ML14094A052

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IR 05000285-13-013 and Notice of Violation, July 8, 2013 Through February 18, 2014, Fort Calhoun Station
ML14094A052
Person / Time
Site: Fort Calhoun Omaha Public Power District icon.png
Issue date: 04/03/2014
From: Hay M
NRC/RGN-IV/DRP
To: Cortopassi L
Omaha Public Power District
References
EA-13-201 IR-13-013
Download: ML14094A052 (122)


See also: IR 05000285/2013013

Text

UNITED STATES

NUCLEAR REGULATORY COMMISSION

REGION IV

1600 E LAMAR BLVD

ARLINGTON, TX 76011-4511

April 3, 2014

EA-13-201

Louis P. Cortopassi, Vice President

and Chief Nuclear Officer

Omaha Public Power District

Fort Calhoun Station FC-2-4

P.O. Box 550

Fort Calhoun, NE 68023-0550

SUBJECT: FORT CALHOUN - MANUAL CHAPTER 0350 TEAM INSPECTION REPORT

NO. 05000285/2013013 AND NOTICE OF VIOLATION

Dear Mr. Cortopassi:

On February 18, 2014, the U.S. Nuclear Regulatory Commission (NRC) completed a team

inspection at the Fort Calhoun Station (FCS). The purpose of this inspection was to evaluate

the readiness of plant hardware, plant staff, plant processes, and management programs that

supported safe restart and continued operation of the FCS. The team focused on those issues

described in the Restart Checklist, enclosed in the Confirmatory Action Letter issued to the FCS

on June 11, 2012 (ML12163A287), and updated on February 26, 2013 (ML13057A287), which

were ready for NRC inspection. The enclosed report documents the inspection results which

were discussed on February 18, 2014, with you and other members of your staff.

During this inspection, the NRC staff examined activities conducted under your license as they

relate to safety and compliance with the Commissions rules and regulations and with the

conditions of your license. The team reviewed selected procedures and records, observed

activities, and interviewed personnel.

Twenty one findings of very low safety significance (Green) are documented in this report. All of

these findings involved violations of NRC requirements. Three of these violations were

determined to be Severity Level IV under the traditional enforcement process. One of the SLIV

violations is being cited in the enclosed Notice of Violation (Notice) as discussed below.

The NRC determined that a Severity Level IV violation of NRC requirements occurred. The

circumstances of the violation involved incomplete and inaccurate information submitted by FCS

in a response to a Request for Additional Information (RAI) concerning the exemption request

from the requirements of 10 CFR Part 50, Appendix R, Section III.G.1.b for Fire Area 31 at the

Fort Calhoun Station. The details of the violation are described in the enclosed report. The

violation was evaluated in accordance with the NRC Enforcement Policy. The current

Enforcement Policy is included on the NRC's web site at

http://www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html. In accordance with

Section 6.9.c.1 of the Enforcement Policy, this violation would normally be assessed as Severity

L. Cortopassi -2-

Level III. However, in accordance with the Enforcement Policy, and considering the very low

safety significance (Green) of the associated finding, the NRC concluded this violation is more

appropriately assessed as Severity Level IV with a response required.

You are required to respond to this letter and should follow the instructions specified in the

enclosed notice when preparing your response. If you have additional information that you

believe the NRC should consider, you may provide it in your response to the notice. The NRCs

review of your response to the notice will also determine whether further enforcement action is

necessary to ensure your compliance with regulatory requirements.

If you contest these violations or significance of these NCVs, you should provide a response

within 30 days of the date of this inspection report, with the basis for your denial, to the Nuclear

Regulatory Commission, ATTN: Document Control Desk, Washington DC 20555-0001; with

copies to the Regional Administrator, Region IV; the Director, Office of Enforcement, United

States Nuclear Regulatory Commission, Washington, DC 20555-0001; and the NRC Resident

Inspector at the Fort Calhoun Station.

If you disagree with a cross-cutting aspects assignment in this report, you should provide a

response within 30 days of the date of this inspection report, with the basis for your

disagreement, to the Regional Administrator, Region IV; and the NRC Resident Inspector at the

FCS.

In accordance with 10 CFR 2.390 of the NRC's Rules of Practice and Procedure, a copy of this

letter, its enclosure, and your response (if any) will be available electronically for public

inspection in the NRC Public Document Room or from the Publicly Available Records (PARS)

component of NRC's Agencywide Document Access and Management 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/

Michael Hay, Chief

Project Branch F

Division of Reactor Projects

Docket No.: 50-285

License No.: DPR-40

Enclosure:

1. Notice of Violation

2. NRC Inspection Report 05000285/2013017

w/Attachments:

Attachment 1: Supplemental Information

L. Cortopassi -3-

Electronic Distribution by RIV:

Regional Administrator (Marc.Dapas@nrc.gov)

Deputy Regional Administrator (Steven.Reynolds@nrc.gov)

MC0350 Chairman (Anton.Vegal@nrc.gov)

MC0350 Vice Chairman (Louise.Lund@nrc.gov)

DRP Director (Kriss.Kennedy@nrc.gov)

DRP Deputy Director (Troy.Pruett@nrc.gov)

Acting DRS Director (Jeff.Clark@nrc.gov)

Acting DRS Deputy Director (Geoffrey.Miller@nrc.gov)

Senior Resident Inspector (John.Kirkland@nrc.gov)

Resident Inspector (Jacob.Wingebach@nrc.gov)

Branch Chief, DRP/F (Michael.Hay@nrc.gov)

Project Engineer, DRP/F (Chris.Smith@nrc.gov)

FCS Administrative Assistant (Janise.Schwee@nrc.gov)

Public Affairs Officer (Victor.Dricks@nrc.gov)

Public Affairs Officer (Lara.Uselding@nrc.gov)

Branch Chief, DRS/TSB (Ray.Kellar@nrc.gov)

Project Manager (Lynnea.Wilkins@nrc.gov)

RITS Coordinator (Marisa.Herrera@nrc.gov)

ACES (R4Enforcement.Resource@nrc.gov)

Regional Counsel (Karla.Fuller@nrc.gov)

Regional State Liaison Office (William.Maier@nrc.gov)

Technical Support Assistant (Loretta.Williams@nrc.gov)

RidsOeMailCenter Resource

OE, Director (Roy.Zimmerman@nrc.gov)

OE/EB, Branch Chief (Nick.Hilton@nrc.gov)

OE/CRB, Enforcement Specialist (Nicole.Coleman@nrc.gov)

OE/EGB Sr. Enforcement Specialist (John.Wray@nrc.gov)

NRR/DIRS/IPAB/IAET Allegations Specialist (Carleen.Sanders@nrc.gov)

NRREnforcement Resource

Congressional Affairs Officer (Jenny.Weil@nrc.gov)

RIV/ETA: OEDO (Joseph.Nick@nrc.gov)

MC 0350 Panel Member (Michael.Markley@nrc.gov)

MC 0350 Panel Member (Joseph.Sebrosky@nrc.gov)

MC 0350 Panel Member (Michael.Balazik@nrc.gov)

ROP reports

File located: R:\_REACTORS\_FCS\2014 ADAMS: ML14094A052

SUNSI Rev Yes No ADAMS Yes No Reviewer MCH

Compl. Initials

Publicly Avail Yes No Sensitive Yes No

SRI:DRP/C SRI:DRS/EB2 RI:DRS/EB2 BC:DRS/EB2 ORA/ACES

JJosey SGraves JWatkins JDixon RBrowder

/RA/ /RA/ /RA/ /RA/ /RA/

4/3/14 3/26/14 4/2/14 4/2/14 4/1/14

BC:DRP/F

MHay

4/3/14

/RA/

OFFICIAL RECORD COPY T=Telephone E=E-mail F=Fax

NOTICE OF VIOLATION

Omaha Public Power District (OPPD) Docket No. 50-285

Fort Calhoun Station License No. DPR-40

EA-2013-201

During a U.S. Nuclear Regulatory Commission (NRC) inspection conducted from July 8 through

December 16, 2013, a violation of NRC requirements was identified. In accordance with the

NRC Enforcement Policy, the violation is listed below:

10 CFR 50.9(a), Completeness and Accuracy of Information, requires in part that,

information provided to the Commission by a licensee shall be complete and accurate in

all material respects.

Contrary to the above, on October 13, 2008, the licensee provided to the Commission

documentation which contained information that was not complete and accurate in all

material respects. Specifically, the licensee submitted a letter dated October 13, 2008,

which stated that the pyrocrete enclosure remained in place to protect the cables

associated with AC-10A and AC-10B from a fire in the intake structure. When in fact,

the motor lead cables associated with raw water pump AC-10A were not protected by

the pyrocrete enclosure. In a letter, dated February 6, 2009, the NRC granted an

exemption from the specific requirements of Section III.G.1.b of 10 CFR Part 50,

Appendix R, for the Fort Calhoun Station based in part, upon the NRCs review and

evaluation of information provided by the licensee in its letter dated October 13, 2008.

Therefore, this information was considered material to the NRC.

This is a Severity Level IV Violation (Section 6.9).

Pursuant to the provisions of 10 CFR 2.201, Omaha Public Power District (OPPD) is hereby

required to submit a written statement or explanation to the U.S. Nuclear Regulatory

Commission, ATTN: Document Control Desk, Washington, DC 20555-0001 with a copy to the

Regional Administrator, Region IV, and a copy to the NRC Resident Inspector at the Fort

Calhoun facility, within 30 days of the date of the letter transmitting this Notice of Violation

(Notice). This reply should be clearly marked as a Reply to a Notice of Violation; EA-13-201

and should include for the violation: (1) the reason for the violation, or, if contested, the basis

for disputing the violation or severity level; (2) the corrective steps that have been taken and the

results achieved; (3) the corrective steps that will be taken; and (4) the date when full

compliance will be achieved. Your response may reference or include previous docketed

correspondence, if the correspondence adequately addresses the required response. If an

adequate reply is not received within the time specified in this Notice, an Order or a Demand for

Information may be issued as to why the license should not be modified, suspended, or

revoked, or why such other action, as may be proper, should not be taken. Where good cause

is shown, consideration will be given to extending the response time.

If you contest this enforcement action, you should also provide a copy of your response, with

the basis for your denial, to the Director, Office of Enforcement, United States Nuclear

Regulatory Commission, Washington DC 20555-0001.

-1- Enclosure 1

Because your response will be made available electronically for public inspection in the NRC

Public Document Room or from the NRCs Agencywide Documents Access and Management

System (ADAMS), accessible from the NRC Web site at http://www.nrc.gov/reading-

rm/adams.html, to the extent possible, it should not include any personal privacy or proprietary

information so that it can be made available to the public without redaction. If personal privacy

or proprietary information is necessary to provide an acceptable response, then please provide

a bracketed copy of your response that identifies the information that should be protected and a

redacted copy of your response that deletes such information. If you request withholding of

such material, you must specifically identify the portions of your response that you seek to have

withheld and provide in detail the bases for your claim of withholding (e.g., explain why the

disclosure of information will create an unwarranted invasion of personal privacy or provide the

information required by 10 CFR 2.390(b) to support a request for withholding confidential

commercial or financial information).

Dated this 3rd day of April 2014.

-2-

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

Docket: 05000285

License: DPR-40

Report: 05000285/2013013

Licensee: Omaha Public Power District

Facility: Fort Calhoun Station

Location: 9610 Power Lane

Blair, NE 68008

Dates: July 8, 2013 through February 18, 2014

Inspectors: H. Barrett, Senior Fire Protection Engineer, Headquarters

R. Deese, Senior Project Engineer, Region IV

G. George, Senior Reactor Inspector, Region IV

J. Hanna, Senior Reactor Analyst, Region II

R. Haskell, Reactor System Engineer, Headquarters

C. Henderson, Resident Inspector, Region IV

J. Jacobson, Senior Reactor Operations Engineer, Headquarters

J. Josey, Senior Resident Inspector, Region IV

S. Laur, Senior Reliability and Risk Analyst, Headquarters

T. Lightly, Project Engineer, Region II

D. Loveless, Senior Reactor Analyst, Region IV

S. Makor, Reactor Inspector, Region IV

J. Polickoski, Project Manager, Headquarters

F. Ramirez, Resident Inspector, Region III

J. Robles, Reactor System Engineer, Headquarters

C. Sanders, Allegations Specialist, Headquarters

A. Scarbeary, Resident Inspector, Region III

C. Smith, Project Engineer, Region IV

R. Telson, Reactor Operations Engineer, Headquarters

J. Watkins, Reactor Inspector, Region IV

J. Wingebach, Resident Inspector, Region IV

Accompanying C. Baron, Mechanical Contractor, Beckman and Associates

Personnel N. Patel, Electrical Contractor, Beckman and Associates

Approved By: Michael Hay, Chief

Project Branch F

Division of Reactor Projects

-1- Enclosure 2

SUMMARY OF FINDINGS

IR 05000285/2013013; 07/08/2013 - 2/18/2014; Fort Calhoun Station,

Supplemental Inspection for Repetitive Degraded Cornerstones, Multiple Degraded

Cornerstones, Multiple Yellow Inputs or One Red Input.

The report covered a seven month period of inspection by an Inspection Manual Chapter 0350

inspection team. Eighteen Green non-cited violations were identified. Additionally, one cited

and two non-cited, Severity Level IV 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. The cross-cutting aspect is determined using Inspection

Manual Chapter 0310, Components Within the Cross Cutting Areas. 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 4, dated December 2006.

A. NRC-Identified Findings and Self-Revealing Findings

Cornerstone: Mitigating Systems

Criterion XVI, Corrective Actions, for the licensees failure to promptly identify

and correct a condition adverse to quality. Specifically, the licensee failed to fully

implement a corrective action from a previous breaker issue, which was to

perform current injection testing for the 480 Vac 1B4A bus breakers without the

full function test kit. Testing with the full function test kit would not identify if zone

select interface jumpers were incorrectly installed. The licensee performed

current injection testing without the full functional test kit on the 480 Vac load

center main breaker 1B4A and the bus tie breaker BT-1B4A. The licensee

addressed this deficiency by performing the appropriate testing on the two

breakers. The licensee entered this deficiency into their corrective action

program for resolution as Condition Report (CR) 2013-13262.

The licensees failure to promptly identify and correct a condition adverse to

quality is a performance deficiency. This performance deficiency was more than

minor, and therefore a finding, because it was associated with the equipment

performance attribute of the Mitigating Systems Cornerstone and affected the

associated objective to ensure availability, reliability, and capability of systems

that respond to initiating events to prevent undesirable consequences. The team

evaluated the finding using Inspection Manual Chapter 0609, Appendix G,

Shutdown Operations Significance Determination Process, Checklist 4, PWR

Refueling Operation: RCS level >23 or PWR Shutdown Operation with Time to

Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the Pressurizer, dated May 25, 2004, and

determined that the finding is of very low safety significance (Green) because the

finding did not require a quantitative risk assessment since adequate mitigating

equipment remained available. The finding has a cross-cutting aspect in the

area of human performance associated with the decision-making component

-2-

because the licensee did not ensure that the proposed action was safe in order

to proceed, rather than unsafe in order to disapprove the action

H.1(b)(Section 4OA4).

Criterion XVII, Quality Assurance Records, associated with the licensees

failure to furnish evidence of an activity affecting quality associated with the

480 Vac breakers. Specifically, the licensee failed to maintain design documents

that detailed the correct Digital Low Resistance Ohm (DLRO) values required for

ensuring proper connections between the Square D Masterpact NW

breaker/cradle assembly to the GE AKD-5, 480 Vac cubicle stabs. The licensee

re-generated acceptance criteria to address this issue. This issue was entered

into the licensees corrective action program as CR 2013-04032.

The licensees failure to furnish evidence that showed the required DLRO values

ensured proper connections between the Square D Masterpact NW

breaker/cradle assemble to the GE AKD-5, 480 V cubicle stabs is a performance

deficiency. The performance deficiency was determined to be more than minor,

and therefore a finding, because it affected the design control attribute of the

Mitigating Systems Cornerstone, and it directly affected the cornerstone objective

to ensure availability, reliability, and capability of systems that respond to

initiating events to prevent undesirable consequences. Using Inspection Manual

Chapter 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power, dated July 1, 2012, the finding was determined to have very

low safety significance (Green) because it: (1) was not a deficiency affecting the

design and qualification of a mitigating structure, system, or component, and did

not result in a loss of operability or functionality; (2) did not represent a loss of

system and/or function; (3) did not represent an actual loss of function of at least

a single train for longer than its allowed outage time or two separate safety

systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more

non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. This

finding had a cross-cutting aspect in the area of human performance, associated

with the resources component, because the licensee failed to maintain complete,

accurate, and up-to-date design documentation. Specifically, the licensee did not

maintain the engineering process for determining acceptable DLRO values

H.2(c)(Section 4OA4).

Criterion XVI, for the licensees approval of Root Cause Analysis 2013-03424,

Revision 0 and Revision 1, MSPI Safety System Functional Failures Degrading

Trend, which did not assure corrective actions to prevent repetition of a

significant condition adverse to quality. The licensees addressed this issue by

revising the root cause analysis. The licensee entered this deficiency into their

corrective action program for resolution as CRs 2013-00584 and 2013-14614.

-3-

The licensees failure to establish measures to assure that the cause of the

degrading trend in MSPI safety system functional failures would be promptly

identified and action taken to preclude repetition in accordance with

10 CFR Part 50, Appendix B, Criterion XVI, was a performance deficiency. The

performance deficiency was more than minor, and therefore a finding, because

the failure to correct the cause and preclude the repetition of the cause would

have the potential to lead to a more significant safety concern. Specifically,

failure to identify the correct cause and preclude repetition could lead to a high

frequency of safety system functional failures. This finding was associated with

the mitigating systems cornerstone. Using Inspection Manual Chapter 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-

Power, dated July 1, 2012, the finding was determined to be of very low safety

significance (Green) because it: (1) was not a deficiency affecting the design

and qualification of a mitigating structure, system, or component, and did not

result in a loss of operability or functionality; (2) did not represent a loss of

system and/or function; (3) did not represent an actual loss of function of at least

a single train for longer than its allowed outage time, or two separate safety

systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more

non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. This

finding has a cross-cutting aspect in the area of in the area of problem

identification and resolution, associated with the corrective action program

component, because the licensee did not thoroughly evaluate the problem and,

consequently, the resolution did not identify the extent of cause as necessary

P.1(c)(Section 4OA4).

  • Green. The team identified multiple examples of a non-cited violation of

10 CFR Part 50, Appendix B, Criterion III, Design Control, for the licensees

failure to control deviations from design standards. Specifically, the licensee

failed to control deviations from the design basis requirements for structural

calculations related to the reactor coolant system. The licensee took action to

perform additional analysis to confirm the operability of the affected components

and to determine the scope of the problem. The licensee entered this deficiency

into their corrective action program for resolution as CRs 2013-19878,

2013-18361, 2013-20281, and 2013-14726.

The failure to control deviations from quality standards as required by

10 CFR Part 50, Appendix B, Criterion III, was a performance deficiency. This

performance deficiency is more than minor, and therefore a finding, because it is

associated with the design control attribute of the Mitigating Systems

Cornerstone, and affected the cornerstone objective to ensure the availability,

reliability, and capability of systems that respond to initiating events to prevent

undesirable consequences. Using Inspection Manual Chapter 0609, Appendix A,

The Significance Determination Process (SDP) for Findings At-Power, dated

July 1, 2012, the finding was determined to have very low safety significance

(Green) because it: (1) was not a deficiency affecting the design and

-4-

qualification of a mitigating structure, system, or component, and did not result in

a loss of operability or functionality; (2) did not represent a loss of system and/or

function; (3) did not represent an actual loss of function of at least a single train

for longer than its allowed outage time, or two separate safety systems out-of-

service for longer than their Technical Specification allowed outage time; and

(4) did not represent an actual loss of function of one or more non-Technical

Specification trains of equipment designated as high safety-significance in

accordance with the licensees maintenance rule program. There was no

cross-cutting aspect assigned to this finding because this issue does not reflect

present licensee performance (Section 4OA4).

  • Green. The team identified multiple examples of a non-cited violation of

10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and

Drawings. Specifically, the licensees failed to follow station procedures for

corrective actions, operability evaluations, and performance of calculations for

instances where the licensees interim operability procedure was invoked for

degraded conditions associated with piping and pipe supports. As a result, non-

conservative design inputs were used without entering the non-conformances

into the corrective action process or performing procedurally required operability

evaluations. The licensees corrective action was to capture the identified

instances in the corrective action program and discontinue the use of the interim

operability procedure. This issue was entered into the licensees corrective

action program as CR 2013-03598.

The failure to follow the interim operability procedure was a performance

deficiency. This performance deficiency is more than minor, and therefore a

finding, because it is associated with the human performance attribute of the

Mitigating Systems Cornerstone, and affected the cornerstone objective to

ensure the availability, reliability, and capability of systems that respond to

initiating events to prevent undesirable consequences. Using Inspection Manual

Chapter 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power, dated July 1, 2012, and guidance from the Office of Nuclear

Reactor Regulation, Division of Engineering technical staff for issues where the

inputs to calculations deviated from approved standards, the finding was

determined to have very low safety significance (Green) because: (1) the Office

of Nuclear Reactor Regulation technical staff determined the non-conformances

would not render the evaluated component as inoperable or unable to perform its

safety function; (2) it was not a deficiency affecting the design and qualification

of a mitigating structure, system, or component; and (3) it did not represent an

actual loss of function of one or more non-Technical Specification trains of

equipment designated as high safety-significance in accordance with the

licensees maintenance rule program. This finding has a cross-cutting aspect in

the area of human performance associated with work practices component

because the licensee failed to define and effectively communicate expectations

regarding compliance with station procedures H.4(b)(Section 4OA4).

-5-

Criterion XVI, Corrective Action, for the licensees failure to correct conditions

adverse to quality in safety-related equipment. The team identified multiple

examples where an interim operability criteria procedure was applied instead of

correcting the conditions adverse to quality in a timely manner. The licensees

corrective actions included performing an extent of condition review to identify

similar issues and ensure they are entered into the corrective action program for

appropriate resolution. This issue was entered into the licensees corrective

action program as CR 2013-22426.

The failure to correct conditions adverse to quality is a performance deficiency.

This performance deficiency was more than minor, and therefore a finding,

because it was associated with the equipment performance attribute of the

Mitigating Systems Cornerstone, and affected the cornerstone objective to

ensure the availability, reliability, and capability of systems that respond to

initiating events to prevent undesirable consequences. Using Inspection Manual

Chapter 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power, dated July 1, 2012, the finding was determined to have very

low safety significance (Green) because it: (1) was not a deficiency affecting the

design and qualification of a mitigating structure, system, or component, and did

not result in a loss of operability or functionality; (2) did not represent a loss of

system and/or function; (3) did not represent an actual loss of function of at least

a single train for longer than its allowed outage time, or two separate safety

systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more

non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. This

finding has a cross-cutting aspect in the area of problem identification and

resolution associated with the corrective action program component because the

licensee had failed to implement a corrective action program with a low threshold

for identifying issues to ensure that an issue potentially affecting nuclear safety

was promptly identified and fully evaluated P.1(a)(Section 4OA4).

Appendix B, Criterion V, Instructions, Procedures, and Drawings, for the

licensees failure to develop an adequate procedure for assessing operability of

degraded piping and pipe supports. Specifically, Station Procedure PED-MEI-17,

"Interim Operability Criteria," a procedure the licensee used to evaluate CQE and

L-CQE piping and piping supports that are found to exceed design basis

requirements, was inadequate for this application because it did not contain all

applicable constraints. The licensees corrective actions were to capture the

identified instances in the corrective action program and discontinue the use of

the interim operability procedure. This issue was entered into the licensees

corrective action program as CR 2013-22342.

The failure to use an adequate procedure for evaluating degraded or

nonconforming pipe and pipe supports is a performance deficiency. This

-6-

performance deficiency was more than minor, and therefore a finding, because it

is associated with the equipment performance attribute of the Mitigating Systems

Cornerstone, and affected the cornerstone objective to ensure the availability,

reliability, and capability of systems that respond to initiating events to prevent

undesirable consequences. Using Inspection Manual Chapter 0609, Appendix A,

The Significance Determination Process (SDP) for Findings At-Power, dated

July 1, 2012, and guidance from the Office of Nuclear Reactor Regulation,

Division of Engineering technical staff for issues where the inputs to calculations

deviated from approved standards, the finding was determined to have very low

safety significance (Green) because: (1) the Office of Nuclear Reactor

Regulation technical staff determined the non-conformances would not render

the evaluated component as inoperable or unable to perform its safety function;

(2) it was not a deficiency affecting the design and qualification of a mitigating

structure, system, or component; and (3) it did not represent an actual loss of

function of one or more non-Technical Specification trains of equipment

designated as high safety-significance in accordance with the licensees

maintenance rule program. There was no cross-cutting aspect assigned to this

finding because this issue does not reflect present licensee performance

(Section 4OA4).

Criterion V, Instructions, Procedures, and Drawings, associated with the

licensees failure to follow Station Procedure NOD-QP-31, Operability

Determination Process. Specifically, Step 4.3.15 required, in part, that, A

positive determination of operability must be justified, including a technical

discussion of why the concern identified does not prevent the item from fulfilling

its intended safety function. The team identified that the operability

determination associated with a component identified as beyond its specified

service life lacked adequate technical justification for why the item was operable

with the degraded or nonconforming condition. The licensee addressed this

issue by establishing an adequate basis for operability for the non-conformances.

The licensee entered this deficiency into their corrective action program for

resolution as CR 2013-12255.

The failure to properly assess and document the basis for operability when a

degraded or nonconforming condition was identified is a performance deficiency.

This performance deficiency was more than minor, and therefore a finding,

because it is associated with the equipment performance attribute of the

Mitigating Systems Cornerstone and affected the cornerstone objective to ensure

the availability, reliability, and capability of systems that respond to initiating

events to prevent undesirable consequences. Since the finding involving

inadequate operability determinations occurred while in a shutdown condition,

the team used Manual Chapter 0609, Appendix G, Shutdown Operations

Significance Determination Process, and determined the finding to have very

low safety significance (Green) because the finding: (1) did not increase the

likelihood of a loss of reactor coolant system inventory; (2) did not degrade the

licensees ability to terminate a leak path or add reactor coolant system inventory

-7-

when needed; and (3) did not degrade the licensees ability to recover decay

heat removal once it was lost. This finding has a cross-cutting aspect in the area

of human performance, associated with the decision-making component,

because the licensee failed to use conservative assumptions in decision making

when performing operability determinations H.1(b)(Section 4OA4).

Criterion III, Design Control, associated with the licensees failure to conduct an

adequate evaluation of the impacts of modifying the turbine driven auxiliary

feedwater pump (FW-10) during all modes of operation. Specifically, the

licensee instituted an engineering change package to modify the pump from a

variable speed to a constant speed setting and did not consider the dynamic

system changes that could affect the pump operation for all design basis events

and operating conditions. The licensee adequately addressed this issue by

performing a detailed analysis that determined the change did not adversely

affect the function of the pump. The licensee entered this deficiency into their

corrective action program for resolution as CR 2013-10465.

The failure to evaluate the effects of modifying the turbine driven auxiliary

feedwater pump from a variable speed to a constant speed for all modes of

operation was a performance deficiency. This performance deficiency was more

than minor, and therefore a finding, because it was associated with the

configuration control attribute of the Mitigating Systems Cornerstone, and

affected the cornerstone objective to ensure the availability, reliability, and

capability of systems that respond to initiating events to prevent undesirable

consequences. Using Inspection Manual Chapter 0609, Appendix A, The

Significance Determination Process (SDP) for Findings At-Power, dated

July 1, 2012, the finding was determined to have very low safety significance

(Green) because it: (1) was not a deficiency affecting the design and

qualification of a mitigating structure, system, or component, and did not result in

a loss of operability or functionality; (2) did not represent a loss of system and/or

function; (3) did not represent an actual loss of function of at least a single train

for longer than its allowed outage time, or two separate safety systems out-of-

service for longer than their Technical Specification allowed outage time; and

(4) did not represent an actual loss of function of one or more non-Technical

Specification trains of equipment designated as high safety-significance in

accordance with the licensees maintenance rule program. This finding has a

cross-cutting aspect in the area of human performance associated with the

decision-making component because the licensee failed to use conservative

assumptions in decision making. Specifically, the licensee did not reanalyze the

pump performance parameters to identify any potentially adverse effects of

changing the pump to a constant speed control H.1(b)(Section 4OA4).

Criterion V, Instructions, Procedures, and Drawings, for the licensees

programmatic failure to conduct adequate operating experience reviews for root

cause evaluations in accordance with Station Procedure FCSG-24-4, Condition

-8-

Report and Root Cause Evaluation, Revision 5. Specifically, during the course

of the inspection, the team identified four specific examples where licensee staff

failed to conduct a thorough operating experience review while performing a root

cause analysis to determine whether the same or similar problems have occurred

at the Fort Calhoun Station or within the industry. Thorough operating

experience reviews are important for the identification of corrective actions that

prevent the issues from recurring and determining the associated extent of

condition and/or generic implications. This issue was entered into the licensees

corrective action program as CR 2013-14205.

The licensees failure to conduct adequate operating experience reviews for root

cause evaluations was a performance deficiency. This performance deficiency is

more than minor, and therefore a finding, because if left uncorrected it has the

potential to lead to a more significant safety concern. Specifically, if the licensee

does not thoroughly evaluate operating experience to determine whether the

same or similar problems have occurred at the Fort Calhoun Station or within the

industry, then effective corrective actions to prevent the issues from recurring

may not be implemented and an adequate extent of condition and/or generic

implications from the issue may not be identified. This finding was associated

with the Mitigating Systems Cornerstone. Using Inspection Manual

Chapter 0609, Appendix G, Shutdown Operations Significance Determination

Process, Checklist 4, PWR Refueling Operation: RCS level >23 or PWR

Shutdown Operation with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the

Pressurizer, dated May 25, 2004, this finding was determined to be of very low

safety significance (Green) because the finding did not require a quantitative risk

assessment because adequate mitigating equipment remained available. This

finding has a cross-cutting aspect in the area of problem identification and

resolution associated with the Operating Experience component because the

licensee did not use operating experience information, including vendor

recommendations and internally generated lessons learned, to support plant

safety by implementing and institutionalizing operating experience through

changes to station processes, procedures, equipment, and training programs

P.2(b)(Section 4OA4).

Criterion III, Design Control, associated with the licensees failure to fully

incorporate applicable design requirements into the plant design. Specifically,

since initial construction the licensee has failed to incorporate a ventilation

system for the vital switchgear rooms that was capable of maintaining room

temperature within design requirements under all design conditions. This issue

does not represent an immediate safety concern because the licensee has

compensatory measures in place to maintain room temperatures while corrective

actions to resolve the issue are being implemented. This issue was entered into

the licensees corrective action program as CR 2013 9804.

The failure to fully incorporate applicable design requirements is a performance

deficiency. The performance deficiency was determined to be more than minor,

-9-

and therefore a finding, because it affected the design control attribute of the

Mitigating Systems Cornerstone, and it directly affected the cornerstone objective

to ensure availability, reliability, and capability of systems that respond to

initiating events to prevent undesirable consequences. Using Inspection Manual

Chapter 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power, dated July 1, 2012, the finding was determined to have very

low safety significance (Green) because it: (1) was not a deficiency affecting the

design and qualification of a mitigating structure, system, or component, and did

not result in a loss of operability or functionality; (2) did not represent a loss of

system and/or function; (3) did not represent an actual loss of function of at least

a single train for longer than its allowed outage time, or two separate safety

systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more

non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. This

finding has a cross-cutting aspect in the area of problem identification and

resolution, associated with the corrective action program component, because

the licensee did not thoroughly evaluate the problem and, consequently, the

resolution did not identify the extent of cause as necessary

P.1(c)(Section 4OA4).

Criterion XVI, Corrective Action, for the licensees failure to take adequate

corrective actions regarding non-Category I (seismic) piping in the intake

structure raw water vault. The licensees corrective actions for this issue

involved isolating and removing the piping. The licensee entered this deficiency

into their corrective action program for resolution as CRs 2013-04782,

2013-04956, 2013-09256, 2013-10626, and 2013-22090.

The failure to take adequate corrective action regarding non-Category I (seismic)

piping in the intake structure raw water vault is a performance deficiency. The

performance deficiency was more than minor, and therefore a finding, as it is

associated with the design control attribute of the Mitigating Systems

Cornerstone and affected the associated cornerstone objective to ensure the

availability, reliability, and capability of systems that respond to initiating events

to prevent undesirable consequences. Using Inspection Manual Chapter 0609,

Appendix A, The Significance Determination Process for Findings At-Power,

dated July 1, 2012, this finding was determined to have very low safety

significance (Green) because it: (1) was not a deficiency affecting the design

and qualification of a mitigating structure, system, or component, and did not

result in a loss of operability or functionality; (2) did not represent a loss of

system and/or function; (3) did not represent an actual loss of function of at least

a single train for longer than its allowed outage time, or two separate safety

systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more

non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. The

- 10 -

finding has a cross-cutting aspect in the area of human performance associated

with the decision-making component such that the licensee demonstrates that

nuclear safety is an overriding priority. Specifically, that the licensee uses

conservative assumptions in decision making and adopts a requirement to

demonstrate that the proposed action is safe in order to proceed rather than a

requirement to demonstrate that it is unsafe in order to disapprove the action

H.1(b)(Section 4OA4).

