ML17331B420

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LER 94-005-00:on 931228,TS Surveillance Was Missed Due to Failure of Individual to Perform Assigned Duties. Developed Random Monitoring Program & Revised Fire Watch Patrol Training & Implementing procedures.W/940609 Ltr
ML17331B420
Person / Time
Site: Cook American Electric Power icon.png
Issue date: 06/09/1994
From: BLIND A A, HODGE W M
INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
LER-94-005, LER-94-5, NUDOCS 9406160028
Download: ML17331B420 (5)


Text

ACCEIERAT0DOCUMENTDISTR>BVTIONSYSTEM'EItIREGULATORYINFORMATIONDISTRIBUTIONSYSTEM(RIDS)ACCESSIONNBR:9406160028DOC.DATE:94/06/09NOTARIZED:NODOCKETFACIL:50-315DonaldC.CookNuclearPowerPlant,Unit1,IndianaM05000315RAUTH.NAMEAUTHORAFFILIATIONHODGE,W.M.IndianaMichiganPowerCo.(formerlyIndiana&MichiganEleBLIND,A.A.IndianaMichiganPowerCo.(formerlyIndiana&MichiganEleRECIP.NAMERECIPIENTAFFILIATION,D

SUBJECT:

LER94-005-00:on931228,TSsurveillancewasmissedduetofailureofindividualtoperformassignedduties.Developedrandommonitoring,program&revisedfirewatchpatroltraining&implementingprocedures.W/940609ltr.DISTRIBUTIONCODE:IE22TCOPIESRECEIVED:LTR(ENCLLSIZE:TITLE:50.73/50.9LicenseeEventReport(LER),IncidentRpt,etc.NOTES'ECIPIENTIDCODE/NAMEPD3-1PDINTERNAL:AEOD/DSP/TPABNRR/DE/EELBNRR/DORS/OEABNRR/DRCH/HICBNRR/DRSS/PRPBpNRR/'DSSA/SRXBttZRE~QLE+02RGN3'ILE01EXTERNAL:EG&GBRYCE,J.HNRCPDRNSICPOOREiW~COPIESLTTRENCL111111111122.111111221111RECIPIENTIDCODE/NAMEHICKMAN,JAEOD/ROAB/DSPNRR/DE/EMEBNRR/DRCH/HHFBNRR/DRCH/HOLBNRR/DSSA/SPLBNRR/PMAS/IRCB-ERES/DSIR/EIBLSTLOBBYWARDNSICMURPHY,G.ANUDOCSFULLTXTCOPIESLTTRENCL1122111111111111111111DDDDNOTETOALL"RIDS"RECIPIENTS:PLEASEHELPUSTOREDUCEWASTE!CONTACTTHEDOCUMENTCONTROLDESK,ROOMPl-37(EXT.504-2065)TOELIMINATEYOURNAMEFROMDISTRIBUTIONLISTSFORDOCUMENTSYOUDON'TNEED!FULLTEXTCONVERSIONREQUIREDTOTALNUMBEROFCOPIESREQUIRED:LTTR26ENCL26D IndianaMichiganPowerCompanyCookNuclearPlamOneCookPlaceBridgman,Ml491066164655901lNDMNANICHIGANPOMfERJune9,1994UnitedStatesNuclearRegulatoryCommissionDocumentControlDeskRockville,Maryland20852OperatingLicensesDPR-58DocketNo.50-315DocumentControlManager:Inaccordancewiththecriteriaestablishedby10CFR50.73entitledLicenseeEventReortSstemthefollowingreportisbeingsubmitted:94-005-00Sincerely,A.A.BlindPlantManager/sbAttachmentcJ.,B.Martin,RegionIIIE.E.FitzpatrickP.A.BarrettR.F.KroegerM.A.Bailey-Ft.WayneNRCResidentInspectorJ.B.Hickman-NRCJ.R.PadgettG.Charnoff,Esq.D.HahnINPOS.J.Brewer9406160028940609PDRADOCK050003158PDRIyP%

