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Category:Letter
MONTHYEARML24297A6222024-10-11011 October 2024 PCA Letter to NRC Catawba Hurricane Helene IR 05000413/20240112024-10-0101 October 2024 Biennial Problem Identification and Resolution Inspection Report 05000413/2024011 and 05000414/2024011 ML24255A8312024-09-23023 September 2024 Project Manager Assignment ML24261B9782024-09-19019 September 2024 Notification of an NRC Fire Protection Team Inspection NRC Inspection Report 05000413-2024010, 05000414-2024010 and Request for Information IR 05000413/20243012024-09-16016 September 2024 Operator Licensing Examination Approval 05000413/2024301 and 05000414/2024301 IR 05000414/20240912024-09-0505 September 2024 Final Significance Determination of a White Finding and Nov and Assessment Followup Letter-NRC Inspection Report 05000414-2024091 IR 05000413/20240052024-08-26026 August 2024 Updated Inspection Plan for Catawba Nuclear Station (Report 05000413/2024005 & 05000414/2024005) ML24235A1542024-08-22022 August 2024 Notification of Target Set Inspection and Request for Information (NRC Inspection Report 05000413-2024402 and 05000414-2024402) IR 05000413/20240022024-08-0808 August 2024 Integrated Inspection Report 05000413-2024002 and 05000414-2024002 and Apparent Violation IR 05000413/20244032024-08-0101 August 2024 Information Request for the Cybersecurity Baseline Inspection, Notification to Perform Inspection 05000413/2024403; 05000414/2024403 ML24183A0972024-07-12012 July 2024 ISFSI; Catawba 1, 2 & ISFSI; McGuire 1, 2 & ISFSI; Oconee 1, 2, 3 & ISFSI; Shearon Harris 1; H. B. Robinson 2 & ISFSI; and Radioactive Package Shipping Under 10 CFR 71 (71-266 & 71-345) – Review of QA Program Changes EPID L-2024-LLQ-0002 ML24178A0552024-06-26026 June 2024 Requalification Program Inspection – Catawba Nuclear Station IR 05000414/20240902024-06-24024 June 2024 NRC Inspection Report 05000414/2024090 and Preliminary White Finding and Apparent Violation ML24170A8632024-06-11011 June 2024 Flowserve June 11, 2024, Part 21 Notification - Redacted Version for Publishing ML24149A1772024-05-28028 May 2024 NRC Response to Duke Energy 2025 FOF Schedule Change Request (Catawba and McGuire) ML24144A1162024-05-28028 May 2024 Notification of Inspection and Request for Information for NRC Problem Identification and Resolution Inspection ML24141A0482024-05-17017 May 2024 EN 56958_1 Ametek Solidstate Controls, Inc IR 05000413/20240012024-05-10010 May 2024 Integrated Inspection Report 05000413/2024001 and 05000414/2024001 and Apparent Violation ML24095A1072024-04-0808 April 2024 – Review of the Spring 2023 Steam Generator Tube Inspection Report (C1R27) ML24017A0652024-03-0808 March 2024 Issuance of Amendment Nos. 319 and 315 to Technical Specification 3.7.11, Control Room Area Chill Water System (Cracws) IR 05000413/20230062024-02-28028 February 2024 Annual Assessment Letter for Catawba Nuclear Station Units 1 and 2 - (NRC Inspection Report 05000413/2023006 and 05000414/2023006) IR 05000413/20230042024-02-0202 February 2024 – Integrated Inspection Report 05000413-2023004 and 05000414-2023004 ML24005A2512024-01-26026 January 2024 Exemption from Select Requirements of 10 CFR Part 73 - Security Notifications, Reports, and Recordkeeping and Suspicious Activity Reporting ML23317A3462023-11-14014 November 2023 Duke Fleet - Correction Letter to License Amendment Nos. 312 & 340 Issuance of Amendments Regarding the Adoption of Technical Specifications Task Force Traveler TSTF-554, Revision 1 IR 05000413/20230102023-10-11011 October 2023 NRC Inspection Report 05000413/2023010 and 05000414/2023010 ML23256A0882023-09-25025 September 2023 Issuance of Alternative to Steam Generator Welds ML23195A0782023-08-29029 August 2023 Issuance of Amendments Regarding the Adoption of Technical Specifications Task Force Traveler TSTF-554, Revision 1 IR 05000413/20230052023-08-25025 August 2023 Updated Inspection Plan for Catawba Nuclear Station Units 1 and 2 (Report 05000413/2023005 and 05000414/2023005) ML23233A1692023-08-17017 August 2023 EN 56683 - Curtiss Wright, Interim Notification Report for PotentialPurt2l IR 05000413/20230022023-07-25025 July 2023 Integrated Inspection Report 05000413/2023002 and 05000414/2023002 ML23207A0762023-07-14014 July 2023 EN 56557 - Update to Part 21 Report Re Potential Defect with Trane External Auto/Stop Emergency Stop Relay Card Pn: XI2650728-06 ML23237A2672023-06-13013 June 2023 June 13, 2002 - Meeting Announcement - McGuire and Catawba Nuclear Stations 50-369, 50-370 and 50-413, 50-414 ML23159A0052023-06-0505 June 2023 56557-EN 56557 - Paragon - Redlined IR 05000413/20230012023-05-0505 May 2023 Integrated Inspection Report 05000413/2023001 and 05000414/2023001 ML23118A0762023-05-0101 May 2023 Approval for Use of Specific Provision of a Later Edition of the American Society of Mechanical Engineers Boiler and Pressure Vessel Code, Section XI IR 05000413/20230112023-04-25025 April 2023 Focused Engineering Inspection Report 05000413/2023011 and 05000414/2023011 ML23107A2542023-04-14014 April 2023 301 Examination Report Letter and Report (Merged) ML22332A4932023-03-10010 March 2023 William States Lee III 1 and 2 - Issuance of Amendments Regarding the Relocation of the Emergency Operations Facility IR 05000413/20234012023-03-0101 March 2023 Security Baseline Inspection Report 05000413 2023401 and 05000414 2023401 IR 05000413/20220062023-03-0101 March 2023 Annual Assessment Letter for Catawba Nuclear Station, Units 1 and 2 (NRC Inspection Report 05000413/2022006 and 05000414/2022006) IR 05000413/20233012023-02-17017 February 2023 Operator Licensing Examination Approval 05000413/2023301 and 05000414/2023301 IR 05000413/20220042023-01-31031 January 2023 Integrated Inspection Report 05000413/2022004 and 05000414/2022004 IR 05000413/20220112022-12-15015 December 2022 Biennial Problem Identification and Resolution Inspection Report 05000413/2022011 and 05000414/2022011 ML22356A0512022-12-14014 December 2022 Curtiss-Wright Nuclear Division, Letter Regarding Potential Efect in a Configuration of the 11/2 Inch Quick Disconnect Connector Cable Assemblies Supplied to Duke Energy (See Attached Spreadsheet) for a Total of 460 of Connectors Only Suppl ML22096A0032022-11-18018 November 2022 McGuire Nuclear Station and Shearon Harris Nuclear Power Plant Authorization of RA-19-0352 Regarding Use of Alternative for RPV Head Closure Stud Examinations IR 05000413/20224032022-11-17017 November 2022 Cyber Security Inspection Report 05000413/2022403 and 05000414/2022403 (Public) ML22256A2532022-11-14014 November 2022 Issuance of Amendments Regarding the Adoption of Technical Specifications Task Force Traveler TSTF-541, Rev. 2 ML22319A0942022-11-10010 November 2022 EN 56219 - Flowserve. 