ML061360218: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
 
(Created page by program invented by StriderTol)
Line 17: Line 17:


=Text=
=Text=
{{#Wiki_filter:
{{#Wiki_filter:PENOC Perry Nuclear Power Station-"f 10 Center Road FirstEnergy
Nuclear Operating
Company Perry Ohio 44081 L William Pearce 440-280-5382
Vice President
Fax: 440-280-8029
May 09, 2006 PY-CEI/NRR-2959L
United States Nuclear Regulatory
Commission
Document Control Desk Washington, DC 20555 Perry Nuclear Power Plant Docket No. 50-440 License No. NPF-58 Subject: Response to Nuclear Regulatory
Commission (NRC) Inspection
Report 05000440/2006007
-NRC Follow up Inspection
of IP 95002 Action Items Ladies and Gentlemen:
This letter provides the FirstEnergy
Nuclear Operating
Company (FENOC) response to the NRC Inspection
Report 05000440/2006007
for the Perry Nuclear Power Plant (PNPP). The inspection
report provided the results of the NRC Confirmatory
Action Letter (CAL) follow-up inspection
for Inspection
Procedure (IP) 95002 action items. The letter, requests that FENOC respond within 30 days of receipt of the letter describing
the specific actions that FENOC plans to take to address the issues raised during the inspection.
The attached provides the requested
response.There are no commitments
contained
in this letter. If you have any have questions
or require additional
information, please contact Mr. Jeffrey Lausberg, Manager, Regulatory
Compliance
at (440) 280-5940.Very/trj ly yoP Attachment
cc: NRC Region Ill Administrator
NRC Project Manager NRC Resident Inspector
PY-CEI/NRR-2959L
Attachment
1 Page 1 of 11 Response to NRC Inspection
Report (IR) 06000440/2006007
NRC Follow up Inspection
of IP 95002 Action Items Overall, the inspection
team concluded
that FENOC had satisfactorily
implemented
the commitments
and action items that they reviewed and therefore, the corrective
actions to address maintenance
procedure
adequacy, Emergency
Service Water (ESW) pump coupling assembly, and training were adequate.
Notwithstanding
this overall conclusion, the team identified
some cases where the implementation
of these actions was weak, which potentially
impacts the overall ability to effectively
resolve these issues. These issues are identified
in the Findings and Observations
of the inspection
report.The following
provides the specific NRC Findings and Observations
identified
in Inspection
Report 2006007 followed by the FENOC's response to those Findings and Observations:
SECTION 3.0 PROCEDURE
ADEQUACY 1. 3.1.b.1, Technical
Content Review Results, states: The inspectors
reviewed 19 of the 119 revised maintenance
procedures.
Overall, the inspectors
concluded
that the maintenance
procedures
reviewed were an improvement
on the previous revisions, both in content, formatting, and ease of use. However, the following
weaknesses
were identified:
One procedure
was identified
to contain a significant
technical
error. GMI-0050,"Residual
Heat Removal Pump Overhaul," Revision 0, that was to be utilized for the overhaul of a Residual Heat Removal (RHR) pump, did not include steps to re-insert
pump coupling keys that were removed during pump disassembly.
Therefore, the pump overhaul activity, if performed
as written, would not return the equipment
to a condition
in which it would properly function, which was considered
a significant
technical
procedure
deficiency.
However, because this procedure
had not actually been utilized, the inspectors
considered
this procedure
deficiency
to be of only minor significance.
* The inspectors
noted numerous instances
of typographical
errors and improper references.
While these errors did not significantly
impact the ability to implement
the procedures, it indicated
a lack of attention
to detail in the procedure
development
and review process.FENOC RESPONSE: As stated above, during the NRC inspection, an error was identified
for procedure
GMI-0050, "Residual
Heat Removal Pump Overhaul." The error was the omission of specific instructions
in the procedure
for reassembly
of the pump shaft for the placement
of keys on the pump shaft keyway sleeve and placement
of the split ring. This made the procedure
deficient.
The missing steps could have caused problems during the reassembly
of the pump shaft. When this issue was discovered, GMI-0050 was put on hold pending resolution
of the issue and Condition
Report (CR) 06-00261 was generated
to document the issue. Investigation
found that the RHR pumps have not been overhauled
using this procedure, but rather in the past the vendor manual had been used with the vendor present on site. Additionally,
PY-CEI/NRR-2959L
Attachment
I Page 2 of 11 the procedure
will be reviewed against the vendor manual to verify that no other omission exists.The upgraded procedures
have been categorized
into four (4) groups, with prioritization
based on frequency
of use, scheduled
use, and document change request feedback received from users. The procedures
will be reviewed for adequacy, starting with Group 1 and progressing
through Group 4 (lowest priority).
GMI-0050 is scheduled
to be updated under Group 4 since it is utilized in a forced or refueling
outage. It will not be used until it is updated.In regards to the administrative
errors that were found in the upgraded maintenance
procedures (e.g., typographical
errors, inconsistent
formatting, missing references, etc.), FENOC has generated
CR 06-00418 to address the issue. This CR will collectively
address the issue and capture the lessons-leamed
as well as address the necessary
re-verification
and revalidation
of the upgraded maintenance
procedures.
Corrective
Action 06-00418-02
was developed
to track the Maintenance
Department
re-review
of the 119 procedures
to correct the following
potential discrepancies:
Typographical
errors Formatting
inconsistencies
Proper step sequencing
Redundant
steps Deficient
direction Faulty references
Missing technical
Information
Proper use/identification
of critical steps Additional
resources
are being brought in to help complete the reviews.Discrepancies
identified
during the review process will be documented
via the Corrective
Action Program and addressed, as required, to support procedure
use/plant
operation/scheduled
maintenance
activities.
Overall results of the review will be documented
in the closure of Corrective
Action 06-00418-02.
2. 3.1.b.2, Identification
of Missing "Critical" Procedure
Step Designation, states: The inspectors
identified
numerous maintenance
procedure
steps that warranted identification
as critical steps in these procedures, but had not been properly identified
as such. Specific examples included:* CMI-0016, "Division
I and 11 Emergency
Diesel Generator
Starting Air Valve Repair," Revision 3, did not identify measurement
and evaluation
of cap bore and piston diameter as a critical step although an Improper clearance
could result in a failure of the emergency
diesel generator
to start.* PMI-0040, "Division
IlIl Air Start Motor Maintenance," Revision 4, did not identify a rotation check of the air starter during air start motor reassembly
as a critical step although improper rotation could result in damage to the component
or a slow start.
PY-CEI/NRR-2959L
Attachment
I Page 3 of 11* GMI-0002, "Maintenance
of the Control Rod Drive Pumps," Revision 2, did not identify the measurement
of run out clearances
as a critical step although improper clearances
could lead to premature
bearing failure.MAI-0507 also prescribed
that if possible, Critical Steps should be identified
and mitigated
by using one of the following
methods:* Add a step for breakpoint
review.* Add independent
verification.
* Add a step for peer-check.
* Add a step to contact the supervisor.
* Add a step to contact the Control Room to verify a condition
before continuing
to the next action.However, contrary to MAI-0507, no examples of mitigation
strategies
for critical steps could be found in any of the revised procedures.
These mitigation
strategies
were intended to provide additional
assurance
of proper step completion.
Follow up discussions
with work management
personnel
indicated
that these strategies
were intended to be added during the work package development
process. However, only one example was identified
in which a mitigation
strategy was included with a work order containing
a critical step. The inspectors
concluded
that the licensee had not adequately
implemented
this procedural
requirement.
However, since the inspectors
did not identify any instance where the omission of a mitigating
strategy had resulted in improper procedure
implementation, the inspectors
