ML040360104

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IR 05000266-03-007 and IR 05000301-03-007, on 7/28/2003 - 12/16/2003, for Nuclear Management Company, LLC; Point Beach Nuclear Plant, Units 1 and 2
ML040360104
Person / Time
Site: Point Beach  NextEra Energy icon.png
Issue date: 02/04/2004
From: Caldwell J
Region 3 Administrator
To: Vanmiddlesworth G
Nuclear Management Co
References
EA-02-031, EA-03-057, EA-03-059, EA-03-181, IR-01-017, IR-02-015 IR-03-007
Download: ML040360104 (133)


See also: IR 05000266/2003007

Text

February 4, 2004

EA-02-031

EA-03-057

EA-03-059

EA-03-181

Mr. Gary Van Middlesworth

Acting Site Vice-President

Point Beach Nuclear Plant

Nuclear Management Company, LLC

6610 Nuclear Road

Two Rivers, WI 54241-9516

SUBJECT: POINT BEACH NUCLEAR PLANT, UNITS 1 AND 2

95003 SUPPLEMENTAL INSPECTION

NRC INSPECTION REPORT 05000266/2003007; 05000301/2003007

Dear Mr. Van Middlesworth:

On December 16, 2003, the results of a three-phase supplemental inspection conducted at

the Point Beach Nuclear Plant in accordance with NRC Inspection Procedure (IP) 95003,

Supplemental Inspection for Repetitive Degraded Cornerstones, Multiple Degraded

Cornerstones, Multiple Yellow Inputs, or One Red Input, were discussed with Messrs. John

Paul Cowan, Douglas Cooper, and Fred Cayia, and members of the Point Beach staff at a

public meeting at the Holiday Inn in Manitowoc, Wisconsin. A summary of the public meeting

on December 16, 2003, was documented in a letter to Mr. Cayia, dated December 31, 2003.

The inspection was an examination of activities conducted under your license as they relate to

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

of your license. Within these areas, the inspection consisted of a selective review of

procedures and representative records, observations of activities, and interviews with

personnel.

In a letter dated May 9, 2003, we informed Mr. Cayia of our decision to conduct the IP 95003

supplemental inspection. The inspection was conducted to review your corrective actions for

the Red inspection finding associated with the auxiliary feedwater and instrument air systems

(AFW/IA) and for the inspection finding associated with the potential common mode failure of

the AFW pumps because of plugging of the recirculation line pressure reduction orifices. This

second finding associated with the AFW system was subsequently determined to be a Red

finding for Unit 2, and a Yellow finding for Unit 1. Details of these findings are provided in

Inspection Reports (IRs) 50-266/01-17(DRS); 50-301/01-17(DRS), dated April 3, 2002, and

50-266/02-15(DRP); 50-301/02-15(DRP), dated April 2, 2003, and in Final Significance

Determination letters dated July 12, 2002, and December 11, 2003. The inspection also

assessed your performance in the Reactor Safety Strategic Performance Area, which included

detailed inspections of the effectiveness of your corrective action, emergency preparedness,

and engineering programs.

G. Van Middlesworth -2-

From our inspection, we concluded that your evaluation of the causes of the significant AFW

inspection findings was adequate and your proposed corrective actions were reasonable.

Though we concluded that generally your planned corrective actions were adequate to prevent

problem recurrence, the implementation of some of the corrective actions was weak as

reflected in repeated extension of due dates and the lack of quality in the implementation of

identified corrective actions. For example, the IP 95003 inspection was extended for one week

because of inconsistent quality of your implementation and documentation of corrective actions

which resulted in several corrective actions involving the AFW system not being completed.

The NRC determined that additional review of corrective actions related to the AFW system

was warranted to gain assurance that the system was operable. The NRC subsequently

concluded that the AFW system was operable; however, extensive inspection effort was

required to verify that previous corrective actions adequately addressed historic AFW system

performance problems.

Regarding our assessment of your performance in the Reactor Safety Strategic Performance

Area, the NRC determined that the plant is being operated in a manner that ensures public

safety. However, the NRC also identified several performance issues which warrant increased

attention to ensure continued plant safety. Specifically: (1) the quality of your implementation

of programs and processes related to the identification and resolution of problems was

inconsistent, resulting in inadequate or incomplete corrective action, (2) we identified multiple

findings and violations related to emergency preparedness which indicated that Point Beach

management and staff did not have a good understanding of license and regulatory

requirements, (3) electrical design basis calculations were poorly controlled, and (4) ineffective

communication between engineering and operations contributed to the lack of a common

understanding of some system design basis and operational practices.

The NRC determined that your performance improvement plan (Excellence Plan) provides an

adequate framework for the improvement of station performance. However, the success of this

Plan is contingent on the adequate commitment of resources, the timely and quality

implementation of the Plan, and the establishment of measures or indicators of successful

completion at various stages during Plan implementation, including when all necessary action

steps of the action plans in the Excellence Plan and effectiveness reviews for the actions have

been completed. Additionally, we determined that the Excellence Plan did not completely

address all problem areas. The Plan required changes to ensure that problems associated with

implementation of the corrective action and emergency preparedness programs, engineering

design basis calculation adequacy, and organizational effectiveness, are adequately addressed

to affect and sustain long-term improvement in these areas.

You are requested to respond to this letter by February 13, 2004, and describe the actions that

you will take to address the issues raised during this inspection, and your schedule for

submission of your revised Excellence Plan. The NRC will review the adequacy of the revised

Excellence Plan and its implementation. The NRC will continue to provide increased oversight

of activities at Point Beach until you have demonstrated that your corrective actions are lasting

and effective. Consistent with Inspection Manual Chapter (IMC) 0305 Operating Reactor

Assessment Program, guidance regarding the oversight of plants in the multiple/repetitive

degraded cornerstone column of the Action Matrix, the NRC will continue to assess

performance at Point Beach and will consider at each quarterly performance assessment

G. Van Middlesworth -3-

review the following options: (1) declaring plant performance to be unacceptable in accordance

with the guidance in IMC 0305; (2) transferring to the IMC 0350 Oversight of Operating

Reactor Facilities in a Shutdown Condition with Performance Problems process; and (3) taking

additional regulatory actions, as appropriate. Until you have demonstrated lasting and effective

corrective actions, Point Beach will remain in column four of the Action Matrix.

During the inspection, an apparent violation of 10 CFR 50.54(q) and 50.47(b) was identified

for changes Point Beach made between October 1998 and December 1999 to the previously

NRC-approved Emergency Action Level scheme. This apparent violation is described in

Section 3.6 of the enclosed inspection report and in a letter sent to Mr. Cayia, dated

December 2, 2003. It was also discussed with Point Beach management during a technical

debriefing by the emergency preparedness inspectors on August 8, 2003; at the conclusion of

the onsite portion of the emergency preparedness phase of the inspection on August 27; during

a preliminary exit meeting for all three phases of the IP 95003 inspection on November 17;

during a telephone conference on December 1; and during the public final exit meeting for the

IP 95003 inspection on December 16. As discussed in the December 2nd letter, this apparent

violation is being considered for escalated enforcement action in accordance with the General

Statement of Policy and Procedure for NRC Enforcement Actions (Enforcement Policy),

NUREG-1600. The current Enforcement Policy is included on the NRCs website at

www.nrc.gov. A predecisional enforcement conference was held on January 13, 2004, in the

Region III office. From the information presented at the conference, it was apparent that

corrective actions taken, thus far, have been less than fully effective. On January 16, after

further discussions between the NRC and NMC representatives about the need to take

corrective actions to return to compliance, NMC representatives informed the NRC that the

EALs had been changed. A summary of the predecisional enforcement conference was

provided to you in a letter dated January 27, 2004. You will be notified by separate

correspondence of the results of the NRCs deliberations on the apparent violation and the

adequacy of your corrective actions.

In addition to the apparent violation, the NRC identified that your Emergency Plan and

implementing procedures did not provide a range of protective action recommendations as

required by NRC regulations. The only protective action recommendation that would have been

given to State and local officials by your staff in the event of an emergency at Point Beach was

evacuation. This issue is being treated as an unresolved item while the NRC evaluates the

potential generic implications. We confirmed by direct observation that the Emergency Plan

and implementing procedures have been changed since the inspection was completed to

provide an appropriate range of recommendations.

Based on the results of this inspection, ten NRC-identified violations of very low safety

significance (Green) and one NRC-identified Severity Level IV violation were identified.

Additionally, a licensee-identified violation is listed in Section 5 of this report. These violations

are being treated as Non-Cited Violations (NCVs) consistent with Section VI.A of the

Enforcement Policy. These NCVs are described in the subject inspection report. If you contest

the severity level 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 U. S. Nuclear

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

G. Van Middlesworth -4-

copy to the Regional Administrator, U.S. Nuclear Regulatory Commission - Region III, 801

Warrenville Road, Lisle, IL 60532-4351; the Director, Office of Enforcement, U.S. Nuclear

Regulatory Commission, Washington, DC 20555-0001; and the NRC Resident Inspector at the

Point Beach Nuclear Plant facility.

In accordance with 10 CFR 2.790 of the NRCs Rules of Practice, a copy of this letter, its

enclosure, and any responses you provide will be made available electronically for public

inspection in the NRC Public Document Room or from the Publicly Available Records System

(PARS) component of NRCs document system (ADAMS). ADAMS is accessible from the NRC

Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,

/RA/

James L. Caldwell

Regional Administrator

Docket Nos. 50-266; 50-301

License Nos. DPR-24; DPR-27

Enclosure: Inspection Report 05000266/2003007; 05000301/2003007

w/Attachment: Supplemental Information

cc w/encl: R. Kuester, President and Chief

Executive Officer, We Generation

John Paul Cowan, Chief Nuclear Officer

D. Weaver, Nuclear Asset Manager

Plant Manager

Regulatory Affairs Manager

Training Manager

Jonathan Rogoff, Vice-President, Counsel & Secretary

D. Cooper, Senior Vice-President

K. Duveneck, Town Chairman

Town of Two Creeks

A. Bie, Chairperson, Wisconsin

Public Service Commission

J. Kitsembel, Electric Division

Wisconsin Public Service Commission

State Liaison Officer

DOCUMENT NAME: C:\MYFILES\Copies\Poi 2003 007 DRP 95003 Suppl.wpd

To receive a copy of this document, indicate in the box: "C" = Copy without attachment/enclosure "E" = Copy with attachment/enclosure "N" = No copy

OFFICE RIII RIII RIII RIII

NAME MKunowski:dtp JLara KRiemer AVegel

DATE 01/26/04 01/26/04 01/27/04 01/28/04

OFFICE RIII NRR RIII RIII

NAME BClayton SRichards SReynolds JCaldwell

DATE 01/28/04 01/28/04 01/28/04 01/30/04

OFFICIAL RECORD COPY

G. Van Middlesworth -5-

ADAMS Distribution:

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HBC

PGK1

C. Ariano (hard copy)

C. Pederson, DRS (hard copy)

DRPIII

DRSIII

PLB1

JRK1

FJC

JGL

JLD

OEMAIL

OEWEB

RJS2

RWB1

MRJ1

MAS

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WMD

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WHR

DWW

U.S. NUCLEAR REGULATORY COMMISSION

REGION III

Docket Nos: 50-266; 50-301

License Nos: DPR-24; DPR-27

Report No: 05000266/2003007; 05000301/2003007

Licensee: Nuclear Management Company, LLC

Facility: Point Beach Nuclear Plant

Location: 6610 Nuclear Road

Two Rivers, WI 54241

Dates: Corrective Action Inspection, July 28 - August 8, 2003

Emergency Preparedness Inspection, August 4-15, 2003

Engineering, Operations, and Maintenance Inspection,

September 8 - October 3, 2003

Preliminary Exit Meeting, November 17, 2003

Public Final Exit Meeting, December 16, 2003

Personnel: A. Vegel, 95003 Team Leader; Chief, Branch 7,

Division of Reactor Projects (DRP), Region III

M. Kunowski, 95003 Assistant Team Leader; Project

Engineer, Branch 7, DRP, Region III

Corrective Action Inspection

L. Kozak, Inspection Leader, Project Engineer, DRP,

Branch 6, Region III

J. Lenahan, Senior Engineering Inspector, Division of

Reactor Safety (DRS), Region II

R. M. Morris, Resident Inspector, Point Beach

J. Chiloyan, NRC Contractor

K. Elsea, NRC Contractor

D. Baxley, Administrative Assistant, Office of Nuclear

Reactor Regulation (NRR)

Enclosure

(Cover page cont)