10 CFR Part 21 Report 38878-8 Solenoid Valve at Duke, Catawba Flowserve Evaluation 105 IR 05000414/20220032022-10-31031 October 2022 Integrated Inspection Report 05000414/2022003 and 05000414/2022003 IR 05000413/20224022022-10-28028 October 2022 Security Baseline Inspection Report 05000413 2022402 and 05000414 2022402 2024-09-05
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Inspection Report - Catawba - 2019004 |
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{{#Wiki_filter:UNITED STATES NUCLEAR REGULATORY COMMISSION ary 27, 2020
SUBJECT:
CATAWBA NUCLEAR STATION - INTEGRATED INSPECTION REPORT 05000413/2019004 AND 05000414/2019004
Dear Mr. Simril:
On December 31, 2019, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at Catawba Nuclear Station. On January 23, 2020, the NRC inspectors discussed the results of this inspection with Mr. Clark Curry and other members of your staff. The results of this inspection are documented in the enclosed report.
One finding of very low safety significance (Green) is documented in this report. This finding involved a violation of NRC requirements. We are treating this violation as a non-cited violation (NCV) consistent with Section 2.3.2 of the Enforcement Policy.
If you contest the violation or the significance or severity of the violation documented in this inspection report, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN:
Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region II; the Director, Office of Enforcement; and the NRC Resident Inspector at Catawba Nuclear Station.
If you disagree with a cross-cutting aspect 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 U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region II; and the NRC Resident Inspector at Catawba Nuclear Station. This letter, its enclosure, and your response (if any) will be made available for public inspection and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document Room in accordance with Title 10 of the Code of Federal Regulations 2.390, Public Inspections, Exemptions, Requests for Withholding.
Sincerely,
/RA/
Frank J. Ehrhardt, Chief Reactor Projects Branch 1 Division of Reactor Projects Docket Nos. 05000413 and 05000414 License Nos. NPF-35 and NPF-52
Enclosure:
As stated
Inspection Report
Docket Numbers: 05000413 and 05000414 License Numbers: NPF-35 and NPF-52 Report Numbers: 05000413/2019004 and 05000414/2019004 Enterprise Identifier: I-2019-004-0016 Licensee: Duke Energy Carolinas, LLC Facility: Catawba Nuclear Station Location: York, South Carolina Inspection Dates: October 01, 2019 to December 31, 2019 Inspectors: J. Austin, Senior Resident Inspector M. Meeks, Senior Operations Engineer C. Scott, Resident Inspector Approved By: Frank J. Ehrhardt, Chief Reactor Projects Branch 1 Division of Reactor Projects Enclosure
SUMMARY
The U.S. Nuclear Regulatory Commission (NRC) continued monitoring the licensees performance by conducting an integrated inspection at Catawba Nuclear Station, in accordance with the Reactor Oversight Process. The Reactor Oversight Process is the NRCs program for overseeing the safe operation of commercial nuclear power reactors. Refer to https://www.nrc.gov/reactors/operating/oversight.html for more information.
List of Findings and Violations Inadvertent Actuation of Unit 2 Containment Spray Cornerstone Significance Cross-Cutting Report Aspect Section Barrier Integrity Green [H.8] - 71111.20 NCV 05000414/2019004-01 Procedure Open/Closed Adherence A self-revealing Green NCV of Technical Specification 5.4.1, Procedures, was identified for the licensees failure to implement AD-OP-ALL-0204, Plant Status Control, during the operation of the Unit 2 containment spray (NS) system. Specifically, on October 2, 2019, an inadvertent operation of the containment spray system occurred when control room operators cycled the 2A containment spray valves with the 2B NS pump in recirculation. This resulted in the spraying of contaminated water into Unit 2 upper containment, the subsequent evacuation of personnel, and submittal of an 8-hour report to the NRC.
Additional Tracking Items None.
PLANT STATUS
Unit 1 operated at or near 100 percent rated thermal power (RTP) for the entire inspection period.
Unit 2 began the inspection period in the 2CR23 refueling outage and returned to full power on October 12, 2019 and remained at or near 100 percent RTP for the remainder of the inspection period.
INSPECTION SCOPES
Inspections were conducted using the appropriate portions of the inspection procedures (IPs) in effect at the beginning of the inspection unless otherwise noted. Currently approved IPs with their attached revision histories are located on the public website at http://www.nrc.gov/reading-rm/doc-collections/insp-manual/inspection-procedure/index.html. Samples were declared complete when the IP requirements most appropriate to the inspection activity were met consistent with Inspection Manual Chapter (IMC) 2515, Light-Water Reactor Inspection Program - Operations Phase. The inspectors performed plant status activities described in IMC 2515, Appendix D, Plant Status, and conducted routine reviews using IP 71152, Problem Identification and Resolution. The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel to assess licensee performance and compliance with Commission rules and regulations, license conditions, site procedures, and standards.
