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{{Adams|number = ML093650019}} | {{Adams | ||
| number = ML093650019 | |||
| issue date = 12/31/2009 | |||
| title = IR 05000348-09-007 and 05000364-09-007 on 11/02/08 - 11/06/08 and 11/16/09 - 11/20/09 for Joseph M. Farley - NRC Problem Identification and Resolution Inspection Report | |||
| author name = Merzke D | |||
| author affiliation = NRC/RGN-II/DRP/RPB7 | |||
| addressee name = Johnson J | |||
| addressee affiliation = Southern Nuclear Operating Co, Inc | |||
| docket = 05000348, 05000364 | |||
| license number = NPF-002, NPF-008 | |||
| contact person = | |||
| document report number = IR-09-007 | |||
| document type = Inspection Report, Letter | |||
| page count = 26 | |||
}} | |||
{{IR-Nav| site = 05000348 | year = 2009 | report number = 007 }} | {{IR-Nav| site = 05000348 | year = 2009 | report number = 007 }} | ||
=Text= | =Text= | ||
{{#Wiki_filter: | {{#Wiki_filter:UNITED STATES NUCLEAR REGULATORY COMMISSION | ||
==REGION II== | |||
ber 31, 2009 | |||
SUBJECT: JOSEPH M. FARLEY NUCLEAR PLANT - NRC PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000348/2009007 AND 05000364/2009007 | ==SUBJECT:== | ||
JOSEPH M. FARLEY NUCLEAR PLANT - NRC PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000348/2009007 AND 05000364/2009007 | |||
==Dear Mr. Johnson:== | ==Dear Mr. Johnson:== | ||
On November 20, 2009, the U. S. Nuclear Regulatory Commission (NRC) completed an inspection at the Farley Nuclear Station. The enclosed inspection report documents the inspection findings, which were discussed on November 20, 2009, with you and other members of your staff during an exit meeting. | On November 20, 2009, the U. S. Nuclear Regulatory Commission (NRC) completed an inspection at the Farley Nuclear Station. The enclosed inspection report documents the inspection findings, which were discussed on November 20, 2009, with you and other members of your staff during an exit meeting. | ||
The inspection was an examination of activities conducted under your license as they relate to the identification and resolution of problems, and compliance with the | The inspection was an examination of activities conducted under your license as they relate to the identification and resolution of problems, and compliance with the Commissions rules and regulations and with the conditions of your operating license. Within these areas, the inspection involved examination of selected procedures and representative records, observations of plant equipment and activities, and interviews with personnel. | ||
On the basis of the samples selected for review, the team concluded that in general, problems were properly identified, evaluated, and corrected. There was one Green self-revealing finding identified during this inspection associated with an inadequate surveillance test procedure | On the basis of the samples selected for review, the team concluded that in general, problems were properly identified, evaluated, and corrected. There was one Green self-revealing finding identified during this inspection associated with an inadequate surveillance test procedure. | ||
Specifically, the finding was related to the licensees failure to maintain adequate procedures for testing the B train solid state protection system. Additionally, a licensee-identified violation (LIV), which was determined to be of very low safety significance, is listed in this report. These findings were determined to be violations of NRC requirements. However, because of their very low safety significance and because they have been entered into your corrective action program, the NRC is treating these findings as non-cited violations (NCV) consistent with Section VI.A.1 of the NRC Enforcement Policy. If you wish to contest these non-cited violations, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the Nuclear Regulatory Commission, ATTN.: Document Control Desk, Washington DC 20555-001; with copies to the Regional Administrator Region II; the Director, Office of Enforcement, United States Nuclear Regulatory Commission, Washington, DC 20555-0001; and the NRC Senior Resident Inspector at the Farley Nuclear Station. | |||
In | SNC 2 In addition, examples of minor problems were identified by the team, such as equipment issues that were not entered into the corrective action program, and corrective action item closures that did not implement the actions required to be performed. | ||
In accordance with 10 CFR 2.390 of the NRCs Rules of Practice, a copy of this letter, its enclosure, and your response, if any, will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records (PARS) component of the NRCs document system (ADAMS). ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room). | |||
Sincerely, | |||
/RA/ | |||
Daniel Merzke, Acting Chief Reactor Projects Branch 7 Division of Reactor Projects Docket Nos.: 50-348 and 50-364 License Nos.: NPF-2 and NPF-8 | |||
===Enclosure:=== | ===Enclosure:=== | ||
Inspection Report 05000348/2009007 and 05000364/2009007 | Inspection Report 05000348/2009007 and 05000364/2009007 w/Attachment: Supplemental Information | ||
REGION II== | |||
Docket Nos.: 50-348, 50-364 License Nos.: NPF-2, NPF-8 Report No.: 05000348/2009007, 05000364/2009007 Licensee: Southern Nuclear Operating Company Inc. | |||
Facility : Joseph M. Farley Nuclear Plant Location: Columbia, AL Dates: November 2 - 6, 2008, and November 16 - 20, 2009 Inspectors: R. Taylor, Senior Project Inspector S. Ninh, Senior Project Engineer T. Lighty, Project Engineer S. Sandal, Resident Inspector, Farley Accompanying W. Deschaine, Project Engineer (in training) | |||
Personnel: | |||
Approved by: Daniel Merzke, Acting Chief Reactor Projects Branch 7 Division of Reactor Projects Enclosure | |||
=SUMMARY OF FINDINGS= | |||
IR 05000348/2009007, 05000364/2009007; 11/02/2009 - 11/20/2009; Farley Nuclear Plant, | |||
Units 1 and 2; biennial inspection of the identification and resolution of problems. | |||
The inspection was conducted by a senior project inspector, senior project engineer, project engineer, and a resident inspector. One Green self-revealing finding was identified. The significance of most findings is indicated by its color (Green, White, Yellow, Red) using the Significance Determination Process in Inspection Manual Chapter (IMC) 0609, Significance Determination Process (SDP). The cross-cutting aspect was determined using IMC 0305, | |||
Operating Reactor Assessment Program. Findings for which the Significance Determination Process does not apply may be Green or be assigned a severity level after NRC management review. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, Revision 4, dated December 2006. | |||
Identification and Resolution of Problems The team concluded that, in general, problems were properly identified, evaluated, prioritized, and corrected. Generally, the threshold for initiating condition reports (CRs) was appropriately low, as evidenced by the types of problems identified and the large number of CRs entered annually into the Corrective Action Program (CAP). Employees were encouraged by management to initiate CRs. However, the team did identify some examples where plant issues were not appropriately entered into the CAP. | |||
Generally, prioritization and evaluation of issues were consistent with the licensees CAP guidance, formal root cause evaluations for significant problems were adequate, and corrective actions specified for problems were acceptable. Overall, corrective actions developed and implemented for issues were generally timely, effective, and commensurate with the safety significance of the issues. However, the team did identify some examples where plant issues were not appropriately evaluated consistent with the licensees CAP guidance. | |||
The team determined that, overall, audits and self-assessments were adequate in identifying deficiencies and areas for improvement in the CAP, and appropriate corrective actions were developed to address the issues identified. The licensees operating experience (OE) usage was found to be generally acceptable and integrated into the licensees processes for performing and managing work, and plant operations. | |||
Based on discussions and interviews conducted with plant employees from various departments, the inspectors determined that personnel at the site felt free to raise safety concerns to management and use the CAP to resolve those concerns. | |||
===NRC Identified and Self-Revealing Findings=== | |||
===Cornerstone: Mitigating Systems=== | |||
: '''Green.''' | |||
A self-revealing violation of 10 CFR 50 Appendix B, Criterion V Instructions, Procedures, and Drawings, was identified for an inadequate procedure for testing the B train solid state protection system (SSPS) (FNP-1-STP-33.3). While Unit 1 was in Mode 5 and N31 source range instrumentation was tagged out and unavailable, the licensee performed step 5.6.1.1B of FNP-1-STP-33.3, resulting in N32 source range instrument being de-energized. | |||
Procedure FNP-1-STP-33.3 inadvertently de-energized the only operable source range instrument for Unit 1. TS 3.3.1 required a minimum of one source range neutron flux monitor with the plant in this condition. When the licensee recognized this condition, they immediately restored power to N32 and exited the TS action. The licensee initiated condition report (CR) 2009105672 to address this issue. | |||
The issue was more than minor because it was associated with the procedure quality attribute of the mitigating systems cornerstone and adversely affected the cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage). Specifically, the SSPS procedure resulted in a total loss of source range instrumentation during testing. This affected the safety function of source range neutron flux indication in Mode 5. This finding was assessed using the Phase 1 and 2 Shutdown Operations screening worksheet of the SDP and was determined to require a Phase 3 analysis because the finding involved a loss of source range monitors while shutdown. This finding was determined to be of very low safety significance because the dominant sequence is a boron dilution event and de-energizing the source range for less than a minute would not prevent an operator from taking the necessary actions to address potential boron dilution. No cross-cutting issue was identified. (Section 4OA2.a.(3)) | |||
===Licensee Identified Violations=== | |||
A violation of very low safety significance, identified by the licensee, has been reviewed by the NRC. Corrective actions taken or planned by the licensee have been entered into the licensees CAP. The violation and corrective action tracking number is listed in Section 4OA7 of this report. | |||
A violation of very low safety significance, identified by the licensee, has been reviewed by the NRC. Corrective actions taken or planned by the licensee have been entered into the | |||
=REPORT DETAILS= | =REPORT DETAILS= | ||
Line 80: | Line 88: | ||
{{a|4OA2}} | {{a|4OA2}} | ||
==4OA2 Problem Identification and Resolution== | ==4OA2 Problem Identification and Resolution== | ||
The inspectors conducted plant walkdowns of equipment associated with selected systems and other plant areas to assess the material condition and to look for any deficiencies that had not been previously entered into the CAP. The inspectors reviewed CRs, maintenance history, completed work orders (WOs) for the systems, and reviewed associated system health reports. These reviews were performed to verify that problems were being properly identified, appropriately characterized, and entered into the CAP. Items reviewed generally covered a 16month period of time; however, in accordance with the inspection procedure, a five-year review was performed for selected systems for age-dependent issues. Control Room walkdowns were also performed to assess the main control room (MCR) deficiency list and to ascertain if deficiencies were entered into the CAP. Operator Workarounds and Operator Burden screenings were reviewed, and the inspectors verified compensatory measures for deficient equipment were being implemented in the field. | a. Assessment of the Corrective Action Program | ||
