IR 05000285/2006005
ML070450201 | |
Person / Time | |
---|---|
Site: | Fort Calhoun |
Issue date: | 02/14/2007 |
From: | Clark J NRC/RGN-IV/DRP/RPB-E |
To: | Ridenoure R Omaha Public Power District |
References | |
IR-06-205 | |
Download: ML070450201 (45) | |
Text
February 14, 2007 R. Vice President
Omaha Public Power District
Fort Calhoun Station FC-2-4 Adm.
P.O. Box 550
Fort Calhoun, NE 68023-0550SUBJECT:FORT CALHOUN STATION - NRC INTEGRATED INSPECTION REPORT 05000285/2006005
Dear Mr. Ridenoure:
On December 31, 2006, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at your Fort Calhoun Station. The enclosed integrated inspection report documents
the inspection findings, which were discussed on January 11, 2006, with Mr. Jeff Reinhart, Site
Director, and other members of your staff.
The inspections examined activities conducted under your license as they relate to safety and compliance with the Commission's rules and regulations and with the conditions of your license.
The inspectors reviewed selected procedures and records, observed activities, and interviewed
personnel.
This report documents two NRC-identified and five self-revealing findings of very low safety significance (Green). All of these findings were determined to involve violations of NRC
requirements. However, because of the very low safety significance and because they are
entered into your corrective action program, the NRC is treating these findings as noncited
violations (NCV), consistent with Section VI.A
.1 of the NRC Enforcement Policy. If you contest the violations or significance of the NCVs, you should provide a response within 30 days of the
date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory
Commission, ATTN: Document Control Desk, Washington, D.C. 20555-0001, with copies to the
Regional Administrator, U.S. Nuclear Regulatory Commission, Region IV, 611 Ryan Plaza
Drive, Suite 400, Arlington, Texas 76011-4005; the Director, Office of Enforcement, U.S.
Nuclear Regulatory Commission, Washington, D.C. 20555-0001; and the NRC Resident
Inspector at the Fort Calhoun Station facility.
Omaha Public Power District- 2 -
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, and its enclosure, will be available electronically for public inspection in the NRC Public Document
Room or from the Publicly Available Record s component of NRC's document system (ADAMS).
ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
Sincerely,
/RA/
Jeff A. Clark, Chief Project Branch E
Division of Reactor Projects Docket: 50-285 License: DPR-40
Enclosure:
NRC Inspection Report 05000285/2006005
w/Attachment: Supplemental Information
REGION IV Docket:50-285 License:DPR-40 Report:05000285/2006005 Licensee:Omaha Public Power District Facility:Fort Calhoun Station Location:Fort Calhoun Station FC-2-4 Adm.
P.O. Box 399, Highway 75 - North of Fort Calhoun
Fort Calhoun, Nebraska Dates:October 1 through December 31, 2006 Inspectors:J. Hanna, Senior Resident Inspector L. Willoughby, Resident Inspector
J. Adams, Reactor Inspector, Engineering Branch 1
V. Gaddy, Senior Project Engineer, Branch E
J. Kirkland, Project Engineer, Branch E
R. Lantz, Sr. Emergency Preparedness Inspector
D. Sterns, Health PhysicistApproved By:Jeff A. Clark, Chief, Project Branch E Division of Reactor Projects Enclosure-2-
SUMMARY OF FINDINGS
IR 05000285/2006005; 10/01/2006 - 12/31/2006; Fort Calhoun Station, Integrated Resident and
Regional Report; Operability Evaluations, Refueling and Other Outage Activities, Access
Control to Radiologically Significant Areas, ALARA Planning and Controls, Event Follow-up.
The report covered a 3-month period of inspection by a senior resident inspector, a resident inspector and announced inspections by a reactor inspector, a senior project engineer, a project engineer, a senior emergency preparedness inspector and a health physicist. Seven Green findings, all of which were noncited violations, were identified. The significance of most findings is indicated by their color (Green, White, Yellow, or Red) using Inspection Manual
Chapter 0609, "Significance Determination Process." Findings for which the significance determination process does not apply may be Green or be assigned a severity level after NRC management review. The NRC's program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, "Reactor Oversight Process," Revision 3, dated July 2000.A.
NRC-Identified Findings and Self-Revealing Findings
Cornerstone: Mitigating Systems
- Green.
The inspectors identified a Green noncited violation of 10 CFR 50,Appendix B, Criterion XVI for the licensee's failure to promptly identify and correct a degraded component cooling water pump. The failure to recognize and fix this condition led to the pump being more likely to fail upon a valid demand to start.This finding was determined to be greater than minor because the condition had an impact on availability/reliability of the component and thus affected the
"Equipment Performance" attribute under the Mitigating Systems cornerstone.
The inspectors evaluated this finding using Manual Chapter 0609, Appendix A, and determined that it was of very low safety significance (Green). This conclusion was reached because the finding was not a design or qualification deficiency, the finding did not represent a loss of safety function, was not an actual loss of safety function of a single train for greater than its Technical
Specification Allowed Outage time, did not represent an actual loss of safety function for non-Technical Specification equipment, and was not potentially significant due to external events such as flooding, seismic occurrences, etc.
This violation was entered into the licensee's corrective action program as
Condition Report 200603835. This finding has a crosscutting aspect in the area of problem identification and resolution because the licensee failed to identify and correct the condition despite numerous opportunities to do so (Section 1R15.b.1).*Green. A Green self-revealing finding was identified for failure of operators to follow a standing operational procedure as required by Technical
Specification 5.8.1.a. This failure resulted in less than the minimum number of raw water pumps required for decay heat removal from the spent fuel pool.
Enclosure-4-This finding was determined to be greater than minor in that it affected the "Configuration Control" attribute of the Mitigating Systems cornerstone, specifically "Shutdown Equipment Alignment." The inspectors attempted to use
Manual Chapter 0609, Appendix G, because the condition occurred during shutdown conditions. The inspectors were unable to do so because an assumption contained in the worksheets was that fuel was in the reactor vessel.
During this transient, all fuel was located in the spent fuel pool. Regional management determined that the finding was of very low safety significance (Green). The finding was evaluated considering Manual Chapter 0609, Appendix
G, as a bounding case and was used as guidance to determine the significance of the finding. This violation was entered into the licensee's corrective action program as Condition Report 200604505. This finding has a crosscutting aspect in the area of human performance associated with work practices because the operator failed to use error prevention techniques like self-checking and peer checking, which would have prevented this event (Section 1R20).*Green. A Green self-revealing finding was identified for failure to follow Technical Specification 5.8.1a required procedures during testing. This condition resulted in the damage to safety-related equipment and potential over-
pressurization of chemical and volume control system and high-pressure safety injection piping.
This finding was determined to be greater than minor in that it affected the "Configuration Control" attribute of the Mitigating Systems cornerstone, specifically "Shutdown Equipment Ali gnment." The inspectors evaluated this finding using Manual Chapter 0609, Appendix G, because the condition occurred during shutdown conditions. Using Checklist 2, the inspectors determined that the finding screened as Green because the condition did not increase the likelihood that a loss of decay heat removal would occur. This violation was entered into the licensee's corrective action program as Condition
Report 200605430. This finding has a crosscutting aspect in the area of human performance associated with work practices because the operator failed to use error prevention techniques like self-checking and peer checking, which would have prevented this event (Section 4OA3.3).
Cornerstone: Barrier Integrity
- Green.
The inspectors identified a noncited violation of Technical Specification 2.4. The violation was identified as a result of the licensee's failure to complete corrective actions two years ago that caused the licensee to incorrectly determine the operability of component cooling water inlet and outlet valves. These valves supply component cooling water to the containment air-
cooling and containment air-cooling and filtering units.
The finding was more than minor since it affected the "Containment Configuration Control" attribute of the Barrier Integrity cornerstone. Using Significance
Determination Process, Manual Chapter 0609, the phase one analysis directs the use of Appendix H, since the finding involves the actual reduction in defense-in-
depth for the atmospheric pressure control. Manual Chapter 0609 Appendix H,
Enclosure-5-characterized the finding as having a very low safety significance because it was determined to have no impact on core damage frequency or large early release frequency. The finding also has a crosscutting aspect in the problem identification and resolution area because the licensee failed to take appropriate corrective actions to address the safety issue in a timely manner (Section 1R15.b.2).
Cornerstone: Occupational Radiation Safety
- Green.
The inspectors identified a self-revealing, noncited violation of Technical Specification 5.11.1, in which a worker failed to obtain a high radiation area access authorization and associated radiological briefing prior to entering the posted area. Specifically, on October 24, 2006, a worker entered the containment building on a radiation work permit for rigging and equipment moves. This assignment did not require entry into a posted high radiation area.
After entering the containment building and beginning work, the individual's foreman reassigned the person to a job in a posted high radiation area. The individual did not change radiation work permits and did not receive the high radiation area briefing prior to starting work in the new area. This issue was entered into the licensee's corrective action program.