Emergency Preparedness Inspection

R. Lantz, Inspection Leader; Senior Emergency

Preparedness (EP) Inspector, Region IV

T. Blount, Senior EP Analyst, NRR

R. Kahler, Senior EP Analyst, NRR

T. Ploski, Senior EP Inspector, Region III

R. M. Morris, Resident Inspector, Point Beach

Engineering, Operations, and Maintenance Inspection

A. Vegel, Inspection Leader

S. Burgess, Senior Reactor Analyst, Region III

L. Kozak, Project Engineer, Branch 6, Region III

D. Pelton, Senior Resident Inspector, Vermont Yankee,

Region I

R. Daley, Reactor Inspector, DRS, Region III

M. Maymí, Reactor Inspector, DRS, Region II

C. Baron, NRC Contractor

G. Skinner, NRC Contractor

S. Billings, Administrative Assistant, NRR

P. Krohn, Senior Resident Inspector, Point Beach

R. M. Morris, Resident Inspector, Point Beach

Approved by: Anton Vegel, Chief

Branch 7

Division of Reactor Projects

Enclosure

TABLE OF CONTENTS

SUMMARY OF FINDINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

REPORT DETAILS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

1. Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

2. Corrective Action Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

2.1. Review of Significant Performance Deficiencies . . . . . . . . . . . . . . . . . . . . . . . . 8

2.2 Effectiveness of Audits and Assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

2.3 Employee Concerns Program and Safety Conscious Work Environment . . . . 21

2.4 Licensee Performance Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

2.5 Allocation of Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

2.6 Use of Industry Operating Experience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

2.7 Conclusions of the Corrective Action Program Phase of the IP 95003 Inspection

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

3. Emergency Preparedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

3.1 Correction of Weaknesses and Deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . 25

3.2 ERO Readiness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

3.3 Facilities and Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

3.4 Procedure Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

3.5 ERO Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

3.6 In-Depth Review of RSPSs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

3.7 Conclusions of the Emergency Preparedness Phase of the IP 95003 Inspection

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

4. Engineering, Operations, and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

4.1 Engineering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

4.1.1 125-VDC System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

4.1.2 Design Basis and As-Built Review of AC Systems, Including the Offsite

Electrical Distribution Grid and Plant Electrical System Interface . . . . . 51

4.1.3 Component Cooling Water (CCW) System . . . . . . . . . . . . . . . . . . . . . 57

4.1.4 Corrective Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

4.1.5 Procedure Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

4.1.6 Human Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

4.1.7 Miscellaneous Issue - Appendix R Concern for Speed Controllers for the

Charging Pumps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

4.2 Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

4.2.1 Control Room and In-Plant Observations . . . . . . . . . . . . . . . . . . . . . . . 72

4.2.2 Time-Critical Operator Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

4.2.3 System Walkdowns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

4.2.4 Operator Interactions with Engineering and Maintenance Personnel . . 75

4.2.5 Distribution of Temporary Changes to EOPs . . . . . . . . . . . . . . . . . . . . 75

4.3 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

4.3.1 Maintenance Work Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Enclosure

4.3.2 Equipment Performance for the 125-VDC, CCW, and AFW Systems

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

4.4 Extension of the Engineering, Operations, and Maintenance Inspection . . . . . 77

4.5 Conclusion of the Engineering, Operations, and Maintenance Phase of the IP

95003 Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

5. Licensee-Identified Violation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

6. Management Meetings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

SUPPLEMENTAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

KEY POINTS OF CONTACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ITEMS OPENED, CLOSED, AND DISCUSSED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

LIST OF DOCUMENTS REVIEWED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

LIST OF ACRONYMS USED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Enclosure

SUMMARY OF FINDINGS

IR 05000266/2003-007, 05000301/2003-007; 7/28/2003 - 12/16/2003; Nuclear Management

Company, LLC; Point Beach Nuclear Plant, Units 1 and 2. Supplemental inspection 95003 was

performed to evaluate corrective actions for a Red inspection finding pertaining to the auxiliary

feedwater and instrument air systems, and for a Red inspection finding pertaining to the

potential for a common mode failure of the auxiliary feedwater pumps because of the plugging

of the recirculation line pressure reduction orifices. The inspection also reviewed the corrective

action, emergency preparedness, and engineering programs.

The Nuclear Regulatory Commission (NRC) began the three-phase supplemental inspection on

July 28, 2003. At that time, the orifice plugging finding was still considered a preliminary Red

finding. However, because the licensee had completed the root cause investigation and had

developed and began implementation of corrective actions for the preliminary Red finding

before the completion of the inspection, the IP 95003 inspectors reviewed the adequacy of

these corrective actions. The Final Significance Determination of the orifice plugging issue was

subsequently completed and transmitted to the licensee in a letter dated December 11, 2003.

The NRC concluded that this issue was appropriately characterized as Yellow for Unit 1and

Red for Unit 2. The difference in significance is a result of the longer time that the orifices were

installed in Unit 2.

This inspection was conducted in accordance with NRC Supplemental Inspection

Procedure 95003, Inspection for Repetitive Degraded Cornerstones, Multiple Degraded

Cornerstones, Multiple Yellow Inputs, or One Red Input. In the first phase of the inspection,

the licensees corrective action program was reviewed, with a focus on problem identification,

in general, and implementation of corrective actions for the two AFW issues, in particular.

On August 4, 2003, the second phase of the inspection, a review of the emergency

preparedness program, began. An apparent violation was identified during this phase for

changes made to the Emergency Action Level scheme that decreased the effectiveness of the

Emergency Plan and did not receive prior NRC approval. The licensee was informed of this

apparent violation in a letter dated December 2, 2003, and a predecisional enforcement

conference to discuss this issue was conducted on January 13, 2004.

On September 8, 2003, the final phase of the inspection began. The focus of this phase was

the licensees engineering program, particularly design engineering, and additional review of

implementation of corrective actions for the two AFW issues. Plant operations and

maintenance, as they interact with engineering, were also reviewed. This phase of the

inspection was extended an extra week because of problems identified by the inspectors with

AFW system corrective actions.

The licensees corrective action program was adequate. Examples of poor implementation

continue to exist despite licensee efforts to improve overall implementation. Identified program

weaknesses that could contribute to implementation problems included the potential for issues

to be categorized and analyzed at too low a level and a weak trending process. Recently

implemented program improvements were good initiatives but were not formalized.

1 Enclosure

The overall root and contributing causes for the two AFW Red findings were the lack of

understanding of the design, corrective action program weaknesses, and poor

operations/engineering interface. And while overall, corrective actions taken for the findings

were adequate, several important corrective actions to prevent recurrence had not been

adequately implemented.

In emergency preparedness (EP), the inspectors concluded that the licensees program was

adequate. Program challenges and areas needing improvement included EP staff experience

level and training, maintenance of EP design bases and understanding of EP regulatory

guidance documents. An apparent violation was identified for the failure to maintain a standard

emergency action level scheme, and an unresolved item whose significance is greater than

Green was identified for a lack of range of protective actions in the Emergency Plan and

implementing procedures.

In engineering, the inspectors concluded that the CCW system design and licensing basis were

understood and adequately supported by controlled testing and calculations. The 125-volt

direct current (VDC) system design basis calculations, however, were poorly controlled and

design basis calculations related to several alternating current (AC) systems were poorly

understood by engineers. The operability of the electrical systems were verified through

calculations by the inspectors. The inspectors determined that communications between

operations and engineering staff regarding the understanding of system design and operating

practices was not consistently effective.

This report covers a 5-month period of supplemental inspection by NRC contractors and NRC

inspectors from all four NRC Regional offices and from Headquarters. Ten Green findings,

which were associated with Non-Cited Violations, one Severity Level IV Non-Cited Violation,

one apparent violation, and one unresolved item of significance to be determined were

identified. The significance of most findings is indicated by their color (Green, White, Yellow,

Red) using Inspection Manual Chapter (IMC) 0609, Significance Determination Process

(SDP). Findings for which the SDP does not apply may be Green or be assigned a severity

level after NRC management review. The NRCs program for overseeing the safe operation of

commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process,

Revision 3, dated July 2000.

A. NRC-Identified and Self-Revealing Findings

Cornerstone: Emergency Preparedness

  • Green. The inspectors identified a Non-Cited Violation of emergency planning standard

10 CFR 50.47(b)(2) because the licensee failed to assign onshift responsibilities for

reading facility seismic monitors, thereby affecting the ability to timely classify certain

seismic emergency events.

This finding is greater than minor because it was associated with a cornerstone attribute

and affected the emergency preparedness cornerstone objective to ensure the

adequate protection of the public health and safety. This finding is of very low safety

2 Enclosure

significance because it was a degradation in the emergency response organization

(ERO) onshift staffing and did not represent a planning standard function failure.

(Section 3.2.b.2)

10 CFR 50.9 because the licensee failed to provide complete and accurate information

in the submittal of information for the emergency response organization (ERO)

performance indicator (PI). Twenty-three onshift communicators should have been

tracked and reported in the ERO PI, but were not. The licensee has subsequently

submitted corrected PI data to the NRC.

This issue is greater than minor because it caused the PI to cross the Green-to-White

threshold for the 3rd quarter of 2001. Because this issue affected the NRCs ability to

perform its regulatory function, it was evaluated with the traditional enforcement

process. (Section 3.2.b.3)

  • Green. The inspectors identified a Non-Cited Violation of emergency planning standard

10 CFR 50.47(b)(16) because the licensee failed to develop and implement an

emergency planning staff training program to ensure that emergency planners were

properly trained.

This finding is greater than minor because it was associated with a cornerstone attribute

and affected the emergency preparedness cornerstone objective to ensure the

adequate protection of the public health and safety. This finding is of very low safety

significance because lack of a staff training program presented a potential degrading

condition for the level of qualification and proficiency of the emergency preparedness

staff, but did not represent a failure of the planning standard function. (Section 3.5)

  • To Be Determined. The inspectors identified an unresolved item for the lack of a range

of protective actions in the Emergency Plan and implementing procedures. This issue is

being treated as an unresolved item while the NRC evaluates the industry-wide generic

implications of this issue. Since the identification of the issue by the inspectors, the

licensee has revised the Emergency Plan and implementing procedures to include the

appropriate range of protective actions. (Section 3.6.b.1)

  • To Be Determined. The inspectors identified an apparent violation of 10 CFR 50.54(q),

associated with emergency planning standard 10 CFR 50.47(b)(4), which will be subject

to the NRC traditional enforcement process not the revised Reactor Oversight Process.

Specifically, the licensee failed to maintain a standard scheme of emergency action

levels (EALs). Eight EALs were changed in 1998 and 1999. The changes decreased

the effectiveness of the Emergency Plan in that emergency conditions that would have

resulted in classifications at the General Emergency (GE), Alert, and Notification of

Unusual Event (NOUE) levels would result in a lesser classification under the current

EAL scheme. Approval of the NRC was not obtained prior to the changes being made.

Since the identification of the issue by the inspectors, the licensee has revised the eight

EALs to be equivalent with those approved by the NRC in 1984. (Section 3.6.b.2)

3 Enclosure

  • Green. The inspectors identified a Non-Cited Violation of emergency planning standard

10 CFR 50.47(b)(4) because the licensee failed to properly calibrate the facility seismic

monitors to ensure they were capable of supporting implementation of a Notice of

Unusual Event EAL.

This finding is greater than minor because it was associated with a cornerstone attribute

and affected the emergency preparedness cornerstone objective to ensure the

adequate protection of the public health and safety. This finding is of very low safety

significance because a Notice of Unusual Event could still be declared based on ground

shaking. (Section 3.6.b.3)

Cornerstone: Mitigating Systems

Criterion III, Design Control, because Technical Specification Surveillance

Requirement 3.8.4.6 for testing the safety-related battery chargers was non-

conservative in relation to the design basis calculation for battery charger sizing.

This finding is greater than minor because it affected the mitigating systems cornerstone

objective. This finding is of very low safety significance because it was a design

deficiency that did not result in the loss of function. (Section 4.1.1.1.b.1)

Criterion III, Design Control, because the licensee failed to maintain the 125-volt direct

current (VDC) voltage drop calculations accurate and up-to-date.

This finding is greater than minor because it affected the mitigating systems cornerstone

objective. This finding is of very low safety significance because it was a design

deficiency that did not result in the loss of function. (Section 4.1.1.1.b.2)

Criterion XVI, Corrective Action. Specifically, the licensee failed to implement timely

corrective action (for over 5 years) for safety-related electrical equipment in the primary

auxiliary building (PAB) that was not environmentally qualified, a condition adverse to

quality.

This finding is greater than minor because if left uncorrected, the finding would become

a more significant safety concern and have adverse effects on the capability to prevent

or mitigate the consequences of accidents. The finding is of very low safety significance

because it was a design deficiency that did not result in the loss of function.