: (1) Inspection Scope The inspectors reviewed the licensees CAP procedures which described the administrative process for initiating and resolving problems primarily through the use of condition reports (CRs). To verify that problems were being properly identified, appropriately characterized, and entered into the CAP, the inspectors reviewed CRs that had been issued between August 2008 and November 2009, including a detailed review of selected CRs associated with four risk-significant systems: Auxiliary Feedwater (AFW), Service Water (SW), Diesel Generators (DGs), and Radiation Monitors. Where possible, the inspectors independently verified that the corrective actions were implemented as intended. The inspectors also reviewed selected common causes and generic concerns associated with root cause evaluations to determine if they had been appropriately addressed. To help ensure that samples were reviewed across all cornerstones of safety identified in the NRCs Reactor Oversight Process (ROP), the team selected a representative number of CRs that were identified and assigned to the major plant departments, including operations, maintenance, engineering, emergency preparedness, health physics, chemistry, and security. These CRs were reviewed to assess each departments threshold for identifying and documenting plant problems, thoroughness of evaluations, and adequacy of corrective actions. The inspectors reviewed selected CRs, verified corrective actions were implemented, and attended meetings where CRs were screened for significance to determine whether the licensee was identifying, accurately characterizing, and entering problems into the CAP at an appropriate threshold. | |||
The inspectors conducted plant walkdowns of equipment associated with selected systems and other plant areas to assess the material condition and to look for any deficiencies that had not been previously entered into the CAP. The inspectors reviewed CRs, maintenance history, completed work orders (WOs) for the systems, and reviewed associated system health reports. These reviews were performed to verify that problems were being properly identified, appropriately characterized, and entered into the CAP. Items reviewed generally covered a 16month period of time; however, in accordance with the inspection procedure, a five-year review was performed for selected systems for age-dependent issues. | |||
Control Room walkdowns were also performed to assess the main control room (MCR)deficiency list and to ascertain if deficiencies were entered into the CAP. Operator Workarounds and Operator Burden screenings were reviewed, and the inspectors verified compensatory measures for deficient equipment were being implemented in the field. | |||
The team conducted a detailed review of selected CRs to assess the adequacy of the root-cause and apparent-cause evaluations of the problems identified. The inspectors reviewed these evaluations against the descriptions of the problem described in the CRs and the guidance in licensee procedures. The inspectors assessed if the licensee had adequately determined the cause(s) of identified problems, and had adequately addressed operability, reportability, common cause, generic concerns, extent-of-condition, and extent-of-cause. The review also assessed if the licensee had appropriately identified and prioritized corrective actions to prevent recurrence. | The team conducted a detailed review of selected CRs to assess the adequacy of the root-cause and apparent-cause evaluations of the problems identified. The inspectors reviewed these evaluations against the descriptions of the problem described in the CRs and the guidance in licensee procedures. The inspectors assessed if the licensee had adequately determined the cause(s) of identified problems, and had adequately addressed operability, reportability, common cause, generic concerns, extent-of-condition, and extent-of-cause. The review also assessed if the licensee had appropriately identified and prioritized corrective actions to prevent recurrence. | ||
The team reviewed selected industry operating experience items, including NRC generic communications, to verify that they had been appropriately evaluated for applicability and that issues identified through these reviews had been entered into the CAP. The team reviewed site trend reports, to determine if the licensee effectively trended identified issues and initiated appropriate corrective actions when adverse trends were identified. The inspectors attended various plant meetings to observe management oversight functions of the corrective action process. | The team reviewed selected industry operating experience items, including NRC generic communications, to verify that they had been appropriately evaluated for applicability and that issues identified through these reviews had been entered into the CAP. | ||
The team reviewed site trend reports, to determine if the licensee effectively trended identified issues and initiated appropriate corrective actions when adverse trends were identified. | |||
The inspectors attended various plant meetings to observe management oversight functions of the corrective action process. | |||
Documents reviewed are listed in the Attachment. | Documents reviewed are listed in the Attachment. | ||
: (2) Assessment Identification of Issues The team determined that the licensee was generally effective in identifying problems and entering them into the CAP and that there was a low threshold for entering issues into the CAP. This conclusion was based on a review of the requirements for initiating CRs as described in licensee procedure NMP-GM-002-001, Corrective Action Program Instructions, management expectation that employees were encouraged to initiate CRs for any reason, and a review of system health reports. Generally, the threshold for initiating (CRs) was appropriately low, as evidenced by the types of problems identified and the large number of CRs entered annually into the CAP. Trending was generally effective in monitoring equipment performance. Site management was actively involved in the CAP and focused appropriate attention on significant plant issues. | |||
However, the team identified deficiencies which were not entered into the licensees CAP. Specifically: | |||
* During a walk down of the EDG system, the team identified residue on the 1C EDG under the fuel compartment. Additionally, during a walk down of the SW system, the team identified minor leaks, and other housekeeping issues that were not entered into the CAP. No CRs or WOs had been initiated in the CAP to correct or evaluate the observed conditions. The licensee entered CRs 2009113334, 2009113337, and 2009113318 to address these conditions. The licensees failure to enter conditions adverse to quality into the corrective action program was a performance deficiency. This performance deficiency was assessed using IMC 0612 Appendix B and was screened as Minor because the observed conditions did not challenge system or component operability and no safety consequences to the plant had occurred as a result. The failure to comply with the requirements of NMP-GM-002-001, Corrective Action Program Instructions, constituted a violation of minor significance that was not subject to enforcement action in accordance with the NRCs Enforcement Policy. | |||
Prioritization and Evaluation of Issues Based on the review of audits conducted by the licensee and the assessment conducted by the inspection team during the onsite period, the team concluded that the licensee was generally effective in the prioritization and evaluation of identified problems. | |||
Problems were generally prioritized and evaluated in accordance with the licensees CAP procedures as described in the CR severity level determination guidance in NMP-GM-002, Corrective Action Program. Each CR written was assigned a severity level at the CAP coordinator meeting, and adequate consideration was given to system or component operability and associated plant risk. | |||
The team determined that the licensee had conducted root cause and apparent cause analyses in compliance with the site CAP procedures, and assigned cause determinations were appropriate considering the significance of the issues being evaluated. A variety of causal-analysis techniques were used depending on the type and complexity of the issue consistent with licensee procedure NMP-GM-002-GL03, | The team determined that the licensee had conducted root cause and apparent cause analyses in compliance with the site CAP procedures, and assigned cause determinations were appropriate considering the significance of the issues being evaluated. A variety of causal-analysis techniques were used depending on the type and complexity of the issue consistent with licensee procedure NMP-GM-002-GL03, Cause Determination Guideline. The licensee had performed evaluations that were technically accurate and of sufficient depth. The team further determined that operability, reportability, and degraded or non-conforming condition determinations had been completed consistent with the guidance contained in NMP-AD-012, Operability Determinations and Functionality Assessments for Resolution of Degraded and Nonconforming Conditions. However, the team did make the following observations in the area of prioritization and evaluation of issues: | ||
* CR 2009104096 identified that the motor-operated valve (MOV) torque switch actuation point for Q2P16MOV3134 (service water from reactor coolant pump motor air coolers) appeared to be set at a spring pack displacement of 0.146 inches and that the target displacement should be 0.242 inches to ensure that there is adequate margin to prevent dual-indication issues during the performance of required in-service surveillance tests. The condition report spawned action item (AI) 2009203977 to modify reptasks associated with FNP-0-EMP-1501.17 to set an appropriate limit to minimize potential for dual indication-type closing stroke results. CR 2009104096 and AI 2009203977 were coded as severity level 5 issues. The team concluded that CR 2009104096 described a condition adverse to quality as defined by NMP-GM-002, Corrective Action Program. Additionally, the team concluded that the CR and associated action item should have, at minimum, been assigned a severity level 4 as specified by NMP-GM-002 section 6.4. | * CR 2009104096 identified that the motor-operated valve (MOV) torque switch actuation point for Q2P16MOV3134 (service water from reactor coolant pump motor air coolers) appeared to be set at a spring pack displacement of 0.146 inches and that the target displacement should be 0.242 inches to ensure that there is adequate margin to prevent dual-indication issues during the performance of required in-service surveillance tests. The condition report spawned action item (AI)2009203977 to modify reptasks associated with FNP-0-EMP-1501.17 to set an appropriate limit to minimize potential for dual indication-type closing stroke results. | ||
CR 2009104096 and AI 2009203977 were coded as severity level 5 issues. | |||
The team concluded that CR 2009104096 described a condition adverse to quality as defined by NMP-GM-002, Corrective Action Program. Additionally, the team concluded that the CR and associated action item should have, at minimum, been assigned a severity level 4 as specified by NMP-GM-002 section 6.4. | |||
The team also noted that during performance of a time stroke test of Q2P16MOV3134 on November 6, 2009, the MOV failed to meet test acceptance criteria due to dual position indication. The team also noted that this was a repeat issue for this valve and that corrective actions specified by AI 2009203977 had not been implemented prior to the November failure. This issue was documented in the CAP as CR 2009113404 and 2009113410. | The team also noted that during performance of a time stroke test of Q2P16MOV3134 on November 6, 2009, the MOV failed to meet test acceptance criteria due to dual position indication. The team also noted that this was a repeat issue for this valve and that corrective actions specified by AI 2009203977 had not been implemented prior to the November failure. This issue was documented in the CAP as CR 2009113404 and 2009113410. | ||