This finding is greater than minor because it is associated with one of the cornerstone attributes (exposure/contamination control) and affects the
Occupational Radiation Safety cornerstone objective, in that the failure to obtain authorization for entry into the posted high radiation area and the radiological briefing could result in additional personnel exposure. Using the Occupational
Radiation Safety Significance Determination Process, the inspectors determined that this finding was of very low safety significance because it did not involve:
(1) an as low as is reasonably achievable finding, (2) an overexposure, (3) a substantial potential for overexposure, or (4) an impaired ability to assess doses.
Additionally, this finding has a crosscutting aspect in the area of human performance work control because the foreman failed to appropriately coordinate work activities and evaluate the impact of changes to work assignments (Section 2OS1.1).*Green. The inspectors identified a self-revealing, noncited violation of Technical Specification 5.11.1.b, in which a contractor's ALARA Coordinator failed to wear an alarming device that could be heard while working in an high radiation area.
Specifically, on October 24, 2006, the individual inadvertently signed in on a radiation work permit task that was suspended, and entered an high radiation area inside the containment building. The access control computer automatically set the dosimeter alarms for suspended tasks at one millirem for dose and one millirem/hr for a dose rate. When the individual entered the high radiation area with high background noise levels, the individual was unable to hear the dosimeter alarm after it accumulated one millirem-integrated dose. The individual worked in the area for a total of 1.7-hours. Upon exiting, the individual noticed the dosimeter was alarming and had accumulated a total dose of six-
millirem. This issue was entered into the licensee's corrective action program.
This finding is greater than minor because it is associated with one of the Enclosure-6-cornerstone attributes (exposure/contamination control) and affects the Occupational Radiation Safety cornerstone objective, in that the failure to provide adequate alarming dosimetry resulted in additional personnel exposure. Using the Occupational Radiation Safety Significance Determination Process, the inspectors determined that this finding was of very low safety significance because it did not involve: (1) an as low as reasonable achievable finding, (2) an overexposure, (3) a substantial potentia l for overexposure, or (4) an impaired ability to assess doses. Additionally, this finding has a crosscutting aspect in the area of human performance work practices because the worker failed to use error prevention tools such as self- and peer-checking (Section 2OS1.2).*Green. The inspectors identified a self-revealing, noncited violation of Technical Specification 5.8.1.a, in which instructions for the use of a high-efficiency particulate air filtration units were not adequately incorporated into radiation work permit instructions resulting in the contamination of three workers. Specifically, on September 28, 2006, three individuals received intakes of radioactive material while cutting instrument lines from the bottom of the pressurizer. The work area was set up using scaffolding, with a small work platform, to access the bottom of the pressurizer and an high efficiency particulate air ventilation unit in place on the floor below the work platform with ductwork extending to the work platform.
The workers were given a briefing on dosimetry, dress requirements, and dose rates just prior to the start of the job; however, neither the briefing nor the radiation work permit addressed the proper placement of the high efficiency particulate air hose during the cutting evolution. Consequently, the three workers were assigned doses of 60-, 75-, and 86-millirem committed effective dose equivalent respectively. This issue was entered into the licensee's corrective action program.
This finding is greater than minor because it is associated with one of the cornerstone attributes (exposure/contamination control) and affects the
Occupational Radiation Safety cornerstone objective, in that the failure to incorporate adequate work instructions in the radiation work permit resulted in additional personnel exposure. Using the Occupational Radiation Safety
Significance Determination Process, the inspectors determined that this finding was of very low safety significance because it did not involve: (1) an ALARA finding, (2) an overexposure, (3) a substantial potential for overexposure, or (4)
an impaired ability to assess doses. Additionally, this finding has a crosscutting aspect in the area of human performance resources because the licensee failed to provide complete and accurate work instructions in the radiation work permit (Section 2OS2.2).
B.Licensee-Identified Violations
None Enclosure-7-
REPORT DETAILS
Summary of Plant Status
The unit began this inspection period in Mode 5 during a refueling outage with all fuel located in the Spent Fuel Pool. On December 3, 2006, the reactor was made critical following completion
of the outage. On December 13, 2006, reactor power was increased to 100 percent where the
plant remained until the end of the inspection period.
REACTOR SAFETY
Cornerstones: Initiating Events, Mitigating Systems, and Barrier Integrity1R01Adverse Weather Protection (71111.01) a.Readiness for Seasonal Susceptibilities The inspectors completed a review of the licensee's readiness of seasonal susceptibilities involving extreme low temperatures. The inspectors:
- (1) reviewed plant
procedures, the Updated Safety Analysis Report (USAR), and Technical Specifications (TS) to ensure that operator actions defined in adverse weather procedures maintained
the readiness of essential systems;
- (2) wa lked down portions of the systems listed below to ensure that adverse weather protection features (heat tracing, space heaters, weatherized enclosures, temporary chillers, etc.) were sufficient to support operability, including the ability to perform safe shutdown functions;
- (3) evaluated operator staffing
levels to ensure the licensee could maintain the readiness of essential systems required
by plant procedures; and
- (4) reviewed the corrective action program to determine if the
licensee identified and corrected problems related to adverse weather conditions. December 6, 2006, supply auxiliary steam to a condensate storage tank, installation of stop logs in circulating water discharge tunnel, and inspection of
the heat tracing of auxiliary feedwater supply to the Diesel-Driven Auxiliary
Feedwater Pump FW-54 Documents reviewed by the inspectors included: Work Order (WO) 00244139-01,"Install Stop Logs in CW System Discharge Tunnel."
The inspectors completed one sample.
b. Findings
No findings of significance were identified.
-8-1R04Equipment Alignments (71111.04).1Partial Equipment Walkdowns
a. Inspection Scope
The inspectors:
- (1) walked down portions of the two risk-important systems listed below and reviewed plant procedures and documents to verify that critical portions of the
selected systems were correctly aligned; and
- (2) compared deficiencies identified during
the walkdowns to the licensee's USAR and Corrective Action Program to ensure
problems were being identified and corrected. November 29 - December 1, 2006, Safety Injection (SI) System following its release from shutdown cooling operationsNovember 24, 2006, Safety-related portions of the Auxiliary Feedwater System.
Documents reviewed by the inspectors are listed in the attachment.
The inspectors completed two samples.
b. Findings
No findings of significance were identified.
1R05 Fire Protection (71111.05).1Quarterly Fire Inspection Tours
a. Inspection Scope
The inspectors walked down the six plant areas listed below to assess the material condition of active and passive fire protection features and their operational lineup and
readiness. The inspectors:
- (1) verified that transient combustibles and hot work
activities were controlled in accordance with plant procedures;
- (2) observed the
condition of fire detection devices to verify they remained functional;
- (3) observed fire
suppression systems to verify they re mained functional and that access to manual actuators was unobstructed;
- (4) verified that fire extinguishers and hose stations were
provided at their designated locations and that they were in a satisfactory condition;
- (5) verified that passive fire protection features (electrical raceway barriers, fire doors, fire dampers, steel fire proofing, penetration seals, and oil collection systems) were in a
satisfactory material condition;
- (6) verified that adequate compensatory measures were
established for degraded or inoperable fire protection features and that the
compensatory measures were commensurate with the significance of the deficiency; and
- (7) reviewed the USAR to determine if the licensee identified and corrected fire
protection problems. *October 4, 2006, Containment Building 994' Level (Fire Area 30) (Please refer to
-9-NRC Inspection Report 05000285/2006006. This sample is also being credited towards completion of inspection of the Nuclear Steam Supply System
components during the Fall 2006 Refueling outage).*October 16, 2006, Air Compressor and Auxiliary Feedwater area, Room 19 (Fire Area 32)*October 16, 2006, Lower Cable Spreading area, Room 70 (Fire Area 41)
- October 23, 2006, Volume Control Tank area, Room 29 (Fire Area 20.3)
- November 7, 2006, Letdown Heat Exchanger Area III, Room 12 (Fire Area 6.7)
- November 11, 2006, Ion Exchanger area, Room 62, (Fire Area 20.5)
Documents reviewed by the inspectors are listed in the attachment.
The inspectors completed six samples.
b. Findings
No findings of significance were identified.
1R08 Inservice Inspection Activities (71111.08).1Performance of Nondestructive Examination Activities Other than Steam Generator
Tube Inspections
a. Inspection Scope
The inspectors observed the performance of three Class 1 welds and reviewed the welder certifications, welding procedures, welding procedure specifications, weld
procedure qualification records and the final weld records for these welds.
The inspectors also reviewed the nondestructive examination associated with both replacement component installation and existing welds in service inspection activities, including: reviewing the radiographic film for three welds, observing dye penetrant
examination of six welds, and observing ultrasonic examination of four welds. In
conjunction with the observation and review of nondestructive examination activities, the inspectors reviewed procedures, reports, and technician qualification certifications.
The required sample size for this activity is one. The inspectors completed one sample.
b. Findings
No findings of significance were identified.
.2 Pressurized Water Reactor Vessel Upper Head Penetration Inspection Activities
-10-The licensee replaced the reactor vessel upper head during this outage. Therefore, the inspectors did not perform this inspection step because the licensee did not perform any
activities in this area.
