IR 05000482/1998013: Difference between revisions

From kanterella
Jump to navigation Jump to search
(StriderTol Bot change)
(StriderTol Bot change)
 
Line 1: Line 1:
{{Adams
{{Adams
| number = ML20236S393
| number = ML20249A035
| issue date = 07/20/1998
| issue date = 06/12/1998
| title = Ack Receipt of Informing NRC of Steps Taken to Correct Violations Noted in Insp Rept 50-482/98-13.Reply Responsive to Concerns Raised in NOV Concerning Clearance Order Violation
| title = Insp Rept 50-482/98-13 on 980419-0530.Violations Noted.Major Areas Inspected:Operations,Maint,Engineering & Plant Support
| author name = Johnson W
| author name =  
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
| addressee name = Maynard O
| addressee name =  
| addressee affiliation = WOLF CREEK NUCLEAR OPERATING CORP.
| addressee affiliation =  
| docket = 05000482
| docket = 05000482
| license number =  
| license number =  
| contact person =  
| contact person =  
| document report number = 50-482-98-13, NUDOCS 9807240304
| document report number = 50-482-98-13, NUDOCS 9806150344
| title reference date = 07-07-1998
| package number = ML20249A033
| document type = CORRESPONDENCE-LETTERS, OUTGOING CORRESPONDENCE
| document type = INSPECTION REPORT, NRC-GENERATED, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 5
| page count = 16
}}
}}


Line 19: Line 19:


=Text=
=Text=
{{#Wiki_filter:________________ _____ - - - _ _
{{#Wiki_filter:,
      . e g*.s u%    UNITED STATES p  .4    NUCLEAR REGULATORY COMMISSION
l l
      $      REGION IV l
.
k'+,
I ENCLOSURE 2 l
      ...++
U.S. NUCLEAR REGULATORY COMMISSION l  REG;ON IV
      /[    611 RYAN PLAZA DRIVE, SUITE 400 AR LINGTON, T E XAS 76011-8064 JUL 201998 Otto L. Maynard, President and Chief Executive Officer Wolf Creek Nuclear Operating Corporation P.O. Box 411 Burlington, Kansas 66839 SUBJECT: NRC INSPECTION REPORT 50-482/98-13
:
l Docket No.: 50-482


==Dear Mr. Maynard:==
; License No.: NPF-42 Report No.: 50-482/98-13 l
Thank you for your letter of July 7,1998, in response to our June 12,1998, letter and Notice of
Licensee: Wolf Creek Nuclear Operating Corporation Facility: Wolf Creek Generating Station
'
Violation concerning two examples of failure to properly implement your clearance order l
procedure and one instance of failing to perform an unreviewed safety question determination regarding a modification to the postaccident sampling system. We have reviewed your reply and find it responsive to the concerns raised in our Notice of Violation with regard to the clearance oraer viobtion. We will review the implementation of your corrective actions for this violation during a future inspection to determine that full compliance has been achieved and will be maintained.
 
l With regard to the second violation, your response of July 7 did not indicate that an unreviewed safety question determination had been performed. On July 16, a telephone conversation was conducted between D. N. Graves of NRC and A. Harris of your staff, during which Mr. Harris stated that an unreviewed safety question determination had not yet been performed due to ongoing discussions with the Office of Nuclear Reactor Regulation regarding the modification to the postacddent sampling system. Mr. Harris also stated that an unreviewed safety question determination would be conducted with a completion date not later than August 28,1998. If your understanding of this commitroent is different from that stated in this letter, please contact us. We will continue to review your proposed corrective actions for this violation.
 
Sincerely,
%    !%
f W. D.LJohnson, Chief Project Branch B Division of Reactor Projects Docket No.: 50-482 License No.: NPF-42 9907240304 990720    F PDR ADOCK 05000482  h G    PDR  [
_ _ _ _ _ - _ _ _ _ - _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  . _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
 
- - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -_ _ . - _ _ _ _
!
. .
 
Wolf Creek Nuclear Operating Corporation -2-
-
I I
cc:
Chief Operating Officer l Wolf Creek Nuclear Operating Corp.
 
P.O. Box 411 Burlington, Kansas 66839 l Jay Silberg, Esq.
 
Shaw, Pittman, Potts & Trowbridge 2300 N Street, NW
. Washington, D.C. 20037 l
Supervisor Licensing Wolf Creek Nuclear Operating' Corp.
 
P.O. Box 411 '
l Burlington, Kansas 66839 Chief Engineer
 
Utilities Division Kansas Corporation Commission 1500 SW Arrowhead Rd.
 
Topeka, Kansas 66604-4027 Office of the Governor State of Kansas Topeka, Kansas 66612 l
l Attorney General l' Judicial Center l 301 S.W.10th ll 2nd Floor
. Topeka, Kansas 66612-1597 County Clerk    )
, Coffey County Courthouse  !
! Burlington, Kansas 66839-1798  I i Vick L. Cooper, Chief I. Radiation Control Program  j l; Kansas Department of Health L,  and Environment Bureau of Air and Radiation  1 Forbes Field Building 283 Topeka, Kansas 66620    !
!      i l
'
t I
E .. .. -
j
 
_ . - - - _ _ _ _ - - _ - - - - _ - _ _ . - - _ - - _ _ _ _ ,
. .
f i
Wolf Creek Nuclear Operating Corporation -3-t l
i
        '
Mr. Frank Moussa I
Division of Emergency Preparedness 2800 SW Topeka Blvd Topeka, Kansas 66611-1287 i
I
        !
l
        !
        !
I
        !
l (
l
!
!
Location: 1550 Oxen Lane, NE Burlington, Kansas Dates: April 19 through May 30,1998 Inspectors: J. F. Ringwald, Senior Resident inspector B. A. Smalldridge, Resident inspector Approved By: W. D. Johnson, Chief, Project Branch B ATTACHMENT: Supplemental Information
!
!
!
!
:
I l
9906150344 990612 PDR ADOCK 05000492
; 9  PM
<


_-. - . - - - _ _ - - _ - _ - _ _ - - - - - - -
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ - _ _ _ _ _ _ _ - _ _ _ -
        .
  '
          - - _ - - _ _ - _ _ _ _ _ _ _ . _ _ _ ,
    . .
Wolf Creek Nuclear Operating Corporation  ~-4-Jlt 201998
  ,
bec to DCD (IE01)
    - bec distrib. by RIV: .
Regional Administrator-    Resident inspector DRP Director    SRI (Callaway, RIV)
Branch Chief (DRP/B)    DRS-PSB Project Engincar (DRP/B)    MIS System Branch Chief (DRP/TSS)    RIV File .
l
l
              )
l DOCUMENT NAME: R:\_WC\WC813AK.JFR To recolve copy of -i-; J ./, indicate in box: "C" = Copy without enclosures "E" = Copy with enclosures "N" = No copy RIV:PE:DRP/B[L C:DRP/B[  l DNGraves:df" /f]"  WDJohnspri 7/ @ 98  7W9F OFFICIAL RECORD COPY
_ _ _ _ _ _ - - _ _ _ _ _ _ _ _ _ _ - - _ _ . - - _ - -      _    _ u
  .. _ _ - _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - _ _  __ _ __ _ _ __ _
w .
y Wolf Creek Nuclear Operating Corporation      -4-JUL 201998 b%1 bec distrib. by RIV:
Regional Administrator        Resident inspector DRP Director        SRI (Callaway, RIV)
Branch Chief (DRP/B)        DRS-PSB Project Engineer (DRP/B)        MIS System -
Branch Chief (DRP/TSS)        RIV File
:
DOCUMENT NAME: R:\_WC\WC813AK.JFR l To receive copy of doqipment, indicate in box:"C" = Copy without enclosures "E" = Copy with enclosures "N" = No copy
'
RIV:PE:DRP/B[ // , C:DRP/B(      l    l ,
            '
DNGraves;df /77 WDJohnstfb
  "
7/W/98  7/ W 9 F OFFICIAL RECORD COPY 2400E3 L
__    . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ - _ _ _-_
  .
  .
,
EXECUTIVE SUMMARY Wolf Creek Genersting Station NRC Inspection Report 50-482/98-13 Ooerations
  .
  .
  .
W9L'  CREE (
Good operator attention to detail led to prompt identification and termination of an inadvertent reactor coolant system leak which occurred following a malfunction of the postaccident sampling system. The operators noticed that the reactor coolant drain tank level increased and the volume control tank level decreased at a rate higher than expected and this prompted an effective evaluation that identified and stopped the leak (Section 01.1).
    'UCLEAR CPERATING CORPORATION aos ~ s '
Otto Presioent and Chief Executwe Officer JUL 7 1998 WM 9s-0069 U. 5. Duclear Regulatcry Ccamission ATTU: Document Contrcl Desk Mail Station F1-137 sashington, D. C. 20555 keference: .stter u a te ct J;ne 12, 1999, fr:m W.      D. 7annson,
  :RC, 10 0 -. :!aynard, WCMOC Subject: '
Ocket .3. 13-487.: r esponse to Motice of irlations M-t A2 / 4813-01 and :4913-02 (EA *9-273)
Gentlemen:
This letter transmits 101: creek Muclear vperating Cw potat.on'n          t.WCMOC )
response to Motice or  1;1ati:nc '.0-492/9913-01 and 9313-4.i      i rlat : nn ') A 13-01 identified two examcles of f ailure to follcw the clearar ce        :cer p;ocedure.


The second violatica  EA 38-273/9813-02) is related to WCNOC's identifying that we have been ;nable to pertorm certain post-accident sample system analysis within the alletted time and as sucn mace a ce acto change to che facility without a safety evaluation.
.
 
Two audit reports contained executive summary conclusions that generally agreed with the assessments described in the audit reports, but also contained notable deficiencie The reports did not clearly and consistently present all audit activities and conclusion One executive summary conclusion could not be supported by the assessment and one report described two weaknesses without describing adequate corrective actions (Section O7.1).
WCNOC's Jesponse to these c:.c.aticns is proviced in the attachment. MCNOC nas also proviced ccmments On certain issues dis ussed in the report.        If you have any questions regarding this response, please contact te at ;316) 164-8831, extension 4000, or Mr.  :1chae. J. Angus at extension 4077 Very truly you m
        ,,5    la w/
          ~
            / $$ y/f( f Otto L. Maynard 'f GLM/r1r Attachment l cc: W. D. Johnson (NRC), w/a l  # E;: W.;Merschoff 1NRC)/ W/a4 l  J. F. Ringwald (::RC I , w/a              j K. M. Thomas (MRC), w/a l
0 b ' l]$ A


P.O. Sex 411/ Burhngton. KS 66839 / Phone: (316) 364-8831 An Eaual Oppcuny Empoyer M F/HCNET M nnnI. I n NW?_Y___T *_ _ _ _ _ _ -]_ -    - _ - _ - _ - _ _ _ - - _ - - - - _ _ _ - - . . - - _ - - - - - - _ - _    ------__-__--____-_-----------_-_-----------a
. Contrary to the requirements of the clearance order procedure and Technical Specification 6.8.1.a two clearance orders relied on administrative controls outside of the clearance order to provide personnel and equipment protection. The cause of this violation was procedural noncompliance (Section O8.1).


- - _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _    _ - - _ - - _ - _ . _ -- __
Maintenance
'
          ,
  .
  .
  .
    '
The material condition of those plant systems and components evaluated during this inspection period was good, with few equipment deficiencies (Section M2.1). l
  ,  Atta5nment to WM 99-0069 Page _ of 9
  . Maintenance department management and supervisory oversight for the removal and replacement of the air oil pump on Main Steam Isolation Valve AB HV0011 was not    1 effective for work on a safety-system component that invoked a short duration Technical     l Specification action statement. As a result of delays which could have been minimized    I or prevented, the operations department came within 4 minutes of exceeding the 4-hour time limit allowed by limiting conditions for operation, which would have required a forced    ,
\ .
l shutdown of the reactor (Section M6.1).
Resoonse to Violation 50-482/9813-01 Violation 50-402/9813-01:
     "Tecnnical Specification   t.5.". 2 recuires, in part, tnat written procedure be established, implemented, anc maintained covering :he applicable procedures recommended in Appendix A cf Pegulatory Guide 1.33, Revision 2, February 1976.