* CR 2009107346 identified that WO 2053045701 to repair inoperable core exit thermocouple (CETC) Q2B14TI2302-B was voided in error. Because all previous corrective actions to repair the CETC had been closed or voided in the CAP, the CR spawned elective WO 2091590701 to effect repairs. CR 2009107346 was coded as a severity level 5 issue. The team concluded that CR 2009107346 described a condition related to TS LCO 3.3.3 for Post Accident Monitoring Instrumentation and therefore instrument inoperability would constitute a condition adverse to quality as defined by NMP-GM-002, Corrective Action Program. Additionally, the team concluded that the CR and associated action item should have been assigned a severity level 4 as specified by NMP-GM-002 section 6.4 | * CR 2009107346 identified that WO 2053045701 to repair inoperable core exit thermocouple (CETC) Q2B14TI2302-B was voided in error. Because all previous corrective actions to repair the CETC had been closed or voided in the CAP, the CR spawned elective WO 2091590701 to effect repairs. CR 2009107346 was coded as a severity level 5 issue. | ||
The team concluded that CR 2009107346 described a condition related to TS LCO 3.3.3 for Post Accident Monitoring Instrumentation and therefore instrument inoperability would constitute a condition adverse to quality as defined by NMP-GM-002, Corrective Action Program. Additionally, the team concluded that the CR and associated action item should have been assigned a severity level 4 as specified by NMP-GM-002 section 6.4. | |||
(3) Findings | The team noted that the CETC was first identified to be inoperable on March 1, 2000 and is being tracked by open LCO 2-2000-006. The team also noted that this condition may represent an operable but degraded nonconforming (OBDN) condition for Unit 2 CETC channel B as specified by NMP-AD-012, Operability Determinations and Functionality Assessments, Section 4.14.3. The team did not find evidence that this issue is currently being tracked as OBDN for Unit 2 CETC channel B. | ||
* The team noted that the maintenance preventable functional failure (MPFF)evaluation for the 1-2L 600V load center failure documented in CR 2008103720 concluded that the bus bar failure was not an MPFF. The team reviewed both the apparent cause determination and root cause evaluation and concluded that the event should have been classified as an MPFF. This conclusion was based on the lack of preventive maintenance (pre-event) that allowed degradation to go undetected and the substantial amount of industry OE that existed indicating the need to perform these preventive maintenance inspections. The team concluded that maintenance rule failure determination was contrary to FNP-0-M-89, Maintenance Rule Site Implementation Manual, Appendix 1, MPFF Determination Guidelines. This issue was entered into the CAP as CR 2009113291. | |||
* CR 2009112319 identified air leaking from the diaphragm for Q2N12HV3226 (steam admission valve to the U2 TDAFW pump). An initial determination of operability was completed that concluded that the valve was OBDN and compensatory actions were identified to monitor the valve for continued degradation that may challenge pump operability. The team reviewed the condition report and current list of OBDN equipment and noted that this valve was not included on the OBDN list. The team also noted that the equipment field listed Q2N12HV3226 as Operable. The team concluded that designating the valve as Operable in the equipment field instead of OBDN as required by NMP-AD-012, Operability Determinations and Functionality Assessments, Section 6.3.3.1 prevented the capture of this issue in the OBDN list for periodic review by operations. The team acknowledged that an administrative tracking item was created to monitor the valve condition. This issue was entered into the CAP as 2009113795 and corrective actions were taken to include Q2N12HV3226 on the current list of OBDN equipment. | |||
The team also noted that 2 WOs written to address the leaking actuator (2092556701 and 2092556701) were coded as elective maintenance. The team concluded that coding these WOs as elective maintenance was not consistent with NMP-AD-012, Operability Determinations and Functionality Assessments, Section 6.3.3.4 which states that all OBDN work orders should be coded as corrective maintenance. | |||
* CR 2009112150 and CR 2009112166 identified leak-by through valve Q2P17HV3096B (component cooling water (CCW) to waste evaporator packages and H2 recombiners). An initial determination of operability (IDO) was completed that concluded that the aligned CCW train would be OBDN and compensatory actions were identified to maintain a basis for reasonable assurance that the train of CCW aligned to the miscellaneous header could be established in the event of a line break downstream of the valve. The team reviewed the condition reports and noted that elective maintenance WO 2092528101 was spawned from CR 2009112150 to effect repairs to Q2P17HV3096B. The team concluded that coding this WO as elective maintenance was contrary to the NMP-AD-012, Operability Determinations and Functionality Assessments, Section 6.3.3.4 which states that all OBDN work orders should be coded as corrective maintenance. | |||
The team acknowledged that an administrative tracking item had been established to brief operating crews on procedures used for filling the CCW expansion tank in the event of a downstream line break. However, the team also noted that no compensatory actions were established to ensure that the make-up water sources to CCW or expansion lank level indication would not be removed from service without prior evaluation given the existing degraded condition of Q2P17HV3096B. | |||
Effectiveness of Corrective Actions Based on a review of corrective action documents, interviews with licensee staff, and verification of completed corrective actions, the team determined that overall, corrective actions were timely, commensurate with the safety significance of the issues, and effective, in that conditions adverse to quality were corrected and non-recurring. For significant conditions adverse to quality, the corrective actions directly addressed the cause and effectively prevented recurrence in that a review of performance indicators, all CRs, and effectiveness reviews demonstrated that the significant conditions adverse to quality had not recurred. Effectiveness reviews for corrective actions to prevent recurrence were sufficient to ensure corrective actions were properly implemented and were effective. | |||
: (3) Findings | |||
=====Introduction.===== | =====Introduction.===== | ||
A Green self-revealing NCV was identified for failure to comply with 10 CFR 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings. The procedure used for testing the | A Green self-revealing NCV was identified for failure to comply with 10 CFR 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings. The procedure used for testing the B train solid state protection system (SSPS), FNP-1-STP-33.3, resulted in all source range instrumentation being de-energized, which was not appropriate for plant conditions. | ||
=====Description.===== | =====Description.===== | ||
On April 29, 2009, while Unit 1 was in Mode 5 and the N31 source range instrument was tagged out and unavailable, N32 was the only operating source range instrument and was required by TS 3.3.1 to be operable. When performing procedure FNP-1-STP-33.3, step 5.6.1.1 B, the operating N32 source range instrument was de-energized, resulting in Unit 1 entering TS 3.3.1 condition L, | On April 29, 2009, while Unit 1 was in Mode 5 and the N31 source range instrument was tagged out and unavailable, N32 was the only operating source range instrument and was required by TS 3.3.1 to be operable. When performing procedure FNP-1-STP-33.3, step 5.6.1.1 B, the operating N32 source range instrument was de-energized, resulting in Unit 1 entering TS 3.3.1 condition L, required source range neutron flux channel inoperable. The licensee immediately recognized this condition and returned the input error inhibit switch to its normal position which restored power to N32 and stopped the surveillance test. The licensee exited TS 3.3.1 Condition L once power was restored to N32. | ||
In 2001 the licensee revised FNP-1-STP-33.3 to allow testing of the B SSPS system with or without inhibits in effect. The team determined that the procedure change was inadequate to deal with existing plant conditions on April 29, 2009. The use of inhibits allowed the licensee to test the SSPS system in a test mode configuration without initiating safety system actuations. However, placing the SSPS system in inhibit de-energized a source range monitor. | |||
=====Analysis.===== | =====Analysis.===== | ||
The failure to include adequate guidance in procedure FNP-1-STP-33.3 which resulted in all source range instruments being inadvertently de-energized was a performance deficiency. The issue was more than minor because it was associated with the procedure quality attribute of the mitigating systems cornerstone and adversely affected the cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage). Specifically, the SSPS procedure inadvertently de-energized the source range monitor and did not verify the availability of source range instrumentation during testing. This affected the safety function of source range neutron flux indication in Mode 5. This finding was assessed using the Phase 1 and 2 Shutdown Operations screening worksheet of the SDP and was determined to require a Phase 3 analysis because the finding involved a loss of source range monitors while in Mode 5. This finding was determined to be of very low safety significance because the dominant sequence is a boron dilution event, and de-energizing the source range for less than a minute would not prevent an operator from taking the necessary actions to address potential boron dilution. No cross-cutting issue was identified. | The failure to include adequate guidance in procedure FNP-1-STP-33.3 which resulted in all source range instruments being inadvertently de-energized was a performance deficiency. The issue was more than minor because it was associated with the procedure quality attribute of the mitigating systems cornerstone and adversely affected the cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage). Specifically, the SSPS procedure inadvertently de-energized the source range monitor and did not verify the availability of source range instrumentation during testing. This affected the safety function of source range neutron flux indication in Mode 5. This finding was assessed using the Phase 1 and 2 Shutdown Operations screening worksheet of the SDP and was determined to require a Phase 3 analysis because the finding involved a loss of source range monitors while in Mode 5. This finding was determined to be of very low safety significance because the dominant sequence is a boron dilution event, and de-energizing the source range for less than a minute would not prevent an operator from taking the necessary actions to address potential boron dilution. No cross-cutting issue was identified. | ||
=====Enforcement.===== | =====Enforcement.===== | ||
10 CFR 50 Appendix B, Criterion V, Instructions, Procedures, and Drawings, states in part that activities affecting quality shall be prescribed by documented procedures of a type appropriate to the circumstances. Contrary to the above, since 2001, the licensee failed to provide adequate guidance in Procedure FNP-1-STP-33.3, resulting in loss of all source range instrumentation during testing of the | 10 CFR 50 Appendix B, Criterion V, Instructions, Procedures, and Drawings, states in part that activities affecting quality shall be prescribed by documented procedures of a type appropriate to the circumstances. Contrary to the above, since 2001, the licensee failed to provide adequate guidance in Procedure FNP-1-STP-33.3, resulting in loss of all source range instrumentation during testing of the B train SSPS system. The shift supervisor immediately directed the operator to return the switch to its normal position and power was restored to N32. Because of the very low safety significance and because this finding has been entered into the licensees CAP as CR 2009105672, this violation is being treated as an NCV consistent with Section VI.A of the NRC Enforcement Policy and is identified as NCV 05000348/2009007-01, Inadequate Procedure for the B Train SSPS System Testing. | ||