Criterion V, Instructions, Procedures, and Drawings, associated with the

licensees failure to follow Station Procedure NOD-QP-31, Operability

Determination Process, to adequately assess and document the basis for

operability when a nonconforming condition was identified. Specifically, the

licensee did not determine the effect of a ruptured 6-inch pipe in the raw water

system with respect to the safety function provided by the raw water system

during a design seismic event. To address this issue the licensee revised the

operability evaluation and established a reasonable basis for operability. The

licensee entered this deficiency into their corrective action program for resolution

as CRs 2013-13410 and 2013-13634.

The failure to adequately assess and document the basis for operability of the

raw water system with respect to the non-conforming seismic design criteria is a

performance deficiency. The performance deficiency was more than minor, and

therefore a finding, as it is associated with the equipment performance attribute

of the Mitigating Systems Cornerstone and affected the associated cornerstone

objective to ensure the availability, reliability, and capability of systems that

respond to initiating events to prevent undesirable consequences. Using

Inspection Manual Chapter 0609, Appendix A, The Significance Determination

Process for Findings At-Power, dated July 1, 2012, this finding was determined

to have very low safety significance (Green) because it: (1) was not a deficiency

affecting the design and qualification of a mitigating structure, system, or

component, and did not result in a loss of operability or functionality; (2) did not

represent a loss of system and/or function; (3) did not represent an actual loss of

function of at least a single train for longer than its allowed outage time, or two

separate safety systems out-of-service for longer than their Technical

Specification allowed outage time; and (4) did not represent an actual loss of

function of one or more non-Technical Specification trains of equipment

designated as high safety-significance in accordance with the licensees

maintenance rule program. This finding has a cross-cutting aspect in the area of

problem identification and resolution, associated with the corrective action

program component, because the licensee did not thoroughly evaluate the

problem such that the resolutions address causes and extent of conditions. This

includes properly classifying, prioritizing, and evaluating for operability and

reportability conditions adverse to quality P.1(c)(Section 4OA4).

Criterion V, Instructions, Procedures and Drawings, involving the licensees

- 11 -

failure to follow procedures when evaluating the flooding mitigation impact of the

removal of the motor for raw water Pump B. Specifically, on June 18, 2013, the

operability determination for Corrective Action 018 of CR 2011-10302 was not

performed in accordance with Station Procedure NOD-QP-31, Operability

Determination Process, Step 4.3.15, and consequently, failed to evaluate the

impact of having only two diversely powered available raw water pumps to

support shutdown cooling system operability during a postulated site flood. This

issue did not represent an immediate safety concern and has been entered into

the corrective action program as CR 2013-15270.

The failure to properly assess and document the basis for operability when a

degraded or nonconforming condition was identified is a performance deficiency.

This performance deficiency was more than minor, and therefore a finding,

because it is associated with the equipment performance attribute of the

Mitigating Systems Cornerstone and affected the cornerstone objective to ensure

the availability, reliability, and capability of systems that respond to initiating

events to prevent undesirable consequences. Using Inspection Manual

Chapter 0609, Appendix G, Shutdown Operations Significance Determination

Process, Checklist 4, PWR Refueling Operation: RCS level >23 or PWR

Shutdown Operation with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the

Pressurizer, dated May 25, 2004, this finding was determined to be of very low

safety significance (Green) because the finding did not require a quantitative risk

assessment because adequate mitigating equipment remained available. This

finding has a cross-cutting aspect in the area of human performance associated

with the work control component. Specifically, the team identified that the

licensee failed to adequately plan and coordinate work activities, in which,

interdepartmental coordination was necessary to assure plant and human

performance H.3(b)(Section 4OA4).

Criterion III, Design Control, associated with the licensees failure to correctly

translate the acceptance limit of intake sluice gate leakage values into

procedures. Specifically, the acceptance limit from the licensees testing was

applied to 1000 feet of intake level and not to the 983 to 988 feet operating band

prescribed in Section I - Flooding, of Station Procedure AOP-01, Acts of

Nature. This issue did not represent an immediate safety concern and has been

entered into the corrective action program as CR 2013-15287.

The failure to fully incorporate applicable design requirements is a performance

deficiency. This performance deficiency was more than minor, and therefore a

finding, because it is associated with the design control attribute of the Mitigating

Systems Cornerstone and affected the associated cornerstone objective to

ensure the availability, reliability, and capability of systems that respond to

initiating events to prevent undesirable consequences. Using Inspection Manual

Chapter 0609, Appendix G, Shutdown Operations Significance Determination

Process, Attachment 1, Checklist 4, PWR Refueling Operation: RCS level > 23'

OR PWR Shutdown Operation with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the

- 12 -

Pressurizer, dated May 25, 2004, the team determined that because this finding

did not increase the likelihood of a loss of reactor coolant system inventory; did

not degrade the licensees ability to terminate a leak path or add reactor coolant

system inventory; and did not degrade the licensees ability to recover decay

heat removal. This finding did not require a Phase 2 or 3 analysis as stated in

Checklist 4. Therefore, the finding is determined to have very low safety

significance (Green). This finding has a cross-cutting aspect in the area of

problem identification and resolution associated with the corrective action

program component because the licensee did not thoroughly evaluate problems

such that the resolutions address causes and extent of conditions

P.1(c)(Section 4OA4).

Criterion V, Instructions, Procedures, and Drawings, for the licensee's failure to

maintain an adequate procedure for site flooding. Specifically, since

June 2013the licensee failed to include appropriate quantitative or qualitative

acceptance criteria for Section I - Flooding, of Station Procedure AOP-01, Acts

of Nature, on how to proceed if steps taken to maintain intake cell level less than

988 feet were unsuccessful during a flooding event. This issue did not represent

an immediate safety concern and has been entered into the corrective action

program as CR 2013-15289.

The licensees failure to maintain an adequate procedure for maintaining intake

cell level during a flood is a performance deficiency. This performance deficiency

was more than minor, and therefore a finding, because it is associated with the

procedure quality attribute of the Mitigating Systems Cornerstone and affected

the associated cornerstone objective to ensure the availability, reliability, and

capability of systems that respond to initiating events to prevent undesirable

consequences. Using Inspection Manual Chapter 0609, Appendix G, Shutdown

Operations Significance Determination Process, Attachment 1, Checklist 4,

PWR Refueling Operation: RCS level > 23' OR PWR Shutdown Operation with

Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the Pressurizer, dated May 25, 2004, the

finding is determined to have very low safety significance (Green) because the

finding did not increase the likelihood of a loss of reactor coolant system

inventory; did not degrade the licensees ability to terminate a leak path or add

reactor coolant system inventory; and did not degrade the licensees ability to

recover decay heat removal. This finding did not require a Phase 2 or 3 analysis

as stated in Checklist 4. This finding has a cross-cutting aspect in the area of

problem identification and resolution associated with the corrective action

program component because the licensee did not thoroughly evaluate problems

such that the resolutions address causes and extent of conditions

P.1(c)(Section 4OA4).

  • Green. The team identified a non-cited violation of License Condition 3.D, Fire

Protection Program, for the failure to translate Appendix R license exemptions

into the fire protection program design. Specifically, the licensee failed to

translate the exemption from 10 CFR Part 50, Appendix R, Section III.G, that was

- 13 -

granted July 3, 1985, for the Intake Structure, Fire Area 31, into a design that met

those exemptions. The licensee did not protect the cables for both raw water

pumps AC-10A and AC-10B from any credible fire in the intake structure. This

issue did not represent an immediate safety concern and was entered into the

licensees corrective action program as CR 2013-16201.

The failure to translate Appendix R license exemptions into the fire protection

program design is a performance deficiency. This performance deficiency was

more than minor, and therefore a finding, because it was associated with the

protection against external factors attribute of the Mitigating Systems

Cornerstone and affected the associated objective to ensure availability,

reliability, and capability of systems that respond to initiating events to prevent

undesirable consequences. Using Inspection Manual Chapter 0609, Appendix F,

Fire Protection Significance Determination Process, dated September 20, 2013,

Step 1.3, the team determined that the reactor would have been able to reach

and maintain cold shutdown, therefore, this finding was determined to have very

low safety significance (Green). There was no cross-cutting aspect assigned to

this finding because the deficiency was over three years ago and does not reflect

present licensee performance (Section 4OA4).

Criterion V, Instructions, Procedures, and Drawings, for the licensees failure to

document the extent of condition review for a number of Root Cause Analyses in

accordance with corrective action program procedures. Specifically, during the

course of the inspection, the team identified four examples where the licensee

did not follow Station Procedure FCSG-24-4, Condition Report and Cause

Evaluation, and, as a result, did not evaluate the extent to which the actual

conditions existed with other plant processes, systems, equipment, or human

performance related activities. This issue does not represent an immediate

safety concern and was entered into their corrective action program as condition

report CR 2013-18291.

The failure to follow the requirements of Station Procedure FCSG-24-4 when

documenting extent of condition reviews in multiple Root Cause Analyses was a

performance deficiency. The performance deficiency was more than minor, and

therefore a finding, because if left uncorrected the failure to perform extent of

condition reviews could lead to a more significant safety concern. Specifically,

the failure to identify and address additional conditions adverse to quality in the

extent of condition review has the potential to lead to a failure to recognize

degraded equipment in a timely manner. This finding was associated with the

Mitigating Systems Cornerstone. Using Inspection Manual Chapter 0609,

Appendix G, Shutdown Operations Significance Determination Process,

Checklist 4, PWR Refueling Operation: RCS level >23 or PWR Shutdown

Operation with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the Pressurizer, dated

May 25, 2004, the team determined that this finding was of very low safety

significance (Green) because the finding did not require a quantitative risk

assessment because adequate mitigating equipment remained available. The

- 14 -

team determined this finding had a cross-cutting aspect in the area of problem

identification and resolution because the licensee failed to thoroughly evaluate

problems such that the resolutions address the causes P.1(c)(Section 4OA4).

Other Findings

Changes, Tests, and Experiments, associated with the licensees failure to

adequately evaluate Modification EC 33464, Replace AK-50 480 V Main and

Bus-Tie Breakers With Molded Case Type or Equivalent, to determine if it

required prior NRC approval. Specifically, the licensees documented evaluation

failed to identify and evaluate new creditable failure modes to determine whether

they would have an adverse effect on the 480 Vac electrical distribution system.

The licensees corrective action was to revise the evaluation. This issue was

entered into the licensees corrective action program as CR 2013-04474 and

2013-16954.

The licensees failure to implement the requirements of 10 CFR 50.59 and

adequately evaluate changes associated with the electrical distribution system is

a performance deficiency. Because this performance deficiency had the

potential to impact the NRCs ability to perform its regulatory function, the team

evaluated the performance deficiency using traditional enforcement. In

accordance with Section 2.1.3.E.6 of the NRC Enforcement Manual, the team

evaluated this finding using the significance determination process to assess its

significance. Using Inspection Manual Chapter 0609, Appendix A, The

Significance Determination Process for Findings At-Power, the finding is

determined to have very low safety significance (Green) because it: (1) was not

a deficiency affecting the design or qualification of a mitigating structure, system,

or component, and did not result in a loss of operability or functionality; (2) did

not represent a loss of system and/or function; (3) did not represent an actual

loss of function of at least a single train for longer than its Technical Specification

allowed outage time, or two separate safety systems out-of-service for longer

than their Technical Specification allowed outage time; (4) did not represent an

actual loss of function of one or more non-Technical Specification trains of

equipment designated as high safety-significance in accordance with the

licensees maintenance rule program; and (5) did not involve the loss or

degradation of equipment or function specifically designed to mitigate a seismic,

flooding, or severe weather event. Therefore, in accordance with Section 6.1.d.2

of the NRC Enforcement Policy, the team characterized this performance

deficiency as a Severity Level IV violation. The team determined that a cross-

cutting aspect was not applicable to this performance deficiency because the

failure to adequately evaluate changes in accordance with 10 CFR 50.59 was

strictly associated with a traditional enforcement violation (Section 4OA4).

non-cited violation of 10 CFR 50.73, Immediate Notification Requirements for

Operating Nuclear Power Reactors, associated with the licensees failure to

submit a Licensee Event Report within 60 days following a discovery of an event

- 15 -

meeting the reportability criteria as specified. The licensees corrective actions

were to submit the licensee event reports. The licensee entered this deficiency

into their corrective action program for resolution as CRs 2013-12863 and

2012-03796.

The team determined that the failure to make a required Licensee Event Report

is a violation of 10 CFR 50.73. The violation was evaluated using Section 2.2.4

of the NRC Enforcement Policy because the failure to submit a required licensee

event report may impact the ability of the NRC to perform its regulatory oversight

function. As a result, this violation was evaluated using traditional enforcement.

In accordance with Section 6.9 of the NRC Enforcement Policy, this violation was

determined to be a Severity Level IV non-cited violation. The team determined

that a cross-cutting aspect was not applicable to this performance deficiency

because the failure to make a required report was strictly associated with a

traditional enforcement violation (Section 4OA4).

10 CFR 50.9, Complete and Accurate Information, and an associated reactor

oversight program finding (NCV 05000285/2013013-19, Failure to Translate

Appendix R License Exemptions into the Plants Fire Protection Program

Design), for the licensees failure to provide information to the Commission that

was complete and accurate in all material respects. Specifically, when

responding to a request for additional information, the licensee supplied incorrect

information to the NRC and this information was subsequently used by the NRC

to support a license amendment for the station. This issue was entered into the

stations corrective action program as CR 2013-15021.

The failure to provide the NRC with complete and accurate information when

responding to a request for additional information is a performance deficiency.

Using Inspection Manual Chapter 0612, Appendix B, Issue Screening, Figure 1,

dated September 7, 2012, the team determined that the failure to provide

complete and accurate information was a performance deficiency that required

evaluation under both traditional enforcement and the reactor oversight program.

The performance deficiency was determined to be more than minor because:

(1) the information was considered material to the NRCs decision making

process; and (2) it affected the equipment performance attribute of the Mitigating

Systems Cornerstone with regard to availability, reliability, and capability of the

raw water pumps to perform their safety function during a fire in the intake

structure. Using Inspection Manual Chapter 0609, Appendix F, Fire Protection

Significance Determination Process, the team determined the finding to have

very low safety significance (Green) because it only affected the ability to reach

and maintain cold shutdown conditions. Under the traditional enforcement

review, the team determined that in accordance with Section 6.9.c.1 of the NRC

Enforcement Policy, this finding represented a Severity Level III violation.

Specifically, the team determined that if this information had been completely and

accurately provided, it would likely have caused the NRC to undertake a

substantial further inquiry. The NRC takes the issue of complete and accurate

- 16 -

license submittals very seriously. For this reason, the NRC considered citing this

as a Severity Level III violation, as discussed in the Enforcement Policy, as the

NRC had approved a licensing action based on the incorrect information.

However, after consideration by NRC management, and with the approval of the

Director of the Office of Enforcement, it was determined that a Severity Level IV,

cited violation was appropriate. This decision was based on the very low safety

significance (Green) of the associated reactor oversight program finding

(05000285/2013013-19). There was no cross-cutting aspect assigned to this

finding because the inaccurate information was provided over three years ago

and this issue does not reflect present licensee performance (Section 4OA4).

B. Licensee-Identified Violations

None.

- 17 -

REPORT DETAILS

4. OTHER ACTIVITIES

4OA4 IMC 0350 Inspection Activities (92702)

The inspection team continued the NRC Inspection Manual Chapter 0350 inspection

activities, which included follow-up on the Restart Checklist contained in Confirmatory

Action Letter (CAL) EA-13-020 issued February 26, 2013. The purpose of this

inspection was to perform an assessment of the causes of the performance decline at

the Fort Calhoun Station (FCS), to assess whether planned corrective actions are

sufficient to address the root causes and contributing causes and to prevent their

recurrence, and to verify that adequate qualitative or quantitative measures for

determining the effectiveness of the corrective actions are in place. These assessments

were used by the NRC to independently determine if plant personnel, equipment, and

processes were ready to support the safe restart and continued safe operation of the

Fort Calhoun Station.

The team used the criteria described in baseline and supplemental inspection

procedures, various programmatic NRC inspection procedures, and Inspection Manual

Chapter 0350 to assess Omaha Public Power Districts (the licensee) performance and

progress in implementing its performance improvement initiatives. The team performed

on-site and in-office activities, which are described in more detail in the following

sections of this report. This report covers inspection activities from July 7, 2013, through

February 18, 2014. Specific documents reviewed during this inspection are listed in the

attachment.

The following inspection scope, observations and findings, and assessments, are

documented by the Confirmatory Action Letter Restart Checklist (CL) item number.

1. Causes of Significant Performance Deficiencies and Assessment of

Organizational Effectiveness

Section 1 of the Restart Checklist contains those items necessary to develop a

comprehensive understanding of the root causes of safety-significant performance

deficiencies identified at the Fort Calhoun Station. In addition, Section 1 includes the

independent safety culture assessment with the associated root causes and findings.

The integration of the assessments under Item 1.f identifies the fundamental aspects of

organizational performance in the areas of organizational structure and engagement,

values, standards, culture, and human behaviors that have resulted in the protracted

performance decline and are critical for sustained performance improvement. Section 1

reviews also include an assessment against appropriate NRC Inspection

Procedure 95003 key attributes. These assessments are documented in Section 5.

- 18 -

Item 1.c: Electrical Bus Modification and Maintenance - Red Finding

(1) Inspection Scope

a. The team assessed the licensees actions taken since inspection activities

documented in NRC Inspection Report 05000285/2013008. As documented in

Inspection Report 05000285/2013008, the team reviewed this area for closure and

noted discrepancies which lead to area 1.c being left open. The team reviewed the

licensees actions to address the teams concerns to ascertain whether they were

sufficient to ensure plant safety and support closure of the restart checklist items

associated with the Red finding and notice of violation issued to the licensee on

April 10, 2012.

The team assessed the root cause analyses the licensee developed and included in

its closure book for the Red finding (i.e., Closure Book 1.C): RCA 2011-05414,

Breaker Cubicle 1B4A Fire, Revision 3, dated October 5, 2012, and

RCA 2011-06621, 1B3A Main Breaker Trip During Switchgear Fault on 1B4A,

dated May 3, 2012. The focus of RCA 2011-05414 was identifying the conditions

surrounding the initiation of the fire event that occurred on June 7, 2011, and

determining what created the fire and subsequent loss of 480 Vac, Bus 1B4A. The

purpose of RCA 2011-06621 was to determine why an adequate level of separation

between two trains of 480 Vac power was not maintained during the fire event;

however, the purpose statement was redefined several times throughout the

document.

The teams assessment was based on the following objectives:

  • Provide assurance that the root and contributing causes of risk-significant

issues were understood

  • Provide assurance that the extent-of-condition and extent-of-cause of risk-

significant issues were identified

  • Provide assurance that the licensee's corrective actions for risk-significant

performance issues were, or will be, sufficient to address the root and

contributing causes and to preclude repetition

b. Open items (Licensee Event Reports and Violations), specifically related to the Red

finding were reviewed by the team. The team verified the adequacy of the licensees

causal analysis and extent of condition evaluations related to and associated with the

Red finding. In addition, the team verified that adequate corrective actions were

identified and associated with the licensees root and contributing causes and extent

of condition evaluations, and that these corrective actions are either implemented or

appropriately scheduled for implementation.

- 19 -

(2) Observations and Findings

a. Licensees Assessment of the Red finding

Determine that the problem was evaluated using a systematic methodology to

identify the root and contributing causes.

The team determined that the licensee had evaluated the issue using systematic

methodologies to identify root and contributing causes. Specifically, Root Cause

Analysis (RCA) 2011-06621, Revision 2, stated that the analytical methods used

during the investigation included events and causal factors charting and fault tree

analysis. A fault tree was created for the event in an attempt to identify all possible

means by which load center 1B3A main feeder breaker could have opened

inappropriately given the circumstances. The root cause analysis stated that the

fault tree analysis was essentially a failure modes and effects analysis which

identified: (1) human performance; (2) programmatic; and (3) oversight factors which

were considered to finally arrive at the root cause. The root cause analysis

contained the fault tree analysis created for this investigation.

RCA 2011-06621, Revision 2, documented the following root and contributing

causes of inadequate separation of safety-related equipment:

  • Root Cause-1 (8.1): Deleted - see contributing cause-4 (8.6).
  • Root Cause-2 (8.2): Design Change Package preparation procedures do not

provide guidance to evaluate design features of new components in regard to

the possibility that they may have adversely affected required performance

characteristics if not properly configured.

  • Contributing Cause-1 (8.3): Detailed standards for performing and

documenting wire/continuity checks for new wiring do not exist. It is left to the

test and field engineer to judge the level of detail required.

  • Contributing Cause-2 (8.4): The design engineer did not properly employ the

human performance toolbox in regard to maintaining a questioning attitude

about the details of operation of new breakers.

  • Contributing Cause-3 (8.5): The field engineer and electricians did not

properly employ the human performance toolbox in that they did not question

the lack of detail in the Construction Work Order for performing wire and

continuity checks.

  • Contributing Cause-4 (8.6): The vendor manual for the Masterpact breakers

does not clearly state how the Zone Select Interlock, if not properly

restrained, will impact breaker coordination. The vendor was unaware of the

effect of the Full Function Test Kit on the Zone Select Interlock functionality.

This knowledge gap resulted in a failure to specify a functional test that would

ensure proper breaker performance. The knowledge gap is also being

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investigated by the vendor. (Refer to NLI NCR number 410. Note: Any root

or contributing cause associated with vendor actions will be addressed by the

vendors corrective action program and not by OPPDs program.)

The team determined that in RCA 2011-06621, Revision 2, the licensee had

adequately used systematic methodologies to identify the root and contributing

causes for the failure to maintain separation between two trains of 480 Vac power

during the fire event. The team noted that the licensee had deleted Root

Cause 1 (8.1) and made it part of Contributing Cause 4 (8.6). This addresses the

concerns identified by NRC Inspection Reports 05000285/2012004 and

05000285/2013008 with respect to Root Cause 1 (8.1).

Determine that the root cause evaluation address the extent of condition and the

extent of cause of the problem.

RCA 2011-06621 defined the condition as the failure to properly disable the Zone

Select Interlock breaker feature which resulted in a loss of expected coordination

between adjacent 480 Vac breakers. During the June 7, 2011, fire event, the failure

to restrain the Zone Select Interlock was caused by a wiring error, which occurred

during installation of the restraining jumpers. The licensee identified other conditions

that could cause the Zone Select Interlock not to be adequately restrained, including

snap-in connectors not firmly mounted and popping out during breaker racking and a

damaged mounting-bracket linkage arm that could cause incomplete circuits at the

input of the breaker. The licensee determined that the extent of condition was the

possibility that any or all these failure modes could exist on any of the twelve

Masterpact NW breakers installed in the 480 Vac switchgear. The Zone Select

Interlock wires were checked at all twelve breakers and cradles. In the course of the

root cause analysis, other adverse breaker conditions were identified and checked.

Closure Book 1.c stated that the licensee has verified the correct placement and

continuity of the other Zone Select Interlocks jumpers in the station and was verifying

breaker overcurrent coordination through primary injection testing without using a

Full Function Test Kit. The licensee implemented new guidance for testing control

wiring that is applicable to all modified and maintained electrical circuits. This was

accomplished in condition report action items 2011-06621-28 and 2011-06621-32.

The team determined that the licensee had failed to promptly identify and correct a

condition adverse to quality. Specifically, the team reviewed the licensees corrective

actions and determined that action item 2011-06621-32 had not been performed, but

had been identified as complete and was closed due to an administrative error. The

team identified this performance deficiency as, NCV 05000285/2013013-01, Failure

to Complete all Testing for a Condition Adverse to Quality, which is further

discussed in Section 5 of this report.

RCA 2011-06621, Revision 2, identified the root cause as the lack of specific

direction in the Design Change Package preparation procedure to require the design

engineer to consider the impact of design features of new equipment if not properly

disabled. The root cause analysis stated, An extent of cause is other electrical

modifications susceptible to a lack of appropriate consideration of new failure modes

that could exist because new design features are not properly disabled. The closure

- 21 -

book stated that the root cause has been corrected by revising the appropriate

design procedures for all engineering disciplines to require a comparison of new

features with the original equipment including a consideration of critical parameters

within the design change process. The licensee implemented corrective actions to

review other electrical/I&C modifications from the last five years to determine if

failure modes introduced by features not part of the original equipment could have

been introduced.

Determine that the root cause, extent of condition, and extent of cause evaluations

appropriately considered the safety culture components as described in IMC0310.

The safety culture analysis portion of the root cause analysis failed to identify the

reasons for why some safety culture aspects were not applicable, as required by

station procedure. This information was important for complete understanding of the

circumstances surrounding the event, and to ensure that other root and contributing

causes were not inappropriately ruled out. The form for documenting the safety

culture analysis was not consistent with the instructions in the governing procedure

with respect to documenting the reasons why a safety culture aspect was not

applicable. The form required the licensee to bin the root cause and contributing

causes into the various components, which would not provide an opportunity to

determine if the causal analysis failed to identify other root and contributing causes.

Determine that appropriate corrective actions are specified for each root and

contributing cause.

Corrective action items and schedules for implementing these items were specified

for the root and contributing causes discussed in RCA 2011-06221. Closure

Book 1.c provided a table that outlined which corrective actions correlated to various

causes. The team determined that these corrective actions were adequate to

address those causes.

During their review the team determined that the licensee had failed to provide an

appropriate calculation to establish the basis for testing of safety related breakers.

The team identified this performance deficiency as NCV 05000285/2013013-02,

Failure to Furnish Evidence of an Activity Affecting Quality. The team also

determined that the licensee had performed an inadequate 10 CFR 50.59 evaluation

for modifications performed on safety related breakers. The team identified this

performance deficiency as NCV 05000285/2013013-03, Failure to Evaluate

Changes to Ensure They Did Not Require Prior Approval. These issues are further

discussed in Section 5 of this report.

Determine that a schedule has been established for implementing and completing

the corrective actions.

Corrective action items and schedules for implementing these items were specified

for the root and contributing causes discussed in RCA 2011-06621. Remaining

corrective actions were discussed in the previous sections of this report. The team

did not identify any issues associated with licensees schedule.

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Determine that quantitative and qualitative measures of success have been

developed for determining the effectiveness of the corrective actions to prevent

recurrence.

RCA 2011-06621, Revision 2, does not address the concern identified in NRC

Inspection Report 05000285/2013008. Specifically, because a procedural correction

may not be effective in precluding repetition of events, the licensee should have

established more frequent effectiveness reviews for the procedural corrective

actions. This effectiveness review has acceptable acceptance criteria (i.e., no issues

in form, fit, or function); however, the team determined that the corrective actions

need more run-time and interim effectiveness reviews in accordance with Procedure

FCSG-24-5, Cause Evaluation Manual, Revision 5 before a conclusion can be

made about their effectiveness.

b. Resolution of Open Items Related to the Red Finding

The team reviewed the following open items:

LER 2011010-01 Fire Causes a Circuit Breaker to Open Outside Design

Assumptions

VIO 2012010-01 Failure to Ensure that the 480 VAC Electrical Power Distribution

System Design Requirements were Implemented and Maintained

VIO 2012007-02 Failure to Maintain Command and Control Function During Fire

Fighting Activities in the Protected Area

VIO 2012004-04 Failure to Ensure Breaker Coordination of 480 Vac Electrical

Power Distribution System Was Maintained

The team verified the adequacy of the licensees causal analyses and extent of

condition evaluations. In addition, the team verified that adequate corrective actions

were identified and associated with the licensees root and contributing causes and

extent of condition evaluations, and that, implementation of these corrective actions

are either implemented or appropriately scheduled for implementation.

During this review, the team determined that the licensee had failed to make a

required licensee event report to the NRC. The team identified this performance

deficiency as NCV 05000285/2013013-04, Failure to Submit Licensee Event

Report, which is further discussed in Section 5 of this report.

(3) Assessment Results

a. The team has concluded, based on their reviews of the cause evaluations and the

extent of cause/extent of condition reviews, that this area was adequately addressed

by the licensee and the following Restart Checklist Items are closed:

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1.c.1 Electrical Fire Red Finding root and contributing cause evaluation

1.c.2 Electrical Fire Red Finding extent-of-condition and cause evaluation

1.c.3 Electrical Fire Red Finding corrective actions addressing root and

contributing causes

1.3.1.1 Rebuild the 1B4A load center

1.3.1.2 Provide documentation for the dedication of the rebuilt load center in

accordance with Contract 163495

1.3.1.3 Complete Engineering Change 53257 and obtain PRC approval to

authorize the use of the rebuilt load center, 1B4A

1.3.1.7 Complete Engineering Change 53517 that details the repair to the

cable jackets for cables located in the cable tray above 1B4A load

center

1.3.1.8 Repair or replace the cables located in the cable tray above load

center 1B4A that have had jacket damage

1.3.1.10 Calibration of the internal relays and protection equipment for

Bus 1B4A

1.3.1.12 Calibrate new Square D circuit breakers

1.3.1.17 Perform testing of all circuits associated with 1B4A load center

1.3.1.19 Submit, track, and seek approval of procedures that are changed as

the result of EC 53257 and are required to be issued before the

System Acceptance Process.

1.3.1.21 Declare Bus 1B4A Operable

1.3.1.23 Extent-of-condition repair requirements. Provide repair requirements

for extent-of-condition.

1.3.1.24 Implement the requirements supplied by System Engineering

regarding the extent-of-condition.

LER 2012010-01 Fire Causes a Circuit Breaker to Open Outside Design

Assumptions

VIO 2012010-01 Failure to Ensure that the 480 Vac Electrical Power Distribution

System Design Requirements were Implemented and Maintained

VIO 2012007-02 Failure to Maintain Command and Control Function During Fire

Fighting Activities in the Protected Area

VIO 2012004-04 Failure to Ensure Breaker Coordination of 480 Vac Electrical

Power Distribution System Was Maintained

- 24 -

Item 1.g: Safety System Functional Failures White Performance Indicator

(1) Inspection Scope

The team reviewed the licensees programmatic evaluation associated with safety

system functional failures, as well as the cause evaluations associated with the

individual licensee event reports identified in Area 1.g of Restart Checklist Basis

Document, Revision 4. The purpose of these reviews was to independently verify

that the licensee had performed adequate casual analyses and extent of condition

evaluations related to these issues. In addition, the team verified that adequate

corrective actions were identified and associated with the causes and extent of

condition evaluations, and that, implementation of these corrective actions were

either implemented or appropriately scheduled for implementation.

(2) Observations and Findings

Determine that the problem was evaluated using a systematic methodology to

identify the root and contributing causes.

The team determined that the licensee evaluated the condition using systematic

methodologies and problem analysis techniques to identify the root and contributing

causes. The licensee used the following systematic methods to complete the root

cause analysis: (1) event and causal factors charting to allow complex issues to be

organized to clearly identify the structure of the event and its cause; and (2) common

factors analysis to understand the major common issues that factored into the

Mitigating Systems Performance Indicator (MSPI) degradation.

The team concluded that the use of the techniques provided an adequate

methodology for evaluating the problem.

Determine that the root cause evaluation was conducted to a level of detail

commensurate with the significance of the problem.

The team determined that the root cause evaluation was appropriately conducted to

a level of detail commensurate with a Significance Level 1 event or condition - An

event or condition that is a Significant Condition Adverse to Quality that has major

potential or actual impact. The event presents significant risk or consequences to

the safe, reliable operation of the plant, personnel safety, or organizational and

human behaviors, such that, recurrence is unacceptable - in accordance with

Licensee Procedure FCSG-24-3, Condition Report Screening, Revision 7.

Determine that the root cause evaluation included a consideration of prior

occurrences of the problem and knowledge of prior operating experience.

The team determined that the root cause evaluation included a consideration of prior

occurrences of the problem and knowledge of prior operating experience, as

required, by Station Procedure FCSG-24-4, Condition Report and Cause

Evaluation, Revision 7.

- 25 -

Determine that the root cause evaluation addressed the extent of condition and the

extent of cause of the problem.

The team determined the evaluation of the extent of condition was not complete.

RCA 2013-03424 determined the bounding condition as:

MSPI Safety System Functional Failure indicator degrading trend (increase in

LER submittals due to Safety System Functional Failures as a result of

discovering latent design basis/configuration control issues).

The root cause concluded that an extent of condition exists, and that, this condition

has been repeatedly identified as design/configuration control anomalies. The root

cause also concluded that any processes which rely upon clear and accurate design

basis could be impacted by latent undiscovered design anomalies.

The root cause acknowledged that the condition could extend to other processes and

programs, such as, fuel loading analysis, surveillance testing, preventative

maintenance, and equipment qualification; however, it did not determine to what

extent the actual processes and programs were affected. This is contrary to Station

Procedure FCSG-24-4, Attachment 1, Section F, Extent of Condition,

Paragraph 1.2, which states, in part, The extent to which the actual condition of the

Problem Statement exists in other applicable plant processes, systems, equipment,

or human performance related activities (programs) SHALL be determined.

In interviews with licensee personnel, the team was told that the extent of condition

review was scheduled for a later date because the depth of review would be large

and corrective actions in CRs 2012-08134 and 2012-02857 would address some of

the programs already mentioned. Delaying the extent of condition review is allowed

by Station Procedure FCSG-24-5, Cause Evaluation Manual, when the investigator

and condition report owner may exercise conservative judgment to determine how

deep to pursue the extent of condition. However, if the full scope or impact is to be

determined later, then the corrective action plan must include one or more supporting

actions to do so. Corrective actions to perform the full extent of condition were not

included in RCA 2013-03424.

The team determined the evaluation of the extent of cause to be inadequate.

RCA 2013-0324 determined the failure, to maintain an environment, in the

Engineering Division, that valued maintaining the license and design basis of the

station over continued operation of the facility, to be the root cause of the declining

performance indicator. The root cause also established that the potential existed for

this cause to further impact other processes within Engineering (e.g. that an extent of

cause existed). It did not, however, determine what the extent of cause was, and

thus, could not assure that corrective actions would be broad enough to prevent

repetition (e.g. another safety system functional failure related to the extent of root

cause elsewhere in Engineering or outside of Engineering).