concluded
the issue was of only minor significance.
FENOC RESPONSE: FENOC acknowledges
that inconsistencies
exist in application
of the critical steps in the upgraded maintenance
procedures.
When this issue was identified, several condition
reports were generated
to document the issues (i.e., CR 06-00181, 06-00276 and 06-00418).
Condition
Report 06-00418 documents
the investigation
summary and provides the corrective
action to address the issue going forward. Since the CR was generated, MAI-0507,"Maintenance
Procedures
Writer's Guide," has been superseded
by a new technical
procedure
guide PAP-0500, "Perry Technical
Procedure
Writer's Guide," Revision 0, that provides improved guidance for mitigation
and application
of critical steps.The investigation
found that the inconsistencies
in the application
of the critical steps in the upgraded maintenance
procedures
were due to less than adequate oversight
and participation
by Perry personnel
during the procedure
upgrade process. The initial maintenance
procedure
upgrade project was mainly supported
by outside contract personnel
utilizing
a format obtained from another site that did not meet FENOC standards.
Additionally, when the maintenance
procedure
upgrade project was initiated
in late 2004, the maintenance
procedure
writers guide, MAI-0507 was not issued yet, which contributed
to the issue.
PY-CEI/NRR-2959L
Attachment
1 Page 4 of 11 As a result of the issues discussed
above, the upgraded maintenance
procedures
will be reviewed for the consistent
application
of critical steps, formatting
and consistency.
Corrective
actions will be taken to address issues found during the reviews. As stated above, this action is being tracked as CA 06-00418-02.
3. 3.1.b.3, Weaknesses
in the use of Placekeeping
Tools and Human Factoring, states: The inspectors
confirmed
that the licensee added placekeeping
blocks to the revised procedures
and had reformatted
the procedures
to address human factoring considerations.
The inspectors
supplemented
this review with in-field observations
of the implementation
of the revised maintenance
procedures.
The inspectors
noted performance
of one procedure
with improper use of placekeeping
techniques:
* During hydramotor
work, the inspectors
noted that technicians
performed multiple steps in rapid succession
without using proper placekeeping.
* In the same procedure, the technicians
performed
several steps multiple times without using peacekeeping
for each Performance
of the step. By procedure, a step may be performed
multiple times, but each Performance
requires separate placekeeping.
In addition, the inspectors
noted multiple instances
of poorly worded steps that hampered the maintenance
worker's ability to successfully
complete the procedure.
For example:* The inspectors
observed the performance
of a motor-operated
valve (MOV)maintenance
activity.
Although the maintenance
procedure
utilized for this activity had been previously
performed
more than 100 times on other valves, the workers stopped several times to obtain clarification
on the requirements
of the procedure.
* The inspectors
reviewed a completed
work package that utilized maintenance
procedure
GEI-0009, "ABB Low Voltage Power Circuit Breaker Types K-600 and K-600S Through K-3000 and K-3000S Maintenance." The inspectors
identified
that workers had incorrectly
N/A'd a section of the procedure.
The inspectors
noted that the procedural
directions
regarding
performance
of that section of the procedure
were unclear. (Section b.4)The inspectors
observed the performance
of maintenance
procedure
ICI-B12-001,"ITT NH90 Series Milliampere
Proportional/On-Off
Hydramotor
Actuator Calibration." During implementation
of the procedure, maintenance
workers failed to remove all required access covers to the hydramotor.
The inspectors
noted that the procedure did not specifically
identify the covers to be removed. (Section b.5)FENOC RESPONSE: The issue with improper use of peacekeeping
during the hydramotor
work activity is addressed
in Item 5 below. This observation
was noted during calibration
check of a Division IlIl EDG Exhaust Air Damper using procedure ICI-B12-0001, -ITT NH90 Series Millampere
Proportional/On-Off
Hydramotor
Actuator Calibration" and is being addressed
in CR 06-01765.
PY-CEI/NRR-2959L
Attachment
1 Page 5 of 1 1 The issue with poorly worded steps in the maintenance
procedure
that hampered the maintenance
workers ability to complete the MOV maintenance
procedure
is related to the issue raised in Item 2 above. This issue is being addressed
as part of CR 06-00418.The issue with incorrect
use of "N/A" during the performance
of maintenance
activity for ABB low voltage circuit breakers is addressed
in Item 4 below.This issue was observed during the review of completed
maintenance
work package that utilized maintenance
procedure
GEI-0009, ABB Low Voltage Power Circuit Breaker Types K-600 and K-600S Through K-3000 and K-3000S Maintenance" and is being addressed
in CR 06-00283.4. (a) 3.1.b.4, Inappropriate
Use of Not Applicable (N/A) in Procedure
Steps, states: The inspectors
identified
that many of the revised maintenance
procedures
applied to multiple different
styles of components.
As a result, these procedures
required that maintenance
workers determine
the applicable
steps of the procedure
to be performed
since all steps may not apply to a particular
component.
When a step was not performed, the worker would mark the step N/A [not applicable].
Based on the procedures
reviewed, the inspectors
concluded
that the typical number of N/As required during the implementation
of a procedure
represented
a potential
human performance
trap. During the inspection, the inspectors
identified
the following specific example in which a procedure
step was inappropriately
N/A'd for which the Enforcement
section is restated here for the example "Failure to Perform Required Steps Prescribed
by Procedure
GEI-0009".
Enforcement:
Technical
Specification
5.4, "Procedures," required, in part, that written procedures
be implemented
covering applicable
procedures
recommended
by Regulatory
Guide 1.33, "Quality Assurance
Program Requirements (Operation),"Revision
2, dated February 1978. Regulatory
Guide 1.33, Appendix A, paragraph 9a, stated, "Maintenance
that can affect the performance
of safety-related
equipment should be properly pre-planned
and performed
in accordance
with written procedures, documented
instructions, or drawings appropriate
to the circumstances." Contrary to this requirement, on January 19, 2006 [it was determined
that], licensee personnel
failed to perform required steps in procedure
GEI-0009, "ABB Low Voltage Power Circuit Breaker Types K-600 & K-600S Through K-3000 & K-3000S Maintenance," Revision 17. Specifically, licensee personnel
failed to perform minimum operating
voltage testing on the safety-related
EF1A05 breaker that provided power to Division I Motor Control Center (MCC), Switchgear (SWGR), and Battery Room Supply Fan A. However, because of the very low safety significance
and because the issue has been entered into the licensee's
corrective
action program (CR 06-00283), the issue is being treated as a non-cited
violation (NCV)consistent
with Section VI.A. 1 of the NRC Enforcement
Policy (NCV 05000440/2006007-01).
FENOC RESPONSE: During a review of work order (WO) 200038182, the NRC inspector
identified
that step 5.2.3, 'Minimum Operating
Voltage and Anti-Pump
Verification," of procedure
GEI-0009, "ABB Low Voltage Power Circuit Breaker Types K-600& K-600S through K-3000 & K-3000S Maintenance," was marked N/A and not performed
during the voltage testing of the non-safety
related breaker that provides power to the condensate
transfer pump A. When the issue
PY-CEI/NRR-2959L
Attachment
1 Page 6 of 11 was raised during the inspection, CR 06-00283 was written to document and to investigate
the issue, The investigation
revealed that step 5.2.3 of GEl-0009 was incorrectly
marked N/A and not performed
as required.
The anti-pump functional
verification
was performed
by a subsequent
step within the procedure.
Step 5.16, "Breaker Anti-Pump," requires that the functionality
of the breaker be verified before it is restored to an operable condition.
From an equipment
perspective, the anti-pump
feature on the breaker was verified to be acceptable
before it was installed
and placed in service. There are no hardware issues associated
with this breaker pertaining
to the NA'd step 5.2.3. The maintenance
work performed
on this breaker satisfied
the purpose of procedure
GEI-0009 yet, as stated above, was not performed
in full compliance