b. Assessment of the Use of Operating Experience (OE) | b. Assessment of the Use of Operating Experience (OE) | ||
: (1) Inspection Scope The team examined licensee programs for reviewing industry operating experience and reviewed licensee procedure NMP-GM-008, Operating Experience Program, to assess the effectiveness of how external and internal operating experience data was handled at the plant. In addition, the team selected operating experience documents (e.g., NRC generic communications, 10 CFR Part 21 reports, licensee event reports, vendor notifications, and plant internal operating experience items, etc.), which had been issued since August 2008 to verify whether the licensee had appropriately evaluated each notification for applicability to the Farley plant, and whether issues identified through these reviews were entered into the CAP. Documents reviewed are listed in the | |||
. | |||
: (2) Assessment Based on a review of documentation related to the review of OE issues, the team determined that the licensee was generally effective in screening OE for applicability to the plant. The inspectors verified for selected issues that industry OE was evaluated at either the corporate or plant level depending on the source and type of document. | |||
Relevant information was then forwarded to the applicable department for further action or informational purposes. OE issues requiring action were entered into the CAP for tracking and closure. In addition, operating experience was included in each root cause evaluation reviewed by the inspectors in accordance with licensee procedure NMP-GM-002-GL03, Cause Determination Guideline. | |||
: (3) Findings No findings of significance were identified. | |||
c. Assessment of Self-Assessments and Audits | c. Assessment of Self-Assessments and Audits | ||
: (1) Inspection Scope The team reviewed audit reports and self-assessment reports, including those which focused on problem identification and resolution, to assess the thoroughness and self-criticism of the licensee's audits and self-assessments, and to verify that problems identified through those activities were appropriately prioritized and entered into the CAP for resolution in accordance with licensee procedure NMP-GM-003, Self Assessment. | |||
: (2) Assessment The team determined that the scopes of assessments and audits were adequate. Self-assessments were generally detailed and critical, as evidenced by findings consistent with the teams independent review. The team verified that CRs were created to document all areas for improvement and findings resulting from the self-assessments, and verified that actions had been completed consistent with those recommendations. | |||
Generally, the licensee performed evaluations that were technically accurate. Site trend reports were thorough and a low threshold was established for evaluation of potential trends, as evidenced by the CRs reviewed that were initiated as a result of adverse trends. | |||
: (3) Findings No findings of significance were identified. | |||
d. Assessment of Safety-Conscious Work Environment | |||
: (1) Inspection Scope During normal interactions with plant employees during the course of this inspection, the inspectors informally interviewed plant personnel regarding their knowledge of the CAP at Farley and their willingness to write CRs or raise safety concerns. The inspectors conducted interviews to develop a general perspective of the safety-conscious work environment at the site to determine if any conditions existed that would cause employees to be reluctant to raise safety concerns. The inspectors reviewed the licensees Concerns Program Procedure and interviewed the Concerns Coordinator. | |||
Additionally, the inspectors reviewed a sample of employee concern issues which had been entered into the CAP to verify concerns were being properly reviewed and deficiencies were being resolved. | |||
: (2) Assessment Based on the interviews conducted and the CRs reviewed, the team determined that licensee management emphasized the need for all employees to identify and report problems using the appropriate methods established within the administrative programs, including the CAP and concerns program. These methods were readily accessible to all employees. Based on discussions conducted with a sample of plant employees from various departments, the inspectors concluded that employees felt free to raise issues, and that management encouraged employees to place issues into the CAP for resolution. The inspectors did not identify any reluctance on the part of the licensee staff to report safety concerns. | |||
: (3) Findings No findings of significance were identified. | |||
{{a|4OA3}} | {{a|4OA3}} | ||
==4OA3 Event Follow-up== | ==4OA3 Event Follow-up== | ||
===.1 (Closed) LER 05000364/2008-001-00, Condition Prohibited by TS 3.8.6 Battery Cell | ===.1 (Closed) LER 05000364/2008-001-00, Condition Prohibited by TS 3.8.6 Battery Cell=== | ||
On February 11, 2008, the licensee incorrectly approved a quarterly surveillance test on the Unit 2 Auxiliary Building B-Train Battery for Cell number 33 with 2.06 V as satisfactory. This quarterly surveillance test was repeated on May 7, 2008, and Cell number 33 of B-Train Battery was determined to have a voltage of 2.06 V which was below the minimum allowed cell voltage of 2.08 V per TS Table 3.8.6-1. If one or more required batteries with one or more battery cell parameters are not within Category B, TS 3.8.6 Action statements were required to verify battery cell parameters meet Table 3.8.6-1 Category C limits (> 2.02V) once per 7 days thereafter and to restore battery cell parameters to Category B limits (> 2.08 V) within 31 days. This error resulted in the B-Train Battery being inoperable between February 11 and May 7, 2008, due to not completing the required TS Action statements. The licensee determined that the apparent cause was the journeymen taking the voltage reading failed to follow the procedure and compare the voltage to the correct acceptance criteria, and the supervisor also failed to ensure the procedure was correctly completed. Corrective actions included replacing Cell Number 33 on June 3, 2008, providing additional supervisor personnel reviews of TS battery surveillance test packages, and coaching personnel involved in the event on the importance of attention-to-detail when using procedures and legibility of recorded test data. The inspectors determined that this finding was more than minor because it affected the objective of the equipment performance attribute under the Mitigating Systems cornerstone in that the Unit 2 Auxiliary Building B-Train Battery was degraded. The inspectors evaluated this finding against NRC SDP Phase I screening worksheets and determined it to be of very low safety significance (Green) because the battery cell was well above the 2.02 V Category C limits during the entire period | |||
Parameters On February 11, 2008, the licensee incorrectly approved a quarterly surveillance test on the Unit 2 Auxiliary Building B-Train Battery for Cell number 33 with 2.06 V as satisfactory. This quarterly surveillance test was repeated on May 7, 2008, and Cell number 33 of B-Train Battery was determined to have a voltage of 2.06 V which was below the minimum allowed cell voltage of 2.08 V per TS Table 3.8.6-1. If one or more required batteries with one or more battery cell parameters are not within Category B, TS 3.8.6 Action statements were required to verify battery cell parameters meet Table 3.8.6-1 Category C limits (> 2.02V) once per 7 days thereafter and to restore battery cell parameters to Category B limits (> 2.08 V) within 31 days. This error resulted in the B-Train Battery being inoperable between February 11 and May 7, 2008, due to not completing the required TS Action statements. The licensee determined that the apparent cause was the journeymen taking the voltage reading failed to follow the procedure and compare the voltage to the correct acceptance criteria, and the supervisor also failed to ensure the procedure was correctly completed. Corrective actions included replacing Cell Number 33 on June 3, 2008, providing additional supervisor personnel reviews of TS battery surveillance test packages, and coaching personnel involved in the event on the importance of attention-to-detail when using procedures and legibility of recorded test data. The inspectors determined that this finding was more than minor because it affected the objective of the equipment performance attribute under the Mitigating Systems cornerstone in that the Unit 2 Auxiliary Building B-Train Battery was degraded. The inspectors evaluated this finding against NRC SDP Phase I screening worksheets and determined it to be of very low safety significance (Green) because the battery cell was well above the 2.02 V Category C limits during the entire period and therefore, the battery remained available to perform its safety function. This licensee-identified finding involved a violation of TS 3.8.6, Train A and B Auxiliary Building and Service Water Intake Structure (SWIS) Batteries. The enforcement aspects of the violation are discussed in Section 4OA7. This LER is closed. | |||
===.2 (Closed) LER 05000348/2008-004-00, Reactor Trip Due to Loss of RCP Breaker=== | ===.2 (Closed) LER 05000348/2008-004-00, Reactor Trip Due to Loss of RCP Breaker=== | ||
Position | |||
Position On November 19, 2008, Unit 1 was operating at 100 percent power. Due to a gradual drop in 4160 V safety-related bus voltage over several hours, Farley contacted Alabama Power - Alabama Control Center (ACC) to discuss removing the shunt reactor from service in the Farley High Voltage Switch Yard (HVSY) to raise the 230 kV grid voltage. | |||
After receiving the request, the ACC operator used an air-break disconnect switch to isolate the shunt reactor, instead of using the breakers normally used for this purpose. | |||
Opening the disconnect switch, which is not designed to break load, caused a significant electrical arc and phase-to-phase fault. The transmission protection system tripped the appropriate devices and cleared the fault in approximately 3 cycles. However, the instantaneous HVSY voltage drop resulted in loss of breaker position indication for the 1B Reactor Coolant Pump (RCP) which initiated an automatic Solid State Protection System (SSPS) reactor trip. Flow to the reactor core was never lost. The reactor tripped without complications and all safety systems performed normally. Unit 1 returned to power operation on November 20, 2008. | |||
The licensee determined that the event was caused when the air-break disconnect switch was opened while still under load. The ACC operator utilized a control display that was inadequate to perform the requested operation. The man-machine interface, together with the ACC operator's experience and training were insufficient to prevent the inappropriate action by the operator. The licensee also determined that the reactor trip would not have occurred from the close-in transmission fault, had the RCP Breaker Position relay power supply been aligned to the inverters instead of the AC constant voltage source transformers. Corrective actions included alerting the ACC operator of the requirement to isolate the shunt reactor prior to operating the air-break disconnect and the requirement to use switching orders for operations at the Farley HVSY, briefing the event with Farley Operations shift personnel and ACC personnel, aligning Reactor Trip relay power supplies to the inverters for all RCPs on both Units 1 and 2, issuing OE on the event to all Southern Nuclear sites and externally to the nuclear industry, and implementing modifications to eliminate the RCP breaker position single point vulnerability on Units 1 and 2 during refueling outages 1R23 and 2R20, respectively. | The licensee determined that the event was caused when the air-break disconnect switch was opened while still under load. The ACC operator utilized a control display that was inadequate to perform the requested operation. The man-machine interface, together with the ACC operator's experience and training were insufficient to prevent the inappropriate action by the operator. The licensee also determined that the reactor trip would not have occurred from the close-in transmission fault, had the RCP Breaker Position relay power supply been aligned to the inverters instead of the AC constant voltage source transformers. Corrective actions included alerting the ACC operator of the requirement to isolate the shunt reactor prior to operating the air-break disconnect and the requirement to use switching orders for operations at the Farley HVSY, briefing the event with Farley Operations shift personnel and ACC personnel, aligning Reactor Trip relay power supplies to the inverters for all RCPs on both Units 1 and 2, issuing OE on the event to all Southern Nuclear sites and externally to the nuclear industry, and implementing modifications to eliminate the RCP breaker position single point vulnerability on Units 1 and 2 during refueling outages 1R23 and 2R20, respectively. | ||