Pegulatory Guide 1.33, :evisicn 2, February 1979, 2ection 1.C,
. The licensee responded appropriately to a work package planning vulnerability which had increased the potential for human error (Section M6.2).
      .
recommends, in part, that procedures be estaclisnea for equipment control.


Procedure AP 21E, " Clearance Orders," Revision 7, Section 6.1.2.1.h, prohibits clearance crders from relying :. n other plant activities for establishing system configurations.
Enginsving
.
The licensee responded appropriately to numerous loose parts monitor alarms, apparently caused by incore thimble movement (Section E1.1).


Contrary to the above, 1. On March  17, 19 M , electricians removed creaker !JG001 AGF1 while Clearance Order 99-0250-EF relied on Procedure MGE EOOP-11 to establish isolation of the breaker from the bus, and 2. On April  15, 1999, ele ct rici ar.s removed 3reaker NG001ACR2 while Clearance Order M-:317-EJ relied en Procecure MGE ECOP-21 to establish isolation of the creater fr00 the bus.
u          j


This is a Severity Level :V nolation (Supplement 1.   (50-482/9813-01)"
.
Description of Event:
.
On March .17, 1998, Wolf creek !:aclear Operating Corporation ( ActJOC) craft personnel were replacing 480 volt molded case circuit breakr.r NG001AGF1.
    -2-
,
.
'The shift supervisor declared a main steam isolation valve operable with an identified
  - deficient condition that was expected to reduce the valve's service life and increase the probability of imminent valve failure. Engineering personnel acknowledged, but did not bound the expected reduction in the valve's service life. A subsequent failed bench test
        '
of the leaking pump demonstrated the concem regarding the decreased service life of the pump. ' The licensee's subsequent actions to declare the valve inoperable within 3 hours for rework was appropriate (Section E1.2).


While a craft person was terminating a wire, the "3" phoc: line side of the   j breaker became energized. The screwdriver that tne craft person was holding went to ground on the breaker cperating mechanism,    ausing an arc / flash. The craft person holding the screwdriver received a first degree burn to the tip of his niddle finger of his right hand.
l
.
The system engineer displayed a deficiency in system knowledge by not knowing the purpose of the hole in the air pump that the air leaked from (Section E1.2).


In response to the event, the clearance orcer used, 99-0250-EF, was reviewed,    l sleng with work package 101433, task 20, and proceaure MGE ECOP-11, "Mo]ded Case Circuit Breaker ana Ground Fault Sensor Te s t i r.g . "  Clearance order 98- g 025C-EF tagged the hand switch and breaker for Essential Service Water System    l
L .
            '
The engineering, operations, and maintenance departments coordinated efforts
valve, EF HV-0023 and taggea the valve in the closea position. The clearance orcar boundary was believea to be adequate to change out the breater. Work package 101433, Task 20, referenced procecure MGE EOOP-11 for the breaker rencval and installation. The wording in the proceaure gave no indication of the close proximity of the bus bar.
!' effectively to successfully troubleshoot and identify the cause of an unexpected increase l in volts-amperes reactive (VARS) cn Emergency Diesel Generator A during testing which resulted in an unplanned entry into a 72-hour Technical Specification action statemen ,
l
. This indicated an improvement in interdepartmental cooperation and planning (Section 4.1).~      .)
.
Contrary to the requirements of 10 CFR 50.59, in 1992, following the failure of the reactor coolant dissolved hydrogen analysis instrument in the postaccident monitoring system, i the licensee selected the secondary analysis method of performing grab samples which could not be performed within the 3-hour time limit prescribed in the safety analysis. This violation constituted e change to the facility without a safety evaluation having been
        "
performed to determine if an unreviewed safety question existed (Section E8.1).


Interviews ' determined that the Electrical Maintenance personnel involved in this event were aware of the boundaries set by the clearance. They realized that the load side af creaker was isolated anc that the bus bars were i
Plant Suncort
energized. They also knew their work instructions would be used to pull the l    bucket to its disconnected position, where it would be secured by placing the j    screw and pawls mechanism in place to facilitate changing out the breaker.
. An emergency plan dri!! provided effective training and demonstrated effective interaction and communication between the licensee and state drill participants (Section P1.1).


!    This clearance order / work instruction interface was the standard work practice l    for 460 volt molded case circuit breaker change outs.
.
. The security department appropriately responded to a failure of the security diesel ''j generator to pass a weekly surveillance test, taking action to correct the problem while implementing contingency plans (Section S1.1).


The vendor manual recommends that when work at a molded case circuit breaker requires the cubicle bucket to be moved off the bus, then the breaker and cubicle bucket should be verified in the " lockout position."    The " lockout position" was not known by the clearance order personnel, and it was not addressed in the work packages or procedure MGE EOCP-11 used during the March 17, 1998, work activities-. The cubicle " lockout position" is when the hole in
_
 
        !
i i
l e
l i
l E_________________.________________  _m __ _ _ _ _ _ . _ _ _ . _ _ _  -  _ - - - --- J
 
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ -


c _ - -
_ - _ _ - - _ . - . _ _ _ . _ . _ _ _  . .
        . _ . . . . . . . . _ ,
.
  .
  .
'
Reoort Details f
'
Summarv of Plant Status l The plant operated at essentially 100 percent power throughout the inspection perio . Operations 01 . Conduct of Operations .1 pood Ooerator Attention to Detail      i
Atta'chment to . M 90069 Page 2 et 9
! !nsoection Scone (71707) .     i The inspector reviewed the circumstances associated with a postaccident sampling
            .
,
l l
  ; system malfunction that created an inadvertent reactor coolant system leak path into the reactor coolant drain tank.
the lower right :orner of the cu c r.e t ceccres alignea with tne hole in the slide rail. The cucket is required to be secured in this position with an approvvi mechanical device. Vendor Instruction Manual for ITE Gould 5600 Series MCC E-018-00190 descrites using the " lockout position" for maintenance l  activities, what the " lockout position" is, and how it should be used.


Because the existence of the " lockout position" was unknown, the clearance orcer relied cn maintenance work instructions and procedure MGE E00P-11 to provide safe working ccnditions.
t - b. ' Observations and Fndings On April 24,1998, the radwaste operator noted that the reactor coolant drain tank level l
incieased at 10 gallons per hour, a rate higher than normal. The reactor operator also
  . noted a decrease in the volume control tank level that' exceeded the expected rate. Both
'
  '
  . operators raised their concems to operations supervision, and this prompted an investigation that quickly identified an unexpected alignment of the postaccident sampling system that permitted the reactor coolant system lea While the postaccident sampling system had been in operation earlier that night, the shift chemist rebooted the postaccident sampling system computer due to an error and j'  believed that this action would realign the valves to the standby alignment. During the investigation, the shift engineer determined that the system was still aligned to permit the reactor coolant system flow to the reactor coolant drain tank.1he shift chemist entered a
, command into the postaccident sampling system computer that terminated the valve L
lineup and stopped the leak. The chemist subsequently initiated Performance
  . Improvement Request 98-1246 to address this is:ue, Conclusions      1
  ; Good operator attention to detail led to prompt identification and termination of an  ;
inadvertent reactor coolant system leak which occurred following a malfunction of the  '
  . postaccident sampling system.' The operators noticed that the reactor coolant drain tank L  level increased and the volume control tank level decreased at a rate higher than
'
expected, and this prompted an effective evaluation that identified and stopped the leak.


After the Marcn 17, 1998, event, corrective actions were put in place to ensure that the " lockout position" was included in the work instructions.
h L
  <
f:


Additionally, the Clearance Order Summary Sheet was requirs< to be used to inform the electricians of the mechanical device used to secure 480 volt breakers in tne lcckout position. The above actions were met during the April 15, 1998, event; however, at that time the conclusions related to the clearance order process were still under investigation, and the requirement that the isolation boundary be controlled solely by the clearance was not met.
  . _ . _ _ _ _ _ _ _ _ _ - _ _ _ _ - _ _ - - _ _-_-___--
        -
.
      -2-07 Odality Assurance in Operations 07.1 Quality Evaluation Self-Assessment Reoort Review Insoection Scoce (71707)
The inspectors evaluated two quality evaluation self-assessment report Observations and Findinos The inspectors reviewed Quality Evaluation Self-Assessment Report K-471, " Technical Specification and Surveillance Testing," dated April 24,1997, and Quality Evaluation Self-Assessment Report K-480,, " Indoctrination and Training (Operations)," dated January 20,199 In Report K-471, ons executive summary conclusion states "The shift supervisor and operations licertsed operators have a proper and good operating philosophy toward the following Tecnnical Specification related topics." The topics included operability determinations. The auditor's assessment of operability determinations relied primarily on central work authority personnel, though this was not clearly described in the repor The auditors minimally addressed the performance of shift supervisors in their assessment. The role of licensed operators in the operability determinations were not assessed at all. Tne inspectors noted that the assessment report did not contain a definition or a description of what is meant by " operating philosophy" and what criteria was used to determine an acceptable level of performance in this are The inspectors generally agreed with the findings and conclusions reported in Report K-471, " Technical Specification and Surveil lance Testing," dated April 24,199 However, much clarification and discussion with licensee quality evaluation staff was required to reach this determination. The report did not clearly demonstrate a clear and complete nexus between conclusions reported in the executive summary and the actual assessment basis and findings contained in the body of the report. As a result, licensee management was not provided with an accurate assessment of the conduct of operability determination Report K-480 evaluated the programs which controlled the training of operations watchstanding personnel including the senior reactor operator, shift technical advisor, reactor operator, and nuclear station operator. The scope and depth of the audit was adequate. The report presented the audit findings in a manner that was adequate but, at times, did not clearly and consistently present all audit activities and conclusions. The inspector needed to engage in substantial discussions with the lead auditor, and the lead auditor needed to research the answers to several of the inspector's questions before the inspector fully understood the audit report conclusions. In severalinstances, the lead auditor acknowledged that the report either did not present the relevant information or did not precent it in a clear manne _ _ _ _ _ _


In both examples, the clearance orders did not comply with the requirement of procedure AP 21E-001,  " Clearance Orders," step 6.1.2.1.h which states:
g
   " Clearance orders shall not be prepared such that they sclely rely on other plant activities  '. s u ch as Local Leak Rate Testing ( LLRT' s )  etc.)  for establishing system configurations and/or conoitions."  Additionally, step 6.1.2.2 of AP 21E-001,  states that a summary sheet should be used to
!1 .
  " communicate technical information or safety concern."
.
    -3-The inspector noted two instances where the audit report discussed problems, but did not discuss the resolution of these problems. In one instance, the report mentioned Performance improvement Request 97-1075 and stated that it discussed training IMPACT 95-875 which was referenced in the applicable lesson plan, but the lesson plan did not address the object of concem. The audit report did not mention whether this problem was ever corrected. In the second instance, the auditors interviewed radwasts and water treatment operators. These operators commented that some of their training
   . on equipment they used to pe Torm their duties was not sufficiently detailed. The audit report stated that these comments had been voiced previously to the training division, and that training management planned to cover these concems in a future self-assessment.


Reason for the Violation:
L L  The inspector also noted that the report reviewed licensed ' operator examination test results in several areas of fundamental operator knowledge. The report noted that a large number of licensed operators had low scores in the area of reactor theory, and the audit report identified this as a weakness to be addressed in Performance Improvement Request 98-0149. During an interview with the performance improvement and
The personnel perferming the clearance orders were not aware of the vendor information regarding the " lockout position" and due to this lack of knowledge did not have this information in the clearance order.
  - assessment manager, the inspector leamed that the draft report presented to the l  manager for signature contained the data suggesting this weakness, but did not identify L  ' the result as a weakness. As part of the manager's review, the manager directed the lead auditor to revise the draft to identify the weakness and corrective action. This action on the part of the manager tumed a potential audit deficiency into an audit report strength.