with the requirements.
The breaker was installed
and placed in service on September
9, 2005 and there have not been any operational
issues since that time. This breaker is presently
scheduled
for refurbishment
in June 2006 (with a maximum due date of June 2007). Additionally, an immediate
investigation
was performed
to determine
if any other safety related, electrically
operated breakers had been installed
during 2005 without verification
of their anti-pump
feature. The investigation
determined
that the safety-related
breakers overhauled
during 2005 adequately
met the steps 5.2.3 and 5.16 of procedure
GEI-0009 for proper breaker operation.
Individual
performance
issues associated
with this condition
were referred to line management
for appropriate
actions in accordance
with the FENOC Performance
Management
System.It is noted that for the safety related breaker that provides power to the division 1 motor control center (MCC), switchgear (SWGR) and battery room supply fan A, step 5.2.3 was left blank on the data sheet. However, since this breaker failed as-found, CR 05-04796 was written and the replacement
breaker function was verified as acceptable.(b) 3.1.b.4, In addition to this example, the inspectors
observed a nonsafety-related
air-operated
valve (AOV) rebuild activity during which maintenance
workers improperly
N/A'd a step that prescribed
a valve stem inspection.
FENOC RESPONSE: During performance
of changing the packing for feedwater
heater drain valve, I N25F0290A, step 5.3.2 of the valve packing instruction
per procedure
GMI-0061,"Valve
Packing Instruction," was marked not applicable (N/A). The step states: "IF damage is found, THEN DETERMINE
where information
is available
in Valveman Data Program or Order." The Valveman datasheet
provides the information
that addresses
the packing configuration
to be used. This step was incorrectly
marked N/A while it was applicable.
Step 5.3.2 was subsequently
performed
satisfactorily.
This issue was documented
in CR 06-00269.
The investigation
revealed that the individuals, although qualified
to perform the task, had not performed
the task regularly.
Since the procedure
was of a new format, the individuals
misunderstood
the steps and requirements
of the datasheet.
The use of training along with the procedure
provides the individuals
with sufficient
information
needed to perform the task. Had the individuals
PY-CEI/NRR-2959L
Attachment
I Page 7 of 1 1 followed the procedure
they would have discovered
the data was contained in the Valveman data package. This was a human performance
issue rather than a procedure
deficiency.
Individual
performance
issues associated
with this condition
were referred to line management
for appropriate
actions in accordance
with the FENOC Performance
Management
System.Elimination
of human performance
issues, including "procedure
traps," has been given a high priority.
The Maintenance
Training Review Committee (TRC) is tracking actions for the maintenance
organization
to complete"Procedure
Use And Adherence" classroom
and laboratory
training.
At the end of March, 2006, the classroom
portion had been completed
by all maintenance
supervisors
and worker personnel.
Laboratory
practical training has been captured as an action that is scheduled
to be completed next. The lesson material specifically
includes training on "when procedure steps do not apply." 5. 3.1.b.5, Failure to Perform Required Steps Prescribed
by Procedure
ICI-B12-0001, states: Technical
Specification
5.4, "Procedures," required, in part, that written procedures
be implemented
covering applicable
procedures
recommended
by Regulatory
Guide 1.33, "Quality Assurance
Program Requirements (Operation),"Revision
2, dated February 1978. Regulatory
Guide 1.33, Appendix A, paragraph 9a, stated, "Maintenance
that can affect the performance
of safety-related
equipment should be properly pre-planned
and performed
in accordance
with written procedures, documented
instructions, or drawings appropriate
to the circumstances." Contrary to this requirement, on January 10, 2006, during a calibration
check of a Division IlIl EDG Exhaust Air Damper, licensee personnel
failed to perform required steps prescribed
by procedure
ICI-B12-0001, "ITT NH90 Series Milliampere
Proportional/On-Off
Hydramotor
Actuator Calibration," Revision 4. However, because of the very low safety significance
and because the issue has been entered into the licensee's
corrective
action program (CR 06-00125), the issue is being treated as a non-cited
violation (NCV) consistent
with Section VI.A. 1 of the NRC Enforcement
Policy (NCV 05000440/2006007-02).
FENOC RESPONSE: On January 10, 2006, the NRC inspector
observed the implementation
of upgraded maintenance
procedure
ICI-B12-0001, 'ITT NH90 Series Milliampere
Proportional/On-Off
Hydramotor
Actuator Calibration," Revision 4, during a calibration
check of a Division IlIl Emergency
Diesel Generator Exhaust Air Damper Hydramotor.
This procedure
was categorized
as Step-by-Step Use and in accordance
with procedure
NOP-LP-2601, 'Procedure
Use and Adherence." During the performance
of ICI-B12-0001, several instances
were identified
where procedure
adherence
was not followed in accordance
with NOP-LP-2601.
As discussed
in the NRC inspection
report:* Step 5.9.2 of ICI-B12-0001
directed the user to verify the subject hydramotor
had been full-stroke
cycled a minimum of five times.Although procedure
steps which prescribe
this type of verification
permit the re-positioning
of plant components, in accordance
with
PY-CEI/NRR-2959L
Attachment
I Page 8 of I1 NOP-LP-2601, these actions must be specifically
authorized
by plant procedures.
In this case, and as observed by the inspectors, although this guidance did not exist, personnel
performed
future procedure
steps out-of-sequence
in order to accomplish
Step 5.9.2.* Step 5.9.3 of ICI-B12-0001
directed that screw-on covers be removed to support testing. In this case, personnel
failed to remove the necessary
covers to continue with the proper testing.* Step 5.9.4 of ICI-B12-0001
directed the connection
of a multi-meter
to a limit switch in accordance
with Attachment
7, Figure 1. Contrary to this, personnel
connected
the multi-meter
in accordance
with Attachment
10 and continued
with the calibration
check. This error was identified
by the inspectors
observing
the test when conflicts were discovered
at a later procedure
step.* Steps 5.9.5 through 5.9.9 of ICI-B12-0001
directed the manipulation
of the hydramotor
actuator for verification
and recording
of proper valve seating and stem travel. Contrary to procedure
use guidance, personnel
did not complete these steps via the read-then-perform
approach.
Additionally, NOP-LP-2601
directed that repeated steps shall be provided with "separate
documentation" and "peacekeeping
on the steps". These steps were repeated to satisfy the requirements
of Step 5.9.2 without separate documentation
and placekeeping
annotation.
* Step 5.9.10, 5.9.10.a and 5.9.10.b of ICI-B12-0001
directed the connection
of a multi-meter
to position switches followed by actuator manipulation
until such switches actuate. Contrary to procedure
use guidance, steps were marked as complete concurrently
without verifying
individually
that each step had been completed.
As part of the immediate
corrective
action, personnel
stopped the work activity and revised ICI-B12-0001
to clarify the requirements
in Section 5.9 of the procedure.
A second attempt was made to calibrate
the hydramotor, but the procedure
needed another revision to the steps. The procedure
category was also revised from 'Step-by-Step" to "In-Field
Reference," a more appropriate
category for this procedure.
Upon completion
of the second procedure
revision, the calibration
was completed
satisfactorily
and the hydramotor
was returned to service.Condition
reports 06-00125 and 06-01765 address the above inspection
report issues as follows: The first example of Step 5.9.2 of ICI-B12-0001
directed the user to verify that the hydramotor
had been run through full stroke at least five times. Per NOP-LP-2601, the performer
is allowed to reposition
this hydramotor
if authorized
by plant procedures.
The approval to stroke this valve was authorized
by the order which was released by operations
to allow calibration
of the hydramotor.
Note: The act of stroking the hydramotor
is a skill that is obtained by a qualified
technician
during their on-the-job
training/task
performance
evaluation (OJT/TPE)
training.
PY-CEI/NRR-2959L
Attachment
I Page 9 of I1 Step 5.9.3 of ICI-B12-0001
directed the removal of control and electrical
