ML17331B420

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
Issue date:	06/09/1994
From:	Blind A, Hodge W 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

ACCEI ERAT 0 DOCUMENT DISTR>BVTION SYSTEM'E It I REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9406160028 DOC.DATE: 94/06/09 NOTARIZED:

NO DOCKET FACIL:50-315 Donald C.Cook Nuclear Power Plant, Unit 1, Indiana M 05000315 R AUTH.NAME AUTHOR AFFILIATION HODGE,W.M.

Indiana Michigan Power Co.(formerly Indiana&Michigan Ele BLIND,A.A.

Indiana Michigan Power Co.(formerly Indiana&Michigan Ele RECIP.NAME RECIPIENT AFFILIATION, D

SUBJECT:

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.DISTRIBUTION CODE: IE22T COPIES RECEIVED: LTR (ENCL L SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES'ECIPIENT ID CODE/NAME PD3-1 PD INTERNAL: AEOD/DSP/TPAB NRR/DE/EELB NRR/DORS/OEAB NRR/DRCH/HICB NRR/DRSS/PRPB p NRR/'DSSA/SRXB ttZRE~Q LE+02 RGN3'ILE 01 EXTERNAL: EG&G BRYCE,J.H NRC PDR NSIC POOREiW~COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 2 2.1 1 1 1 1 1 2 2 1 1 1 1 RECIPIENT ID CODE/NAME HICKMAN,J AEOD/ROAB/DS P NRR/DE/EMEB NRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DSSA/SPLB NRR/PMAS/IRCB-E RES/DSIR/EIB L ST LOBBY WARD NSIC MURPHY,G.A NUDOCS FULL TXT COPIES LTTR ENCL 1 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 D D D D NOTE TO ALL"RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE!CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT.504-2065)TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26 D Indiana Michigan Power Company Cook Nuclear Plam One Cook Place Bridgman, Ml 49106 616 465 5901 lNDMNA NICHIGAN POMfER June 9, 1994 United States Nuclear Regulatory Commission Document Control Desk Rockville, Maryland 20852 Operating Licenses DPR-58 Docket No.50-315 Document Control Manager: In accordance with the criteria established by 10 CFR 50.73 entitled Licensee Event Re ort S stem the following report is being submitted:

94-005-00 Sincerely, A.A.Blind Plant Manager/sb Attachment c J.,B.Martin, Region III E.E.Fitzpatrick P.A.Barrett R.F.Kroeger M.A.Bailey-Ft.Wayne NRC Resident Inspector J.B.Hickman-NRC J.R.Padgett G.Charnoff, Esq.D.Hahn INPO S.J.Brewer 9406160028 940609 PDR ADOCK 05000315 8 PDR I yP%

NRC F RM 366 (5-92)U.S.NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO.3150%104 EXPIRES 5/31/95 LICENSEE EVENT REPORT (LER)(See reverse for required number of digits/characters for each block)ESllMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECllON REOUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESllMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 771e), U,S, NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 205550001~AND TO THE PAPERWORK REDUCTION PROJECT (51500104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20505.FACIUTY NAME (I)D.C.Cook Nuclear Plant-Unit 1 DOCKET NUMBER (2)05000 315 PAGE R)10F 3 TITLE (I)Failure of Fire Watch Personnel to Perform Assigned Duties Resulting in Missed TS Required Surveillance EVENT DATE 5 LER NUMBER 6 REPORT NUMBER 7 OTHER FACILITIES INVOLVED 6 MONTH DAY YEAR YEAR SEOUENTIAL NUMBER REVISION NUMBER DAY YEAR FACIUTY NAME DOCKET NUMBER 05000 FACIUTY NAME 12 28 93 94 0005 00 THIS REPORT IS SUBMITTED PURSUA OPERATING MODE (9)20.402(b)06 09 94 NT TO THE REQUIREMENTS OF 10 CFR R Check one or m 50.73(a)(2)(iv) 20.405(c)DOCKET NUMBER 05000 ore 11 73.71(b)POWER LEVEL (10)100 20.405(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)

X 50.73(a)(2)(I) 50.73(a)(2)(ii)50.73(a)(2}(iii)LICENSEE CONTACT FOR THIS LER 12 50.73(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'IIy In AIrelfasl belowandrn Tern, NRC Form 566A)NAME W.M.Hodge-Plant Protection Superintendent T(LEPHONE NUMBER (Inolrrde Area Code)616-465-5901 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO NPRDS SYSTEM COMPONENT MAN{)FACTURER REPORTABLE TO NPRDS SUPPLEMENTAL REPORT EXPECTED 14 YES (tl yea, complete EXPECTED SUBMISSION DATE)NO ABSTRACT (Umit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines)(16)EXP ECTFD MONTH DAY YEAR SUBMISSION DATE (15), On 6/1/92, the fi.re protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas.Compensatory actions required by the Technical Specifications (TS)were established.

On 2/11/94, a routine review of completed Fire Watch (FW)patrol records identified three (3)discrepancies in which an hourly FW patrol on the Essential Service Water (ESW)pump room was not conducted for a period of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/28/93, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 38 minutes on 12/30/93 and 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/31/93.Additional reviews were conducted and identified one (1)additional discrepancy in which an hourly FW patrol was not conducted on the U-1 CD Emergency Diesel Generator (EDG)room for 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 22 minutes on 2/24/94.A random monitori,ng program has been developed to review FW tours.These events, lessons learned from these events, and management expectations were conveyed to Plant Protection personnel.

