative control of Equipment and/or Devices

306

OSP-0022

Operations General Administration Guidelines

103

OSP-0043

Freeze Protection and Temperature Maintenance

30

SOP-0093

Condensate Demineralizer System

40

STP-000-0201

Monthly Operating Log

310

STP-000-0201

Monthly Operating Log

311

STP-251-3700

Fire System Yard Water Loop Flow Test

10

STP-251-3700

Fire System Yard Water Loop Flow Test

11

Other Documents Title

Revision/Date

EC-000001578

B33-MOV067 A/B Stem to Upper Wedge Torque Value

0

EC-000052077

Evaluation of the Shear Capability of the Wedge Pin for

Double Disc Gate Valves B-33-MOVF023 A/B

0

QA-9-2016-

RBS-1

Fire Protection Audit

March 24,

2016

QA-14/15-2015-

RBS-1

Radiation Protection / Radwaste Audit

October 19,

2015

RLO-2016-00049 Special Nuclear Material Pre-NRC Assessment

July 2, 2016

RLO-2016-00145 Pre-NRC Radiological Hazard Assessment and Exposure

Control Performance Indicator Verification

January 17,

2017

Corrective Action Documents

Condition Reports

CR-RBS-1994-00830

CR-RBS-2013-2054

CR-RBS-2013-04083

CR-RBS-2013-05180

CR-RBS-2013-07316

CR-RBS-2014-00321

CR-RBS-2014-00711

CR-RBS-2014-03089

CR-RBS-2014-03150

CR-RBS-2014-03408

CR-RBS-2014-03413

CR-RBS-2014-04049

CR-RBS-2014-04802

CR-RBS-2014-05022

CR-RBS-2014-05209

CR-RBS-2014-06233

CR-RBS-2014-06284

CR-RBS-2014-06357

CR-RBS-2014-06581

CR-RBS-2015-00153

CR-RBS-2015-00626

CR-RBS-2015-01783

CR-RBS-2015-02245

CR-RBS-2015-02354

A1-4

Condition Reports

CR-RBS-2015-02668

CR-RBS-2015-02855

CR-RBS-2015-03360

CR-RBS-2015-03373

CR-RBS-2015-03374

CR-RBS-2015-03437

CR-RBS-2015-03622

CR-RBS-2015-03829

CR-RBS-2015-03877

CR-RBS-2015-03951

CR-RBS-2015-03952

CR-RBS-2015-03974

CR-RBS-2015-04071

CR-RBS-2015-04259

CR-RBS-2015-04265

CR-RBS-2015-04298

CR-RBS-2015-04375

CR-RBS-2015-04413

CR-RBS-2015-04725

CR-RBS-2015-04790

CR-RBS-2015-04791

CR-RBS-2015-04794

CR-RBS-2015-04818

CR-RBS-2015-04937

CR-RBS-2015-05008

CR-RBS-2015-05038

CR-RBS-2015-05306

CR-RBS-2015-05469

CR-RBS-2015-05473

CR-RBS-2015-05474

CR-RBS-2015-05530

CR-RBS-2015-05549

CR-RBS-2015-05601

CR-RBS-2015-05644

CR-RBS-2015-06164

CR-RBS-2015-06369

CR-RBS-2015-06370

CR-RBS-2015-06371

CR-RBS-2015-06704

CR-RBS-2015-06891

CR-RBS-2015-06943

CR-RBS-2015-06952

CR-RBS-2015-06961

CR-RBS-2015-07011

CR-RBS-2015-07012

CR-RBS-2015-07013

CR-RBS-2015-07028

CR-RBS-2015-07142

CR-RBS-2015-07147

CR-RBS-2015-07259

CR-RBS-2015-07264

CR-RBS-2015-07331

CR-RBS-2015-07399

CR-RBS-2015-07532

CR-RBS-2015-07838

CR-RBS-2015-08332

CR-RBS-2015-08463

CR-RBS-2015-08508

CR-RBS-2015-08831

CR-RBS-2015-08892

CR-RBS-2015-08992

CR-RBS-2015-09052

CR-RBS-2016-00033

CR-RBS-2016-00095

CR-RBS-2016-00134

CR-RBS-2016-00150

CR-RBS-2016-00180

CR-RBS-2016-00210

CR-RBS-2016-00211

CR-RBS-2016-00251

CR-RBS-2016-00294

CR-RBS-2016-00310

CR-RBS-2016-00370

CR-RBS-2017-00513

CR-RBS-2016-00573

CR-RBS-2016-00608

CR-RBS-2016-00765

CR-RBS-2016-00887

CR-RBS-2016-00890

CR-RBS-2016-00893

CR-RBS-2016-01027

CR-RBS-2016-01031

CR-RBS-2016-01069

CR-RBS-2016-01152

CR-RBS-2016-01157

CR-RBS-2016-01226

CR-RBS-2016-01232

CR-RBS-2016-01971

CR-RBS-2016-02178

CR-RBS-2016-02200

CR-RBS-2016-02335

CR-RBS-2016-02355

CR-RBS-2016-02392

CR-RBS-2016-02398

CR-RBS-2016-02632

CR-RBS-2016-02645

CR-RBS-2016-02811

CR-RBS-2016-02813

CR-RBS-2016-02953

CR-RBS-2016-03152

CR-RBS-2016-03177

CR-RBS-2016-03212

CR-RBS-2016-03264

CR-RBS-2016-03344

CR-RBS-2016-03375

CR-RBS-2016-03533

CR-RBS-2016-03580

CR-RBS-2016-04010

CR-RBS-2016-04092

CR-RBS-2016-04095

CR-RBS-2016-04368

CR-RBS-2016-04385

CR-RBS-2016-04886

CR-RBS-2016-05016

CR-RBS-2016-05263

CR-RBS-2016-05478

CR-RBS-2016-05490

CR-RBS-2016-05539

CR-RBS-2016-05596

CR-RBS-2016-05600

CR-RBS-2016-05866

CR-RBS-2016-06055

CR-RBS-2016-06103

CR-RBS-2016-06108

CR-RBS-2016-06296

CR-RBS-2016-06393