Contributing Factor:
.. Conclusions      !
Personnel relied on past experience with breaker change outs and, due to their lack of knowledge regarding the " lockout pori. tion" and the wording in maintenance procedure MGE E30?-ll, did not recognice the need for a Clearance Order Summary Sheet.
l Two audit reports contained executive summary conclusions that generally agreed with )
the assessments described in the audit reports, but also contained notable deficiencie > The reports did not clearly and consistently present all audit activities and conclusion One executive summary conclusion could not be supported by the assessment and one report described two weaknesses without describing adequate corrective action >
08 Miscellaneous Operations issues (92901)
08.1 ' (Closed) Unresolved item 50-482/9810-10: Inadequate Clearance Orders. This item
*
involved concerns regarding clearance orders which did not provide complete isolation of the component to be maintained from all energy sources and the practice of relying on other administrative controls to provide for protection not afforded by the clearance orde The operations superintendent explained that Procedure AP 21E, " Clearance Orders,'
Revision 7, Section 6.1.2.1.h, required that clearance orders not solely rely on other plant activities for establishing system configurations. As a result, the superintendent explained that the clearance orders in question did not meet the requirements of the procedur Given the licensee's explanation of their interpretation of the procedure, the inspector concluded that the clearance order procedure did prohibit the issuance of clearance j orders that did not provide complete protection and relied on other plant activities to d _ - _ - _ _ _ - _ _ _ _ _ _ - _ _ _ - _ - _ - _ - _ - _ _ - _ _ - _ _ . _ _ _ _ _ _ _ _ - . _ - _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ .
.


Corrective Actions to Prevent Recurrence A representative cross-section of electrical maintenance procedures were reviewed. The possibility of other weaknesses involving the clearance order / breaker interference was researched and documented in Performance Improvement Request  (PIR) 98-1152. This procecure review revealed no additional prcblems er concerns. Therefore, this issue is considered to be unique to 480 volt molded case circuit breakern.
        -4-accomplish complete isolation. Clearance Order 98-0250-EF, accepted on March 17, 1998, and Clearance Order 98-0317-EJ, accepted on April 15,1998, failed to provide complete isolation and relied on Procedure MGE EOOP-11 to establish isolation of the breakers from the bus. These are two examples of a violation of Technical Specification 6.8.1.a (50-482/9813-01).


The electrical maintenance procedures describe breaker maintenance activities being accomplished by either removing the breaker from the cubicle to complete the work or placing the treaker in the " lockout position" to work 480 volt molded case circuit breakers. As cf Maren 20, 1998, when work at a molded case circuit breaker required the bucket to be moved off the bus, then the breaker and cubicle must be verified in the " lockout position." Additionally, a Clearance Order Summary Sheet is to be used to inform the electricians of the mechanical device used to secure 480 volt breakers in the " lockout position" during maintenance activities.
II. Maintenance M1  Conduct of Maintenance M1.1 General Comments on Maintenance Activities Insoection Scooe (62707)
The inspectors observed all or portions of the following work activitie WP 118090  Re Component cooling water Pump B bearing / mechanical seal replacernent WP 122223  Task 2 Spent fuel pool cleanup pump mechanical pump replacement WP 123669  Re Centrifugal charging Pump B auxiliary tube oil pump alignment WP 127742  Task 2 Replace air oil pump on Valve AB HV0011 WP 127742  Task 3 Inservice test of air oil pump on Valve AB HV0011 WP 129493  Task 1 NB00103 breaker inspection WP129493  Task 2 NB00103 breaker inspection postmaintenance WP 129568  Task 1 Remove and reinstall primary lid on Chem-NVC 14-195 cask in support of radwaste shipment on 5/20/98 WP 101433  Task 8 Molded case Breaker NG01 ACR2 replacement
'
SYS KJ-123  Re Postmaintenance run of Emergency Diesel Generator A
, Observation and Findinos l      Except as noted in Sections M2.1, M6.1, and M6.2, the inspectors found no concerns l      with the maintenance observe <


Electrical maintenance has completed training on the proper  use and installation of the lockout device and the near miss. This training was conducted under T.I.N. IE1331601001, w____-____-___-__ _ _ _ _ _ _ _ _ -
.
 
    -5- Cgoginnigan Except as noted in Sections M2.1, M6.1, and M6.2, the inspectors concluded that the maintenance activities were being performed as require M1.2 General Comments on Surveillance Activities Insoecaon Scone (61726)
- _ _ - . _ _ _ _ _ _ . - - - - _ - _ _ . . _ _ _ _ _ _  . _ _ - - _ _ _ _ - -
The inspectors observed all or portions of the following activitie STS AE-001, Revision 2, Main feedwater isolation valve accumulator discharge test STS BG-005A, Revision 16, Boric acid transfer system inservice Pump A test STS EN-100A, Revision 11, Containment Spray Pump A inservice pump test STS IC-203, Revision 18, ACOT 7300 Process instrumentation Protection Set 111 STS IC-211B, Revision 29, Actuation logic test Train B solid state protection system STS IC-6438, Revision 7, Slave relay Test 643B Train B containment spray Observations and Findinas The inspectors found no concerns with the surveillance observed, Conclusions i
   .
The inspectors concluded that the surveillance activities were being performed as
Atta'enment to WM 99-G69 Fage 3 of 9 Procedure AP 21E-001 was revise 0 to require an applicable local centrol or "Do    ;
. require M2 Maintenance and Material Condition of Facilities and Equipment M2.1 Review of Material Condition Durina Plant Tours -
flot Operate" tag to be attacnea to the mechanical device wnen molded case circuit breaker maintenance is ceing performed ar.a the bucket is required to be secured with an approved mecnsnical device.
    ' Inspechon Scope (61726)
 
During this inspection period, routine plant tours were conducted to evaluate plant material condition.-
Procedure AP 21E-001 was revised to require: 1) a qualified preparer prepare the clearance order down to and including the " prepared by" block, 2) a qualified preparer identify energy sources and determine isolation points, and 3) when positive boundaries are not practical, the clearance not be issued without adding special conditions / precautions to the attached Clearance Order Summary Sheet.
   ~ . Observations and Findinas in general, where equipment deficiencies existed, the deficiencies had been identified by the licensee for corrective actio The inspectors noted that the status of packing leakage on Valve GKV0767 had -
increased from 6 drops per minute when identified on February 16,1998, in Action Request 27487, to a steady stream on May 19,1998. The notch cut in the plexiglass spray guard over the packing area was acting as a weir to the flow from the packing leakage, causing water to back up in the valve packing area. The inspectors determined that the valve is scheduled for repair during the week of August 17-23,1998.


On May 22, 1998, a Clearance Crder Group meeting was held and the proposed changes to precedure AP 21E-001 were discussed. The meeting addressed the tagging of the mechanical device, and the expected use of the Clearance Order Summary Sheet when cceplete isolation by the clearance is not practical.
L 3      ,


Date When Full Cornpliance Will Be Achieved:
  ._
Full compliance has ceen achieven.
_ - _ _ . . _ _ _ _ _ _ _ - _ _    _ _ _ _
_ _ _ _ _ _ _ _ _ - - _ _ _ _ _ _ _ _ _ _ _ _-___ .


i l
l
l
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
'
            -6-
' ' Conclusions The material condition of those plant systems and components evaluated during this inspection period were good, with few equipment deficiencies.


_ -. . - . .__ _  - - _ _ _ - _ _ - _ - _ _ _ - _ - _ - _ _ - _ _ _ _ _ _ _ _ - _ _ _ _ _ -  _ _ _ _ __ _ _ ._
! M6 Maintenance Organization and Administration M6.1 Manaaement of Limitina Conditions for Ooeration Work on Main Steam Isolation Valve AB HV0011
-.
[ lD8Dection Scone (62707)
Attiennent tc WM H-00 0 Page 4 of ?
The inspector monitored maintenance and management activities associated with limiting conditions for operation work on Valve AB HV0011., Main Steam isolation Valve Observations and Findinas On May 11,1998, the inspector observed the removal and replacement of the air oil
  .
; pump on Main Steam Isolation Valve AB HV0011 per Work Package 127742, Tasks 2 and 3. The work required entry into Limiting Conditions for Operation 3.7.7. The maintenance division mechanics performed their work as written, using skill of the craft to make decisions not specifically addressed in the work package.
Violation 50-482/9813-02:
  '10CFR50. 5 9 (b) (1) requ;res, in part that tne licenree maintain records of changes in the facility, pursuant to this section, to the extent that these changes constitute changes in the facility as cescritcc in tne safety analysis report. These recorcs must incluce a written safety evaluation which provided
  - the bases for the determination that the cnange did not involve an unreviewed safety question.


'.ipdated Safety Analysis F ecert ^hapter 18.2.3, " Pest Accicent Sampling System (II.B.3)," states, in cart, tnat the licensee shall have the capacility to promptly cotain reactor trolant samples of dissolved gases    (e.g., H,) , and the combined time allottec :cr sampling and analysis should ce 3 nours or less from the time a decisicn :s mace to take a sample.
,
L  Several times during the work, the inspector noted that the mechanics discovered issues
!
which were not directly planned for in the work package.' For example, the workers could not remove the fittings on one component and had to leave the job site to use a vise      '
located elsewhere in the auxiliary building to remove fittings. This resulted in an .
unplanned delay in the work accomplishment which, along with several other minor delays, contributed to delayed work completion. The evaluation of the air leak in the newly installed air oil pump combined with the time required to test the operability of the
, - main steam isolation valve using the air oil pump nearly exceeded the 4-hour time limit l'  associated with Limiting Conditions for Operation 3.7.7. The Technical Specification action statement was exitad 4 minutes before the time limit was reached. Because of concerns regarding the pump's service life with the air leak, the licensee decided to -
replace the pump a second time after declaring the main steam isolation valve operable.


Contrary to the above, :n April 22, 1992, the licensee mace a change in the f acili t'/ as described ir the Upcatec Safety Analysis Report without Commission approval and without perterming a written safety evaluation which provided the bases for the determination rnat the change did not involve an unreviewed safety question. Tpecificaley, r oll owing tne' failure of the reactor coolant dissolved Hydrogen analysis instrument in the postaccident sampling system, the licensee selected an :.Mernate means of onitoring by using the secondary analysis motnod ci per:crming grac samples <nich could not ce performed within tne 3-hour time limit prescrinea in tne Updated Safety Analysis Report.
.
!  The inspector noted that maintenance department management attention and lf ' supervisory oversight for the work on Valve AB HV0011 was noticeably less than that -
provided for other work previously ob;erved by the inspector. The inspector observed that, while monitoring the work for approximately 2 hours; the work week manager was the only supervisor or support person present at the job site prior to identification of an air -      ;
leak on the newly ~ installed air oil pum j During subsequent discussions with maintenance department supervision, the inspector
  . questioned the level of management and supervisory oversight for the work on        i Valve AB HV0011. The maintenance department response was that management and l
l
              .l L_-____-_____  _ _ - _ _ _ _ _ - _ _ _ _ - - _ _ _ - _ _ - _ _ _ _ - _ _ _ _ _ _ _    - - - . __ _ __. ._ __


This is a Severity Leve; :/ nolation (Supplement 1; ( 5 0-4 82 / H13-02 ) ,"
_
Description of Event:
    -7-supervisory oversight for the work on Valve AB HV0011 was not effective and did not meet maintenance department management expectations for work on major equipment l  that requires entry into limiting conditions for operatio The inspectors inquired if a root cause analysis would be performed on the defective air oil pump. The acting mechanical maintenance superintendent was not sure if the department was planning to capture this information. After the inspector questioned if the defective pump had been quarantined and whether plans were made to determine the cause of the air leak, the maintenance manager directed maintenance personnel to segregate the defective air oil pump in the "as found" condition until it could be properly evaluated. The inspectors later learned that the mechanical maintenance superintendent had asked that the root cause of the defective air oil pump be determined, but had not specifically asked that the "as found" condition of the pump be preserve Conclusions Maintenance department management and supervisory oversight for the removal and replacement of the air oil pump on Main Steam isolation Valve AB HV0011 was not effective for work on a safety-system component that invoked a short duration Technical Specification action statement. As a result of delays which could have been minimized or prevented, the operations department came within 4 minutes of exceeding the 4-hour time limit allowed by limiting conditions for operation, which would have required a forced shutdown of the reacto M6.2 Work Packaae Vulnerability Insoection Scoce (62707)
The Wolf Creek Generating Station (WCGS) Updated Safety Analysis Report (USAR)
While observing a molded case circuit breaker replacement, the inspector noted a vulnerability in the work package and reviewed the licensee's respons b. Observations and Findinos On April 15,1998, the inspector observed the electricians repla:e Molded Case Breaker NG01 ACR2. While reviewing the work package, the inspector noted that the bill of materials list contained parts applicable to more than one style of molded case breaker. As a result, the maintenance program relied on the electrician's skill of the craft to ensure that the proper materials were selected and used. While this was an acceptable method of providing for safety-related parts, the inspector noted that this increased the vulnerability for human error. The electrical maintenance supervisor responded by directing maintenance planners to delete several entries from the bill of materials for future molded case breaker replacement work to ensure that, when special circumstances require different materials, additional reviews will be required to help minimize 'he potential for human erro _ _ _ _
Section 13.2.3 states tnat *he NCGS design provides an in-line monitoring system (for post accident monitoring). This system (the Fost-Accident Sampling System, or EASS; incluces provisions for monitorina reactor coolant system _(RCS) Hydrogen 1: accordance with !!UBEG-0737 Section Il.B. 3.