(Section 4.1.2.b.2.1)

  • Green. The inspectors identified a Non-Cited Violation of 10 CFR 50.49(f). Specifically,

the licensee identified equipment important to safety located in the primary auxiliary

building that would be susceptible to a harsh environment during a postulated high-

energy line break but failed to environmentally qualify that equipment.

4 Enclosure

This finding is greater than minor because if left uncorrected, the finding would become

a more significant safety concern and have adverse effects on the capability to prevent

or mitigate the consequences of accidents. The finding is of very low safety significance

because it was a design deficiency that did not result in the loss of function.

(Section 4.1.2.b.2.2)

Criterion V, Instructions, Procedures, and Drawings. Specifically, the licensee failed to

include appropriate quantitative setpoint values for the minimum low head safety

injection A train flow in plant emergency operating procedures (EOPs).

This finding is greater than minor because it could have affected the mitigating

cornerstone objective of ensuring the availability of the low head safety injection system

when required to respond to the initiating event. The finding is of very low safety

significance because it did not represent an actual loss of safety function.

(Section 4.1.5)

Criterion XI, Test Control, because the licensee failed to include in the inservice testing

program manual component cooling water (CCW) valves that were required to perform

a safety function.

This finding is greater than minor because it could have affected the mitigating

cornerstone objective of ensuring the availability of the CCW or residual heat removal

(RHR) systems when required to respond to the initiating event. The finding is of very

low safety significance because it did not represent an actual loss of safety function.

(Section 4.1.3.2)

Section III.L.1.c. Specifically, the licensee failed to ensure, without the need for hot

standby repairs, adequate control air to the speed controllers for the charging pumps

during a postulated fire requiring an alternative shutdown method.

This finding is greater than minor because the finding would become a more significant

safety concern if left uncorrected. The finding is of very low safety significance because

it is likely that the licensee would have been successful in completing the repairs and

allowing the plant to be maintained in hot standby until cold shutdown could be

achieved. (Section 4.1.7)

B. Licensee-Identified Violation

A violation of very low safety significance, which was identified by the licensee, has been

reviewed by the inspectors. Corrective actions taken or planned by the licensee have

been entered into the licensees corrective action program. The violation and the

licensees corrective action tracking number are listed in Section 5 of this report.

5 Enclosure

REPORT DETAILS

1. Background

In a letter dated July 12, 2002, the NRC issued a Final Significance Determination,

classifying a licensee-identified issue with the auxiliary feedwater and instrument air

systems (the AFW/IA issue) as a Red finding. The letter also discussed the NRCs

decision to perform additional inspection to determine whether the issue should be

treated as an old design issue (ODI). The ODI designation referred to the exemption in

NRC Inspection Manual Chapter 0305, Operating Reactor Assessment Program, that

allowed the NRC to not take actions specified in the Action Matrix for certain findings.

An initial inspection was conducted, by two inspectors, from September 23 - 26, 2002, to

review the ODI question.

On October 29, 2002, while the results of the September inspection were being

reviewed by Region III management, the licensee notified the NRC of a potential for a

common mode failure of the AFW pumps from the plugging by debris of the pressure

reduction orifices in the AFW minimum flow recirculation lines. Flow through the

recirculation lines is required to prevent damage to the pumps when flow to the steam

generators is stopped or significantly reduced by reactor operators. An NRC special

inspection team was dispatched to the site on October 30 to review this issue and its

relation to the original AFW/IA issue. From its review of the orifice plugging issue, the

licensee concluded that the source of the rust-like debris found in the orifice was AFW

discharge piping high-point vent valves and pump casing vent valves that had been

manipulated during system maintenance. On February 21, 2003, studies conducted at

an independent laboratory for the licensee indicated that the sand, silt, and zebra

mussel shell debris normally found in plant service water (SW), the safety-related water

source for the AFW system, would quickly plug the orifices. The NRCs conclusions

from the inspection that the AFW/IA did not qualify as an ODI and that the AFW orifice

plugging issue was preliminarily a Red inspection finding were subsequently

documented in Inspection Report (IR) 50-266/02-15(DRP); 50-301/02-15(DRP), issued

on April 2, 2003.

On May 9, 2003, the NRC issued an Annual Assessment Follow-up Letter, which

documented the results of the April 22, 2003, annual Agency Action Review Meeting,

including the NRCs decision to perform a supplemental inspection at Point Beach

Nuclear Plant (PBNP), using IP 95003, Supplemental Inspection for Repetitive

Degraded Cornerstones, Multiple Degraded Cornerstones, Multiple Yellow Inputs, or

One Red Input.

On June 6, 2003, a Regulatory Conference was held to discuss the orifice plugging

issue. At that conference, the licensee stated that the results of the analysis of risk from

internal events for the issue would be completed later in June and that the analysis of

risk from fire would be completed in August 2003. Information related to the risk from

internal events was subsequently submitted to the NRC in a letter dated June 27, and

information related to the risk from fire was submitted on September 18. The licensees

analysis indicated that the AFW orifice plugging issue was an issue with high

importance to safety, a Red inspection finding, for Unit 2, and an issue with substantial

6 Enclosure

importance to safety, a Yellow inspection finding, for Unit 1. The difference in

significance between the Units is a result of the longer time that the orifices were

installed in Unit 2.

In a letter dated July 18, 2003, the licensee submitted to the NRC selected action plans

from its Point Beach Nuclear Plant Excellence Plan, a site-wide, long-term performance

improvement plan. In a letter dated December 11, 2003, the NRC issued a Final

Significance Determination, classifying the orifice issue as a Red finding.

On July 28, 2003, the NRC commenced the IP 95003 inspection at Point Beach. The

IP 95003 inspection was conducted in addition to the scheduled baseline inspections.

The intent of IP 95003 is to allow the NRC to obtain a comprehensive understanding of

the depth and breadth of safety, organizational, and performance issues at facilities

where data indicates the potential for serious performance degradation. The objectives

of this inspection procedure are to: (1) provide additional information to be used in

deciding whether the continued operation of the facility is acceptable and whether

additional regulatory actions are necessary to arrest declining performance, (2) provide

an independent assessment of the extent of risk significant issues to aid in the

determination of whether an acceptable margin of safety exists, (3) independently

evaluate the adequacy of licensee programs and processes used to identify, evaluate,

and correct performance issues, (4) independently evaluate the adequacy of programs

and processes in the affected strategic performance areas, and (5) provide insight into

the overall root and contributing causes of identified performance deficiencies.

As prescribed by IP 95003, the scope of NRC inspection activities at Point Beach

included the assessment of performance in the Reactor Safety Strategic Performance

Area, including the inspection of key attributes, such as design, human performance,

procedure quality, configuration control, and emergency response organizational

readiness. Also, the 95003 inspection reviewed the control systems for identifying,

assessing, and correcting performance deficiencies (essentially, the corrective action

program) to evaluate whether programs are sufficient to prevent further declines in

safety that could result in unsafe operation. In developing the scope of this inspection,

the NRC considered the results of licensee self-assessment activities and licensee

progress in addressing the substantive cross-cutting issue in the area of problem

identification and resolution. This issue was discussed in the Annual Assessment

Letter, dated March 4, 2003.

As explained in IMC 0305, plants in the multiple/repetitive degraded cornerstone column

of the Action Matrix are given consideration at each quarterly performance assessment

review for (1) declaring plant performance to be unacceptable in accordance with the

guidance in IMC 0305, (2) transferring to the IMC 0350, Oversight of Operating Reactor

Facilities in a Shutdown Condition with Performance Problems, process, and (3) taking

additional regulatory actions, as appropriate.

2. Corrective Action Program

Recent NRC inspections have identified problems with the licensees corrective action

program. Inspection Report 50-266/02-05; 50-301/02-05, dated May 14, 2002, and

7 Enclosure

Final Significance Determination Letter, dated June 13, 2002, discuss the corrective

action program aspects of a White inspection finding related to the self-revealed failure

of a safety injection pump due to gas binding. Inspection Reports 50-266/01-17(DRS);

50-301/01-17(DRS), dated April 3, 2002, and 50-266/02-15(DRP); 50-301/02-15(DRP),

and Final Significance Determination Letters dated July 12, 2002, and

December 11, 2003, discuss the corrective action program aspects of the Red

inspection finding for the AFW/IA issue and of the Red inspection finding for the AFW

orifice plugging issue. Additional problems with the corrective action program, which

resulted in the NRC identification of a substantive cross-cutting issue in the area of

problem identification and resolution, were discussed in the Annual Assessment Letter

to the licensee, dated March 4, 2003.

With consideration of these recent problems, the NRC reviewed the corrective action

program using the guidance of IP 95003 to evaluate whether the program was sufficient

to prevent further declines in safety that could result in unsafe operation. This

evaluation was made following inspection of the following six areas:

a. Licensee evaluations of, and corrective actions to, significant performance

deficiencies (such as the two Red inspection findings),

b. effectiveness of audits and assessments performed by the quality assurance

group, line organizations, and external organizations,

c. process for allocating resources and management of backlogs and workarounds,

d. licensee performance goals and congruence with corrective actions needed to

address the documented performance issues,

e. employee willingness to use and effectiveness of the employee concerns

program, and

f. effectiveness of the licensees use of industry information (operating experience)

for previously documented performance issues.

In addition to this specific review of the corrective action program, the two other phases

of the IP 95003 inspection reviewed corrective action program aspects related to the

emergency preparedness area (Section 3 of this report) and the engineering,

operations, and maintenance areas (Section 4 of this report).

2.1. Review of Significant Performance Deficiencies

a. Inspection Scope

The inspectors reviewed the licensees assessments of the two Red findings, focusing

on the corrective actions that were identified to prevent recurrence. The inspectors also

reviewed the Excellence Plan action plans (11 plans designated as OP-10-001 through -

011) to improve corrective action program implementation. Ineffective corrective action

had contributed to the AFW findings and was also identified during a recent licensee

organizational effectiveness assessment as a key area needing improvement to support

8 Enclosure

overall improvement in plant performance. The inspectors evaluated the corrective

action program to identify any weaknesses contributing to ineffective implementation.

b. Observations and Findings

Auxiliary Feedwater System Findings

Overall, the inspectors found the licensees final evaluation of the two AFW Red findings

to be acceptable. However, the inspectors noted that each finding required a revision to

the root cause evaluation (RCE), with the AFW/IA Red finding requiring a second

revision. This second revision was performed because the initial evaluation and first

revision were too narrowly focused.

While the inspectors found that many corrective actions for the AFW findings had been

completed, there remained a number of outstanding corrective actions, including

corrective actions to prevent recurrence (CATPRs). For these CATPRs, little progress

had been made, to date, and for some corrective actions the due dates had been

significantly extended. The inspectors also found weak implementation of several

corrective actions. Also, many actions related to the AFW safety system functional

assessment (SSFA), which was performed as a corrective action to the AFW/IA Red

finding, were not complete.

Finally, changes required to important documents, including the AFW design basis

document (DBD), final safety analysis report (FSAR), calculations, and inservice test

program (IST) bases, and others had been identified as necessary but were not yet

completed. Only some of the outstanding actions associated with the AFW system were

captured in the Excellence Plan (in action plans OP-13-008, Gain Additional Design

Margin in the Auxiliary Feedwater System, OP-14-008, AFW Design Basis Validation

Project, EQ-15-014, Auxiliary Feedwater Orifice Replacement, and EQ-15-015,

Auxiliary Feedwater Electrical Modifications), others were captured in the corrective

action program. Some of the actions in the Excellence Plan had completion dates in

2005 and 2006, which the inspectors considered to be untimely. The inspectors

determined that, overall, the actions taken to prevent recurrence related to the two AFW

findings were adequate though some specific actions were not consistently implemented

in a timely and effective manner.

A detailed review of the corrective actions to prevent recurrence for each of the AFW

findings follows.

b.1 AFW Orifice Plugging

The inspectors reviewed RCE 191, Possible Common Mode Failure of Aux Feed

Recirculation Lines, Revision 1. This revision was based on a request from the

Corrective Action Review Board (CARB) to include the management oversight element

as an organizational root cause. The report was completed approximately six months

after the event. The RCE was performed by a team and aided by an independent

review. Two root causes were identified. The direct root cause was the failure of the

design engineer to properly evaluate within the design process the potential for orifice

plugging. The organizational root cause was less than adequate management oversight

9 Enclosure

of the design modification process. Several contributing causes were also identified,

including inadequate knowledge of AFW recirculation line design functions,

misapplication of vendor information, omission of information on design functions from

the safety evaluation, and inadequate independent verification.