The required sample size for this activity is one. The inspectors did not complete a sample because the licensee did not perform any activities in this area..3Boric Acid Corrosion Control Inspection Activities
a. Inspection Scope
The inspectors reviewed the results of the boric acid walkdown, which was completed prior to onsite arrival. This included review of the procedures governing the walkdown
and a review of a number of examination results, by reviewing both the tabulated results
as well as pictures of boric acid deposits.
The required sample size for this activity is one. The inspectors completed one sample.
b. Findings
No findings of significance were identified..4Steam Generator Tube Inspection Activities Inspection Scope The licensee replaced the steam generators during this outage. Therefore, the inspectors did not perform this inspection step because the licensee did not perform any
activities in this area.
The required sample size for this activity is one. The inspectors did not complete a sample because the licensee did not perform any activities in this area.
.5 Identification and Resolution of Problems
a. Inspection Scope
The inspectors reviewed six inservice inspec tion related condition reports (CRs) issued during the current and past refueling outages, and verified that the licensee identified, evaluated, corrected, and trended problems. In this effort, the inspectors evaluated the
effectiveness of the licensee's corrective action process, including the adequacy of the
technical resolutions.
There is no required sample size for this activity.
b. Findings
No findings of significance were identified.
-11-1R11Licensed Operator Requalification Program (71111.11)
a. Inspection Scope
The inspectors observed testing and training of senior reactor operators and reactor operators to identify deficiencies and discrepancies in the training, to assess operator
performance, and to assess the evaluator's critique. The training scenario involved a
steam generator tube rupture observed on November 13, 2006. Documents reviewed
by the inspectors included: Scenario SSG 84202b, "SGTR," Revision 1.
The inspectors completed one sample.
b. Findings
No findings of significance were identified.
1R12 Maintenance Effectiveness (71111.12)
a. Inspection Scope
The inspectors reviewed the two maintenance activities listed below:
- (1) verify the appropriate handling of structure, system, and component (SSC) performance or
condition problems;
- (2) verify the appropriate handling of degraded SSC functional
performance;
- (3) evaluate the role of work practices and common cause problems; and
- (4) evaluate the handling of SSC issues reviewed under the requirements of the
maintenance rule, 10 CFR Part 50 Appendix B, and the TSs. *December 14, 2006, Containment Spray Injection Valve HCV-345 incorrectassembly*December 21, 2006, Component Cooling Water Pump AC-3B unavailability due to repeated failures associated with the breaker's direct trip actuator Documents reviewed by the inspectors included: CR 200604695 and 200603835, Maintenance Rule Functional Scoping Data Sheets for component cooling water and
containment spray systems, and Maintenance Rule Cause Determination for Condition
Report 200203680.
The inspectors completed two samples.
b. Findings
No findings of significance were identified.
1R13 Maintenance Risk Assessments and Emergent Work Control (71111.13).1Risk Assessment and Management of Risk
a. Inspection Scope
-12-The inspectors reviewed the three assessment activities listed below to verify:
- (1) performance of risk assessments when required by 10 CFR 50.65 (a)(4) and licensee
procedures prior to changes in-plant configuration for maintenance activities and plant
operations;
- (2) the accuracy, adequacy, and completeness of the information considered
in the risk assessment;
- (3) that the licensee recognizes, and/or enters as applicable, the
appropriate licensee-established risk category according to the risk assessment results
and licensee procedures; and
- (4) the licensee identified and corrected problems related
to maintenance risk assessments.*October 18, 2006, Toured the switchyard while work was performed with 345 Kilovolt electrical supply out of service and 161 Kilovolt supply feeding all
critical loads*December 14, 2006, Reviewed elevated risk condition with Diesel-Driven Auxiliary Feedwater Pump FW-54 out of service and associated compensatory
actions*December 20, 2006, Diesel Generator 1 monthly surveillance, troubleshooting the Auto-Standby feature of Component Cooling Water (CCW) Pump AC-3C, Condenser Off-Gas Radiation Monitor Replacement RM-057, and changing
weather conditions Documents reviewed by the inspectors included: Surveillance Procedure OP-ST-DG-0001, "Diesel Generator 1 Check," Revision 52 and the daily risk
assessment profiles for the dates listed above.
The inspectors completed three samples.
b. Findings
No findings of significance were identified.
1R15 Operability Evaluations (71111.15)
a. Inspection Scope
The inspectors:
- (1) reviewed plants status documents such as operator shift logs, emergent work documentation, deferred modifications, and standing orders to determine
if an operability evaluation was warranted for degraded components;
- (2) referred to the
USAR and design basis documents to review the technical adequacy of licensee
operability evaluations;
- (3) evaluated compensatory measures associated with
operability evaluations;
- (4) determined degraded component impact on any TSs;
- (5) used the Significance Determination Process to evaluate the risk significance of
degraded or inoperable equipment; and
- (6) verified that the licensee has identified and
implemented appropriate corrective actions associated with degraded components.*July 18, 2006, found excessive regulator leakage on CCW nitrogen bottle Regulators NG-HCV-402A-R1, NG-HCV-400A-R1, NG-HCV-402B-R1, NG-HCV-
403B-R1, and NG-HCV-401B-R1
-13-*August 18, 2006, CCW Pump AC-3B Breaker 1B4A-1 repeatedly tripping free*November 1, 2006, Containment Spray Injection Valve HCV-345 being incorrectly assembled in 2005 (This finding will be documented in NRC Inspection Report 05000285/2005018.)*November 14, 2006, Reactor Coolant Syst em flow instruments tubing separation*November 22, 2006, Surveillance test failure of CH-143 (Boric Acid Pumps CH-4A & CH-4B Discharge to Charging Suction Header Check) and CH-155 (Charging Pumps CH-1A, B, & C Suction Header Gravity Feed Check Valve)
Documents reviewed by the inspectors are listed in the attachment. The inspectorscompleted five samples.
b. Findings
.1Failure to Promptly Identify and Correct a Degraded Component Cooling Water Pump
Introduction.
The inspectors identified a Green noncited violation of 10 CFR 50,Appendix B, Criterion XVI for the licensee's failure to promptly identify and correct a
degraded component cooling water pump. The failure to recognize and fix this condition
led to the pump being more likely to fail upon a valid demand to start.
Description.
On June 23, 2006, electrical Breaker 1B4A-1 (Breaker Unit Component Cooling Water Pump AC-3B) failed to stay closed on two attempts to close it during
routine maintenance. The breaker and the associated pump were subsequently
declared operable and returned to service. The inspectors started reviewing this
condition following an examination of the Condition Reporting system. The inspectors determined that two previous failures of the component cooling water Pump AC-3B to
start occurred on May 24, 2004 and April 1, 2005. Further, the inspectors observed that
a cause had not been determined for any of the three failures, nor had any (effective)
corrective actions been taken. The inspectors questioned the licensee about potential
causes and the extent-of-condition to components powered with General Electric AK-25
model breakers similar to that used for component cooling water Pump AC-3B.
Subsequently, the pump failed to start on August 18, 2006 and September 7, 2006.
The licensee performed detailed analysis of the suspect breaker and determined that the cause for the spurious electrical trips (i.e., failures of the pump to start on a valid
demand) was due to the lack of a notch in the reset paddle of the breaker. (The reset
paddle is a fulcrum point that places tension on the spring that supplies mechanical
force to drive the plunger when a tripping pulse is sent.) Without a notch in the reset
paddle, the Direct Trip Actuator over traveled during a closing evolution and prevented
the breaker from staying closed. The lic ensee performed extensive reviews, including visual examinations and high-speed video observations, to ensure that similar General
Electric AK-25 model breakers installed in the plant were not subject to this condition.
The licensee also determined that electrical breaker 1B4A-1 was degraded, but had
been operable. The inspectors concurred with these assessments.
-14-Analysis. The inspectors determined that the failure to promptly identify and correct a condition adverse to quality was a performance deficiency. This finding was determined
to be greater than minor because the condition had an impact on availability/reliability of
the component and thus affected the "Equipment Performance" attribute under the
Mitigating Systems cornerstone. The inspectors evaluated this finding using Manual
Chapter 0609, Appendix A, and determined that it was of very low safety significance (Green). This conclusion was reached because the finding was not a design or
qualification deficiency, the finding did not represent a loss of safety function, was not an
actual loss of safety function of a single train for greater than its TS Allowed Outage
time, did not represent an actual loss of safety function for non-TS equipment, and was
not potentially significant due to external events such as flooding, seismic occurrences, etc. This finding has a crosscutting aspect in the area of problem identification and
resolution because the licensee failed to identify and correct the condition despite
numerous opportunities to do so.
Enforcement.
Title 10 CFR Part 50, Appendix B, Criterion XVI, requires, in part, that measures shall be established to assure that conditions adverse to quality are promptly
identified and corrected. Contrary to the above, the licensee did not take prompt
corrective actions to correct the degraded component cooling water Pump AC-3B after
identification of the problem on June 23, 2006, resulting in the pump being degraded.