FW patrol training and implementing procedures are being revised to incorporate the lessons learned from these events.NRC FORM 066{5-92)

NRC FORM 3SSA (589 I U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED OMB NO.31504(0O EXPIRES: O/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 500 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH IPJ(30I.U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504(0().

OFFICE Of MANAGEMENT AND BUDGET.WASHINGTON.

DC 20503.FACILI'TY NAME (1)DOCKET NUMBER (2l LER NUMBER (SI~AGE LSI D.C.Cook Nuclear Plant-Unit 1 TEXT///more opoce/1 reOMPer/, oeo/reo/oo~/I/RC Form 3/I(/AB/I(TI 0 5 0 0 0 3 1 5 YEAR ro4 9 4 SEQUENTIAL NUM Ell PS(A 0 5-rl (VIS IO N NUM 9 II 0 002 QF 0 3 C I 0 T On 6/1/92, the fire protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas.(,, On 2/11/94, a routine review of completed FW patrol tour records associated with TS related Fire Doors (FD)and other non.>>safety related FD for the months of November and December 1993, and January 1994, was conducted.

This review revealed five discrepancies attributed to a single FW individual at the Unit 1 ESW pump room (door designation 1-GT-SCN212A-323).

From this review, the FW tour records generated by this individual for the time period November 17 through December 31, 1993 were examined to determine the extent of the problem.Twenty-two (22)total discrepancies were identified for this individual.

Of the 22 discrepancies, three (3)were determined to have exceeded the requirements of TS 3.7.10.The other nineteen (19)were determined to have violated procedural requirements.

No compensatory actions were taken as this review was of past events.Based on these two reviews, a review was conducted of an additional 10%of the TS related FW patrols/tours and other non-safety related FW and FD tours for the period December 1993 through February 1994.This review identified six (6)additional procedural violations and one (1)discrepancy that had exceeded the requirements of TS 3.7.10.The discrepancy involved the U-1 CD EDG room.CAUSE OF EVENT For the documentation reviewed, it appears the cause was the failure of the individual(s) to perform their assigned duties.A contributing cause to these events was that management follow-up/monitoring of activities did not identify the discrepancies.

AL SIS OF EVENT The TS 3.7.10 action statement for an inoperable fire rated assembly requires that"...within 1 hour: 1)verify that the fire detectors and/or fire suppression system on at least one side of the inoperable assembly are OPERABLE and establish an hourly fire watch patrol, or 2)establish a continuous fire watch patrol on one side of the penetration...".

Failure to maintain an hourly FW patrol was a violation of TS 3.7.10 and is reportable under 10 CFR 50.73(a)(2)(i)(B).

The U-1 ESW pump room (Fire Zone 29-G)and U-1 CD EDG room (Fire Zone 15)was being toured because it contains fire protective coating material which the Plant declared inoperable on 6/1/92.The hourly FW patrol was not conducted for a period of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/28/93, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 38 minutes on 12/30/93 and 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/31/93 in the ESW pump room.The hourly FW patrol was not conducted for a period of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 22 minutes on 2/24/94 in the U-l CD NRC Fonrr SSSA (5891 NRCFORMSSSA (EBB)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT ILER>TEXT CONTINUATION APPROVED 0MB NO.315001(M EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE.TO COMPLY WTH THIS INFORMATION COLLECTION REOUESTI 50A)HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH IP430), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAI'ERWORK REDUCTION PRO/ECT (3(500(0(), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (1)DOCKET NUMBER (2)YEAR LER NUMBER (5)~SSOUENTIAL r?A NUM ER ASH'(EvrSION

'rrvMef R PAGE (31 D.C.Cook Nuclear Plant-Unit 1 TEXT Il/more Aoece*eePr/'red.

oee eddro'orre/HRC Form 35BA'e/(17)o s o o o 315 94 005-0 0 03oF 0 3 NALYSIS OF EVENT cont'd EDG room.The analysis of this event concludes that in the unlikely event of a fire, personnel would have been promptly aware of its presence and would have extinguished the fire without significant spreading of the fire or equipment damage.This conclusion is based on the following:

2~The detection for FZ 29-G and FZ-15 was in an operable state, in the event of a fire, the detectors would have alarmed in the U-l Control Room, which is manned 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> a day.This alarm condition would have been investigated and the appropriate Fire Brigade resources would have been dispatched to mitigate the fire.1 Manual fire protection equipment was readily available for Fire Brigade use if they deemed necessary.

Although an hourly FW patrol was not conducted for 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 38 minutes, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes and 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 22 minutes respectively, it is concluded that the alanna/detection associated with the affected FZ would have allowed timely identification of a fire.Therefore, these events are not considered to have created a significant safety concern, nor did it create a significant hazard to the health and safety of the general public.CORRECTIVE ACTION 2~3~A random monitoring program was developed to review fire watch tours.These events, lessons learned and management expectations were conveyed to Plant Protection personnel during meetings held during the month of May 1994.Fire Watch patrol training and implementing procedures are being revised to incorporate the lessons learned from these events.PREVIOUS SIMII.AR EVENTS" None NRC Fono 35BA (689)