REACTOR SAFETY
71111.01 - Adverse Weather Protection Impending Severe Weather Sample (IP Section 03.03)
Main article: IP 71111.01
- (1) The inspectors evaluated readiness for impending cold weather on November 13, 2019.
External Flooding Sample (IP Section 03.04) (1 Sample)
- (1) The inspectors evaluated readiness to cope with external flooding for the following area:
- 2B emergency diesel generator (EDG) room on December 17, 2019
71111.04Q - Equipment Alignment Partial Walkdown Sample (IP Section 03.01)
Main article: IP 71111.04Q
The inspectors evaluated system configurations during partial walkdowns of the following systems/trains:
- (1) Standby shutdown facility (SSF) battery charger alignment following failure of 1SLXG-5C (SSF normal battery charger SDSC2 feeder) on October 30, 2019
- (2) Unit 2A and 2B centrifugal charging pumps on November 4, 2019
- (3) 1A and 2B EDG on November 19, 2019
71111.04S - Equipment Alignment Complete Walkdown Sample (IP Section 03.02)
Main article: IP 71111.04S
- (1) The inspectors evaluated system configurations during a complete walkdown of the emergency supplemental power system (ESPS) on December 13, 2019.
71111.05Q - Fire Protection Quarterly Inspection (IP Section 03.01)
Main article: IP 71111.05Q
The inspectors evaluated fire protection program implementation in the following selected areas:
- (1) Unit 2 reactor building, fire area RB2, on October 5-6, 2019
- (2) ESPS diesels 1 and 2, fire area YRD on December 12, 2019
- (3) Unit 1 turbine building, fire area TB1, Elevation 594 on December 31, 2019
71111.06 - Flood Protection Measures Inspection Activities - Underground Cables (IP Section 02.02c.)
Main article: IP 71111.06
The inspectors evaluated cable submergence protection in:
- (1) Manhole inspection of Unit 2 CMH-18A on November 25, 2019
71111.07A - Heat Sink Performance Annual Review (IP Section 02.01)
Main article: IP 71111.07A
The inspectors evaluated readiness and performance of:
- (1) 2A component cooling (KC) heat exchanger cleaning and testing on December 12, 2019
71111.11A - Licensed Operator Requalification Program and Licensed Operator Performance Requalification Examination Results (IP Section 03.03)
Main article: IP 71111.11A
- (1) Annual Review of Licensee Requalification Examination Results: On July 9, 2019, the licensee completed the annual requalification operating examinations required to be administered to all licensed operators in accordance with Title 10 of the Code of Federal Regulations 55.59(a)(2), Requalification Requirements, of the NRCs Operators Licenses. During the week of December 2, 2019, the inspectors performed an in-office review of the overall pass/fail results of the individual operating examinations and the crew simulator operating examinations in accordance with Inspection Procedure (IP) 71111.11, Licensed Operator Requalification Program. These results were compared to the thresholds established in Section 3.02, Requalification Examination Results, of IP 71111.11.
==71111.11Q - Licensed Operator Requalification Program and Licensed Operator Performance Licensed Operator Performance in the Actual Plant/Main Control Room (IP Section 03.01) (1 Sample)
- (1) The inspectors observed and evaluated licensed operator performance in the control room during plant start up on October 8th and surveillance testing on the Unit 1 auxiliary feedwater turbine driven pump on December 12, 2019.
Licensed Operator Requalification Training/Examinations (IP Section 03.02)==
Main article: IP 71111.11Q
- (1) The inspectors observed and evaluated a simulator examination with a loss of letdown flow on Unit 1, anticipated transient without scram, 1A steam line break, failure of main steam isolation valves, and failure of the 1B charging pump on November 14, 2019.
71111.12 - Maintenance Effectiveness Quality Control (IP Section 02.02)
Main article: IP 71111.12
The inspectors evaluated maintenance and quality control activities associated with the following equipment performance activities:
- (1) Condition Report (CR) 2295464, Nuclear oversight/quality control unable to identify material on October 4, 2019
71111.13 - Maintenance Risk Assessments and Emergent Work Control Risk Assessment and Management Sample (IP Section 03.01)
Main article: IP 71111.13
The inspectors evaluated the risk assessments for the following planned and emergent work activities:
- (1) CR 2296648, 2B EDG jacket water heater starter exhibiting excessive vibration on October 11, 2019
- (2) CR 2296723, 1B EDG low lube oil temp on October 13, 2019
- (3) Risk mitigation actions following emergent repair of 1A EDG on November 15, 2019
- (4) CR 2305027, SSF diesel generator (DG) battery banks A and B have cell voltages below administrative limit on November 30, 2019
- (5) CR 2306537, 2B2 EDG room ventilation fan not restored to service after maintenance on December 10, 2019
71111.15 - Operability Determinations and Functionality Assessments Operability Determination or Functionality Assessment (IP Section 02.02)
Main article: IP 71111.15
The inspectors evaluated the following operability determinations and functionality assessments:
- (1) CR 2292287, 2292930, 2MXA Incoming breaker tripped on September 21, 2019
- (2) Work Order (WO) 20358406-01, 1B EDG lube oil pump failure during light bulb replacement on October 13, 2019
- (3) CR 2299143, 1A EDG declared inoperable at 0200 due to EDG Cooling Water system (KD) tubing leak on October 25, 2019
==71111.18 - Plant Modifications Temporary Modifications and/or Permanent Modifications (IP Section 03.01 and/or 03.02) (2 Samples)
The inspectors evaluated the following temporary or permanent modifications:
- (1) CR 2301371, Alternate alignment to fill reactor coolant pump standpipes
- (2) Engineering Change (EC) 94585, Replace DG voltage regulator/excitation system on December 16, 2019
71111.19 - Post-Maintenance Testing Post-Maintenance Test Sample (IP Section 03.01)
Main article: [[=
=IP 71111.18|count=4}}
The inspectors evaluated the following post maintenance tests:
- (1) WO 20277429, Load Unit 2 digital control software to controllers to finalize settings on October 2, 2019
- (2) WO 20357204, 2B resistance temperature detection (RTD) hot leg has failed open, rescale 2B t-hot due to loss of RTD (2NCRD 5461) on October 9, 2019
- (3) Post maintenance testing (PMT) following repair of 1NC56B reactor make-up pump discharge containment insolation valve on November 11, 2019
- (4) PMT following the repair of an oil leak from temperature element 2KCTE7640 for 2B1 KC pump on November 15, 2019
71111.20 - Refueling and Other Outage Activities Refueling/Other Outage Sample (IP Section 03.01)
Main article: IP 71111.20
- (1) The inspectors evaluated Unit 2 refueling outage 2R23 from October 1, 2019 to October 12, 2019.