The inspectors reviewed the root cause and noted that Farley had experienced numerous reactor trips prior to 2003 and two additional reactor trips since. The root cause evaluation for the 2003 event initiated an action item (AI) to issue design change requests (DCRs) to eliminate the RCP breaker open trips for Units 1 and 2. However, these DCRs were later cancelled based on the costs outweighing the benefit without addressing the AI and no formal evaluation was performed to determine the risks or other actions to mitigate the risks. The inspectors verified that the CAP and engineering process allowed the deletion of the relay design control packages without evaluating the risk and without revising the affected root cause. The inspectors determined that the RCP breaker open trips were not considered safety-related equipment and the current CAP had been improved to require risk evaluation and documentation before deferring corrective actions associated with equipment. No findings of significance were identified and no violation of NRC requirements occurred. The licensee documented the issue in CR 2008112610. This LER is closed. | The inspectors reviewed the root cause and noted that Farley had experienced numerous reactor trips prior to 2003 and two additional reactor trips since. The root cause evaluation for the 2003 event initiated an action item (AI) to issue design change requests (DCRs) to eliminate the RCP breaker open trips for Units 1 and 2. However, these DCRs were later cancelled based on the costs outweighing the benefit without addressing the AI and no formal evaluation was performed to determine the risks or other actions to mitigate the risks. The inspectors verified that the CAP and engineering process allowed the deletion of the relay design control packages without evaluating the risk and without revising the affected root cause. The inspectors determined that the RCP breaker open trips were not considered safety-related equipment and the current CAP had been improved to require risk evaluation and documentation before deferring corrective actions associated with equipment. No findings of significance were identified and no violation of NRC requirements occurred. The licensee documented the issue in CR 2008112610. This LER is closed. | ||
{{a|4OA7}} | {{a|4OA7}} | ||
==4OA7 Licensee Identified Violations== | ==4OA7 Licensee Identified Violations== | ||
The following violation of very low safety significance was identified by the licensee and is a violation of NRC requirements which meets the criteria of Section VI.A.1 of the NRC Enforcement Policy, NUREG-1600, for being dispositioned as an NCV. | The following violation of very low safety significance was identified by the licensee and is a violation of NRC requirements which meets the criteria of Section VI.A.1 of the NRC Enforcement Policy, NUREG-1600, for being dispositioned as an NCV. | ||
* TS 3.8.6 requires that battery cell parameters for Train A and Train B Auxiliary Building and Service Water Intake Structure (SWIS) batteries shall be within the limits of Table 3.8.6-1. TS SR 3.8.6.2 requires battery cell parameters to be verified to meet TS Table 3.8.6-1. If one or more required batteries with one or more battery cell parameters are not within Category B, TS 3.8.6 Action statements are required to verify battery cell parameters meet Table 3.8.6-1 Category C limits (> 2.02 V) once per 7 days thereafter and to restore battery cell parameters to Category B limits (> 2.08 V) within 31 days. | * TS 3.8.6 requires that battery cell parameters for Train A and Train B Auxiliary Building and Service Water Intake Structure (SWIS) batteries shall be within the limits of Table 3.8.6-1. TS SR 3.8.6.2 requires battery cell parameters to be verified to meet TS Table 3.8.6-1. If one or more required batteries with one or more battery cell parameters are not within Category B, TS 3.8.6 Action statements are required to verify battery cell parameters meet Table 3.8.6-1 Category C limits (> 2.02 V)once per 7 days thereafter and to restore battery cell parameters to Category B limits | ||
(> 2.08 V) within 31 days. | |||
Contrary to the above, between February 11 and May 7, 2008, Unit 2 Auxiliary Building B-Train Battery Cell number 33 was 2.06 V which was below TS Table 3.8.6-1 limits and the licensee failed to restore Cell number 33 float voltage to Category B limits within 31 days as required per TS 3.8.6 Action statements. The licensee entered this condition into their CAP as CR 2009105768. This finding was evaluated against NRC SDP Phase 1 screening worksheets and determined to be of very low safety significance (Green) because the battery cell was above the 2.02 V Category C limits during the entire period and therefore, the battery remained available to perform its safety function during the affected period. | |||
{{a|4OA6}} | {{a|4OA6}} | ||
==4OA6 Meetings, Including Exit== | ==4OA6 Meetings, Including Exit== | ||
On November 20, 2009, the inspectors presented the inspection results to Randy Johnson and other members of the site staff. The inspectors confirmed that proprietary information was not provided or examined during the inspection. | On November 20, 2009, the inspectors presented the inspection results to Randy Johnson and other members of the site staff. The inspectors confirmed that proprietary information was not provided or examined during the inspection. | ||
ATTACHMENT: | ATTACHMENT: SUPPPLEMENTAL INFORMATION | ||
=SUPPLEMENTAL INFORMATION= | =SUPPLEMENTAL INFORMATION= | ||
Line 165: | Line 214: | ||
===Licensee Personnel=== | ===Licensee Personnel=== | ||
: [[contact::P. Autrey]], Buried Piping Program Engineer | : [[contact::P. Autrey]], Buried Piping Program Engineer | ||
: [[contact::S. Brumfield]], CAP Supervisor | : [[contact::S. Brumfield]], CAP Supervisor | ||
: [[contact::M. Byrd]], Design Engineering Supervisor | : [[contact::M. Byrd]], Design Engineering Supervisor | ||
: [[contact::M. Caldwell]], CCW System Engineer | : [[contact::M. Caldwell]], CCW System Engineer | ||
: [[contact::C. Collins]], Plant Manager | : [[contact::C. Collins]], Plant Manager | ||
: [[contact::B. Deloach]], Scaffolding Program Engineer | : [[contact::B. Deloach]], Scaffolding Program Engineer | ||
: [[contact::A. Gray]], Performance Improvement Supervisor | : [[contact::A. Gray]], Performance Improvement Supervisor | ||
: [[contact::B. Griner]], Engineering Support Manager | : [[contact::B. Griner]], Engineering Support Manager | ||
: [[contact::J.R. Johnson]], Site Vice President | : [[contact::J.R. Johnson]], Site Vice President | ||
: [[contact::B.D. McKinney]], Licensing Supervisor | : [[contact::B.D. McKinney]], Licensing Supervisor | ||
: [[contact::H. Mahan]], Principal Licensing Engineer | : [[contact::H. Mahan]], Principal Licensing Engineer | ||
: [[contact::R. Martin]], Technical Services Manager | : [[contact::R. Martin]], Technical Services Manager | ||
: [[contact::J. Morris]], LLRT/ILRT Program Engineer | : [[contact::J. Morris]], LLRT/ILRT Program Engineer | ||
: [[contact::D. Morrow]], Engineering Supervisor ILRT/ LLRT Program | : [[contact::D. Morrow]], Engineering Supervisor ILRT/ LLRT Program | ||
: [[contact::K. Haynes]], SW System Engineer | : [[contact::K. Haynes]], SW System Engineer | ||
: [[contact::B. Smith]], System Engineering Supervisor | : [[contact::B. Smith]], System Engineering Supervisor | ||
: [[contact::V. Wilherson]], Corporate Engineer | : [[contact::V. Wilherson]], Corporate Engineer | ||
NRC | NRC | ||
: [[contact::D. Merzke]], Branch Chief, Reactor Projects Branch 7 | : [[contact::D. Merzke]], Branch Chief, Reactor Projects Branch 7 | ||
: [[contact::S. Shaeffer]], Branch Chief, Reactor Projects Branch 2 | : [[contact::S. Shaeffer]], Branch Chief, Reactor Projects Branch 2 | ||
: [[contact::E. Crowe]], Senior Resident Inspector, Farley Nuclear Plant | : [[contact::E. Crowe]], Senior Resident Inspector, Farley Nuclear Plant | ||
==LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED== | ==LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED== | ||
===Opened=== | ===Opened=== | ||
None | |||
None | |||
===Opened and Closed=== | ===Opened and Closed=== | ||
: 05000348/2009007-01 NCV Inadequate Procedure for the B train SSPS System Testing (Section 4OA2) | : 05000348/2009007-01 NCV Inadequate Procedure for the B train SSPS System Testing (Section 4OA2) | ||
===Closed=== | ===Closed=== | ||
: 05000364/2008-001-00 LER Condition Prohibited by TS 3.8.6 Battery Cell Parameters (Section 4OA3.1) | |||
: 05000348/2008-004-00 LER Reactor Trip Due to Loss of RCP Breaker Position (Section 4OA3.2) | |||
===Discussed=== | ===Discussed=== | ||
None | |||
None | |||
==LIST OF DOCUMENTS REVIEWED== | ==LIST OF DOCUMENTS REVIEWED== | ||
}} | }} |
Latest revision as of 00:06, 14 November 2019
ML093650019 | |
Person / Time | |
---|---|
Site: | Farley ![]() |
Issue date: | 12/31/2009 |
From: | Daniel Merzke Reactor Projects Branch 7 |
To: | Jerrica Johnson Southern Nuclear Operating Co |
References | |
IR-09-007 | |
Download: ML093650019 (26) | |
Text
UNITED STATES NUCLEAR REGULATORY COMMISSION
REGION II
ber 31, 2009
SUBJECT:
JOSEPH M. FARLEY NUCLEAR PLANT - NRC PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000348/2009007 AND 05000364/2009007
Dear Mr. Johnson:
On November 20, 2009, the U. S. Nuclear Regulatory Commission (NRC) completed an inspection at the Farley Nuclear Station. The enclosed inspection report documents the inspection findings, which were discussed on November 20, 2009, with you and other members of your staff during an exit meeting.
The inspection was an examination of activities conducted under your license as they relate to the identification and resolution of problems, and compliance with the Commissions rules and regulations and with the conditions of your operating license. Within these areas, the inspection involved examination of selected procedures and representative records, observations of plant equipment and activities, and interviews with personnel.
On the basis of the samples selected for review, the team concluded that in general, problems were properly identified, evaluated, and corrected. There was one Green self-revealing finding identified during this inspection associated with an inadequate surveillance test procedure.
Specifically, the finding was related to the licensees failure to maintain adequate procedures for testing the B train solid state protection system. Additionally, a licensee-identified violation (LIV), which was determined to be of very low safety significance, is listed in this report. These findings were determined to be violations of NRC requirements. However, because of their very low safety significance and because they have been entered into your corrective action program, the NRC is treating these findings as non-cited violations (NCV) consistent with Section VI.A.1 of the NRC Enforcement Policy. If you wish to contest these non-cited violations, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the Nuclear Regulatory Commission, ATTN.: Document Control Desk, Washington DC 20555-001; with copies to the Regional Administrator Region II; the Director, Office of Enforcement, United States Nuclear Regulatory Commission, Washington, DC 20555-0001; and the NRC Senior Resident Inspector at the Farley Nuclear Station.
SNC 2 In addition, examples of minor problems were identified by the team, such as equipment issues that were not entered into the corrective action program, and corrective action item closures that did not implement the actions required to be performed.