screw on covers for the PCD actuator.
The technicians
were working to calibrate
the position limit switches instead of the travel limit switch so the correct cover was not removed. The technician
made an error in not removing all of the covers needed for this calibration.
Step 5.9.4 of ICI-B12-0001
directed the connection
of a multi-meter
to an actuator travel limit switch shown on attachment
7, but went to attachment
10 (this issue was addressed
solely by CR 06-00125).
The error was failure to follow the procedure.
The procedures
were revised, the calibration
completed, the hydramotor
was returned to service, and the potential
limiting condition
for operation (PLCO) cleared.Steps 5.9.5 through 5.9.9 of ICI-B12-0001
directed the manipulation
of the hydramotor
actuator for verification
and recording
of proper valve seating and stem travel. The steps were all performed
and then signed off which violates procedure
NOP-LP-2601
for use of a step-by-step
procedure.
Also, as the steps were repeated, the technicians
failed to provide the separate documentation
and placekeeping
as required by NOP-LP-2601.
Although this may be accomplished
by different
methods, the performers
must follow the procedure
requirements.
These were human performance
errors.Steps 5.9.10, 5.9.10a, and 5.9.10b of ICI-B12-0001
directed the connection
of a multi-meter
to position switches followed by actuator manipulation
until such switches actuate. The steps were performed
concurrently
and then signed off after completed
which is contrary to the requirements
of NOP-LP-2601 for a Step-by-Step
procedure.
The roll-up of these issues again emphasizes
the failure to follow proper procedure
use and adherence
expectations.
This issue was addressed
in CR-06-00125.
I&C, Electrical, Mechanical
and Services sections of Maintenance
have completed
a procedure
use and adherence
class. The requirements
and the expectations
for procedure
use and adherence
were emphasized
during the class.As discussed
above, procedure
adherence
and quality of the procedure contributed
to this issue. Corrective
actions were taken in accordance
with the FENOC Performance
Management
Process.6. 3.2, Commitment
Item 1.b/DAMP Item B2.2.3.2, states: The inspectors
concluded that NQI-1001, Revision 5, appropriately
incorporated
the consideration
of failure history, risk significance, and failure probability
in assigning
QC inspection
hold points. However, the inspectors
identified
that the methods Identified
and in use did not take full advantage
of all site programs.
In particular, the procedure
did not prescribe
the review of the maintenance
rule database, which collects pertinent component
failure data, nor did it integrate
the probabilistic
risk assessment (PRA)model, which provides component-specific
risk information.
PY-CEI/NRR-2959L
Attachment
1 Page 10 of II FENOC RESPONSE: To address the above observations, CR 06-00366 was generated.
It should be noted that NQI- I001 was superseded
by Nuclear Operating
Procedure NOP-LP-2018, "Quality Control Inspection
of Maintenance
and Modification
Activities," on December 19, 2005. The CR investigation
was focused on addressing
the following
enhancement
actions to procedure
NOP-LP-2018:
* Assignment
of hold/witness
points to procedure
steps that are identified
as "critical
steps."* Use of Probabilistic
Safety Assessment (PSA) risk significance
for component
level equipment
and non-safety
risk significance
equipment.
* Use of Maintenance
Rule database for the identification
of repeat failure items for potential
assignment
of hold/witness
points.The investigation
determined
that use of the Maintenance
Rule database as a means to identify additional
QC hold/witness
points is not an optimum method. Since the condition
reports drive the maintenance
rule evaluation
through the corrective
actions, historical
failure data can be obtained through the review of condition
reports for those components
that are considered
to be a maintenance
rule failure. Therefore, historical
data from the condition reporting
system will be used for the identification
of repeat failures items for potential
assignment
of hold/witness
points.The following
enhancements
were added to procedure
NOP-LP-2018:
* Use of pre-established "Critical
Steps" as a factor when assigning
QC Hold/Witness
points.* Use of risk significance
assessment
tool at a component
level as a factor when assigning
Hold/Witness
points.* Use of Risk Significance (PSA), Maintenance
Rule, Critical Components, and Maintenance
Modifications
as factors that the QC supervisor
will utilize when assigning
process monitoring.
SECTION 5.0 TRAINING 5.3, Review of Human Performance
Tools to Reinforce
Human Performance
Under Stress, states: While observing
the rebuild of a fire protection
deluge valve, a procedure
step in the work package required the inspection
of valve internals
to evaluate the condition
of the valve, including
the condition
of internal moving parts.When questioned
about the presence of moving parts, licensee personnel
were unsure if the valve contained
moving parts. Despite this lack of knowledge, licensee personnel
signed off the step as complete.
Upon further review, the inspectors
determined
that the work package was incorrect
and referenced
a section of the technical
manual for a valve that contained
moving parts although the valve inspected
did not contain moving parts.However, since this error had no actual adverse impact on the deluge valve inspection
results, the inspectors
concluded
the issue was of only minor significance.
PY-CEI/NRR-2959L
Attachment
1 Page 11 of 11 FENOC RESPONSE: To address the above observation, FENOC generated
CRs 06-00178 and 06-01764.
CR 06-00178 investigated
the issue concerning
the communication
that took place between the inspector
and responsible
system engineer (RSE) during inspection
of the fire protection
deluge valve.The inspector
questioned
what moving parts were inspected
for the valve in accordance
with the work order and whether a vendor manual was reviewed during the valve inspection.
The RSE's initial response was that the valve did not have the same spring arrangement
like the other valves being inspected.
This was confirmed
by the maintenance
personnel
during the inspection.
The proper response should have been that the valve flapper was inspected
during the valve internal inspection
and there was no spring arrangement
for this particular
valve model. This communication
issue was subsequently
clarified
with the inspector.
The investigation
determined
that the initial response by the RSE to the inspectors
question was not clearly communicated.
Condition
report 06-01764 investigated
the issue with potential
for lack of knowledge
and incorrect
work package. During the initial inspection
of the deluge valve, the RSE examined the valve internals
to include flapper, seating surfaces, and body conditions.
After inspection
of the valve, the RSE confirmed
by way of the maintenance
personnel
that this model valve did not have a spring. When questioned
by the inspector
as to what moving parts were inspected, the RSE identified
that the internals
and seating surface were inspected.
The RSE went on to explain that this model did not contain a spring. The inspector
asked if the vendor manual had been reviewed.
The RSE responded
no (note that this was the fourth deluge valve inspected
by the RSE with some models containing
the spring while others do not). In the subsequent
meeting with the inspector, the RSE was more precise in specifically
identifying
that the flapper (moving part) was inspected
and indicated
that he had a conversation
with the mechanic regarding
this particular
model not having a spring. The inspector
was not aware of the conversation
between the RSE and the maintenance
personnel
during the inspection.
The work order package issue was associated
with one of the two models with the manual/drawing (model without spring) not being in the package. The order was for the inspection
of multiple deluge valves that consisted
of both models. The SAP data for the valve being inspected
at the time of this event did not identify the valve correctly
and the proper vendor manual section/drawing
was not provided.
The package only contained
a vendor manual/drawing
of the model with a spring. This oversight
was corrected
by adding the appropriate
manual section/drawing
to the package and changing the SAP data base model number. Therefore, this issue is not a result of lack of RSE knowledge, but rather less than effective communications
and an issue with the work package.
}}
}}