An extent of condition assessment of other flow-restricting orifices in the plant was

conducted to determine if the potential for plugging and impacting other system safety

functions existed. No other safety-related flow restriction devices were found to be

susceptible. The licensee did not perform a separate extent of condition for the root

causes. The report stated, "The extent of condition or generic implications of the

organizational root cause (less than adequate management oversight of the design

modification process) has been addressed through the Organizational Effectiveness

Assessment." The organizational effectiveness assessment was completed early in

2003 prior to the completion of the RCE. Because the assessment was very broad and

did not specifically evaluate which parts of the assessment addressed the extent of

cause for the AFW issue, the inspectors could not determine which issues identified in

the organizational effectiveness assessment were related to the causes of the AFW

orifice plugging issue.

The inspectors reviewed the implementation of the CATPRs specified in RCE 191. Four

CATPRs were specified. A review of the implementation and effectiveness of each

action follows:

  • CATPR #1: Implement periodic reviews of Engineerings products by the Quality

Review Team to identify and address human performance related issues.

The inspectors found that this action had been inconsistently implemented. The

Quality Review Team (QRT) was formed in November 2002. Between

November 2002 and September 2003, a total of 64 engineering products had

been reviewed and graded for quality. However, a significant number of the

reviews (28) were conducted in January, shortly after the process was

implemented. From February through June, QRT reviews of engineering

products was sporadic, ranging from 1 product reviewed to 8 products reviewed

per month. No engineering products were reviewed in July or August 2003. The

licensee indicated that the reviews were not conducted due to other higher

priority work but that the QRT would review a larger than normal sample in

September. In response to the inspectors questions regarding QRT reviews,

the licensee identified that corrective action program problem identification

documents (CAPs) had not been written for engineering products that were

graded 3." A grade of 3" indicated minor errors and per the guidance of

Nuclear Plant Business Unit Procedure (NP) 7.1.7, Quality Review Team,

should have been documented in a CAP. The CAPs were subsequently

generated to capture the results of the reviews.

  • CATPR #2: Increase engineering management involvement in the approval and

oversight of modifications.

10 Enclosure

The action was implemented through the creation of the Design Review Board

(DRB) process. The DRB process included both a review of the modification in

the conceptual phase and a review of the final design. The DRB included staff

from various departments and was intended to provide a comprehensive multi-

disciplined review of the modification. The inspectors attended two DRB

meetings and reviewed the meeting minutes for all other meetings. The

meetings appeared to have been productive and clearly increased the

involvement of departments other than engineering. In all but one DRB, the

chairman was the Manager of Design Engineering, consistent with the intent of

the CATPR to increase engineering management involvement in the approval

and oversight of modifications; however, the DRB Procedure (NP 7.2.12, Design

Review Board) allowed a design engineering supervisor (first-line supervisor) or

designee to chair the DRB. The inspectors were concerned that without specific

procedural guidance to ensure (upper) management involvement in the DRB

process, this involvement could not be assured. The licensee wrote CAP050120

to review management participation in DRBs.

  • CATPR #3: Present lessons learned from this event to all engineering personnel

stressing the importance of following the Design Process.

A lessons-learned session had been recently conducted through continuing

training for the engineering staff. The inspectors reviewed LP ESC-03-LP016,

Lessons Learned from Possible Common Mode Failure of the AFW System,

and discussed the sessions with engineering staff who had attended. The

lesson plan accurately described the AFW issues and the results of the root

cause evaluation. Personnel interviewed indicated that the training was

informative and useful.

  • CATPR #4: Implement FP-E-MOD-07, Design Verification and Technical

Review, dated December 27, 2002, in accordance with normal implementation

process.

The action specified was to implement the NMC or fleet modification

procedure. This had not yet been completed at the time of the inspection but

was planned for the end of September 2003. The inspectors reviewed a draft of

the new procedure and the existing Procedure NP 7.2.2, Design Control, and

determined that there was no substantial difference in the requirements for

design verification. As a result, the inspectors concluded that this action was not

a corrective action that would prevent recurrence of the AFW orifice plugging

event. The inspectors observations on the two procedures and the inspectors

conclusion were included in CAP050177, and the licensee subsequently wrote a

Point Beach-specific procedure (NP 7.2.15, Fleet Modification Process), with

improvements, to implement the fleet procedure. The licensee also revised

existing modification/design-related procedures, including NP 7.2.2, to

incorporate similar improvements.

11 Enclosure

b.2 AFW Instrument Air Finding

The inspectors reviewed the second revision of the RCE for the AFW/IA finding.

RCE000202, Potential AFW Pump Damage Due to Low Flow That Results in Increased

Core Damage Frequency, contained the following statement:

On or about 3/7/03, station management concluded that the problem statement

(and therefore the identification of the root cause) for RCE 01-069, Revision 1

was narrowly focused. Management considered that the RCE focused on

procedural inadequacies and did not sufficiently consider potential system design

problems. As a result, other issues that could impact minimum recirculation flow

requirements were not identified. Management commissioned an independent

root cause evaluation team to perform RCE000202 with the following problem

statement:

RCE000202

Problem Statement

The purpose of this investigation is to determine the root and

contributing causes of potential Auxiliary Feedwater Pump

(AFWP) damage due to low flow that results in increased Core

Damage Frequency (CDF).

Revision 2 of RCE000202 was dated April 9, 2003, which was 1 year and 4 months after

the event. Two root causes were identified. The first root cause was the failure to

consider the integration of AFW system design and accident progression. The second

root cause was less than adequate knowledge of the safety significance of the AFW

recirculation line in protecting the pumps. Three contributing causes were identified and

included a lack of problem and issue ownership, less than adequate

engineering/operations interface, and less than adequate management of the

interrelationship of documents.

Overall, the inspectors found the final root cause evaluation to be adequate. However,

a shortcoming in addressing the extent of cause similar to the AFW orifice plugging

issue was identified. In addressing a contributing cause of "Lack of problem and issue

ownership," the report stated:

The RCE Team considers that, in addition to the specific actions

identified above, improvements in the Corrective Action Process are

desired. No specific corrective actions are necessary because recent

initiatives should meet that goal.

Similar to the AFW orifice plugging extent of cause, no specific evaluation was

conducted. Instead the licensee credited a separate initiative without ensuring that the

initiative truly addressed the extent of cause. The inspectors could not determine if the

recent corrective action program initiatives addressed improvements identified by the

RCE team because they were not specified.

12 Enclosure

The inspectors reviewed the implementation and effectiveness of the eight CATPRs

(designated by the licensee as corrective actions (CAs):

  • CA29830: Revise Design Input Checklist

This corrective action was initially closed without revising the checklist. The

failure to complete the action as specified was identified by the Technical Review

Panel, a newly formed group that reviewed completed corrective actions. The

checklist was then revised.

  • CA29831: Upgrade the EOP/AOP [Emergency Operating Procedure/Abnormal

Operating Procedure] change process to ensure the steps to mitigate the

accident are not in conflict with the design and current licensing basis.

The action was completed as specified.

  • CA29832: Develop a strategy and schedule to train individuals on the

interrelationship between system design and current licensing basis.

(Operations)

CA29833: Develop a strategy and schedule to train individuals on the

interrelationship between system design and current licensing basis.

(Engineering)

These two actions were the same for two different groups, operations and

engineering. The intent of the actions was to cover systems other than AFW.

The action for the operations department was extended to July 2004 to allow

time for the reconstitution of the current licensing basis (CLB). Reconstitution

of the CLB was specified in a non-docketed Excellence Plan action plan

(OP-14-004, Reduce Ambiguity of Current Licensing Basis for User) and was a

long-term project extending out several years, with the first set of systems to be

completed in 2004.

The action for the engineering department was complete, although a firm

schedule and strategy had not yet been developed and approved by CARB. The

closure was based on an internal memo from the engineering department to the

training department with a recommended approach to the training which included

a focus group effort to determine the topics for training. This memo also

indicated that a finalized detailed class schedule would be developed by

January 21, 2004. The inspectors reviewed the engineering training schedule for

2004 and determined that this training had not yet been incorporated into the

schedule. The licensee acknowledged that the training would have to be added

to the schedule once the training was developed.

The inspectors considered these actions to be among the most important

corrective actions to prevent recurrence as they directly addressed both of the

root causes identified and extended beyond the AFW system to other important

systems. However, licensee action, to date, had not been timely or sufficient to

ensure that the training specified by this CATPR would be conducted and would

13 Enclosure

be effective to prevent recurrence. The licensee wrote CA053525, 053526, and

053527 to address the timing of the training.

  • CA29834: Conduct a detailed review of the AFW system to identify what

modifications must be performed to ensure minimum flow is always available in

all modes for pump protection. Operator action should be minimized if not

eliminated.

The inspectors considered that this detailed review was not really a CATPR, but

that the actions taken to address problems identified by the review were actually

CATPRs. Many of these actions were not yet completed. The licensee had an

external, independent team conduct a safety system functional assessment

(SSFA) of the AFW system and also performed an internal review focusing on

electrical power supplies to AFW system components. The SSFA identified

some issues with the AFW system that required correction but determined that

the system remained operable. The inspectors reviewed a sample of issues

identified by the SSFA and the planned corrective actions.

Prior to the SSFA, and as a result of questions from NRC inspectors

during the special inspection conducted in 2002 (IR 50-266/02-15(DRP);

50-301/02-15(DRP)), the licensee identified an issue with common power

supplies to the SW valves to the AFW pump suction. Under certain plant

electrical configurations, the potential existed for a common mode failure of

three of four SW motor-operated valves (MOVs) during a postulated seismic

event. This operable but degraded condition required compensatory measures,

including additional required operator action outside the control room. An

electrical modification was planned to eliminate the problem and was included in

an Excellence Plan action plan (EQ-15-015, Auxiliary Feedwater Electrical

Modifications); however, the installation of the modification was not scheduled to

be completed until the 4th quarter of 2005. In response to the inspectors

questioning the timeliness of this action, the licensee moved up the scheduled

installation of the modifications and completed the last one in December 2003.

The SSFA identified that the motor-driven AFW pumps were operable but

degraded because of nonconservative IST test criteria for pump differential

pressure. The test criteria had been developed assuming a main steam safety

relief valve setpoint tolerance of 1 percent, when the Technical Specifications

(TSs) allowed 3 percent. The licensee determined that the motor-driven pumps

did not have enough hydraulic margin to overcome the additional pressure.

The pumps were considered operable but degraded because recent main

steam safety valve testing had shown the valves lifting within 1 percent of the

setpoint. The licensee identified several corrective actions, including calculation

revisions and potential capacity upgrades to the AFW system, to restore the

pumps to fully operable. None of the actions had been completed at the end of

the inspection. The capacity upgrades were tracked in an Excellence Plan

action plan (OP-13-008, Gain Additional Design Margin in the Auxiliary

Feedwater System) that was not docketed. The other corrective actions were

tracked only in the corrective action program.

14 Enclosure

  • CA29835: Develop a lesson plan to train individuals on the safety-related

functions of the AFW system.

CA29836: Develop a schedule to train individuals on the safety-related functions

of the AFW system.

Both of these CATPRs were extended until mid-2004, as with CA29832,

because of the need to first reconstitute the CLB. The inspectors questioned the

timeliness of this training given that the reviews of the AFW design and licensing

basis were complete. The inspectors considered these actions to be untimely as

the actual training would not likely occur until late in 2004, while the first AFW

issue was identified in 2001 and the second AFW issue was identified in 2002.

The licensee wrote CAP050108 in response to this concern and initiated

CA052332 to reevaluate the due date of the action. The training was

subsequently completed in early December 2003.

  • CA29837: Assign an Issue Manager to coordinate the implementation of

changes to DBD-01, FSAR, IST basis, TSs, TRQM [Technical Requirements

Manual], and EOPs to ensure consistency in Safety-Related Function

descriptions related to the AFW system include the appropriate reference(s) for

all of the safety-related components and functions in DBD-01.

This action was closed and the supervisor of the newly developed Configuration

Management group was assigned as the Issue Manager. The inspectors noted

that the assignment of an Issue Manager was not really a CATPR, but rather the

actual correction of the information in the documents was the corrective action to

prevent recurrence. The licensee identified the need to make changes to these

documents through several different efforts, including the RCEs, the AFW SSFA,

and the AFW system self-assessment report. However, there was no single

tracking system or method in place to ensure that all of the required changes

would, in fact, be made. Many of the changes needed were identified in CAPs

and assigned to various people, some of whom were outside of the Issue

Managers department. During an interview, the Issue Manager indicated that

many of the changes would be coordinated through Excellence Plan action plan

OP-14-008, AFW Design Basis Validation Project, but that some of the issues

would be addressed through the corrective action program. The Excellence Plan

action plan had one outstanding action item (OP-14-008.7) to revalidate the

AFW design basis, which was due in the third quarter of 2006. There was a

similar Excellence Plan action plan OP-14-003, Validate Design Bases for High

Risk Systems, which called for the validation of the design basis for seven

different systems, including AFW. Step 14-003.6, which was the actual

validation effort was scheduled to start in the third quarter of 2004 and finish in

the third quarter of 2006. Because of the lack of a detailed plan with due dates,

the inspectors could not conclude that the updates would be completed prior to

2006, which was not considered to be timely corrective action for the AFW

issues that occurred in 2001 and 2002.