Specifically, the licensee determined the declining performance indicator to be a

significant condition adverse to quality (SCAQ), and that, the potential existed both:

- 26 -

(a) for its root cause to impact other processes; and (b) for that cause which

triggered behaviors associated with the condition to trigger similar behaviors in other

processes (e.g. failure to maintain an environment in other divisions that valued

maintaining the license and design basis of the station over continued operation of

the facility), but did not determine the actual extent of cause (e.g. in which divisions

this cause could repeat and result in or contribute to White Performance Indicator

repetition). Instead, the RCA established future tasking actions to determine the

extent of cause corrective actions intended to prevent repetition without knowing the

actual extent of cause.

The team reviewed the RCA established future tasking actions, intended to

determine extent of cause, to determine if they could be relied upon to assure

revision to RCA 2013-03424 corrective actions to prevent repetition (CAPRs). The

team determined that the actions tasked against RCA 2013-05570 could not be

relied upon for at least three reasons. First, the tasking was not directed to any

specific element. Secondly, the teams review of RCA 2013-05570 found that it

lacked any meaningful linkage back to RCA 2013-03424 to assure that it would

provide the specific extent-of-cause information being sought. Finally, the team

determined that RCA 2013-05570 was itself, inadequate. As discussed further

below, this lack of meaningful linkage also placed at risk the bulk of

RCA 2013-03424 corrective actions which, like the extent of cause tasking, were

assigned to RCA 2013-05570.

The team informed the licensee of these concerns, and the licensee initiated

CR 2013-14584 to capture this issue in the station corrective action program. The

licensee revised RCA 2013-03424 to address the issues identified by the team.

In the revised root cause analysis the licensee determined that the identified root

cause extended beyond the engineering organization, and had been repeatedly

identified as design basis/configuration issues, but actions taken by management to

address the dormant nature of the existing design basis issues had limited

effectiveness. To address the identified extent of cause the licensee developed

corrective actions specified in CR 2013-03424, and linked corrective actions from

CR 2013-05570 to CR 2013-03424 in the corrective action program. The team

determined that these actions were adequate to identify the extent of cause, and to

implement corrective actions to address the extent of cause.

Determine that the root cause, extent of condition, and extent of cause evaluations

appropriately considered the safety culture components as described in Inspection

Manual Chapter 0310.

The team determined that the root cause evaluations appropriately considered the

safety culture components as described in Inspection Manual Chapter 0310. The

licensee reviewed each safety culture component and determined if the condition

was applicable. Station Procedure FCSG-24-4, Condition Report and Cause

Evaluation, Revision 7, Section L, Paragraph 1.3, states, For Safety Culture

Aspects that are found to be applicable, reference the root and contributing causes

- 27 -

and the specific corrective actions that address that aspect issue. The team

determined that the actions were appropriate.

Determine that appropriate corrective actions are specified for each root and

contributing cause.

Revision 0 of RCA 2013-03424 originally identified the root cause as, Fort Calhoun

Station engineering management failed to maintain control over the design and

configuration of the Fort Calhoun Station. The corrective action to prevent

recurrence in Revision 0 of RCA 2013-03424 was documented as:

Identify and define the Licensing bases and assure licensing bases

documentation remains current, accurate, complete, and retrievable.

  • Identification includes determining the record types.
  • Identify a consistent numbering system.
  • Establish methodology (database) for ensuring current and historical

licensing bases records are readily retrievable.

  • Reconstitute (identify, locate, and store in a retrievable method) the

licensing bases including historical records required to establish the

current bases.

  • If conflicts are identified during identification and location of licensing

bases documentation, a Condition Report is initiated to document and

track the resolution.

  • Establish process for assuring licensing bases documentation remains

current, accurate, complete, and retrievable. Current processes may be

retained or revised to assure needed results.

  • Closure determination: Conduct an outside independent assessment to

validate the completion of identifying all license bases documents are

retrievable, and that, the process for updates is implemented.

The team determined that the corrective action to prevent recurrence for the root

cause specified in Revision 0 of RCA 2013-03424 was not appropriate and would not

prevent recurrence of the root cause. The team determined that the root cause was

narrowly focused on the management of the engineering division and failed to

identify a culture in the engineering division, as a whole, that failed to maintain the

design and configuration control. This condition was captured in CR 2013-12236.

The team identified this performance deficiency as NCV 05000285/2013013-05,

Inadequate Corrective Actions to Prevent Repetition of A Significant Condition

Adverse to Quality, a White MSPI SSFF Degrading Trend, which is further

discussed in Section 5 of this report.

- 28 -

The licensee revised RCA 2013-03424 to include a new root cause and an additional

corrective action. Revision 1 of RCA 2013-03424 revised the root cause to, Fort

Calhoun Station failed to maintain an environment, in the Engineering Division, that

valued maintaining the license and design basis of the station over continued

operation of the facility. This led to a loss of control over the design and

configuration of the Fort Calhoun Station. An additional corrective action to prevent

recurrence was included to strengthen the function of the oversight group that

performs reviews of engineering products.

The team determined that these corrective actions were adequate to address the the

identified causes.

Determine that a schedule has been established for implementing and completing

the corrective actions.

The team determined that a schedule had been established for implementing and

completing the corrective actions. However, the due dates for corrective actions to

preclude repetition were not explicitly documented in the corrective action matrix of

RCA 2013-03424. Rather, the reader is referred to RCA 2015-05570.

Determine that quantitative or qualitative measures of success have been developed

for determining the effectiveness of the corrective actions to prevent recurrence.

Similar to observations above, in which RCA 2013-3424 leveraged RCA 2013-05570

extensively, it also leverage the effectiveness review of that RCAs corrective actions

to prevent recurrence of that RCAs root cause. However, because the root causes

of RCA 2013-05570 differed substantively from the root cause in RCA 2013-03424,

the team determined that the RCA 2013-05570 effectiveness review did not

constitute an appropriate measure of success of the corrective actions to prevent

recurrence of the RCA 2013-03424 root cause and its extent of cause.

Following revision of RCA 2013-03424 the licensee incorporated adequate

effectiveness reviews into this root cause, as well as linking corrective actions from

RCA 2013-05570. Specifically, the team noted that RCA 2013-05570 had

effectiveness reviews associated with the corrective actions, and by linking the

corrective actions from 2013-05570 to 2013-03424 in the corrective action program

any identified weaknesses with corrective actions in 2013-05570 would trigger a

review under 2013-03424 as well. The team determined this to be adequate.

(3) Assessment Results

The team has concluded, based on their reviews of the cause evaluations and the

extent of cause/extent of condition reviews, that this area was adequately addressed

by the licensee. Restart Checklist Item 1.g is closed.

- 29 -

2. Flood Restoration and Adequacy of Structures, Systems, and Components

Section 2 of the Restart Checklist contains those items necessary to ensure that

important structures, systems, and components affected by the flood and safety

significant structures, systems, and components at the Fort Calhoun Station are in

appropriate condition to support safe restart and continued safe plant operation.

Item 2.c: Qualification of Containment Electrical Penetrations

(1) Inspection Scope

a. The team reviewed the adequacy of the licensees actions associated with the

presence of Teflon used in a number of containment electrical penetration

feedthrough assemblies. Specifically, the team assessed Condition Report

CR 2012-1947, for which the Description section stated, in part,

Test data and analytical techniques demonstrate that FCS feedthrough

subassemblies used at FCS containing conductors with Teflon insulation and

Teflon seals are susceptible to significant degradation from a postulated Design

Basis Event environment.

The teams assessment of the licensees effectiveness in addressing the deficiency

was based on the following criteria:

  • Provide assurance that the root and contributing causes of risk-significant

issues were understood;

  • Provide assurance that the extent-of-condition and extent-of-cause of risk-

significant issues were identified;

  • Provide assurance that the licensee's corrective actions for risk-significant

performance issues were, or will be, sufficient to address the root and

contributing causes and to preclude repetition

b. An open item (Licensee Event Report) specifically related to the containment

electrical penetration issue was reviewed by the team. The team verified the

adequacy of the licensees causal analysis and extent of condition evaluation. In

addition, the team verified that adequate corrective actions were identified and

associated with the licensees root and contributing causes and extent of condition

evaluations, and that, implementation of these corrective actions are either

implemented or appropriately scheduled for implementation.

- 30 -

(2) Observations and Findings

a. Licensees Assessment of the Containment Penetration Issue

Determine that the problem was evaluated using a systematic methodology to

identify the root and contributing causes.

The licensee performed a root cause analysis associated with CR 2012-01947 for

the condition. The team noted, at the time of the inspection that the licensee had

revised the original version of the root cause analysis and the version the team

reviewed, was Revision 2, dated July 8, 2013.

The team determined that the licensee evaluated the problem using three systematic

methodologies and problem analysis techniques to identify the root and contributing

causes. The licensee used the following systematic methods to complete the root

cause analysis report: (1) Event and Causal Factors Chart; (2) Barrier Analysis; and

(3) Streaming Analysis.

The licensee developed an Event and Causal Factor Chart using historical events to

graphically display the timeline of events and factors associated with the events.

The licensee then evaluated those events to identify the barriers that could have

prevented the condition. From this, the licensee derived the causal factors and

performed a streaming analysis on the causal factors to determine which factors

were the more fundamental causes that drive the others. Then, the licensee

conducted a qualitative evaluation of each causal factor to identify causal factors

related to the root cause. The team concluded that the use of these techniques

provided an adequate analysis for evaluating the problem.

Determine that the root cause evaluation was conducted to a level of detail

commensurate with the significance of the problem.

The team determined that the licensee conducted the root cause analysis to a level

of detail commensurate with the significance of the problem. The presence of Teflon

in containment penetrations represented a potential significant degradation of the

containment under accident conditions. The licensee appropriately treated this

deficiency as a high level condition in the corrective action process. The licensee

identified the following root cause for the condition:

There was a lack of technical oversight to ensure the information associated with

Teflon material used in EQ Containment electrical penetration subassemblies

was applied to non-EQ electrical penetrations.

The team considered the identification of this root cause to have been done with an

appropriate level of inquiry and depth. The licensee employed their root cause

analysis methodology as called for in Procedures NOD-QP-19, Cause Analysis

Program, and FCSG-24-5, Cause Evaluation Manual.

- 31 -

Determine that the root cause evaluation included a consideration of prior

occurrences of the problem and knowledge of prior operating experience.

The team determined that the RCA included a consideration of prior occurrences of

the problem and knowledge of prior operating experience. The licensee identified

occurrences and operating experience of the problem as a part of their evaluations.

The licensees search concluded that information was available in the late 1960s

that Teflon was not resistant to high radiation levels in reports from Oak Ridge

National Laboratory and the Western New York Nuclear Research Center.

The licensees review of external operating experience identified cases where the

Fort Calhoun Station missed opportunities to use operating experience effectively.

The licensee identified that few plants used Teflon seals and insulation for

containment electrical penetrations, which could have been a missed opportunity to

question their practice. The team noted that the licensee did capture this missed

opportunity in their corrective action program.

The licensee learned that containment electrical feedthrough subassemblies with a

multi-conductor design containing Teflon seals and insulation were only supplied to

the Fort Calhoun Station in the United States. In addition, subassemblies with

coaxial or triaxial cables with Teflon jackets were only supplied to Salem, Crystal

River, and the Fort Calhoun Station. The seals and electrical conductor insulation

were made from environmentally qualified material. Based on these reviews, the

team concluded the root cause analysis had adequately reviewed operating

experience.

Determine that the root cause evaluation addressed the extent of condition and the

extent of cause of the problem.

The team observed that the licensee did, separately and adequately, address both

extent of cause and extent of condition. For extent of condition, the licensee

considered the extent of condition to be the extent to which the actual condition

exists with similar plant processes, equipment, or human performance. Using this,

the licensee evaluated the extent of condition (1) the containment personnel air lock

electrical penetration subassemblies, which contained Teflon seals and wiring

insulation, (2) containment personnel air lock mechanical components, which

contained Teflon, and (3) mechanical equipment located in a harsh environment that

contained Teflon and performed a containment integrity function. The team

confirmed that corrective actions had been generated for these extents of condition

and that the actions supported plant safety and restart.

The team also observed that the licensee screened extent of cause to be the extent

to which the root cause of an identified problem exists (or may potentially exist) in

other plant processes, systems, equipment or human performance related activities.

The extent of cause for the root cause was determined to exist in several plant

processes, systems, equipment, and human performance related activities. The

licensee addressed these in other root cause analyses performed for their

performance improvement efforts. These included RCA 2012-08137, "Regulatory

- 32 -

Processes and Infrastructure," RCA 2012-09494, "Deficiencies in Identifying

Degraded/Nonconforming Conditions and Performance of Operability

Determinations," RCA 2012-08132, "Site Operational Focus," and RCA 2013-02857,

"HELB/EEQ not in accordance with 10 CFR 50.49."

Determine that the root cause, extent of condition, and extent of cause evaluations

appropriately considered the safety culture components as described in IMC 0310.

The team determined that the root cause, extent of condition, and extent of cause

evaluations appropriately considered the safety culture components as described in

Inspection Manual Chapter 0310. The licensee reviewed each safety culture

component and determined if the condition was applicable so that they could link the

component to a root or contributing cause.

The safety culture review was aimed at identifying issues with cross-cutting

tendencies that warrant enhanced corrective actions to address. Five safety culture

aspects were found to be applicable to this root cause. These five cross-cutting

aspects were:

  • H.1(b) - conservative decision making
  • H.2(a) - availability of resources to maintain design margins and minimize

long standing issues

  • P.1(c) - addressing extent of condition when resolving problems
  • P.2(b) - use of operating experience
  • O.1(b) - management reinforcing standards and behaviors

The team reviewed that the licensees assignment of safety culture aspects and

confirmed that the applicable aspects had been addressed by corrective actions.

Determine that appropriate corrective actions are specified for each root and

contributing cause.

The team determined that the licensee specified appropriate corrective actions for

the root cause. The licensee specified three corrective actions designated to prevent

recurrence. These included integrating leaders having external perspectives and

broad experience based insights from external organizations, revising and

implementing human performance procedures utilizing best industry practices, and

improving the station issue prioritization procedures and processes. Other actions

included training on human performance, incorporating current industry best decision

making practices, developing and implementing a plan to increase the depth of plant

equipment and systems knowledge for engineering personnel, and developing and

implementing a plan to increase the depth of licensing and design basis knowledge

for engineering personnel. To correct the issue the licensee replaced or capped

containment electrical penetrations that used Teflon as electrical insulation or sealant

prior to plant startup.

- 33 -

Determine that a schedule has been established for implementing and completing

the corrective actions.

The team determined that the Fort Calhoun Station established a schedule for

implementing and completing corrective actions. The team noted that

CR 2012-01947 and 2010-02387 contained a long list of corrective actions identified

to resolve the issue. The team sampled the items to assure that the more risk

significant issues were given higher priority. The team concluded that the schedule

of corrective actions was adequate.

Determine that quantitative or qualitative measures of success have been developed

for determining the effectiveness of the corrective actions to prevent recurrence.

The team determined that the Fort Calhoun Station developed quantitative and

qualitative measures of success for determining the effectiveness of the corrective

actions to prevent recurrence. These effectiveness reviews were broken down into

separate actions in the corrective actions for the root cause analysis. Each of these

corrective actions contained detailed means to ascertain the effectiveness measures.

b. The team reviewed the licensees causal analyses, corrective actions, and extent of

condition associated with Licensee Event Report 2012-002, Inadequate

Qualifications for Containment Penetrations Renders Containment Inoperable. In

addition, the team verified that adequate corrective actions were identified

associated with the causes and extent of condition evaluations and that

implementation of these corrective actions were either implemented or appropriately

scheduled for implementation.

(3) Assessment Results

a. The team concluded, based on their reviews of the cause evaluations and the extent

of cause/extent of condition reviews, that this area has been adequately addressed

by the licensee. The following restart checklist items for Area 2.c are closed:

2.c.1 Containment electrical penetrations root and contributing cause

evaluation

2.c.2 Containment electrical penetrations extent-of-condition and cause

evaluation

2.c.3 Containment electrical penetrations corrective actions

b. Licensee Event Report 2012-002, Inadequate Qualifications for Containment

Penetrations Renders Containment Inoperable, will be closed.

3. Adequacy of Significant Programs and Processes

Section 3 of the Restart Checklist addresses major programs and processes in place at

the Fort Calhoun Station.

- 34 -

Item 3.a: Corrective Action Program

(1) Inspection Scope

An open item (Licensee Event Report), specifically related to component cooling

water pump operations was reviewed by the team. The team verified the adequacy

of the licensees causal analysis and extent of condition evaluation. In addition, the

team verified that adequate corrective actions were identified associated with the

licensees root and contributing causes and extent of condition evaluations, and that,

implementation of these corrective actions are either implemented or appropriately

scheduled for implementation.

(2) Observations and Findings

The team reviewed Licensee Event Report 2012-006, Operation of Component

Cooling Pumps Outside of the Manufacturers Recommendation, dated

June 25, 2012. During this review, the team noted that during additional

investigations conducted by the licensee, it had been determined that the flow

instrumentation used during the testing was inaccurate and this caused invalid data

to be used when assessing pump performance. Based on this, the licensee

determined that the pumps had been operated as designed and not outside of

manufacturers recommendations. The licensee retracted LER 2012-006 via letter

LIC-12-182, Withdrawal of Licensee Event Report 2012-006, Revision 0, for the Fort

Calhoun Station, dated December 12, 2012.

(3) Assessment Results

The team reviewed the licensees testing data as well as the subsequent

investigation data and determined that the licensees conclusion to retract Licensee

Event Report 2012-006, Operation of Component Cooling Pumps Outside of the

Manufacturers Recommendation, was appropriate.

This restart checklist item is closed.

Item 3.b: Equipment Design Qualifications

(1) Inspection Scope

a. Open items specifically related to maintaining systems, structures, and components

within their licensing and design basis were reviewed by the team. Specifically, the

team reviewed Restart Checklist Item 4.6.1.3 to assess the licensees actions related

to deficiencies that had been identified in the steam generator accident ring

analyses. The inspection verified that the licensee resolved the deficiencies in the

structural calculations by including the potential accident loads on major

subcomponents of the steam generators. The team also reviewed an independent

sample of other reactor coolant system structural calculations.

- 35 -

The team verified that the licensee performed adequate causal and extent of

condition evaluations and that corrective actions are either implemented or

appropriately scheduled for implementation.

b. Open items (Licensee Event Reports) related to pump mechanical seals and

unanalyzed welds in the reactor coolant system were reviewed by the team. The

team verified the adequacy of the licensees causal analyses and extent of condition

evaluations. In addition, the team verified that adequate corrective actions were

identified associated with the licensees root and contributing causes and extent of

condition evaluations, and that, implementation of these corrective actions are either

implemented or appropriately scheduled for implementation.

(2) Observations and Findings

a. CAL Action Item 4.6.1.3 (Provide analysis of Steam Generator accident ring)

The teams review of the selected calculations identified several significant errors

with the calculations and inadequate extent of condition reviews. The apparent

cause analysis report generated for Action Item 4.6.1.3 was narrowly focused. The

licensee failed to analyze significant loads for a large component on the steam

generator. The licensees apparent cause stated, Intimate knowledge of the effort

led to complacency during the review, and the omission was not identified. The

report focused on communication issues that occurred between various vendors,

suppliers, and the licensee. Despite the fact that structural supports were removed

during the steam generator replacement project, and loads were increased, a major

structural component was not analyzed for design loads. Further, the extent of

condition review determined there were no other errors or omissions in all

calculations supporting the replacement steam generator design report. During the

NRC inspection the team uncovered a number of errors that were not identified by

the licensees reviews.

The team noted that details in the calculations were challenging to follow. The

licensee did not originate the calculations; an outside contractor prepared them. The

licensees staff was unable to effectively discuss the calculations with the team

involving the calculation methodology, license basis requirements, and conclusions,

without the vendor who originated them.

The team determined that the licensee had failed to provide adequate oversight over

the contractors preparation of the replacement steam generator calculation because

the vendor utilized several inputs in the analyses that were not in conformance with

the stations licensing basis. Further, the team found an example in the reactor

coolant system structural calculations where the licensee had derived allowable

stresses from vendor manuals, but did not actually possess the vendor manual. The

licensee generated CRs 2013-14540 and 2013-14741 in response to this concern,

and ultimately procured the vendor manual. The overarching issue of vendor

manuals and vendor oversight was previously discussed in NRC Inspection

Report 05000285/2013-008 (Accession No. ML13197A261), and was on the Restart

Checklist as Item 3.d.1.

- 36 -

The team noted that the engineering staff continues to demonstrate gaps in their

knowledge and understanding of the stations design basis with respect to load

combinations. A specific example of this occurred during interviews related to the

structural adequacy of the reactor coolant system. Specifically, the team questioned

why it was acceptable for stress ratios to exceed the code allowable stress limits for

a maximum hypothetical earthquake in conjunction with a maximum accident load

(typically a loss of coolant accident). Station personnel generated CR 2013-14211

and an operability evaluation to address the teams concerns. The inspectors noted

that the licensees basis for the immediate operability determination stated, in part

that, "the stress of the node occurs with a Maximum Hypothetical Earthquake and a

design basis LOCA concurrently this load combination is beyond design basis for

the plant. The team determined that this was contrary to the facility current licensing

basis because this combination is specifically addressed in the Updated Safety

Analysis Report and other design and licensing basis documents. The licensee

agreed that was a design basis load combination and generated CR 2013-19956 to

capture this issue in the stations corrective action program.

The team also determined that the licensee was using a non-conservative procedure

in the design of safety-related structures, systems, and components, and for

evaluating degraded conditions. Specifically, the team noted that criteria from

Station Procedure PED-MEI-17, Interim Operability Criteria, (IOC) was

inappropriately developed and applied to critical quality equipment (CQE) and and

limited critical quality equipment (L-CQE) piping and pipe supports. The team

determined that PED-MEI-17 had been inappropriately used, in some cases, by the

engineering department to bypass evaluating non-conforming components using the

operability process and entering the non-conformances into the corrective action

program for timely resolution. In addition, the team noted that the licensee had made

a commitment to notify the NRC each time they invoked the IOC procedure, but at

some point in the past, the station failed to make required notifications.

During discussions with the licensee, the team was informed that the IOC operability

limits contained in PED-MEI-17 were developed based on another licensees IOC

procedure, and the other licensee had received a safety evaluation report for use of

IOC. The team requested a copy of the other licensees IOC criteria and the safety

evaluation report associated with it.

Subsequently, the team determined that the other licensee did not have a safety

evaluation report for their IOC. Additionally, the team determined that the IOC limits

contained in PED-MEI-17 were significantly less conservative than the other

licensees IOC limits from which they were supposedly based. The other licensees

IOC operability limits mirrored the faulted allowable stresses permitted by ASME

Section III, Appendix F. ASME Section III, Appendix F, is generally endorsed by the

NRC in Inspection Manual Chapter 0326, and by performing a comparison of the

allowable stresses from ASME and PED-MEI-17, the team determined that: (1) the

PED-MEI-17 operability limits were significantly less conservative than the ASME

code allowable limits; (2) PED-MEI-17 did not contain all of the restrictions required

by Appendix F. Therefore, the team determined that the IOC operability criteria was

- 37 -

non-conservative, and therefore, not suitable for operability determinations and not

appropriate for use in design calculations.

As a result of the teams concerns with the use of IOC the licensee performed a

review of corrective action reports and calculations to identify where the IOC was

applied. In addition, as an immediate corrective action, the station discontinued the

use of the IOC procedure at the station.

The team identified the following deficiencies during their review:

basis requirements for structural calculations related to the reactor coolant

system

Impact of Degraded Conditions during use of Interim Operability Criteria

procedure

These issues are further discussed in Section 5 of this report.

b. The team reviewed the following open items:

LER 2013-006 Low Pressure Safety Injection and Containment Spray

Pumps Mechanical Seals

LER 2012-016 Unanalyzed Charging System Socket Welds to the Reactor

Coolant System

The team verified the adequacy of the licensees causal analyses and extent of

condition evaluations. In addition, the team verified that adequate corrective actions

were identified associated with the licensees root and contributing causes and

extent of condition evaluations, and that, implementation of these corrective actions

are either implemented or appropriately scheduled for implementation.

(3) Assessment Results

a. The team concluded, based on their reviews of the cause evaluations and the extent

of cause/extent of condition reviews, and corrective actions taken or planned to be

implemented, that the licensee has adequately addressed Restart Checklist Item

4.6.1.3.

Restart Checklist Item 4.6.1.3 is closed.

- 38 -

b. The team concluded, based on their reviews of the cause evaluations and the extent

of cause/extent of condition reviews, and corrective actions taken or planned to be

implemented, that the licensee has adequately addressed the following LERs:

LER 2013-006 Low Pressure Safety Injection and Containment Spray

Pumps Mechanical Seals

LER 2012-016 Unanalyzed Charging System Socket Welds to the Reactor

Coolant System

With respect to LER 2013-006, Low Pressure Safety Injection and Containment

Spray Pumps Mechanical Seals the licensee identified that the pump mechanical

seals were made of a Teflon material that may not maintain the integrity of the

system under accident conditions. The licensee corrected this deficiency by

replacing the affected mechanical seals with seals qualified for the environmental

conditions they would be subject to under design basis accident conditions.

With respect to LER 2012-016, Unanalyzed Charging System Socket Welds to the

Reactor Coolant System, the licensee identified that the chemical volume and

control system (CVCS) inappropriately used socket welded fittings and the piping

was in an unanalyzed condition involving thermal cycle fatigue. The licensee

corrected these deficiencies by replacing affected piping and completing the thermal

fatigue calculations for all affected piping.

These two LERs and associated Restart Checklist Items are closed.

Item 3.c.2: 10 CFR 50.59 Screening and Safety Evaluations

(1) Inspection Scope

After inspection of the licensees program and conduct of 10 CFR 50.59 Screening

and Safety Evaluations, which was documented in NRC Inspection Report

05000285/2013008, Restart Checklist Item 3.c.2, 10 CFR 50.59 Screening and

Safety Evaluations, remained open. The decision by the team to leave the area

open was based on the teams inability to close Restart Checklist Bases Document

Items 3.c.2.2, Adequacy of extent of condition and extent of causes, and 3.c.2.3,

Adequacy of corrective actions, for the root cause analysis for the 10 CFR 50.59

process.

The team reviewed licensee actions taken to address this area. For this follow-up

review of the licensees 10 CFR 50.59 process the team evaluated the thoroughness

of their extent of condition and causal analysis, and the adequacy of identified

corrective actions to ensure proper treatment of changes to the facility.

- 39 -

(2) Observations and Findings

Determine that the root cause evaluation addressed the extent of condition and the

extent of cause of the problem

During a previous Inspection Manual Chapter 0350 Confirmatory Action Letter

Inspection documented in NRC Inspection Report 05000285/2013008, the team

determined that the licensees root cause evaluation did not fully address the extent

of condition and the extent of cause of the problem. The team determined that the

scope of the licensees root cause analysis focused on events within the past five

years for the extent of condition and the extent of cause of the problem. However, a

number of plant changes were identified by that inspection team outside the scope of

the 50.59 root cause analysis review period that failed to receive prior NRC review

and approval before implementation.

To address this observation, the licensee expanded their scope. The licensee first

expanded scope of their 10 CFR 50.59 reviews back to the year 2005. A

subsequent expansion back to the year 2000 was conducted as a result of the

review of their root cause analysis. Additionally, as a long term corrective action the

licensee has committed to implement a design basis reconstitution project that

addresses ensuring system design requirements are established for all safety

significant systems. Based on these actions the NRC determined the licensee is

adequately addressing the extent of condition and extent of cause of the problem.

Determine that appropriate corrective actions are specified for each root and

contributing cause

During a previous Manual Chapter 0350 Confirmatory Action Letter Inspection

documented in NRC Inspection Report 05000285/2013008, the team determined

that the licensee specified appropriate corrective actions for each root and

contributing cause. However, the team identified that all corrective actions to prevent

reoccurrence for the root causes were not in place and effective.

Specifically, one corrective action by the licensee implemented a team to evaluate all

engineering changes as an interim action. The licensee called the team, established

in accordance with this corrective action, the Engineering Assurance Group (EAG).

The team questioned the effectiveness of the EAG relative to 10 CFR 50.59

evaluations after discovering that the group had reviewed an evaluation for the

stations tornado missile design and came to a different conclusion than the NRC on

the need for a license amendment.

Also, the Manual Chapter 0350 Confirmatory Action Letter inspection team

determined that actions taken had not fully addressed the need for the station to

update their current licensing basis documents and for the licensee to train the Fort

Calhoun Station personnel to understand those documents. The team concluded

that changes to the facility would be impacted by the incomplete understanding of

the existing design and licensing bases.

- 40 -

To address these observations, the licensee conducted additional training for the

EAG on the 10 CFR 50.59 program. After this, the team observed that a subsequent

major design change for high energy line break analysis was properly evaluated by

the licensee per 10 CFR 50.59. The licensee also developed tracking metrics to

monitor the health of the 10 CFR 50.59 program at the station. Finally, the licensee

committed to a long term project to review and update the design and licensing basis

of the station.

Determine that a schedule has been established for implementing and completing

the corrective actions

During the previous Manual Chapter 0350 Confirmatory Action Letter Inspection,

documented in NRC Inspection Report 05000285/2013008, the team determined

that the licensee established a schedule for implementing and completing some of

the corrective actions, and that, one key action had not been completed. The

licensee had scheduled the initial training for March 15, 2013. However, the licensee

had moved the training to an undetermined date. At that time, the team concluded

that the failure of the licensee to not establish or assign a new date was insufficient

to consider this aspect as resolved.

To address this observation, the licensee completed 10 CFR 50.59 training classes

for both evaluators as well as screeners, which were specifically targeted to past

noted deficiencies. The initial round of this training was completed in April 2013.

Another session of this course for additional personnel was planned.

(3) Assessment Results

After reviewing actions taken for gaps noted in the licensees 10 CFR 50.59 program

and process, documented in NRC Inspection Report 05000285/2013008, the team

concluded that the licensee had adequately addressed their deficiencies relative to

the 10 CFR 50.59 program.

The following Restart Checklist Items for Area 3.c are closed:

3.c.2.2 Adequacy of extent-of-condition and extent of causes

3.c.2.3 Adequacy of corrective actions

Item 3.d: Maintenance Programs

(1) Inspection Scope

The team reviewed the licensees assessment of the Fundamental Performance

Deficiency associated with equipment reliability and work management. Specifically,

the team assessed CR 2012-8134, for which the Description section stated, in part:

Equipment problems are not prevented, identified, or resolved in a thorough and

timely manner. Issues contributing to this problem include intolerance to

- 41 -

equipment failures has not been established, long term strategies have not been

developed for age related degradation, the maintenance rule function to monitor

the performance of plant equipment has not been effectively implemented, and

work activities are not effectively managed to ensure long-term equipment

reliability. As a result, the station has experienced low levels of equipment

reliability that affect nuclear safety and work management practices challenge

the safe and reliable operation of the plant.

The team also assessed the adequacy of the extent of condition, extent of causes,

and corrective actions.

The teams assessment of this Fundamental Performance Deficiency was based on

the evaluation criteria from Section 02.02 of NRC Inspection Procedure 95001, which

aligns with this item. The inspection objectives were to:

  • Provide assurance that the root and contributing causes of risk-significant issues

were understood;

  • Provide assurance that the extent-of-condition and extent-of-cause of risk-

significant issues were identified; and

  • Provide assurance that the licensee's corrective actions for risk-significant

performance issues were, or will be, sufficient to address the root and

contributing causes and preclude repetition.

(2) Observations and Findings

Determine that the problem was evaluated using a systematic methodology to

identify the root and contributing causes

The team determined that the licensee evaluated this problem using a systematic

methodology to identify the potential root and contributing causes. Specifically, Root

Cause Analysis 2012-08134 used the analytical techniques of event and causal

factor charting and barrier analysis to identify causal relationships. A safety culture

evaluation was also completed as part of the analytical process.

The licensee identified the following as the root cause and contributing causes:

RC-1: Fort Calhoun Station senior leadership failed to ensure corrective actions

were taken to address safety issues, adverse trends, and assessment-revealed

issues that were identified in the Equipment Reliability programs and processes.

CC-1: Management has not applied an industry-standard Plant Health

Committee process to ensure the success of Equipment Reliability programs

and processes.

CC-2: The training programs or qualification processes have not been fully

effective to ensure station personnel have satisfactory skills and knowledge

- 42 -

enabling them to execute needed work management and long-term equipment

reliability functions.

CC-3: The station leadership team has not demonstrated accountability nor

held station personnel accountable for implementation of the engineering and

work management processes in support of long-term equipment reliability.

CC-4: Procedure and process deficiencies have contributed to the

degraded equipment reliability issue.

CC-5: Fort Calhoun Station failed to ensure that equipment reliability

programs, including regulatory required Maintenance Rule program and

the supporting PM program, were adequately staffed, funded, and trained,

resulting in the inability to identify, correct, and prioritize equipment

problems which resulted in the unacceptable performance of certain safety

related structures, systems, and components.

Determine that the root cause evaluation was conducted to a level of detail

commensurate with the significance of the problem

The licensee conducted the evaluation to a level of detail commensurate with the

significance of the problem. The root cause team interviewed various levels of site

personnel and evaluated station procedures, documents, condition reports,

internal/external operating experience, and related contractor reports.