CR-RBS-2016-06564

CR-RBS-2016-06619

CR-RBS-2016-06652

CR-RBS-2016-06694

CR-RBS-2016-06701

CR-RBS-2016-06807

CR-RBS-2016-06808

CR-RBS-2016-06809

CR-RBS-2016-06879

CR-RBS-2016-06880

CR-RBS-2016-06926

CR-RBS-2016-07098

CR-RBS-2016-07298

CR-RBS-2016-07753

A1-5

Condition Reports

CR-RBS-2016-07796

CR-RBS-2016-08195

CR-RBS-2016-08577

CR-RBS-2017-00781

CR-RBS-2017-00836

CR-RBS-2017-00996

CR-RBS-2017-01658

CR-RBS-2017-02075

CR-RBS-2017-02113

CR-RBS-2017-02291

CR-RBS-2017-02314

CR-RBS-2017-02395

CR-RBS-2017-02403

CR-RBS-2017-02405

CR-RBS-2017-02529

CR-RBS-2017-02579

CR-RBS-2017-02828

CR-RBS-2017-02865

CR-RBS-2017-03549

CR-HQN-2017- 0617

Work Orders

174865

174866

316468

346576

346577

350485

419997

419999

438116

Attachment 2

Info Request

Biennial Problem Identification and Resolution

Inspection River Bend Station

January 23, 2017

Inspection Report: 50-458/2017009

On-site Inspection Dates: April 10-14 & 24-28, 2017

This inspection will cover the period from July 12, 2013, through April 28, 2017. All requested

information is limited to this period or to the date of this request unless otherwise specified. To

the extent possible, the requested information should be provided electronically in word-

searchable Adobe PDF (preferred) or Microsoft Office format. Any sensitive information

should be provided in hard copy during the teams first week on site; do not provide any

sensitive or proprietary information electronically.

Lists of documents (summary lists) should be provided in Microsoft Excel or a similar sortable

format. Please be prepared to provide any significant updates to this information during the

teams first week of on-site inspection. As used in this request, corrective action documents

refers to condition reports, notifications, action requests, cause evaluations, and/or other

similar documents, as applicable to the River Bend Station.

Please provide the following information no later than March 20, 2017:

1. Document Lists

Note: For these summary lists, please include the document/reference number, the

document title, initiation date, current status, and long-text description of the issue.

a.

Summary list of all corrective action documents related to significant

conditions adverse to quality that were opened, closed, or evaluated during

the period

b.

Summary list of all corrective action documents related to conditions adverse

to quality that were opened or closed during the period

c.

Summary lists of all corrective action documents that were upgraded or

downgraded in priority/significance during the period (these may be limited

to those downgraded from, or upgraded to, apparent-cause level or higher)

d.

Summary list of all corrective action documents initiated during the period

that roll up multiple similar or related issues, or that identify a trend

e.

Summary lists of operator workarounds, operator burdens, temporary

modifications, and control room deficiencies (1) currently open and (2) that

were evaluated and/or closed during the period

f.

Summary list of safety system deficiencies that required prompt

operability determinations (or other engineering evaluations) to provide

reasonable assurance of operability

A2-2

g.

Summary list of plant safety issues raised or addressed by the Employee

Concerns Program (or equivalent) (sensitive information should be made

available during the teams first week on sitedo not provide

electronically)

h.

Summary list of all Apparent Cause Evaluations completed during the

period

2. Full Documents with Attachments

a.

Root Cause Evaluations completed during the period; include a list of

any planned or in progress

b.

Quality Assurance audits performed during the period

c.

Audits/surveillances performed during the period on the Corrective

Action Program, of individual corrective actions, or of cause

evaluations

d.