During the inspectors review of AFW issues, it became apparent that the Issue

Manager was not consistently aware of activities related to the AFW system.

15 Enclosure

Subsequently, the inspectors determined that no specific guidance or

expectations regarding Issue Manager duties and responsibilities existed. The

licensee wrote CAP050590 to document and track corrective actions related to

the failure to provide formal guidance that defines management expectations

regarding Issue Manager duties and responsibilities. Overall, the inspectors

determined that the licensee had not defined the responsibilities of an issue

manager, and that this CATPR had not been effectively implemented.

b.3 Corrective Action Program Issues

The inspectors reviewed the Excellence Plan action plans (OP-10-001 through -011) for

improving the corrective action program. Many improvement initiatives had only recently

been implemented and the long-term effectiveness of the initiatives could not yet be

determined. In addition, most of the initiatives had not been proceduralized and,

therefore, the inspectors concluded that sustained improvement to the corrective action

program effectiveness could not be fully assured.

The inspectors identified a number of weak areas that may have contributed to the

ineffective implementation of the corrective action program associated with the

significant performance deficiencies. Overall, the inspectors found the program to be

designed to achieve flexibility and management discretion. The program was

implemented in a manner that maximized reporting of problems and did not overextend

resources to resolve them. According to licensee personnel, the number of CAPs was

expected to rise from about 3500 - 4000/year to 7000 - 8000/year. The flexibility of the

corrective action program came with the many procedularized recommendations for

assigning significance levels, performing evaluations, and implementing corrective

actions and a limited number of requirements. As the program had so few

requirements, there were risks of inappropriately limiting the extent of analysis and

correction of the identified issue.

The inspectors had additional observations of the corrective action program, as

discussed below. These observations were documented by the licensee in CAP050177.

Significance Level. Four significance levels (A, B, C, and D) were specified with

examples listed in a matrix to help assign the level. Level A (significant) issues included

significant conditions adverse to quality, level B (moderate) issues included conditions

adverse to quality, level C (minor) issues were other problems, while level D issues were

improvements. Moderate and minor were not defined. The inspectors noted that the

examples listed in the matrix were generally event- or outcome-based. That is, if a

significant plant effect occurred, the issue would be assigned a higher significance level.

Potentially significant issues, if they did not result in a plant effect, were likely to be

considered a level C or minor issue. Applying the criteria in this manner could result in

missed opportunities to proactively evaluate and correct issues and conditions before a

plant effect was seen. As an example, there were no specific criteria to evaluate the

significance of a failure to implement a corrective action or of a engineering problem

such as a deficient calculation. Based on the inspectors observations, these types of

issues would generally be considered minor, or not conditions adverse to quality, unless

there was a plant effect.

16 Enclosure

Five activity types or evaluations were used: RCE, apparent cause evaluation (ACE),

condition evaluation (CE), maintenance rule evaluation (MRE), and operability request

(OPR). RCEs were expected for level A CAPs and justification was required for

exceptions. No causal analysis (RCE or ACE) was required for any significance level

below A.

While onsite, the inspectors observed that a CE was used for some level B issues. The

licensee recently wrote CAP034566 to document that compared to industry norms, the

number of RCEs and ACEs had been very low as related to site performance. Overall,

the inspectors concluded that the licensee identified a lot of issues but did not always

evaluate them at a high enough level. The inspectors did not identify any specific

examples where an issue was not adequately evaluated, though the process could allow

for a review to be performed that was not commensurate with the potential significance

of an issue.

Change Provisions. The procedural requirement to document the justification to not

perform a RCE for a level A CAP was not always followed. At a CARB meeting on

August 4, 2003, the inspectors noted that three of four evaluation reports did not have

the required justification. The licensee wrote CAP034598 to document this problem.

While changes in evaluation to raise the level of evaluation must be approved, there

were no lower level activities upgraded to an RCE observed by the inspectors. Changes

from an ACE to a CE and vice versa were observed.

Automatic Triggers. There are no automatic triggers defined by the corrective action

program to escalate evaluation levels (for example, three level C CAPs on the same

issue within a month moves the latest of the three CAPs to a level B). Consequently,

the risk of missing an adverse performance trend was increased. The lack of automatic

triggers to escalate an issue may also contribute to the potential for issues to be under

analyzed.

Analytical Methods. Only level A issues received an RCE, the only activity level for

which use of analytical cause evaluation methodology was expected. Section 4,

Requirements, of OEG 001, Root Cause Evaluation Manual, the licensees guidance

document, consistently applied the term "should." In fact, the use of the manual itself

was "recommended, but not mandatory. For ACEs, no formal cause evaluation

methods were required to be used, although the program provided that lower level

analytical methods may be used for ACEs. The 2-5 hours estimated level of effort for

an ACE was inconsistent with the suggested guidance to use an analytical method and

perform an extent of condition review. In summary, only about 1 percent of all CAPs

received any level of evaluation through an analytical method.

Teams. There was no requirement to have investigative teams, even for an RCE. As a

part of the recent corrective action program improvement initiatives, the licensee began

to emphasize the use of teams, including interdisciplinary teams. However, use of a

team was not required. The inspectors noted that a recently formed RCE team to

review an issue (CAP033997, Unit 2 Main Feed Pump Trip Results in a Unit 2 Reactor

Trip) consisted of team members only from the engineering department.

17 Enclosure

Independence. There was no requirement for independence anywhere in the process.

In fact, issues were routinely assigned to the department most closely associated with

the issue. For example, an engineering issue would be assigned to the engineering

department and a maintenance issue to the maintenance department for action. While

this approach may encourage ownership, it did not provide the independence needed

for a different, more impartial perspective. The inspectors did recognize that the

Technical Review Board, though not a requirement, involved staff from various

departments which provided effective independent assessments of the adequacy of

corrective actions.

Training. Training was not required but was expected for root cause evaluators.

Licensee management expectation was that each RCE team should have at least one

member trained in analytical cause evaluation techniques. The charter for RCE000205

(for level A, CAP033889, Unit 1 Flux Map Detectors Failing) listed a team lead who

was not on the qualified lead investigator list although the team lead had attended

equipment root cause training in June 2003. Two other members were assigned,

neither of whom appeared on the training or RCE qualified lists. Recently, RCE

refresher training was conducted as part of the corrective action program improvement

initiatives, although there was no requirement for refresher training.

Training was not required for conducting ACEs and there were no qualification

requirements included in the procedures for conducting ACEs. However, ACE training

was conducted recently also as part of the corrective action program improvement

initiatives.

Corrective Action Program and Work Order Process. The inspectors reviewed the

corrective action program and the work order (WO) process to determine the

relationship between the two. The corrective action program was controlled by an

NMC procedure and the WO process was controlled by a Point Beach procedure; the

procedures contradicted each other. The WO procedure (NP 10.2.4) allowed a CAP

to be closed to a WO when the WO was initiated. The corrective action program

procedure (NP 5.3.1, Attachment 6) indicated that the CAP could not be closed until

the actual work was complete. The inspectors noted that the procedures did not

require feedback to the CAP process if a WO was closed that was associated with a

level B CAP, a condition adverse to quality. The licensee wrote CA052067 to resolve

the discrepancy between the two procedures and NP 5.3.1 was subsequently revised

on October 29, 2003, to bring the two procedures into agreement.

Effectiveness Review. Effectiveness reviews were expected, per procedure, for a

majority of RCEs. However, there were eight justifications for not doing one, including

having no corrective actions to prevent recurrence (CATPRs). There was no mention of

effectiveness reviews for any other type of corrective actions or for any activity type

other than RCE. The inspectors determined that the requirements to perform

effectiveness reviews were limited. Considering the number of observations regarding

ineffective corrective action implementation documented in this report this is an area

warranting additional emphasis by the station.

Trending. The corrective action program depended upon trending of items below level

A (and for A level issues not subject to RCEs) to identify in aggregate those things not

18 Enclosure

individually meriting an RCE. Given the increase in CAPs generated and the lowered

threshold for reporting issues, the licensee was relying on trending to identify when to

perform a causal analysis and take additional corrective action. However, the inspectors

found that the trending program was not adequately serving the intended purpose.

Each department performed trending, with some departments trending what happened,

and other departments trending causal and human performance information. The ability

of the trending function to provide a trigger to identify issues or conditions requiring

additional evaluation was diminished by several factors. The method for coding a CAP

only allowed one entry for each of the coding areas; therefore, all of the information,

particularly causes discussed in the ACE/RCE, were not being trended. To the extent

that ACEs (for which an apparent, not a root cause, was expected) did not provide valid

causal information, the trending of causes was suspect. The licensee recently identified

in CAP034566 that for the 2nd quarter of 2003 only about 50 conditions were coded in

the "why" codes. This amount of data would not be meaningful for trending. The

inspectors found several examples where causes identified did not match the cause

code applied:

  • RCE000182/CAP002968: The CAP indicated that the Human Performance

Failure Mode was K6 - Inadequate Standards Knowledge. The RCE Human

Performance Failure Modes were: 1. Inadequate Communications; 2. Tunnel

Vision; 3. Wrong Assumptions; 4. Inadequate Verification. Of these reasons,

only Tunnel Vision was Knowledge based. As a result, the three other human

performance failure modes identified in the RCE were not captured in the

trending program.

  • RCE000192/CAP030002: The CAP indicated that the Human Performance

Failure Mode was Unknown. The RCE stated that the cause was Lack of

ownership and a flawed mental model of the Cold Weather Preparations

process. There were several Significant Contributing Causes: 1. Inadequate

Understanding of the Programs Scope; 2. Inadequate Implementation of

Corrective Actions From Previous Events and Assessments; 3. Ineffective Use

of Operational Experience (OE); 4. Inadequate Work Control/Management of

Cold Weather Preparations.

In addition to the process weaknesses noted above, work load may hamper the

effectiveness of the corrective action program. There were a number of indications that

the corrective action program-related workload was heavy. The Performance

Assessment Department had routinely worked 60-hour weeks for about 6 months.

Except for filling a position vacated by retirement, the inspectors were not made aware

of any plans to increase the number of personnel in the department, despite a

significant increase in the number of CAPs being generated and additional corrective

action program-related duties that had been added as part of the improvement

initiatives.

19 Enclosure

2.2 Effectiveness of Audits and Assessments

a. Inspection Scope

The inspectors reviewed several Nuclear Oversight (NOS-quality assurance) quarterly

reports from 2002 to present, focusing on NOS findings related to the effectiveness of

the corrective action program. The inspectors also reviewed a recent self-assessment

of NOS effectiveness and interviewed the NOS manager. The Excellence Plan

contained an action plan (OR-02-001, Nuclear Oversight Effectiveness) for improving

NOS effectiveness, but many of the action steps had not yet been completed.

b. Observations and Findings

Based on review of the reports and interviews, the inspectors concluded that the

NOS reports had identified numerous problems with the Point Beach corrective action

program. Specifics of the problems identified are discussed below.

1Q2002 - NOS assessed the overall effectiveness of the Quality Assurance Program

(which included the corrective action program) at Point Beach as adequate/attention

warranted for the first quarter of 2002. NOS identified multiple examples of untimely

corrective actions such as 14 operability determinations greater than 2 years which

were still open. NOS wrote CAP002777, Untimely Corrective Actions - Failure to

Establish Qualification Files for Equipment Credited for Operating in a High Energy

Line Break (Operability Determination 98-0164), which was classified as a significant

QA finding to document and disposition the concern regarding untimely corrective

actions. RCE000051 was conducted from April 8 through June 13, 2002, as part of

CAP002777. The purpose of the RCE was to determine why it was taking more than

4 years to resolve outstanding operable but nonconforming issues. The untimely

corrective actions for the original high energy line break issue are discussed further in

Section 4.1.2 of this report.