71111.22 - Surveillance Testing The inspectors evaluated the following surveillance tests: Surveillance Tests (other) (IP Section 03.01)
Main article: IP 71111.22
- (1) PT/2/A/4600/002 B, Mode 2 Periodic Surveillance Items on October 8, 2019
- (2) PT/0/B/4350/010, ESPS DG Functional Test on December 3, 2019
- (3) PT/1/A/4350/002 A, DG 1A Operability Test on November 13, 2019
Ice Condenser Testing (IP Section 03.01) (1 Sample)
- (1) PT/2/A/4200/014 A, Ice Condenser Intermediate Door and Inlet Door Position Monitoring System Inspection on October 20,
OTHER ACTIVITIES - BASELINE
===71151 - Performance Indicator Verification The inspectors verified licensee performance indicators submittals listed below:
IE01: Unplanned Scrams per 7000 Critical Hours Sample (IP Section 02.01) ===
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
MS05: Safety System Functional Failures (SSFFs) Sample (IP Section 02.04) (2 Samples)
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
BI02: RCS Leak Rate Sample (IP Section 02.11) (2 Samples)
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
71152 - Problem Identification and Resolution Semiannual Trend Review (IP Section 02.02)
- (1) The inspectors reviewed the licensees risk evaluation program for potential adverse trends in corrective actions that might be indicative of a more significant safety issue.
Annual Follow-up of Selected Issues (IP Section 02.03) (1 Sample)
The inspectors reviewed the licensees implementation of its corrective action program related to the following issues:
- (1) CR 2287546 Unplanned one-hour shutdown action statement per LCO 3.5.4 Condition B "fueling water storage tank (FWST) inoperable for reasons other than Condition A" on October 7,
OTHER ACTIVITIES
- TEMPORARY INSTRUCTIONS, INFREQUENT AND ABNORMAL
60855.1 - Operation of an Independent Spent Fuel Storage Installation at Operating Plants Operation of an Independent Spent Fuel Storage Installation at Operating Plants
- (1) The inspectors evaluated the licensees activates related to long-term operation and monitoring of their independent spent fuel storage installation on December 30,
INSPECTION RESULTS
Inadvertent Actuation of Unit 2 Containment Spray Cornerstone Significance Cross-Cutting Report Aspect Section Barrier Integrity Green [H.8] - 71111.20 NCV 05000414/2019004-01 Procedure Open/Closed Adherence A self-revealing Green NCV of Technical Specification 5.4.1, Procedures, was identified for the licensees failure to implement AD-OP-ALL-0204, Plant Status Control, during the operation of the Unit 2 containment spray (NS) system. Specifically, on October 2, 2019, an inadvertent operation of the containment spray system occurred when control room operators cycled the 2A containment spray valves with the 2B NS pump in recirculation. This resulted in the spraying of contaminated water into Unit 2 upper containment, the subsequent evacuation of personnel, and submittal of an 8-hour report to the NRC.
Description:
On October 2, 2019, at 0415, with Unit 2 in Mode 5, an inadvertent operation of the containment spray system occurred following an evolution that placed both trains of the Unit 2 containment spray system in recirculation at the same time. The evolution began when the 2B NS pump was placed in operation followed by the 2A NS pump. Three minutes later the 2A NS pump was secured. The 2B NS pump remained in operation and cross-tied with the 2A train through the alignments made in the 2A pump recirculation procedure OP/2/A/6200/007, Containment Spray System. Operators then attempted to return the 2A NS train to a stand-by alignment in accordance with OP/2/A/6200/007, Enclosure 4.5. Enclosure 4.5 has steps to cycle NS spray header 2A containment isolation valves, 2NS-29A and 2NS-32A from the control room before isolating the recirculation flow path. When operators cycled the valves, water flowed through the 2A NS header into the Unit 2 upper containment. The control room was notified that water was flowing through the Unit 2 containment spray header and promptly secured the 2B NS pump. The licensee submitted an 8-hour notification to the NRC and initiated a problem resolution investigation team to evaluate the issue.
The licensees evaluation stated that the control room crew failed to recognize that a flow path existed from the 2B NS pump operating in recirculation and the 2A train containment spray valves that were being cycled because they did not properly implement AD-OP-ALL-0204, Plant Status Control. Specifically, control room operators did not use a marked-up flow diagram of the NS system during an active fluid transfer as required by with AD-OP-ALL-0204. Section 5.2, Documenting Component Manipulations to Maintain Plant Status Control, states in part that, the system flow path shall be marked up using major valves and any connecting systems to ensure there are no adverse interactions. It also states that all Active Fluid Transfer evolutions shall be controlled from the control room with the aid of marked up drawings. The inspectors concluded that the use of a marked up drawing during the operation of the NS system would have prevented the human performance error that occurred on October 2, 2019.
Corrective Actions: The licensee immediately secured the 2B NS pump. The licensee submitted event notification EN 54306 on October 2, 2019 and initiated interim actions for continuous oversight in the control room by personnel at the shift manager level or above for all evolutions involving movement of water.
