05000255/FIN-2011005-01

Finding

Title

Failure to Establish Maintenance Procedures For Safety Related Breakers in Pane; D11-2

Description

A finding of very low safety significance and associated NCV of Technical Specification (TS) 5.4 was identified by the inspectors for failure to properly establish written procedures for maintenance that can affect the performance of safety-related equipment as required by Regulatory Guide 1.33, Section 9. Specifically, during Refueling Outage 21 (RFO 21) maintenance personnel were conducting breaker testing and replacements on the 125 VDC Panel D11-2 with an inadequate work order package that did not include the appropriate procedure steps for replacing breakers in the panel. Instead, the work order directed maintenance workers in the field to install the breakers using a procedure that was not prescriptive in the reinstallation instructions and did not include signature steps for supervisor verification/inspection of the reinstallation activities. The licensee corrected the improperly installed breakers prior to reactor startup. The licensee also entered the issue in their Corrective Action Program (CAP) as CR-PLP-2012-00648. The performance deficiency was more than minor because it affected the Initiating Events Cornerstone attribute of Equipment Performance and adversely impacted the objective to limit the likelihood of those events that upset plant stability and challenge critical safety functions during power operations. Specifically, the breaker replacement workmanship deficiencies from the maintenance performed on Panel D11-2 during RFO 21 led to intermittent operation of some loads supplied by the panel. The finding screened as Green in the Initiating Events Cornerstone by answering no to the Transient Initiator question of contributing to both the likelihood of a reactor trip and the likelihood that mitigating equipment or functions would not be available. The finding had a cross-cutting aspect in the area of human performance related to the cross-cutting component of resources, in that the licensee ensures that personnel, equipment, procedures, and other resources are available and adequate to assure nuclear safety and specifically, the training of personnel and a sufficient number of qualified personnel are available to complete tasks commensurate with maintaining nuclear safety (H.2(b))

01
Site:	Palisades
Report	IR 05000255/2011005 Section 4OA2
Date counted	Dec 31, 2011 (2011Q4)
Type:	NCV: Green
cornerstone	Initiating Events
Identified by:	NRC identified
Inspection Procedure:	IP 71152
Inspectors (proximate)	C Zoia J Cassidy J Ellegood T Taylor M Learn A Scarbeary L Rodriguez
CCA	H.9, Training
INPO aspect	CL.4
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Finding - Palisades - IR 05000255/2011005

2(5)3(9)4(7)5(4)6(0)7(0)8(5)9(4)10(0)12(1)13(1)14(9)15(1)16(1)17(0)19(0)403(3)404(0)405(2)501(0)9(3)18(0)