4Q2002 - NOS assessed the overall effectiveness of the Quality Assurance Program at

Point Beach as adequate/attention warranted for the fourth quarter of 2002. NOS

continued to identify problems with implementation of the corrective action program,

particularly with the timeliness of corrective actions. A comment in the report stated:

From CA program problems identified, NOS concluded that they had been inconsistent

in getting line management to fully understand significance of issues, and resolving the

issues in a timely manner. NOS wrote CAP030664 to document its findings of untimely

corrective actions.

1Q2003 - NOS assessed the overall effectiveness of the Quality Assurance Program at

Point Beach as adequate/attention warranted for the first quarter of 2003. NOS

identified weaknesses in almost every phase of the operating experience program.

Assessment PBSA NOS-03-03 - This assessment was performed to determine the

effectiveness of NOS. There were several recommendations in the report to improve

performance of NOS. This assessment stated that NOS reports did not pursue major

20 Enclosure

weaknesses they identified, such as the corrective action program deficiencies. An

issue identified in the assessment was that NOS did not adequately Drill Down into

identified issues to adequately identify causes.

The inspectors concluded that NOS had been ineffective in resolution of their findings

concerning inadequate implementation of the corrective action program at Point Beach.

The majority of the untimely corrective actions addressed in RCE000051 remain

unresolved, more than 1 year after the RCE was issued. Proposed improvements to

NOS were addressed in Excellence Plan action plan OR-02-001. The majority of the

improvements will not be implemented until late 2003 and 2004.

2.3 Employee Concerns Program and Safety Conscious Work Environment

a. Inspection Scope

The inspectors reviewed the program requirements, interviewed the employee concerns

program (ECP) site contact, and reviewed several recent ECP files to assess the safety

conscious work environment and to determine if safety-significant issues in the ECP

program received the proper level of attention. The inspectors also reviewed the results

of a site culture survey conducted in late 2002. Also, the inspectors interviewed plant

personnel to assess the safety conscious work environment.

b. Observations and Findings

The ECP files reviewed did not involve safety-related plant systems and did not reveal

any issues that would indicate safety conscious work environment problems. Individuals

interviewed did not express any concerns regarding the work environment and all

indicated that they felt comfortable with raising issues to plant management; however,

there was a perception that corporate management was too involved in the

characterization of risk-significant issues.

The results of the culture survey did not identify any issues with the safety conscious

work environment but did reveal that there was a lack of employee confidence in the

effectiveness of the corrective action program. The survey also found that there were

some issues with the general work culture, including workload and priorities. The

inspectors also reviewed the corrective action program self-assessment results from

mid-2002 which stated that 12 percent of employees interviewed indicate some

reluctance to initiate CAPs. Further follow-up by the ECP staff found that the reluctance

to write a CAP was not a reluctance to identify safety issues but rather resulted from the

boomerang effect in which the employee who initiated a CAP was assigned the CAP

for resolution, thus adding to the employees workload. The follow-up interviews also

found that the reluctance was related to employees not wanting to get their co-workers

in trouble by writing CAPs for low-level errors that they may have committed.

The licensee factored the results of the culture survey and the 2002 corrective action

program self-assessment into the Excellence Plan action plans to address changes in

the ECP (action plan OR-03-001, ECP Integrated Program Improvements) and in the

corrective action program (action plans OP-10-001 through -011, Corrective Action

21 Enclosure

Program). The licensee stated that another site culture survey will be conducted in

late-2004 to measure the results of these changes, as well as the other significant

organizational changes at the site.

2.4 Licensee Performance Goals

a. Inspection Scope

The inspectors reviewed the licensees business plan and incentive program for

2003-2004 to determine if the goals in these plans conflicted with the required

activities outlined in the Excellence Plan to improve plant performance (action plans

OR-06-001, Five Year Strategic Planning Process, and OR-06-002, 2003 Business

Plan and Excellence Plan Rollout).

b. Observations and Findings

The inspectors reviewed the licensees business plan and incentive program and

determined that there did not appear to be any conflict between the goals of these

programs and the actions needed to correct the identified performance issues. In fact,

the business plan was used as an input into the development of the Excellence Plan.

Overall, there appeared to be alignment of the goals in the plans reviewed.

2.5 Allocation of Resources

a. Inspection Scope

The inspectors reviewed corrective action items, attended plant meetings, interviewed

staff and management, and reviewed the Excellence Plan action plans to assess if the

licensee had appropriately allocated resources to correct the identified performance

deficiencies (action plans EQ-15-001 through -018, Equipment Reliability; OP-10-001

through -011, Corrective Action Program; and OP-14-001 through -008, Configuration

Management).

b. Observations and Findings

The inspectors found many indications of competing priorities and a large workload that

affected the quality and timeliness of some licensee corrective actions. For example, in

the interviews conducted by the licensee for the root cause evaluation for possible

common mode failure of the AFW recirculation lines (RCE000191), several engineers

indicated that time and schedule pressure contributed to the inadequate design review

associated with upgrading the safety classification of the recirculation lines. Further

information from the interviews indicated that this situation was not unique and that

other modifications had been similarly hurried. Additionally, one of the corrective actions

to prevent recurrence was to establish the DRB to review engineering products.

However, during the inspection, the licensee identified that the DRB had been canceled

on several recent occasions due to the lack of availability of the assigned staff. The

inspectors noted cancellations of other meetings and numerous examples of missed

training that appeared also to be indicative of a lack of effective prioritization and

allocation of resources.

22 Enclosure

2.6 Use of Industry Operating Experience

a. Inspection Scope

The inspectors reviewed the licensees industry operating experience (OE) program

and interviewed the OE coordinator and plant staff to assess the use of OE. The

inspectors also reviewed the Excellence Plan action plan for improving the OE program

(OP-10-010, Operating Experience (OE) Improvement Plan).

b. Observations and Findings

The inspectors interviewed plant personnel to understand the use of OE, and noted that

the various departments at Point Beach (maintenance, operations, chemistry, and

radiation protection) had incorporated OE into their morning meeting schedules.

The interviews included discussions of the transmittal of OE to the maintenance craft

and engineering personnel.

Based on interviews and review of the Excellence Plan, the inspectors concluded that

the OE program was not formalized in procedures, instead relying mainly on the efforts

of the newly appointed OE coordinator. The Excellence Plan had provisions to develop

procedures to ensure that the program would continue if personnel changes occur. The

inspectors noted during the interviews that some of the personnel assigned as OE

liaisons expressed a concern about the increase in workload and the ability to perform

effectively as the number of tasks they were assigned increased.

2.7 Conclusions of the Corrective Action Program Phase of the IP 95003 Inspection

The inspectors concluded that the licensees control systems for identifying, assessing,

and correcting problems were adequate. However, implementation issues clearly

contributed to the significant AFW findings and examples of poor implementation

continued to exist despite licensee efforts to improve overall implementation. In

particular, the inspectors concluded that several important corrective actions to prevent

recurrence for the AFW findings had not been adequately implemented. These

inadequately implemented corrective actions included the failure to adequately and

consistently implement the Quality Review Team and the failure to conduct training

specified as a result of the AFW findings. Several other actions were specified as

corrective actions to prevent recurrence but the inspectors concluded that the actions

themselves were not corrective actions and would not prevent recurrence. These

included the CATPR specified to implement the fleet modification process for design

verification and the CATPR to assign an issue manager. Overall, the inspectors

determined that short-term corrective actions were adequate to prevent recurrence of

the two specific AFW findings. However, weaknesses in the implementation of some

long-term corrective actions indicated that continued attention was warranted to ensure

that performance improvements related to the corrective actions could be sustained.

While the inspectors concluded that the corrective action program was adequate, there

were weaknesses identified that could contribute to implementation problems.

Examples of those weaknesses included a process that potentially categorized and

analyzed issues at too low of a level and a weak trending process. Recent

23 Enclosure

improvements to the corrective action program were good initiatives, but had not been

formalized and, as a result, long-term improvement could not be assured.

The Excellence Plan addressed a number of significant problems at the plant, including

some AFW-specific corrective actions and corrective action program problems.

However, many of the actions were not completed and in fact, little work had begun.

Examples included improvements in NOS effectiveness, AFW corrective actions,

operating experience program, and design basis validation projects.

3. Emergency Preparedness

Cornerstone: Emergency Preparedness (95003.01)

During a baseline inspection in February 2002 (IR 50-266/02-04(DRS);

50-301/02-04(DRS)), the inspectors identified concerns regarding the adequacy of the

licensees critique of two performance issues during the biennial emergency

preparedness exercise. In a letter dated September 12, 2002, the NRC issued a Final

Significance Determination of White for a finding encompassing both issues. An

additional problem was identified by the inspectors concerning the critique for the

August 1, 2002, emergency preparedness drill (IR 50-266/02-10; 50-301/02-10).

In November 2002, the NRC began a supplemental inspection to review the licensees

root cause evaluation (RCE) for the White finding; however, the inspectors determined

that the RCE (RCE000187) was inadequate. In response, the licensee revised the

RCE. This revision was subsequently reviewed in March 2003 by the NRC and found to

be acceptable (IR 50-266/02-14; 50-301/02-14(DRS)).

In early 2003 (IR 50-266/03-02; 50-301/03-02), the inspectors identified one finding of

very low risk significance (Green) for inadequate configuration control and insufficient

drawings and instructions provided to maintenance and operations personnel during an

emergency notification telephone system battery charger failure and subsequent

replacement activities.

Because of these recent findings and the turnover of upper management in the

emergency preparedness/emergency planning (EP) group at Point Beach, it was

decided to review EP as part of the IP 95003 supplemental inspection. For this effort,

Attachment 95003.01, Emergency Preparedness, was used. This Attachment had four

objectives:

a. To gather information in support of the determination whether the licensee is

capable of implementing adequate measures to protect the public health and

safety in the event of a radiological emergency.

b. To verify that the EP program complies with applicable NRC regulations.

24 Enclosure

c. To verify that the licensee is complying with commitments made in the

Emergency Plan.

d. To verify, to the extent practical, the absence of findings greater than White by

determining the extent of condition of problems in the EP Cornerstone. (The risk

significant planning standards (RSPSs) have the highest priority for inspection

activities.)

These objectives were satisfied during the inspection through the review of the following

six focus areas:

a. Correction of Weaknesses and Deficiencies

b. Emergency Response Organization (ERO) Readiness

c. Facilities and Equipment

d. Procedure Quality

e. ERO Performance

f. In-Depth Review of Risk Significant Planning Standards

3.1 Correction of Weaknesses and Deficiencies

a. Inspection Scope

The inspectors reviewed emergency preparedness/emergency planning (EP)-related

CAPs, 10 CFR 50.54(t) audits, and outside and self-assessments for the last 2 years.

All open EP CAPs and corrective actions related to the March 4, 2002, declaration of an

Unusual Event and those associated with RCE 000194, RCE 000187 Did Not Meet

Standards to Close NRC Inspection, were reviewed to determine if reasonable progress

was being made toward completion. The inspectors reviewed a sample of minutes from

meetings with local, state, and federal officials (offsite agencies), plan change

concurrence documentation, and communication testing results to evaluate the

adequacy of the interface with offsite agencies. The inspectors reviewed media training

conducted for 2002 and 2003 against the requirements in the Emergency Plan in

Section EP 8.0, paragraph 3.3.3, and Appendix E to 10 CFR Part 50. The inspectors

reviewed all Letters of Agreement (LOAs) identified in Appendix D of the Emergency

Plan to verify they supported Emergency Plan commitments. The inspectors reviewed

Procedure NP 5.3.2, Operating Experience (OE) Review Program, a sample of

working copies of ERO training lesson plans on topics associated with risk significant

planning standards, and the ERO training program description to evaluate the

effectiveness of the OE program. The inspectors reviewed medical response

capabilities against the requirements in the Emergency Plan, and the LOAs for medical

facility support. The inspectors interviewed EP management and staff and training

personnel to determine their knowledge of the corrective action program and gain

25 Enclosure

insights concerning implementation of the EP program. The inspectors also reviewed

some past Emergency Preparedness Advisory Committee meeting minutes and

attended one meeting during the inspection.

b. Observations and Findings

In general, self-assessments were adequate; however, in two instances, CAPs were not

written for the improvement recommendations provided in the self-assessments nor

were other means provided to address the recommendations.

The inspectors reviewed CAP032422, A Formal Method For Scheduling Ingestion

Exercises With the State Is Needed. Condition evaluation (CE) 011554 was initiated as

a result of the CAP to determine if a formal method for scheduling ingestion exercises

with the State of Wisconsin was needed. The CE determined that a formal method

already existed in the conduct of a regional scheduling meeting hosted by the Region V

office of the Federal Emergency Management Agency (FEMA). The CAP was closed as

a result. The inspectors were concerned that the resolution of the CAP accepted

reliance on an outside agency to ensure a licensee requirement (10 CFR Part 50,

Appendix E,Section III.F.2 and 2.d; and Section 3, page 73 of NUREG-0654) was met.