Corrective Action References: CR 02295170
Performance Assessment:
Performance Deficiency: The failure to properly implement AD-OP-ALL-0204, Plant Status Control, during the operation of the Unit 2 containment spray system was a violation of Technical Specification 5.4.1a, Procedures, and was a performance deficiency.
Screening: The inspectors determined the performance deficiency was more than minor because if left uncorrected, it would have the potential to lead to a more significant safety concern. Specifically, licensees failure to properly implement AD-OP-ALL-0204, Plant Status Control, during the operation of the containment spray system resulted in mis-operation of the NS system and personnel evacuation from the Unit 2 upper containment due to spraying contaminated water in the Unit 2 reactor building. This also resulted in an 8-hour report to the NRC in accordance with 10 CFR 50.72.
Significance: The inspectors assessed the significance of the finding using Appendix G, Shutdown Safety SDP. The inspectors determined that the finding was of very low safety significance (Green) because the finding did not involve an actual reduction in function of the hydrogen control for BWR Mark III and PWR ice condenser containments.
Cross-Cutting Aspect: H.8 - Procedure Adherence: Individuals follow processes, procedures, and work instructions. The inspectors determined the finding had a cross-cutting aspect of procedure adherence in the area of human performance because the licensee failed to follow procedures during the operation of the NS system.
Enforcement:
Violation: Technical Specification 5.4.1, Procedures, requires that written procedures shall be established, implemented, and maintained, covering applicable procedures recommended in Appendix A of Regulatory Guide 1.33, Revision 2, February 1978. Section 1.c of Appendix A of Regulatory Guide 1.33, Revision 2, February 1978, states that written procedures should be provided for equipment control. Licensee procedure AD-OP-ALL-0204 Plant Status Control, Section 5.2, states in part that all active evolutions shall be marked up on the prints for the duration of the evolution. The system flow path shall be marked up using major valves and any connecting systems to ensure there are no adverse interactions. All Active Fluid Transfer evolutions shall be controlled from the control room with the aid of marked up drawings.
Contrary to the above, on October 2, 2019, with Unit 2 in Mode 5, the licensee failed to properly implement AD-ALL-OP-204, Plant Status Control, when operators cycled containment valves 2NS-29A and 2NS-32A with the 2B NS pump operating in recirculation. As a result, an inadvertent operation of the containment spray system occurred in Unit 2 upper containment. This also caused personnel evacuation from Unit 2 upper containment and an 8-hour report to the NRC.
Enforcement Action: This violation is being treated as an non-cited violation, consistent with Section 2.3.2 of the Enforcement Policy.
EXIT MEETINGS AND DEBRIEFS
The inspectors verified no proprietary information was retained or documented in this report.
- On January 23, 2020, the inspectors presented the integrated inspection results to Clark Curry and other members of the licensee staff.
DOCUMENTS REVIEWED
Inspection Type Designation Description or Title Revision or
Procedure Date
71111.01 Corrective Action 2307769 2B DG Repair Roof Leak
Documents
71111.04Q Drawings CN-1700-08.01 Three line diagram 250/125 VDC auxiliary power system Rev. 18
(ETM) SSF
Procedures OP/0/B/6350/919 ESPS DG Operation 002
71111.05Q Drawings CSD-CNS-PFP- Protected Area North
PA-001
CSD-CNS- Protected Area West Pre-Plan 0
PFP=PA-004
71111.06 Work Orders 2030980-02 2RN XP CMH-18A: (A train)
71111.07A Corrective Action 02195836 KC HX 2A ECT identified (25 tubes for preventing plugging)
Documents
Procedures MP/0/A/7650/199 Maintenance Procedure for Eddy Current Testing 003
Work Orders 20253735.01 2KC Fix and perform 100% eddy current inspection of tubes
71111.11Q Procedures AD-TQ-ALL=0420 Conduct of Simulator Training and Evaluation
71111.15 Procedures OP/2/A/6200/007 Containment Spray System 056
71111.20 Corrective Action 2295170 Flow initiated from the 2A NS system in to the U2
Documents containment
Procedures RP/0/B/5000/013 NRC Notification Requirements
11|=
=IP 71111.18|count=4}}
The inspectors evaluated the following post maintenance tests:
- (1) WO 20277429, Load Unit 2 digital control software to controllers to finalize settings on October 2, 2019
- (2) WO 20357204, 2B resistance temperature detection (RTD) hot leg has failed open, rescale 2B t-hot due to loss of RTD (2NCRD 5461) on October 9, 2019
- (3) Post maintenance testing (PMT) following repair of 1NC56B reactor make-up pump discharge containment insolation valve on November 11, 2019
- (4) PMT following the repair of an oil leak from temperature element 2KCTE7640 for 2B1 KC pump on November 15, 2019
71111.20 - Refueling and Other Outage Activities Refueling/Other Outage Sample (IP Section 03.01)
Main article: IP 71111.20
- (1) The inspectors evaluated Unit 2 refueling outage 2R23 from October 1, 2019 to October 12, 2019.
71111.22 - Surveillance Testing The inspectors evaluated the following surveillance tests: Surveillance Tests (other) (IP Section 03.01)
Main article: IP 71111.22
- (1) PT/2/A/4600/002 B, Mode 2 Periodic Surveillance Items on October 8, 2019
- (2) PT/0/B/4350/010, ESPS DG Functional Test on December 3, 2019
- (3) PT/1/A/4350/002 A, DG 1A Operability Test on November 13, 2019
Ice Condenser Testing (IP Section 03.01) (1 Sample)
- (1) PT/2/A/4200/014 A, Ice Condenser Intermediate Door and Inlet Door Position Monitoring System Inspection on October 20,
OTHER ACTIVITIES - BASELINE
===71151 - Performance Indicator Verification The inspectors verified licensee performance indicators submittals listed below:
IE01: Unplanned Scrams per 7000 Critical Hours Sample (IP Section 02.01) ===
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
MS05: Safety System Functional Failures (SSFFs) Sample (IP Section 02.04) (2 Samples)
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
BI02: RCS Leak Rate Sample (IP Section 02.11) (2 Samples)
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
71152 - Problem Identification and Resolution Semiannual Trend Review (IP Section 02.02)
- (1) The inspectors reviewed the licensees risk evaluation program for potential adverse trends in corrective actions that might be indicative of a more significant safety issue.