Revision as of 13:16, 11 November 2018

Perry, Unit 1 - Response to Nuclear Regulatory Commission Inspection Report 05000440/2006007 - NRC Follow Up Inspection of IP 95002 Action Items
ML061360218
Person / Time
Site: Perry FirstEnergy icon.png
Issue date: 05/09/2006
From: Pearce L W
FirstEnergy Nuclear Operating Co
To:
Document Control Desk, NRC/RGN-III
References
IR-06-007, PY-CEI/NRR-2959L
Download: ML061360218 (12)


See also: IR 05000440/2006007

Text

PENOC Perry Nuclear Power Station-"f 10 Center Road FirstEnergy

Nuclear Operating

Company Perry Ohio 44081 L William Pearce 440-280-5382

Vice President

Fax: 440-280-8029

May 09, 2006 PY-CEI/NRR-2959L

United States Nuclear Regulatory

Commission

Document Control Desk Washington, DC 20555 Perry Nuclear Power Plant Docket No. 50-440 License No. NPF-58 Subject: Response to Nuclear Regulatory

Commission (NRC) Inspection

Report 05000440/2006007

-NRC Follow up Inspection

of IP 95002 Action Items Ladies and Gentlemen:

This letter provides the FirstEnergy

Nuclear Operating

Company (FENOC) response to the NRC Inspection

Report 05000440/2006007

for the Perry Nuclear Power Plant (PNPP). The inspection

report provided the results of the NRC Confirmatory

Action Letter (CAL) follow-up inspection

for Inspection

Procedure (IP) 95002 action items. The letter, requests that FENOC respond within 30 days of receipt of the letter describing

the specific actions that FENOC plans to take to address the issues raised during the inspection.

The attached provides the requested

response.There are no commitments

contained

in this letter. If you have any have questions

or require additional

information, please contact Mr. Jeffrey Lausberg, Manager, Regulatory

Compliance

at (440) 280-5940.Very/trj ly yoP Attachment

cc: NRC Region Ill Administrator

NRC Project Manager NRC Resident Inspector

PY-CEI/NRR-2959L

Attachment

1 Page 1 of 11 Response to NRC Inspection

Report (IR) 06000440/2006007

NRC Follow up Inspection

of IP 95002 Action Items Overall, the inspection

team concluded

that FENOC had satisfactorily

implemented

the commitments

and action items that they reviewed and therefore, the corrective

actions to address maintenance

procedure

adequacy, Emergency

Service Water (ESW) pump coupling assembly, and training were adequate.

Notwithstanding

this overall conclusion, the team identified

some cases where the implementation

of these actions was weak, which potentially

impacts the overall ability to effectively

resolve these issues. These issues are identified

in the Findings and Observations

of the inspection

report.The following

provides the specific NRC Findings and Observations

identified

in Inspection

Report 2006007 followed by the FENOC's response to those Findings and Observations:

SECTION 3.0 PROCEDURE

ADEQUACY 1. 3.1.b.1, Technical

Content Review Results, states: The inspectors

reviewed 19 of the 119 revised maintenance

procedures.

Overall, the inspectors

concluded

that the maintenance

procedures

reviewed were an improvement

on the previous revisions, both in content, formatting, and ease of use. However, the following

weaknesses

were identified:

One procedure

was identified

to contain a significant

technical

error. GMI-0050,"Residual

Heat Removal Pump Overhaul," Revision 0, that was to be utilized for the overhaul of a Residual Heat Removal (RHR) pump, did not include steps to re-insert

pump coupling keys that were removed during pump disassembly.

Therefore, the pump overhaul activity, if performed

as written, would not return the equipment

to a condition

in which it would properly function, which was considered

a significant

technical

procedure

deficiency.

However, because this procedure

had not actually been utilized, the inspectors

considered

this procedure

deficiency

to be of only minor significance.

  • The inspectors

noted numerous instances

of typographical

errors and improper references.

While these errors did not significantly

impact the ability to implement

the procedures, it indicated

a lack of attention

to detail in the procedure

development

and review process.FENOC RESPONSE: As stated above, during the NRC inspection, an error was identified

for procedure

GMI-0050, "Residual

Heat Removal Pump Overhaul." The error was the omission of specific instructions

in the procedure

for reassembly

of the pump shaft for the placement

of keys on the pump shaft keyway sleeve and placement

of the split ring. This made the procedure

deficient.

The missing steps could have caused problems during the reassembly

of the pump shaft. When this issue was discovered, GMI-0050 was put on hold pending resolution

of the issue and Condition

Report (CR) 06-00261 was generated

to document the issue. Investigation

found that the RHR pumps have not been overhauled

using this procedure, but rather in the past the vendor manual had been used with the vendor present on site. Additionally,

PY-CEI/NRR-2959L

Attachment

I Page 2 of 11 the procedure

will be reviewed against the vendor manual to verify that no other omission exists.The upgraded procedures

have been categorized

into four (4) groups, with prioritization

based on frequency

of use, scheduled

use, and document change request feedback received from users. The procedures

will be reviewed for adequacy, starting with Group 1 and progressing

through Group 4 (lowest priority).

GMI-0050 is scheduled

to be updated under Group 4 since it is utilized in a forced or refueling

outage. It will not be used until it is updated.In regards to the administrative

errors that were found in the upgraded maintenance

procedures (e.g., typographical

errors, inconsistent

formatting, missing references, etc.), FENOC has generated

CR 06-00418 to address the issue. This CR will collectively

address the issue and capture the lessons-leamed

as well as address the necessary

re-verification

and revalidation

of the upgraded maintenance

procedures.

Corrective

Action 06-00418-02

was developed

to track the Maintenance

Department

re-review

of the 119 procedures

to correct the following

potential discrepancies:

Typographical

errors Formatting

inconsistencies

Proper step sequencing

Redundant

steps Deficient

direction Faulty references

Missing technical

Information

Proper use/identification

of critical steps Additional

resources

are being brought in to help complete the reviews.Discrepancies

identified

during the review process will be documented

via the Corrective

Action Program and addressed, as required, to support procedure

use/plant

operation/scheduled

maintenance

activities.

Overall results of the review will be documented

in the closure of Corrective

Action 06-00418-02.

2. 3.1.b.2, Identification

of Missing "Critical" Procedure

Step Designation, states: The inspectors

identified

numerous maintenance

procedure

steps that warranted identification

as critical steps in these procedures, but had not been properly identified

as such. Specific examples included:* CMI-0016, "Division

I and 11 Emergency

Diesel Generator

Starting Air Valve Repair," Revision 3, did not identify measurement

and evaluation

of cap bore and piston diameter as a critical step although an Improper clearance

could result in a failure of the emergency

diesel generator

to start.* PMI-0040, "Division

IlIl Air Start Motor Maintenance," Revision 4, did not identify a rotation check of the air starter during air start motor reassembly

as a critical step although improper rotation could result in damage to the component

or a slow start.

PY-CEI/NRR-2959L

Attachment

I Page 3 of 11* GMI-0002, "Maintenance

of the Control Rod Drive Pumps," Revision 2, did not identify the measurement

of run out clearances

as a critical step although improper clearances

could lead to premature

bearing failure.MAI-0507 also prescribed

that if possible, Critical Steps should be identified

and mitigated

by using one of the following

methods:* Add a step for breakpoint

review.* Add independent

verification.

  • Add a step for peer-check.
  • Add a step to contact the supervisor.
  • Add a step to contact the Control Room to verify a condition

before continuing

to the next action.However, contrary to MAI-0507, no examples of mitigation

strategies

for critical steps could be found in any of the revised procedures.

These mitigation

strategies

were intended to provide additional

assurance

of proper step completion.

Follow up discussions

with work management

personnel

indicated

that these strategies

were intended to be added during the work package development

process. However, only one example was identified

in which a mitigation

strategy was included with a work order containing

a critical step. The inspectors

concluded

that the licensee had not adequately

implemented

this procedural

requirement.