Since this failure to take prompt corrective action is of very low safety significance and
was documented in the licensee's corrective action program, this violation is being
treated as an NCV, consistent with Section VI.A of the NRC Enforcement Policy (NCV 05000285/2006005-01). This violation was entered into the licensee's corrective
action program as Condition Report 200603835..2Failure to Determine Operability of Component Cooling Water Valves to Containment Cooling Units
Introduction.
The inspectors identified a Green, noncited violation of TS 2.4. The violation was identified as a result of the licensee's failure to complete corrective actions
two years ago that caused the licensee to incorrectly determine the operability of
component cooling water inlet and outlet valves. These valves supply CCW to both the
containment air-cooling and containment air-cooling/filtering units.
Description.
Flow-induced hydrodynamic operation is a phenomenon in which water flow on the outside pipe bend, being of higher velocity, could cause an induced torque
on a butterfly valve disc. This torque would force the valve to either open or close
depending upon the valve orientation and valve proximity to the upstream bend.
The licensee has two containment air-cooling Units (VA-7C and VA-7D) and two containment air-cooling and filtering Units (VA-3A and VA-3B) as part of the system to
control containment air temperatures during normal and accident conditions. The
cooling coils for these units are cooled by the CCW system. The cooling coils for each
unit can be isolated from the CCW system by two inlet and two outlet valves. Three of the four isolation valves for each cooling unit are air-operated butterfly valves with a
safety-related nitrogen backup system to allow operation of the valves when the
nonsafety-related air system fails. (This group of butterfly valves is referred to collectively as the HCV-400 series valves in this discussion.) The valves fail as-is on a
-15-loss of air and nitrogen. Six of the twelve valves are subject to flow-induced hydrodynamic operation and will close on the loss of air and nitrogen thus securing CCW
to the containment air cooling and containment air cooling/filtering units.
On June 29, 2006, the licensee reported in CRs 200602757 and 200602759 torn dust boots on two of the HCV-400 series valves. The initial operability determination
concluded that the valves were operable because the licensee (incorrectly) decided a
torn dust boot did not adversely affect the valves. Thirteen days later, the CCW system
management system engineer reviewed the condi tion reports, inspected the valves and concluded the torn dust boots may have been indicative of leakage in the valve's air
operator. The initial operability of one of the valves was changed to inoperable.
On July 18, 2006, the licensee reported in CR 200603019 leaks associated with the backup nitrogen supply regulators to the HCV-400 series valves. The operability
determination for this condition concluded that the valves were operable since the
design basis documents stated the air-operated valves failed as-is. The inspectors
questioned this determination on why flow-induced hydrodynamic closure of the
HCV-400 series valves was not considered. The inspectors also reminded the licensee
that this same phenomenon was discussed approximately two years ago in NRC
Inspection Report 05000285/2004003 and documented in CR 200401672.
While correcting the reported leakage, the licensee conducted further evaluation of the operability determination. The licensee concluded that the nitrogen leakage reported in
CR 200603019 rendered the associated HCV-400 series valves inoperable. This
conclusion was made after the valves were repaired and tested satisfactorily.
The licensee initiated CRs 200603765 and 200603808 to assess the conditions and ascertain the reportability of incorrect operability determinations on July 18 and
June 29, 2006, respectively. The licensee determined these were reportable as TS
violations. A root cause analysis determined that the events described above were
caused by the failure to assign proper, timely corrective actions in 2004 to address the
need for updating appropriate station documents used for determining operability of the
HCV-400 series valves.
Analysis.
The inspectors assessed this issue using the Significance Determination Process. The inspectors concluded that in 2004 the licensee failed to identify corrective
actions involving the flow-induced hy drodynamic operation phenomenon of butterfly valves. This oversight resulted in violating TSs on June 29 and July 18, 2006, for the
CCW inlet and outlet butterfly valves to the containment air-cooling units. This
constitutes a performance deficiency since this was reasonably within the licensee's
ability to foresee and correct. The finding was more than minor since it affected the
"Containment Configuration Control" attribute of the Barrier Integrity cornerstone. Using
Significance Determination Process, Manual Chapter 0609, the Phase One Analysis
directs the use of Appendix H, since the finding involves the actual reduction in defense-
in-depth for the atmospheric pressure control. Manual Chapter 0609, Appendix H, characterized the finding as having a very low safety significance because it was
determined to have no impact on core damage frequency or large early release
frequency.
-16-The finding also has a crosscutting aspect in the problem identification and resolution area. The corrective action program component is affected because the licensee failed
to take appropriate corrective actions to address the flow-induced hydrodynamic operation phenomenon of butterfly valves in a timely manner.
Enforcement.
TS 2.4, "Containment Cooling," lists in (1)a.i. Containment Air Cooling and Filter Unit VA-3A and Containment Air Cooling Unit VA-7C. In (1)a.ii. the list contains
Containment Air Cooling and Filtering Unit VA-3B and Containment Air Cooling Unit VA-
7D. The TS reads in part, "-b.During power operation one of the components listed in (1)a.i. and ii. may be inoperable. If the inoperable component is not restored to operability within
seven days, the reactor shall be placed in hot shutdown condition within
12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />. If the inoperable component is not restored to operability within an
additional 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br />, the reactor shall be placed in a cold shutdown condition
within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. . ."
"(2) Modification of Minimum Requirements a. During power operation, the minimum requirements may be modified to allow a total of two of the components
listed in (1)a.i. and ii. to be inoperable at any one time. . . If the operability of one
of the two components is not restored within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, the reactor shall be placed
in a hot shutdown condition within 12-hours. LCO 2.4(1)b. shall be applied if one
of the inoperable components is restored within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. If the operability of
both components is not restored within an additional 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br />, the reactor shall
be placed in a cold shutdown condition within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. . ."
Contrary to the above, the licensee violated TS 2.4(1)b on July 6, 2006, when a seven-day allowed outage time was exceeded and TS 2.0.1 on July 18, 2006, when a
required shutdown was not completed. Specifically, on June 29 an HCV-400 series
valve was incorrectly determined to be operable and the leakage was not corrected
within seven days. On July 18, there were four HCV-400 series valves that were incorrectly determined operable, thus causing TS 2.4.(2) to be exceeded and requiring
entry into TS 2.0.1. These TS violations are being treated as an NCV, consistent with
the Section VI.A of the Enforcement Policy (NCV 05000285/2006005-02). This violation
is in the licensee's corrective action program as Condition Report 200603808.
1R19 Postmaintenance Testing (71111.19)
a. Inspection Scope
The inspectors selected the four postmaintenance test activities of risk significant systems or components listed below. For each item, the inspectors:
- (1) reviewed the applicable licensing basis and/or design-basis documents to determine the safety
functions;
- (2) evaluated the safety functions that may have been affected by the
maintenance activity; and
- (3) reviewed the test procedure to ensure it adequately tested
the safety function that may have been affected. The inspectors either witnessed or
reviewed test data to verify that acceptance criteria were met, plant impacts were
evaluated, test equipment was calibrated, procedures were followed, jumpers were
properly controlled, the test data results were complete and accurate, the test equipment
-17-was removed, the system was properly re-aligned, and deficiencies during testing were documented. The inspectors also reviewed the USAR to determine if the licensee
identified and corrected problems related to postmaintenance testing. (Please refer to
NRC Inspection Report 05000285/2006006. All of the samples listed below are also
being credited towards completion of inspection of the Nuclear Steam Supply System
components during the Fall 2006 Refueling outage.)*Inspection of the conduct of reactor coolant system (RCS) leakage testing and review of test results associated with replacement of the steam generators.
Specifically, the inspectors observed the performance of Procedure OP-ST-RC-
3007, "Periodic Reactor Coolant System Integrity Test," Revision 25, reviewed
the selection of the test pressure, and observed the primary hydrostatic test of
RCS components on November 25, 2006. Leakage was identified by the
licensee on an incore instrument detector castle nut necessitating plant cooldown
& repair.*Inspection of the conduct of steam generator secondary side leakage testing and review test results. Specifically the inspectors observed the performance of
procedures QC-ST-AFW-3002, "Auxilia ry Feedwater Piping Forty-Month Inservice Test," Revision 3 and test QC-ST-MS-3001, "Main Steam Forty-Month Inservice Test," Revision 2. *Inspection of the calibration and testing of instrumentation affected by steam generator replacement. Equipment included in the scope of this inspection
included, but was not limited to, steam generator level indication, main steam
flow rate detectors, main feed flow rate detectors, etc. For example, on
November 9, 2006, a tilt was identified on installed replacement steam
Generator RC-2B as described in CR 200605202. The inspectors evaluated the
condition to determine the possible effect, especially the potential impact to the
steam generator level indications.*Inspection of the conduct of reactor coolant system leakage testing and review the test results associated with replacement of the pressurizer. Specifically the
inspectors observed the performance of Procedure OP-ST-RC-3007, "Periodic
Reactor Coolant System Integrity Test," Revision 25, reviewed the selection of
the test pressure, and observed the primary hydrostatic test of RCS components
on November 25, 2006. Leakage was identified by the licensee on an incore
instrument detector castle nut necessitating plant cooldown & repair.