NRCFRM366(5-92)U.S.NUCLEARREGULATORYCOMMISSIONAPPROVEDBYOMBNO.3150%104EXPIRES5/31/95LICENSEEEVENTREPORT(LER)(Seereverseforrequirednumberofdigits/charactersforeachblock)ESllMATEDBURDENPERRESPONSETOCOMPLYWITHTHISINFORMATIONCOLLECllONREOUEST:50.0HRS.FORWARDCOMMENTSREGARDINGBURDENESllMATETOTHEINFORMATIONANDRECORDSMANAGEMENTBRANCH(MNBB771e),U,S,NUCLEARREGULATORYCOMMISSION,WASHINGTON,DC205550001~ANDTOTHEPAPERWORKREDUCTIONPROJECT(51500104),OFFICEOFMANAGEMENTANDBUDGET,WASHINGTON,DC20505.FACIUTYNAME(I)D.C.CookNuclearPlant-Unit1DOCKETNUMBER(2)05000315PAGER)10F3TITLE(I)FailureofFireWatchPersonneltoPerformAssignedDutiesResultinginMissedTSRequiredSurveillanceEVENTDATE5LERNUMBER6REPORTNUMBER7OTHERFACILITIESINVOLVED6MONTHDAYYEARYEARSEOUENTIALNUMBERREVISIONNUMBERDAYYEARFACIUTYNAMEDOCKETNUMBER05000FACIUTYNAME12289394000500THISREPORTISSUBMITTEDPURSUAOPERATINGMODE(9)20.402(b)060994NTTOTHEREQUIREMENTSOF10CFRRCheckoneorm50.73(a)(2)(iv)20.405(c)DOCKETNUMBER05000ore1173.71(b)POWERLEVEL(10)10020.405(a)(1)(i)20.405(a)(1)(ii)20.405(a)(1)(iii)20.405(a)(1)(iv)20.405(a}(1)(v}50.36(c)(1)50.36(c)(2)X50.73(a)(2)(I)50.73(a)(2)(ii)50.73(a)(2}(iii)LICENSEECONTACTFORTHISLER1250.73(a)(2}(v)50.73(a)(2)(vii)50.73(a)(2)(viii)(A)50.73(a)(2)(viii)(8)50.73(a)(2)(x)73.71(c)OTHER{Stree'IIyInAIrelfaslbelowandrnTern,NRCForm566A)NAMEW.M.Hodge-PlantProtectionSuperintendentT(LEPHONENUMBER(InolrrdeAreaCode)616-465-5901COMPLETEONELINEFOREACHCOMPONENTFAILUREDESCRIBEDINTHISREPORT13CAUSESYSTEMCOMPONENTMANUFACTURERREPORTABLETONPRDSSYSTEMCOMPONENTMAN{)FACTURERREPORTABLETONPRDSSUPPLEMENTALREPORTEXPECTED14YES(tlyea,completeEXPECTEDSUBMISSIONDATE)NOABSTRACT(Umitto1400spaces,i.e.,approximately15single-spacedtypewrittenlines)(16)EXPECTFDMONTHDAYYEARSUBMISSIONDATE(15),On6/1/92,thefi.reprotectionformultipleareasofthePlantwasdeclaredinoperableduetotheuncertaintiesregardingthefireproofingmaterialusedtoprotectcomponentsandcablingwithinthoseareas.CompensatoryactionsrequiredbytheTechnicalSpecifications(TS)wereestablished.On2/11/94,aroutinereviewofcompletedFireWatch(FW)patrolrecordsidentifiedthree(3)discrepanciesinwhichanhourlyFWpatrolontheEssentialServiceWater(ESW)pumproomwasnotconductedforaperiodof1hour29minuteson12/28/93,1hour38minuteson12/30/93and1hour29minuteson12/31/93.Additionalreviewswereconductedandidentifiedone(1)additionaldiscrepancyinwhichanhourlyFWpatrolwasnotconductedontheU-1CDEmergencyDieselGenerator(EDG)roomfor1hour22minuteson2/24/94.Arandommonitori,ngprogramhasbeendevelopedtoreviewFWtours.Theseevents,lessonslearnedfromtheseevents,andmanagementexpectationswereconveyedtoPlantProtectionpersonnel.FWpatroltrainingandimplementingproceduresarebeingrevisedtoincorporatethelessonslearnedfromtheseevents.NRCFORM066{5-92)