However, since the inspectors

did not identify any instance where the omission of a mitigating

strategy had resulted in improper procedure

implementation, the inspectors

concluded

the issue was of only minor significance.

FENOC RESPONSE: FENOC acknowledges

that inconsistencies

exist in application

of the critical steps in the upgraded maintenance

procedures.

When this issue was identified, several condition

reports were generated

to document the issues (i.e., CR 06-00181, 06-00276 and 06-00418).

Condition

Report 06-00418 documents

the investigation

summary and provides the corrective

action to address the issue going forward. Since the CR was generated, MAI-0507,"Maintenance

Procedures

Writer's Guide," has been superseded

by a new technical

procedure

guide PAP-0500, "Perry Technical

Procedure

Writer's Guide," Revision 0, that provides improved guidance for mitigation

and application

of critical steps.The investigation

found that the inconsistencies

in the application

of the critical steps in the upgraded maintenance

procedures

were due to less than adequate oversight

and participation

by Perry personnel

during the procedure

upgrade process. The initial maintenance

procedure

upgrade project was mainly supported

by outside contract personnel

utilizing

a format obtained from another site that did not meet FENOC standards.

Additionally, when the maintenance

procedure

upgrade project was initiated

in late 2004, the maintenance

procedure

writers guide, MAI-0507 was not issued yet, which contributed

to the issue.

PY-CEI/NRR-2959L

Attachment

1 Page 4 of 11 As a result of the issues discussed

above, the upgraded maintenance

procedures

will be reviewed for the consistent

application

of critical steps, formatting

and consistency.

Corrective

actions will be taken to address issues found during the reviews. As stated above, this action is being tracked as CA 06-00418-02.

3. 3.1.b.3, Weaknesses

in the use of Placekeeping

Tools and Human Factoring, states: The inspectors

confirmed

that the licensee added placekeeping

blocks to the revised procedures

and had reformatted

the procedures

to address human factoring considerations.

The inspectors

supplemented

this review with in-field observations

of the implementation

of the revised maintenance

procedures.

The inspectors

noted performance

of one procedure

with improper use of placekeeping

techniques:

  • During hydramotor

work, the inspectors

noted that technicians

performed multiple steps in rapid succession

without using proper placekeeping.

  • In the same procedure, the technicians

performed

several steps multiple times without using peacekeeping

for each Performance

of the step. By procedure, a step may be performed

multiple times, but each Performance

requires separate placekeeping.

In addition, the inspectors

noted multiple instances

of poorly worded steps that hampered the maintenance

worker's ability to successfully

complete the procedure.

For example:* The inspectors

observed the performance

of a motor-operated

valve (MOV)maintenance

activity.

Although the maintenance

procedure

utilized for this activity had been previously

performed

more than 100 times on other valves, the workers stopped several times to obtain clarification

on the requirements

of the procedure.

  • The inspectors

reviewed a completed

work package that utilized maintenance

procedure

GEI-0009, "ABB Low Voltage Power Circuit Breaker Types K-600 and K-600S Through K-3000 and K-3000S Maintenance." The inspectors

identified

that workers had incorrectly

N/A'd a section of the procedure.

The inspectors

noted that the procedural

directions

regarding

performance

of that section of the procedure

were unclear. (Section b.4)The inspectors

observed the performance

of maintenance

procedure

ICI-B12-001,"ITT NH90 Series Milliampere

Proportional/On-Off

Hydramotor

Actuator Calibration." During implementation

of the procedure, maintenance

workers failed to remove all required access covers to the hydramotor.

The inspectors

noted that the procedure did not specifically

identify the covers to be removed. (Section b.5)FENOC RESPONSE: The issue with improper use of peacekeeping

during the hydramotor

work activity is addressed

in Item 5 below. This observation

was noted during calibration

check of a Division IlIl EDG Exhaust Air Damper using procedure ICI-B12-0001, -ITT NH90 Series Millampere

Proportional/On-Off

Hydramotor

Actuator Calibration" and is being addressed

in CR 06-01765.

PY-CEI/NRR-2959L

Attachment

1 Page 5 of 1 1 The issue with poorly worded steps in the maintenance

procedure

that hampered the maintenance

workers ability to complete the MOV maintenance

procedure

is related to the issue raised in Item 2 above. This issue is being addressed

as part of CR 06-00418.The issue with incorrect

use of "N/A" during the performance

of maintenance

activity for ABB low voltage circuit breakers is addressed

in Item 4 below.This issue was observed during the review of completed

maintenance

work package that utilized maintenance

procedure

GEI-0009, ABB Low Voltage Power Circuit Breaker Types K-600 and K-600S Through K-3000 and K-3000S Maintenance" and is being addressed

in CR 06-00283.4. (a) 3.1.b.4, Inappropriate

Use of Not Applicable (N/A) in Procedure

Steps, states: The inspectors

identified

that many of the revised maintenance

procedures

applied to multiple different

styles of components.

As a result, these procedures

required that maintenance

workers determine

the applicable

steps of the procedure

to be performed

since all steps may not apply to a particular

component.

When a step was not performed, the worker would mark the step N/A [not applicable].

Based on the procedures

reviewed, the inspectors

concluded

that the typical number of N/As required during the implementation

of a procedure

represented

a potential

human performance

trap. During the inspection, the inspectors

identified

the following specific example in which a procedure

step was inappropriately

N/A'd for which the Enforcement

section is restated here for the example "Failure to Perform Required Steps Prescribed

by Procedure

GEI-0009".

Enforcement:

Technical

Specification

5.4, "Procedures," required, in part, that written procedures

be implemented

covering applicable

procedures

recommended

by Regulatory

Guide 1.33, "Quality Assurance

Program Requirements (Operation),"Revision

2, dated February 1978. Regulatory

Guide 1.33, Appendix A, paragraph 9a, stated, "Maintenance

that can affect the performance

of safety-related

equipment should be properly pre-planned

and performed

in accordance

with written procedures, documented

instructions, or drawings appropriate

to the circumstances." Contrary to this requirement, on January 19, 2006 [it was determined

that], licensee personnel

failed to perform required steps in procedure

GEI-0009, "ABB Low Voltage Power Circuit Breaker Types K-600 & K-600S Through K-3000 & K-3000S Maintenance," Revision 17. Specifically, licensee personnel

failed to perform minimum operating

voltage testing on the safety-related

EF1A05 breaker that provided power to Division I Motor Control Center (MCC), Switchgear (SWGR), and Battery Room Supply Fan A. However, because of the very low safety significance

and because the issue has been entered into the licensee's

corrective

action program (CR 06-00283), the issue is being treated as a non-cited

violation (NCV)consistent

with Section VI.A. 1 of the NRC Enforcement

Policy (NCV 05000440/2006007-01).

FENOC RESPONSE: During a review of work order (WO) 200038182, the NRC inspector

identified

that step 5.2.3, 'Minimum Operating

Voltage and Anti-Pump

Verification," of procedure

GEI-0009, "ABB Low Voltage Power Circuit Breaker Types K-600& K-600S through K-3000 & K-3000S Maintenance," was marked N/A and not performed

during the voltage testing of the non-safety

related breaker that provides power to the condensate

transfer pump A. When the issue

PY-CEI/NRR-2959L

Attachment

1 Page 6 of 11 was raised during the inspection, CR 06-00283 was written to document and to investigate

the issue, The investigation

revealed that step 5.2.3 of GEl-0009 was incorrectly

marked N/A and not performed

as required.

The anti-pump functional

verification

was performed

by a subsequent

step within the procedure.

Step 5.16, "Breaker Anti-Pump," requires that the functionality

of the breaker be verified before it is restored to an operable condition.