Documents reviewed by the inspectors are listed in the attachment.
The inspectors completed four samples.
b. Findings
No findings of significance were identified.
1R20 Refueling and Other Outage Activities (71111.20)
-18-
a. Inspection Scope
The inspectors reviewed the following risk significant refueling items or outage activities to verify defense in depth commensurate with the outage risk control plan, compliance
with the TSs, and adherence to commitments in response to Generic Letter 88-17, "Loss
of Decay Heat Removal:"
- (1) the risk control plan;
- (2) tagging/clearance activities;
- (3) reactor coolant system instrumentation;
- (4) electrical power;
- (5) decay heat removal;
- (6) spent fuel pool cooling;
- (7) inventory control;
- (8) reactivity control;
- (9) containment
closure;
- (10) reduced inventory or midloop conditions;
- (11) refueling activities;
- (12) heat-
up and cool-down activities;
- (13) restart activities; and
- (14) licensee identification and
implementation of appropriate corrective actions associated with refueling and outage
activities. The inspectors' containment inspections included observations of the
containment sump for damage and debris; and supports, braces, and snubbers for
evidence of excessive stress, water hammer, or aging. Documents reviewed by the
inspectors are listed in the attachment. (Please refer to NRC Inspection
Report 05000285/2006006. This sample is also being credited towards completion of
inspection of the Nuclear Steam Supply System components during the Fall 2006
Refueling outage.)
The inspectors completed one sample.
b. Findings
Introduction.
A Green self-revealing finding was identified for failure of operators to follow a standing operational procedure as required by TS 5.8.1.a. This failure resulted
in less than the minimum number of raw water pumps required for decay heat removal
from the spent fuel pool.
Description.
On October 4, 2006, the licensee prepared to rotate raw water pumps and isolate the 'B' cell of the intake structure to support maintenance. The plant conditions
were that the core was fully off-loaded to the spent fuel pool and cooling was provided
by raw water Pumps AC-10C and AC-10D, which were operating in the 'B' and 'C' intake
cells respectively. At 12:25 a.m., Raw Water Pump AC-10A was started and Raw Water
Pump AC-10C was secured. At 2:16 a.m., the circulating water pump interconnection
sluice Gates CW-16A and CW-16B were closed to support work on the 'B' intake bay
cell. Shortly after this, alarms were received in the control room for elevated screen
differential pressures, but the operators believed the alarm to be expected and only
associated with lowering levels on the 'B' cell. At 2:26 a.m. fluctuating electrical current
indications on the operating raw water Pump AC-10A caused operators to enter
abnormal operating Procedure AOP-18, "Loss of Raw Water," Revision 6. At 2:31 a.m.,
the traveling screen sluice Gates CW-14A and CW-14B for 'A' intake cell were found
closed. The event was terminated when operators secured raw water Pump AC-10A
and opened sluice gates CW-14A and CW-14B to restore intake bay level.
During this transient, the operating raw water Pump AC-10A pumped down the isolated
'A' intake cell. Licensee Procedure SO-O-21, "Shutdown Operations Protection Plan,"
Revision 25, Attachment 7.2 required that two raw water pumps be available at all times
for the plant conditions described above. With both the 'A' and 'B' intake cells isolated, three of the four raw water pumps were unavailable and only raw water Pump AC-10D
-19-was supplying cooling water to the spent fuel pool. Further, this condition placed the plant in a "red" risk condition, which was prohibited by station procedures.
Analysis.
The inspectors determined that the failure to follow the standing operational procedure was within the licensee's ability to control and hence was a performance
deficiency. This finding was determined to be greater than minor in that it affected the
"Configuration Control" attribute of the Mitigating Systems cornerstone, specifically
"Shutdown Equipment Alignment." The inspectors attempted to use Manual
Chapter 0609, Appendix G, because the condition occurred during shutdown conditions.
The inspectors were unable to do so because an assumption contained in the
worksheets was that fuel was in the reactor vessel. During this transient, all fuel was
located in the spent fuel pool. Regional management determined that the finding was of
very low safety significance (Green). The finding was evaluated considering Manual
Chapter 0609, Appendix G, as a bounding case and was used as guidance to determine
the significance of the finding. This finding has a crosscutting aspect in the area of
human performance associated with work practices because the operator failed to use
error prevention techniques like self-checking and peer checking, which would have
prevented this event.
Enforcement.
TS 5.8.1.a requires, in part, that written procedures be established, implemented, and maintained covering the applicable procedures recommended in
Regulatory Guide 1.33, Revision 2, and Appendix A, 1978.
Regulatory Guide 1.33, Revision 2, Appendix A, requires, in part, written procedures for Refueling and Core
Alterations. Procedure SO-O-21, "Shutdown Operations Protection Plan," Revision 25, 7.2, required two raw water pumps to be available to facilitate heat removal.
Contrary to the above, during a transient on October 4, 2006, only one raw water pump
was available for removal of decay heat from the spent fuel pool. This violation of
TS 5.8.1.a is being treated as a noncited violation, consistent with Section VI.A of the
Enforcement Policy (NCV 05000285/2006005-03). This violation was entered into the
licensee's corrective action program as CR 200604505.
1R22 Surveillance Testing (71111.22)
a. Inspection Scope
The inspectors reviewed the USAR, procedure requirements, and TSs to ensure that the five surveillance activities listed below demonstrated that the SSC's tested were capable
of performing their intended safety functions. The inspectors either witnessed or
reviewed test data to verify that the following significant surveillance test attributes were
adequate:
- (1) preconditioning;
- (2) evaluation of testing impact on the plant;
- (3) acceptance criteria;
- (4) test equipment;
- (5) procedures;
- (6) jumper/lifted lead
controls;
- (7) test data;
- (8) testing frequency and method demonstrated TS operability;
- (9) test equipment removal;
- (10) restoration of plant systems;
- (11) fulfillment of ASME
Code requirements;
- (12) updating of performance indicator data;
- (13) engineering
evaluations, root causes, and bases for returning tested SSCs not meeting the test
acceptance criteria were correct;
- (14) reference setting data; and
- (15) annunciators and
alarms set points. The inspectors also verified that the licensee identified and
implemented any needed corrective actions associated with the surveillance testing.
-20-*September 9 through December 31, 2006, Review of the post installation inspections, verification program and implementation for the steam generator
replacement. (Please refer to NRC Inspection Report 05000285/2006006. This
sample is also being credited towards completion of inspection of the Nuclear
Steam Supply System components during the Fall 2006 Refueling outage.)*October 13 and 29, 2006, Type C Local Leak Rate Test of Mechanical Penetrations Mike-39 and Mike-53*November 22, 2006, In-office review of OP-ST-CW-3022, "AC-3C Component Cooling Water Pump Inservice Test," Revision 16.
Documents reviewed by the inspectors are listed in the attachment.
The inspectors completed three samples.
b. Findings
No findings of significance were identified.
===Cornerstone: Emergency Preparedness1EP4Emergency Action Level and Emergency Plan Changes (71114.04)
a. Inspection Scope
=
The inspectors performed an in-office review of revisions to the Fort Calhoun Station Emergency Plan, including Revision 27 to Section B, and Revision 14 to Appendix C.
The revisions were submitted in October 2006. The revisions relocated one field
monitoring team from the Technical Suppor t Center to the Emergency Operations Facility and added clarification for use of the cross-reference to NUREG 0654, "Criteria
for Preparation and Evaluation of Radiological Emergency Response Plans and
Preparedness in Support of Nuclear Power Plants," Revision 1.
The revisions were compared to their previous revisions, to the criteria of NUREG-0654 and NEI 99-01, "Methodology for Development of Emergency Action Levels," Revision 2, and to the standards in 10 CFR 50.47(b) to determine if the revisions were adequately
conducted following the requirements of 10 CFR 50.54(q). This review was not
documented in a safety evaluation report and did not constitute approval of licensee
changes; therefore, these revisions are subject to future inspection.