Determine that the root cause evaluation included a consideration of prior

occurrences of the problem and knowledge of prior operating experience

The licensee reviewed internal and external operating experience to determine

whether the same of similar problems have previously occurred at the Fort Calhoun

Station or within the industry, and if so, what lessons can be learned for the Fort

Calhoun Station. The review also determines if the Problem Statement falls within

the definition for a Repeat Event.

The licensee determined the use of operating experience was not implicated as a

cause/contributor to the condition investigated by this Root Cause Analysis.

Determine that the root cause evaluation addressed the extent of condition and the

extent of cause of the problem

The licensee determined that the conditions discussed in the root cause analysis

continue to impact the reliability of plant structures, systems, and components.

Corrective actions to address the conditions are not short term and require the

restoration, and in some cases, the rebuilding of the programs that have been

allowed to decay over the past few years. In addition, while the Maintenance Rule

and the preventative maintenance (PM) programs are the primary programs that

affect the equipment issues raised by this condition report, there are many more

focused programs that support these programs, such as the Motor Operated Valve

- 43 -

program, the Air Operated Valve program, Flow Accelerated Corrosion program, and

others. All of these would be affected by the cause of this issue since managements

failure to understand the requirements of an effective reliability effort would extend to

any program that dealt with equipment reliability.

The licensee has determined that an extent of condition exists.

The licensee evaluated the potential extent of cause for Root Cause 1. The licensee

determined this cause extended to engineering issues, and procedural issues that

were identified as part of this investigation. There were multiple instances where

conditions/issues were identified internally or externally, identified repetitively, but

never fixed. When an issue was identified, the Fort Calhoun Station wrote a

condition report, instituted a program (BOM, EROP), and then did not ensure that

these actions addressed the identified shortcoming. There is an Extent of Cause as

this issue applies to the entire Corrective Action Program, and thus, to the entire

station.

Determine that the root cause, extent of condition, and extent of cause evaluations

appropriately considered the safety culture components as described in IMC 0310

The root cause, extent of condition, and extent of cause evaluations appropriately

considered the safety culture components as described in Inspection Manual

Chapter 0310. The safety culture review evaluated safety culture aspects against

the data collected during the cause evaluation. Their review identified the cross-

cutting aspects of P.1(d), P.3(c), and P.1(c), were the most applicable.

Determine that appropriate corrective actions are specified for each root and

contributing cause

The team reviewed the licensees corrective actions for each of the root and

contributing causes. RC-1 is addressed by the corrective action to prevent

recurrence, CAPR-1, AI 2012-03986-009, listed in the Organizational Ineffectiveness

at the Fort Calhoun Station RCA. It addresses the oversight and accountability for

Nuclear Safety at all of Fort Calhoun Station to include the cultural aspect of a

Continuous Learning Environment. CAPR-2 revises Station Procedure FCSG-33,

FCS Issue prioritization and Plant Health Committee Process, to improve the

processes of Plant Health Committee (PHC).

Determine that a schedule has been established for implementing and completing

the corrective actions

The team identified that within Root Cause Analysis 2013-08134 a schedule had

been established for implementing and completing the assigned corrective actions.

At the time of the inspection, the corrective actions to prevent recurrence had been

completed and a few of the other corrective actions for the contributing causes had

been designated as complete. The team noted that some of the important corrective

actions related to the engineering programs issues, such as revising the Preventive

Maintenance Program, were not due to be completed until 2014. The team felt that

- 44 -

these key engineering programs, gaps identified in the licensees Equipment

Reliability Restoration Plan, and coordination of system and component maintenance

activities within the work management process, should have a higher priority so as to

address these potentially significant conditions in a timelier manner.

Determine that quantitative or qualitative measures of success have been developed

for determining the effectiveness of the corrective actions to prevent recurrence

The inspectors noted the licensee had not established specific criteria to assess the

effectiveness of corrective actions to prevent recurrence. However, equipment

issues would be documented in the condition reporting system and screened based

on risk and safety significance for causes. The tracking and trending of these issues

provides reasonable assurance the licensee should detect ineffective corrective

actions.

(3) Assessment Results

The team concluded, based on their reviews of the licensees cause evaluations and

the extent of cause/extent of condition reviews, that this area has been adequately

addressed by the licensee.

The following Restart Checklist Items are closed:

3.d.1 Licensee Assessment of the Fundamental Performance Deficiency

associated with Equipment Reliability/Work Management

3.d.2 Adequacy of extent-of-condition and extent of causes

3.d.3 Adequacy of corrective actions

Item 3.d.2: Equipment Service Life

(1) Inspection Scope

a. The team reviewed the licensees assessment of the engineering area associated

with Equipment Service Life. Specifically, the team assessed CR 2012-9491, for

which the Problem Statement section said, in part,

FCS has operated some equipment beyond its service life.

The team also assessed the adequacy of the extent of condition, extent of causes,

and corrective actions.

The teams assessment of this area was based on the evaluation criteria from

Section 02.02 of NRC Inspection Procedure 95001, which aligns with this item. The

inspection objectives were to:

- 45 -

  • Provide assurance that the root and contributing causes of risk-significant issues

were understood;

  • Provide assurance that the extent-of-condition and extent-of-cause of risk-

significant issues were identified;

  • Provide assurance that the licensee's corrective actions for risk-significant

performance issues were, or will be, sufficient to address the root and

contributing causes and to preclude repetition.

b. Restart Checklist Item NCV 2011003-04, Failure to Provide Procedural Guidance to

Replace or Evaluate Age Degraded Components, was reviewed by the team. The

team verified the adequacy of the licensees causal analysis and extent of condition

evaluations related to this issue. In addition, the team verified that adequate

corrective actions were identified and associated with the licensees root and

contributing causes and extent of condition evaluations, and that, implementation of

these corrective actions are either implemented or appropriately scheduled for

implementation.

(2) Observations and Findings

a. Licensees Evaluation of Equipment Service Life Issues

Determine that the problem was evaluated using a systematic methodology to

identify the root and contributing causes

The team determined that the licensee evaluated this problem using a systematic

methodology to identify the potential root and contributing causes. Specifically, Root

Cause Analysis 2012-9491 used the analytical techniques of event and causal factor

charting, process fault tree, common factors chart, and barrier analysis to identify

causal relationships. A safety culture evaluation was also completed as part of the

analytical process.

The licensee identified the following as the root cause and contributing causes:

RC-1: Leadership failed to provide the level of command and control needed to

prevent Preventative Maintenance (PM) programmatic weaknesses. Shortfalls

include inaccurate or incomplete procedures and programmatic documents,

incomplete PM bases, inconsistent use of end of service life (EOSL) tools,

inadequate system monitoring, and insufficient replacement strategies for

components beyond EOSL. This resulted in the design and implementation of

the stations preventative maintenance (PM) program to not meet industry

standards for operating components beyond end of service life.

CC#1: PM program improvements since 2005 were not effectively managed

resulting in ongoing programmatic deficiencies. For example, resources were

not managed to ensure Equipment Reliability Optimization Project (EROP) PMs

- 46 -

were developed and implemented, oversight did not ensure components were

correctly scoped, and project plans did not identify equipment at EOSL.

CC#2: Corrective action program behaviors to resolve PM programmatic

weaknesses that would have addressed component EOSL activities were

ineffective. Deficiencies were identified multiple times since 2005.

Determine that the root cause evaluation was conducted to a level of detail

commensurate with the significance of the problem

The licensee conducted the evaluation to a level of detail commensurate with the

significance of the problem. The root cause team interviewed various levels of site

personnel and evaluated station procedures, documents, condition reports,

internal/external operating experience, and related contractor reports.

Determine that the root cause evaluation included a consideration of prior

occurrences of the problem and knowledge of prior operating experience

The licensee reviewed internal and external operating experience to determine

whether the same of similar problems have previously occurred at the Fort Calhoun

Station or within the industry, and if so, what lessons can be learned for Fort Calhoun

Station. The review also determines if the Problem Statement falls within the

definition for a Repeat Event.

The licensee determined that in many situations, the station had opportunities to

identify the overall problems with equipment service life, but tended to focus only on

the issues included in the condition reports. The plant developed corrective actions

to address the specific conditions being evaluated, but did not address the larger

issues.

The licensee determined the use of operating experience was not implicated as a

cause/contributor to the condition investigated by this Root Cause Analysis.

Determine that the root cause evaluation addressed the extent of condition and the

extent of cause of the problem

The licensee evaluated the potential extent of condition that noncritical equipment

may have been operated beyond its service life. They also evaluated whether other

programs governing operation of equipment required for safe and reliable operation

of the station may have deficiencies that result in critical equipment operating in an

unreliable condition. The potential extent of condition is the incomplete status of

station programs intended to improve equipment reliability, including the following:

  • PM Program Basis
  • System / Component Performance Monitoring
  • Life Cycle Management
  • Functional Importance Determination
  • Component Obsolescence Program

- 47 -

  • Bill of Materials Development Project
  • PM Work Order Task Upgrade Project
  • EROP/First Time PMs

The licensee has determined that an extent of condition exists.

The licensee evaluated the potential extent of cause for Root Cause 1. The licensee

determined that an extent of cause exists.

Determine that the root cause, extent of condition, and extent of cause evaluations

appropriately considered the safety culture components as described in IMC 0310

The root cause, extent of condition, and extent of cause evaluations appropriately

considered the safety culture components as described in IMC 0310. The safety

culture review evaluated safety culture aspects against the data collected during the

cause evaluation. Their review identified the cross-cutting aspects of H.2(a), H.2(c),

P.1(c), and O.2(b) as the most applicable.

Determine that appropriate corrective actions are specified for each root and

contributing cause

The team reviewed the licensees corrective action for each of the root and

contributing causes. The corrective actions to prevent recurrence were to: (1) revise

or replace FCSG-33, FCS Issue Prioritization and Plant Health Committee Process,

and; (2) improve the processes of the Plant Health Committee and develop and

implement a PM program with component EOSL strategy that meets the industry

standards.

Determine that a schedule has been established for implementing and completing

the corrective actions

Due dates are established for corrective actions for CR 2012-9491. At the time of

the inspection, corrective action to prevent recurrence 1 had been completed and a

few of the other corrective actions for the contributing causes had been completed.

The team noted that the corrective action to prevent recurrence 2, which addresses

the service life documentation issue, is not due until March 31, 2014. The licensee

has evaluated all safety related components to determine actions necessary prior to

returning the unit to service.

During their review the team determined that the licensee had failed to provide an

adequate basis for operability for components that were identified as being past their

specified service life. The team identified this performance deficiency as,

NCV 05000285/2013013-09, Failure to Follow Operability Procedure. This issue is

further discussed in Section 5 of this report.

Determine that quantitative or qualitative measures of success have been developed

for determining the effectiveness of the corrective actions to prevent recurrence

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The inspectors noted the licensee had not established specific criteria to assess the

effectiveness of corrective actions to prevent recurrence. However, equipment

service life issues would be documented in the condition reporting system and

screened based on risk and safety significance for causes. The tracking and

trending of these issues provides reasonable assurance the licensee should detect

ineffective corrective actions. Additionally, the licensee has long term actions to

perform self-assessments of the equipment reliability, preventative maintenance and

performance monitoring programs, including the Plant Health Committee oversight of

equipment reliability.

b. The team reviewed the licensees causal analyses, corrective actions, and extent of

condition associated with previously identified issue, NCV 05000285/2011003-04,

Failure to Provide Procedural Guidance to Replace or Evaluate Age Degraded

Components. The team verified that adequate corrective actions were identified

associated with the causes and extent of condition evaluations and that these

corrective actions were either implemented or appropriately scheduled for

implementation.

(3) Assessment Results

a. The team has concluded, based on their reviews of the cause evaluations and the

extent of cause/extent of condition reviews, that this area has been reviewed by the

licensee to a sufficient level of detail. The following Restart Checklist Items are

closed:

3.d.2.1 Licensee Assessment of equipment service life program

3.d.2.2 Adequacy of extent-of-condition and extent of causes

3.d.2.3 Adequacy of corrective actions

3.4.1.1 Replace Non-RPS CQE (reactor protection system critical quality

equipment) power supplies that will be beyond their recommended

service life.

3.4.2.2 Identify all CQE power supplies; priority will be on RPS CQE power

supplies and then non-RPS CQE power supplies.

3.4.2.3 Determine the installation date for FCS CQE power supplies; these

dates will be used to define those CQE power supplies that are beyond

their service life.

3.4.2.4 Conduct an industry and FCS specific analysis of historical performance

for CQE power supplies; determine the effectiveness of the current

Equipment Reliability (ER) Strategies at the FCS component level.

3.4.2.5 Conduct an analysis of the current FCS ER Strategy for power supplies;

contact vendors, review industry documentation, and benchmark other

plants.

3.4.2.6 Determine the recommended service life for CQE power supplies based

on analyses performed earlier in this action plan.

- 49 -

These service lives will be based on: (1) manufacturer and model, (2)

qualified life testing, (3) vendor recommendations and communication

with vendors, (4) remnant life based on stress testing of removed power

supplies, (5) industry and FCS specific historical performance, and (6)

actual duty cycle and service condition where these power supplies are

installed .

3.4.2.7 Conduct a failure modes and effects analysis on each power supply to

ensure the impact of failures is understood.

3.4.2.8 Document the time based replacement strategy and basis for CQE and

RPS power supplies. This strategy and basis will provide the tasks to be

performed and the basis for the scope and frequency of those tasks.

This action is being completed before start up to ensure each power

supply has been analyzed and a recommended service life defined.

3.4.2.9 Define those power supplies that are beyond their service life. This will

include power supplies that will be beyond their service life before the

next planned refueling outage.

3.4.2.10 Replace RPS CQE power supplies beyond their service life.

3.4.2.11 Replace Non-RPS CQE power supplies that will be beyond their

recommended service life.

b. The team concluded, based on their reviews of the cause evaluations and the extent

of cause/extent of condition reviews associated with the licensees response to

NCV 05000285/2011003-04, Failure to Provide Procedural Guidance to Replace or

Evaluate Age Degraded Components, that this item is closed.

4. Assessment of NRC Inspection Procedure 95003 Key Attributes

Section 5 of the Restart Checklist is provided to assess the key attributes of NRC

Inspection Procedure 95003. The key attributes are listed as separate subsections

below. It is intended that the activities in these subsections be conducted in conjunction

with reviews and inspections for Sections 1 - 4, rather than a stand-alone review. In

addition, the NRC will review the effectiveness of licensee short term and long term

corrective actions associated with these areas to ensure they are adequate to support

sustained plant performance improvement.

Item 5.a: Design

(1) Inspection Scope

a. The team independently assessed the extent of risk significant design issues. The

review covered the as-built design features of the auxiliary feedwater system. This

review verified its capability to perform its intended functions with a sufficient margin

of safety. The basis for selecting the auxiliary feedwater system was its high risk

significance in the specific individual plant evaluation, and input from system health

reports, performance indicators, condition reports, and licensee event reports. Focus

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was on modifications rather than original system design. Information from this

inspection was used to assess the licensees ability to maintain and operate the

facility in accordance with the design basis.

The teams review included the following:

  • Assessment of effectiveness of corrective actions for deficiencies involving

design

determine if the system is capable of functioningas specified by the current

design and licensing documents, regulatory requirements, and commitments

for the facility

the design and licensing documents

  • Evaluation of the interfaces between engineering, plant operations,

maintenance, and plant support groups

b. The team reviewed the licensees assessment of the Fundamental Performance

Deficiency associated with Engineering Design/Configuration Control. Specifically,

the team assessed the RCA associated with CR 2012-08125, for which the problem

statement was:

Changes to plant configuration and design and licensing bases are not

effectively analyzed, controlled, and implemented. These change processes are

not always conducted in a manner that maintains configuration control and

operating design margins.

The team also assessed the adequacy of the extent of condition, extent of causes,

and corrective actions.

The teams assessment of this Fundamental Performance Deficiency was based on

the evaluation criteria from Section 02.02 of NRC Inspection Procedure 95001 which

aligns with this item. The inspection objectives were to:

  • Provide assurance that the root and contributing causes of risk-significant

issues were understood;

  • Provide assurance that the extent-of-condition and extent-of-cause of risk-

significant issues were identified;

  • Provide assurance that the licensee's corrective actions for risk-significant

performance issues were, or will be, sufficient to address the root and

contributing causes and to preclude repetition

- 51 -

c. Restart Checklist Item NCV 2010006-01 specifically related to the failure to correct

repeated tripping of the turbine driven auxiliary feed water pump was reviewed by the

team. The team verified the adequacy of the licensees causal analysis and extent of

condition evaluations related to and associated with the issue. In addition, the team

verified that adequate corrective actions were identified and associated with the

licensees root and contributing causes and extent of condition evaluations, and that,

implementation of these corrective actions are either implemented or appropriately

scheduled for implementation.

(2) Observations and Findings

a. Auxiliary Feedwater System Design Review

The team completed an in depth assessment of select risk significant design issues

associated with the auxiliary feedwater system. During this review the team

identified some issues associated with the auxiliary feedwater system. Specifically:

Turbine Driven Auxiliary Feedwater Pump

(Example 3)

These specific issues are documented in Section 5 of this report.

b. Fundamental Performance Deficiency Review Deficiency Associated with

Engineering Design/Configuration Control

Determine that the problem was evaluated using a systematic methodology to

identify the root and contributing causes

The team determined that the licensee evaluated this problem using a systematic

methodology. Specifically, the licensee developed comparative timelines, a common

factors chart, and conducted a barrier analysis to complete Root Cause

Analysis 2013-05570, Design and Licensing Bases Configuration Control.

However, the licensee did not strictly follow the process in all cases for using the

systematic reviews to identify the root and contributing causes. Specifically, Root

Cause Analysis 2013-05570 documented the following root causes:

RC-1: OPPD Design and Licensing Bases information was incomplete at the

beginning of commercial operation.

RC-2: The early culture established standards and expectations for the organization

that resulted in behaviors demonstrating that the operation of the facility was more

important than maintaining the license and design basis of the station.

The team noted that RC-1 more closely fits the definition of a contributing cause in

station procedures. For instance, to supplement RC-1 the licensee stated: This

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initial condition [the incomplete design and licensing bases], combined with a

weakness in licensing bases knowledge and a failure to internalize the importance of

the design bases, resulted in the organization missing repeated opportunities to

correct the initial deficiencies and additional errors were created over time. A root

cause is defined in Station Procedure FCSG-24-4, Attachment 1, Section 1.17, as

the most basic, fundamental cause(s) of a problem, which, if corrected, will prevent

recurrence of the identified problem and similar problems. When evaluated against

the cause testing criteria used by the licensee and described in Station

Procedure FCSG-24-5, Cause Evaluation Manual, the team concluded that RC-1,

without accounting for the knowledge aspect, does not, by itself, constitute a root

cause.

Similarly, when applying the cause test to RC-2, the team concluded that the

following cause test questions could have been answered Yes, suggesting that

RC-2 is a contributing and not a root cause: (1) If this cause being considered was

absent, would the event that initiated the evaluation have occurred?; (2) If this cause

is eliminated, is there a way for the same event to occur?; and (3) If this cause is

eliminated, will there be future similar events?

Determine that the root cause evaluation was conducted to a level of detail

commensurate with the significance of the problem

The team determined that the root cause analysis was conducted to a level of detail

commensurate with the significance of the problem. Specifically, as discussed

above, the licensee conducted Root Cause Analysis 2013-05570 using comparative

timelines, a common factors chart, and a barrier analysis. The analysis was also

supplemented by information gathered through interviews and a historical overview

which helped illustrate the magnitude and precedence of Fort Calhoun Stations

inability to maintain design control and documentation associated with structures,

systems, components, and activities affecting quality. The licensees root cause

analysis techniques were generally thorough and to a level of detail commensurate

with the significance of the problem.

Determine that the root cause evaluation included a consideration of prior

occurrences of the problem and knowledge of prior operating experience

The team determined that the root cause analysis included evaluations of both

internal and external industry operating experience. The licensees evaluations of

industry operating experience provided sufficient detail such that general conclusions

could be established regarding any similarities. The root cause analysis teams

operating experience review also determined this problem fell within the definition of

a repeat event. In accordance with Station Procedure FCSG-24-4, Condition Report

and Cause Evaluation, a repeat event is a significance Level A condition or event

that shares the same or similar root causes as a previous event. The root cause

analysis write up stated that, while the team did not identify similar corrective actions

to prevent recurrence associated with a root cause, it is clear by a review of the

timeline presented in the report that this event was preventable through the use of

internal and external operating experience.

- 53 -

The team identified, however, that the licensee did not document the repeat event in

accordance with station procedures. Specifically, Station Procedure FCSG-24-4

states that, if the problem is determined to be a repeat event then the root cause

analysis shall explain why previous root cause analysis corrective actions to prevent

recurrence did not prevent the repeat event, and the new corrective action to prevent

recurrence should consider why the previous corrective actions to prevent

recurrence were not effective. In addition, a condition report should be issued

describing the problem with the previous root cause analysis(s) and reference the

condition report in this section of the root cause analysis report. Although

documented as a repeat event, the licensee did not perform the required actions.

The specific issue is documented as NCV 05000285/2013013-11, Failure to

Perform Adequate Operating Experience Reviews In Accordance with Station

Procedure FCSG-24-4. This issue is further discussed in Section 5 of this report.

Determine that the root cause evaluation addressed the extent of condition and the

extent of cause of the problem

The team reviewed Root Cause Analysis 2013-05570 as it relates to extent of

condition and extent of cause.

For the extent of condition, the licensee evaluated the extent to which the actual

condition existed with other plant processes, equipment, or human performance.

The condition, in this case, is that the licensee did not maintain adequate

configuration control of the structures, systems, components, or activities in

accordance with 10 CFR Part 50, Appendix B. The licensee used the approaches of

Station Procedure FCSG-24--4, Course Evaluation Manual, for their review and

concluded that there was no extent of condition. In their review, the licensee stated

that the problem includes all station structures, systems, components, and processes

encompassed by the design and licensing bases, and as such, it could not cause

further impact to other structures, systems, components, or processes. The team

noted that overall, the licensees extent of condition review was superficial and the

answers were broad. Essentially, the licensee presumed that because the problem

statement is so broad, it implicitly includes every plant process that is impacted by

the problem. Consequently, the licensee saw no need to specifically list them in the

review. However, the team noted that since other processes are significantly

impacted by this problem, listing them as part of the review would have generated

corrective actions associated with each specific process. For instance, processes

such as operability determination, 50.59 reviews, configuration control (tagging),

design, vendor modifications, work control, surveillance program, preventive

maintenance, and nondestructive examination would be impacted by the licensees

failure to maintain adequate configuration control of the structures, systems,

components, or activities, in accordance with, 10 CFR Part 50, Appendix B.

For the extent of cause, the licensee reviewed the root causes of the identified

problems to determine where they may have impacted other plant processes,

equipment, or human performance. The licensee concluded that RC-1 extended to

- 54 -

the procedures of other site organizations that could have been incorrectly translated

or impacted due to the lack of knowledge and understanding of design and licensing

bases. Specifically, the licensee considered the following departments and

processes as being impacted: Radiation Protection, Emergency Planning,

Chemistry, Security, Operations procedures, Maintenance procedures, and

Engineering implementing procedures. The team noted that the extent of cause did

not document the basis for the vulnerable/not vulnerable conclusion for each area of

the potentially vulnerable list as required in Station Procedure FCSG-24-5.

Determine that the root cause, extent of condition, and extent of cause evaluations

appropriately considered the safety culture components as described in Inspection

Manual Chapter 0310

The root cause, extent of condition, and extent of cause evaluations appropriately

considered the safety culture components as described in Inspection Manual

Chapter 0310. The licensee identified that a majority of the cross-cutting aspects

were applicable to issues related to the stations inability to maintain design control

and documentation associated with structures, systems, components, and activities

affecting quality. Specifically, the areas of human performance, problem

identification and resolution, safety conscious work environment, and other

components were applicable to issues related to design and licensing bases

maintenance.

Determine that appropriate corrective actions are specified for each root and

contributing cause

The team reviewed the licensees corrective actions for each of the root and

contributing causes for both root cause analyses. The corrective actions to prevent

recurrence and implemented to address the root causes identified in Root Cause

Analysis 2013-05570, were to identify and define the licensing and design bases and

assure licensing and design bases documentation remains current, accurate,

complete, and retrievable. The corrective action to prevent recurrence also included

modifying the engineering support personnel initial and continuing training programs

to incorporate the corrective action to prevent recurrence previously mentioned (the

identification and definition of licensing and design bases to assure they remain

current, accurate, complete, and retrievable). Lastly, the licensee stated that, as an

additional corrective action to prevent recurrence, they would strengthen the function

of the oversight group that performs reviews of documentation, including

10 CFR 50.59 reviews, modifications, operability evaluations, and other documents

developed that utilized design and licensing bases information. Other corrective

actions included: (1) providing training to personnel who utilize the design and

licensing bases, including the individuals involved with the processes already

mentioned; (2) developing and implementing performance metrics for the

implementation of the corrective action to prevent recurrence and corrective actions

mentioned.

The team determined that the corrective actions identified for the root and

contributing causes appear to be adequate in principle. However, the team noted

- 55 -

that the due dates for the corrective actions to prevent recurrence are set in the

distant future, and as a result, it will be a significantly long time before all the actions

to address the licensees inability to maintain design control and documentation

associated with structures, systems, components, and activities affecting quality, will

prevent recurrence of these issues. At the time of this inspection, none of the

corrective actions to prevent recurrence or corrective actions associated with this

root cause analysis had been completed.

The team also reviewed several interim actions implemented by the licensee.

Interim actions were taken to temporarily prevent the effects of a condition or make

an event less likely to recur during the period when final corrective actions or

corrective actions were completed. The team noted that, as part of the interim

action, the licensee completed an operability evaluation to allow the use of the

Alternate Seismic Criteria Methodology (ASCM) to support plant startup. However,

the NRC had already communicated with the licensee that the use of ASCM is not

permissible.

The team identified the following deficiencies during their review:

For Switchgear Room Cooling

Category 1 Piping

Class 1 Raw Water Piping in Non-Class 1 Service Building

Failure to Consider an Unavailable Raw Water Pump

Leakage Into Operating Procedure

Control During a Flooding Event

Exemptions into the Plants Fire Protection Program Design

Information to the NRC

Reviews

Calculation Has Incorrect Acceptance Criteria for Anchor Displacement

- 56 -

These issues are further discussed in Section 5 of this report.

Determine that a schedule has been established for implementing and completing

the corrective actions

The team determined that a schedule has been established for implementing and

completing the corrective actions associated with Root Cause Analysis 2013-05570.

However, the team also noted that most of the corrective actions are scheduled for

completion in the future, and the team was not able to verify them by the end of the

inspection period. In addition, even though the licensee has implemented interim

corrective actions, the team still found many issues with the licensees design and

licensing bases maintenance. Notwithstanding, the team concluded that due to the

extent and magnitude of the corrective actions, the schedule for the dates

established for completion appeared to be reasonable.

Determine that quantitative or qualitative measures of success have been developed

for determining the effectiveness of the corrective actions to prevent recurrence

The licensee developed effectiveness reviews to measure the progress and success

of the corrective action to prevent recurrence for Root Cause Analysis 2013-05570.

The licensee established effectiveness reviews that will include, in part, the

determination of the reconstitution of the design and licensing bases was

implemented properly and in a timely manner. In addition, the licensee will check if

there have been any recurring instances of failure to maintain the licensing bases.

Furthermore, the licensee established interim effectiveness reviews that consist of

periodic assessments tracking the progress of the reconstitution of the licensing

bases. The reviews will evaluate the implementation of the reconstitution and

determine if the milestones are met and documentation is retrievable. In addition,

the interim effectiveness reviews will evaluate the determination of the records after

they are established and before the actions to reconstitute records begin. These

interim effectiveness reviews will occur every eight months.

The team noted that the effectiveness reviews have been determined/decided

conceptually. However, at the time of this inspection (and because it is so early in

the process), the licensee had no details established as to what the specific

methodology to conduct the effectiveness reviews will be. Specifically, the licensee

has established the dates of the effectiveness reviews, which will be conducted

throughout the reconstitution of the licensing and design basis documents. However,

the action items in Root Cause Analysis 2013-05570 do not provide detail of the

process/methodology. At the time of this inspection, none of the effectiveness

reviews were ready for inspection since, as mentioned before, the due dates are in

the future.

c. The team reviewed the licensees causal analyses, corrective actions, and extent of

conditions associated with the previously identified issue,

NCV 05000285/2010006-01, Failure to Correct Repeated Tripping of the

Turbine-driven Auxiliary Feedwater Pump FW-10. In addition, the team verified that

adequate corrective actions were identified and associated with the causes and

- 57 -

extent of condition evaluations, and that, these corrective actions were either

implemented or appropriately scheduled for implementation.

(3) Assessment Results

a. The team concluded, based on their engineering inspection activities associated with

the auxiliary feedwater system, their reviews of the cause evaluations, and the extent

of cause/extent of condition reviews, that this area has been adequately addressed

by the licensee. The following Restart Checklist Items are closed:

5.a.1 Perform NRC design engineering team inspection of the Auxiliary

Feedwater System

5.a.2 Licensee Assessment of the Fundamental Performance Deficiency

associated with Engineering/Configuration Control

5.a.3 Adequacy of extent-of-condition and extent of causes

5.a.4 Adequacy of corrective actions

b. The team concluded, based on their reviews of the cause evaluations and the extent

of cause/extent of condition reviews associated with the licensees response to

NCV 05000285/2010006-01, Failure to Correct Repeated Tripping of the Turbine-

driven Auxiliary Feedwater Pump FW-10, that this item is closed.

Item 5.d: Equipment performance

(1) Inspection Scope

Restart Checklist Item LER 2012-018 related to the containment air cooling units

being operated outside of Technical Specification requirements was reviewed by the

team. The team verified the adequacy of the licensees causal analyses and extent

of condition evaluations. In addition, the team verified that adequate corrective

actions were identified and associated with the licensees root and contributing

causes and extent of condition evaluations, and that, implementation of these

corrective actions are either implemented or appropriately scheduled for

implementation.

(2) Observations and Findings

The team reviewed the licensees causal analyses, corrective actions, and extent of

condition associated with Licensee Event Report 2012-018, Containment Air

Cooling Units Operated Outside of Technical Specification during Cycle 26. In

addition, the team verified that adequate corrective actions were identified

associated with the causes and extent of condition evaluations and that these

corrective actions were either implemented or appropriately scheduled for

implementation.

- 58 -

(3) Assessment Results

The team has concluded, based on their reviews of the cause evaluations and the

extent of cause/extent of condition reviews associated with Licensee Event

Report 2012-018, Containment Air Cooling Units Operated Outside of Technical

Specification during Cycle 26, that this item is closed.

5. Specific Issues Identified During This Inspection

(1) Introduction. The team identified a non-cited violation of 10 CFR Part 50, Appendix B,

Criterion XVI, Corrective Actions, for the licensees failure to promptly identify and

correct a condition adverse to quality.

Description. On May 2, 2012, the licensee completed Root Cause Analysis 2011-06621

associated with 480 Vac circuit breaker 1B3A tripping open due to excessive current

draw during the fire event in the 480 Vac 1B4A load center that occurred on

June 7, 2011. The licensee determined that zone select interlock jumpers for the 1B3A

Nuclear Logistics Incorporated/Square-D Masterpact circuit breaker was incorrectly

installed during the replacement of the original General Electric AK-50 low voltage power

circuit breaker in the 480 Vac 1B3A load center. With the jumpers incorrectly installed,

the zone select interlock feature for circuit breaker 1B3A was not disabled. This

configuration resulted in the breaker 1B3A tripping at the instantaneous overcurrent

setpoint (immediately) when it sensed a fault, instead of tripping at the appropriate timed

overcurrent setpoint, which would have allowed bus tie breaker BT-1B3A to open, and

not result in the loss of load center 1B3A during the fire event. The licensee also

identified that injection testing with the full function test kit bypassed the zone select

interface feature, regardless of the configuration of the zone select interface jumpers

installed at the breaker. Therefore, the testing that had been performed would not have

identified the zone select interface jumper issues. The licensee initiated corrective

action item CR 2011-06621-32 to perform current injection testing on all 480 Vac

breakers without the use of a full function test kit to ensure that the zone select interface

does not adversely impact breaker coordination. The licensee documented that this

action as complete on January 15, 2013.

The team reviewed Root Cause Analysis 2011-06621, and its associated corrective

actions. The team noted that 10 of the 12 480 Vac circuit breakers had current injection

testing conducted without the full function test kit to verify the proper zone select

interface jumper installation and proper breaker performance. Specifically, the

480 Vac load center main breaker 1B4A and the bus tie breaker BT-1B4A were not

tested in accordance with corrective action item CR 2011-06621-32 prior to the action

being closed. The team informed the licensee of this issue and the licensee initiated

CR 2013-13262 to capture this in the stations corrective action program.

The licensee determined that Work Orders WO461130 and WO461131 were planned to

conduct 480 Vac 1B4A load center breaker current injection testing without the full

function test kit, but the work was not completed, and the corrective action item was

incorrectly closed as completed. On July 7, 2013, the licensee performed current

injection testing without the full functional test kit on main breaker 1B4A and the bus tie

- 59 -

breaker BT-1B4A to verify zone select interface jumpers were properly installed and

proper breaker performance.

The team determined that the apparent cause of this finding was that the licensee failed

to use conservative assumptions and conduct effectiveness reviews to validate injection

testing without the full functional test kit was completed for all twelve 480 VAC circuit

breakers prior to closing corrective action item CR 2011-06621-32.