In accordance with 10 CFR 2.390 of the NRCs Rules of Practice, a copy of this letter, its enclosure, and your response, if any, will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records (PARS) component of the NRCs document system (ADAMS). ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
Sincerely,
/RA/
Daniel Merzke, Acting Chief Reactor Projects Branch 7 Division of Reactor Projects Docket Nos.: 50-348 and 50-364 License Nos.: NPF-2 and NPF-8
Enclosure:
Inspection Report 05000348/2009007 and 05000364/2009007 w/Attachment: Supplemental Information
REGION II==
Docket Nos.: 50-348, 50-364 License Nos.: NPF-2, NPF-8 Report No.: 05000348/2009007, 05000364/2009007 Licensee: Southern Nuclear Operating Company Inc.
Facility : Joseph M. Farley Nuclear Plant Location: Columbia, AL Dates: November 2 - 6, 2008, and November 16 - 20, 2009 Inspectors: R. Taylor, Senior Project Inspector S. Ninh, Senior Project Engineer T. Lighty, Project Engineer S. Sandal, Resident Inspector, Farley Accompanying W. Deschaine, Project Engineer (in training)
Personnel:
Approved by: Daniel Merzke, Acting Chief Reactor Projects Branch 7 Division of Reactor Projects Enclosure
SUMMARY OF FINDINGS
IR 05000348/2009007, 05000364/2009007; 11/02/2009 - 11/20/2009; Farley Nuclear Plant,
Units 1 and 2; biennial inspection of the identification and resolution of problems.
The inspection was conducted by a senior project inspector, senior project engineer, project engineer, and a resident inspector. One Green self-revealing finding was identified. The significance of most findings is indicated by its color (Green, White, Yellow, Red) using the Significance Determination Process in Inspection Manual Chapter (IMC) 0609, Significance Determination Process (SDP). The cross-cutting aspect was determined using IMC 0305,
Operating Reactor Assessment Program. Findings for which the Significance Determination Process does not apply may be Green or be assigned a severity level after NRC management review. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, Revision 4, dated December 2006.
Identification and Resolution of Problems The team concluded that, in general, problems were properly identified, evaluated, prioritized, and corrected. Generally, the threshold for initiating condition reports (CRs) was appropriately low, as evidenced by the types of problems identified and the large number of CRs entered annually into the Corrective Action Program (CAP). Employees were encouraged by management to initiate CRs. However, the team did identify some examples where plant issues were not appropriately entered into the CAP.
Generally, prioritization and evaluation of issues were consistent with the licensees CAP guidance, formal root cause evaluations for significant problems were adequate, and corrective actions specified for problems were acceptable. Overall, corrective actions developed and implemented for issues were generally timely, effective, and commensurate with the safety significance of the issues. However, the team did identify some examples where plant issues were not appropriately evaluated consistent with the licensees CAP guidance.
The team determined that, overall, audits and self-assessments were adequate in identifying deficiencies and areas for improvement in the CAP, and appropriate corrective actions were developed to address the issues identified. The licensees operating experience (OE) usage was found to be generally acceptable and integrated into the licensees processes for performing and managing work, and plant operations.
Based on discussions and interviews conducted with plant employees from various departments, the inspectors determined that personnel at the site felt free to raise safety concerns to management and use the CAP to resolve those concerns.
NRC Identified and Self-Revealing Findings
Cornerstone: Mitigating Systems
- Green.
A self-revealing violation of 10 CFR 50 Appendix B, Criterion V Instructions, Procedures, and Drawings, was identified for an inadequate procedure for testing the B train solid state protection system (SSPS) (FNP-1-STP-33.3). While Unit 1 was in Mode 5 and N31 source range instrumentation was tagged out and unavailable, the licensee performed step 5.6.1.1B of FNP-1-STP-33.3, resulting in N32 source range instrument being de-energized.
Procedure FNP-1-STP-33.3 inadvertently de-energized the only operable source range instrument for Unit 1. TS 3.3.1 required a minimum of one source range neutron flux monitor with the plant in this condition. When the licensee recognized this condition, they immediately restored power to N32 and exited the TS action. The licensee initiated condition report (CR) 2009105672 to address this issue.
The issue was more than minor because it was associated with the procedure quality attribute of the mitigating systems cornerstone and adversely affected the cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage). Specifically, the SSPS procedure resulted in a total loss of source range instrumentation during testing. This affected the safety function of source range neutron flux indication in Mode 5. This finding was assessed using the Phase 1 and 2 Shutdown Operations screening worksheet of the SDP and was determined to require a Phase 3 analysis because the finding involved a loss of source range monitors while shutdown. This finding was determined to be of very low safety significance because the dominant sequence is a boron dilution event and de-energizing the source range for less than a minute would not prevent an operator from taking the necessary actions to address potential boron dilution. No cross-cutting issue was identified. (Section 4OA2.a.(3))
Licensee Identified Violations
A violation of very low safety significance, identified by the licensee, has been reviewed by the NRC. Corrective actions taken or planned by the licensee have been entered into the licensees CAP. The violation and corrective action tracking number is listed in Section 4OA7 of this report.
REPORT DETAILS
OTHER ACTIVITIES
4OA2 Problem Identification and Resolution
a. Assessment of the Corrective Action Program
- (1) Inspection Scope The inspectors reviewed the licensees CAP procedures which described the administrative process for initiating and resolving problems primarily through the use of condition reports (CRs). To verify that problems were being properly identified, appropriately characterized, and entered into the CAP, the inspectors reviewed CRs that had been issued between August 2008 and November 2009, including a detailed review of selected CRs associated with four risk-significant systems: Auxiliary Feedwater (AFW), Service Water (SW), Diesel Generators (DGs), and Radiation Monitors. Where possible, the inspectors independently verified that the corrective actions were implemented as intended. The inspectors also reviewed selected common causes and generic concerns associated with root cause evaluations to determine if they had been appropriately addressed. To help ensure that samples were reviewed across all cornerstones of safety identified in the NRCs Reactor Oversight Process (ROP), the team selected a representative number of CRs that were identified and assigned to the major plant departments, including operations, maintenance, engineering, emergency preparedness, health physics, chemistry, and security. These CRs were reviewed to assess each departments threshold for identifying and documenting plant problems, thoroughness of evaluations, and adequacy of corrective actions. The inspectors reviewed selected CRs, verified corrective actions were implemented, and attended meetings where CRs were screened for significance to determine whether the licensee was identifying, accurately characterizing, and entering problems into the CAP at an appropriate threshold.
The inspectors conducted plant walkdowns of equipment associated with selected systems and other plant areas to assess the material condition and to look for any deficiencies that had not been previously entered into the CAP. The inspectors reviewed CRs, maintenance history, completed work orders (WOs) for the systems, and reviewed associated system health reports. These reviews were performed to verify that problems were being properly identified, appropriately characterized, and entered into the CAP. Items reviewed generally covered a 16month period of time; however, in accordance with the inspection procedure, a five-year review was performed for selected systems for age-dependent issues.
Control Room walkdowns were also performed to assess the main control room (MCR)deficiency list and to ascertain if deficiencies were entered into the CAP. Operator Workarounds and Operator Burden screenings were reviewed, and the inspectors verified compensatory measures for deficient equipment were being implemented in the field.
The team conducted a detailed review of selected CRs to assess the adequacy of the root-cause and apparent-cause evaluations of the problems identified. The inspectors reviewed these evaluations against the descriptions of the problem described in the CRs and the guidance in licensee procedures. The inspectors assessed if the licensee had adequately determined the cause(s) of identified problems, and had adequately addressed operability, reportability, common cause, generic concerns, extent-of-condition, and extent-of-cause. The review also assessed if the licensee had appropriately identified and prioritized corrective actions to prevent recurrence.
The team reviewed selected industry operating experience items, including NRC generic communications, to verify that they had been appropriately evaluated for applicability and that issues identified through these reviews had been entered into the CAP.
The team reviewed site trend reports, to determine if the licensee effectively trended identified issues and initiated appropriate corrective actions when adverse trends were identified.
The inspectors attended various plant meetings to observe management oversight functions of the corrective action process.
Documents reviewed are listed in the Attachment.
- (2) Assessment Identification of Issues The team determined that the licensee was generally effective in identifying problems and entering them into the CAP and that there was a low threshold for entering issues into the CAP. This conclusion was based on a review of the requirements for initiating CRs as described in licensee procedure NMP-GM-002-001, Corrective Action Program Instructions, management expectation that employees were encouraged to initiate CRs for any reason, and a review of system health reports. Generally, the threshold for initiating (CRs) was appropriately low, as evidenced by the types of problems identified and the large number of CRs entered annually into the CAP. Trending was generally effective in monitoring equipment performance. Site management was actively involved in the CAP and focused appropriate attention on significant plant issues.
However, the team identified deficiencies which were not entered into the licensees CAP. Specifically:
- During a walk down of the EDG system, the team identified residue on the 1C EDG under the fuel compartment. Additionally, during a walk down of the SW system, the team identified minor leaks, and other housekeeping issues that were not entered into the CAP. No CRs or WOs had been initiated in the CAP to correct or evaluate the observed conditions. The licensee entered CRs 2009113334, 2009113337, and 2009113318 to address these conditions. The licensees failure to enter conditions adverse to quality into the corrective action program was a performance deficiency. This performance deficiency was assessed using IMC 0612 Appendix B and was screened as Minor because the observed conditions did not challenge system or component operability and no safety consequences to the plant had occurred as a result. The failure to comply with the requirements of NMP-GM-002-001, Corrective Action Program Instructions, constituted a violation of minor significance that was not subject to enforcement action in accordance with the NRCs Enforcement Policy.
Prioritization and Evaluation of Issues Based on the review of audits conducted by the licensee and the assessment conducted by the inspection team during the onsite period, the team concluded that the licensee was generally effective in the prioritization and evaluation of identified problems.
Problems were generally prioritized and evaluated in accordance with the licensees CAP procedures as described in the CR severity level determination guidance in NMP-GM-002, Corrective Action Program. Each CR written was assigned a severity level at the CAP coordinator meeting, and adequate consideration was given to system or component operability and associated plant risk.