The inspectors completed one sample during the inspection.
b. Findings
No findings of significance were identified.2.RADIATION SAFETY
-21-Cornerstone: Occupational Radiation Safety [OS] 2OS1Access Control to Radiologically Significant Areas (71121.01)
a. Inspection Scope
This area was inspected to assess the licensee's performance in implementing physical and administrative controls for airborne radioactivity areas, radiation areas, high
radiation areas, and worker adherence to these controls. The inspectors used the
requirements in 10 CFR Part 20, the TSs, and the licensee's procedures required by
TSs as criteria for determining compliance. During the inspection, the inspectors
interviewed the radiation protection manager, radiation protection supervisors, and
radiation workers. The inspectors performed independent radiation dose rate
measurements and reviewed the following items:*Performance indicator events and associated documentation packages reported by the licensee in the Occupational Radiation Safety Cornerstone*Controls (surveys, posting, and barricades) of three radiation, high radiation, or airborne radioactivity areas *Radiation work permits, procedures, engineering controls, and air sampler locations *Conformity of electronic personal dosimeter alarm set points with survey indications and plant policy; workers' knowledge of required actions when their
electronic personal dosimeter noticeably malfunctions or alarms*Barrier integrity and performance of engineering controls in two airborne radioactivity areas *Adequacy of the licensee's internal dose assessment for any actual internal exposure greater than 50 millirem Committed Effective Dose Equivalent *Self-assessments, audits, licensee event reports, and special reports related to the access control program since the last inspection *Corrective action documents related to access controls
- Radiation work permit (or radiation exposure permit) briefings and worker instructions *Adequacy of radiological controls such as, required surveys, radiation protection job coverage, and contamination controls during job performance *Posting and locking of entrances to all accessible high dose rate, high radiation areas, and very high radiation areas *Radiation worker and radiation protection technician performance with respect to radiation protection work requirements Either because the conditions did not exist or an event had not occurred, no opportunities
-22-were available to review the following items:*Licensee actions in cases of repetitive deficiencies or significant individual deficiencies The inspectors completed 17 of the required 21 samples.
b. Findings
.1Introduction. The inspectors identified a self-revealing, NCV of TS 5.11.1, in which a worker failed to obtain a high radiation area (HRA) access authorization and associated
radiological briefing prior to entering the posted area. This violation had very low safety
significance.
Description.
On October 24, 2006, a worker entered the containment building on radiation work Permit (RWP) 06-2542, "NSSSRP - Misc support," Task No. 1 for rigging
and equipment moves. Electronic Alarming Dosimeter (EAD) alarm set points for this
task were 25-millirem dose and 100-millirem per hour dose rates. This assignment did not require entry into a posted HRA. After entering the containment building and
beginning work, the individual's foreman reassigned the person to a job on the temporary
walkway above the reactor cavity. The individual should have changed to RWP 06-3538, which requires an HRA briefing from radiation protection prior to beginning work in the
assigned area. This RWP would have also increased his EAD alarm set points to
100-millirem for dose and 150-millirem per hour for dose rate. The individual did not
change RWP's and did not receive the HRA briefing prior to starting work in the new
area. General area dose rates in the walkway were 60-80 millirem per hour. After
working on the cavity walkway for a period of time, the individual's EAD alarmed at 25-
millirem dose. The individual immediately exited containment and contacted radiation
protection personnel.
Analysis.
The failure to obtain an HRA access authorization and radiological briefing before entering the posted area is a performance deficiency. This finding is greater than
minor because it is associated with one of the cornerstone attributes (exposure/contamination control) and affects the Occupational Radiation Safety
cornerstone objective, in that the failure to obtain authorization for entry into the posted
HRA and the radiological briefing could result in additional personnel exposure. Using
the Occupational Radiation Safety Significance Determination Process, the inspectors
determined that this finding was of very low safety significance because it did not involve:
- (1) an ALARA finding,
- (2) an overexposure,
- (3) a substantial potential for overexposure, or
- (4) an impaired ability to assess doses. Additionally, this finding has a crosscutting
aspect in the area of human performance work control because the foreman failed to
appropriately coordinate work activities and evaluate the impact of changes to work
assignments.
Enforcement.
TS 5.11.1 states, in part, that in lieu of the "control device" required by 10 CFR 20.1601(a) and 20.1601c, each high radiation area, as defined in 10 CFR
20.1601, shall be barricaded and conspicuously posted as an HRA and entrance thereto
controlled by a RWP. Any individuals permitted to enter such areas shall be provided
with a continuously integrating and alarming radiation-monitoring device and may enter
after the dose rate levels in the area have been established and personnel are made
knowledgeable of them. Contrary to TSs, a worker entered HRA without obtaining the
required radiological briefing and was not specifically authorized to enter the area.
-23-Because this finding is of very low safety significance and has been entered into the licensee's corrective action program (CR 200604938), this violation is being treated as an
NCV, consistent with Section VI.A of the NRC Enforcement Policy:
NCV 05000285/2006005-04, Failure to obtain HRA access authorization and associated
radiological briefing..
Introduction.
The inspectors identified a self-revealing, NCV of TS 5.11.1, in which a worker failed to wear an alarming device that could be heard while working in an HRA
near the "A" steam generator cold legs. This violation had very low safety significance.
Description.
On October 24, 2006, a contractor's ALARA Coordinator entered the containment building on RWP 06-3530, "Cut-out and weld-in of RCS piping to support
replacement of steam generators." This area was a posted HRA with accessible areas
where radiation exposure rates were greater than 100 millirem per hour. The individual
intended to enter on Task No. 4, but inadvertently signed in on Task No. 1, which was
suspended. The access control computer software will not prevent an individual from
entering on a suspended task, but defaults to an EAD dose alarm of 1 millirem and a
dose rate alarm of 1 millirem per hour. The alarm set points for Task No. 4 were
300 millirem for dose, and 2500 millirem per hour for dose rate. The individual entered
the RCA and proceeded to the work location. The individual stated that the alarming
dosimeter alarmed on "dose rate" shortly after entering the RCA but immediately cleared.
The individual stated that they knew the alarm set points for Task No. 4 were much
higher and that they had not entered any areas, which should cause the dosimeter to
alarm. The individual believed the cause of the alarm to be a low battery. After
requesting replacement of the battery, the individual entered the HRA. Due to the
background noise level in the area, the individual was not able to hear the electronic
dosimeter when it went into alarm at one millirem integrated dose. The individual worked
in the area for a total of 1.7-hours. Upon exiting, the individual noticed the dosimeter
alarm and immediately contacted radiation protection. The dosimeter indicated a total
dose of 6-millirem.
Analysis.
The failure to wear an alarming device that could be heard is a performance deficiency. This finding is greater than minor because it is associated with one of the
cornerstone attributes (exposure/contamination control) and affects the Occupational
Radiation Safety cornerstone objective, in that the failure to provide an adequate
alarming dosimetry resulted in additional personnel exposure. Using the Occupational
Radiation Safety Significance Determination Process, the inspectors determined that this
finding was of very low safety significance because it did not involve:
- (1) an ALARA
finding,
- (2) an overexposure,
- (3) a substantial potential for overexposure, or
- (4) an
impaired ability to assess doses. Additionally, this finding has a crosscutting aspect in
the area of human performance work practices because the worker failed to use error
prevention tools such as self- and peer-checking.
Enforcement.
TS 5.11.1.b requires that an individual entering an HRA shall be provided with a radiation-monitoring device, which continuously integrates the radiation dose rate
in the area and alarms when a preset integrated dose is received. The fact that the
background noise level was high enough that the worker could not hear the alarm
effectively made the alarm nonfunctioning. Therefore, the failure to wear an alarming
device that could be heard is a violation of TS 5.11.1.b. Because this finding is of very
low safety significance and has been entered into the licensee's corrective action
program (CR 200604938), this violation is being treated as an NCV, consistent with
Section VI.A of the NRC Enforcement Policy: NCV 05000285/2006005-05, Failure to
-24-provide adequate alarming dosimetry.2OS2ALARA Planning and Controls (71121.02)
a. Inspection Scope
The inspectors assessed licensee performance with respect to maintaining individual and collective radiation exposures ALARA. The inspectors used the requirements in 10 CFR
Part 20 and the licensee's procedures required by TSs as criteria for determining
compliance. The inspectors interviewed licensee personnel and reviewed:*Current 3-year rolling average collective exposure*Two outage or on-line maintenance work activities scheduled during the inspection period and associated work activity exposure estimates which were
likely to result in the highest personnel collective exposures *Site specific trends in collective exposures, plant historical data, and source-term measurements*Site specific ALARA procedures
- ALARA work activity evaluations, exposure estimates, and exposure mitigation requirements*Interfaces between operations, radiation protection, maintenance, maintenance planning, scheduling and engineering groups*Integration of ALARA requirements into work procedure and radiation work permit (or radiation exposure permit) documents*Person-hour estimates provided by maintenance planning and other groups to the radiation protection group with the actual work activity time requirements *Dose rate reduction activities in work planning
- Assumptions and basis for the current annual collective exposure estimate, the methodology for estimating work activity exposures, the intended dose outcome, and the accuracy of dose rate and man-hour estimates*Method for adjusting exposure estimates, or re-planning work, when unexpected changes in scope or emergent work were encountered*Exposure tracking system
- Use of engineering controls to achieve dose reductions and dose reduction benefits afforded by shielding*Workers use of the low dose waiting areas
- First-line job supervisors' contribution to ensuring work activities are conducted in a dose efficient manner*Records detailing the historical trends and current status of tracked plant source
-25-terms and contingency plans for expected changes in the source term due to changes in plant fuel performance issues or changes in plant primary chemistry *Source-term control strategy or justifications for not pursuing such exposure reduction initiatives*Specific sources identified by the licensee for exposure reduction actions and priorities established for these actions, and results achieved against since the last
refueling cycle*Radiation worker and radiation protection technician performance during work activities in radiation areas, airborne radioactivity areas, or high radiation areas *Self-assessments, audits, and special reports related to the ALARA program since the last inspection*Resolution through the corrective action process of problems identified through postjob reviews and postoutage ALARA report critiques*Corrective action documents related to the ALARA program and followup activities such as initial problem identification, characterization, and tracking *Effectiveness of self-assessment activities with respect to identifying and addressing repetitive deficiencies or significant individual deficiencies The inspectors completed 12 of the required 15 samples and 11 of the optional samples.
b. Findings
Introduction.