From an equipment

perspective, the anti-pump

feature on the breaker was verified to be acceptable

before it was installed

and placed in service. There are no hardware issues associated

with this breaker pertaining

to the NA'd step 5.2.3. The maintenance

work performed

on this breaker satisfied

the purpose of procedure

GEI-0009 yet, as stated above, was not performed

in full compliance

with the requirements.

The breaker was installed

and placed in service on September

9, 2005 and there have not been any operational

issues since that time. This breaker is presently

scheduled

for refurbishment

in June 2006 (with a maximum due date of June 2007). Additionally, an immediate

investigation

was performed

to determine

if any other safety related, electrically

operated breakers had been installed

during 2005 without verification

of their anti-pump

feature. The investigation

determined

that the safety-related

breakers overhauled

during 2005 adequately

met the steps 5.2.3 and 5.16 of procedure

GEI-0009 for proper breaker operation.

Individual

performance

issues associated

with this condition

were referred to line management

for appropriate

actions in accordance

with the FENOC Performance

Management

System.It is noted that for the safety related breaker that provides power to the division 1 motor control center (MCC), switchgear (SWGR) and battery room supply fan A, step 5.2.3 was left blank on the data sheet. However, since this breaker failed as-found, CR 05-04796 was written and the replacement

breaker function was verified as acceptable.(b) 3.1.b.4, In addition to this example, the inspectors

observed a nonsafety-related

air-operated

valve (AOV) rebuild activity during which maintenance

workers improperly

N/A'd a step that prescribed

a valve stem inspection.

FENOC RESPONSE: During performance

of changing the packing for feedwater

heater drain valve, I N25F0290A, step 5.3.2 of the valve packing instruction

per procedure

GMI-0061,"Valve

Packing Instruction," was marked not applicable (N/A). The step states: "IF damage is found, THEN DETERMINE

where information

is available

in Valveman Data Program or Order." The Valveman datasheet

provides the information

that addresses

the packing configuration

to be used. This step was incorrectly

marked N/A while it was applicable.

Step 5.3.2 was subsequently

performed

satisfactorily.

This issue was documented

in CR 06-00269.

The investigation

revealed that the individuals, although qualified

to perform the task, had not performed

the task regularly.

Since the procedure

was of a new format, the individuals

misunderstood

the steps and requirements

of the datasheet.

The use of training along with the procedure

provides the individuals

with sufficient

information

needed to perform the task. Had the individuals

PY-CEI/NRR-2959L

Attachment

I Page 7 of 1 1 followed the procedure

they would have discovered

the data was contained in the Valveman data package. This was a human performance

issue rather than a procedure

deficiency.

Individual

performance

issues associated

with this condition

were referred to line management

for appropriate

actions in accordance

with the FENOC Performance

Management

System.Elimination

of human performance

issues, including "procedure

traps," has been given a high priority.

The Maintenance

Training Review Committee (TRC) is tracking actions for the maintenance

organization

to complete"Procedure

Use And Adherence" classroom

and laboratory

training.

At the end of March, 2006, the classroom

portion had been completed

by all maintenance

supervisors

and worker personnel.

Laboratory

practical training has been captured as an action that is scheduled

to be completed next. The lesson material specifically

includes training on "when procedure steps do not apply." 5. 3.1.b.5, Failure to Perform Required Steps Prescribed

by Procedure

ICI-B12-0001, states: Technical

Specification

5.4, "Procedures," required, in part, that written procedures

be implemented

covering applicable

procedures

recommended

by Regulatory

Guide 1.33, "Quality Assurance

Program Requirements (Operation),"Revision

2, dated February 1978. Regulatory

Guide 1.33, Appendix A, paragraph 9a, stated, "Maintenance

that can affect the performance

of safety-related

equipment should be properly pre-planned

and performed

in accordance

with written procedures, documented

instructions, or drawings appropriate

to the circumstances." Contrary to this requirement, on January 10, 2006, during a calibration

check of a Division IlIl EDG Exhaust Air Damper, licensee personnel

failed to perform required steps prescribed

by procedure

ICI-B12-0001, "ITT NH90 Series Milliampere

Proportional/On-Off

Hydramotor

Actuator Calibration," Revision 4. However, because of the very low safety significance

and because the issue has been entered into the licensee's

corrective

action program (CR 06-00125), the issue is being treated as a non-cited

violation (NCV) consistent

with Section VI.A. 1 of the NRC Enforcement

Policy (NCV 05000440/2006007-02).

FENOC RESPONSE: On January 10, 2006, the NRC inspector

observed the implementation

of upgraded maintenance

procedure

ICI-B12-0001, 'ITT NH90 Series Milliampere

Proportional/On-Off

Hydramotor

Actuator Calibration," Revision 4, during a calibration

check of a Division IlIl Emergency

Diesel Generator Exhaust Air Damper Hydramotor.

This procedure

was categorized

as Step-by-Step Use and in accordance

with procedure

NOP-LP-2601, 'Procedure

Use and Adherence." During the performance

of ICI-B12-0001, several instances

were identified

where procedure

adherence

was not followed in accordance

with NOP-LP-2601.

As discussed

in the NRC inspection

report:* Step 5.9.2 of ICI-B12-0001

directed the user to verify the subject hydramotor

had been full-stroke

cycled a minimum of five times.Although procedure

steps which prescribe

this type of verification

permit the re-positioning

of plant components, in accordance

with

PY-CEI/NRR-2959L

Attachment

I Page 8 of I1 NOP-LP-2601, these actions must be specifically

authorized

by plant procedures.

In this case, and as observed by the inspectors, although this guidance did not exist, personnel

performed

future procedure

steps out-of-sequence

in order to accomplish

Step 5.9.2.* Step 5.9.3 of ICI-B12-0001

directed that screw-on covers be removed to support testing. In this case, personnel

failed to remove the necessary

covers to continue with the proper testing.* Step 5.9.4 of ICI-B12-0001

directed the connection

of a multi-meter

to a limit switch in accordance

with Attachment

7, Figure 1. Contrary to this, personnel

connected

the multi-meter

in accordance

with Attachment

10 and continued

with the calibration

check. This error was identified

by the inspectors

observing

the test when conflicts were discovered

at a later procedure

step.* Steps 5.9.5 through 5.9.9 of ICI-B12-0001

directed the manipulation

of the hydramotor

actuator for verification

and recording

of proper valve seating and stem travel. Contrary to procedure

use guidance, personnel

did not complete these steps via the read-then-perform

approach.

Additionally, NOP-LP-2601

directed that repeated steps shall be provided with "separate

documentation" and "peacekeeping

on the steps". These steps were repeated to satisfy the requirements

of Step 5.9.2 without separate documentation

and placekeeping

annotation.

  • Step 5.9.10, 5.9.10.a and 5.9.10.b of ICI-B12-0001

directed the connection

of a multi-meter

to position switches followed by actuator manipulation

until such switches actuate. Contrary to procedure

use guidance, steps were marked as complete concurrently

without verifying

individually

that each step had been completed.

As part of the immediate

corrective

action, personnel

stopped the work activity and revised ICI-B12-0001

to clarify the requirements

in Section 5.9 of the procedure.

A second attempt was made to calibrate

the hydramotor, but the procedure

needed another revision to the steps. The procedure

category was also revised from 'Step-by-Step" to "In-Field

Reference," a more appropriate

category for this procedure.

Upon completion

of the second procedure

revision, the calibration

was completed

satisfactorily

and the hydramotor

was returned to service.Condition

reports 06-00125 and 06-01765 address the above inspection

report issues as follows: The first example of Step 5.9.2 of ICI-B12-0001

directed the user to verify that the hydramotor

had been run through full stroke at least five times. Per NOP-LP-2601, the performer

is allowed to reposition

this hydramotor

if authorized

by plant procedures.