NUREG-0737 Section :1.E.3 speciries eleven criteria whien a post accident sampling system must meet .n    ;rcer tc perform its design functicn. The second vi these criteria states:
,_- -_      _ _ _ _ _ - _ _ _ _ - _ _ - _ _ _ ___ - _ - ___ _ _ _ _ _ _ _ _ _______-_ - _ - _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _
  "The icensee shall estacalsh an onsite radiological anc chemical analysis l rapacility to provice, aithin the 3-nour time frame established above, quantification ct tne :clicwing:
   .
  (a) certain    racitnuclides in the reactor coolant and containment atmosphere tnat may be indicators of the degree of core damage
  :e.g., noble gsses; iodines and cesiums, and nonvolatile isotopes);
   (b) Hydrogen levels in tne containment atmosphere; (c) dissolvec gases M.a.,    H2), chloride (time allotted for analysis subject to discussion celow), ana tcron concentration cf liquids.
 
!
!
!
  (d) Alternatively, nave in-line monite::ng capabilities to perform all or part of the acove analyses."
            -8- Conclusions The licensee responded appropriately to a work package planning vulnerability which had increased the potential for human erro Ill. Enoineerina E1 Conduct of Engineering
                  !
E Loose Parts Monitorina System I Inspection Scoce (37551)         ;
l The inspector reviewed the licensee's actions in response to spurious alarm > Observations and Findinos Following Refueling Outage 9, the licensee experienced loose parts monitor alarms at a    !
rate of approximately two per shift on Channel 2. Engineering recorded and evaluated    l the noise from Channel 2 and determined that this was caused by the movement of an
                  '
incore thimbie tube A vendor also listened to tapes of this noise and concurred with the evaluation.


.
,
l The WCGS design lacorporated an in-line Hydrogen analyzer for measuring dissolved Hydrogen in tne reacter coolant, as described in USAR Section 18.2.3.2. The in-line monitoring system is normally isolated; hcwever, it could be manually initiated and operated after an accident.
Instrumentation and control technicians periodically calibrated the sensor channel by initiating a calibrated impulse noise on the reactor vessel while adjusting the sensor    !
channel to respond to the impulse noise. Engineering determined that variations in the
                  ]
location for performing this impulse noise adjustment resulted in corresponding variations    l in the channel sensitivity to incore thimble noise. After verifying that the noise was not    j caused by a loose part, engineering directed instrumentation and control technicians to    !
temporarily raise the alarm setpoint above the level that caused the spurious alarm Performance improvement Request 98-0192 was written to address these concerns, and    j engineering determined that the corrective actions will include improved guidance to    !
provide some standardization in the calibration metho Conclusions The licensee responded appropriately to numerous loose parts monitor alarms, apparently caused by incore thimble movement.


The purpose of using ar in-line monitor is to minimite personnel exposure.
j        E1.2 Main Steam Valve Operability and System Enaineer Knowlecae l
 
l- Insoection Scooe (37551)        l The inspector evaluated the engineering involvement in evaluating the operability of a main steam isolation valv i f
Provisions wcre also included for providing both diluted and undiluted grab
i
_ _ _ , _ _ . _ . _ . . . _ _ _ _ . _ _ . _ _ _ . _ _ _ . _ _ _ _ _ . _ _ . . _ - -


_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . - _ _ - _ _ -   -
-___ _ _ - _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _   _ _ _ _ _ _ _ _ _
.
.
*
  '
  '
  .
  -
tta6nment :: '. M h-00C9 Page E f G e
        . Observations and Findinas On May 11,1998, engineering provided technical support to operations in evaluating the operability of Valve AB hV0011, Main Steam isolation Valve D, following the maintenance discussed in Section M6.1 of this report. The, sir-driven oil pump functioned, but exhibited an air teak from the hole used by the setscrew to prevent the air operator from cnscrewing and separating from the oil pump Operators based the initial operability on the fact that the pump passed the postmair% nance test. Consideration for the impact of the leak involved discussions between the shift supervisor and the system engineer. The system engineer knew that ine pump had successfully passed the test; however, the air leak demonstrated that air was getting past the air actuator 0-ring. This meant that the O-ring had either been repositioned cut of its designed location or had been cut. If it had been cut during reassembly, it wa3 not litely to have passed the shop test. If it had mispositioned, it had en increased potentia! to shift completely out of the seat and this would have resulted in failure of the puup. During subsequent discussions, j the system engineet expressed conce rns that tha pump could be sbject to imminent 1 failur Since the pump passed the test, the shift supervisor declared We valve operable, but made a statement in the shift supevisor's log regarding concem over ks expected service life. When the inspector questioned the shift supeeviscr and the system engineer I
ramples of the reacter :::.r : : nsistent utn NUREG-0737    The grac samples are snielded to minimize tursonnel exposure wnile cotalning grab samples.
whether this reduction had been either quantified or bound 6d, they acknowledged that it had not When the inspector questioned if they:sxpected the pump to fail'on the next stroke," they said that they did not expect this since it passed the test. However, when the inspector questioned if the valve had an increased potential of failure such that it could fail on the next stroke, they acknowledged that this was possible and the probabiW of this sort of failure was increase On May 29,1998, mechanks perforrned another bench test of tha pump with the air leak. During this test, the pump failed the test by failing to produce oil prescure above 200 psig. As a result of schedule concerns, the licensee defe#ed subsequent q troubleshooting until after the end of the inspection perio ;
 
The inspector asked the system engineer to describe the purpose of the hole from which the leaking air escaped. The engine er stated that the hole was used to permit d(olaced air on the opposite side of the air picton to move in and out of the actuator, thus anowing free movement of the air piston. During additional reviews of the techr?ical manual and discussions with the mechanics, the inspector teamed that the hole was not for this ;
'he PASS in-line .iquia ncnitor usea for Hycrcgen analysis of *he reactor
purpose, but simply to hold a setso ow used to pre'/ent r6tation and removal of the air pump from the oilpum As discussed in Section M6.1 of this report, the licensee declarad the pump operable on May 11,1998, at 12:24 p.m. and then declared it inoperable at 3:19 p.m. for the second replacement of the air-driven hydraulic oil pump.
::clant is a non-safet; related in-line cnitor. The Hycrogen analyzer was nesignea to be used during ::ident conaitions cnly, not during normal plant
:cerations. Mcwever, <;CNOC :akes no creait ter the analyzer in cur satety analysis and it is not i.clucea in tur emergency response procedures. NCGS has
'ne am.ity to vent the react r vessel heaa to Containment during an accident.
 
The Containment atmospnere is monit::ed with safety-relatec Hydrcgen analyzers.
 
Thereicre, the inability to moniter Hydrcgen in the Reactor Coolant System
'RCS) is of low sa fety si gnificance. Although the RCS Hydrogen ana.lyzer is not functional, anotner meth a 1 *s to take a grab sample ana send it Offsite for analysis. A computer araws ine aamole, whicn la moved from the sampling room to the snipper by a remote ^;ntrol cart. This allows WCNOC to take a sample ina ensure worker safety, :ut Ices not meet NUREC-0737 requirements for t imelir.es s . This meth:a meet: ne "lREG-G 7 3 7 requirements for carr.up sampling apability for in-line ren :: rang qu ipmen t . However, this rackup method has teen relied upon tar an ~xcess;ve period of time.
 
Nplacina the Hydrcgen e.a.yrer was researched  in 1991, ano a plant mocif::stion in ::atea at *nat ::me. However, 'he hign c:st cf replacement, c=oinea with tne _cw 'nety ngnificance    11 the : unction, mace the
~caif :ation a 1:w pricrity croject. Recognizing that ine Hydrogen analyzer
:as not functional, 3 JSAR mance was :nitiated in 1997    The USAR change uscrihed tLe use cf tne c -14; carcie panel as an alternate to the FASS panel
:;r ctt aining Hyaragen samples and !:r analysis of these samples.
 
In 1996, WCNOC identified tnat there was a neeri te direct our atteution toward literal ccmpliance and full ;naerstanding c: our regulatory commitments. Since that time, WCUCC employees have exhinited an increased sensitivity to the USAR and to literal scmpliance. ^n February 3, 1998, a system engineer reviewing JSAR section 13.2.3 ident ::ea two 2:ncerns with tnis USAR change: 1) expected dose received by tne individuals performing post-accident sampling could be in oxcess -f NUREG-0737 limits, and 2: in the event af a icss of offsite power, mergency power :s not supplieu tc a flow valve in the SJ-143 panel.
 
Reason for Violation:
  'he ;eason the NUREG-0737 equ;rements regarcing the Hydrogen analy:er were not et, vas a minaset that cons cerea level ct importance and safety significance,
;ut talled to tactcr in regulatcry requiremen r 1r aecisicn making. This rindset, coupled with :2 failure :: uncerstana literal compliance, led to imprcper pricritization of repair / upgrade work on the Hydrogen analyzer or to consider the need to chance *ne regulatory ccmmitment.
 
Corrective Steps Taken and Results Achieved:
he issue of mindset ind c.;1ture has been addressed hy :ncreasea omphasis cn upect atiens and literal compliance. The identification of this issue is indicnien that WCMOC personnel understands our regulatory requirements.
 
The incorrect USAR change request nas been supersecea, with references to the i Hydrogen analyzer removea. USAR Cnange Request 98-044 was approved by the l Plant Zafety Beview Cctmittee on Marcn 6, 1999.
 
WCMOC has emtarked upon a USAR fidelity review and     initiated Design Basis / Licensing Bases projects wnicn are designed to increase tr e awareness of perscnnel to this type ci issue. In addition, to improve the quality of Unreviewed Safety Cuestion Determinations (USQDs), the number of personnel performing USQDs was reduced by half.