IR 05000255/2011005: 1 2 3 4

Finding List (Palisades) @ 2011Q4

CCA Matrix: 2011Q4

	Q	CCA	Title
05000255/FIN-2011002-04	2011Q1		Inadequate Procedural Controls for Liquid Radioactive Waste
05000255/FIN-2011008-02	2011Q1	H.7	Test Results for Diesel Fuel Oil Tanks Not Evaluated
05000255/FIN-2011008-01	2011Q1	H.2	Failure to Assure Adequate Resolution for Remote Visual Examinations
05000255/FIN-2011008-03	2011Q1	P.1 P.1(a)	Tank T-10A Not Age Managed for Effect of Identified Water
05000255/FIN-2011008-04	2011Q1	H.2	Flow Accelerated Corrosion Program Acceptance Limits Not in Accordance with Design Standard
05000255/FIN-2011008-05	2011Q1	H.7	Failure to Implement Adequate Oil Sampling and Analysis Aging Management Program
05000255/FIN-2011002-03	2011Q1		Failure to Maintain Switchgear Weather Proof
05000255/FIN-2011002-02	2011Q1	H.2	Violation of Fatigue Rule Requirements
05000255/FIN-2011002-01	2011Q1	P.5	Failure to Account for Potential Age-Related Degradation in EDG Governors
05000255/FIN-2011403-01	2011Q1	H.14	Security
05000255/FIN-2011003-08	2011Q2	P.2	Failure to Adequately Manage Changes to the ODCM, Problem Identification & Resolution
05000255/FIN-2011003-09	2011Q2		Failure to Update SAMGs
05000255/FIN-2011003-05	2011Q2		Application of EAL Scheme During Drill
05000255/FIN-2011003-04	2011Q2		Turbine-Driven Auxiliary Feedwater Pump Trip
05000255/FIN-2011003-06	2011Q2	P.3	Failure to Include The Steam Generator Mausoleum in the Groundwater Protection Risk Ranking Program, Problem Identification & Resolution
05000255/FIN-2011003-03	2011Q2		Failure to Establish a Back-up Radiation Monitor
05000255/FIN-2011003-02	2011Q2		Failure to Establish a Back-up Radiation Monitor
05000255/FIN-2011003-01	2011Q2	H.14	Failure to Evaluate Reactor Vessel Head Corrosion During Visual Examination, Human Performance, Decision Making
05000255/FIN-2011003-07	2011Q2		Anomalous Environmental Samples
05000255/FIN-2011009-04	2011Q3	H.2	Void Size Acceptance Criteria is Non-Conservative
05000255/FIN-2011009-03	2011Q3	P.5	Procedures Were Not Appropriate To Address Gas Accumulation Issues
05000255/FIN-2011009-02	2011Q3	H.2	GL 2008-01 Design Reviews Did Not Adequately Assess the Potential to Accumulate Voids Within Piping Systems
05000255/FIN-2011009-01	2011Q3	H.14	Failure to Adequately Evaluate the Enclosure Installed Over the 1F/1G Buses
05000255/FIN-2011012-01	2011Q3		Adequacy of SW Pump Couplings
05000255/FIN-2011004-04	2011Q3		Failure to Maintain SAMGs
05000255/FIN-2011405-01	2011Q3	H.8	Security
05000255/FIN-2011004-07	2011Q3		Incorrect Instructions to Operators in Appendix R, Post-Fire Alternate Safe Shutdown Procedure
05000255/FIN-2011004-03	2011Q3	H.9	Failure to Implement the Approved Emergency Classification Scheme
05000255/FIN-2011004-02	2011Q3	H.4	Unauthorized Entry to High Radiation Area
05000255/FIN-2011004-01	2011Q3	H.2	Failure to Control Dose to Worker in Locked High Radiation Area
05000255/FIN-2011014-07	2011Q4	H.14	Failure to perform an Adequate Operability Evaluation
05000255/FIN-2011016-01	2011Q4	P.5	Failure to Prevent Recurrence of a Significant Condition Adverse to Quality
05000255/FIN-2011015-02	2011Q4		Operators did not inform management an at-the-controls reactor operator left the at-the-controls area of the Control Room without providing a turnover to a qualified individual or obtaining permission from the Control Room Supervisor.
05000255/FIN-2011013-01	2011Q4	H.13	Improper Lubrication of Turbine Driven Auxiliary Feedwater Pump Linkages
05000255/FIN-2011014-03	2011Q4	H.8	Failure to Implement Human Performance Tools and to Perform an Infrequently Performed Test or Evolution Brief
05000255/FIN-2011014-04	2011Q4	H.9	Failure to Comply With Work Hour Rules for Non-Covered Workers
05000255/FIN-2011014-05	2011Q4	H.12	Failure to implement Emergency Operating Procedure Immediate Actions
05000255/FIN-2011014-06	2011Q4		Failure to Establish a Procedure for the Loss of a DC Bus and the Simultaneous Loss of Two Preferred AC Power Sources
05000255/FIN-2011014-09	2011Q4		Potential Loss of Preferred AC Sources in Harsh Environment
05000255/FIN-2011005-02	2011Q4	H.7	Failure to Control Packing Configuration of Pressurizer Spray Control Valves
05000255/FIN-2011014-08	2011Q4		Failure to Maintain Design and Procurement Control of the 125-Volt DC System
05000255/FIN-2011014-01	2011Q4		Failure to Report a 10 CFR 50.72 Notification for an 8-hour Non-Emergency Report
05000255/FIN-2011014-02	2011Q4	H.12	Failure to Have Adequate Work Instructions For Work Performed on Panel D11-2
05000255/FIN-2011005-01	2011Q4	H.9 H.2(b)	Failure to Establish Maintenance Procedures For Safety Related Breakers in Pane; D11-2

Self-Identified List (Palisades)

	Q	Title
05000255/FIN-2011002-05	2011Q1	None
05000255/FIN-2011403-02	2011Q1	Security
05000255/FIN-2011403-03	2011Q1	Security
05000255/FIN-2011405-02	2011Q3	Security
05000255/FIN-2011004-05	2011Q3	Licensee-Identified Violation
05000255/FIN-2011004-06	2011Q3	Licensee-Identified Violation
05000255/FIN-2011005-03	2011Q4	Licensee-Identified Violation
05000255/FIN-2011005-04	2011Q4	Licensee-Identified Violation

[Palisades Findings full list]

05000255/FIN-2011005-01

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