Analysis. The licensees failure to promptly identify and correct a condition adverse to

quality is a performance deficiency. This performance deficiency was more than minor,

and therefore a finding, because it was associated with the equipment performance

attribute of the Mitigating Systems Cornerstone, and affected the associated objective to

ensure availability, reliability, and capability of systems that respond to initiating events

to prevent undesirable consequences. The team evaluated the finding using Inspection

Manual Chapter 0609, Appendix G, Shutdown Operations Significance Determination

Process, Checklist 4, PWR Refueling Operation: RCS level >23 or PWR Shutdown

Operation with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the Pressurizer, dated

May 25, 2004, and determined that the finding is of very low safety significance (Green)

because the finding did not require a quantitative risk assessment because adequate

mitigating equipment remained available. The finding had a cross-cutting aspect in the

area of human performance associated with the decision-making component because

the licensee did not ensure that the proposed action was safe in order to proceed, rather

than unsafe in order to disapproved the action H.1(b).

Enforcement. 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Actions, requires,

in part, that, Measures shall be established to assure that conditions adverse to quality,

such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and nonconformances are promptly identified and corrected. Contrary to

the above, an action to correct a condition adverse to quality was not completed when it

was identified that injection testing with the full functional test kit would not verify proper

zone select interface operation and proper breaker performance. Specifically, from

January 15, 2013 to July 7, 2013, the licensee failed to conduct injection testing without

the full functional test kit for the 480 Vac load center main breaker 1B4A and bus tie

breaker BT-1B4A. On July 7, 2013, the licensee conducted injection testing without the

full functional test kit for main breaker 1B4A and tie bus breaker BT-1B4A to verify

proper zone select interface jumper installation and proper breaker performance.

Because the finding was of very low safety significance (Green) and has been entered

into the corrective action program as CR 2013-13262, this violation is being treated as a

non-cited violation, consistent with Section 2.3.2.a of the NRC Enforcement Policy:

NCV 05000285/2013013-01, Failure to Complete all Testing for a Condition Adverse to

Quality.

(2) Introduction. The team identified a non-cited violation of 10 CFR Part 50, Appendix B,

Criterion XVII, Quality Assurance Records, associated with the failure to furnish

evidence of an activity affecting quality associated with the 480 V breakers.

- 60 -

Description. On June 7, 2011, a fire occurred in the west switchgear room that caused

extensive damage to 480 Vac switchgear 1B4A and associated equipment. The root

cause of the fire was determined to be, The design process failed to identify critical

parameters and interfaces such as the silver plating contact area on the switchgear

cubicle stabs, during a prior breaker replacement. One of the contributing causes to the

fire was determined to be, The design change specifications did not consider the partial

plating of the switchgear stabs, resulting in the replacement breaker cradles engaging

the bus stabs at the edge of and beyond the silver-plated contact area. Corrective

Action 2 stated that the licensee would, Re-align NLI breaker cradles so finger to bus

stab engagement is in the silver plated contact surface, obtain acceptable as left digital

low resistance ohmmeter (DLRO) readings under work orders, and corrective

Action 28 stated that the licensee would, Develop a testing, inspection, and trending

program to verify electrical connection adequacy. Use the resistance measurements

obtained from the work order and trend the changes for appropriate adjustments to

maintenance frequency and corrective actions.

During the teams review of the root cause analysis, they requested the basis for the

licensee determining the DLRO values were acceptable. The licensee discovered that

the engineering process for determining the acceptable DLRO values could not be found

or identified because the individual who had provided the criteria had since retired. The

licensee generated CR 2013-04032 to capture this concern in the stations corrective

action program.

Corrective actions for CR 2013-04032 did not require the licensee to establish DLRO

values for ensuring proper connections until the next refueling outage. The team

questioned how the licensee was ensuring the DLRO measurements that were already

taken were satisfactory and would ensure operability of the 480 Vac breakers. The

licensee generated acceptance criteria to address this issue and reviewed the previously

obtained DLRO values. Subsequently, during the review of previously obtained DLRO

values the licensee found values outside the acceptance range. The licensee generated

CRs 2013-14398 and 2013-14404 to capture this issue in the stations corrective action

program.

Analysis. The licensees failure to furnish evidence that showed the required DLRO

values ensured proper connections between the Square D Masterpact breaker/cradle

assemble to the GE AKD-5 480 V cubicle stabs was a performance deficiency. The

performance deficiency was determined to be more than minor, and therefore a finding,

because it affected the design control attribute of the Mitigating Systems Cornerstone,

and it directly affected the cornerstone objective to ensure availability, reliability, and

capability of systems that respond to initiating events to prevent undesirable

consequences. Using Inspection Manual Chapter 0609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power, dated July 1, 2012, the finding

was determined to have very low safety significance (Green) because it: (1) was not a

deficiency affecting the design and qualification of a mitigating structure, system, or

component, and did not result in a loss of operability or functionality; (2) did not

represent a loss of system and/or function; (3) did not represent an actual loss of

function of at least a single train for longer than its allowed outage time, or two separate

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safety systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more non-

Technical Specification trains of equipment designated as high safety-significance in

accordance with the licensees maintenance rule program. This finding had a cross-

cutting aspect in the area of human performance, associated with the resources

component, because the licensee failed to maintain complete, accurate and up-to-date

design documentation. Specifically, the licensee did not maintain the engineering

process for determining acceptable DLRO values H.2(c).

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVII, Quality Assurance

Records, states, in part, that, Sufficient records shall be maintained to furnish evidence

of activities affecting qualityThe records shall also include closely-related data such as

qualifications of personnel, procedures and equipmentRecords shall be identifiable

and retrievable. Contrary to the above, from June 2011 through July 2013, the licensee

did not maintain records related to the qualification of equipment in an identifiable and

retrievable manner. Specifically, the licensee failed to maintain design documents that

detailed the correct DLRO acceptance values required for ensuring proper connections

between the Square D Masterpact NW breaker/cradle assemble to the GE AKD-5

480 Vac cubicle stabs. Because this finding is of very low safety significance (Green)

and has been entered into the corrective action program as Condition Report

CR 2013-04032, this violation is being treated as a non-cited violation, consistent with

Section 2.3.2 of the NRC Enforcement Policy: NCV 05000285/2013013-02, Failure to

Furnish Evidence of an Activity Affecting Quality.

(3) Introduction. The team identified a Severity Level IV violation of 10 CFR 50.59,

Changes, Tests, and Experiments, associated with the licensees failure to adequately

evaluate modification EC 33464, Replace AK-50 480 V Main and Bus-Tie Breakers

With Molded Case Type or Equivalent, to determine if it required prior NRC approval.

Description. In November 2009, the licensee implemented a modification to replace

twelve General Electric AK-50 low voltage power circuit breakers with Nuclear Logistics

Incorporated/Square-D Masterpact circuit breaker/cradle assemblies and digital trip

devices. This modification was developed to address obsolescence issues and

maintenance problems with the older AK-50 circuit breakers.

The licensee used General Electric AKD-5 Powermaster Low Voltage Drawout

Switchgear, with a welded aluminum bus bar structure that transitioned to copper bus

stabs in each breaker cell. The original AK-50 circuit breakers connected directly to the

silver-plated areas on the line and load stabs. The new Nuclear Logistics

Incorporated/Square-D circuit breaker design was an integrated unit consisting of a

circuit breaker and cradle assembly. The cradle assembly converted the internal vertical

breaker connectors to top and bottom spring-loaded horizontal finger assemblies which

connected to the switchgear bus stabs.

Root Cause Analysis 2011-05414, which was performed to evaluate the June 7, 2011,

fire in the 480 Vac Class 1E load center 1B4A, identified that the root cause of the fire

was, the design process failed to identify critical parameters and interfaces such as the

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silver plating contact area on the switchgear cubicle stabs. It was determined that the

finger assemblies extended beyond the silver-plated area on the switchgear bus stabs

and interfaced directly with the copper portion of the stabs. The over extension of the

finger assemblies, buildup of copper oxide, and residual hardened grease residue led to

high resistance between the finger assemblies and stabs leading to the fire.

CR 2011-06319 was written after the fire for the discovery of the improper engagement

of cradle fingers to silver plating on the stabs. The licensee re-analyzed the 50.59 that

was completed as part of the initial breaker replacement modification (EC 33464). The

team reviewed the licensees implementation of the requirements in 10 CFR 50.59 for

the modification. The team also reviewed the licensees implementation of the

requirements in Procedure FCSG-23, 10 CFR 50.59 Resource Manual, Revision 8,

and Nuclear Energy Institute, Guideline for 10 CFR 50.59 Implementation, (NEI-96-07),

Revision 1. Procedure FCSG-23 is based on and incorporates the guidance in

NEI 96-07.

The team noted that the screening process had determined that the finger assemblies

engagement with the stabs was not considered a credible failure mode, and that, it was

stated that the Masterpact circuit breaker/cradle interface would not decrease the

reliability of the equipment. The team recognized that this was in direct contradiction of

the root cause documented in Root Cause Analysis 2011-05414, and that, if the licensee

had properly implemented the requirements of 50.59 for the new credible failure mode

associated with the finger assemblies engagement, the adverse impact would have

required a 50.59 evaluation with the potential need for prior NRC review and approval.

In addition, the team identified that the new potential failure modes could have a

significant impact regarding the reliability of the equipment. This is in contradiction with

the NEI 96-07 screening criteria, which states that, [t]he screening process is not

concerned with the magnitude of adverse affects. The qualifier which the licensee

placed on the magnitude of the new potential failure modes may have resulted in the

licensee missing other credible failure modes with adverse effects during the screening

process.

The team informed the licensee of their concerns associated with the finger assemblies

engagement with the stabs not being considered a credible failure mode and the

contradiction between the 50.59 screening and Root Cause Analysis 2011-05414. The

teams also asked about the 50.59 screening using a significant decrease as the criteria

for adverse effects instead of considering all/any adverse effects. The licensee entered

this issue into their corrective action program as CRs 2013-04474 and 2013-16954.

Based on the teams questions, the licensee has determined that a 50.59 evaluation was

needed for modification EC 33464.

Analysis. The licensees failure to implement the requirements of 10 CFR 50.59 and

adequately evaluate changes associated with the electrical distribution system was a

performance deficiency. Because this performance deficiency had the potential to

impact the NRCs ability to perform its regulatory function, the team evaluated the

performance deficiency using traditional enforcement. In accordance with

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Section 2.1.3.E.6 of the NRC Enforcement Manual, the team evaluated this finding using

the significance determination process to assess its significance. Using Inspection

Manual Chapter 0609, Appendix A, The Significance Determination Process for

Findings At-Power, the finding was determined to have very low safety significance

(Green) because it: (1) was not a deficiency affecting the design or qualification of a

mitigating structure, system, or component, and did not result in a loss of operability or

functionality; (2) did not represent a loss of system and/or function; (3) did not represent

an actual loss of function of at least a single train for longer than its Technical

Specification allowed outage time, or two separate safety systems out-of-service for

longer than their Technical Specification allowed outage time; (4) did not represent an

actual loss of function of one or more nonTechnical Specification trains of equipment

designated as high safety-significance in accordance with the licensees maintenance

rule program; and (5) did not involve the loss or degradation of equipment or function

specifically designed to mitigate a seismic, flooding, or severe weather event.

Therefore, in accordance with Section 6.1.d.2 of the NRC Enforcement Policy, the team

characterized this performance deficiency as a Severity Level IV violation. The team

determined that a cross-cutting aspect was not applicable to this performance deficiency

because the failure to adequately evaluate changes in accordance with 10 CFR 50.59

was strictly associated with a traditional enforcement violation.

Enforcement. Title 10 CFR 50.59, Changes, Tests, and Experiments, Section (c)(1),

states, in part, that a licensee may make changes in the facility as described in the

Updated Safety Analysis Report without obtaining a license amendment pursuant to

10 CFR 50.90 only if: (1) a change to the Technical Specifications incorporated in the

license is not required; and (2) the change, test, or experiment does not meet any of the

criteria in Paragraph (c)(2). 10 CFR 50.59, Section (c)(2), states, in part, that a licensee

shall obtain a license amendment pursuant to Section 50.90 prior to implementing a

proposed change, if the change, would result in more than a minimal increase in the

likelihood of occurrence of a malfunction of a structure, system, or component (SSC)

important to safety previously evaluated in the Final Safety Analysis Report (as

updated). Contrary to the above, the licensee failed to identify and evaluate new

creditable failure modes to determine if they represented an adverse effect on the

480 Vac electrical distribution system, and therefore, did not perform the required 50.59

evaluation with the potential need for prior NRC review and approval. In addition, the

licensee placed a qualifier on the magnitude of the adverse effects during the screening

process, potentially missing other adverse effects introduced as part of modification

EC 33464. The licensees corrective action was to revise the evaluation. Because this

violation was entered into the corrective action program as CRs 2013-04474, and

2013-16954, to ensure compliance was restored in a reasonable amount of time, and

the violation was not repetitive or willful, this Severity Level IV violation is being treated

as a non-cited violation, consistent with Section 2.3.2.a of the Enforcement Policy:

NCV 05000285/2013013-03, Failure to Evaluate Changes to Ensure They Did Not

Require Prior Approval.

(4) Introduction. The team identified three examples of a Severity Level IV, non-cited

violation of 10 CFR 50.73, Immediate Notification Requirements for Operating Nuclear

Power Reactors, associated with the licensees failure to submit a licensee event report

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within 60 days following a discovery of an event meeting the reportability criteria as

specified.

Description. The team identified three examples of failure to make a required event

notification within the 60 day time limit specified in 10 CFR 50.73.

Examples 1 and 2: The licensee failed to submit the required 60-day licensee event

report for the 480 Vac 1B3A main breaker trip during the switchgear fault on 480 Vac

1B4A load center as required by: (1) Title 10 CFR 50.73(a)(2)(i)(B) for any operation or

condition which was prohibited by the plants Technical Specifications; and

(2) 10 CFR 50.73(a)(2)(vii) for any event where a single cause or condition caused at

least one independent train or channel to become inoperable in multiple systems or two

independent trains. The licensee entered this issue into the corrective action program

as CR 2013-12863.

Example 3: The licensee failed to submit the required 60-day licensee event report for a

trip of the turbine-driven auxiliary feedwater pump following a start demand signal during

a monthly operability surveillance test as required by 10 CFR 50.73(a)(2)(i)(B) for any

operation or condition which was prohibited by the plants Technical Specifications. The

licensee entered this issue into the corrective action program as CR 2012-03796.

The team determined that, in both of these examples, the licensee had failed to

thoroughly evaluate and identify all the associated reportability criteria for each issue.

Analysis. The team determined that the failure to make a required licensee event report

was a violation of 10 CFR 50.73. The violation was evaluated using Section 2.2.4 of the

NRC Enforcement Policy, because the failure to submit a required licensee event report

may impact the ability of the NRC to perform its regulatory oversight function. As a

result, this violation was evaluated using traditional enforcement. In accordance with

Section 6.9 of the NRC Enforcement Policy, this violation was determined to be a

Severity Level IV, non-cited violation. The team determined that a cross-cutting aspect

was not applicable to this performance deficiency because the failure to make a required

report was strictly associated with a traditional enforcement violation.

Enforcement. Title 10 CFR 50.73(a)(1) requires, in part, that licensees shall submit a

licensee event report for any event of the type described in this paragraph within 60 days

after the discovery of the event. Contrary to the above, between February 17, 2010 and

June 20, 2013, the licensee failed to submit a licensee event report for three events

meeting the requirements for reporting specified in 10 CFR 50.73. Because this

violation has been entered into the corrective action program as CRs 2013-12863 and

2012-03796, compliance was restored in a reasonable amount of time, and the violation

was not repetitive or willful, this Severity Level IV violation is being treated as a non-cited

violation, consistent with Section 2.3.2.a of the Enforcement Policy:

NCV 05000285/2013013-04, Failure to Submit Licensee Event Report.

(5) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion XVI, for the licensees approval of Root Cause

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Analysis 2013-03424, Revision 0 and Revision 1, MSPI Safety System Functional

Failures Degrading Trend, which did not assure corrective actions to prevent repetition

of a significant condition adverse to quality.

Description. The licensee approved Root Cause Analysis 2013-03424, Revision 0,

MSPI Safety System Functional Failures Degrading Trend, on July 8, 2013. This root

cause analysis originally identified the root cause as, Fort Calhoun Stations

engineering management failed to maintain control over the design and configuration of

Fort Calhoun Station. The corrective action to prevent recurrence in Root Cause

Analysis 2013-03424, Revision 0, was documented as:

Identify and define the licensing bases and assure licensing bases documentation

remains current, accurate, complete, and retrievable.

  • Identification includes determining the record types
  • Identify a consistent numbering system
  • Establish methodology (database) for ensuring current and historical

licensing bases records are readily retrievable

  • Reconstitute (identify, locate, and store in a retrievable method) the licensing

bases including historical records required to establish the current bases

  • If conflicts are identified during identification and location of licensing bases

documentation, a condition report is initiated to document and track the

resolution

  • Establish a process for assuring licensing bases documentation remains

current, accurate, complete, and retrievable; current processes may be

retained or revised to assure needed results

  • Closure determination: Conduct an outside independent assessment to

validate the completion of identifying all license bases, documents are

retrievable, and that the process for updates is implemented.

The team determined that the corrective action to prevent recurrence specified in Root

Cause Analysis 2013-03424, Revision 0, was not appropriate and would not prevent

recurrence of the root cause. The team determined that the root cause was narrowly

focused on the management of the engineering division and failed to identify a culture in

the engineering division, as a whole, that failed to maintain the design and configuration

control. This licensee initiated CR 2013-12236 to place this issue in the stations

corrective action program.

The licensee revised Root Cause Analysis 2013-03424 to include a new root cause and

an additional corrective action. Root Cause Analysis 2013-03424, Revision 1 revised

the root cause to, Fort Calhoun Station failed to maintain an environment, in the

Engineering Division, that valued maintaining the license and design basis of the station

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over continued operation of the facility. This led to a loss of control over the design and

configuration of Fort Calhoun Station. An additional corrective action to prevent

recurrence was included to strengthen the function of the oversight group that performs

reviews of engineering products.

During their review of Root Cause Analysis 2013-03424, Revision 1, MSPI Safety

System Functional Failures Degrading Trend, the team observed that Root Cause

Analysis 2013-03424 extensively leveraged future actions associated with Root Cause

Analysis 2013-05570, Design and Licensing Bases Configuration Control, to

(a) determine the extent of condition and extent of cause, (b) to effect corrective actions

to preclude repetition, and (c) to complete the required effectiveness review.

Consequently, the team examined the alignment between the two root cause analysis

and the licensees quality-related corrective action program requirements to determine

whether such cross-root cause analysis leveraging reasonably assured corrective

actions to prevent repetition of significant conditions adverse to quality.

Although the closure review of Root Cause Analysis 2013-03424 would recognize its

reliance on Root Cause Analysis 2013-05570, no requirement or process assured that

the review would effectively evaluate changes to Root Cause Analysis 2013-05570 that

could invalidate its tasked contribution to Root Cause Analysis 2013-03424. More

importantly, although the corrective action program data system appeared capable of

linking root cause analysis, no specific process was identified to ensure the assignments

from Root Cause Analysis 2013-03424 would be recognized by the owner of Root

Cause Analysis 2013-05570. In fact, the team confirmed there was no reference to Root

Cause Analysis 2013-03424 in Root Cause Analysis 2013-05570 prior to the teams

comments.

Further, the team determined that the use of future tasking to identify the extent of

condition and extent of cause precluded the ability to assure that corrective actions

approved to address the causes of the significant condition adverse to quality would be

broad enough to prevent their repetition. In this specific instance, the significant

condition adverse to quality or Problem was identified as the degradation of the

Mitigating Systems Performance Indicator (MSPI) Safety System Functional Failure

(SSFF) Performance Indicator (PI) to NRC White. The root cause was determined to be,

the failure, to maintain an environment, in the Engineering Division, that valued

maintaining the license and design basis of the station over continued operation of the

facility. The root cause analysis determined that, other areas in the Engineering

Division are susceptible to this cause, and they were not explicitly addressed in the root

cause analysis. Likewise, the root cause analysis determined that, loss of management

oversight and control of programs has been shown to exist in the plant, and the degree

of loss, and specific areas in which it has been identified, were not explicitly addressed

in the root cause analysis. Rather these extent-of-cause determinations were largely

future tasked to Root Cause Analysis 2013-05570.

Analysis. The licensees failure to establish measures to assure that the cause of the

degrading trend in MSPI safety system functional failures would be promptly identified

and action taken to preclude repetition in accordance with 10 CFR Part 50, Appendix B,

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Criterion XVI was a performance deficiency. The performance deficiency was more than

minor, and therefore a finding, because the failure to correct the cause and preclude the

repetition of the cause would have the potential to lead to a more significant safety

concern. Specifically, failure to identify the correct cause and preclude repetition would

lead to a high frequency of safety system functional failures. This finding was

associated with the Mitigating Systems Cornerstone. Using Inspection Manual

Chapter 0609, Appendix A, The Significance Determination Process (SDP) for Findings

At-Power, dated July 1, 2012, the finding was determined to be of very low safety

significance (Green) because it: (1) was not a deficiency affecting the design and

qualification of a mitigating structure, system, or component, and did not result in a loss

of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

allowed outage time, or two separate safety systems out-of-service for longer than their

Technical Specification allowed outage time; and (4) did not represent an actual loss of

function of one or more non-Technical Specification trains of equipment designated as

high safety-significance in accordance with the licensees maintenance rule program.

This finding has a cross-cutting aspect in the area of in the area of problem identification

and resolution, associated with the corrective action program component, because the

licensee did not thoroughly evaluate the problem, and consequently, the resolution did

not identify the extent of cause as necessary P.1(c).

Enforcement. Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action

requires, in part, that measures shall be established to assure that conditions adverse to

quality, such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and non-conformances are promptly identified and corrected. In the case of

significant conditions adverse to quality, the measures shall assure that the cause of the

condition is determined and corrective action taken to preclude repetition. Contrary to

the above, on July 8, 2013, measures established by the licensee failed to assure that

the cause of an identified significant condition adverse to quality was corrected and

corrective actions taken would preclude repetition. Specifically, measures established

by the licensee failed to assure that the cause of an identified significant condition

adverse to quality was corrected and corrective actions taken would preclude repetition

involving a White mitigating system performance indicator associated with a degrading

trend in safety system functional failures. Because the finding was of very low safety

significance (Green) and has been entered into the corrective action program as

CRs 2013-584 and 2013-14614, this violation is being treated as a non-cited violation

consistent with Section 2.3.2.a of the NRC Enforcement Policy:

NCV 05000285/2013013-05, Inadequate Corrective Actions to Prevent Repetition of a

Significant Condition Adverse to Quality, a White MSPI SSFF Degrading Trend.

(6) Introduction. The team identified multiple examples of a Green, non-cited violation of

10 CFR Part 50, Appendix B, Criterion III, Design Control, for the licensees failure to

control deviations from design standards.

Description. In 2005, the licensee generated calculations and engineering documents

needed to replace several reactor coolant system components, including the steam

generators, pressurizer, reactor vessel head, and the associated structural supports. In

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addition to upgrading the reactor coolant system components, the licensee also

optimized the reactor coolant system support system with the removal of several

structural supports and steel members. The team reviewed a small sample of the

associated calculations and found several deficiencies where the station deviated from

design basis requirements without a technical basis or justification.

In the first example, the team reviewed Design Calculation FC6945, FCS RSG: RCS

Structural Evaluation, and identified that the reactor coolant system piping stress levels

exceeded the code allowable stress levels for accident loads. Specifically, the team

found that reactor coolant system piping would exceed the allowable stress level for the

faulted load combinations of an earthquake combined with a loss of coolant accident. In

response to these concerns, the licensee performed an operability determination and

generated CRs 2013-19878 and 2013-18361.

In the second example, the team reviewed Design Calculation FC7100, Ft. Calhoun

RCS Equipment Support Modifications due to NSSSRP, and Design

Calculation FC7285, Replacement Steam Generator (RSG) and Reactor Coolant Pump

(RCP) Snubber Anchorage Upgrade Analysis, and identified that the reactor coolant

system pipe supports credited concrete strength in excess of the design and licensing

basis values. Specifically, the compressive strength of the concrete, per the design

specifications and the Updated Safety Analysis Report, are 4000 psi or 5000 psi,

depending on the location. However, the licensee used compressive strength values as

high as 6000 psi in the calculations. The use of a higher compressive strength of

concrete in the design calculations did not assure that appropriate quality standards are

specified and included in design documents, and that, deviations from such standards

are controlled. In response to this concern, the licensee generated CRs 2013-20281

and 2013-17885, and performed an operability determination. Using the design and

licensing basis values, the anchor bolts were determined to be operable, but non-

conforming.

In the third example, the team reviewed Design Calculations FC7100, FC7285, and

FC6945, and identified that in several locations, the anchor bolts were designed to a

lesser standard than required by the design and licensing basis. Specifically, the

anchorage was designed to a safety factor of less than 4.0, as required by the licensing

basis. The use of a lower safety factor for anchor bolts in the design calculations did not

assure that appropriate quality standards are specified and included in design

documents and that deviations from such standards are controlled. In response to this

concern, the licensee generated CRs 2013-14726 and 2013-20281. Using the design

and licensing basis values, the anchor bolts were determined to be operable, but non-

conforming.

Analysis. The failure to control deviations from quality standards as required by

10 CFR Part 50, Appendix B, Criterion III, was a performance deficiency. This

performance deficiency is more than minor, and therefore a finding, because it is

associated with the design control attribute of the Mitigating Systems Cornerstone, and

affected the cornerstone objective to ensure the availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. Using

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Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process

(SDP) for Findings At-Power, dated July 1, 2012, the finding was determined to have

very low safety significance (Green) because it: (1) was not a deficiency affecting the

design and qualification of a mitigating structure, system, or component, and did not

result in a loss of operability or functionality; (2) did not represent a loss of system and/or

function; (3) did not represent an actual loss of function of at least a single train for

longer than its allowed outage time, or two separate safety systems out-of-service for

longer than their Technical Specification allowed outage time; and (4) did not represent

an actual loss of function of one or more non-Technical Specification trains of equipment

designated as high safety-significance in accordance with the licensees maintenance

rule program. There was no cross-cutting aspect assigned to this finding because this

issue does not reflect present licensee performance.

Enforcement. 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires, in

part, that design changes shall be subject to design control measures commensurate

with those applied to the original design, which includes assuring that applicable

regulatory requirements and the design basis are correctly translated into specifications,

drawings, procedures, and instructions. Contrary to the above, prior to

December 5, 2013, the licensee failed to establish provisions to assure that deviations

from specified quality standards were controlled. Specifically, the licensee failed to

establish provisions to control the design of components within the reactor coolant

system. The licensee took action to perform additional analysis to confirm the operability

of the affected components and to determine the scope of the problem.

Because the finding was of very low safety significance (Green) and has been entered

into the corrective action program as CRs 2013-19878, 2013-18361, 2013-20281, and

2013-14726, this violation is being treated as a non-cited violation consistent with

Section 2.3.2.a of the NRC Enforcement Policy: NCV 05000285/2013013-06, Failure to

Control Deviations From the Design Basis Requirements for Structural Calculations

Related to the Reactor Coolant System.

(7) Introduction. The team identified multiple examples of a Green, non-cited violation of

10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings.

Specifically, the licensees failure to follow station procedures for corrective actions,

operability, and calculation preparation for instances where the interim operability

procedure was invoked for degraded conditions identified with piping and pipe supports.

As a result, non-conservative design inputs were used without entering the non-

conformances into the corrective action process or performing procedurally required

operability evaluations.

Description. Station Procedure PED-QP-31, Operability Determination Process,

describes the licensees operability determination process used by station personnel to

assess the operability of structures, systems, and components (SSC) described in the

licensees Technical Specifications. The procedure defines degraded and

nonconforming conditions as, a condition of a SSC that involves a failure to meet the

current licensing basis (CLB) or a situation in which quality has been reduced because

of factors such as improper design.examples of nonconforming conditions include

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when a SSC fails to conform to one or more applicable codes or standards (e.g., the

CFR, operating license, Technical Specifications, Updated Safety Analysis Report,

and/or license commitments). Step 8.1 provides the licensees requirement that

operators immediately determine operability of degraded or nonconforming conditions:

Piping and pipe supports found to be degraded or nonconforming and that support

SSC described in Technical Specifications should be subject to an operability

determination.

Additionally, Station Procedure FCSG-24-1, Condition Report Initiation, states, in part,

that, engineering product errors that have been issued for implementation that would

have had impact on the operation or qualification of a system or component, and errors

in calculations, would require the initiation of a corrective action report.

The team reviewed Station Calculation FC07234, Evaluation of Shutdown Cooling

Mode Temperature and Pressure Increase on the Safety Injection System Piping and

Pipe Supports, and found that the maximum deflection for certain elements of the

shutdown cooling piping would exceed 1/8 inch. The Safety Evaluation Report for

EA-FC-94-003 (dated April 16, 1993) requires an evaluation for deflection that exceeds

1/16 inch. However, the licensee accepted this condition as acceptable because it met

PED-MEI-17, Interim Operability Criteria, and engineering personnel considered the

conditions acceptable without further review. The operations department was never

informed of the degraded nonconforming condition.

The team reviewed Station Calculation FC02400, Input Data Corresponding to Stress

Summary RW-111A and Qualification Summary, Revision 5, and identified that the

licensee used non-design criteria as acceptance criteria for multiple piping supports in

the raw water system. Station Calculation FC02400, Revision 5, was not a restricted

use analysis. The licensee explained that Revision 5 of Station Calculation FC02400

was a temporary analysis, not for full design use because it was marked as,

confirmation required, and such a marking restricted its use.

The team noted that Station Procedure PED-QP-3, Calculation Preparation, Review

and Approval, provides the requirement in Section 4.4.5 for restricting the use of a

calculation:

The use of unsubstantiated design inputs and assumptions in a calculation is permitted

allowing the design process to proceed provided that they are identified as requiring

confirmation (e.g., "Confirmation Required"). Confirmation Required, is only used for

inputs and assumptions which need to be substantiated at a later date, as determined by

the calculation preparer. It shall not apply to the status of calculation methods (e.g.,

equations/computer codes). Confirmation shall be obtained before the modification has

received a Multi-Discipline Independent Design Verification (IDV) or prior to the analysis

becoming As-Built.

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Analysis. The failure to provide adequate acceptance criteria for an activity affecting

quality was a performance deficiency. This performance deficiency is more than minor,

and therefore a finding, because it is associated with the human performance attribute of

the Mitigating Systems Cornerstone, and affected the cornerstone objective to ensure

the availability, reliability, and capability of systems that respond to initiating events to

prevent undesirable consequences. Using Inspection Manual Chapter 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power,

dated July 1, 2012, and guidance from the Office of Nuclear Reactor Regulation,

Division of Engineering technical staff for issues where the inputs to calculations

deviated from approved standards, the finding was determined to have very low safety

significance (Green) because: (1) the Office of Nuclear Reactor Regulation technical

staff determined the non-conformances would not render the evaluated component as

inoperable or unable to perform its safety function; (2) it was not a deficiency affecting

the design and qualification of a mitigating structure, system, or component; and (3) it

did not represent an actual loss of function of one or more non-Technical Specification

trains of equipment designated as high safety-significance in accordance with the

licensees maintenance rule program. This finding has a cross-cutting aspect in the area

of human performance associated with work practices component because the licensee

failed to define and effectively communicate expectations regarding compliance with

station procedures H.4(b).

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and

Drawings, requires, in part, that activities affecting quality be prescribed by documented

instructions, procedures, or drawings, of a type appropriate to the circumstances and be

accomplished in accordance with these instructions, procedures, or drawings. Contrary

to the above, prior to December 5, 2013, the licensee failed to complete activities

affecting quality in accordance with prescribed procedures. Specifically, the licensee

failed to recognize deviations from the design and licensing basis in engineering

calculations were non-conforming conditions and follow the requirements of Station

Procedure FCSG-24-1, Condition Report Initiation, Station Procedure PED-QP-31,

Operability Determination Process, and Station Procedure PED-QP-3, Calculation

Preparation, Review and Approval, when invoking Station Procedure PED-MEI-17,

Interim Operability Criteria. The licensees corrective action was to capture the

identified instances in the corrective action program, and discontinue the use of the

interim operability procedure. Because the finding was of very low safety significance

(Green) and has been entered into the corrective action program as CR 2013-03598,

this violation is being treated as a non-cited violation consistent with Section 2.3.2.a of

the NRC Enforcement Policy: NCV 05000285/2013013-07, Programmatic Failure to

Evaluate Safety Impact of Degraded Conditions During Use of Interim Operability

Criteria.

(8) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion XVI, Corrective Action, for the licensees failure to correct

conditions adverse to quality in safety-related equipment. The team identified multiple

examples of this violation where an interim operability criteria procedure was applied

instead of correcting the conditions adverse to quality.

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Description. The team reviewed calculations FC06519 and FC06534 and found that the

licensee identified that certain supports on seismic subsystem AC-215A stress levels

exceeded design basis requirements, but failed to correct the condition adverse to

quality.

Fort Calhoun Station, as part of a design basis reconstitution effort, reviewed several

piping supports installed in the plant and performed analyses to confirm the as-installed

configuration met the design basis requirements. In support of this effort, calculations

FC06519 and FC06534 were originated on November 25, 1995 to analyze piping and

piping supports that are a part of seismic subsystem AC-215A. Specifically, calculations

FC06519 and FC06534 analyzed several supports for the raw water and component

cooling water piping on the discharge lines of the containment air coolers. The

calculations determined that the supports for seismic subsystem AC-215A would exceed

the allowable stress specified by the design basis.