. _ .
l t          - >


_.  - - _ _ _ _ _ _ . _ - - _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ - - - - - _ _ _ - _ - _ - - _ _ _ _ - - _ _ _ - _ - _ _ - _ - _ _ _ _ - _ - _ - - - _ - - - _ - - - - - - -  - - - - - - - - _ - - - - . _ - - - - - - - - - - - _ - - - - - - - - -
_ _
  - - -- -__ __- _ _ _ ___ _ _ _ - _-__ - _ _ - -
  .
  .
*
  *
Attabhment to WM 99-0069 Page 6 cf 9
  .
  .
In letter WO 98-0047, dated May 11, 1998, f rom C.         C. Narren, WC110C, to the
      -10- Conclusions The shift supervisor declared a main steam isolation valve operable with an identified deficient condition that was expected to reduce the valve's service life and increase the probability of imminent valve failure. Engineering personnel acknowledged, but did not bound the expected reduction in the valve's service life. A subsequent failed bench test of the leaking pump demonstrated the concem regarding the decreased service life of the pump. The licensee's subsequent action to declare the valve inoperable within 3 hours for rework was appropriat The system engineer displayed a deficiency in system knowledge by not knowing the purpose of the hole in the air pum E Engineering Staff Knowledge and Performance E4.1 Trout.:;;hcotina and Cause Determination of VARS Steo Chance on Emeroency Diesel Generator A insoection Scone (37551)
  !;RC, WC!;OC proposed deletion of the commitment to provide in-line monitoring and grab sample capability for dissolved gasses          (e.g., Hydrogen) in liquids (specifically, reacter coolant).                 l t
The inspectors reviewed the licensee response to an unexpected VARS step change during an increase in excitation voltage setpoint to Emergency Diesel Generator A while the generator was synchronized to the gri b.- Observations and Findinas On May 14,1998, at 1:48 a.m., the reactor operator identified an unexpected increase in VARS while adjusting the excitation voltage setpoint to Emergency Diesel Generator A during the performance of Procedure STS KJ-005A, " Manual / Auto Start, Synchronization, and Loading of Emergency Diesel Generator NEO1," Revision 30. The shift supervisor subsequently decided to maintair, the diesel generator status as inoperable pending the outcome of an investigation for the cause of the step-change increase in VARS. Technical Specification 3.8.1.1, a 72-hour shutdown action -
 
statement, was in effect. The control room staff contacted the work control group and system engineering in order to facilitate coordination and focus for the investigatio The inspectors noted that, throughout the next 60 hours, the engineering department coordinated efforts with the operations and maintenance departments and offsite contractors. The licensee developed and carried out a plan to troubleshoot and identify the root cause of the unexpected step increase in VARS. Engineering personnel effectively controlled the troubleshooting process and fully reviewed and understood the results of different phases of data collection before proceeding to the next step in the-proces The licensee determined that the cause of the unexpected increase in VARS, which occurred while adjusting the excitation voltage setpoint to Emergency Diesel Generator A, was electromagnetic interference induced noise from
To ensure no similar situations exist, System Engineering performed a review of             I work packages open greater than two years on non-safety related systems to l
l determine if any commitments were not being net.         !:0 items were identified.
 
As indicated above, WCNCC is currently performing a USAR Fidelity Review (SEL 97-044).       The purpose ci    .m review is to establish a general conclusiot.
 
regarding the accuracy and completeness of the USAR.
 
Date When Full Compliance Will Be Achieved:
The appropriate actions will be taken to either revise the USAR cr to pursue plant modifications based on the NRC's response to WCNOC's proposed commitment change.      A schecule to acnieve full cc:r.pliance will be generated once NRC input is received on letter WO 99-0047
!
!
. - _ _ _ - _ _ - _ _ _ _ - - _ - _ . . - - - _ _ _ - _ .
l


_ _ _ _ _ _ .-_-__- -___- - _-- - _-- - - - - - - -
__ _. . - - _ _
        -
.
  .
  .
*
*
i.t t a'cnme n t tc "A :i-0 2 ?
Fage ~ cf 9
  .
  .
Additional Information Quality Evaluation Audits
    -11-Handswitch NEHS0013A. This control room switch is used to raise / lower the excitation voltage setpoint in the manual mode of operation with the diesel generator synchronized to the grid. Handswitch NEHS0013A has no function in the emergency start mode of the diesel generator. in the emergency start mode, the predetermined value voltage is set and not controlled by the operator On May 16,1998, at 1:33 p.m., Emergency Diesel Generator A was declared operable after the cause of the unexpected increase in VARS, while adjusting the excitation voltage setpoint, was identified, and it was determined that the circuit in question had no impact on the emergency diesel generator's safety function, Conclusions The engineering, operations, and maintenance departments coordinated efforts effectively to successfully troubleshoot and identify the cause of sn unexpected increase in VARS on Emergency Diesel Generator A during testing which resulted in an  j unplanned entry into a '72-hour Technical Specification action statement. This indicates an improvement in interdepartmental cooperation and plannin E8 Miscellaneous Engineering issues (92903)    i
~he executive currary en Fage I :f ::ispecticn Report 98-312 rtate:
        !
"Two audit reports ::ntaimea xecutive surrary ccnclusicns that generally agreed with tne asseserent cascribec in tne audit report, but also contained notable deficiencies. Ihe repcrts aid cct clearly and consistently present all audit activities and ::nclusicnr. One executive surmary conclusion could not te supported by the assessment and one report described two weaknesses without describing adequate corrective actions."
E (Closed) Unresolved item 50-482/9804-04. Uncompensated postaccident sampling system inoperability. This item involved the licensee's discovery that the grab sample backup for the inoperable postaccident sampling system analysis equipment for analysis of dissolved hydrogen in the reactor coolant system did not meet the Updated Safety Analysis Report, Chapter 18.2.3, " Post Accident Sampling System," requirement for analysis within 3 hours. The analyzer had been out of service since 1992, and the licensee incorrectly assumed that grab samples could be taken and analyzed within 3 hours. On Januery 30,1998, the system engineering personnel determined that the analysis could not be completed within 3 hours because the sample would have to be taken offsite and the results would not be available for approximately 96 hour The extended inoperability of the analysis instrument without an adequate backup analysis methodology represents a de-facto modification to the postaccident sampling system. The licensee did r ot treat this as a modification and, therefore, did not perform a
 
  .10 CFR 50.59 evaluation for this modification. The failure to perform this required 10 CFR 50.59 evaluation is a violation (50-482/9813-02).
WCNOC's Response:
NCNOC has received pos,tive comments in other Inspecticn Reports regarding our audit activi ies, and .e are taking actions to ensure that the two reports uiscussed above are isciatec c:2ses. Quality Evaluation (OE) initiated PIR 98-1508 to document this c:ncern %nd assess the depth of the issue. To evaluate the scope of the issue, previously qualified Lead Auaitors, who are no longer cart of the OE group, ave ceen askea tc assess cne or two CE reports for the
:cllowing:
1) Do comments made .:.n the report have supporting cojective evidence?
2) Are statements in tne e::e c u t ive summary supported by the documentation in the bocy of .e report?
3) Are areas of concern aiscussed in repcrt acequately documented as to the need for a PIR cr justification is provided explaining why no action is required as a result of the review?
4) Are conclusions reached that can not be drawn trem the auditors work?
5) Dces information provide an adequate basis  for making management judgments?
6) Is the information presented in a clear, consistent, anc logical manner The PIR review of auait reports is scheauled to be ccmcleted cy August 30, 1998. As an irrediate action, ;E management discussed the finaings in IR 98-13 with auditors and reiteratea expectations for attenticn to detail and the requirement that conclusions De supported and well documented in the body of
*ne report. E management will aetermine if further actions are needed based
:n the resultc ct the r=71ew.


As an enhancement to *neir performance indicators, OE is in the process of establishing an independent :cmmittee to review certain reports ( a udit.s ,
The licensee's resultant evaluation determined that the safety significance of this issue was minor due to the fact that the reactor vessel head vents and reactor vessel level indicating systems were operational and would mitigate the consequences of postaccident hydrogen production on reactor vessel flow.- As part of their corrective actions, the licensee submitted a request for NRC approval of a change to their Updated l' Safety Analysis Report, Chapter 18, NUREG 0737, commitment to eliminate the requirement for the reactor coolant system dissolved hydrogen inline monitoring and grab sample capability.
curveillances anc plant observations). The committee will grace these reports using criteria proviced by OE anc provice a score in the following areas:
* Criticality
* Use of Perfctmance Easec : etnodology
  * Writing Skills OE intends to use this review and the performance indicator to provide feed-back to the individuals and the OE group in order to improve the quality of the reports.


Maintenance Management Oversight for Repair / Rework on Main Steam Isolation valve ABHV11 The executive summary and Page 7 of Inspection Report 96-013 states:
u _ ____ __ _ __ _ _ _____________ _ _
,
.


- _ _ - _ - - - _ _ _ - _ _ _ _ _ _ _ _ _ - - _ - _ _ _ - - _ _ - _ _ _ _ _ _ - - _    -- _ - _ - _ - - _ _ _ _ _ . - _ - - _ - . . _ - - - - - - _ _ - - _ _
- - _ - _ _ - - _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - - - - _ _     _ _ _ _ _ _ - _--
d
  .
  .
    '
*
    .t t a'chme nt to WM M-0 M9 Fage 6 Cf 9
  .
  .
    " Maintenance department ana ement and supervisory oversight for -he removal and replacement cf the air ::1 pump on Main Steam Isolation Valve AS HV0011 was not effective f:r work 7 a safety-relate ccmponent that inv: <.eo  a short auration Technical Scecifirsti:n a.:tien statement."
        -12-IV. Plant Support P1 : Conduct of Emergency Preparedness Activities P Conduct of Quarteriv Emeroency Plan Drill insoection Scone (71750)
The inspector observed the second quarter emergency plan drill at the emergency operations facilit Observations and Findinas On May 12,1998, the inspector observed the second quarter emergency plan drill from -
the emergency operations facility. The inspector noted that the drill effectively exercised
        .
    ' the licensee and the state of Kansas personnel in carrying out coordinated emergency response activities at the emergency operations facility and that communication and interaction between the licensee and the state of Kansas personnel was particularly good. The inspector noted that, while command and control at the emergency operations facility started out just adequate at the beginning of the drill, it improved notably throughout the remainder of the drill as managers at the facility focused on this
      ' aspect of performanc ' Conclusions An emergency plan drill provided effective training and demonstrated effective interaction and communication between licensee and state drill participant S1' Conduct of Security and Safeguards Activities S1.1 ' Security Dehaiiii.ent Resoonse to Failed Security Diesel Surveillance : Insoection Scoos (71750)'
The inspectors reviewed the security department response to a failed security diesel surveillance."


WCNOC Response:
; Observations and Findinos On May 12,1998, the security diesel generator failed to automatically load during the
Ocmpletion of a four nour 1;miting Ccndition cf Cperation (LCO) f:ur minutes before it expires dces n:t meet tne expectations of WCMOC plant management, ner la it an example of cur typical performance. Our critique cf the jcb revealed come specific aspects ahien contributed to the work delays.
      . weekly performance of Procedure SE 01-108, " Security Systems Device Testing,"
Revision 43. The inspectors noted that the security department immediately obtained assistance from the maintenance department to troubleshoot and repair the diesel and
'
implemented a plan to manually load the diesel in the event it was needed. The .
      = automatic loading function of the security diesel generator was repaired and operability restored that same day.


Supervisory oversight was .t at tne expected levels er the level normally exhibited by maintenance supervisors. The supervisor was in the field at the start of the clearance craer hanging evolution, but then left as he felt this was a straight-ferward soluti:n. Maintenance expectations have been reintorced with the indivinaai :.nvolved utilizing the Management Associated Results Company (MARC) process.
_ _: x <
 
..
"he supervisor did nat have 3 clear understanding of the LCO time limits for this job and, therefore,  nd ". t ccnvey tnis information to the craft cerconnel. Criticality cf re-sensitive pbs is normally part at the pre-job criefing activities.  't a 51so expectec that supervisors monitcr schedule acherence during *he work evoluticn. This particular job is simple in nature and normally coes not requ;re the rull fcur hours to complete. Additionally, tne craft perscnnel involvea were knowledgeable and capable in tne performance of maintenance activities .e general, and a master mechanic was assigned to the task to ensure success cf the activity.
l-13- Conclusions The security department appropriately responded to a failure of the security diesel generator to pass a weekly surveillance test, taking action to correct the problem while implementing existing contingency plan V. Management Meetings X1 Exit Meeting Summary The inspectors presented the inspection results to members of licensee management at the conclusions of the inspection on June 2,1998. The licensee acknowledged the findings presente The inspectors asked the licensee whether any materials examined during the inspection should be considered proprietary. No proprietary information was identifie !
 
u I
Although inacequate overn gnt may have contributed to job performance, the excessive cycling of tne ;ewly installed pump was an unforeseen event which also ' contributed tc the increasec job duration. The pump nad ceen tested approximately 3 weeks prior to the performance of the replacement in order to minimice the potential for :perational prcelems. Had the pump performed as required, the LCO time acu.a not nave been nearly as close as it was.
l
 
.       I
The engineering evaluation :f *he air lean in the newly installea air oil pump eas  performed ana -he surveillance test for operability  successfully
    ::mpleted. Engineering ana Operations underctecc that the air ci. pump would te removed immediately, recause of ccncerns regarding the pump's service life with the air leak. Due :: their knowleogo of the plannec corrective work, engineering did not quantify or bounc the operability of the air oil pump in the operability evaluation. Based on the aonormal situation and increased level of involvement wit"  ne cb, it is expected that ccme delay in ccmpletion time would occur.
 