The inspectors identified a self-revealing, NCV of TS 5.8.1.a, in which instructions for the use of a high efficiency particulate air (HEPA) filtration unit were not
adequately incorporated into RWP instructions resulting in the contamination of three
workers. The violation had very low safety significance (Green).
Description.
On September 28, 2006, three individuals who had been cutting pressurizer instrument taps from the bottom of the pressurizer alarmed the personnel contamination
monitors when attempting to exit the RCA. The individuals were logged into the RCA
using RWP 06-3537 for pressurizer replacement activities including removal and
installation of instrument lines. The work area was set up using scaffolding, with a small
work platform, to access the bottom of the pressurizer. An HEPA ventilation unit was
placed on the floor below the work platform with ductwork extending to the work platform
and to an area near the instrument lines. The workers were given a briefing on
dosimetry, dress requirements, and dose rates just prior to the start of the job. The
removal of the instrument lines was performed using a portable band saw. Since the
licensee had a history of failed fuel in previous fuel cycles, there was a high potential for
highly contaminated residue to be inside the instrument lines. The HEPA ventilation duct
was positioned on the work platform at the start of the cutting evolution, but was never
placed near the cut locations on the instrument lines. During the cutting evolution, the
band saw spread contamination over a large portion of the area directly beneath the
pressurizer instrument taps, including the three workers on the platform. Upon exiting the
work area, the three individuals alarmed the personnel contamination monitors. The
individuals were decontaminated, and whole body counts were performed. Based on
-26-whole body count results, the three individuals were assigned doses of 60, 75, and 86 millirem committed effective dose equivalent respectively.
Analysis.
The failure to provide adequate work instructions is a performance deficiency.
This finding is greater than minor because it is associated with one of the cornerstone
attributes (exposure/contamination control) and affects the Occupational Radiation Safety
cornerstone objective, in that the failure to incorporate adequate work instructions in the
radiation work permit resulted in additional personnel exposure. Using the Occupational
Radiation Safety Significance Determination Process, the inspectors determined that this
finding was of very low safety significance because it did not involve:
- (1) an ALARA
finding,
- (2) an overexposure,
- (3) a substantial potential for overexposure, or
- (4) an
impaired ability to assess doses. Additionally, this finding has a crosscutting aspect in
the area of human performance resources because the licensee failed to provide
complete and accurate work instructions in the RWP.
Enforcement.
TS 5.8.1.a requires that procedures listed in Regulatory Guide 1.33, Appendix A, be established, implemented, and maintained. Section 7e. lists procedures
for access control to radiation areas including a radiation work permit system. Contrary
to the above requirements, the RWP instructions for the work activities did not contain
adequate instructions on use and placement of the HEPA ventilation unit and ductwork.
The "Worker Instructions" and the "Special Instructions" sections of the RWP did not
address use of the HEPA ventilation unit. The ALARA Work Control Plan for
RWP 06-3537 states, "A HEPA ventilation unit will be used during weld Prep." and, "A
HEPA vacuum will be used for housekeeping on the work platform." Because this finding
is of very low safety significance and has been entered into the licensee's corrective
action program (CR 200604400), this violation is being treated as an NCV, consistent
with Section VI.A of the NRC Enforcement Policy: NCV 05000285/2006005-06, Failure
to provide adequate instructions.4.OTHER ACTIVITIES4OA1Performance Indicator (PI) Verification (71151)
Occupational Radiation Safety Cornerstone
a. Inspection Scope
Occupational Exposure Control Effectiveness The inspectors reviewed licensee documents from August 1, through November 17, 2006. The review included corrective action documentation that identified
occurrences in locked high radiation areas (as defined in the licensee's TSs), very high
radiation areas (as defined in 10 CFR 20.1003), and unplanned personnel exposures (as
defined in NEI 99-02). Additional records reviewed included ALARA records and whole
body counts of selected individual exposures. The inspectors interviewed licensee
personnel that were accountable for collecting and evaluating these performance
indicator data. In addition, the inspectors toured plant areas to verify that high radiation, locked high radiation, and very high radiation areas were properly controlled.
Performance indicator definitions and guidance contained in NEI 99-02, "Regulatory
Assessment Indicator Guideline," Revision 4, were used to verify the basis in reporting for
each data element.
-27-The inspectors completed the required sample (one) in this cornerstone.
Public Radiation Safety Cornerstone*Radiological Effluent Technical Specification/Offsite Dose Calculation Manual Radiological Effluent Occurrences The inspectors reviewed licensee documents from August 1, through November 17, 2006. Licensee records reviewed included corrective action
documentation that identified occurrences for liquid or gaseous effluent releases that
exceeded PI thresholds and those reported to the NRC. The inspectors interviewed
licensee personnel that were accountable for collecting and evaluating the PI data. PI
definitions and guidance contained in NEI 99-02, "Regulatory Assessment Indicator
Guideline," Revision 4, were used to verify the basis in reporting for each data element.
The inspectors completed the required sample (one) in this cornerstone.
b. Findings
No findings of significance were identified.4OA2Identification and Resolution of Problems (71152).1Routine Review of Identification and Resolution of Problems
a. Inspection Scope
The inspectors evaluated the effectiveness of the licensee's problem identification and resolution process with respect to the following inspection areas:*Access Control to Radiologically Significant Areas (Section 2OS1)*ALARA Planning and Controls (Section 2OS2)
b. Findings
.
No findings of significance were identified..2Semiannual Trend Review
a. Inspection Scope
The inspectors preformed a semiannual assessment (one inspection sample) of the licensee's corrective action program. The assessment covered condition reports written
on CCW pump breaker failures. (Please refer to Section 1R15.b.1 of this report.) The
inspectors specifically reviewed extent of condition concerns for General Electric AK-25 breaker failures. The inspectors reviewed the conditions found against operational
experience from other plants as well as General Electric bulletins and notices.
b. Findings and Observations
No findings of significance were identified.
-28-.3Crosscutting Issue Aspects The inspectors identified two findings with problem identification and resolution crosscutting aspects. One related to a degraded CCW pump was identified in
Section 1R15.b.1; and a second was documented in Section 1R15.b.2, related to the
failure to take appropriate corrective actions for hydrodynamic torque on butterfly valves.
4OA3 Event Follow-up
.1 (Closed) LER 05000285/2006003-00 , Technical Specification Violation of Containment
Air Coolers Due to Untimely Corrective Actions The details of this condition are discussed in Section 1R15 of this report. This LER is closed.
.2 (Closed) LER 05000285/2006004-00 , Loss of Shutdown Cooling Redundant Train Due to
Valve Mispositioning On September 9, 2006, the licensee commenced shutdown of the plant in support of the Fall 2006 refueling outage. On September 10, at approximately 9:30 a.m., operations
personnel performed the initial valve lineup per Procedure OI-SC-1, "Shutdown Cooling
Initiation," Revision 42, for establishment of shutdown cooling. (This procedure
established the configuration of systems necessary to further lower plant temperature and
maintain core cooling.) At 12:30 p.m., reactor coolant temperature decreased to less
than 210F and pressure was lowered below the necessary minimum for single reactor coolant pump operation. Once this condition existed, TS 2.1.1.(3) became applicable, and the steam generators became unavailable as a heat removal source due to inability
to run reactor coolant pumps to dissipate decay heat. On September 12, at
approximately 7:30 p.m., a valve lineup wa s subsequently performed for the purpose of re-verifying the configuration of the syst em. Operators performing this valve lineup discovered that manual isolation Valve SI-173 (Shutdown Heat Exchanger AC-4A & 4B
Outlet Cross Connect Valve) was locked shut. The valve was immediately restored to the
open position. The inspectors determined that had a failure of the operating 'A' train of
Shutdown Cooling occurred, the 'B' train would not have been available. This issue was
dispositioned in NRC Inspection Report 05000285/2006004, Section 1R20. This LER is
closed..3Inadvertent Over-Pressurization of Piping During Testing
a. Inspection Scope
The inspectors reviewed control room response to an unexpected pressurization event that occurred while conducting testing on November 17, 2006. As part of the follow-up to
the inspectors observed plant chart recorders, reviewed control room logs, and discussed
the event with Plant Management.
b. Findings
Introduction.
A Green self-revealing finding was identified for failure to follow procedures during testing. This condition resulted in the damage to safety-related equipment and
potential over-pressurization of chemical and volume control system (CVCS) and
high-pressure safety injection (HPSI) piping.