Annual Follow-up of Selected Issues (IP Section 02.03) (1 Sample)
The inspectors reviewed the licensees implementation of its corrective action program related to the following issues:
- (1) CR 2287546 Unplanned one-hour shutdown action statement per LCO 3.5.4 Condition B "fueling water storage tank (FWST) inoperable for reasons other than Condition A" on October 7,
OTHER ACTIVITIES
- TEMPORARY INSTRUCTIONS, INFREQUENT AND ABNORMAL
60855.1 - Operation of an Independent Spent Fuel Storage Installation at Operating Plants Operation of an Independent Spent Fuel Storage Installation at Operating Plants
- (1) The inspectors evaluated the licensees activates related to long-term operation and monitoring of their independent spent fuel storage installation on December 30,
INSPECTION RESULTS
Inadvertent Actuation of Unit 2 Containment Spray Cornerstone Significance Cross-Cutting Report Aspect Section Barrier Integrity Green [H.8] - 71111.20 NCV 05000414/2019004-01 Procedure Open/Closed Adherence A self-revealing Green NCV of Technical Specification 5.4.1, Procedures, was identified for the licensees failure to implement AD-OP-ALL-0204, Plant Status Control, during the operation of the Unit 2 containment spray (NS) system. Specifically, on October 2, 2019, an inadvertent operation of the containment spray system occurred when control room operators cycled the 2A containment spray valves with the 2B NS pump in recirculation. This resulted in the spraying of contaminated water into Unit 2 upper containment, the subsequent evacuation of personnel, and submittal of an 8-hour report to the NRC.
Description:
On October 2, 2019, at 0415, with Unit 2 in Mode 5, an inadvertent operation of the containment spray system occurred following an evolution that placed both trains of the Unit 2 containment spray system in recirculation at the same time. The evolution began when the 2B NS pump was placed in operation followed by the 2A NS pump. Three minutes later the 2A NS pump was secured. The 2B NS pump remained in operation and cross-tied with the 2A train through the alignments made in the 2A pump recirculation procedure OP/2/A/6200/007, Containment Spray System. Operators then attempted to return the 2A NS train to a stand-by alignment in accordance with OP/2/A/6200/007, Enclosure 4.5. Enclosure 4.5 has steps to cycle NS spray header 2A containment isolation valves, 2NS-29A and 2NS-32A from the control room before isolating the recirculation flow path. When operators cycled the valves, water flowed through the 2A NS header into the Unit 2 upper containment. The control room was notified that water was flowing through the Unit 2 containment spray header and promptly secured the 2B NS pump. The licensee submitted an 8-hour notification to the NRC and initiated a problem resolution investigation team to evaluate the issue.
The licensees evaluation stated that the control room crew failed to recognize that a flow path existed from the 2B NS pump operating in recirculation and the 2A train containment spray valves that were being cycled because they did not properly implement AD-OP-ALL-0204, Plant Status Control. Specifically, control room operators did not use a marked-up flow diagram of the NS system during an active fluid transfer as required by with AD-OP-ALL-0204. Section 5.2, Documenting Component Manipulations to Maintain Plant Status Control, states in part that, the system flow path shall be marked up using major valves and any connecting systems to ensure there are no adverse interactions. It also states that all Active Fluid Transfer evolutions shall be controlled from the control room with the aid of marked up drawings. The inspectors concluded that the use of a marked up drawing during the operation of the NS system would have prevented the human performance error that occurred on October 2, 2019.
Corrective Actions: The licensee immediately secured the 2B NS pump. The licensee submitted event notification EN 54306 on October 2, 2019 and initiated interim actions for continuous oversight in the control room by personnel at the shift manager level or above for all evolutions involving movement of water.
Corrective Action References: CR 02295170
Performance Assessment:
Performance Deficiency: The failure to properly implement AD-OP-ALL-0204, Plant Status Control, during the operation of the Unit 2 containment spray system was a violation of Technical Specification 5.4.1a, Procedures, and was a performance deficiency.
Screening: The inspectors determined the performance deficiency was more than minor because if left uncorrected, it would have the potential to lead to a more significant safety concern. Specifically, licensees failure to properly implement AD-OP-ALL-0204, Plant Status Control, during the operation of the containment spray system resulted in mis-operation of the NS system and personnel evacuation from the Unit 2 upper containment due to spraying contaminated water in the Unit 2 reactor building. This also resulted in an 8-hour report to the NRC in accordance with 10 CFR 50.72.
Significance: The inspectors assessed the significance of the finding using Appendix G, Shutdown Safety SDP. The inspectors determined that the finding was of very low safety significance (Green) because the finding did not involve an actual reduction in function of the hydrogen control for BWR Mark III and PWR ice condenser containments.
Cross-Cutting Aspect: H.8 - Procedure Adherence: Individuals follow processes, procedures, and work instructions. The inspectors determined the finding had a cross-cutting aspect of procedure adherence in the area of human performance because the licensee failed to follow procedures during the operation of the NS system.
Enforcement:
Violation: Technical Specification 5.4.1, Procedures, requires that written procedures shall be established, implemented, and maintained, covering applicable procedures recommended in Appendix A of Regulatory Guide 1.33, Revision 2, February 1978. Section 1.c of Appendix A of Regulatory Guide 1.33, Revision 2, February 1978, states that written procedures should be provided for equipment control. Licensee procedure AD-OP-ALL-0204 Plant Status Control, Section 5.2, states in part that all active evolutions shall be marked up on the prints for the duration of the evolution. The system flow path shall be marked up using major valves and any connecting systems to ensure there are no adverse interactions. All Active Fluid Transfer evolutions shall be controlled from the control room with the aid of marked up drawings.