The team noted that the licensee had invoked Station Procedure PED-MEI-17, Interim

Operability Criteria, to determine that the supports were operable and were accepted

as-is in the calculations. Corrective actions or configuration changes to restore the pipe

supports in seismic subsystem AC-215A to acceptable stress levels specified by design

basis requirements could not be found.

The team determined that the licensee had failed to promptly identify and correct

conditions adverse to quality.

Analysis. The failure to correct conditions adverse to quality was a performance

deficiency. This performance deficiency is more than minor, and therefore a finding,

because it is associated with the equipment performance attribute of the Mitigating

Systems Cornerstone, and affected the cornerstone objective to ensure the availability,

reliability, and capability of systems that respond to initiating events to prevent

undesirable consequences. Using Inspection Manual Chapter 0609, Appendix A, The

Significance Determination Process (SDP) for Findings At-Power, dated July 1, 2012,

the finding was determined to have very low safety significance (Green) because it:

(1) was not a deficiency affecting the design and qualification of a mitigating structure,

system, or component, and did not result in a loss of operability or functionality; (2) did

not represent a loss of system and/or function; (3) did not represent an actual loss of

function of at least a single train for longer than its allowed outage time, or two separate

safety systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more non-

Technical Specification trains of equipment designated as high safety-significance in

accordance with the licensees maintenance rule program. This finding has a cross-

cutting aspect in the area of problem identification and resolution associated with the

corrective action program component because the licensee had failed to implement a

corrective action program with a low threshold for identifying issues to ensure that an

issue potentially affecting nuclear safety are promptly identified and fully

evaluated P.1(a).

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Enforcement. 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Actions, requires,

in part, that, Measures shall be established to assure that conditions adverse to quality,

such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and nonconformances are promptly identified and corrected. Contrary to

the above, from November 25, 1995 to December 24, 2013, measures established by

the licensee failed to assure that an identified condition adverse to quality was

corrected. Specifically, the licensee failed to correct overstressed piping in the raw

water system. The licensees corrective actions included an extent of condition review

to determine any other cases where Interim Operability Criteria was used but never

addressed and developing a plan to correct the identified issues.

Because the finding was of very low safety significance (Green) and has been entered

into the corrective action program as Condition Report CR 2013-22426, this violation is

being treated as an non-cited violation consistent with Section 2.3.2.a of the NRC

Enforcement Policy: NCV 05000285/2013013-08, Failure to Correct Overstressed

Components.

(9) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings, for the licensees

failure to develop an adequate procedure for assessing operability.

Description. The team reviewed Station Procedure PED-MEI-17, "Interim Operability

Criteria," which is a procedure the licensee used to evaluate critical quality equipment

(CQE) and limited CQE piping and piping supports that are found to exceed design

basis requirements. The procedure specifies specific criteria for evaluating the

degraded piping and pipe supports to determine operability. The team identified a non-

conservative equation used to calculate allowable bending stresses. The current

equations listed in Station Procedure PED-MEI-17, Revision 2, do not comply with the

requirements of ASME Section Ill, Subsection NF, for allowable bending stress criteria.

Specifically, Station Procedure PED-MEI-17 only has one out of the two required

criterion for bending stress. The procedure provides equations and criteria to increase

allowable bending stress by a factor of two. However, an additional constraint is

required by the ASME code. The second constraint is that the maximum allowable

stress shall not exceed 0.7*Su (70 percent of the ultimate strength of the material).

Using the bending stress equations from Station Procedure PED-MEI-17 with common

steel found in the plant would often make 0.7*Su the limiting condition for allowable

stress. Further, in certain cases the non-conservative stress criteria from Station

Procedure PED-MEI-17 had the potential to allow structures to exceed their ultimate

strength, but be within the allowable bending stress criteria found in the procedure.

The team determined that the licensee had invoked this procedure over 40 times since it

was developed in 1990. Station Procedure PED-MEI-17 has been used to demonstrate

operability on a large population of safety related structures, systems, and components,

including the safety injection system, main steam system, feedwater system, steam

generators, reactor coolant system, and raw water system.

- 74 -

The team informed the licensee of their concerns and the licensee initiated

CR 2013-22342 to capture this concern in the stations corrective action program.

Subsequently, the licensee determined that Station Procedure PED-MEI-17 was

inadequate and suspended use of the procedure.

Analysis. The failure to use an adequate procedure for evaluating degraded or

nonconforming pipe and pipe supports was a performance deficiency. This performance

deficiency is more than minor, and therefore a finding, because it is associated with the

equipment performance attribute of the Mitigating Systems Cornerstone, and affected

the cornerstone objective to ensure the availability, reliability, and capability of systems

that respond to initiating events to prevent undesirable consequences. Using Inspection

Manual Chapter 0609, Appendix A, The Significance Determination Process (SDP) for

Findings At-Power, dated July 1, 2012, and guidance from the Office of Nuclear

Reactor Regulation, Division of Engineering technical staff for issues where the inputs to

calculations deviated from approved standards, the finding was determined to have very

low safety significance (Green) because: (1) the Office of Nuclear Reactor Regulation

technical staff determined the non-conformances would not render the evaluated

component as inoperable or unable to perform its safety function; (2) it was not a

deficiency affecting the design and qualification of a mitigating structure, system, or

component; and (3) it did not represent an actual loss of function of one or more non-

Technical Specification trains of equipment designated as high safety-significance in

accordance with the licensees maintenance rule program. There was no cross-cutting

aspect assigned to this finding because this issue does not reflect present licensee

performance.

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and

Drawings, requires, in part, that activities affecting quality be prescribed by documented

instructions, procedures, or drawings, of a type appropriate to the circumstances and be

accomplished, in accordance, with these instructions, procedures, or drawings.

Contrary to the above, from May 3, 1990 to December 24, 2013, the licensee failed to

provide a procedure appropriate for assessing operability for safety related piping and

piping supports. The licensees corrective action was to capture the identified instances

in the corrective action program, and discontinue the use of the interim operability

procedure. Because the finding was of very low safety significance (Green) and has

been entered into the corrective action program as CR 2013-22342, this violation is

being treated as a non-cited violation consistent with Section 2.3.2.a of the NRC

Enforcement Policy: NCV 05000285/2013013-09, Non-conservative Criteria in

Operability Procedure.

(10) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings, associated with the

licensees failure to follow Station Procedure NOD-QP-31, Operability Determination

Process.

Description. CR 2012-09550 was written on August 17, 2012, to identify that

components associated with Valve HCV-400F-O were beyond their currently

documented service life. This represented a potential operability concern, and the

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operability evaluation associated with this condition report determined that surveillance

testing performed on May 29, 2011, provided a reasonable expectation that the valve

was capable of performing its intended function.

In July 2013, during their review of the licensees assessments of equipment service life

issues, the team reviewed CR 2012-09550. The team determined that the documented

operability evaluation did not provide a reasonable expectation of operability.

Specifically, the surveillance testing the licensee had credited was a refueling

surveillance and had an 18-month periodicity and was now outside of its specified

periodicity and had not been performed since May 2011. Therefore, it no longer

demonstrated operability for the degraded/nonconforming condition being evaluated.

The team informed the licensee of their concern with this valve, and asked if other

components were crediting previously performed surveillance testing as a basis for

operability. The licensee initiated CR 2013-12255 to capture this issue in the stations

corrective action program.

The licensee subsequently determined that Valve HCV-400F-O had been repaired on

April 30, 2013, and revised their operability evaluation to reflect this repair as the basis

for operability of the component.

Analysis. The failure to properly assess and document the basis for operability, when a

degraded or nonconforming condition was identified, was a performance deficiency.

This performance deficiency is more than minor, and therefore a finding, because it is

associated with the equipment performance attribute of the Mitigating Systems

Cornerstone, and affected the cornerstone objective to ensure the availability, reliability,

and capability of systems that respond to initiating events to prevent undesirable

consequences. Since the finding involved an inadequate operability determination while

in a shutdown condition, the team used Manual Chapter 0609, Appendix G, Shutdown

Operations Significance Determination Process, and determined the finding to have

very low safety significance (Green) because the finding did not increase the likelihood

of a loss of reactor coolant system inventory, the finding did not degrade the licensees

ability to terminate a leak path or add reactor coolant system inventory when needed,

and the finding did not degrade the licensees ability to recover decay heat removal once

it was lost. This finding has a cross-cutting aspect in the area of human performance

associated with the decision-making component because the licensee failed to use

conservative assumptions in decision making when performing operability

determinations H.1(b).

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and

Drawings, requires, in part, that activities affecting quality shall be prescribed by

documented instructions, procedures, or drawings, of a type appropriate to the

circumstances and shall be accomplished in accordance with these instructions,

procedures, or drawings. Station Procedure NOD-QP-31, Operability Determination

Process, a procedure used to evaluate the operability of safety-related components,

Step 4.3.15, required the licensee to properly assess and document the basis for

operability when a degraded or nonconforming condition is identified. Contrary to the

- 76 -

above, on July 8, and July 15, 2013, the licensee failed to properly assess and

document the basis for operability in accordance with prescribed procedures. The

licensee addressed this issue by establishing an adequate basis for operability for the

condition. Because the finding was of very low safety significance (Green) and has been

entered into the corrective action program as CRs 2013-15429 and 2013-14006, this

violation is being treated as a non-cited violation consistent with Section 2.3.2.a of the

NRC Enforcement Policy: NCV 05000285/2013013-10, Failure to Follow Operability

Procedure.

(11) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion III, Design Control, associated with the licensees failure to

conduct an adequate evaluation of the impacts of modifying the turbine driven auxiliary

feedwater pump (FW-10) during all modes of operation.

Description. The team noted during their review of NCV 05000285/2010006-01, Failure

to Correct Repeated Tripping of the Turbine-Driven Auxiliary Feedwater Pump FW-10,

that the licensee had instituted an engineering change package to modify the turbine-

driven Auxiliary Feedwater Pump FW-10, from a variable speed to a constant speed.

The team reviewed the adequacy of this modification to ensure that the operation of this

mitigating system component could still perform its intended function as required by the

design and licensing basis.

The purpose of the auxiliary feedwater system is to provide an alternate source of

feedwater to either or both steam generators in the event of a loss of main feedwater.

The original design of the turbine-driven pump included a pneumatic loop controller

which adjusted an actuator, determining the steam inlet throttle valve position (i.e. pump

speed). There is also a mechanical speed-limiting governor which prevents the pump

from damaging itself. Another protective feature of the pump is the backpressure trip

device, which will close the throttle valve if sensed pressure in the steam outlet side is

too high, again preventing pump damage.

The modification to change the pump from a variable speed to a constant speed setting

was completed in 2009 as a corrective action for concerns regarding the reliability of the

pneumatic speed control loop. It set the pump speed on the speed-limiting governor to

approximately 7600 rpm (plus or minus 50 rpm); after the pneumatic loop control system

was removed. The reasoning for this value was based on surveillance test data that

indicated an average pump speed of 7550 rpm, which used a specific value for steam

generator pressure. The pump would start and speed up until it reached the pre-set

governor limit and then stay at the value until steam demand was decreased. This

modification essentially resulted in the governor becoming the speed controlling device

and the backpressure trip device acting as a protective measure if the governor were to

fail. The engineering change package stated that, it is not good practice to control a

steam turbines speed with a single device. However, the overpressure trip system is

credited as backup.

While performing a review of Engineering Change Package 34435, FW-10 Pneumatic

Speed Control Removal, the team noted that the speed limiting governor for the pump

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had been set to 7800 rpm previously. This value allowed FW-10 to provide a discharge

pressure slightly higher than the anticipated peak steam generator pressures. It was

also identified, through a review of design calculation models completed to look at a

potential net positive suction head issue, that values of 7800 to 7900 rpm could be

needed to deliver the required flow under certain scenarios and for specific steam

generator pressures. Similar and higher pump speeds were identified as potentially

being needed for specific scenarios analyzed while having only one steam generator

available and for power uprate system upgrades.

New pump curves were not generated for FW-10 after the constant speed modification

was made to analyze the wide variety of system pressures and flow requirements that

could be needed and encountered during accident scenarios. The system changes

could impact the safe operation of the governor or lead to a scenario where the pump

would operate outside of the response of the governor when the pump was needed.

Station Procedure PED-GEI-3, Preparation of Modifications, Revision 91,

Section 4.10.1, requires, in part, that system level functions shall be described in detail

in the modification package, including modes of operation and methods of performing

those functions, and all applicable performance and loading requirements shall be

identified for each mode of operation. Also, Section 4.10.2, requires, in part, that all

performance requirements, such as flow capacity, minimum temperature or pressure,

and net positive suction head, shall be provided for each mode of operation.

Analysis. The failure to evaluate the effects of modifying the turbine driven auxiliary

feedwater pump from a variable speed to a constant speed for all modes of operation

was a performance deficiency. This performance deficiency was more than minor, and

therefore a finding, because it was associated with the configuration control attribute of

the Mitigating Systems Cornerstone, and affected the cornerstone objective to ensure

the availability, reliability, and capability of systems that respond to initiating events to

prevent undesirable consequences. Using Inspection Manual Chapter 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power,

dated July 1, 2012, the finding was determined to have very low safety significance

(Green) because it: (1) was not a deficiency affecting the design and qualification of a

mitigating structure, system, or component, and did not result in a loss of operability or

functionality; (2) did not represent a loss of system and/or function; (3) did not represent

an actual loss of function of at least a single train for longer than its allowed outage time,

or two separate safety systems out-of-service for longer than their Technical

Specification allowed outage time; and (4) did not represent an actual loss of function of

one or more non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. This finding

has a cross-cutting aspect in the area of human performance associated with the

decision-making component because the licensee failed to use conservative

assumptions in decision making. Specifically, the licensee did not reanalyze the pump

performance parameters to identify any potentially adverse effects of changing the pump

to a constant speed control H.1(b).

Enforcement. 10 CFR Part 50, Appendix B, Criterion III, Design Control, requires, in

part, that design changes shall be subject to design control measures commensurate

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with those applied to the original design, which includes assuring that applicable

regulatory requirements and the design basis are correctly translated into specifications,

drawings, procedures, and instructions. Contrary to the above, from 2009 through

November 2013, the licensee failed to evaluate the effects of modifying the turbine

driven auxiliary feedwater pump from a variable speed to a constant speed for all modes

of operation. Specifically, the licensee did not reanalyze the pump performance

parameters to determine whether any potentially adverse effects would occur from

changing the pump to a constant speed when it is depended upon to mitigate accidents

and respond appropriately to changes in operating conditions or design basis events.

The licensee adequately addressed this issue by performing a detailed analysis which

determined that the change did not adversely affect the function of the pump. Because

the finding was of very low safety significance (Green) and has been entered into the

stations corrective action program as CR 2013-10465, this violation is being treated as a

non-cited violation consistent with Section 2.3.2.a of the NRC Enforcement Policy:

NCV 05000285/2013013-11, Failure to Evaluate the Effects of Modifying the Turbine

Driven Auxiliary Feedwater Pump.

(12) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings, for the licensees

programmatic failure to conduct adequate operating experience reviews for root cause

evaluations in accordance with Station Procedure FCSG-24-4, Condition Report and

Root Cause Evaluation, Revision 5.

Description. Station Procedure FCSG-24-4, Condition Report and Root Cause

Evaluation, states that the purpose of conducting an operating experience review is to

determine whether the same or similar problems have occurred at the Fort Calhoun

Station, and if, internal or industry operating experience was unsuccessful in preventing

the problem. The procedure also states that an operating experience review shall be

conducted in a systematic manner and both internal and external events from various

sources shall be included.

A review of the problem statement to determine if the issue was a repeat event per the

definition in the aforementioned procedure is also required. A repeat event is defined as

a significance Level A condition or event that shares the same or similar root causes as

a previous event. Hence, there is a reasonable expectation that the event should not

have occurred because a previous events corrective actions to prevent recurrence

should have prevented the event from occurring and, as such, it demonstrates that

previous corrective actions to prevent recurrence were either ineffective or missing. If an

issue is determined to be a repeat event then previous root cause corrective actions to

prevent recurrence shall be reviewed to explain why they did not prevent the event, new

corrective actions to prevent recurrence should consider why the previous corrective

actions to prevent recurrence were not effective, and a condition report is generated

describing the problem with the previous root cause(s).

The following were the specific examples associated with this performance deficiency:

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1. During a review of the Equipment Service Life Root Cause Analysis

(CR 2012-09491), it was noted by the team that zero failures were identified

by the licensee from an Equipment and Information Exchange System

(EPIX) search related to the failure of a 94/FSA relay, Model CR120B04022,

which had failed on May 4, 1998. A review of industry operating experience

by the team identified that there were failures related to this type of relay and

that the average lifetime of this relay was 8 years. The team identified a

discrepancy between this average lifespan and the sites assigned corrective

actions to clean and inspect these relays every 10 years and to replace

them every 20 years.

2. The team identified that the external operating experience search conducted

for Root Cause Analysis 2012-08134, Equipment Reliability, was limited to

only Institute of Nuclear Power Operations (INPO) documents. FCSG-24-5

states that, external operating experience includes, but is not limited to,

EPIX, INPO website, vendor bulletins, 10 CFR Part 21 reports, NRC

information notices, etc. The team noted that there were several NRC

generic communications (e.g. Information Notices 2012-06 and 1993-64)

related to equipment reliability that were missed in the operating experience

review.

3. The team identified another example where the external operating

experience search was incomplete. The Design and Licensing Bases

Configuration Control Root Cause Analysis 2013-05570 external operating

experience search omitted significant NRC operating experience (e.g.

NUREG-1275, Volume 14, Causes of Significance of Design-Basis Issues

at U.S. Nuclear Power Plants, and NRC Information Notice 1998-40,

Design Deficiencies Can Lead to Reduced ECCS Pump Net Positive

Suction Head During Design-Basis Accidents) as well as other external

operating experience (e.g. licensee event reports from other plants related to

several design issues including conducting a high energy line break

analysis) that would aid the licensee in assigning corrective actions to

prevent recurrence of the same problems.

4. When reviewing the operating experience section related to repeat events in

CR-2013-5570 for the design and licensing basis root cause analysis the

team identified that although the event was considered a repeat event it was

not assessed in accordance with procedure requirements. Specifically, the

questions posed in Station Procedure FCSG-24-4 that included why did

previous corrective actions to prevent recurrence fail or previous root cause

analyses not identify the issue, how will the new corrective actions to prevent

recurrence fill in the gaps of the old ones, and issue a condition report to

describe the missed opportunities with the previous corrective actions to

prevent recurrence/root cause analyses, were not performed. The root

cause analysis team stated that it was clear, by an operating experience

review, that this issue was preventable but previous corrective actions to

prevent recurrence were never written specific to this issue. The reasoning

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for why previous corrective actions to prevent recurrence were never written

or deficient was not evaluated nor were the operating experience

opportunities that were missed and corrective actions/condition reports were

not generated for these areas.

The team determined that this represented a programmatic failure by the licensee to

conduct adequate operating experience reviews for root cause evaluations.

The team informed the licensee of their concerns and the licensee initiated

CR 2013-14205 to capture this issue in the stations corrective action program for

resolution.

Analysis. The licensees programmatic failure to conduct adequate operating

experience reviews for root cause evaluations was a performance deficiency. This

performance deficiency is more than minor, and therefore a finding, because if left

uncorrected it has the potential to lead to a more significant safety concern. Specifically,

if the licensee does not thoroughly evaluate operating experience to determine whether

the same or similar problems have occurred at the Fort Calhoun Station or within the

industry, then effective corrective actions to prevent the issues from recurring may not

be implemented and an adequate extent of condition and/or generic implications from

the issue may not be identified. This finding was associated with the Mitigating Systems

Cornerstone. Using Inspection Manual Chapter 0609, Appendix G, Shutdown

Operations Significance Determination Process, Checklist 4, PWR Refueling

Operation: RCS level >23 or PWR Shutdown Operation with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and

Inventory in the Pressurizer, dated May 25, 2004, this finding was determined to be of

very low safety significance (Green) because finding did not require a quantitative risk

assessment because adequate mitigating equipment remained available. This finding

has a cross-cutting aspect in the area of problem identification and resolution associated

with the operating experience component because the licensee did not use operating

experience information, including vendor recommendations and internally generated

lessons learned, to support plant safety by implementing and institutionalizing operating

experience through changes to station processes, procedures, equipment, and training

programs P.2(b).

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and

Drawings, requires, in part that activities affecting quality be prescribed by documented

instructions, procedures, or drawings, of a type appropriate to the circumstances and be

accomplished in accordance with these instructions, procedures, or drawings. Contrary

to the above, from December 2012 through August 2013, the licensee failed to complete

activities affecting quality in accordance with prescribed procedures. Specifically, the

licensee failed to follow the requirements of Station Procedure FCSG-24-4, and conduct

adequate operating experience reviews during the performance of several root cause

analyses, which could have prevented the identification and implementation of effective

corrective actions to prevent recurrence. The programmatic aspect of this issue does

not represent an immediate safety concern, and the licensee is developing corrective

actions. Because the finding was of very low safety significance (Green) and has been

entered into the corrective action program as CR 2013-14205, this violation is being

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treated as a non-cited violation consistent with Section 2.3.2.a of the NRC Enforcement

Policy: NCV 05000285/2013013-12, Failure to Perform Adequate Operating

Experience Reviews.

(13) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion III, Design Control, associated with the licensees failure to fully

incorporate applicable design requirements into the plant design.

Description. During reviews of the licensees design documents, the team noted that the

Fort Calhoun Final Safety Analysis Report and the Updated Safety Analysis Report both

state that the vital switchgear rooms are cooled by a ventilation system that is capable of

maintaining it below the operability requirements of the equipment under all conditions.

However, the licensee had previously determined that the installed auxiliary building

ventilation was not capable of maintaining the vital switchgear rooms temperature under

the design limits and had installed additional cooling units.

The team noted that the additional cooling units were not designated as safety-related

components, and were not capable of functioning during all design events. Therefore,

they were not capable of maintaining the room temperatures under all design

requirements.

The team informed the licensee of their concerns and the licensee initiated

CR 2013-09804 to capture this concern in the stations corrective action program.

The licensee determined that there was existing procedural guidance to open doors and

provide temporary cooling to the vital switchgear rooms if the temperatures approached

design limits or if ventilation was lost. Therefore, the licensee determined that a

nonconforming condition existed, but that a reasonable expectation of operability existed

based on the existing procedural guidance.

Analysis. The failure to fully incorporate applicable design requirements was a

performance deficiency. The performance deficiency was determined to be more than

minor, and therefore a finding, because it affected the design control attribute of the

Mitigating Systems Cornerstone, and it directly affected the cornerstone objective to

ensure availability, reliability, and capability of systems that respond to initiating events

to prevent undesirable consequences. Using Inspection Manual Chapter 0609,

Appendix A, The Significance Determination Process (SDP) for Findings At-Power,

dated July 1, 2012, the finding was determined to have very low safety significance

(Green) because it: (1) was not a deficiency affecting the design and qualification of a

mitigating structure, system, or component, and did not result in a loss of operability or

functionality; (2) did not represent a loss of system and/or function; (3) did not represent

an actual loss of function of at least a single train for longer than its allowed outage time,

or two separate safety systems out-of-service for longer than their Technical

Specification allowed outage time; and (4) did not represent an actual loss of function of

one or more non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. This finding

has a cross-cutting aspect in the area of problem identification and resolution,

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associated with the corrective action program component, because the licensee did not

thoroughly evaluate the problem, and consequently, the resolution did not identify the

extent of cause as necessary P.1(c).

Enforcement. 10 CFR Part 50, Appendix B, Criterion III, Design Control, states, in part,

that measures shall be established to assure that applicable regulatory requirements

and design bases, as defined in 10 CFR 50.2 and as specified in the license application,

for those components to which this appendix applies, are correctly translated into

specifications, drawings, procedures, and instructions. Contrary to the above, from initial

construction until present, measures established by the licensee did not assure that

applicable regulatory requirements and design bases, as defined in 10 CFR 50.2 and as

specified in the license application, for those components to which this appendix applies,

were correctly translated into specifications, drawings, procedures, and instructions.

Specifically, measures established by the licensee did not assure that the vital

switchgear ventilation system was capable of maintaining the rooms temperature below

design requirements under all design requirements. This issue does not represent an

immediate safety concern because the licensee has compensatory measures in place to

maintain room temperatures, and the licensee is developing corrective actions to resolve

this issue. Because this finding was of very low safety significance (Green) and has

been entered into the corrective action program as CR 2013-9804, this violation is being

treated as a non-cited violation consistent with Section 2.3.2.a of the NRC Enforcement

Policy: NCV 05000285/2013013-13, Failure to Incorporate Design Requirements for

Switchgear Room Cooling.

(14) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion XVI, Corrective Action, for the licensees failure to take adequate

corrective action regarding non-Category I (seismic) piping in the intake structure raw

water vault.

Description. In a letter dated September 27, 1972, the Atomic Energy Commission

(AEC) requested that the licensee determine whether the failure of any non-Category I

equipment could result in flooding or release of chemicals that could jeopardize safe

shutdown of the facility. The licensee was requested by letter, dated

December 10, 1974, to determine whether the failure of any non-Category I equipment

could result in a condition, such as flooding or the release of chemicals, that might affect

the performance of safety related equipment required for safe shutdown of the facility or

to limit the consequences of an accident. The circulating water (CW) and fire protection

(FP) systems were required to be a part of this review. The licensee re-stated in a letter,

dated February 14, 1975, that failure of the circulating water system does not affect

safety related equipment. It did not appear to the team that the licensee evaluated

piping or equipment in the intake structure. Based on the information provided by the

utility, the NRC documented in an safety evaluation, dated February 18, 1978, that the

existing plant design features provided sufficient protection from flooding which could

result from the failure of non-Category I (seismic) system and are, therefore, acceptable.

NRC Inspection Report 05000285/89-50, dated February 20, 1990, documents multiple

NRC concerns regarding loss of the raw water system. Specifically, due to the

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configuration of the installation, the potential for common-mode failure of all four raw

water pumps exists due to flooding vulnerabilities in the room. Leakage in the raw water

header located inside the room or leakage from a system located above the room could

cause the room to fill with water resulting in the loss of all four pumps. These design

concerns were not previously reported to the NRC as discussed above.

A meeting was held as documented by NRC letter to OPPD dated April 9, 1990, to

discuss these specific flooding concerns. OPPD indicated they would review these

issues and identify appropriate corrective actions. Specifically, they would: (1) review

internal flooding as an external event as part of the Individual Plant Examination /

Probabilistic Risk Assessment analysis; (2) review occurrences outside the design basis

and write a procedure to cover such an event; and (3) review the critical crack criterion

and internal flood protection and address these items in the Updated Safety Analysis

Report and/or design basis documentation.

EA90-084, Raw Water Pump Room Internal Flooding, was developed using NRC

Branch Technical Position MEB 3-1 criteria. Postulated failures of piping in the raw

water pump rooms and of the Fire Protection piping above the pump rooms was

evaluated to determine the potential for common-mode failure of all four raw water

pumps. The analysis showed that for the worst-case credible water spray effects, fully

applying branch technical position criteria results in possible scenarios for common-

mode failure of all four raw water pumps from a single postulated pipe failure. The

licensee states they are not committed to Branch Technical Position MEB 3-1.

The team raised a concern to the licensee regarding failure of non-Category I piping and

potential effects on safety related equipment in the intake structure raw water vault. This

concern was documented in CR 2013-05102. The teams specific concern regarding

non-Category I circulating water piping running through the intake structure vault and the

potential effects on the safety related raw water pumps was documented in

CR 2013-10626.

The licensee contended that since EA90-084 analyzed the effects of ruptures from

various sources the condition was acceptable. The team, however, noted that the

stations current licensing basis did not allow for non-seismic interaction with safety

related equipment, other than, as documented in the safety evaluation report issued by

the NRC in 1978. Furthermore it did not appear that the licensee had reported these

potential interaction concerns when originally requested by the Atomic Energy

Commission.

Analysis. The failure to take adequate corrective action regarding non-Category I

(seismic) piping in the intake structure raw water vault is a performance deficiency. The

performance deficiency is more than minor, and therefore a finding, as it is associated

with the design control attribute of the Mitigating Systems Cornerstone and affected the

associated cornerstone objective to ensure the availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. Using

Inspection Manual Chapter 0609, Appendix A, The Significance Determination Process

for Findings At-Power, dated July 1, 2012, this finding was determined to have very low

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safety significance (Green) because it: (1) was not a deficiency affecting the design and

qualification of a mitigating structure, system, or component, and did not result in a loss

of operability or functionality; (2) did not represent a loss of system and/or function;

(3) did not represent an actual loss of function of at least a single train for longer than its

allowed outage time, or two separate safety systems out-of-service for longer than their

Technical Specification allowed outage time; and (4) did not represent an actual loss of

function of one or more non-Technical Specification trains of equipment designated as

high safety-significance in accordance with the licensees maintenance rule program.

The finding has a cross-cutting aspect in the area of human performance associated

with the decision-making component such that the licensee demonstrates that nuclear

safety is an overriding priority. Specifically that the licensee uses conservative

assumptions in decision making and adopts a requirement to demonstrate that the

proposed action is safe in order to proceed rather than a requirement to demonstrate

that it is unsafe in order to disapprove the action H.1(b).

Enforcement. 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action, requires,

in part, that measures shall be established to assure that conditions adverse to quality,

such as failures, malfunctions, deficiencies, deviations, defective material and

equipment, and non-conformances are promptly identified and corrected. Contrary to

the above, from February 1975, through the present, the licensee failed to promptly

identify and correct a condition adverse to quality associated with non-Category I

(seismic) piping in the intake structure raw water vault. The licensees corrective actions

for this issue involved isolating and removing the piping. Because the finding was of

very low safety significance (Green) and has been entered in the corrective action

program as CRs 2013-04782, 2013-04956, 2013-09256, 2013-10626, and 2013-22090,

this violation is being treated as an non-cited violation, consistent with Section 2.3.2 of

the NRC Enforcement policy: NCV 05000285/2013013-14, Inadequate Corrective

Action for Non-Seismic Category 1 Piping.

(15) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings, associated with the

licensees failure to follow Station Procedure NOD-QP-31, Operability Determination

Process, to adequately assess and document the basis for operability when a

nonconforming condition was identified.

Description. CR 2013-13410 documents an NRC concern regarding seismic class I raw

water piping in the non-seismic service building. The licensees immediate operability

determination concluded that the raw water system was operable but nonconforming

due to being installed in a non-seismic building. The licensee determined that Abnormal

Operating Procedure - 18, Loss of Raw Water, provides guidance for the loss of raw

water and would be used to mitigate the event. Therefore, it was an analyzed event.

The licensee failed to fully assess and document the basis for operability as required by

Station Procedure NOD-QP-31. Specifically, the licensee did not determine the effect of

a ruptured 6 inch stub in the raw water system with respect to the safety function

provided by the raw water system during a design seismic event. The raw water system

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function, during a seismic event, is provided in licensee analysis EA-93-085. This EA

was not discussed in the immediate operability determination.

Additionally, the team determined that the licensees position that having procedures that

mitigate a loss of safety function implies that loosing that particular function has been

analyzed was not correct. Specifically, while the loss of raw water procedure includes

actions to implement in the event that all raw water is lost, this does not mean that the

loss of raw water is within the current licensing basis.

Analysis. The failure to adequately assess and document the basis for operability

regarding seismic raw water piping potentially interacting with the non-seismic service

building is a performance deficiency. The performance deficiency is more than minor,

and therefore a finding, as it is associated with the equipment performance attribute of

the Mitigating Systems Cornerstone and affected the associated cornerstone objective to

ensure the availability, reliability, and capability of systems that respond to initiating

events to prevent undesirable consequences. Using Inspection Manual Chapter 0609,

Appendix A, The Significance Determination Process for Findings At-Power, dated

July 1, 2012, this finding was determined to have very low safety significance (Green)

because it: (1) was not a deficiency affecting the design and qualification of a mitigating

structure, system, or component, and did not result in a loss of operability or

functionality; (2) did not represent a loss of system and/or function; (3) did not represent

an actual loss of function of at least a single train for longer than its allowed outage time,

or two separate safety systems out-of-service for longer than their Technical

Specification allowed outage time; and (4) did not represent an actual loss of function of

one or more non-Technical Specification trains of equipment designated as high safety-

significance in accordance with the licensees maintenance rule program. This finding

has a cross-cutting aspect in the area of problem identification and resolution,

associated with the corrective action program component, because the licensee did not

thoroughly evaluate the problem such that the resolutions address causes and extent of

conditions. This includes properly classifying, prioritizing, and evaluating for operability

and report ability conditions adverse to quality P.1(c).

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and

Drawings, requires, in part, that activities affecting quality shall be prescribed by

documented instructions, procedures, or drawings, of a type appropriate to the

circumstances and shall be accomplished in accordance with these instructions,

procedures, or drawings. Station Procedure NOD-QP-31, Operability Determination

Process, a procedure that is appropriate to the circumstances of evaluating the

operability of safety-related components, Step 4.3.15, required the licensee to properly

assess and document the basis for operability when a degraded or nonconforming

condition is identified. Contrary to the above, on July 8, 2013, the licensee failed to

complete activities affecting quality in accordance with prescribed procedures. The

licensee revised the operability evaluation and established a reasonable basis for

operability. Because the finding was of very low safety significance (Green) and has

been entered into the corrective action program as CRs 2013-13410 and 2013-13634,

this violation is being treated as a non-cited violation consistent with Section 2.3.2.a of

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the NRC Enforcement Policy: NCV 05000285/2013013-15, Lack of an Adequate

Operability Evaluation for Class 1 Raw Water Piping in Non-Class 1 Service Building.