C;ncerning the issue of the root cause analysis discussed on page 7 of the inepection report, the acting Mechanical Maintenance Superintendent (normally the assistant Superintencert) was not aware of the desire to do a root cause 2 determination on the pump. However, the responsible supervisor and the normal Mect.anical Maintenance Superintendent were aware of the cesire to perform the analysis. A quarantine of the pump was not specifically requested as the i    superintendent did not expect anycne to be working on the pump or affect the
    ' a s- f ound' condition or the pump.
 
In summary, WCNOC acknowledges that management involvement in this evolution did not meet our expectation. However, even with additional involvement, the issues encountered during :nis evolution would still have resulted in the LCO time frame being challenged.
 
r l
l l
_________._-__ -


_ _ _ - _ _ _ _ _ _ - -________ _ __-__ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _
_ _ ___ _ _ _ - _ _ _ - _ _ - _ _ _ _ - -
e At''a'en ent to WM 99-0069
        --
*
,.
Fage 9 of 9
  .
  .
Bill of Materials The executive summary menticrs a work package planning    "
e SUPP!.EMENTAL INFORMATION PARTIAL LIST OF PERSONS CONTACTED Licensee M. J. Angus, Manager, Licensing and Corrective Action G. D. Boyer, Chief Administrative Officer J. W. Johnson, Manager, Resource Protection O. L. Maynard, President and Chief Executive Officer B. T. McKinney, Plant Manager R. Muench, Vice President Engineering W. B. Norton, Manager, Performance improvement and Assessment C. C. Warren, Chief Operating Officer INSPECTION PROCEDURES USED IP 37551 Onsite Engineering IP 61726 Surveillance Observations IP 62707 Maintenance Observations IP 71707 Plant Operations IP 71750 Plant Support Activities IP 92901 Followup - Operations IP 92903 Followup - Engineering ITEMS OPENED AND CLOSED Opened 50-482/9813-01 VIO Inadequate clearance orders (Section 08.1)
vulnerability and, page 7 of Inspection Feport 99-013 states, in part:      .the inspectors noted that tne bill of materials .ist Contained parts applicable to more than cn'e style of moldec case breaker. As a result, the maintenance program relied on the electricians skill of tne ; raft to ensure that the proper materials were selected...While this was an acceptacle method of providing for safety-related parts, the inspector noted t .at  this increased the 7 vulnerability for human error."
50-482/9813-02 VIO Uncompensated postaccident sampling system inoperability (Section E8.1)
 
Closed 50-482/9804-04 URI Uncompensated postaccident sampling system inoperability (Section E8.1)
WCNOC Response WCNOC agrees that this was an acceptable method of providing for safety-related parts. In this particular case, WCNOC chose to change the bill of material.
50-482/9810-10 URI Inadequate clearance orders (Section 08.1)
 
- _ _ _ _ _ _ _ _
In general, we find cur current practice acceptable and do not plan en changing our normal process. The oill of material is used by trained personnel that are qualified to perform their * asks. WCNOC does not consider this task beyond their level of ability.
 
Packing Leak on valve GKVO767 Page 5 cf Inspection Report 99-013 states:
"The inspectors noted that the status of packing leakage en valve GKV0767 had increased from 6 drops per minutes when identified on February 16, 1998, in Action Request 27487, to a steady stream on May 19, 1998      The notch cut in the plexiglass spray guard over the packing area was acting as a weir to the flow from the packing leakage, causing water to back up in the valve packing area.
 
The inspectors determined that the valve is scheduled for repaiz during the week of August 17-23, 1998."
 
WCNOC Response WCNOC does not consicer the above statement to be either a negative or a positive comment, but a statenent of fact. In accordance with WCNOCs programs and procedures for scheduling work, the packing leak was identified and scheduled for the next available work window based on the significance to the plant. The Control Su11 ding HVAC ;GK) system is scheduled for work on a 26 aeek rolling scheoule. Since the initial leak was identified, it has been scheduled for repair during the GK system cutage in August 1998.
 
The increased leakage was evaluated for impact on the GK system.       Valve GKV0767 is the flow control valve for the water flowing through the condenser.      The valve is located on the downstream side of the condenter, and the valve packing is located an the downstream side of the valve's shutoff disc.      With this configuration, the ability to control the flow through the condenser is not impacted. Since the valve is en the downstream side of the condenser, the flow going tnrough the valve and packing leak passes through the condenser.      The packing is located en the back side of the shutoff disc and the ability to shut off flow through the condenser is not impacted.      Thus the valve's ability to pass tull design flow and/or shut off the flow is not affected.        The condenser's heat removal capability is not affected as a result cf the packing leak. Therefore, it was concluded that the leak had no impact to system operability, and that no change in schedule was necessary.
 
I I
L_--_________            ,
}}
}}

Latest revision as of 14:59, 30 January 2022

Insp Rept 50-482/98-13 on 980419-0530.Violations Noted.Major Areas Inspected:Operations,Maint,Engineering & Plant Support
ML20249A035
Person / Time
Site: Wolf Creek Wolf Creek Nuclear Operating Corporation icon.png
Issue date: 06/12/1998
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML20249A033 List:
References
50-482-98-13, NUDOCS 9806150344
Download: ML20249A035 (16)


Text

,

l l

.

I ENCLOSURE 2 l

U.S. NUCLEAR REGULATORY COMMISSION l REG;ON IV

l Docket No.: 50-482

License No.
NPF-42 Report No.: 50-482/98-13 l

Licensee: Wolf Creek Nuclear Operating Corporation Facility: Wolf Creek Generating Station

!

Location: 1550 Oxen Lane, NE Burlington, Kansas Dates: April 19 through May 30,1998 Inspectors: J. F. Ringwald, Senior Resident inspector B. A. Smalldridge, Resident inspector Approved By: W. D. Johnson, Chief, Project Branch B ATTACHMENT: Supplemental Information

!

!

I l

9906150344 990612 PDR ADOCK 05000492

9 PM

<

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ - _ _ _ _ _ _ _ - _ _ _ -

'

l

.

EXECUTIVE SUMMARY Wolf Creek Genersting Station NRC Inspection Report 50-482/98-13 Ooerations

.

Good operator attention to detail led to prompt identification and termination of an inadvertent reactor coolant system leak which occurred following a malfunction of the postaccident sampling system. The operators noticed that the reactor coolant drain tank level increased and the volume control tank level decreased at a rate higher than expected and this prompted an effective evaluation that identified and stopped the leak (Section 01.1).

.

Two audit reports contained executive summary conclusions that generally agreed with the assessments described in the audit reports, but also contained notable deficiencie The reports did not clearly and consistently present all audit activities and conclusion One executive summary conclusion could not be supported by the assessment and one report described two weaknesses without describing adequate corrective actions (Section O7.1).

. Contrary to the requirements of the clearance order procedure and Technical Specification 6.8.1.a two clearance orders relied on administrative controls outside of the clearance order to provide personnel and equipment protection. The cause of this violation was procedural noncompliance (Section O8.1).

Maintenance

,

.

The material condition of those plant systems and components evaluated during this inspection period was good, with few equipment deficiencies (Section M2.1). l

. Maintenance department management and supervisory oversight for the removal and replacement of the air oil pump on Main Steam Isolation Valve AB HV0011 was not 1 effective for work on a safety-system component that invoked a short duration Technical l Specification action statement. As a result of delays which could have been minimized I or prevented, the operations department came within 4 minutes of exceeding the 4-hour time limit allowed by limiting conditions for operation, which would have required a forced ,

l shutdown of the reactor (Section M6.1).

. The licensee responded appropriately to a work package planning vulnerability which had increased the potential for human error (Section M6.2).

Enginsving

.

The licensee responded appropriately to numerous loose parts monitor alarms, apparently caused by incore thimble movement (Section E1.1).

u j

.

.

-2-

,

.

'The shift supervisor declared a main steam isolation valve operable with an identified

- deficient condition that was expected to reduce the valve's service life and increase the probability of imminent valve failure. Engineering personnel acknowledged, but did not bound the expected reduction in the valve's service life. A subsequent failed bench test

'

of the leaking pump demonstrated the concem regarding the decreased service life of the pump. ' The licensee's subsequent actions to declare the valve inoperable within 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> for rework was appropriate (Section E1.2).

l

.

The system engineer displayed a deficiency in system knowledge by not knowing the purpose of the hole in the air pump that the air leaked from (Section E1.2).

L .

The engineering, operations, and maintenance departments coordinated efforts

!' effectively to successfully troubleshoot and identify the cause of an unexpected increase l in volts-amperes reactive (VARS) cn Emergency Diesel Generator A during testing which resulted in an unplanned entry into a 72-hour Technical Specification action statemen ,

l

. This indicated an improvement in interdepartmental cooperation and planning (Section 4.1).~ .)

.

Contrary to the requirements of 10 CFR 50.59, in 1992, following the failure of the reactor coolant dissolved hydrogen analysis instrument in the postaccident monitoring system, i the licensee selected the secondary analysis method of performing grab samples which could not be performed within the 3-hour time limit prescribed in the safety analysis. This violation constituted e change to the facility without a safety evaluation having been

"

performed to determine if an unreviewed safety question existed (Section E8.1).

Plant Suncort

. An emergency plan dri!! provided effective training and demonstrated effective interaction and communication between the licensee and state drill participants (Section P1.1).

.

. The security department appropriately responded to a failure of the security diesel j generator to pass a weekly surveillance test, taking action to correct the problem while implementing contingency plans (Section S1.1).

_

!

l e

c _ - -

_ - _ _ - - _ . - . _ _ _ . _ . _ _ _ . .

. _ . . . . . . . . _ ,

.

.

Reoort Details f

Summarv of Plant Status l The plant operated at essentially 100 percent power throughout the inspection perio . Operations 01 . Conduct of Operations .1 pood Ooerator Attention to Detail i

! !nsoection Scone (71707) . i The inspector reviewed the circumstances associated with a postaccident sampling

,

system malfunction that created an inadvertent reactor coolant system leak path into the reactor coolant drain tank.

t - b. ' Observations and Fndings On April 24,1998, the radwaste operator noted that the reactor coolant drain tank level l

incieased at 10 gallons per hour, a rate higher than normal. The reactor operator also

. noted a decrease in the volume control tank level that' exceeded the expected rate. Both

'

'

. operators raised their concems to operations supervision, and this prompted an investigation that quickly identified an unexpected alignment of the postaccident sampling system that permitted the reactor coolant system lea While the postaccident sampling system had been in operation earlier that night, the shift chemist rebooted the postaccident sampling system computer due to an error and j' believed that this action would realign the valves to the standby alignment. During the investigation, the shift engineer determined that the system was still aligned to permit the reactor coolant system flow to the reactor coolant drain tank.1he shift chemist entered a

, command into the postaccident sampling system computer that terminated the valve L

lineup and stopped the leak. The chemist subsequently initiated Performance

. Improvement Request 98-1246 to address this is:ue, Conclusions 1

Good operator attention to detail led to prompt identification and termination of an  ;

inadvertent reactor coolant system leak which occurred following a malfunction of the '

. postaccident sampling system.' The operators noticed that the reactor coolant drain tank L level increased and the volume control tank level decreased at a rate higher than

'

expected, and this prompted an effective evaluation that identified and stopped the leak.

h L

<

f:

. _ . _ _ _ _ _ _ _ _ _ - _ _ _ _ - _ _ - - _ _-_-___--

-

.