-29-Description. On November 17, 2006, the licensee was conducting testing of the Chemical and Volume Control and Safety Injection systems using OP-ST-CH-3006,"Chemical and Volume Control System (C VCS) and Safety Injection (SI) System Category C Valve Exercise Test," Revision 14. (The purpose of the test was to verify
proper operation of check valves in the syst em.) Upon starting all three charging pumps per Step 6 of Attachment 1, noise was heard in the control room and all three charging
pumps were stopped. Shortly thereafter, the Containment Coordinator reported to the
Control Room that the packing leak-off line for High-Pressure Safety Injection to Reactor
Coolant Loop 2A isolation Valve, HCV-318, had separated from its fitting and was leaking
approximately 20-25 gallons/minute.
1, Checklist A to the procedure required that the High-Pressure Safety Injection to Reactor Coolant Loop 2B Isolation Valve HCV-321 be open. The valve, which should have provided a discharge path for the pumps, was found in the shut
position. During this transient, reactor coolant system inventory control function was
being met by two of the HPSI Pumps SI-2A and SI-2B and the high-pressure safety
injection alternate header isolation Valve HCV-2987.
In response to the transient and its
potential affect on HCV-2987 and other associate piping, the licensee swapped the
reactor coolant system inventory control function to the charging pumps. The licensee
performed system walkdowns of all component s (joint connections, valves, caps, plugs, supports, hangers and braces), which were subject to the pressure transient and
identified no other damaged components. Further, the licensee compared pressure data
from the event and verified that system design pressures had not been exceeded.
Analysis.
The inspectors determined that the failure to comply with required procedures was a performance deficiency. This finding was determined to be greater than minor in
that it affected the "Configuration Control" attribute of the Mitigating Systems cornerstone, specifically "Shutdown Equipment Alignmen t." The inspectors evaluated this finding using Manual Chapter 0609, Appendix G, because the condition occurred during
shutdown conditions. Using Checklist 2, the inspectors determined that the finding
screened as Green because the condition did not increase the likelihood that a loss of
decay heat removal would occur. This finding has a crosscutting aspect in the area of
human performance associated with work practices because the operator failed to use
error prevention techniques like self-checking and peer checking, which would have
prevented this event.
Enforcement.
TS 5.8.1.a requires, in part, that written procedures shall be established, implemented, and maintained covering the applicable procedures recommended in Regulatory
Guide 1.33, Revision 2, and Appendix A, 1978. Regulatory Guide 1.33, Appendix A, requires, in
part, written procedures for operation of safety-related systems, including the Chemical and Volume Control System. Procedure OP-ST-CH-3006, "Chemical and Volume Control (CVCS)
and Safety Injection (SI) System Category C Valve Exercise Test," Revision 14 requires that HCV-321 Loop 2B HPSI Injection Valve be positioned open. Contrary to the above, on
November 17, 2006, during testing control room operators failed to properly position the valve, which caused damage to equipment and the potential damage to other CVCS and HPSI piping.
This violation of TS 5.8.1.a is being treated as an NCV, consistent with Section VI.A of the
Enforcement Policy (NCV 05000285/2006005-07). This violation was entered into the licensee's
corrective action program as CR 200605430..4(Closed) LER 05000285/2006006-00 , Inadvertent Start of Emergency Diesel Generator 2 On November 8, 2006, the plant was in a refueling outage with the core offloaded to the
-30-spent fuel pool. At 11:40 a.m. emergency diesel generator DG-2 inadvertently started while de-energizing a vital 4160 VAC bus during a planned test. The diesel generator did
not load onto the bus because the output breaker was in the pull-to-lock position for the
test. No other safety-related systems were actuated. The LER was reviewed by the
inspectors and no findings of significance were identified and no violation of NRC
requirements occurred. The licensee documented the event in CR 200605235. This
LER is closed.4OA5Other Activities.1(Closed) Temporary Instruction 2515/169, Mi tigating Systems Performance Index (MSPI)
Verification
a. Inspection Scope
During this inspection period, the inspectors completed a review of the licensee's implementation of the MSPI in accordanc e with the guidance provided in Temporary Instruction 2515/169. The review examined the licensee's implementation Document, "MSPI Basis Document," Revision 0, and verified the established system boundaries and
monitored components were consistent with guidance provided in NEI 99-02, "Reactor
Oversight Process Performance Indicators," Revision 4. The inspectors verified that the
licensee did not include credit for unavailability hours for "short term unavailability" or
"operator recovery actions to restore the risk-significant function" as is allowed by NEI 99-
02.Additionally, the inspectors reviewed the baseline MSPI unavailability time using plant specific values for the period of 2002 to 2004. The verification included all planned and
unplanned unavailability. The plant specific data for 2005 to 2006 was also reviewed to
ensure the licensee properly accounted for the actual unavailability hours of MSPI
systems. For the same period, the MSPI component unreliability data was examined to ensure the licensee identified all failures of monitored components. The accuracy and
completeness of the reported unavailability and unreliability data was verified by
reviewing operating logs, condition reports, and work order documents. The
unavailability and unreliability data was compared with performance indicator data
submitted to the NRC to ensure that any discrepancies would not result in a change to
the index color.
b. Findings
No findings of significance were identified. This completes the inspection requirements for this TI. 4OA6Meetings
Exit Meeting Summary
On November 17, 2006, the inspectors presented the occupational radiation safety inspection results to Mr. J. Reinhart, Site Director, and other members of his staff who
acknowledged the findings. Additional information concerning one of the violations was
received after the exit meeting, resulting in the re-characterization of the finding. On
-31-December 8, 2006, a final exit meeting was conducted via telephone with Mr. G. Cavanaugh, Manager Regulatory Compliance. The licensee acknowledged the
findings presented in the exit meetings. The inspectors confirmed that proprietary
information was not provided or examined during the inspection.
On November 1, 2006, the inspectors presented the results of the emergency plan change inspection to Mr. C. Simmons, Supervisor, Emergency Preparedness. The
inspectors confirmed that proprietary info rmation was not provided or examined during the inspection.
On October 27, 2006, the inspectors presented the in service results to Mr. J. Herman, Manager of Engineering Programs, and other members of the staff who acknowledged
the findings. All proprietary information was returned to the licensee.
The results of the resident inspector activities were presented to Mr. J. Reinhart, Site Director, and other members of licensee management on January 11, 2007. The
inspectors confirmed that proprietary info rmation examined during the inspection period was returned to the licensee. Licensee management acknowledged the inspection
findings.ATTACHMENT:
SUPPLEMENTAL INFORMATION
KEY POINTS OF CONTACT
Licensee Personnel
- D. Bannister, Plant Manager
- G. Cavanaugh, Supervisor Regulatory Compliance
- M. Cove, Manager, System Engineering
- H. Faulhaber, Division Manager, Nuclear Engineering
- M. Fern, Manager, Shift Operations
- M. Frans, Assistant Plant Manager
- R. Haug, Manager, Radiation Protection
- J. Herman, Manager, Engineering Programs
- D. Guinn, Licensing Engineer
- P. Kellogg, ALARA Technician, Radiation Protection
- D. Lakin, Manager, Corrective Action Program
- T. Maine, Supervisor, Radiation Protection
- E. Matski, Compliance
- J. McBride, Senior Radiation Protection Technician
- J. McManis, Manager, Licensing
- T. Nellenbach, Manager, Operations
- T. Pilmaier, Manager, Chemistry
- J. Reinhart, Site Director
- R. Reno, Control Room Supervisor
- M. Sandhoefner, Shift Manager
- C. Simmons, Supervisor, Emergency Preparedness
- J. Spiker, Supervisor Nuclear Projects
- D. Spires, Outage/Work Management
- D. Trausch, Manager Quality Assurance/Control
- R. Westcott, manager, Nuclear Projects
- C. Williams, Supervisor Radiation Protection Operations
LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED
Opened and Closed
05000285/2006005-01NCVFailure to Promptly Identify and Correct a
Degraded Component Cooling Water Pump
(Section 1R15.b.1)05000285/2006005-02NCV
Failure to Determine Operability of
Component Cooling Water Valves to
Containment Cooling Units (Section
1R15.b.2)05000285/2006005-03NCVInadvertent Pump Down of Intake Bay
resulting in Less Than Required Raw Water
Pumps (Section 1R20)
A-2
- 05000285/2006005-04NCV Failure to Obtain High Radiation Area
Briefing (Section 2OS1)05000285/2006005-05NCV Failure to Provide Adequate Alarming
Dosimetry (Section 2OS1)05000285/2006005-06NCV Failure to Provide Adequate Instructions (Section 2OS2)05000285/2006005-07NCVInadvertent Over-Pressurization of Piping
During Testing (Section 4OA3)
Closed
05000285/2006-003-00LERTechnical Specifications Violation of
containment Air coolers Due to Untimely
Actions (Section 4OA3.1)05000285/2006-004-00LERLoss of Shutdown Cooling Redundant Train
Due to Valve Mispositioning (Section
4OA3.2)05000285/2006-006-00LERInadvertent start of Emergency Diesel
Generator 2 (Section 4OA3.4)