The team determined that the licensee had conducted root cause and apparent cause analyses in compliance with the site CAP procedures, and assigned cause determinations were appropriate considering the significance of the issues being evaluated. A variety of causal-analysis techniques were used depending on the type and complexity of the issue consistent with licensee procedure NMP-GM-002-GL03, Cause Determination Guideline. The licensee had performed evaluations that were technically accurate and of sufficient depth. The team further determined that operability, reportability, and degraded or non-conforming condition determinations had been completed consistent with the guidance contained in NMP-AD-012, Operability Determinations and Functionality Assessments for Resolution of Degraded and Nonconforming Conditions. However, the team did make the following observations in the area of prioritization and evaluation of issues:
- CR 2009104096 identified that the motor-operated valve (MOV) torque switch actuation point for Q2P16MOV3134 (service water from reactor coolant pump motor air coolers) appeared to be set at a spring pack displacement of 0.146 inches and that the target displacement should be 0.242 inches to ensure that there is adequate margin to prevent dual-indication issues during the performance of required in-service surveillance tests. The condition report spawned action item (AI)2009203977 to modify reptasks associated with FNP-0-EMP-1501.17 to set an appropriate limit to minimize potential for dual indication-type closing stroke results.
CR 2009104096 and AI 2009203977 were coded as severity level 5 issues.
The team concluded that CR 2009104096 described a condition adverse to quality as defined by NMP-GM-002, Corrective Action Program. Additionally, the team concluded that the CR and associated action item should have, at minimum, been assigned a severity level 4 as specified by NMP-GM-002 section 6.4.
The team also noted that during performance of a time stroke test of Q2P16MOV3134 on November 6, 2009, the MOV failed to meet test acceptance criteria due to dual position indication. The team also noted that this was a repeat issue for this valve and that corrective actions specified by AI 2009203977 had not been implemented prior to the November failure. This issue was documented in the CAP as CR 2009113404 and 2009113410.
- CR 2009107346 identified that WO 2053045701 to repair inoperable core exit thermocouple (CETC) Q2B14TI2302-B was voided in error. Because all previous corrective actions to repair the CETC had been closed or voided in the CAP, the CR spawned elective WO 2091590701 to effect repairs. CR 2009107346 was coded as a severity level 5 issue.
The team concluded that CR 2009107346 described a condition related to TS LCO 3.3.3 for Post Accident Monitoring Instrumentation and therefore instrument inoperability would constitute a condition adverse to quality as defined by NMP-GM-002, Corrective Action Program. Additionally, the team concluded that the CR and associated action item should have been assigned a severity level 4 as specified by NMP-GM-002 section 6.4.
The team noted that the CETC was first identified to be inoperable on March 1, 2000 and is being tracked by open LCO 2-2000-006. The team also noted that this condition may represent an operable but degraded nonconforming (OBDN) condition for Unit 2 CETC channel B as specified by NMP-AD-012, Operability Determinations and Functionality Assessments, Section 4.14.3. The team did not find evidence that this issue is currently being tracked as OBDN for Unit 2 CETC channel B.
- The team noted that the maintenance preventable functional failure (MPFF)evaluation for the 1-2L 600V load center failure documented in CR 2008103720 concluded that the bus bar failure was not an MPFF. The team reviewed both the apparent cause determination and root cause evaluation and concluded that the event should have been classified as an MPFF. This conclusion was based on the lack of preventive maintenance (pre-event) that allowed degradation to go undetected and the substantial amount of industry OE that existed indicating the need to perform these preventive maintenance inspections. The team concluded that maintenance rule failure determination was contrary to FNP-0-M-89, Maintenance Rule Site Implementation Manual, Appendix 1, MPFF Determination Guidelines. This issue was entered into the CAP as CR 2009113291.
- CR 2009112319 identified air leaking from the diaphragm for Q2N12HV3226 (steam admission valve to the U2 TDAFW pump). An initial determination of operability was completed that concluded that the valve was OBDN and compensatory actions were identified to monitor the valve for continued degradation that may challenge pump operability. The team reviewed the condition report and current list of OBDN equipment and noted that this valve was not included on the OBDN list. The team also noted that the equipment field listed Q2N12HV3226 as Operable. The team concluded that designating the valve as Operable in the equipment field instead of OBDN as required by NMP-AD-012, Operability Determinations and Functionality Assessments, Section 6.3.3.1 prevented the capture of this issue in the OBDN list for periodic review by operations. The team acknowledged that an administrative tracking item was created to monitor the valve condition. This issue was entered into the CAP as 2009113795 and corrective actions were taken to include Q2N12HV3226 on the current list of OBDN equipment.
The team also noted that 2 WOs written to address the leaking actuator (2092556701 and 2092556701) were coded as elective maintenance. The team concluded that coding these WOs as elective maintenance was not consistent with NMP-AD-012, Operability Determinations and Functionality Assessments, Section 6.3.3.4 which states that all OBDN work orders should be coded as corrective maintenance.
- CR 2009112150 and CR 2009112166 identified leak-by through valve Q2P17HV3096B (component cooling water (CCW) to waste evaporator packages and H2 recombiners). An initial determination of operability (IDO) was completed that concluded that the aligned CCW train would be OBDN and compensatory actions were identified to maintain a basis for reasonable assurance that the train of CCW aligned to the miscellaneous header could be established in the event of a line break downstream of the valve. The team reviewed the condition reports and noted that elective maintenance WO 2092528101 was spawned from CR 2009112150 to effect repairs to Q2P17HV3096B. The team concluded that coding this WO as elective maintenance was contrary to the NMP-AD-012, Operability Determinations and Functionality Assessments, Section 6.3.3.4 which states that all OBDN work orders should be coded as corrective maintenance.
The team acknowledged that an administrative tracking item had been established to brief operating crews on procedures used for filling the CCW expansion tank in the event of a downstream line break. However, the team also noted that no compensatory actions were established to ensure that the make-up water sources to CCW or expansion lank level indication would not be removed from service without prior evaluation given the existing degraded condition of Q2P17HV3096B.
Effectiveness of Corrective Actions Based on a review of corrective action documents, interviews with licensee staff, and verification of completed corrective actions, the team determined that overall, corrective actions were timely, commensurate with the safety significance of the issues, and effective, in that conditions adverse to quality were corrected and non-recurring. For significant conditions adverse to quality, the corrective actions directly addressed the cause and effectively prevented recurrence in that a review of performance indicators, all CRs, and effectiveness reviews demonstrated that the significant conditions adverse to quality had not recurred. Effectiveness reviews for corrective actions to prevent recurrence were sufficient to ensure corrective actions were properly implemented and were effective.
- (3) Findings
Introduction.
A Green self-revealing NCV was identified for failure to comply with 10 CFR 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings. The procedure used for testing the B train solid state protection system (SSPS), FNP-1-STP-33.3, resulted in all source range instrumentation being de-energized, which was not appropriate for plant conditions.
Description.
On April 29, 2009, while Unit 1 was in Mode 5 and the N31 source range instrument was tagged out and unavailable, N32 was the only operating source range instrument and was required by TS 3.3.1 to be operable. When performing procedure FNP-1-STP-33.3, step 5.6.1.1 B, the operating N32 source range instrument was de-energized, resulting in Unit 1 entering TS 3.3.1 condition L, required source range neutron flux channel inoperable. The licensee immediately recognized this condition and returned the input error inhibit switch to its normal position which restored power to N32 and stopped the surveillance test. The licensee exited TS 3.3.1 Condition L once power was restored to N32.
In 2001 the licensee revised FNP-1-STP-33.3 to allow testing of the B SSPS system with or without inhibits in effect. The team determined that the procedure change was inadequate to deal with existing plant conditions on April 29, 2009. The use of inhibits allowed the licensee to test the SSPS system in a test mode configuration without initiating safety system actuations. However, placing the SSPS system in inhibit de-energized a source range monitor.
Analysis.
The failure to include adequate guidance in procedure FNP-1-STP-33.3 which resulted in all source range instruments being inadvertently de-energized was a performance deficiency. The issue was more than minor because it was associated with the procedure quality attribute of the mitigating systems cornerstone and adversely affected the cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage). Specifically, the SSPS procedure inadvertently de-energized the source range monitor and did not verify the availability of source range instrumentation during testing. This affected the safety function of source range neutron flux indication in Mode 5. This finding was assessed using the Phase 1 and 2 Shutdown Operations screening worksheet of the SDP and was determined to require a Phase 3 analysis because the finding involved a loss of source range monitors while in Mode 5. This finding was determined to be of very low safety significance because the dominant sequence is a boron dilution event, and de-energizing the source range for less than a minute would not prevent an operator from taking the necessary actions to address potential boron dilution. No cross-cutting issue was identified.
Enforcement.
10 CFR 50 Appendix B, Criterion V, Instructions, Procedures, and Drawings, states in part that activities affecting quality shall be prescribed by documented procedures of a type appropriate to the circumstances. Contrary to the above, since 2001, the licensee failed to provide adequate guidance in Procedure FNP-1-STP-33.3, resulting in loss of all source range instrumentation during testing of the B train SSPS system. The shift supervisor immediately directed the operator to return the switch to its normal position and power was restored to N32. Because of the very low safety significance and because this finding has been entered into the licensees CAP as CR 2009105672, this violation is being treated as an NCV consistent with Section VI.A of the NRC Enforcement Policy and is identified as NCV 05000348/2009007-01, Inadequate Procedure for the B Train SSPS System Testing.
b. Assessment of the Use of Operating Experience (OE)
- (1) Inspection Scope The team examined licensee programs for reviewing industry operating experience and reviewed licensee procedure NMP-GM-008, Operating Experience Program, to assess the effectiveness of how external and internal operating experience data was handled at the plant. In addition, the team selected operating experience documents (e.g., NRC generic communications, 10 CFR Part 21 reports, licensee event reports, vendor notifications, and plant internal operating experience items, etc.), which had been issued since August 2008 to verify whether the licensee had appropriately evaluated each notification for applicability to the Farley plant, and whether issues identified through these reviews were entered into the CAP. Documents reviewed are listed in the
.
- (2) Assessment Based on a review of documentation related to the review of OE issues, the team determined that the licensee was generally effective in screening OE for applicability to the plant. The inspectors verified for selected issues that industry OE was evaluated at either the corporate or plant level depending on the source and type of document.
Relevant information was then forwarded to the applicable department for further action or informational purposes. OE issues requiring action were entered into the CAP for tracking and closure. In addition, operating experience was included in each root cause evaluation reviewed by the inspectors in accordance with licensee procedure NMP-GM-002-GL03, Cause Determination Guideline.