-2-07 Odality Assurance in Operations 07.1 Quality Evaluation Self-Assessment Reoort Review Insoection Scoce (71707)

The inspectors evaluated two quality evaluation self-assessment report Observations and Findinos The inspectors reviewed Quality Evaluation Self-Assessment Report K-471, " Technical Specification and Surveillance Testing," dated April 24,1997, and Quality Evaluation Self-Assessment Report K-480,, " Indoctrination and Training (Operations)," dated January 20,199 In Report K-471, ons executive summary conclusion states "The shift supervisor and operations licertsed operators have a proper and good operating philosophy toward the following Tecnnical Specification related topics." The topics included operability determinations. The auditor's assessment of operability determinations relied primarily on central work authority personnel, though this was not clearly described in the repor The auditors minimally addressed the performance of shift supervisors in their assessment. The role of licensed operators in the operability determinations were not assessed at all. Tne inspectors noted that the assessment report did not contain a definition or a description of what is meant by " operating philosophy" and what criteria was used to determine an acceptable level of performance in this are The inspectors generally agreed with the findings and conclusions reported in Report K-471, " Technical Specification and Surveil lance Testing," dated April 24,199 However, much clarification and discussion with licensee quality evaluation staff was required to reach this determination. The report did not clearly demonstrate a clear and complete nexus between conclusions reported in the executive summary and the actual assessment basis and findings contained in the body of the report. As a result, licensee management was not provided with an accurate assessment of the conduct of operability determination Report K-480 evaluated the programs which controlled the training of operations watchstanding personnel including the senior reactor operator, shift technical advisor, reactor operator, and nuclear station operator. The scope and depth of the audit was adequate. The report presented the audit findings in a manner that was adequate but, at times, did not clearly and consistently present all audit activities and conclusions. The inspector needed to engage in substantial discussions with the lead auditor, and the lead auditor needed to research the answers to several of the inspector's questions before the inspector fully understood the audit report conclusions. In severalinstances, the lead auditor acknowledged that the report either did not present the relevant information or did not precent it in a clear manne _ _ _ _ _ _

g

!1 .

.

-3-The inspector noted two instances where the audit report discussed problems, but did not discuss the resolution of these problems. In one instance, the report mentioned Performance improvement Request 97-1075 and stated that it discussed training IMPACT 95-875 which was referenced in the applicable lesson plan, but the lesson plan did not address the object of concem. The audit report did not mention whether this problem was ever corrected. In the second instance, the auditors interviewed radwasts and water treatment operators. These operators commented that some of their training

. on equipment they used to pe Torm their duties was not sufficiently detailed. The audit report stated that these comments had been voiced previously to the training division, and that training management planned to cover these concems in a future self-assessment.

L L The inspector also noted that the report reviewed licensed ' operator examination test results in several areas of fundamental operator knowledge. The report noted that a large number of licensed operators had low scores in the area of reactor theory, and the audit report identified this as a weakness to be addressed in Performance Improvement Request 98-0149. During an interview with the performance improvement and

- assessment manager, the inspector leamed that the draft report presented to the l manager for signature contained the data suggesting this weakness, but did not identify L ' the result as a weakness. As part of the manager's review, the manager directed the lead auditor to revise the draft to identify the weakness and corrective action. This action on the part of the manager tumed a potential audit deficiency into an audit report strength.

.. Conclusions  !

l Two audit reports contained executive summary conclusions that generally agreed with )

the assessments described in the audit reports, but also contained notable deficiencie > The reports did not clearly and consistently present all audit activities and conclusion One executive summary conclusion could not be supported by the assessment and one report described two weaknesses without describing adequate corrective action >

08 Miscellaneous Operations issues (92901)

08.1 ' (Closed) Unresolved item 50-482/9810-10: Inadequate Clearance Orders. This item

involved concerns regarding clearance orders which did not provide complete isolation of the component to be maintained from all energy sources and the practice of relying on other administrative controls to provide for protection not afforded by the clearance orde The operations superintendent explained that Procedure AP 21E, " Clearance Orders,'

Revision 7, Section 6.1.2.1.h, required that clearance orders not solely rely on other plant activities for establishing system configurations. As a result, the superintendent explained that the clearance orders in question did not meet the requirements of the procedur Given the licensee's explanation of their interpretation of the procedure, the inspector concluded that the clearance order procedure did prohibit the issuance of clearance j orders that did not provide complete protection and relied on other plant activities to d _ - _ - _ _ _ - _ _ _ _ _ _ - _ _ _ - _ - _ - _ - _ - _ _ - _ _ - _ _ . _ _ _ _ _ _ _ _ - . _ - _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ .

.

-4-accomplish complete isolation. Clearance Order 98-0250-EF, accepted on March 17, 1998, and Clearance Order 98-0317-EJ, accepted on April 15,1998, failed to provide complete isolation and relied on Procedure MGE EOOP-11 to establish isolation of the breakers from the bus. These are two examples of a violation of Technical Specification 6.8.1.a (50-482/9813-01).

II. Maintenance M1 Conduct of Maintenance M1.1 General Comments on Maintenance Activities Insoection Scooe (62707)

The inspectors observed all or portions of the following work activitie WP 118090 Re Component cooling water Pump B bearing / mechanical seal replacernent WP 122223 Task 2 Spent fuel pool cleanup pump mechanical pump replacement WP 123669 Re Centrifugal charging Pump B auxiliary tube oil pump alignment WP 127742 Task 2 Replace air oil pump on Valve AB HV0011 WP 127742 Task 3 Inservice test of air oil pump on Valve AB HV0011 WP 129493 Task 1 NB00103 breaker inspection WP129493 Task 2 NB00103 breaker inspection postmaintenance WP 129568 Task 1 Remove and reinstall primary lid on Chem-NVC 14-195 cask in support of radwaste shipment on 5/20/98 WP 101433 Task 8 Molded case Breaker NG01 ACR2 replacement

'

SYS KJ-123 Re Postmaintenance run of Emergency Diesel Generator A

, Observation and Findinos l Except as noted in Sections M2.1, M6.1, and M6.2, the inspectors found no concerns l with the maintenance observe <

.

-5- Cgoginnigan Except as noted in Sections M2.1, M6.1, and M6.2, the inspectors concluded that the maintenance activities were being performed as require M1.2 General Comments on Surveillance Activities Insoecaon Scone (61726)

The inspectors observed all or portions of the following activitie STS AE-001, Revision 2, Main feedwater isolation valve accumulator discharge test STS BG-005A, Revision 16, Boric acid transfer system inservice Pump A test STS EN-100A, Revision 11, Containment Spray Pump A inservice pump test STS IC-203, Revision 18, ACOT 7300 Process instrumentation Protection Set 111 STS IC-211B, Revision 29, Actuation logic test Train B solid state protection system STS IC-6438, Revision 7, Slave relay Test 643B Train B containment spray Observations and Findinas The inspectors found no concerns with the surveillance observed, Conclusions i

The inspectors concluded that the surveillance activities were being performed as

. require M2 Maintenance and Material Condition of Facilities and Equipment M2.1 Review of Material Condition Durina Plant Tours -

' Inspechon Scope (61726)

During this inspection period, routine plant tours were conducted to evaluate plant material condition.-

~ . Observations and Findinas in general, where equipment deficiencies existed, the deficiencies had been identified by the licensee for corrective actio The inspectors noted that the status of packing leakage on Valve GKV0767 had -

increased from 6 drops per minute when identified on February 16,1998, in Action Request 27487, to a steady stream on May 19,1998. The notch cut in the plexiglass spray guard over the packing area was acting as a weir to the flow from the packing leakage, causing water to back up in the valve packing area. The inspectors determined that the valve is scheduled for repair during the week of August 17-23,1998.

L 3 ,

._

_ - _ _ . . _ _ _ _ _ _ _ - _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ - - _ _ _ _ _ _ _ _ _ _ _ _-___ .

l

'

-6-

' ' Conclusions The material condition of those plant systems and components evaluated during this inspection period were good, with few equipment deficiencies.

! M6 Maintenance Organization and Administration M6.1 Manaaement of Limitina Conditions for Ooeration Work on Main Steam Isolation Valve AB HV0011

[ lD8Dection Scone (62707)

The inspector monitored maintenance and management activities associated with limiting conditions for operation work on Valve AB HV0011., Main Steam isolation Valve Observations and Findinas On May 11,1998, the inspector observed the removal and replacement of the air oil

pump on Main Steam Isolation Valve AB HV0011 per Work Package 127742, Tasks 2 and 3. The work required entry into Limiting Conditions for Operation 3.7.7. The maintenance division mechanics performed their work as written, using skill of the craft to make decisions not specifically addressed in the work package.

,

L Several times during the work, the inspector noted that the mechanics discovered issues

!

which were not directly planned for in the work package.' For example, the workers could not remove the fittings on one component and had to leave the job site to use a vise '

located elsewhere in the auxiliary building to remove fittings. This resulted in an .

unplanned delay in the work accomplishment which, along with several other minor delays, contributed to delayed work completion. The evaluation of the air leak in the newly installed air oil pump combined with the time required to test the operability of the

, - main steam isolation valve using the air oil pump nearly exceeded the 4-hour time limit l' associated with Limiting Conditions for Operation 3.7.7. The Technical Specification action statement was exitad 4 minutes before the time limit was reached. Because of concerns regarding the pump's service life with the air leak, the licensee decided to -

replace the pump a second time after declaring the main steam isolation valve operable.

.

! The inspector noted that maintenance department management attention and lf ' supervisory oversight for the work on Valve AB HV0011 was noticeably less than that -

L provided for other work previously ob;erved by the inspector. The inspector observed that, while monitoring the work for approximately 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />; the work week manager was the only supervisor or support person present at the job site prior to identification of an air -  ;

leak on the newly ~ installed air oil pum j During subsequent discussions with maintenance department supervision, the inspector

. questioned the level of management and supervisory oversight for the work on i Valve AB HV0011. The maintenance department response was that management and l

l

.l L_-____-_____ _ _ - _ _ _ _ _ - _ _ _ _ - - _ _ _ - _ _ - _ _ _ _ - _ _ _ _ _ _ _ - - - . __ _ __. ._ __

_

-7-supervisory oversight for the work on Valve AB HV0011 was not effective and did not meet maintenance department management expectations for work on major equipment l that requires entry into limiting conditions for operatio The inspectors inquired if a root cause analysis would be performed on the defective air oil pump. The acting mechanical maintenance superintendent was not sure if the department was planning to capture this information. After the inspector questioned if the defective pump had been quarantined and whether plans were made to determine the cause of the air leak, the maintenance manager directed maintenance personnel to segregate the defective air oil pump in the "as found" condition until it could be properly evaluated. The inspectors later learned that the mechanical maintenance superintendent had asked that the root cause of the defective air oil pump be determined, but had not specifically asked that the "as found" condition of the pump be preserve Conclusions Maintenance department management and supervisory oversight for the removal and replacement of the air oil pump on Main Steam isolation Valve AB HV0011 was not effective for work on a safety-system component that invoked a short duration Technical Specification action statement. As a result of delays which could have been minimized or prevented, the operations department came within 4 minutes of exceeding the 4-hour time limit allowed by limiting conditions for operation, which would have required a forced shutdown of the reacto M6.2 Work Packaae Vulnerability Insoection Scoce (62707)

While observing a molded case circuit breaker replacement, the inspector noted a vulnerability in the work package and reviewed the licensee's respons b. Observations and Findinos On April 15,1998, the inspector observed the electricians repla:e Molded Case Breaker NG01 ACR2. While reviewing the work package, the inspector noted that the bill of materials list contained parts applicable to more than one style of molded case breaker. As a result, the maintenance program relied on the electrician's skill of the craft to ensure that the proper materials were selected and used. While this was an acceptable method of providing for safety-related parts, the inspector noted that this increased the vulnerability for human error. The electrical maintenance supervisor responded by directing maintenance planners to delete several entries from the bill of materials for future molded case breaker replacement work to ensure that, when special circumstances require different materials, additional reviews will be required to help minimize 'he potential for human erro _ _ _ _

,_- -_ _ _ _ _ _ - _ _ _ _ - _ _ - _ _ _ ___ - _ - ___ _ _ _ _ _ _ _ _ _______-_ - _ - _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _

.

!

-8- Conclusions The licensee responded appropriately to a work package planning vulnerability which had increased the potential for human erro Ill. Enoineerina E1 Conduct of Engineering

!