(16) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures and Drawings, involving the

licensees failure to follow procedures when evaluating the impact of the removal of the

motor for raw water Pump B on the intake cell level control during a potential site flood.

Description. The licensee performed an operability determination for Corrective

Action 018 for CR 2011-10302. The operability determination was to evaluate the

operability of plant equipment related to the classification of the intake structure river

sluice gates as non-safety Class III components during the time it would take the NRC

staff to review a license amendment request. This license amendment request would

change the method of intake cell level control during a site flood from throttling the river

sluice gates to use of the modified trash rack blowdown piping in the circulating water

system.

The team reviewed the operability evaluation, and with consultation with the staff of the

Office of Nuclear Reactor Regulation, and concluded the approach used by the licensee

was acceptable until the license amendment was approved. The team further reviewed

the operability determination for its consistency to actual plant configuration. In their

review, the team identified under Section VII, Justification of Decision, that the licensee

noted that raw water Pump AC-10C, would not be available during a flood because it

had a damaged cable jacket that would allow water intrusion into the cable. The team

recalled from a recent plant walkdown that raw water Pump AC-10B was also

unavailable at that time as it had its motor removed for refurbishment.

The team recalled from previous flooding inspections that the licensees procedures

could require two available raw water pumps for intake cell level control. With remaining

raw water Pumps AC-10A and AC-10D available, the licensee met this procedural

condition. The team noted that the procedure for flooding, Procedure AOP-01, Acts of

Nature, guided operators to run only one emergency diesel generator in an effort to

meet a design requirement to maintain a 7-day fuel oil supply on site prior to a flooding

event. Further inspection by the team revealed that raw water Pumps AC-10A and

AC-10D could not be supplied by the same emergency diesel generator and hence to

run raw water Pumps AC-10A and AC-10D, two emergency diesel generators would be

required. Had a flooding event occurred at that time, the licensee could not have

operated the plant within their design and procedures for raw water and diesel generator

operations. Operators would have had to take on-the-spot actions outside their

established procedures which would not have had the benefit of forethought to ensure

other systems design and qualifications were affected. The team did not find any

discussion of this discrepancy in the operability determination.

The team determined that this was not in accordance with Procedure NOD-QP-31,

Operability Determination Process, Revision 44, which required that a positive

determination of operability must be justified, including technical discussion of why the

concern identified does not prevent the item from fulfilling its intended safety function.

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The team considered the failure to address the design conflict in the operability

determination to be a performance deficiency.

This issue did not represent an immediate safety concern and was entered into the

licensees corrective action program as CR 2013-15270.

The team noted that in September 2013, raw water Pump AC-10B was returned to

service and the concern with the operability determination was no longer applicable.

Analysis. The failure to properly assess and document the basis for operability, when a

degraded or nonconforming condition was identified, was a performance deficiency.

This performance deficiency is more than minor, and therefore a finding, because it is

associated with the equipment performance attribute of the Mitigating Systems

Cornerstone and affected the cornerstone objective to ensure the availability, reliability,

and capability of systems that respond to initiating events to prevent undesirable

consequences. Using Inspection Manual Chapter 0609, Appendix A, The Significance

Determination Process (SDP) for Findings At-Power, dated July 1, 2012, the finding

was determined to have very low safety significance (Green) because it: (1) was not a

deficiency affecting the design and qualification of a mitigating structure, system, or

component, and did not result in a loss of operability or functionality; (2) did not

represent a loss of system and/or function; (3) did not represent an actual loss of

function of at least a single train for longer than its allowed outage time, or two separate

safety systems out-of-service for longer than their Technical Specification allowed

outage time; and (4) did not represent an actual loss of function of one or more non-

Technical Specification trains of equipment designated as high safety-significance in

accordance with the licensees maintenance rule program. This finding has a cross-

cutting aspect in the area of human performance associated with the work control

component. Specifically, the team identified that the licensee failed to adequately plan

and coordinate work activities in which interdepartmental coordination was

necessary H.3(b).

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and

Drawings, requires, in part, that activities affecting quality shall be prescribed by

documented instructions, procedures, or drawings, of a type appropriate to the

circumstances and shall be accomplished in accordance with these instructions,

procedures, or drawings. Contrary to the above, on June 18, 2013, the licensee failed to

complete activities affecting quality in accordance with prescribed procedures.

Specifically, the operability determination for Corrective Action 018 for CR 2011-10302

was not performed in accordance with Procedure NOD-QP-31, Operability

Determination Process, Step 4.3.15, which required, in part, that, A positive

determination of operability must be justified, includinga technical discussion of why

the concern identified does not prevent the item from fulfilling its intended safety

function(s). This should demonstrate that the item is not exceeding its design basis

specified in the reference documents. The licensee failed to evaluate the impact of

having only two diversely powered available raw water pumps during a site flood on

shutdown cooling system operability. The licensee addressed this issue by establishing

an adequate basis for operability for the condition. Because the finding was of very low

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safety significance (Green) and has been entered into the corrective action program as

CR 2013-15270, this violation is being treated as a non-cited violation consistent with

Section 2.3.2.a of the NRC Enforcement Policy: NCV 05000285/2013013-16,

Inadequate Operability Determination Due to Failure to Consider an Unavailable Raw

Water Pump.

(17) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion III, Design Control, associated with the licensees failure to

correctly translate the acceptance limit of intake sluice gate leakage values into

procedures. Specifically, the acceptance limit from the licensees testing was applied to

1000 feet of intake level and not to the 983 to 988 feet operating band prescribed in

Section I - Flooding, of Procedure AOP-01, Acts of Nature.

Description. The team reviewed Section I, Flood, for Abnormal Operating

Procedure AOP-01, Acts of Nature, Revision 37, regarding the method and instructions

for maintaining intake structure cell level. Abnormal Operating Procedure AOP-01

instructed operators in the Instructions or left-hand column of the procedure on how to

accomplish the licensees strategy. The team noted that, per Step 4.3.8G.2 of the

Procedure FCSG-20, Abnormal Operating Procedure and Emergency Operating

Procedure Writer's Guide, Revision 10, that the expected or most likely conditions

appear in the Instructions column. Procedure FCSG-20 further described that

Contingency Actions in the right-hand column should contain guidance for exceptional

circumstances, such as failing to meet an expected condition.

The team ascertained, from review of the right-hand or Instructions column, that the

licensees strategy to maintain intake cell level was to operate one raw water pump with

all river sluice gates closed and throttle the four intake cell flood water inlet valves

(CW-323, CW-324, CW-325, and CW-326), as necessary, to maintain cell level between

983 and 988 feet. Implicit in this strategy is that the leakage of the sluice gates would be

within the capacity of the running raw water pump (or approximately 5325 gallons per

minute) when cell level was in the 983 to 988 feet control band.

The licensee informed the team that sluice gate leakage had been monitored on

May 11, 2013. The team reviewed the data from this leakage check which was

Attachment 4 to the Operability Determination for Corrective Action 018 for

CR 2011-10302. The team observed that, in this attachment, leakage had been

measured and translated to a driving head (river level minus cell level) of 14 feet. The

14 feet value was noted on the attachment to provide additional margin in determining

the acceptability of the in-leakage. On the attachment to the operability determination,

which documented the testing, the sluice gate leakage was deemed acceptable if the

leakage was within the capacity of one raw water pump with a 14 feet driving head for

leakage. The team questioned the 14 feet value because a 14 feet driving head value

would mean that the one running raw water pump could only keep up with the maximum

acceptable sluice gate leakage at a cell level of 1000 feet during a design basis

1014 feet flood.

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The team observed that the design calculation and testing for the station for intake cell

level control was between 1000 and 1014 feet, yet the implementing procedure

instructed operators to control between 983 and 988 feet. Additionally, based on the

results of the May 11, 2013, testing which was within the 1000 feet leakage acceptance

criterion, the licensee had set up a condition where implementation of their AOP-01

procedure for intake cell level control would make the Contingency Actions in the right-

hand column part of the expected spectrum and not exceptional. This condition would

be expected because the observed sluice gate leakage when translated to the

983-988 feet operating band would be in excess of the capacity of one raw water pump.

From this, the team concluded that the licensee had not properly translated the design of

intake cell level control into the implementing procedures. The team determined that this

failure was a performance deficiency.

Analysis. The failure to fully incorporate applicable design requirements was a

performance deficiency. This performance deficiency is more than minor, and therefore

a finding, because it is associated with the design control attribute of the Mitigating

Systems Cornerstone and affected the associated cornerstone objective to ensure the

availability, reliability, and capability of systems that respond to initiating events to

prevent undesirable consequences. Using Inspection Manual Chapter 0609,

Appendix G, Shutdown Operations Significance Determination Process, Attachment 1,

Checklist 4, PWR Refueling Operation: RCS level > 23' OR PWR Shutdown Operation

with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in the Pressurizer, dated May 25, 2004, the

team determined that because this finding did not increase the likelihood of a loss of

reactor coolant system inventory; did not degrade the licensees ability to terminate a

leak path or add reactor coolant system inventory, and did not degrade the licensees

ability to recover decay heat removal, this finding did not require a Phase 2 or 3 analysis

as stated in Checklist 4. Therefore, the finding is determined to have very low safety

significance (Green). This finding has a cross-cutting aspect in the area of problem

identification and resolution associated with the corrective action program component

because the licensee did not thoroughly evaluate problems such that the resolutions

address causes and extent of conditions P.1(c).

Enforcement. 10 CFR Part 50, Appendix B, Criterion III, Design Control, states, in part,

that measures shall be established to assure that applicable regulatory requirements

and the design bases, as defined in 10 CFR 50.2 and as specified in the license

application, for those components to which this appendix applies, are correctly translated

into specifications, drawings, procedures, and instructions. Contrary to the above, from

May 10, 2013, to the present, measures established by the licensee did not assure that

applicable regulatory requirements and the design bases, as defined in 10 CFR 50.2 and

as specified in the license application, for those components to which this appendix

applies, were correctly translated into specifications, drawings, procedures, and

instructions. Specifically, the acceptance limit from the licensees testing was applied to

1000 feet of intake level and not to the 983 to 988 feet design operating band prescribed

in Section I - Flooding, of Procedure AOP-01, Acts of Nature. This issue did not

represent an immediate safety concern. Because the finding was of very low safety

significance (Green) and has been entered into the corrective action program as

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CR 2013-15287, this violation is being treated as a non-cited violation, consistent with

Section 2.3.2.a of the NRC Enforcement Policy: NCV 05000285/2013013-17, Failure to

Translate Design Sluice Gate Leakage Into Operating Procedures.

(18) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings, for the licensee's

failure to maintain an adequate procedure for site flooding.

Description. The team reviewed Procedure AOP-01, Acts of Nature, Revision 37,

Section I, Flood. Procedure AOP-01,Section I, Step 9.g, directed operators to

maintain intake cell level between 983 and 988 feet by adjusting the four intake cell flood

water inlet valves (CW-323, CW-324, CW-325, and/or CW-326) which were recently

installed on the trash rack blowdown piping as part of a permanent modification.

Step 9.g had a contingency action in the right hand column which contained a

typographical error that led to it being numbered as Contingency Action Step 9.h. The

team pointed out the typographical discrepancy, which was not in accordance with the

licensees abnormal operating procedure writing guidance. Step 9.h.1 detailed the

contingency action to be taken if operators were unable to maintain cell level less than

988 feet.

The team noted that the need for enacting the contingency action for being unable to

maintain cell level less than 988 feet was a plausible condition based on the most recent

measurement by the licensee of sluice gate leakage. The team noted that on

May 11, 2013, the licensee measured the sluice gate leakage to be 2277 gallons per

minute. This measurement was made with a driving head (the difference between river

level and cell level) of 3.36 feet. The team translated this leakage to the driving head for

what would be expected under design flood conditions (1014 feet river level and a

983-988 feet control band) and determined leakage would be greater than 6000 gallons

per minute. This value was greater than the capacity of one raw water pump which was

the operating configuration prescribed earlier in the flooding procedure.

Since level would be expected to exceed 988 feet due to sluice gate leakage, operators

would then close the four intake cell flood water inlet valves (CW-323, CW-324, CW-325,

and CW-326). Contingency Action 9.h.1 would then have the operators close the

isolation valves for the four intake cell flood water inlet valves (CW-327, CW-328,

CW-329, and CW-330). The team concluded that since these valves would only serve

to stop any flow through the trash rack blowdown piping and not the sluice gate leakage,

intake cell level would still not be able to be maintained less than 988 feet and

Contingency Action 9.h.2 would need to be employed.

Contingency Action 9.h.2 instructs operators to start additional raw water pumps until the

water level starts to fall if cell level is not able to be maintained less than 988 feet. The

team concluded that this was a viable strategy to lower water level, but questioned the

lack of specificity, particularly in not delineating qualitative and quantitative acceptance

criteria, in the procedure from that point on to ensure intake cell level would be

adequately maintained. The team noted that a specific level band was not called out

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and direction on how to maintain that level band was not called out (whether by starting

and securing raw water pumps or operating the intake cell flood water inlet valves).

The team, therefore, considered the procedure to be inadequate. Operators placed in

those conditions would have to make an on-the-spot decision on how to proceed without

the benefit of appropriate procedural guidance.

Analysis. The licensees failure to maintain an adequate procedure for maintaining

intake cell level during a flood was a performance deficiency. This performance

deficiency is more than minor, and therefore a finding, because it is associated with the

procedure quality attribute of the Mitigating Systems Cornerstone and affected the

associated cornerstone objective to ensure the availability, reliability, and capability of

systems that respond to initiating events to prevent undesirable consequences. Using

Inspection Manual Chapter 0609, Appendix G, Shutdown Operations Significance

Determination Process, Attachment 1, Checklist 4, PWR Refueling Operation: RCS

level > 23' OR PWR Shutdown Operation with Time to Boil > 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and Inventory in

the Pressurizer, dated May 25, 2004, the finding is determined to have very low safety

significance (Green) because: (1) the finding did not increase the likelihood of a loss of

reactor coolant system inventory; (2) did not degrade the licensees ability to terminate a

leak path or add reactor coolant system inventory; and (3) did not degrade the licensees

ability to recover decay heat removal. This finding did not require a Phase 2 or 3

analysis as stated in Checklist 4. This finding has a cross-cutting aspect in the area of

problem identification and resolution associated with the corrective action program

component because the licensee did not thoroughly evaluate problems such that the

resolutions address causes and extent of conditions P.1(c).

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and

Drawings, requires, in part, that instructions, procedures, or drawings shall include

appropriate quantitative or qualitative acceptance criteria for determining that important

activities have been satisfactorily accomplished. Contrary to the above, prior to

June 20, 2013, the licensee failed to provide instructions, procedures, or drawings which

included appropriate quantitative or qualitative acceptance criteria for determining that

important activities have been satisfactorily accomplished. Specifically, the licensee

failed to include criteria for instructing operators on how to proceed if steps taken to

maintain intake cell level less than 988 feet were unsuccessful. This issue did not

represent an immediate safety concern. Because the finding was of very low safety

significance (Green) and has been entered into the corrective action program as

CR 2013-15289, this violation is being treated as a non-cited violation, consistent with

Section 2.3.2.a of the NRC Enforcement Policy: NCV 05000285/201313-18,

Inadequate Procedure for Intake Cell Level Control During a Flooding Event.

(19) Introduction. The team identified a Green, non-cited violation of License Condition 3.D,

Fire Protection Program, for the failure to translate Appendix R license exemptions into

the fire protection program design. Specifically, the licensee failed to translate the

exemption from 10 CFR Part 50, Appendix R Section III.G that was granted July 3, 1985,

for the intake structure Fire Area 31 into a design that met those exemptions.

- 92 -

Description. The licensees fire protection program was defined in the Updated Safety

Analysis Report and NRC safety evaluation reports. Section 9.11.1 of the Updated

Safety Analysis Report describes the fire protection system design basis and states, in

part, that the design basis of the fire protection system includes commitments to

10 CFR Part 50, Appendix R, Sections III.G, III.J, and III.O. Section 9.11.4.5 of the

Updated Safety Analysis Report documented that descriptions of plant design and

construction features for the fire protection program were contained in the Fort Calhoun

Station Fire Hazards Analysis and Safe Shutdown Analysis. FHA-EA97-001, Fire

Hazards Analysis (FHA) Manual, Revision 16, Section 8.2.5 stated, in part, that a fire in

Fire Area 31, cable for raw water Pump AC-10B (EB-67, EB-7309, EA-7306, and

EB-7307) have been encased in a 2-inch thick Pyrocrete enclosure located above the

circulating water pumps. In a letter, Request for Exemptions from Various

Requirements of 10 CFR Part 50, Appendix R, Fire Protection Program for Nuclear

Facilities, dated August 30, 1983, under Section III, Fire Area 31, Part B, in Exemption

Request, the licensee states, in part, that the District request an exemption from the

requirements of Section III.G of Appendix R. Specifically, exemption is requested from

the requirements that one pump and associated cables be completely enclosed in a

1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> fire barrier enclosure and that complete, area-wide fire detection and suppression

systems be provided for Fire Area 31. In Section (1), of this same section, it states in

part, The components necessary for cold shutdown in this fire area are the raw water

Pumps AC-10A, B, C, and D. Power cables EA66, EB67, EC68, and ED69 for these

pumps are located in this area. A Pyrocrete enclosure has been installed (details of

which were transmitted to the Commission with our July 9, 1979 submittal) to protect the

cables for Pumps AC-10A and AC-10B from any credible fire. The intake structure has

fire detectors but does not have automatic fire suppression, and therefore, does not

meet the requirements of having both fire detection and automatic fire suppression.

Therefore, the licensee applied for an exemption with the above described enclosure

providing protection for both raw water Pumps AC10-A and AC-10B cables.

The NRC in its July 3, 1985 letter to the licensee (NRC-85-200), which references the

August 30, 1983 letter, responded to the license exemption request. In the evaluation

under Intake Structure and Pull Boxes (Fire Area 31) it states in part, In the Intake

Structure, if a fire were to occur at the raw water pumps, it would be detected in its initial

stages by the existing fire detectors. The fire brigade would then be summoned and

would affect fire extinguishment using manual hose stations or portable fire

extinguishers. During the time delay, associated with the arrival of the fire brigade, two

of the pumps would be shielded from the effects of the fire by the concrete wall. In

addition, smoke and heat from the fire would be vented upward and away from the

pumps. Therefore, a complete 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> fire-rated barrier is not necessary to provide

reasonable assurance that at least two pumps will remain free of fire damage. Based

upon the above evaluation, the staff concludes that the existing fire protection provides

an equivalent level of safety to that achieved by compliance with Section III.G.

Therefore, the licensees request for exemption for the intake structure and pull boxes is

granted.

During walk down of the intake structure and review of the cable/conduit routing

drawings associated with the intake structure, inspectors observed that there are two

- 93 -

pull boxes associated with raw water Pump AC-10B that are enclosed in a pyrocrete

barrier. The pull boxes associated with AC-10B are PB-94T, which contains

cable EB67, the 4.16 kV motor lead cabling for AC-10B and PB-93T, which contains

cables EB7307, EB7309, and EB7314 low voltage control and power leads for discharge

and isolation valves associated with AC-10B. The pull boxes associated with AC-10A

are PB-91T, which contains cable EA66, the 4.16 kV motor lead cabling for AC-10A and

PB-92T. Only one pull box associated with raw water Pump AC-10A is enclosed in a

pyrocrete barrier and that is PB-92T, which contains cables EA7302, EA7306, and

EA7313 that are low voltage control and power leads for discharge and isolation valves

associated with AC-10A. Pull Box 91T, which contains cable EA66, the 4.16 kV motor

lead cabling for AC-10A is not enclosed in the pyrocrete barrier and is also not shown to

be enclosed in the fire barrier on the drawings. The drawings and the in situ equipment

conditions match but neither conforms to the license exemption conditions since the

motor lead cables associated with AC-10A are not enclosed in the pyrocrete barrier, and

therefore, are not protected as stated by OPPD in the August 30, 1983, Request for

Exemption, letter to the Commission.

Analysis. The failure to translate Appendix R license exemptions into the fire protection

program design is a performance deficiency. This performance deficiency was more

than minor, and therefore a finding, because it was associated with the protection

against external factors attribute of the Mitigating Systems Cornerstone and affected the

associated objective to ensure availability, reliability, and capability of systems that

respond to initiating events to prevent undesirable consequences. Using Inspection

Manual Chapter 0609, Appendix F, Fire Protection Significance Determination

Process, dated September 20, 2013, Step 1.3, the team determined that the reactor

would have been able to reach and maintain cold shutdown, therefore, this finding was

determined to have very low safety significance (Green). There was no cross-cutting

aspect assigned to this finding because the original license exemption request and grant

was over 3 years ago and this issue does not reflect present licensee performance.

Enforcement. License Condition 3.D, Fire Protection Program, requires, in part, that

the licensee implement and maintain in effect all provisions of the approved Fire

Protection Program as described in the Updated Safety Analysis Report and as

approved in NRC safety evaluation reports. Section 9.11.1 of the Updated Safety

Analysis Report describes the fire protection system design basis and states, in part,

that the design basis of the fire protection systems includes commitments to

10 CFR Part 50, Appendix R, Section III.G. Contrary to the above requirement, from

July 1983 until present, the licensee failed to implement and maintain in effect all

provisions of the approved Fire Protection Program, which included the exemption that

was granted in July 1983. Specifically, the licensee failed to translate Appendix R

exemptions into a fire protection program design that met the requirements of the

exemptions granted. This issue did not represent an immediate safety concern.

Because this violation was of very low safety significance (Green) and has been entered

into the corrective action program as CR 2013-15021, this violation is being treated as a

non-cited violation, consistent with Section 2.3.2.a of the NRC Enforcement Policy:

NCV 05000285/2013013-19, Failure to Translate Appendix R License Exemptions into

the Plants Fire Protection Program Design.

- 94 -

(20) Introduction. The team identified a cited Severity Level IV violation of 10 CFR 50.9,

Complete and Accurate Information, and an associated reactor oversight process

finding (NCV 05000285/2013013-19, Failure to Translate Appendix R License

Exemptions into the Plants Fire Protection Program Design), for the licensees failure to

provide information to the Commission that was complete and accurate in all material

respects.

Description. On February 4, 2008, the licensee submitted a letter, Request for

Exemption from Requirements of 10 CFR Part 50, Appendix R, Section III.G.1.b for Fire

Area 31 at the Fort Calhoun Station, to the Commission requesting an exemption from

the requirements of 10 CFR Part 50, Appendix R, Section III.G.1.b for the intake

structure (Fire Area 31).

This exemption request was meant to address an issue with a previous Appendix R

exemption, and two non-cited violations regarding not having the procedures and

materials available in order to make repairs to cold shutdown equipment within 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br />.

Specifically, NCV 05000285/2004003-03, Failure to Provide Fire Protection Features for

Components Important to Achieve and Maintain Cold Shutdown, and Example 3 of

NCV 05000285/2005008-06, Failure to Take Prompt Corrective Action for Fire

Protection Program Deficiencies, were issued to the station and while reviewing

NCV 05000285/2005008-06, the licensee determined that the facilities Safety Evaluation

Report, dated July 3, 1985, Exemption Requests for the Fort Calhoun Station, Unit

NO. 1 10 CFR PART 50, Appendix R, Fire Protection Program for Nuclear Power

Facilities Operating Prior to January 1, 1979, incorrectly referenced Section III.G.2 and

subsequently, provided exemption from 10 CFR Part 50, Appendix R, Section III.G.2, for

the cables at the intake structure building and at the auxiliary building pull boxes. The

licensee noted that the requirements of 10 CFR Part 50, Appendix R, Section III.G.2, are

for equipment necessary for hot shutdown and the raw water system is credited to

support cold shutdown functions for post-fire safe shutdown analysis. Therefore,

Section III.G.2 was not applicable to Fire Area 31, and an exemption request needed to

be submitted to request exemption from the requirements of 10 CFR Part 50,

Appendix R,Section III.G.1.b. in lieu of Section III.G.2.

The licensee subsequently requested exemption from 10 CFR Part 50, Appendix R,

Section III.G.1.b and the 72-hour requirement to provide repair procedures and materials

for cold shutdown capability for redundant cold shutdown components, noting that,

OPPD currently has an approved exemption for the cable configuration at the auxiliary

building pull boxes and at the intake structure building. However, the cables between

these locations are not specifically discussed in that exemption. Therefore, this

exemption request is to specifically address the cables in the duct bank and manhole

vaults that are routed between the pull boxes and the intake structure building.

In a teleconference on September 25, 2008, the NRC provided additional clarification to

information that was being sought in review of the request for exemption. The NRC

requested the licensee to, confirm that the pyrocrete enclosures were in place to protect

the cables for raw water Pumps AC-10A and AC-10B from fire in the intake structure

- 95 -

building. This request was based upon information that was provided by OPPD in the

August 31, 1983, letter to the Commission in OPPDs original request for exemption from

Appendix R requirements which stated that, a pyrocrete enclosure has been installed

(details of which were transmitted to the Commission with our July 9, 1979 submittal) to

protect the cables for Pumps AC-10A and AC-10B from any credible fire.

The verbal request was subsequently communicated to the licensee by email

(ML083360264) as a Request for Additional Information (RAI). Request for Additional

Information 3 stated:

Clarify and confirm that the types of combustibles have not changed and total

combustible loading in the intake structure building has not increased, and that

there is no change in active and passive fire protection features as last described

in your letter dated August 30, 1983. If there is a change in the types of

combustibles or there is an increase in combustible load or change in fire

protection features in the intake structure building, the staff requests that the

OPPD provide details and a basis for why the change remains acceptable. Also

confirm that the pyrocrete enclosure is in place to protect the cables for raw

water Pumps AC-10A and AC-10B from fire in the intake structure building.

On October 13, 2008, the licensee submitted a letter, Response to Request for

Additional Information Concerning Exemption from Requirements of 10 CFR Part 50,

Appendix R,Section III.G.1.b. for Fire Area 31 at the Fort Calhoun Station, to respond

to the request for additional information documented in ML083360264. The licensees

response to Request for Additional Information 3 stated, in part:

The pyrocrete enclosure remains in place to protect cables associated with

AC-10A and AC-10B from a fire in the intake structure. This enclosure is

inspected by a fire barrier surveillance test on an 18-month interval.

In a letter dated February 6, 2009, Fort Calhoun Station, Unit NO.1 - Exemption From

the Requirements of 10 CFR Part 50, Appendix R, Section III.G.1.b, the NRC granted

an exemption from the specific requirements of Section III. G.1.b of 10 CFR Part 50,

Appendix R, for the Fort Calhoun Station based upon its review and evaluation of the

information provided in the licensees exemption request and response to NRC staff

request for additional information questions.

While performing a walk down of the intake structure the team observed that Pull

Box 91T, which contains the 4.16 kV motor leads for Pump AC-10A, was not protected

by a pyrocrete enclosure like the 4.16 kV motor leads for Pump AC-10B. Therefore, only

raw water Pump AC-10B is protected from a fire in the intake structure.

Analysis. The failure to provide the NRC with complete and accurate information when

responding to a request for additional information was a performance deficiency. Using

Inspection Manual Chapter 0612, Appendix B, Issue Screening, Figure 1, dated

September 7, 2012, the team determined that the failure to provide complete and

accurate information was a performance deficiency that required evaluation under both

- 96 -

traditional enforcement and the reactor oversight program. The performance deficiency

was determined to be more than minor because: (1) the information was considered

material to the NRCs decision making process; and (2) it affected the equipment

performance attribute of the Mitigating Systems Cornerstone with regard to availability,

reliability, and capability of the raw water pumps to perform their safety function during a

fire in the intake structure. Using Inspection Manual Chapter 0609, Appendix F, Fire

Protection Significance Determination Process, the team determined the finding to have

very low safety significance (Green) because it only affected the ability to reach and

maintain cold shutdown conditions. Under the traditional enforcement review, the team

determined that in accordance with Section 6.9.c.1 of the NRC Enforcement Policy, this

finding represented a Severity Level III violation. Specifically, the team determined that

if this information had been completely and accurately provided, it would likely have

caused the NRC to undertake a substantial further inquiry. The NRC takes the issue of

complete and accurate license submittals very seriously. For this reason, the NRC

considered citing this as a Severity Level III violation, as discussed in the Enforcement

Policy, since the NRC had approved a licensing action based on the incorrect

information. However, after consideration by NRC management, and with the approval

of the Director of the Office of Enforcement, it was determined that a Severity Level IV

cited violation was appropriate. This decision was based on the very low safety

significance (Green) of the associated reactor oversight process finding

(05000285/2013013-19). There was no cross-cutting aspect assigned to this finding

because the inaccurate information was provided over three years ago and this issue

does not reflect present licensee performance.

Enforcement. 10 CFR Part 50.9, "Completeness and Accuracy of Information," requires,

in part, that information provided to the NRC by a licensee shall be complete and

accurate in all material aspects. Contrary to the above, the licensee responded to an

NRC request for additional information in a letter dated October 13, 2008, with

information that was not complete and accurate in all material respects. Specifically, the

licensee stated that the pyrocrete enclosure remains in place to protect the cables

associated with AC-10A and AC-10B from a fire in the intake structure when, in fact, the

motor lead cables associated with raw water Pump AC-10A are not enclosed in the

pyrocrete enclosure. This violation was entered into the corrective action program as

CR 2013-15021. VIO 05000285/2013013-20, Failure to Provide Complete and

Accurate Information to the NRC.

(21) Introduction. The team identified a Green, non-cited violation of 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings, for the licensees

failure to document the extent of condition review for a number of root cause analyses in

accordance with corrective action program procedures. Specifically, during the course

of the inspection, the team identified four examples where the licensee did not follow

Station Procedure FCSG-24-4, Condition Report and Cause Evaluation, and as a

result did not evaluate the extent to which the actual conditions existed with other plant

processes, systems, equipment, or human performance related activities.

Description. The team identified several instances where the licensee did not follow the

corrective action program Station Procedure FCSG-24-4, Condition Report and Cause

- 97 -

Evaluations. Specifically, the team identified four root cause analyses where the

licensee did not identify other applicable plant processes, systems, equipment, or human

performance related activities where the actual condition of the problem statement could

exist. Since the extent of condition review is supposed to identify further deficiencies,

and since corrective actions shall be planned to resolve those additional deficiencies (in

accordance with Station Procedure FCSG-24-4), the licensee did not enter them into the

corrective action program to ensure timely correction.

The following is a summary of the identified performance deficiencies with the

references to the specific sections of the report where the issues are further described.

1. In RCA 2013-05570, Design and Licensing Bases Configuration Control, the

licensees extent of condition review did not provide sufficient in-depth analysis

and did not list the processes encompassed by the design and licensing bases.

The team noted that since other processes are significantly impacted by this

problem, including them as part of the review would have generated corrective

actions associated with each specific process. For instance, processes such as

operability determination, 50.59 Reviews, configuration control (tagging), design,

vendor modifications, work control, Surveillance program, preventive

maintenance process, and nondestructive examination would be impacted by the

licensees failure to maintain adequate configuration control of the structures,

systems, components or activities, in accordance with, 10 CFR Part 50,

Appendix B.

2. In RCA 2013-02857, "HELB/EEQ Not in Accordance with 10 CFR 50.59, the

same-same review, which is part of the extent of condition review, consisted of

other engineering programs at Fort Calhoun Station that are required by the

Code of Federal Regulations (CFR) to be maintained current. The team noted

that the RCA included some of the programs that were required to be maintained

per the CFR but did not include 10 CFR Part 50, Appendix B, programs such as

Nuclear Oversight, Quality Control, or commercial grade dedication programs.

Since these programs require significant engineering and technical reviews, and

are CFR required programs that needs to be maintained current, these were

programs that should have been incorporated into the extent of condition review.

3. In RCA 2013-01796, "Unanalyzed Small Bore Piping Supports RCA," the similar-

similar review, which is part of the extent of condition review, consisted of safety

and non-safety related large bore piping. The licensee stated that the reason for

concluding, that there is no extent of condition, was that large bore piping at Fort

Calhoun Station was designed by computer analysis and not the generic

nomograph and eyeball method. Additionally, the licensee stated that this

piping was verified by inspection in response to IEB 79-14. The team noted that,

based on the errors identified in previous engineering assumptions and

calculations, the issues identified in the area of design and licensing basis

maintenance and corrective action program root cause, as well as issues

documented regarding thermal and cyclical fatigue analysis on Class I and II

- 98 -

piping, that large bore piping would have also been impacted in the extent of

condition review.

4. In RCA 2012-01947, Containment Integrity Issues with Electrical Penetration

Assemblies Containing Teflon, the licensee did not perform a timely extent of

condition review. Specifically, the extent of condition review associated with

containment electrical penetrations with Teflon was performed, but was delayed

due to core reload priorities.

Analysis. The failure to follow the requirements of Station Procedure FCSG-24-4, when

documenting extent of condition reviews in multiple root cause analyses, was a

performance deficiency. The performance deficiency was more than minor, and

therefore a finding, because if left uncorrected the failure to perform extent of condition

reviews could lead to a more significant safety concern. Specifically, the failure to

identify and address additional conditions adverse to quality in the extent of condition

review, has the potential to lead to a failure to recognize potentially degraded and non-

conforming equipment in a timely manner. This finding was associated with the

Mitigating Systems Cornerstone. Using Inspection Manual Chapter 0609, Appendix G,

Shutdown Operations Significance Determination Process, Checklist 4, PWR

Refueling Operation: RCS level >23 or PWR Shutdown Operation with Time to Boil > 2

hours and Inventory in the Pressurizer, dated May 25, 2004, the team determined that

the finding was of very low safety significance (Green) because the finding did not

require a quantitative risk assessment because adequate mitigating equipment remained

available. The team determined the Green finding had a cross-cutting aspect in the area

of problem identification and resolution because the licensee failed to thoroughly

evaluate problems such that the resolutions address the causes P.1(c).

