05000361/FIN-2009005-12

Finding

Title

LICENSEE-IDENTIFIED Violation

Description

Title 10 of the Code of Federal Regulations 50.65(a)(4), states in part, that before performing maintenance activities, the licensee shall assess and manage the increase in risk that may result from the proposed maintenance activities. Contrary to the above, between September 30, 2009, and December 10, 2009, work control and operations personnel failed to adequately assess and manage the increase in risk associated with planned maintenance activities. Specifically, on September 30, errors were inadvertently introduced to the risk model, such that, the risk assessments for planned maintenance utilized a safety monitor with nonconservative allowed configuration time values until discovery of the error on December 10, 2009. This finding has been entered into the licensees corrective action program as Nuclear Notification NN 200701778. The finding is of very low safety significance because the incremental core damage probability deficit and the incremental large early release probability deficit were of sufficiently low magnitudes

12
Site:	San Onofre
Report	IR 05000361/2009005 Section 4OA7
Date counted	Dec 31, 2009 (2009Q4)
Type:	NCV: Green
cornerstone	Mitigating Systems
Identified by:	Licensee-identified
Inspection Procedure:
Inspectors (proximate)	L Ricketson G Guerra R Lantz P Elkmann J Adams J Reynoso G Warnick C Osterholtz A Fairbanks M Bloodgood R Schmitt
INPO aspect
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v • d • e

Finding - San Onofre - IR 05000361/2009005

6(0)2(7)3(9)4(5)5(13)7(2)8(0)9(2)301(0)302(0)401(0)402(2)403(0)

IR 05000361/2009005: 1 2 3 4 5 6 7 8 9 10 11 12 13

Finding List (San Onofre) @ 2009Q4

CCA Matrix: 2009Q4

	Q	CCA	Title
05000361/FIN-2009002-03	2009Q1	H.11 H.12	Failure to Properly Inspect Scaffolding in Safety-Related Areas
05000361/FIN-2009002-02	2009Q1	H.14	Failure to Properly Implement the Operability Determination Process
05000361/FIN-2009002-01	2009Q1	H.8	Failure to Follow Procedures when Performing Maintenance on the Auxiliary Feedwater System
05000361/FIN-2009002-04	2009Q1	H.5	Inadequate Procedure for Reactivity Manipulations
05000361/FIN-2009002-05	2009Q1	H.14	Failure to Properly Evaluate Boric Acid Leakage from the Reactor Coolant Pump Vapor Seal
05000361/FIN-2009002-06	2009Q1	H.4 H.5	Failure to Follow Procedures to Reassemble a Reactor Coolant System Pressure Retaining Component
05000361/FIN-2009002-07	2009Q1	H.11 H.12	Failure to Follow Procedure for Aligning a Reactor Coolant System Ion Exchanger
05000361/FIN-2009003-08	2009Q2		Failure to Establish Adequate Scaffolding Erection Procedures
05000361/FIN-2009003-09	2009Q2	P.2	Failure to Maintain Written Procedures Covered in Regulatory Guide 1.33
05000361/FIN-2009003-04	2009Q2	H.7	Failure to Assess and Manage Risk for Electrical Switchyard Impacting Maintenance
05000361/FIN-2009003-07	2009Q2	H.2	Failure to Follow Procedures for Safety-Related Painting Activities
05000361/FIN-2009003-06	2009Q2	H.8	Improper Controls for Electrical Test Equipement
05000361/FIN-2009003-03	2009Q2	P.3	Risk Assessment Performed Using Risk Assessment Tools with Known Errors
05000361/FIN-2009003-02	2009Q2	H.14	Failure to Implement Corrective Actions to Prevent Repeat Safety-related 480V Breaker Failures
05000361/FIN-2009003-05	2009Q2	P.2	Failure to Perform Operability Determination in a Timely Manner on Safety-related Equipment
05000361/FIN-2009003-01	2009Q2	H.11 H.12	Failure to Evaluate the Impact of Temporary Scaffolding on Installed Fire Protection Systems
05000361/FIN-2009004-05	2009Q3		Failure to Specify Appropriate Requirements in Procurement Documents
05000361/FIN-2009404-01	2009Q3	H.7	Security
05000361/FIN-2009004-03	2009Q3	P.1 P.1(a)	Failure to Follow Corrective Action process for an Inadequate Postmaintenance Test
05000361/FIN-2009004-02	2009Q3	P.3	Failure to Assess and Manage Risk for Maintenance that Could Impact Offsite Power Components
05000361/FIN-2009004-01	2009Q3	P.3	Failure to Submit Complete Revisions to Updated Final Safety Analysis Report for Penetration Seal Changes
05000361/FIN-2009004-04	2009Q3	P.1 P.1(a)	Failure to Notify the NRC within Required Timeframe
05000361/FIN-2009005-09	2009Q4	H.2	Failure to Implement Fire Protection Plan Requirements Related to Hot Work Activities
05000361/FIN-2009005-07	2009Q4	H.4 H.5	Inadequate Circulating Water System Maintenance Procedures Contribute to Unit 2 Inadvertent Reactor Trip
05000361/FIN-2009005-08	2009Q4	H.7	Unit 2 Heat Treat Pre-Job Brief Not Performed in Accordance with Procedural Requirements
05000361/FIN-2009005-10	2009Q4	H.7	Inadequate Design Control for Safety-Related Electrical Connections
05000361/FIN-2009005-06	2009Q4	H.13	Failure to Adequately Implement Compensatory Measures to Maintain Equipment Operable
05000361/FIN-2009005-05	2009Q4	P.2	Failure to Follow the Operability Determination Process
05000361/FIN-2009005-04	2009Q4	H.7	Failure to Correct Problems with Emergency Diesel Generator Train A
05000361/FIN-2009005-03	2009Q4	P.2	Failure to Correct Problems with Emergency Diesel Generator Train B
05000361/FIN-2009005-02	2009Q4	H.14	Failure to Adequately Identify Problems in Correction Action Program
05000361/FIN-2009005-01	2009Q4	P.1 P.1(a)	Failure to Initiate a Notification in a Timely Manner
05000361/FIN-2009402-02	2009Q4	H.12	Security
05000361/FIN-2009402-01	2009Q4	P.1	Security
05000361/FIN-2009007-02	2009Q4	H.2	Incorrect Mixing and Batching Associated with Concrete
05000361/FIN-2009007-01	2009Q4	H.2	Failure to Adequately Store and Preserve Materials for Used in Safety-Related Concrete

Self-Identified List (San Onofre)

	Q	Title
05000361/FIN-2009005-11	2009Q4	Licensee-Identified Violation
05000361/FIN-2009005-12	2009Q4	Licensee-Identified Violation
05000361/FIN-2009005-13	2009Q4	Licensee-Identified Violation

[San Onofre Findings full list]

05000361/FIN-2009005-12

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