NRCFORM3SSA(589IU.S.NUCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDOMBNO.31504(0OEXPIRES:O/30/92ESTIMATEDBURDENPERRESPONSETOCOMPLYWTHTHISINFORMATIONCOLLECTIONREOUEST:500HRS.FORWARDCOMMENTSREGARDINGBURDENESTIMATETOTHERECORDSANDREPORTSMANAGEMENTBRANCHIPJ(30I.U.S.NUCLEARREGULATORYCOMMISSION,WASHINGTON,DC20555,ANDTOTHEPAPERWORKREDUCTIONPROJECT(31504(0().OFFICEOfMANAGEMENTANDBUDGET.WASHINGTON.DC20503.FACILI'TYNAME(1)DOCKETNUMBER(2lLERNUMBER(SI~AGELSID.C.CookNuclearPlant-Unit1TEXT///moreopoce/1reOMPer/,oeo/reo/oo~/I/RCForm3/I(/AB/I(TI05000315YEARro494SEQUENTIALNUMEllPS(A05-rl(VISIONNUM9II0002QF03CI0TOn6/1/92,thefireprotectionformultipleareasofthePlantwasdeclaredinoperableduetotheuncertaintiesregardingthefireproofingmaterialusedtoprotectcomponentsandcablingwithinthoseareas.(,,On2/11/94,aroutinereviewofcompletedFWpatroltourrecordsassociatedwithTSrelatedFireDoors(FD)andothernon.>>safetyrelatedFDforthemonthsofNovemberandDecember1993,andJanuary1994,wasconducted.ThisreviewrevealedfivediscrepanciesattributedtoasingleFWindividualattheUnit1ESWpumproom(doordesignation1-GT-SCN212A-323).Fromthisreview,theFWtourrecordsgeneratedbythisindividualforthetimeperiodNovember17throughDecember31,1993wereexaminedtodeterminetheextentoftheproblem.Twenty-two(22)totaldiscrepancieswereidentifiedforthisindividual.Ofthe22discrepancies,three(3)weredeterminedtohaveexceededtherequirementsofTS3.7.10.Theothernineteen(19)weredeterminedtohaveviolatedproceduralrequirements.Nocompensatoryactionsweretakenasthisreviewwasofpastevents.Basedonthesetworeviews,areviewwasconductedofanadditional10%oftheTSrelatedFWpatrols/toursandothernon-safetyrelatedFWandFDtoursfortheperiodDecember1993throughFebruary1994.Thisreviewidentifiedsix(6)additionalproceduralviolationsandone(1)discrepancythathadexceededtherequirementsofTS3.7.10.ThediscrepancyinvolvedtheU-1CDEDGroom.CAUSEOFEVENTForthedocumentationreviewed,itappearsthecausewasthefailureoftheindividual(s)toperformtheirassignedduties.Acontributingcausetotheseeventswasthatmanagementfollow-up/monitoringofactivitiesdidnotidentifythediscrepancies.ALSISOFEVENTTheTS3.7.10actionstatementforaninoperablefireratedassemblyrequiresthat"...within1hour:1)verifythatthefiredetectorsand/orfiresuppressionsystemonatleastonesideoftheinoperableassemblyareOPERABLEandestablishanhourlyfirewatchpatrol,or2)establishacontinuousfirewatchpatrolononesideofthepenetration...".FailuretomaintainanhourlyFWpatrolwasaviolationofTS3.7.10andisreportableunder10CFR50.73(a)(2)(i)(B).TheU-1ESWpumproom(FireZone29-G)andU-1CDEDGroom(FireZone15)wasbeingtouredbecauseitcontainsfireprotectivecoatingmaterialwhichthePlantdeclaredinoperableon6/1/92.ThehourlyFWpatrolwasnotconductedforaperiodof1hour29minuteson12/28/93,1hour38minuteson12/30/93and1hour29minuteson12/31/93intheESWpumproom.ThehourlyFWpatrolwasnotconductedforaperiodof1hour22minuteson2/24/94intheU-lCDNRCFonrrSSSA(5891 NRCFORMSSSA(EBB)U.S.NUCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORTILER>TEXTCONTINUATIONAPPROVED0MBNO.315001(MEXPIRES:4/30/92ESTIMATEDBURDENPERRESPONSE.TOCOMPLYWTHTHISINFORMATIONCOLLECTIONREOUESTI50A)HRS.FORWARDCOMMENTSREGARDINGBURDENESTIMATETOTHERECORDSANDREPORTSMANAGEMENTBRANCHIP430),U.S.NUCLEARREGULATORYCOMMISSION,WASHINGTON,DC20555,ANDTOTHEPAI'ERWORKREDUCTIONPRO/ECT(3(500(0(),OFFICEOFMANAGEMENTANDBUDGET,WASHINGTON,DC20503.FACILITYNAME(1)DOCKETNUMBER(2)YEARLERNUMBER(5)~SSOUENTIALr?ANUMERASH'(EvrSION'rrvMefRPAGE(31D.C.CookNuclearPlant-Unit1TEXTIl/moreAoece*eePr/'red.oeeeddro'orre/HRCForm35BA'e/(17)osooo31594005-0003oF03NALYSISOFEVENTcont'dEDGroom.Theanalysisofthiseventconcludesthatintheunlikelyeventofafire,personnelwouldhavebeenpromptlyawareofitspresenceandwouldhaveextinguishedthefirewithoutsignificantspreadingofthefireorequipmentdamage.Thisconclusionisbasedonthefollowing:2~ThedetectionforFZ29-GandFZ-15wasinanoperablestate,intheeventofafire,thedetectorswouldhavealarmedintheU-lControlRoom,whichismanned24hoursaday.ThisalarmconditionwouldhavebeeninvestigatedandtheappropriateFireBrigaderesourceswouldhavebeendispatchedtomitigatethefire.1ManualfireprotectionequipmentwasreadilyavailableforFireBrigadeuseiftheydeemednecessary.AlthoughanhourlyFWpatrolwasnotconductedfor1hour29minutes,1hour38minutes,1hour29minutesand1hour22minutesrespectively,itisconcludedthatthealanna/detectionassociatedwiththeaffectedFZwouldhaveallowedtimelyidentificationofafire.Therefore,theseeventsarenotconsideredtohavecreatedasignificantsafetyconcern,nordiditcreateasignificanthazardtothehealthandsafetyofthegeneralpublic.CORRECTIVEACTION2~3~Arandommonitoringprogramwasdevelopedtoreviewfirewatchtours.Theseevents,lessonslearnedandmanagementexpectationswereconveyedtoPlantProtectionpersonnelduringmeetingsheldduringthemonthofMay1994.FireWatchpatroltrainingandimplementingproceduresarebeingrevisedtoincorporatethelessonslearnedfromtheseevents.PREVIOUSSIMII.AREVENTS"NoneNRCFono35BA(689)