E Loose Parts Monitorina System I Inspection Scoce (37551)  ;

l The inspector reviewed the licensee's actions in response to spurious alarm > Observations and Findinos Following Refueling Outage 9, the licensee experienced loose parts monitor alarms at a  !

rate of approximately two per shift on Channel 2. Engineering recorded and evaluated l the noise from Channel 2 and determined that this was caused by the movement of an

'

incore thimbie tube A vendor also listened to tapes of this noise and concurred with the evaluation.

,

Instrumentation and control technicians periodically calibrated the sensor channel by initiating a calibrated impulse noise on the reactor vessel while adjusting the sensor  !

channel to respond to the impulse noise. Engineering determined that variations in the

]

location for performing this impulse noise adjustment resulted in corresponding variations l in the channel sensitivity to incore thimble noise. After verifying that the noise was not j caused by a loose part, engineering directed instrumentation and control technicians to  !

temporarily raise the alarm setpoint above the level that caused the spurious alarm Performance improvement Request 98-0192 was written to address these concerns, and j engineering determined that the corrective actions will include improved guidance to  !

provide some standardization in the calibration metho Conclusions The licensee responded appropriately to numerous loose parts monitor alarms, apparently caused by incore thimble movement.

j E1.2 Main Steam Valve Operability and System Enaineer Knowlecae l

l- Insoection Scooe (37551) l The inspector evaluated the engineering involvement in evaluating the operability of a main steam isolation valv i f

i

_ _ _ , _ _ . _ . _ . . . _ _ _ _ . _ _ . _ _ _ . _ _ _ . _ _ _ _ _ . _ _ . . _ - -

-___ _ _ - _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _

'

-

. Observations and Findinas On May 11,1998, engineering provided technical support to operations in evaluating the operability of Valve AB hV0011, Main Steam isolation Valve D, following the maintenance discussed in Section M6.1 of this report. The, sir-driven oil pump functioned, but exhibited an air teak from the hole used by the setscrew to prevent the air operator from cnscrewing and separating from the oil pump Operators based the initial operability on the fact that the pump passed the postmair% nance test. Consideration for the impact of the leak involved discussions between the shift supervisor and the system engineer. The system engineer knew that ine pump had successfully passed the test; however, the air leak demonstrated that air was getting past the air actuator 0-ring. This meant that the O-ring had either been repositioned cut of its designed location or had been cut. If it had been cut during reassembly, it wa3 not litely to have passed the shop test. If it had mispositioned, it had en increased potentia! to shift completely out of the seat and this would have resulted in failure of the puup. During subsequent discussions, j the system engineet expressed conce rns that tha pump could be sbject to imminent 1 failur Since the pump passed the test, the shift supervisor declared We valve operable, but made a statement in the shift supevisor's log regarding concem over ks expected service life. When the inspector questioned the shift supeeviscr and the system engineer I

whether this reduction had been either quantified or bound 6d, they acknowledged that it had not When the inspector questioned if they:sxpected the pump to fail'on the next stroke," they said that they did not expect this since it passed the test. However, when the inspector questioned if the valve had an increased potential of failure such that it could fail on the next stroke, they acknowledged that this was possible and the probabiW of this sort of failure was increase On May 29,1998, mechanks perforrned another bench test of tha pump with the air leak. During this test, the pump failed the test by failing to produce oil prescure above 200 psig. As a result of schedule concerns, the licensee defe#ed subsequent q troubleshooting until after the end of the inspection perio ;

The inspector asked the system engineer to describe the purpose of the hole from which the leaking air escaped. The engine er stated that the hole was used to permit d(olaced air on the opposite side of the air picton to move in and out of the actuator, thus anowing free movement of the air piston. During additional reviews of the techr?ical manual and discussions with the mechanics, the inspector teamed that the hole was not for this ;

purpose, but simply to hold a setso ow used to pre'/ent r6tation and removal of the air pump from the oilpum As discussed in Section M6.1 of this report, the licensee declarad the pump operable on May 11,1998, at 12:24 p.m. and then declared it inoperable at 3:19 p.m. for the second replacement of the air-driven hydraulic oil pump.

l t - >

_ _

- - -- -__ __- _ _ _ ___ _ _ _ - _-__ - _ _ - -

.

.

-10- Conclusions The shift supervisor declared a main steam isolation valve operable with an identified deficient condition that was expected to reduce the valve's service life and increase the probability of imminent valve failure. Engineering personnel acknowledged, but did not bound the expected reduction in the valve's service life. A subsequent failed bench test of the leaking pump demonstrated the concem regarding the decreased service life of the pump. The licensee's subsequent action to declare the valve inoperable within 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> for rework was appropriat The system engineer displayed a deficiency in system knowledge by not knowing the purpose of the hole in the air pum E Engineering Staff Knowledge and Performance E4.1 Trout.:;;hcotina and Cause Determination of VARS Steo Chance on Emeroency Diesel Generator A insoection Scone (37551)

The inspectors reviewed the licensee response to an unexpected VARS step change during an increase in excitation voltage setpoint to Emergency Diesel Generator A while the generator was synchronized to the gri b.- Observations and Findinas On May 14,1998, at 1:48 a.m., the reactor operator identified an unexpected increase in VARS while adjusting the excitation voltage setpoint to Emergency Diesel Generator A during the performance of Procedure STS KJ-005A, " Manual / Auto Start, Synchronization, and Loading of Emergency Diesel Generator NEO1," Revision 30. The shift supervisor subsequently decided to maintair, the diesel generator status as inoperable pending the outcome of an investigation for the cause of the step-change increase in VARS. Technical Specification 3.8.1.1, a 72-hour shutdown action -

statement, was in effect. The control room staff contacted the work control group and system engineering in order to facilitate coordination and focus for the investigatio The inspectors noted that, throughout the next 60 hours6.944444e-4 days <br />0.0167 hours <br />9.920635e-5 weeks <br />2.283e-5 months <br />, the engineering department coordinated efforts with the operations and maintenance departments and offsite contractors. The licensee developed and carried out a plan to troubleshoot and identify the root cause of the unexpected step increase in VARS. Engineering personnel effectively controlled the troubleshooting process and fully reviewed and understood the results of different phases of data collection before proceeding to the next step in the-proces The licensee determined that the cause of the unexpected increase in VARS, which occurred while adjusting the excitation voltage setpoint to Emergency Diesel Generator A, was electromagnetic interference induced noise from

!

l

__ _. . - - _ _

.

.

-11-Handswitch NEHS0013A. This control room switch is used to raise / lower the excitation voltage setpoint in the manual mode of operation with the diesel generator synchronized to the grid. Handswitch NEHS0013A has no function in the emergency start mode of the diesel generator. in the emergency start mode, the predetermined value voltage is set and not controlled by the operator On May 16,1998, at 1:33 p.m., Emergency Diesel Generator A was declared operable after the cause of the unexpected increase in VARS, while adjusting the excitation voltage setpoint, was identified, and it was determined that the circuit in question had no impact on the emergency diesel generator's safety function, Conclusions The engineering, operations, and maintenance departments coordinated efforts effectively to successfully troubleshoot and identify the cause of sn unexpected increase in VARS on Emergency Diesel Generator A during testing which resulted in an j unplanned entry into a '72-hour Technical Specification action statement. This indicates an improvement in interdepartmental cooperation and plannin E8 Miscellaneous Engineering issues (92903) i

!

E (Closed) Unresolved item 50-482/9804-04. Uncompensated postaccident sampling system inoperability. This item involved the licensee's discovery that the grab sample backup for the inoperable postaccident sampling system analysis equipment for analysis of dissolved hydrogen in the reactor coolant system did not meet the Updated Safety Analysis Report, Chapter 18.2.3, " Post Accident Sampling System," requirement for analysis within 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />. The analyzer had been out of service since 1992, and the licensee incorrectly assumed that grab samples could be taken and analyzed within 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />. On Januery 30,1998, the system engineering personnel determined that the analysis could not be completed within 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> because the sample would have to be taken offsite and the results would not be available for approximately 96 hour0.00111 days <br />0.0267 hours <br />1.587302e-4 weeks <br />3.6528e-5 months <br /> The extended inoperability of the analysis instrument without an adequate backup analysis methodology represents a de-facto modification to the postaccident sampling system. The licensee did r ot treat this as a modification and, therefore, did not perform a

.10 CFR 50.59 evaluation for this modification. The failure to perform this required 10 CFR 50.59 evaluation is a violation (50-482/9813-02).

The licensee's resultant evaluation determined that the safety significance of this issue was minor due to the fact that the reactor vessel head vents and reactor vessel level indicating systems were operational and would mitigate the consequences of postaccident hydrogen production on reactor vessel flow.- As part of their corrective actions, the licensee submitted a request for NRC approval of a change to their Updated l' Safety Analysis Report, Chapter 18, NUREG 0737, commitment to eliminate the requirement for the reactor coolant system dissolved hydrogen inline monitoring and grab sample capability.

u _ ____ __ _ __ _ _ _____________ _ _

- - _ - _ _ - - _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - - - - _ _ _ _ _ _ _ _ - _--

.

.

-12-IV. Plant Support P1  : Conduct of Emergency Preparedness Activities P Conduct of Quarteriv Emeroency Plan Drill insoection Scone (71750)

The inspector observed the second quarter emergency plan drill at the emergency operations facilit Observations and Findinas On May 12,1998, the inspector observed the second quarter emergency plan drill from -

the emergency operations facility. The inspector noted that the drill effectively exercised

.

' the licensee and the state of Kansas personnel in carrying out coordinated emergency response activities at the emergency operations facility and that communication and interaction between the licensee and the state of Kansas personnel was particularly good. The inspector noted that, while command and control at the emergency operations facility started out just adequate at the beginning of the drill, it improved notably throughout the remainder of the drill as managers at the facility focused on this

' aspect of performanc ' Conclusions An emergency plan drill provided effective training and demonstrated effective interaction and communication between licensee and state drill participant S1' Conduct of Security and Safeguards Activities S1.1 ' Security Dehaiiii.ent Resoonse to Failed Security Diesel Surveillance : Insoection Scoos (71750)'

The inspectors reviewed the security department response to a failed security diesel surveillance."

Observations and Findinos On May 12,1998, the security diesel generator failed to automatically load during the

. weekly performance of Procedure SE 01-108, " Security Systems Device Testing,"

Revision 43. The inspectors noted that the security department immediately obtained assistance from the maintenance department to troubleshoot and repair the diesel and

'

implemented a plan to manually load the diesel in the event it was needed. The .

= automatic loading function of the security diesel generator was repaired and operability restored that same day.

_ _: x <

..

l-13- Conclusions The security department appropriately responded to a failure of the security diesel generator to pass a weekly surveillance test, taking action to correct the problem while implementing existing contingency plan V. Management Meetings X1 Exit Meeting Summary The inspectors presented the inspection results to members of licensee management at the conclusions of the inspection on June 2,1998. The licensee acknowledged the findings presente The inspectors asked the licensee whether any materials examined during the inspection should be considered proprietary. No proprietary information was identifie !

u I

l

. I

_ _ ___ _ _ _ - _ _ _ - _ _ - _ _ _ _ - -

--

.

e SUPP!.EMENTAL INFORMATION PARTIAL LIST OF PERSONS CONTACTED Licensee M. J. Angus, Manager, Licensing and Corrective Action G. D. Boyer, Chief Administrative Officer J. W. Johnson, Manager, Resource Protection O. L. Maynard, President and Chief Executive Officer B. T. McKinney, Plant Manager R. Muench, Vice President Engineering W. B. Norton, Manager, Performance improvement and Assessment C. C. Warren, Chief Operating Officer INSPECTION PROCEDURES USED IP 37551 Onsite Engineering IP 61726 Surveillance Observations IP 62707 Maintenance Observations IP 71707 Plant Operations IP 71750 Plant Support Activities IP 92901 Followup - Operations IP 92903 Followup - Engineering ITEMS OPENED AND CLOSED Opened 50-482/9813-01 VIO Inadequate clearance orders (Section 08.1)

50-482/9813-02 VIO Uncompensated postaccident sampling system inoperability (Section E8.1)

Closed 50-482/9804-04 URI Uncompensated postaccident sampling system inoperability (Section E8.1)

50-482/9810-10 URI Inadequate clearance orders (Section 08.1)

- _ _ _ _ _ _ _ _