Functional area self-assessments and non-NRC third-party assessments (e.g.,

peer assessments performed as part of routine or focused station self- and

independent assessment activities; do not include INPO assessments) that

were performed or completed during the period; include a list of those that are

currently in progress

e.

Any assessments of the safety-conscious work environment at the River

Bend Station

f.

Corrective action documents generated during the period associated with

the following:

i.

NRC findings and/or violations issued to the River Bend Station

ii.

Licensee Event Reports issued by the River Bend Station

g.

Corrective action documents generated for the following, if they were

determined to be applicable to the River Bend Station (for those that were

evaluated but determined not to be applicable, provide a summary list):

i.

NRC Information Notices, Bulletins, and Generic Letters

issued or evaluated during the period

ii.

Part 21 reports issued or evaluated during the period

iii.

Vendor safety information letters (or equivalent) issued or

evaluated during the period

iv.

Other external events and/or Operating Experience evaluated

for applicability during the period

h.

Corrective action documents generated for the following:

A2-3

i.

Emergency planning drills and tabletop exercises performed during

the period

ii.

Maintenance preventable functional failures which occurred or

were evaluated during the period

iii.

Adverse trends in equipment, processes, procedures, or

programs that were evaluated during the period

iv.

Action items generated or addressed by offsite review committees

during the period

3. Logs and Reports

a.

Corrective action performance trending/tracking information generated during

the period and broken down by functional organization (if this information is

fully included in item 3.c, it need not be provided separately)

b.

Corrective action effectiveness review reports generated during the period

c.

Current system health reports, Management Review Meeting package, or

similar information; provide past reports as necessary to include 12 months of

metric/trending data

d.

Radiation protection event logs during the period

e.

Security event logs and security incidents during the period (sensitive

information should be made available during the teams first week on sitedo

not provide electronically)

f.

Employee Concern Program (or equivalent) logs (sensitive information should

be made available during the teams first week on sitedo not provide

electronically)

g.

List of training deficiencies, requests for training improvements, and

simulator deficiencies for the period

Note: For items 3.d-3.g, if there is no log or report maintained separate from the

corrective action program, please provide a summary list of corrective action

program items for the category described.

4.

Procedures

Note: For these procedures, please include all revisions that were in effect at any time

during the period.

a.

Corrective action program procedures, to include initiation and evaluation

procedures, operability determination procedures, apparent and root cause

evaluation/determination procedures, and any other procedures that

implement the corrective action program at the River Bend Station

A2-4

b.

Quality Assurance program procedures (specific audit procedures are

not necessary)

c.

Employee Concerns Program (or equivalent) procedures

d.

Procedures which implement/maintain a Safety Conscious Work Environment

5. Other

a.

List of risk-significant components and systems, ranked by risk worth

b.

Organization charts for plant staff and long-term/permanent contractors

c.

Electronic copies of the UFSAR (or equivalent), technical specifications,

and technical specification bases, if available

d.

Table showing the number of corrective action documents (or equivalent)

initiated during each month of the inspection period, by screened

significance

e.

For each day the team is on site,

i.

Planned work/maintenance schedule for the station

ii.

Schedule of management or corrective action review meetings (e.g.,

operations focus meetings, condition report screening meetings,

CARBs, MRMs, challenge meetings for cause evaluations, etc.)

iii.

Agendas for these meetings

Note: The items listed in 5.d may be provided on a weekly or daily basis after

the team arrives on site.

All requested documents should be provided electronically where possible. Regardless of

whether they are uploaded to an internet-based file library (e.g., Certrecs IMS), please provide

copies on CD or DVD. One copy of the CD or DVD should be provided to the resident

inspector office at the River Bend Station; three additional copies should be provided to the

team lead, to arrive no later than March 20, 2017:

Ray Azua

U.S. NRC Senior Reactor Inspector

Division of Reactor Safety, Region IV

1600 E. Lamar Blvd, Arlington, TX 76011

Office: (817) 200-1445

Cell: (817) 319-4376

ML17160A401

SUNSI Review:

ADAMS:

Non-Publicly Available Non-Sensitive Keyword: NRC-002

By: RVA

Yes No

Publicly Available Sensitive

OFFICE

SRI:DRS/IPAT

SRI:DRS/IPAT

PE:DRS/IP

AT

RI:DRP/PBC

C:DRS/IPAT

C:DRP/PBC

NAME

RAzua

HFreeman

PJayroe

BParks

THipschman

JKozal

SIGNATURE

RA

RA

RA

RA

RA

/RA/

DATE

05/10/2017

05/22/2017

05/15/2017

05/23/2017

05/23/2017

06/08/2017

OFFICE

SEP:ORA/ACES

C:DRS/IPAT

NAME

JKramer

THipschman

SIGNATURE

/RA/

/RA/JClark for

DATE

06/02/2017

06/09/2017