The approval to stroke this valve was authorized

by the order which was released by operations

to allow calibration

of the hydramotor.

Note: The act of stroking the hydramotor

is a skill that is obtained by a qualified

technician

during their on-the-job

training/task

performance

evaluation (OJT/TPE)

training.

PY-CEI/NRR-2959L

Attachment

I Page 9 of I1 Step 5.9.3 of ICI-B12-0001

directed the removal of control and electrical

screw on covers for the PCD actuator.

The technicians

were working to calibrate

the position limit switches instead of the travel limit switch so the correct cover was not removed. The technician

made an error in not removing all of the covers needed for this calibration.

Step 5.9.4 of ICI-B12-0001

directed the connection

of a multi-meter

to an actuator travel limit switch shown on attachment

7, but went to attachment

10 (this issue was addressed

solely by CR 06-00125).

The error was failure to follow the procedure.

The procedures

were revised, the calibration

completed, the hydramotor

was returned to service, and the potential

limiting condition

for operation (PLCO) cleared.Steps 5.9.5 through 5.9.9 of ICI-B12-0001

directed the manipulation

of the hydramotor

actuator for verification

and recording

of proper valve seating and stem travel. The steps were all performed

and then signed off which violates procedure

NOP-LP-2601

for use of a step-by-step

procedure.

Also, as the steps were repeated, the technicians

failed to provide the separate documentation

and placekeeping

as required by NOP-LP-2601.

Although this may be accomplished

by different

methods, the performers

must follow the procedure

requirements.

These were human performance

errors.Steps 5.9.10, 5.9.10a, and 5.9.10b of ICI-B12-0001

directed the connection

of a multi-meter

to position switches followed by actuator manipulation

until such switches actuate. The steps were performed

concurrently

and then signed off after completed

which is contrary to the requirements

of NOP-LP-2601 for a Step-by-Step

procedure.

The roll-up of these issues again emphasizes

the failure to follow proper procedure

use and adherence

expectations.

This issue was addressed

in CR-06-00125.

I&C, Electrical, Mechanical

and Services sections of Maintenance

have completed

a procedure

use and adherence

class. The requirements

and the expectations

for procedure

use and adherence

were emphasized

during the class.As discussed

above, procedure

adherence

and quality of the procedure contributed

to this issue. Corrective

actions were taken in accordance

with the FENOC Performance

Management

Process.6. 3.2, Commitment

Item 1.b/DAMP Item B2.2.3.2, states: The inspectors

concluded that NQI-1001, Revision 5, appropriately

incorporated

the consideration

of failure history, risk significance, and failure probability

in assigning

QC inspection

hold points. However, the inspectors

identified

that the methods Identified

and in use did not take full advantage

of all site programs.

In particular, the procedure

did not prescribe

the review of the maintenance

rule database, which collects pertinent component

failure data, nor did it integrate

the probabilistic

risk assessment (PRA)model, which provides component-specific

risk information.

PY-CEI/NRR-2959L

Attachment

1 Page 10 of II FENOC RESPONSE: To address the above observations, CR 06-00366 was generated.

It should be noted that NQI- I001 was superseded

by Nuclear Operating

Procedure NOP-LP-2018, "Quality Control Inspection

of Maintenance

and Modification

Activities," on December 19, 2005. The CR investigation

was focused on addressing

the following

enhancement

actions to procedure

NOP-LP-2018:

  • Assignment

of hold/witness

points to procedure

steps that are identified

as "critical

steps."* Use of Probabilistic

Safety Assessment (PSA) risk significance

for component

level equipment

and non-safety

risk significance

equipment.

  • Use of Maintenance

Rule database for the identification

of repeat failure items for potential

assignment

of hold/witness

points.The investigation

determined

that use of the Maintenance

Rule database as a means to identify additional

QC hold/witness

points is not an optimum method. Since the condition

reports drive the maintenance

rule evaluation

through the corrective

actions, historical

failure data can be obtained through the review of condition

reports for those components

that are considered

to be a maintenance

rule failure. Therefore, historical

data from the condition reporting

system will be used for the identification

of repeat failures items for potential

assignment

of hold/witness

points.The following

enhancements

were added to procedure

NOP-LP-2018:

  • Use of pre-established "Critical

Steps" as a factor when assigning

QC Hold/Witness

points.* Use of risk significance

assessment

tool at a component

level as a factor when assigning

Hold/Witness

points.* Use of Risk Significance (PSA), Maintenance

Rule, Critical Components, and Maintenance

Modifications

as factors that the QC supervisor

will utilize when assigning

process monitoring.

SECTION 5.0 TRAINING 5.3, Review of Human Performance

Tools to Reinforce

Human Performance

Under Stress, states: While observing

the rebuild of a fire protection

deluge valve, a procedure

step in the work package required the inspection

of valve internals

to evaluate the condition

of the valve, including

the condition

of internal moving parts.When questioned

about the presence of moving parts, licensee personnel

were unsure if the valve contained

moving parts. Despite this lack of knowledge, licensee personnel

signed off the step as complete.

Upon further review, the inspectors

determined

that the work package was incorrect

and referenced

a section of the technical

manual for a valve that contained

moving parts although the valve inspected

did not contain moving parts.However, since this error had no actual adverse impact on the deluge valve inspection

results, the inspectors

concluded

the issue was of only minor significance.

PY-CEI/NRR-2959L

Attachment

1 Page 11 of 11 FENOC RESPONSE: To address the above observation, FENOC generated

CRs 06-00178 and 06-01764.

CR 06-00178 investigated

the issue concerning

the communication

that took place between the inspector

and responsible

system engineer (RSE) during inspection

of the fire protection

deluge valve.The inspector

questioned

what moving parts were inspected

for the valve in accordance

with the work order and whether a vendor manual was reviewed during the valve inspection.

The RSE's initial response was that the valve did not have the same spring arrangement

like the other valves being inspected.

This was confirmed

by the maintenance

personnel

during the inspection.

The proper response should have been that the valve flapper was inspected

during the valve internal inspection

and there was no spring arrangement

for this particular

valve model. This communication

issue was subsequently

clarified

with the inspector.

The investigation

determined

that the initial response by the RSE to the inspectors

question was not clearly communicated.

Condition

report 06-01764 investigated

the issue with potential

for lack of knowledge

and incorrect

work package. During the initial inspection

of the deluge valve, the RSE examined the valve internals

to include flapper, seating surfaces, and body conditions.

After inspection

of the valve, the RSE confirmed

by way of the maintenance

personnel

that this model valve did not have a spring. When questioned

by the inspector

as to what moving parts were inspected, the RSE identified

that the internals

and seating surface were inspected.

The RSE went on to explain that this model did not contain a spring. The inspector

asked if the vendor manual had been reviewed.

The RSE responded

no (note that this was the fourth deluge valve inspected

by the RSE with some models containing

the spring while others do not). In the subsequent

meeting with the inspector, the RSE was more precise in specifically

identifying

that the flapper (moving part) was inspected

and indicated

that he had a conversation

with the mechanic regarding

this particular

model not having a spring. The inspector

was not aware of the conversation

between the RSE and the maintenance

personnel

during the inspection.

The work order package issue was associated

with one of the two models with the manual/drawing (model without spring) not being in the package. The order was for the inspection

of multiple deluge valves that consisted

of both models. The SAP data for the valve being inspected

at the time of this event did not identify the valve correctly

and the proper vendor manual section/drawing

was not provided.

The package only contained

a vendor manual/drawing

of the model with a spring. This oversight

was corrected

by adding the appropriate

manual section/drawing

to the package and changing the SAP data base model number. Therefore, this issue is not a result of lack of RSE knowledge, but rather less than effective communications

and an issue with the work package.