Enforcement. 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures and

Drawings, requires, in part, that activities affecting quality shall be prescribed by

documented instructions, procedures, or drawings of a type appropriate to the

circumstances and shall be accomplished in accordance with these instructions,

procedures, or drawings. Contrary to the above, in three instances in 2013 and one

instance in 2012, the licensee failed to follow the corrective action program Station

Procedure FCSG-24-4, Condition Report and Cause Evaluations. Specifically, the

team identified four instances where the licensee, during the extent of condition review,

did not identify other applicable plant processes, systems, equipment, or human

performance-related activities where the actual condition of the problem statement in the

root cause analysis could exist. The licensee has entered these issues into their

corrective action program under several condition reports as described in this report.

Because this finding was determined to be of very low safety significance and has been

entered into the licensees corrective action program, this performance deficiency is

being treated as a non-cited violation consistent with Section 2.3.2.a of the NRC

Enforcement Policy: NCV 5000285/2013013-21, Failure to Perform Adequate Extent of

Condition Reviews.

(22) Introduction. The team identified a unresolved item associated with

Calculation FC07234, Evaluation of Shutdown Cooling Mode Temperature and

- 99 -

Pressure Increase on the SI System Piping and Pipe Supports. Specifically, the team is

concerned with the methods used in the calculation which utilize ASME Section III

requirements, but the plant is licensed to USAS B31.7 1968. In addition, the station is

licensed to use, Alternate Seismic Criteria Methodologies (ASCM), but additional

evaluation is required if a support or anchor is displaced more than 1/16 of an inch per

the SER issued by the NRC and Calculation FC07234 only performed an evaluation

when displacement exceeded 1/8 of an inch, per criteria established by a vendor

memorandum.

Description. The Fort Calhoun Stations original code of record for safety-related piping

is USAS B31.7, Nuclear Power Piping, 1968 Draft Edition. The licensee reclassified a

number of systems and piping in the early 1990s. In addition, because of the

reclassification of some Class I piping to Class II piping, fatigue analysis was not

performed on some safety related systems. The licensee reconciled the code of

construction for some safety related systems to newer ASME Section III code, which

requires a fatigue analysis for Class II piping, but because the plant is licensed to

USAS B31.7, no analysis was completed. The NRC issued a safety evaluation allowing

the Fort Calhoun Station to utilize alternate seismic monitoring criteria (ASCM) but

stated additional evaluation was required if a support is displaced more than 1/16 of an

inch. This safety evaluation was issued in April 1993.

The team reviewed Station Calculation FC07234, Evaluation of Shutdown Cooling

Mode Temperature and Pressure Increase on the SI System Piping and Pipe Supports,

and noted that a vendor had performed this calculation utilizing criteria that deviated

from the ASCM acceptance criteria. Specifically, the vendor used one of their internal

memoranda, dated May 1979, to accept support displacement not exceeding 1/8 of an

inch without evaluating the deviation as required by the ASCM safety evaluation. In

addition, Station Calculation FC07234 identified some piping support stress allowables

that were exceeded and needed additional vendor evaluation, but the only vendor

evaluation noted was an email, with no justification or explanation why the loading on the

SI-1A/B pumps and nozzles were acceptable. There were additional supports that

exceeded their stress allowables but no additional evaluation is noted in the calculation.

Additional information is required to determine if Station Calculation FC07234 is

adequate and fully supports operability evaluations for SI-1A/B pumps (High Head

Safety Injection) and nozzles, AC-4A/B heat exchanger (Shutdown Cooling Heat

exchangers) supply lines, high pressure safety injection and accumulator discharge

piping, and the wall penetration bellows shown on Drawing IC-189. In addition, the open

question regarding Class I and II reclassification that occurred in the 1990s needs to be

reviewed to ensure that the right classification is applied to the Class I systems and that

all of the thermal fatigue analysis, that is required, is completed.

Additional NRC inspection is necessary to determine if Station Calculation FC07234 is

adequate. The team considered this to be an unresolved item,

URI 05000285/2013013-22, Shutdown Cooling Piping and Pipe supports

Calculation Has Incorrect Acceptance Criteria for Anchor Displacement.

- 100 -

4OA6 Meetings, Including Exit

Exit Meeting Summary

On September 20, 2013, the team presented the inspection results in an on-site debrief to

Mr. Louis P. Cortopassi, Vice President and Chief Nuclear Officer, and other members of the

licensee staff. The licensee acknowledged the issues presented.

On February 18, 2014, the team presented the inspection results by conference call to

Mr. Terrance Simpkin, Manager, Site Regulatory Assurance, and other members of the licensee

staff. The licensee acknowledged the issues presented.

The team acknowledged that some of materials examined during the inspection were

considered proprietary and controlled accordingly.

- 101 -

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee Personnel

J. Adams, Principle Engineer Design Engineering (Retired Supplemental Worker)

D. Bakalar, Manager, Site Security

W. Beck, Exelon, Quad Cities RAM

J. Bonsum, EPM

B. Cable, Nuclear Safety Culture Coordinator

C. Cameron, Supervisor Regulatory Compliance

J. Cate, Supervisor, Nuclear Engineering

L. Cortopassi, Site Vice President

D. Digiacinto, Senior Nuclear Design Engineer Electrical/I&C

M. Doghman, VP Energy Delivery

K. Erdman, Supervisor, Engineering Programs

M. Ferm, Manager, Site Performance Improvement

M. Frans, Manager, Engineering Programs

R. Gaston, Licensing Manager

M. Greeno, NRC Inspection Readiness Team Contractor

R. Hall, GNJ Recovery Director

J. Hansen, VP OPPD

W. Hansher, Supervisor, Nuclear Licensing

R. Haug, Senior Consultant

M. Hirschfeld, Senior Organization Development Consultant

K. Ihnen, Manager, Manager, Site Nuclear Oversight

R. Hugenroth, Supervisor, Nuclear Assessments

J. James, Manager, Outage

R. King, Director, Site Maintenance

K. Kingston, Chemistry Manager/Nuclear Safety Culture Advocate

J. Kuzela, Control Room Supervisor

J. Lindsey, Training Director

T. Maine, Manager, Radiation Protection

T. Masne, RPM

E. Matzke, Senior Licensing Engineer

J. McManis, Manager, Projects

S. Miller, Manager, Design Engineering

V. Naschansy, Director, Site Engineering

B. Obermeyer, Manager, CAP

P. ONeil, Senior Consultant, NWI Consulting, Inc.

T. Orth, Director, Site Work Management

A. Pallas, Manager, Shift Operations

M. Prospero, Division Manager, Plant Operations

J. Rainey, Human Resources Business Partner

B. Rash, Recovery Lead

K. Root, Regulatory

-1- Attachment 1

R. Short, Manager, Recovery

T. Simpkin, Manager, Site Regulatory Assurance

M. Smith, Manager, Operations

S. Swanson, Operations Director

K. Wells, Nuclear Design Engineer Design Electrical/I&C

J. Wiegand, Manager, Operations Support

G. Wilhelmsen, Exelon Nuclear Partners

J. Zagata, Reliability Engineer

LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

05000285/2013013-20 NOV Failure to Provide Complete and Accurate Information to the

NRC (Section 4OA4)05000285/2013013-22 URI Shutdown Cooling Piping and Pipe Supports Calculation Has

Incorrect Acceptance Criteria for Anchor Displacement

(Section 4OA4)

Opened and Closed

05000285/2013013-01 NCV Failure to Complete all Testing for a Condition Adverse to

Quality (Section 4OA4)05000285/2013013-02 NCV Failure to Furnish Evidence of an Activity Affecting

Quality(Section 4OA4)05000285/2013013-03 NCV Failure to Evaluate Changes to Ensure They Did Not Require

Prior Approval (Section 4OA4)05000285/2013013-04 NCV Failure to Submit Licensee Event Report (Section 4OA4)05000285/2013013-05 NCV Inadequate Corrective Actions to Prevent Repetition of a

Significant Condition Adverse to Quality, a White MSPI SSFF

Degrading Trend (Section 4OA4)05000285/2013013-06 NCV Failure to Control Deviations From the Design Basis

Requirements for Structural Calculations Related to the

Reactor Coolant System (Section 4OA4)05000285/2013013-07 NCV Programmatic Failure to Evaluate Safety Impact of Degraded

Conditions During Use of Interim Operability Criteria

(Section 4OA4)05000285/2013013-08 NCV Failure to Correct Overstressed Components (Section 4OA4)05000285/2013013-09 NCV Non-conservative Criteria in Operability Procedure

(Section 4OA4)05000285/2013013-10 NCV Failure to Follow Operability Procedure (Section 4OA4)

-2-

Opened and Closed

05000285/2013013-11 NCV Failure to Evaluate the Effects of Modifying the Turbine Driven

Auxiliary Feedwater Pump (Section 4OA4)05000285/2013013-12 NCV Failure to Perform Adequate Operating Experience

Reviews(Section 4OA4)05000285/2013013-13 NCV Failure to Incorporate Design Requirements for Switchgear

Room Cooling (Section 4OA4)05000285/2013013-14 NCV Inadequate Corrective Action for Non-Seismic Category 1

Piping (Section 4OA4)05000285/2013013-15 NCV Lack of an Adequate Operability Evaluation for Class 1 Raw

Water Piping in Non-Class 1 Service Building (Section 4OA4)05000285/2013013-16 NCV Inadequate Operability Determination Due to Failure to

Consider an Unavailable Raw Water Pump (Section 4OA4)05000285/2013013-17 NCV Failure to Translate Design Sluice Gate Leakage Into

Operating Procedure (Section 4OA4)05000285/2013013-18 NCV Inadequate Procedure for Intake Cell Level Control During a

Flooding Event (Section 4OA4)05000285/2013013-19 NCV Failure to Translate Appendix R license Exemptions into the

Plants Fire Protection Program Design (Section 4OA4)05000285/2013013-21 NCV Failure to Perform Adequate Extent of Condition Reviews

(Section 4OA4)

Closed

05000285-2012-002-00 LER Inadequate Qualifications for Containment Penetrations

Renders Containment Inoperable

05000285-2012-006-00 LER Operation of Component Cooling Pumps Outside of the

Manufacturers Recommendation

05000285-2012010-01 LER Fire Causes a Circuit Breaker to Open Outside Design

Assumptions

05000285-2012-016-00 LER Unanalyzed Charging System Socket Welds to the Reactor

Coolant System

05000285-2012-018-00 LER Containment Air Cooling Units Operated Outside of Technical

Specification during Cycle 26

05000285-2013-006-00 LER Low Pressure Safety Injection and Containment Spray Pumps

Mechanical Seals05000285/2012010-01 VIO Failure to Ensure that the 480 Vac Electrical Power

Distribution System Design Requirements were Implemented

and Maintained

-3-

Closed

05000285-2012-002-00 LER Inadequate Qualifications for Containment Penetrations

Renders Containment Inoperable

05000285-2012-006-00 LER Operation of Component Cooling Pumps Outside of the

Manufacturers Recommendation

05000285/2012007-02 VIO Failure to Maintain Command and Control Function During

Fire Fighting Activities in the Protected Area

05000285/2012004-04 VIO Failure to Ensure Breaker Coordination of 480 VAC Electrical

Power Distribution System Was Maintained

LIST OF DOCUMENTS REVIEWED

Section 4OA4: IMC 0350 Inspection Activities (92702)

PROCEDURES

NUMBER TITLE REVISION / DATE

NOD-QP-28 Safety Enhancement Program

PED-QP-13 Design Basis Document Control

PB-1 Writers Guide for Plant Level Design Basis

Documents

SG-1 Writers Guide for System Design Basis Documents

QAM-12 Quality Assurance Audit Scheduling

SO-G-21 Modification Control

PAP Procedure Administration Program

NPM-1.00 Nuclear Safety 5

NPM 2.04 Establishing and Maintaining a Safety Conscious 4

Working Environment

NPM 2.04 Establishing and Maintaining a Safety Conscious 5

Working Environment

FCSG-62 Site Nuclear Safety Culture Process 5

TBD-EPIP-OSC-1A Recognition Category A, Abnormal Rad 2

Levels/Radiological Effluent

EPIP-EOF-6 Dose Assessment 46

PBD-19 Electrical Equipment Qualification Program 4

PED-QP-15 Electrical Equipment Qualification Program 12

-4-

PROCEDURES

NUMBER TITLE REVISION / DATE

00314218-01 Flow Path Verification of Auxiliary Feedwater December 11, 2009

System

IC-CP-01-1368 Calibration of Auxiliary Feedwater Pump FW-6 13

Flow Loop F-1368

IC-CP-01-1369 Calibration of Auxiliary Feedwater Pump FW-10 10

Flow Loop F-1369

OP-ST-AFW-3009 Auxiliary Feedwater Pump FW-6 Steam Isolation 21

Valve, and Check Valve Tests

OP-ST-AFW-3011 Auxiliary Feedwater Pump FW-10 Steam Isolation 14

Valve, and Check Valve Tests

AOP-30 Emergency Fill of Emergency Feedwater Storage 11

Tank

MGT-12-10 Safety Conscious Work Environment Training September 2012

Slides

MGT-12-12 Safety Conscious Work Environment Training Fall 2012

Slides

SE-ST-FW-3002 Feedwater Check Valves FW-161 and FW-162 12a

Reverse Flow Test

SO-M-101 Maintenance Work Control 96

SO-O-25 Temporary Modification Control 81

NOD-QP-19 Cause Analysis Program 43

EM-PM-EX-1200 Inspection and Maintenance of Model AKD-5 Low 17

Voltage Switchgear

EM-PM-EX-1201 Inspection and Maintenance of Model AKD-5 Low 0

Voltage Switchgear 1B4A

EM-PM-EX-0201 NLI Masterpact NW Circuit Breaker Inspection 20

EM-RR-EX-0203 Receipt Inspection of 480-Volt Square D/NLI 0

Masterpact Type NW/NT Breakers/Cradles

EM-CP-05-1B4A-1 Calibration of Component Cooling Water Pump 14

AC-3B Circuit Breaker

EM-PM-EX-0205 NLI Masterpact NT Circuit Inspection 1

EM-CP-05-1B4A-2 Calibration Procedure R10

-5-

PROCEDURES

NUMBER TITLE REVISION / DATE

EM-CP-05-1B4A-3 Calibration Procedure Calibration of the Auxiliary R10

Building MCC-4A2 Feeder Breaker

EM-CP-05-1B4A-4 Calibration Procedure Calibration of Condenser R13

Vacuum Pump FW-8B Circuit Breaker

EM-CP-05-1B4A-5 Calibration Procedure Calibration of Screen Wash R11

Pump CW-3B Circuit Breaker

EM-CP-05-1B4A-6 Calibration Procedure Calibration of the Security R9

Building Panel MS Feeder Breaker Located in

Cubicle 1B4A-6

EM-CP-05-1B4A Calibration of the Main Circuit Breaker Located in 14

Cubicle 1B4A

EM-CP-05-BT- Calibration of 480 VAC Tie Breaker Located in 12

1B4A Cubicle BT-1B4A

ERPG-EAG-01 Engineering Recovery Process Guide - 0

Engineering Assurance Group

PED-GEI-2 Preparation of Procurement Specifications 16

PED-GEI-3 Preparation of Modifications 87

PED-GEI-7 Specification of Post Modification Test Criteria 15

PED-GEI-28 Preparation of Construction Work Orders 28

PED-GEI-29 Preparation of Facility Changes 55

PED-GEI-35 Preparation of Minor Configuration Changes 66

PED-GEI-52 Preparation of Field Design Change Requests 13

PED-GEI-60 Preparation of Substitute Replacement Items 45

PED-EWP-9 Testing of Control Circuits 0

FCSG-24-2 Evidence Quarantining 2

FCSG-24-5 Cause Evaluation Manual 5

FCSG-24-4 Condition Report and Cause Evaluation 3

FCSG-24-4 Condition Report and Cause Evaluation 5

NOD-QP-19 Cause Analysis Program 43

EM-ST-EE-0005 Capacity Discharge Test for Station Battery No. 1 23,25

(EE-8A)

-6-

PROCEDURES

NUMBER TITLE REVISION / DATE

FCSG-24-1 Condition Report Initiation 3

FCSG-24-3 Condition Report Screening 6a

FCSG-24-4 Condition Report and Cause Evaluation 6a

FCSG-24-5 Cause Evaluation Manual 5

SO-R-2 Condition Reporting and Corrective action 53b

FCSG-65-7 Program Restart Readiness 1

FCSG-65-8 Department Restart Readiness 2

NOD-QP-3 10 CFR 50.59 and 10 CFR 72.48 Reviews 35

NOD-QP-31.5 Degraded and Non-Conforming Evaluation 0

NOD-QP-38 Employee Concerns 9

NOD-QP-38 Employee Concerns 10

NOD-QP-X Resolution of Differing Opinions 0

OI-AFW-4 Operating Instruction Auxiliary Feedwater Startup 78

and System Operation

OP-ST-CCW-3002 AC-3A Component Cooling Water Pump Inservice 22

Test

OP-ST-AFW-0004 Surveillance Test Auxiliary Feedwater Pump FW- 31

10 Operability Test

PED-GEI-3 Preparation of Modifications 91

SE-ST-CCW-3002 CCW Pump Baseline Curve Procedure 10

SO-G-21 Modification Control 96

SO-R-1 Reportability Evaluation Checklist 20

SO-G-23 Surveillance Test Program 59

ENGINEERING ANALYSIS

NUMBER TITLE REVISION

EA-FC-06-032 Environmental Parameters for Electrical Equipment 0

Qualification

EA-FC-10-020 Electrical Equipment Qualification Radiation Dose 0

Reconstitution Analysis

-7-

ENGINEERING ANALYSIS

NUMBER TITLE REVISION

EA-11-037 Summary of Design Basis Reconstitution for High Energy 0

Line Break (HELB) Outside of Containment in Response

to CR 2007-3407

EA-FC-08-023 Vortexing in Safety-Related Tanks 14

EA-12-024 Determination of Design Temperature for Elastomers in

Valves HCV-107A and HCV-1108A

ACASR 2012- Apparent Cause Evaluation-potential Elastomer Failure 1

08621 During a design Basis Accident for Valves HCV-238,

HCV-239, and HCV-240

EA-FC-12-005 Harsh-mild Environment Threshold Criteria 0

EA-FC-12-0125 Electrical Penetration Feedthrough Classification and 0

Qualification of Non-EEQ Penetration Feedthroughs

CONDITION REPORTS

NUMBER

2005-04735 2005-04735-003 2005-04735-014 2006-06036 2007-02622

2007-03407 2007-02554 2008-04611 2009-02197 2009-04327

2009-05356 2009-06233 2009-00905 2009-05912 2009-04579

2009-05780 2009-02308 2009-04569 2009-01611 2009-12442

2009-05270 2009-05439 2009-05541 2009-05170 2009-04860

2009-06371 2009-06424 2009-05269 2009-04552 2009-06234

2010-04492 2010-03723 2010-00199 2010-01704 2010-01403

2010-04668 2010-00813 2011-08951 2011-00451 2011-08238

2011-05777 2011-07654 2011-00334 2011-06910 2011-07306

2011-01719 2011-02860 2011-06344 2011-07816 2011-09924

2011-02400 2011-08019 2011-09384 2011-09855 2011-01941

2011-06621 2011-05414 2011-02069 2012-08129 2012-08131

2012-04900 2012-03057 2012-03701 2012-04484 2012-04681

2012-10935 2012-05926 2012-06246 2012-06514 2012-10625

2012-13416 2012-10941 2012-10953 2012-12175 2012-14747

2012-13417 2012-02539 2012-13418 2012-13334 2012-13419

2012-08133 2012-11806 2012-13420 2012-13421 2012-13243

2012-03967 2012-11816 2012-12067 2012-02580 2012-11805

2012-11804 2012-11941 2012-11986 2012-04452 2012-07902

-8-

CONDITION REPORTS

NUMBER

2012-11982 2012-04169 2012-04280 2012-04444 2012-04467

2012-04490 2012-04536 2012-04602 2012-04903 2012-03986-019

2012-04262 2012-04262-021 2012-04662 2012-04262-022 2012-04262-023

2012-18336 2012-04262-055 2012-04262-058 2012-18336-001 2012-03986

2012-12443 2012-08123 2012-18338 2012-04899 2012-12378

2012-17353 2012-08129 2012-08124 2012-00451 2012-09494

2012-09112 2012-17354 2012-17355 2012-04594 2012-08137

2012-12044 2012-07112 2012-08642 2012-09111 2012-08123

2012-12430 2012-12305 2012-11986 2012-11987 2012-11994

2012-17352 2012-11982 2012-04662 2012-17362 2012-17353

2012-17572 2012-18336 2012-17361 2012-12460 2012-12547

2012-08142 2012-05580 2012-18338 2012-03254 2012-03974

2012-01541 2012-01910 2012-02723 2012-05134 2012-05509

2012-04132 2012-04516 2012-04850 2012-06452 2012-008621

2012-05569 2012-05846 2012-01640 2012-13620 2012-13694

2012-08684 2012-13299 2012-13306 2012-14517 2012-14736

2012-13919 2012-14045 2012-14464 2012-15218 2012-15440

2012-14800 2012-15116 2012-15215 2012-15690 2012-15696

2012-15441 2012-15666 2012-15687 2012-15747 2012-15750

2012-15697 2012-15703 2012-15721 2012-15805 2012-15844

2012-15755 2012-15758 2012-15770 2012-16038 2012-16145

2012-16023 2012-16025 2012-16030 2012-8851 2012-20806

2012-16171 2012-15399 2012-15750 2012-02534 2012-02881

2012-02026 2012-02115 2012-02498 2012-03805 2012-08521

2012-02947 2012-03397 2012-03796 2012-08737 2012-09179

2012-08522 2012-08526 2012-08528 2012-10477 2012-11874

2012-09196 2012-09494 2012-10206 2012-14958 2012-15721

2012-16900 2012-17447 2012-17717 2012-18345 2012-18347

2012-18675 2012-18793 2012-19477 2012-19769 2012-20128

2013-03056 2013-04037 2013-04034 2013-00730 2013-02202

2013-04167 2013-04286 2013-04223 2013-04032 2013-04033

2013-01396 2013-02278 2013-02557 2013-04504 2013-05026

2013-02710 2013-04141 2013-04442 2013-02611 2013-04680

2013-04806 2013-05018 2013-05026 2013-04547 2013-06267

-9-

CONDITION REPORTS

NUMBER

2013-05515 2013-05569 2013-05693 2013-05276 2013-05668*

2013-10507 2013-04937 2013-05663* 2013-05018 2013-05497*

2013-04934* 2013-04518* 2013-00907 2013-05674 2013-04377*

2013-01186 2013-00195 2013-03529 2013-01073 2013-01143

2013-03866 2013-01187 2013-03943 2013-03639 2013-03798

2013-04163 2013-03928 2013-04288 2013-04001 2013-04126

2013-04635 2013-04186 2013-05191 2013-04416 2013-04627

2013-05501 2013-04748 2013-05630 2013-05205 2013-05230

2013-00187 2013-03242 2012-08130 2013-05570 2013-05026

2013-12498 2012-08675 2013-12498 2013-14475 2010-1375

2010-0813 2012-08134 2013-14466 2009-2306 2013-14458

2009-3437 2010-5140 2013-02944 2013-02953 2013-14390

2013-02948 2013-02980 2013-03024 2013-11497 2012-01947

2013-14596 2013-04746 2012-08137 2013-15119 2012-08134

2013-02260 2011-9702 2013-14095 2013-13181 2013-14398

2013-14401 2013-04509 2011-10213 2012-01503 2012-00739

2012-05855 2013-04032 2012-01351 2012-00108 2012-01217

2013-16954 2013-05518 2011-10213 2011-9856 2012-01803

2013-14474 2013-04574 2011-9811 2012-00174 2012-01921

2011-9917 2011-5414 2011-10024 2011-9425 2011-8868

2011-10296 2011-10344 2012-00160 2011-8333 2012-10217

2012-10218 2011-9566 2012-01922 2013-14201 2011-8238

2012-01271 2012-01765 2012-01760 2012-00030 2011-6621

2012-01768 2013-00563 2011-10260 2012-01017 2011-5569

2012-18641

WORK ORDERS

NUMBER

0056822-01 0097154-01 0097241-01 00125729-01 00335376-01

00314285-01 00338706-01 00314218-01 00357868-01 00370608

0370376-01 00437003-01 443770-01 450313-01 450346-01

- 10 -

WORK ORDERS

NUMBER

450348-01 450350-01 450351-01 450352-01 450353-01

450355-01 450357-01 472447-01 CWO 181503 CWO 329995-

39

CWO 419854-01 CWO 421870-01 CWO 421871-01

ACTION REQUESTS

NUMBER

2770 9290 9359 10237 13509

14047 14052 14053 14078 14097

14133 31024 36796 42918 51966

51959 53806

MR-FC

NUMBER

97-007

EC

NUMBER

41455 53257 33464 34435 48714

FCSG

NUMBER

38 24 24-1 24-10 24-12

24-2 24-4 24-5 24-6 24-6.1

24-7 24-8 24-8.1 24-9 62

TREND CODES

NUMBER

ADE ADI ADP OAI OCR

- 11 -

CALCULATIONS

NUMBER

08081 07078 07076 06969 06148

06642 07536 05302 05374 06282

08179 08169

DRAWINGS

NUMBER

11405-M-121 FO-4446 FO-1005 EM-1368/1369 00357868-01

80055 11405-M-253 11405-M-252 11405-M-253 EM-1039

11405-E-98 GHDR11405-S-2 A-748, Sheet 1

LERS

NUMBER

2011-005 2011-007 2012-007 2012-008 2012-009

2012-010 2012-011 2012-012 2012-013 2012-014

2012-015 1988-019 2011-010-01 2011-010 2012-018

2012-002

RCAS

NUMBER

2011-5414

MISCELLANEOUS

NUMBER TITLE REVISION / DATE

10 CFR 50.59 Evaluation of Manual Operator

Action to open valve FW-1360

SDBD-AC-CCW- CCW Design Basis Document

100

TDB260.0020 Instruction Manual for Installation, Operation And

Maintenance of MSB, MSC, MSD, MSE Horizontal,

Multi-Stage Pumps

NPM-100 Nuclear Safety

- 12 -

MISCELLANEOUS

NUMBER TITLE REVISION / DATE

MGT0302 Safety Culture

MGT12-10 Safety Conscious Work Environment

NPM-2.04

Final Closure Book for Resource Management

FC06148 Auxiliary Feedwater Storage Tank Required

Capacity

FC05007 Usable Capacity of Emergency Feedwater Storage

Tank FW-19

FC06537

TS-FC-87-231B Memo October 30, 1987

EM-PM-EX-1200

PG-PDS-1

AA/SA-PDS-3

ECP-PDS-3

SPD-PDS-7

FPD Safety Conscious Work Environment

Organizational Effectiveness Recovery Index

RIS 2005-18 Effective Processes for Problem Identification and

Resolution

Operations Memo 2007-01

SEP-10 Safety Enhancement Program

SEP-21 Safety Enhancement Program

SEP-65 Safety Enhancement Program

FCS PI Report

FCS QA Audit

Final Closure Book for the FPD associated with

Nuclear Safety Culture

Corporate Nuclear Oversight (GOSP) Committee September 18, 2012

Charter

ECP-03 IACDP Problem Development Sheet

- 13 -

MISCELLANEOUS

NUMBER TITLE REVISION / DATE

FCS-95003-IACPD- IACPD - FCS Performance Goals Assessment

03 Performance Area

FCS-95003-IACPD- IACPD - FCS Audits and Assessments

08 Assessment Performance Area

FCS-95003-IACPD- IACPD - FCS Significant Performance Deficiencies

02 Assessment Performance Area

Policy 3.06 Corporate Governance, Oversight, Support, and July 27, 2012

Perform (GOSP) Model of Fort Calhoun Station

RA 2013-0454 Governance & Oversight Self-Assessment

Mapping Leadership Skills/Attributes to Nuclear February 2013

Safety Culture Results

95003 Collective Evaluation Final Report

FCS Nuclear Safety Culture Monitoring Panel First

Quarter 2012 Report

FCS Nuclear Safety Culture Monitoring Panel

Fourth Quarter 2012 Report

FCS Nuclear Safety Culture Senior Leadership

Team Third Quarter 2012 Report

MGT 12-10 Safety Conscious Work Environment September 2012

USAR Appendix G Responses to 70 Criteria 22

MR-FC-79-190C Post-Accident Main Steam High Range Radiation 0

Monitor RM-064, Final Design Package

Reg. Guide 1.97 Criteria for Accident Monitoring Instrumentation for 4

Nuclear Power Plants

NRC Bulletin 88-04 Loop Accuracy for AFW Pump FW-6 Flow Channel April 27, 1994

Loop F-1368, Response to CAR 94-044

NUREG-1482 Guidelines for Testing at Nuclear Power Plants 1

PED-SYE-94-0297 Revised Accuracy for FM-1368-2 on IC-CP-01- May 26, 1994

1368, Reference Memo PED-SYE-94-0297

Nuenergy, Support of CDBI Self-Assessment Activities 0

Attachment 9, Final

LIC-80-0083 Response to Bulletin 80-10, Contamination of July 3, 1980

Nonradioactive Systems

- 14 -

MISCELLANEOUS

NUMBER TITLE REVISION / DATE

NRC-83-0015 NRC Resident Inspection January 20, 1983

NRC-83-0092 NRC Resident Inspection March 25, 1983

NRC-83-0185 NRC Resident Inspection June 14, 1983

LIC-84-065 Application for Amendment of Operating License March 7, 1984

LIC-84-209 Amendment 81 to Facility Operating License July 12, 1984

LIC-85-009 Environmental Qualification of Safety-Related January 10, 1985

Electrical Equipment

LIC-88-929 Updated Response To Bulletin 88-04 November 4, 1988

LIC-12-0142 Licensee Event Report LER 2012-017 0

USAR-Appendix M Postulated High Energy Line Repture Outside the 10

Containment

USAR-9.4 Auxiliary Feedwater System

USAR-Appendix M Postulated High Energy Line Rupture Outside 12

Containment

USAR-14.14 Steam Generator Tube Rupture Accident 15

NRC Bulletin 80-10 Contamination of Nonradioactive System and May 6, 1980

Resulting Potential Unmonitored, Uncontrolled

Release of Radioactivity to Environment

NRC-04-024 Safety Evaluation for the Fourth 10-Year Interval March 1, 2004

Inservice Inspection Program Plan, Fort Calhoun

ASME OM Code Code For Operation And Maintenance Of Nuclear

1988 Power Plants

NCV Failure to Correct Repeated Tripping of the August 12, 2010

05000285/2010006- Turbine-Driven Auxiliary Feedwater Pump FW-10

01

NCV Failure to Verify That the Turbine-Driven Auxiliary August 12, 2010

05000285/2010006- Feedwater Pump exhaust Backpressure Trip Lever

02 was Fully Latched

NCV Failure to Vent Control Oil Following Maintenance August 12, 2010

05000285/2010006- Results in Failure of the Turbine-Driven Auxiliary

03 Feedwater Pump to Start

RCA 2013-0813 Root Cause Analysis Steam Driven Auxiliary April 23, 2010

Feedwater Pump (FW-10) Tripped Off

- 15 -

MISCELLANEOUS

NUMBER TITLE REVISION / DATE

PLDBD-ME-11 Internal Missiles and High Energy Line Break 15

EC48714 Installation of FW-10 Manual Trip Latch Clamp FW- 0

64-C

NCR 449 Non Conformance Report

NCR 410 Nonconformance Report Project # 093-15901

Recovery Issue Meeting Minutes for 1.c Closure December 17, 2012

Book and February 8,

2013

FCS 95003 Project RSSPA Key Attribute Review Final Report October 15, 2012

for EDS & HPSI,

ERPG- Engineering Recovery Process Guide - Degraded 4

DNC/OPEVAL-01 Nonconforming Conditions and Operability

Evaluations

OPPD-E-12-002 Project Study Report - Study to Ensure Acceptable 0

Diesel Generator Performance During Non-DBA

Loss of Offsite Power Scenarios

SE-PM-EX-1600 Preventive Maintenance Infrared Thermographic July 29, 2010

Surveys

Safety Conscious Work Environment at Fort 1

Calhoun Station Rout Cause

Fort Calhoun Station Nuclear Safety Culture Focus January 2013

Groups, Summary of Findings

Fort Calhoun Station Nuclear Two Cs Meetings, January 2013

Summary of Findings

Fort Calhoun Safety Culture Composite Index December 2012

Fort Calhoun Station Independent Safety Culture May 2012

Assessment, Conger & Elsea, Inc.

Weekly Leadership Alignment Meeting Slides February 4, 2013

Weekly Leadership Alignment Meeting Slides February 11, 2013

Fort Calhoun Safety Culture Composite Index January 2013

Safety Conscious Work Environment Fundamental July 2012

Performance Deficiency Analysis

- 16 -

MISCELLANEOUS

NUMBER TITLE REVISION / DATE

Corporate Governance, Oversight, Support and

Perform Model of Fort Calhoun Station

Leadership/Organizational Effectiveness CR 2012- July 2012

08130 and Nuclear Safety Culture CR 2012-08129

Fundamental Performance Deficiency Analysis

Corrective Action Program CR 2012-08124 July 2012

Fundamental Performance Deficiency Analysis

Security Self Assessment Report August 2012

SDBD-FW-AFW- System Design Bases Document Auxiliary 44

117 Feedwater

STM Auxiliary Feedwater System Training Manual 37

- 17 -