The inspectors reviewed the licensees evaluation of and associated corrective actions

for a declaration of a Notice of Unusual Event (NOUE) on March 4, 2002, because of a

low pressure propane gas leak near the protected area fence. The licensee determined

that the classification of the event was untimely (31 minutes, compared to the limit of

Appendix E of 10 CFR Part 50 of 15 minutes); however, this conclusion was not made

until April 2003. This is a licensee-identified Green finding due to the untimely

classification of a NOUE, and is described further in Section 5.

The inspectors identified that numerous opportunities to identify the untimely

classification were missed by licensee evaluations of the NOUE. Each of the following

licensee documents evaluated the timeliness of the classification and concluded that it

was performed in a timely manner: (1) Nuclear Plant Memorandum (NPM) 2002-0016,

Report of Unusual Event Prepared Per NP 1.8.2"; (2) NPM 2002-0158, Report of

Unusual Event Prepared Per NP 1.8.2"; (3) CAP030381, written December 11, 2002, to

evaluate if the March 4, 2002, Unusual Event declaration was timely; (4) ACE01112,

written December 13, 2002, as part of CAP030381; (5) CA027674, initiated January 14,

2003, to revise NPM 2002-0158 to more accurately reflect actual events surrounding the

classification and declaration of the Unusual Event; (6) CA027675, initiated

January 14, 2003, to annotate station log entries for the Unusual Event such that no

confusion existed about when certain events occurred; (7) RCE000187, Failure of the

Emergency Planning Critique Process to Identify Drill/Exercise Weaknesses, (this RCE

identified the Unusual Event declaration as timely); and (8) RCE000194, RCE 187 Did

Not Meet Standards to Close NRC Inspection, (this RCE also identified the Unusual

Event declaration as timely).

The EP staff initiated corrective action document [Other] OTH029034 on April 8, 2003,

to compare the time-line of the Unusual Event with industry guidance in Nuclear Energy

Institute (NEI) 99-02, Regulatory Assessment Performance Indicator Guideline,

Revision 2. It was this document that identified the classification was not timely. The

26 Enclosure

performance indicator (PI) data was recalculated to indicate the drill and exercise

performance (DEP) PI as having a failed classification opportunity. The inspectors

determined that although the RCE determined that event start time for determination of

timely classification was not well understood among both the operators and the facility

EP staff, the licensee did not perform a thorough evaluation to determine if any crew

performance deficiencies contributed to the late emergency classification.

The inspectors also noted that RCE000187 and the RCEs for the Unusual Event missed

an opportunity to evaluate EAL 6.3.1.1 and its history. Recognition of the change from

an earlier version that included the terminology on-site may have indicated that the

EAL committed to was changed in error. The inspectors identified an apparent violation

related to EAL changes, of which this EAL was one example of an EAL change that was

made that decreased the effectiveness of the Emergency Plan. The apparent violation

is discussed in Section 3.6.b.2 of this report.

3.2 ERO Readiness

a. Inspection Scope

The inspectors reviewed a sample of CAPs related to facility staffing/augmentation to

determine adequacy of the corrective actions. The inspectors reviewed onshift staffing

commitments in the Emergency Plan, Section 5, Figure 5-1, and Part 2.0, Normal Plant

Organization, to verify those commitments were met by shift staffing schedules. The

inspectors reviewed procedure Operations Manual (OM) 3.1, Section 5.2, to determine

the composition of normal shift staffing schedules. The inspectors reviewed ERO

augmentation drill records against the response criteria for minimum staffing for

emergency facility activation in the Emergency Plan. The inspectors reviewed data to

determine if the ERO PI was properly evaluated, key responders were identified, drill

credit was properly assessed, and equivalent positions defined against the standards in

NEI 99-02, Revision 2. The inspectors also reviewed protective action recommendation

(PAR) opportunities that contributed to the DEP PI from the 2nd quarter of 2001 through

the 1st quarter of 2003 (8 quarters) to verify proper implementation of the NEI 99-02

guidance.

b. Observations and Findings

The inspectors identified two findings that were characterized as Non-Cited Violations.

The first finding involved the licensees failure to assign onshift staffing for an ERO

function, which was determined to be of very low safety significance (Green). The

second finding was the failure to accurately evaluate and report the ERO PI, a Severity

Level IV violation.

b.1 Review of Onshift Staffing Requirements

The inspectors reviewed the onshift staffing requirements and normal plant organization

as described in Section 5, Figure 5-1, and in Part 2.0, Normal Plant Organization, of

the Emergency Plan. The inspectors determined that the emergency plan required that,

in addition to operations personnel, a qualified Radiation Protection Technologist,

Radiation-Chemistry Technician, and Security Shift Commander be assigned to each

27 Enclosure

shift. The inspectors reviewed actual onshift staffing of the Radiation Protection

Technologist and Radiation-Chemistry Technician positions for Memorial Day weekend

and the month of July 2003. All shifts during this time were staffed. Staffing of the

Radiation Protection Technologist position was controlled in NP 4.2.28, Health Physics

Represented Personnel Assignment and Scheduling Policy. Staffing of the Radiation-

Chemistry position was scheduled via the Chemistry Work Plan. Although the current

procedures staff these positions consistent with Emergency Plan requirements, neither

procedure referenced those requirements. The inspectors identified the lack of

reference to the Emergency Plan requirement as a potential vulnerability in the

continued adequacy of NP 4.2.28 and the Chemistry Work Plan.

b.2 Failure To Assign Onshift Staff For ERO Function

Introduction: A Green, Non-Cited Violation associated with emergency planning

standard 10 CFR 50.47(b)(2) was identified. Specifically, the licensee failed to assign

onshift responsibilities for reading facility seismic monitors, thereby affecting the ability

to timely classify certain seismic events.

Description: The EALs for operational basis and safe shutdown earthquakes

(Alert EAL 6.1.1.2 and Site Area Emergency (SAE) EAL 6.1.1.3) required declaration of

an emergency event when one of the four installed seismic monitors exceeded the event

thresholds defined in the EAL. The monitors were located in various buildings, including

the #3 warehouse, the Unit-1 façade, the drum preparation room, and between the vital

switchgear room and the auxiliary feedwater tunnel. Currently, the warehouse seismic

monitor (SEI-6211) was being calibrated in Sweden. Laptop computers were used to

access and read the level of seismic activity sensed by the monitors. The inspectors

identified that only Instrument and Control (I&C) technicians were trained to use the

portable laptop computers to read the seismic monitors; however, I&C technicians were

not assigned onshift at the facility, and were therefore not immediately available during

off-normal working hours.

The I&C technician staffing was established in the 1984 Emergency Plan change as a

30-minute emergency responder, and allowed use of onshift auxiliary operators in lieu of

onshift I&C technicians. At that time, the seismic monitors did not require the use of a

laptop computer to retrieve the seismic data, and auxiliary operators could read the

seismic monitors. Some time after 1984, the seismic monitors were replaced with the

current monitors, which required use of a laptop computer to retrieve the seismic data.

The licensee failed to identify that the change in seismic monitors would require that an

I&C technician (or an appropriately trained auxiliary operator) be onshift to read the

monitors after a seismic event to ensure a timely declaration of an emergency condition.

The inspectors concluded that during off-normal working hours, the licensee would not

be able to assess in a timely manner the level of seismic activity using the monitors,

which could delay the declaration of the associated Alert or Site Area Emergency.

Analysis: The failure to assign adequate staffing to perform an emergency response

organization function is a performance deficiency that is more than minor because it is

associated with a cornerstone attribute and affected the EP cornerstone objective (to

ensure the adequate protection of the public health and safety). The finding involved

28 Enclosure

the failure to ensure adequate staffing was assigned to be able to implement emergency

action levels in a timely manner. When processed through the EP Significance

Determination Process (SDP), the finding was found to have very low safety significance

because it was only a degradation in the ERO onshift staffing, and therefore did not

represent a planning standard function failure. The inspectors identified this finding

while questioning the ability of control room personnel to receive necessary information

to implement a sampling of EALs.

Enforcement: 10 CFR 50.54(q) provides in part that A licensee authorized to possess

and operate a nuclear power reactor shall follow and maintain in effect emergency plans

which meet the standards in §50.47(b). . . 10 CFR 50.47(b) requires that the onsite

emergency response plans for nuclear power reactors meet each of 16 planning

standards, of which, planning standard 2 states, in part: On-shift facility responsibilities

for emergency response are unambiguously defined, adequate staffing to provide initial

facility accident response in key functional areas is maintained at all times... Contrary

to this, the licensee failed to maintain onshift staffing at all times to be able to read the

facility seismic monitors. Failure to be able to read the monitors during or immediately

following a seismic event would prevent timely implementation of the emergency plan

and is a violation. Because the finding was determined to be of very low safety

significance and was entered into the corrective action program as CAP034693, this

violation is being treated as a Non-Cited Violation, consistent with Section VI.A of the

NRC Enforcement Policy (NCV 50-266/03-07-01; 50-301/03-07-01).

b.3 Failure To Report Accurate ERO PI Information

Introduction: A Severity Level IV Non-Cited Violation of 10 CFR 50.9 was identified

because the licensee failed to provide complete and accurate information to the NRC.

Specifically, the inspectors identified that the ERO drill participation PI was not being

properly evaluated by the licensee and that when the PI was recalculated with the

complete and accurate data, the PI crossed the Green-to-White threshold for the 3rd

quarter of 2001 (and subsequently returned to Green in the 4th quarter of 2001).

Description: The inspectors identified that an onshift communicator had not been

designated in the Emergency Plan, and was not being tracked in the ERO drill

participation PI. The onshift and Emergency Operations Facility (EOF) communicator

positions were designated as key ERO positions in NEI 99-02, and must therefore be

evaluated and tracked in the ERO drill participation PI.

Three onshift positions were trained to complete the emergency notification form: Shift

Manager, Operations Supervisor, and Shift Technical Advisor. None of these positions

were being tracked in the ERO drill participation PI. The EOF emergency notification

procedure, emergency plan implementing procedure (EPIP) 2.1, Notifications - ERO,

State and Counties, and NRC, Revision 26, directed the Emergency Director to perform

the notification task or delegate that function, but did not identify which position in the

EOF was qualified to perform that function. Currently, the EOF communicator, EOF

Manager, and the Emergency Director were the three EOF positions trained to complete

the emergency notification form. Only the EOF communicator was being tracked for the

ERO drill participation PI as a communicator.

29 Enclosure

The licensee evaluated the condition and identified 23 qualified onshift communicators

that should have been tracked and reported in the ERO drill participation PI. After

reevaluating the PI, the indicator would have been White (<80 percent) for the third

quarter of 2001, then Green for all subsequent quarters, including the current quarter.

The inspectors also noted that the onshift Security Commander was designated in

EPIP 2.1 as an onshift communicator, but that position was not trained to complete the

emergency notification form. The inspectors concluded that this designation of the

Security Commander as an onshift communicator indicated a further misunderstanding

of the guidance in NEI 99-02.

Analysis: The failure to accurately track and report the ERO drill participation PI was a

performance deficiency that was more than minor because it was associated with a

cornerstone attribute and affected the EP cornerstone objective (to ensure the adequate

protection of the public health and safety). The finding involved the failure to accurately

report PI data, which, if accurately calculated and reported, would have caused the NRC

to perform additional inspection activities in the fourth quarter of 2001. This issue was

not suited for SDP analysis and was evaluated with the traditional enforcement process.

Enforcement: 10 CFR 50.9 requires in part that Information provided to the

Commission by ... a licensee ... shall be complete and accurate in all material

respects. Contrary to this, the licensee failed to report in the 3rd quarter of 2001

that the ERO drill participation PI crossed the significance threshold to White. The

NRC considered errors in PI data reporting which cause the PI to cross the Green-to-

White threshold to be more than minor because they have the potential for impacting

the NRCs ability to perform its regulatory function, in this case, to have performed a

supplemental inspection. In the traditional enforcement process, this violation is

classified as a Severity Level IV violation, and because it was entered into the

licensees corrective action program (as CAP034650), it is being treated as a

Non-Cited Violation, consistent with Section VI.A of the NRC Enforcement Policy

(NCV 50-266/03-07-02; 50-301/03-07-02). The licensee has since submitted the

complete and accurate PI data to the NRC.

3.3 Facilities and Equipment

a. Inspection Scope

The inspectors reviewed recent CAPs related to emergency facilities and equipment.