- (3) Findings No findings of significance were identified.
c. Assessment of Self-Assessments and Audits
- (1) Inspection Scope The team reviewed audit reports and self-assessment reports, including those which focused on problem identification and resolution, to assess the thoroughness and self-criticism of the licensee's audits and self-assessments, and to verify that problems identified through those activities were appropriately prioritized and entered into the CAP for resolution in accordance with licensee procedure NMP-GM-003, Self Assessment.
- (2) Assessment The team determined that the scopes of assessments and audits were adequate. Self-assessments were generally detailed and critical, as evidenced by findings consistent with the teams independent review. The team verified that CRs were created to document all areas for improvement and findings resulting from the self-assessments, and verified that actions had been completed consistent with those recommendations.
Generally, the licensee performed evaluations that were technically accurate. Site trend reports were thorough and a low threshold was established for evaluation of potential trends, as evidenced by the CRs reviewed that were initiated as a result of adverse trends.
- (3) Findings No findings of significance were identified.
d. Assessment of Safety-Conscious Work Environment
- (1) Inspection Scope During normal interactions with plant employees during the course of this inspection, the inspectors informally interviewed plant personnel regarding their knowledge of the CAP at Farley and their willingness to write CRs or raise safety concerns. The inspectors conducted interviews to develop a general perspective of the safety-conscious work environment at the site to determine if any conditions existed that would cause employees to be reluctant to raise safety concerns. The inspectors reviewed the licensees Concerns Program Procedure and interviewed the Concerns Coordinator.
Additionally, the inspectors reviewed a sample of employee concern issues which had been entered into the CAP to verify concerns were being properly reviewed and deficiencies were being resolved.
- (2) Assessment Based on the interviews conducted and the CRs reviewed, the team determined that licensee management emphasized the need for all employees to identify and report problems using the appropriate methods established within the administrative programs, including the CAP and concerns program. These methods were readily accessible to all employees. Based on discussions conducted with a sample of plant employees from various departments, the inspectors concluded that employees felt free to raise issues, and that management encouraged employees to place issues into the CAP for resolution. The inspectors did not identify any reluctance on the part of the licensee staff to report safety concerns.
- (3) Findings No findings of significance were identified.
4OA3 Event Follow-up
.1 (Closed) LER 05000364/2008-001-00, Condition Prohibited by TS 3.8.6 Battery Cell
Parameters On February 11, 2008, the licensee incorrectly approved a quarterly surveillance test on the Unit 2 Auxiliary Building B-Train Battery for Cell number 33 with 2.06 V as satisfactory. This quarterly surveillance test was repeated on May 7, 2008, and Cell number 33 of B-Train Battery was determined to have a voltage of 2.06 V which was below the minimum allowed cell voltage of 2.08 V per TS Table 3.8.6-1. If one or more required batteries with one or more battery cell parameters are not within Category B, TS 3.8.6 Action statements were required to verify battery cell parameters meet Table 3.8.6-1 Category C limits (> 2.02V) once per 7 days thereafter and to restore battery cell parameters to Category B limits (> 2.08 V) within 31 days. This error resulted in the B-Train Battery being inoperable between February 11 and May 7, 2008, due to not completing the required TS Action statements. The licensee determined that the apparent cause was the journeymen taking the voltage reading failed to follow the procedure and compare the voltage to the correct acceptance criteria, and the supervisor also failed to ensure the procedure was correctly completed. Corrective actions included replacing Cell Number 33 on June 3, 2008, providing additional supervisor personnel reviews of TS battery surveillance test packages, and coaching personnel involved in the event on the importance of attention-to-detail when using procedures and legibility of recorded test data. The inspectors determined that this finding was more than minor because it affected the objective of the equipment performance attribute under the Mitigating Systems cornerstone in that the Unit 2 Auxiliary Building B-Train Battery was degraded. The inspectors evaluated this finding against NRC SDP Phase I screening worksheets and determined it to be of very low safety significance (Green) because the battery cell was well above the 2.02 V Category C limits during the entire period and therefore, the battery remained available to perform its safety function. This licensee-identified finding involved a violation of TS 3.8.6, Train A and B Auxiliary Building and Service Water Intake Structure (SWIS) Batteries. The enforcement aspects of the violation are discussed in Section 4OA7. This LER is closed.
.2 (Closed) LER 05000348/2008-004-00, Reactor Trip Due to Loss of RCP Breaker
Position On November 19, 2008, Unit 1 was operating at 100 percent power. Due to a gradual drop in 4160 V safety-related bus voltage over several hours, Farley contacted Alabama Power - Alabama Control Center (ACC) to discuss removing the shunt reactor from service in the Farley High Voltage Switch Yard (HVSY) to raise the 230 kV grid voltage.
After receiving the request, the ACC operator used an air-break disconnect switch to isolate the shunt reactor, instead of using the breakers normally used for this purpose.
Opening the disconnect switch, which is not designed to break load, caused a significant electrical arc and phase-to-phase fault. The transmission protection system tripped the appropriate devices and cleared the fault in approximately 3 cycles. However, the instantaneous HVSY voltage drop resulted in loss of breaker position indication for the 1B Reactor Coolant Pump (RCP) which initiated an automatic Solid State Protection System (SSPS) reactor trip. Flow to the reactor core was never lost. The reactor tripped without complications and all safety systems performed normally. Unit 1 returned to power operation on November 20, 2008.
The licensee determined that the event was caused when the air-break disconnect switch was opened while still under load. The ACC operator utilized a control display that was inadequate to perform the requested operation. The man-machine interface, together with the ACC operator's experience and training were insufficient to prevent the inappropriate action by the operator. The licensee also determined that the reactor trip would not have occurred from the close-in transmission fault, had the RCP Breaker Position relay power supply been aligned to the inverters instead of the AC constant voltage source transformers. Corrective actions included alerting the ACC operator of the requirement to isolate the shunt reactor prior to operating the air-break disconnect and the requirement to use switching orders for operations at the Farley HVSY, briefing the event with Farley Operations shift personnel and ACC personnel, aligning Reactor Trip relay power supplies to the inverters for all RCPs on both Units 1 and 2, issuing OE on the event to all Southern Nuclear sites and externally to the nuclear industry, and implementing modifications to eliminate the RCP breaker position single point vulnerability on Units 1 and 2 during refueling outages 1R23 and 2R20, respectively.
The inspectors reviewed the root cause and noted that Farley had experienced numerous reactor trips prior to 2003 and two additional reactor trips since. The root cause evaluation for the 2003 event initiated an action item (AI) to issue design change requests (DCRs) to eliminate the RCP breaker open trips for Units 1 and 2. However, these DCRs were later cancelled based on the costs outweighing the benefit without addressing the AI and no formal evaluation was performed to determine the risks or other actions to mitigate the risks. The inspectors verified that the CAP and engineering process allowed the deletion of the relay design control packages without evaluating the risk and without revising the affected root cause. The inspectors determined that the RCP breaker open trips were not considered safety-related equipment and the current CAP had been improved to require risk evaluation and documentation before deferring corrective actions associated with equipment. No findings of significance were identified and no violation of NRC requirements occurred. The licensee documented the issue in CR 2008112610. This LER is closed.
4OA7 Licensee Identified Violations
The following violation of very low safety significance was identified by the licensee and is a violation of NRC requirements which meets the criteria of Section VI.A.1 of the NRC Enforcement Policy, NUREG-1600, for being dispositioned as an NCV.
- TS 3.8.6 requires that battery cell parameters for Train A and Train B Auxiliary Building and Service Water Intake Structure (SWIS) batteries shall be within the limits of Table 3.8.6-1. TS SR 3.8.6.2 requires battery cell parameters to be verified to meet TS Table 3.8.6-1. If one or more required batteries with one or more battery cell parameters are not within Category B, TS 3.8.6 Action statements are required to verify battery cell parameters meet Table 3.8.6-1 Category C limits (> 2.02 V)once per 7 days thereafter and to restore battery cell parameters to Category B limits
(> 2.08 V) within 31 days.
Contrary to the above, between February 11 and May 7, 2008, Unit 2 Auxiliary Building B-Train Battery Cell number 33 was 2.06 V which was below TS Table 3.8.6-1 limits and the licensee failed to restore Cell number 33 float voltage to Category B limits within 31 days as required per TS 3.8.6 Action statements. The licensee entered this condition into their CAP as CR 2009105768. This finding was evaluated against NRC SDP Phase 1 screening worksheets and determined to be of very low safety significance (Green) because the battery cell was above the 2.02 V Category C limits during the entire period and therefore, the battery remained available to perform its safety function during the affected period.
4OA6 Meetings, Including Exit
On November 20, 2009, the inspectors presented the inspection results to Randy Johnson and other members of the site staff. The inspectors confirmed that proprietary information was not provided or examined during the inspection.
ATTACHMENT: SUPPPLEMENTAL INFORMATION
SUPPLEMENTAL INFORMATION
KEY POINTS OF CONTACT
Licensee Personnel
- P. Autrey, Buried Piping Program Engineer
- S. Brumfield, CAP Supervisor
- M. Byrd, Design Engineering Supervisor
- M. Caldwell, CCW System Engineer
- C. Collins, Plant Manager
- B. Deloach, Scaffolding Program Engineer
- A. Gray, Performance Improvement Supervisor
- B. Griner, Engineering Support Manager
- J.R. Johnson, Site Vice President
- B.D. McKinney, Licensing Supervisor
- H. Mahan, Principal Licensing Engineer
- R. Martin, Technical Services Manager
- J. Morris, LLRT/ILRT Program Engineer
- B. Smith, System Engineering Supervisor
- V. Wilherson, Corporate Engineer
NRC
- D. Merzke, Branch Chief, Reactor Projects Branch 7
- S. Shaeffer, Branch Chief, Reactor Projects Branch 2
- E. Crowe, Senior Resident Inspector, Farley Nuclear Plant
LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED
Opened
None
Opened and Closed
- 05000348/2009007-01 NCV Inadequate Procedure for the B train SSPS System Testing (Section 4OA2)
Closed
- 05000364/2008-001-00 LER Condition Prohibited by TS 3.8.6 Battery Cell Parameters (Section 4OA3.1)
- 05000348/2008-004-00 LER Reactor Trip Due to Loss of RCP Breaker Position (Section 4OA3.2)
Discussed
None