Contrary to the above, on October 2, 2019, with Unit 2 in Mode 5, the licensee failed to properly implement AD-ALL-OP-204, Plant Status Control, when operators cycled containment valves 2NS-29A and 2NS-32A with the 2B NS pump operating in recirculation. As a result, an inadvertent operation of the containment spray system occurred in Unit 2 upper containment. This also caused personnel evacuation from Unit 2 upper containment and an 8-hour report to the NRC.
Enforcement Action: This violation is being treated as an non-cited violation, consistent with Section 2.3.2 of the Enforcement Policy.
EXIT MEETINGS AND DEBRIEFS
The inspectors verified no proprietary information was retained or documented in this report.
- On January 23, 2020, the inspectors presented the integrated inspection results to Clark Curry and other members of the licensee staff.
DOCUMENTS REVIEWED
Inspection Type Designation Description or Title Revision or
Procedure Date
71111.01 Corrective Action 2307769 2B DG Repair Roof Leak
Documents
71111.04Q Drawings CN-1700-08.01 Three line diagram 250/125 VDC auxiliary power system Rev. 18
(ETM) SSF
Procedures OP/0/B/6350/919 ESPS DG Operation 002
71111.05Q Drawings CSD-CNS-PFP- Protected Area North
PA-001
CSD-CNS- Protected Area West Pre-Plan 0
PFP=PA-004
71111.06 Work Orders 2030980-02 2RN XP CMH-18A: (A train)
71111.07A Corrective Action 02195836 KC HX 2A ECT identified (25 tubes for preventing plugging)
Documents
Procedures MP/0/A/7650/199 Maintenance Procedure for Eddy Current Testing 003
Work Orders 20253735.01 2KC Fix and perform 100% eddy current inspection of tubes
71111.11Q Procedures AD-TQ-ALL=0420 Conduct of Simulator Training and Evaluation
71111.15 Procedures OP/2/A/6200/007 Containment Spray System 056
71111.20 Corrective Action 2295170 Flow initiated from the 2A NS system in to the U2
Documents containment
Procedures RP/0/B/5000/013 NRC Notification Requirements
11]] [[IP sample::=
=IP 71111.18|count=4}}
The inspectors evaluated the following post maintenance tests:
- (1) WO 20277429, Load Unit 2 digital control software to controllers to finalize settings on October 2, 2019
- (2) WO 20357204, 2B resistance temperature detection (RTD) hot leg has failed open, rescale 2B t-hot due to loss of RTD (2NCRD 5461) on October 9, 2019
- (3) Post maintenance testing (PMT) following repair of 1NC56B reactor make-up pump discharge containment insolation valve on November 11, 2019
- (4) PMT following the repair of an oil leak from temperature element 2KCTE7640 for 2B1 KC pump on November 15, 2019
71111.20 - Refueling and Other Outage Activities Refueling/Other Outage Sample (IP Section 03.01)
Main article: IP 71111.20
- (1) The inspectors evaluated Unit 2 refueling outage 2R23 from October 1, 2019 to October 12, 2019.
71111.22 - Surveillance Testing The inspectors evaluated the following surveillance tests: Surveillance Tests (other) (IP Section 03.01)
Main article: IP 71111.22
- (1) PT/2/A/4600/002 B, Mode 2 Periodic Surveillance Items on October 8, 2019
- (2) PT/0/B/4350/010, ESPS DG Functional Test on December 3, 2019
- (3) PT/1/A/4350/002 A, DG 1A Operability Test on November 13, 2019
Ice Condenser Testing (IP Section 03.01) (1 Sample)
- (1) PT/2/A/4200/014 A, Ice Condenser Intermediate Door and Inlet Door Position Monitoring System Inspection on October 20,
OTHER ACTIVITIES - BASELINE
===71151 - Performance Indicator Verification The inspectors verified licensee performance indicators submittals listed below:
IE01: Unplanned Scrams per 7000 Critical Hours Sample (IP Section 02.01) ===
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
MS05: Safety System Functional Failures (SSFFs) Sample (IP Section 02.04) (2 Samples)
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
BI02: RCS Leak Rate Sample (IP Section 02.11) (2 Samples)
- (1) Unit 1 submittals listed for the period from October 1, 2018 through September 30, 2019.
- (2) Unit 2 submittals listed for the period from October 1, 2018 through September 30, 2019.
71152 - Problem Identification and Resolution Semiannual Trend Review (IP Section 02.02)
- (1) The inspectors reviewed the licensees risk evaluation program for potential adverse trends in corrective actions that might be indicative of a more significant safety issue.
Annual Follow-up of Selected Issues (IP Section 02.03) (1 Sample)
The inspectors reviewed the licensees implementation of its corrective action program related to the following issues:
- (1) CR 2287546 Unplanned one-hour shutdown action statement per LCO 3.5.4 Condition B "fueling water storage tank (FWST) inoperable for reasons other than Condition A" on October 7,
OTHER ACTIVITIES
- TEMPORARY INSTRUCTIONS, INFREQUENT AND ABNORMAL
60855.1 - Operation of an Independent Spent Fuel Storage Installation at Operating Plants Operation of an Independent Spent Fuel Storage Installation at Operating Plants
- (1) The inspectors evaluated the licensees activates related to long-term operation and monitoring of their independent spent fuel storage installation on December 30,
INSPECTION RESULTS
Inadvertent Actuation of Unit 2 Containment Spray Cornerstone Significance Cross-Cutting Report Aspect Section Barrier Integrity Green [H.8] - 71111.20 NCV 05000414/2019004-01 Procedure Open/Closed Adherence A self-revealing Green NCV of Technical Specification 5.4.1, Procedures, was identified for the licensees failure to implement AD-OP-ALL-0204, Plant Status Control, during the operation of the Unit 2 containment spray (NS) system. Specifically, on October 2, 2019, an inadvertent operation of the containment spray system occurred when control room operators cycled the 2A containment spray valves with the 2B NS pump in recirculation. This resulted in the spraying of contaminated water into Unit 2 upper containment, the subsequent evacuation of personnel, and submittal of an 8-hour report to the NRC.
Description:
On October 2, 2019, at 0415, with Unit 2 in Mode 5, an inadvertent operation of the containment spray system occurred following an evolution that placed both trains of the Unit 2 containment spray system in recirculation at the same time. The evolution began when the 2B NS pump was placed in operation followed by the 2A NS pump. Three minutes later the 2A NS pump was secured. The 2B NS pump remained in operation and cross-tied with the 2A train through the alignments made in the 2A pump recirculation procedure OP/2/A/6200/007, Containment Spray System. Operators then attempted to return the 2A NS train to a stand-by alignment in accordance with OP/2/A/6200/007, Enclosure 4.5. Enclosure 4.5 has steps to cycle NS spray header 2A containment isolation valves, 2NS-29A and 2NS-32A from the control room before isolating the recirculation flow path. When operators cycled the valves, water flowed through the 2A NS header into the Unit 2 upper containment. The control room was notified that water was flowing through the Unit 2 containment spray header and promptly secured the 2B NS pump. The licensee submitted an 8-hour notification to the NRC and initiated a problem resolution investigation team to evaluate the issue.
The licensees evaluation stated that the control room crew failed to recognize that a flow path existed from the 2B NS pump operating in recirculation and the 2A train containment spray valves that were being cycled because they did not properly implement AD-OP-ALL-0204, Plant Status Control. Specifically, control room operators did not use a marked-up flow diagram of the NS system during an active fluid transfer as required by with AD-OP-ALL-0204. Section 5.2, Documenting Component Manipulations to Maintain Plant Status Control, states in part that, the system flow path shall be marked up using major valves and any connecting systems to ensure there are no adverse interactions. It also states that all Active Fluid Transfer evolutions shall be controlled from the control room with the aid of marked up drawings. The inspectors concluded that the use of a marked up drawing during the operation of the NS system would have prevented the human performance error that occurred on October 2, 2019.
Corrective Actions: The licensee immediately secured the 2B NS pump. The licensee submitted event notification EN 54306 on October 2, 2019 and initiated interim actions for continuous oversight in the control room by personnel at the shift manager level or above for all evolutions involving movement of water.
Corrective Action References: CR 02295170
Performance Assessment:
Performance Deficiency: The failure to properly implement AD-OP-ALL-0204, Plant Status Control, during the operation of the Unit 2 containment spray system was a violation of Technical Specification 5.4.1a, Procedures, and was a performance deficiency.
Screening: The inspectors determined the performance deficiency was more than minor because if left uncorrected, it would have the potential to lead to a more significant safety concern. Specifically, licensees failure to properly implement AD-OP-ALL-0204, Plant Status Control, during the operation of the containment spray system resulted in mis-operation of the NS system and personnel evacuation from the Unit 2 upper containment due to spraying contaminated water in the Unit 2 reactor building. This also resulted in an 8-hour report to the NRC in accordance with 10 CFR 50.72.
Significance: The inspectors assessed the significance of the finding using Appendix G, Shutdown Safety SDP. The inspectors determined that the finding was of very low safety significance (Green) because the finding did not involve an actual reduction in function of the hydrogen control for BWR Mark III and PWR ice condenser containments.
Cross-Cutting Aspect: H.8 - Procedure Adherence: Individuals follow processes, procedures, and work instructions. The inspectors determined the finding had a cross-cutting aspect of procedure adherence in the area of human performance because the licensee failed to follow procedures during the operation of the NS system.
Enforcement:
Violation: Technical Specification 5.4.1, Procedures, requires that written procedures shall be established, implemented, and maintained, covering applicable procedures recommended in Appendix A of Regulatory Guide 1.33, Revision 2, February 1978. Section 1.c of Appendix A of Regulatory Guide 1.33, Revision 2, February 1978, states that written procedures should be provided for equipment control. Licensee procedure AD-OP-ALL-0204 Plant Status Control, Section 5.2, states in part that all active evolutions shall be marked up on the prints for the duration of the evolution. The system flow path shall be marked up using major valves and any connecting systems to ensure there are no adverse interactions. All Active Fluid Transfer evolutions shall be controlled from the control room with the aid of marked up drawings.
Contrary to the above, on October 2, 2019, with Unit 2 in Mode 5, the licensee failed to properly implement AD-ALL-OP-204, Plant Status Control, when operators cycled containment valves 2NS-29A and 2NS-32A with the 2B NS pump operating in recirculation. As a result, an inadvertent operation of the containment spray system occurred in Unit 2 upper containment. This also caused personnel evacuation from Unit 2 upper containment and an 8-hour report to the NRC.
Enforcement Action: This violation is being treated as an non-cited violation, consistent with Section 2.3.2 of the Enforcement Policy.
EXIT MEETINGS AND DEBRIEFS
The inspectors verified no proprietary information was retained or documented in this report.
- On January 23, 2020, the inspectors presented the integrated inspection results to Clark Curry and other members of the licensee staff.
DOCUMENTS REVIEWED
Inspection Type Designation Description or Title Revision or
Procedure Date
71111.01 Corrective Action 2307769 2B DG Repair Roof Leak
Documents
71111.04Q Drawings CN-1700-08.01 Three line diagram 250/125 VDC auxiliary power system Rev. 18
(ETM) SSF
Procedures OP/0/B/6350/919 ESPS DG Operation 002
71111.05Q Drawings CSD-CNS-PFP- Protected Area North
PA-001
CSD-CNS- Protected Area West Pre-Plan 0
PFP=PA-004
71111.06 Work Orders 2030980-02 2RN XP CMH-18A: (A train)
71111.07A Corrective Action 02195836 KC HX 2A ECT identified (25 tubes for preventing plugging)
Documents
Procedures MP/0/A/7650/199 Maintenance Procedure for Eddy Current Testing 003
Work Orders 20253735.01 2KC Fix and perform 100% eddy current inspection of tubes
71111.11Q Procedures AD-TQ-ALL=0420 Conduct of Simulator Training and Evaluation
71111.15 Procedures OP/2/A/6200/007 Containment Spray System 056
71111.20 Corrective Action 2295170 Flow initiated from the 2A NS system in to the U2
Documents containment
Procedures RP/0/B/5000/013 NRC Notification Requirements
11| ]]