The inspectors reviewed the emergency alert siren design basis in the FEMA-approved

Alert and Notification System (ANS) design report. The inspectors reviewed the

designation and capabilities of offsite assembly areas to meet decontamination needs,

status of radiation monitoring equipment, and ability to handle evacuation vehicles

against the criteria of the Emergency Plan. The inspectors toured the Technical

Support Center (TSC) and EOF to determine the adequacy of those facilities to meet

selected design standards in NUREG-0696, Functional Criteria for Emergency

Response Facilities, February 1981.

30 Enclosure

The inspectors reviewed Emergency Plan Maintenance Procedure (EPMP) 5.0,

Post-TMI Meteorological Monitoring Program Design, Operation, and Maintenance,

a 2003 self-assessment of the plants meteorological monitoring program, a sample

of monitoring system calibration records, and a sample of corrective action and other

program records against the program requirements of Section 7 of the Emergency Plan.

The inspectors reviewed a 1982 edition of the meteorological monitoring system

descriptive manual and observed a periodic surveillance of both onsite monitoring

stations. The inspectors observed an August 5 meeting of the monitoring system

upgrade project team that involved representatives of several plant departments,

including I&C, engineering, procurement, and EP. The inspectors also discussed the

meteorological monitoring program with several EP staff members. The inspectors also

reviewed relevant portions of the Emergency Plan, a 2003 White Paper on

Configuration Management licensee document on equipment configuration

management at the Site Boundary Control Center (SBCC) that housed the onsite EOF

and the Offsite Radiation Protection Facility. The inspectors reviewed a sample of

emergency facility-related corrective action program documents, and reviewed a sample

of heating, ventilation, filtration, and air conditioning equipment maintenance records to

determine operability of the emergency facilities against the standard in NUREG-0696

and the requirements and commitments in the Emergency Plan.

b. Observations and Findings

The inspectors reviewed meeting minutes of the Plant Health Committee from

May 9, 2003. The minutes indicated that meteorological monitoring equipment issues

included shortages of spare sensors and other electronic components, degrading wiring,

and recognition of the potential adverse impact on the capability to perform offsite dose

projections using data from this monitoring system. The meeting minutes also

described the status of the meteorological monitoring system as a major issue and a

vulnerability, and that upgrading this system was one of the plants top three priorities.

Following the Plant Health Committee meeting discussions, the licensee established a

multi-disciplinary team for a meteorological monitoring system upgrade project. The

inspectors reviewed meeting minutes from the project teams initial meeting of

July 29, 2003, and attended the second meeting on August 5. Discussion topics

included worker safety concerns, the obsolescence and long-term reliability of the

instrumentation, and availability of spare electrical components for about another year of

service. The project team decided to develop a range of monitoring system upgrade

options to present to senior management for consideration by early September 2003.

The inspectors concluded that appropriate attention was being applied to currently

identified material condition and aging concerns for the emergency facilities and the

meteorological monitoring equipment. As part of Revision 2 of the Excellence Plan,

scheduled to be effective in mid- to late-January 2004, the licensee developed action

plan OP-09-005, Control/Maintenance of EP Required Equipment, to address long-

term EP equipment reliability.

The inspectors reviewed the actions that had been taken for Unresolved Item

(URI) 50-266/03-02-02; 50-301/03-02-02. The URI encompassed the following

concerns: (1) the licensees 50.59 process did not refer EP issues to 10 CFR 50.54(q)

31 Enclosure

for further screening; (2) there were insufficient instructions, procedures, or drawings to

help technicians assess communications equipment problems in emergency response

facilities; (3) equipment in the EOF or Joint Public Information Center (JPIC) could be

replaced by non-licensee personnel without the licensees knowledge; and (4) the ability

to remotely monitor Emergency Notification System (ENS) operability was lost since

January 17, 2003.

The inspectors determined that the fourth concern was not significant given that the

licensee maintains an onsite telephone line having a long distance calling capability. To

address the third concern, the inspectors toured the onsite EOF and discussed the URI

with licensee staff. The inspectors also reviewed the minutes of a Plant Health

Committee meeting conducted on August 1, 2003. Several corrective actions to

address EOF configuration management concerns were initiated, and many of the short-

term corrective actions had not yet been completed. For example, a corrective action

had not yet been completed to install postings at the EOF to warn non-licensee

equipment service providers not to work on EOF equipment without prior coordination

with the licensees work control center. The inspectors reviewed the licensees White

Paper on Configuration Management. The inspectors observed that the white paper

did not address potential equipment and material condition concerns at the JPIC.

During interviews with members of the EP staff, the inspectors noted that one of the four

station seismic monitors used for assessment in the category 6.1 EALs, Natural

Destructive Phenomena, had been sent to Sweden for calibration. The inspectors

determined that the unavailability of the monitor was not evaluated for the affect on the

Emergency Plan or the ability to implement the associated EALs, and no compensatory

measures were put in place. The inspectors determined that loss of one seismic

monitor would not prevent implementation of the associated EALs, but did represent a

degradation in the reliability of the seismic monitoring system. Emergency Plan

Section 7, Table 7-1, identified the seismic monitoring equipment as "4 strong motion

accelerographs," used for assessment provided in 4 plant locations. The inspectors

questioned the EP staff on control of equipment important to EP functions. The staff

indicated that corrective action CA029777, Create A Procedure To Follow When

EP-Related Equipment Is OOS, May 14, 2003, had been written to address the lack of

a program to identify EP-related equipment and the need to contact the EP staff when

that equipment was affected. An appropriate program had been partially drafted at the

end of this inspection.

Based on the status of several open CAPs associated with the URI, future NRC

inspection will be required to gather additional information to assess the adequacy of

licensee actions related to URI 50-266/03-02-02; 50-301/03-02-02.

The inspectors identified an inconsistency between the Emergency Plan and the

FEMA-approved ANS Design Report. Tone alert radio pagers (Section E.6.2.3 of the

design report) were noted as being part of the primary alert notification system, but were

not currently referenced in the Emergency Plan. The inspectors determined that only

one tone alert pager was currently in use, south of the plant at the Point Beach State

Forest park, and procedures were in place to ensure it could perform its notification

function. The inspectors noted that Appendix V of the design report was referred to in

context with the park emergency procedures, but Appendix V no longer existed in the

32 Enclosure

design report. All other areas of the emergency planning zone (EPZ) were notified

through emergency sirens, and tone alert radios were not required.

The inspectors reviewed the designation of and procedures associated with the

offsite assembly areas for exclusion area evacuation. Emergency Plan Section 6.0,

paragraph 5.1.1.d.2(d) and (e), stated that individuals were to proceed to a designated

offsite assembly area when a plant and exclusion area assembly, release, or

evacuation was ordered. These designated offsite assembly areas were the SBCC, the

Two Creeks Town Hall, and the Two Rivers National Guard Armory, as identified in

Table 6-2 of the Emergency Plan. The Emergency Plan contained letters of agreement

with two locations, Two Creeks Town Hall and the Two Rivers National Guard Armory.

The SBCC was a licensee-controlled building located within the owner-controlled area

and, as such, did not require a LOA. The inspectors reviewed EPIP 6.1, Assembly and

Accountability, Release and Evacuation of Personnel, Revision 24, and determined that

although it provided direction on performance of radiological monitoring and

decontamination at the SBCC, it did not provide specific guidance for the other two

offsite assembly areas. In addition, the inspectors noted that EPIP 6.1 stated that an

offsite assembly area could be located "along the evacuation route, if appropriate."

However, the procedure did not provide direction on how this location was to be

determined or established to provide radiological monitoring and decontamination

efforts. The inspectors determined that these procedure weaknesses could potentially

impact the ability to efficiently establish an offsite assembly area.

The inspectors concluded that the licensee had identified and was pursuing correction of

emergency facility and equipment problems, and that the licensee had identified where

some significant challenges remained in this area. The inspectors also concluded that

development and implementation of an effective procedure to identify and track plant

equipment maintenance that could affect emergency preparedness was essential to

ensure that problems, such as the lack of control of seismic monitor and emergency

facility maintenance, were not repeated. In addition, the licensees development and

successful implementation of an Excellence Plan action plan item to address long-term

EP equipment reliability could result in performance improvements in this area.

3.4 Procedure Quality

a. Inspection Scope

The inspectors reviewed the administrative procedure for the corrective action program

(NP 5.3.1) to determine the threshold for addressing EP issues in the corrective action

program. The inspectors sampled recent Emergency Plan changes to determine if

those changes were correctly translated into appropriate procedures. The inspectors

reviewed a sample of EPIPs to determine consistency with Emergency Plan

requirements. The inspectors also reviewed the Emergency Plan against the

requirements in 10 CFR Part 50, Appendix E, Emergency Planning and Preparedness

for Production and Utilization Facilities. The inspectors reviewed public information

brochures provided by the licensee to members of the public living and visiting in the

EPZ, and the Emergency Alert Pre-Scripted Message Manual For Point Beach Nuclear

Power Plant, December 26, 2001, against the requirements in 10 CFR 50.47(b).

33 Enclosure

b. Observations and Findings

The inspectors did not identify any significant procedure quality concerns. In general,

when emergency preparedness problems were identified, they were appropriately

characterized in the corrective action system. The inspectors concluded that the most

significant challenge in this area was implementation of a procedure to control

emergency preparedness related equipment maintenance, which is discussed in this

section and Section 3.3 of this report. The inspectors identified one minor violation

while comparing portions of the Emergency Plan against the requirements of 10 CFR

Part 50, Appendix E.

10 CFR Part 50, Appendix E, Section IV.B, Assessment Actions, states, in part, that

... emergency action levels shall be discussed and agreed on by the applicant and

State and local government authorities ... . The inspectors determined that seven EAL

changes had been made since 1999, but that records of State and local governmental

authority review were unavailable for changes made on February 6, July 7, and

November 15, 2002. Also, the inspectors determined that the licensee did not have a

system in place to prompt a review of EAL changes during other than the end of year

annual review. Because reviews of the EAL changes were conducted annually, and

monthly meetings with local authorities routinely discussed issues, such as EAL

changes, prior to the scheduled annual review, this violation of Section IV.B was

considered a violation of minor significance, not subject to enforcement action in

accordance with Section IV of the NRCs Enforcement Policy.

The inspectors reviewed CAP030938, FT-3299B, DAVS Isokinetic Sampler Flow

Channel Failed High, and CAP032427, U2 Condenser Air Removal Oscillations Affect

On Primary To Secondary Leak Detection. The subject equipment in both of these

CAPs provided indication for emergency assessment/classification; however, neither

CAP assessed the impact of the equipment failures on emergency classification

capability. During a review of capability to implement EALs, the inspectors also

identified that although the four seismic monitors used at the facility were identified as

EP assessment equipment, the laptop computers that were necessary to obtain the

seismic readings from the monitors were not controlled equipment and the EP staff was

not procedurally informed when the equipment was taken out of service. The licensee

had identified this generic weakness and wrote corrective action CA029777, Create A

Procedure To Follow When EP-Related Equipment Is OOS, May 14, 2003. The

inspectors questioned the licensee on the status of completion of the corrective action.

The licensee stated that a matrix of EP-related equipment had been developed, but

other procedural changes to implement the matrix had not been completed. The

inspectors determined that reasonable progress had been made to address CA029777.

3.5 ERO Performance

a. Inspection Scope

The inspectors observed two crews during licensed operator requalification (LOR)

simulator scenario evaluations on July 28 and August 4, 2003. The inspectors observed

34 Enclosure

one limited scope emergency exercise, which involved all emergency response facilities,

except the JPIC, and simulated offsite and NRC participation. The inspectors evaluated

crew performance during the drill, and compared that evaluation with the evaluation

performed by facility drill controllers and evaluators. The inspectors evaluated the

crews performance against facility operating, abnormal, and emergency procedures, as

well as the Emergency Plan and the EPIPs. The inspectors evaluated the ERO training

program against 10 CFR 50.47(b)(15) and (16), and 10 CFR Part 50, Appendix E,

Section IV.F. The inspectors compared a sample of EP-related lesson plans with the

Emergency Plan, EPIPs, and the regulations. The inspectors reviewed a sample of

CAPs related to EP training. The inspectors interviewed training and EP staff to

evaluate management support of ERO training. The inspectors reviewed the EP

training programs against the requirements of the Emergency Plan.

The inspectors reviewed Revision 45 of Chapter 8 of the licensees Emergency Plan, the

1984 revision of this Chapter, the Training Departments August 1, 2003, revision of the

ERO training program, and a sample of master copy and working copy ERO lesson

plans.

The inspectors reviewed a random sample of 25 ERO members computerized training

records in order to determine whether these persons were considered to be currently

trained in accordance with the EP training programs criteria. The inspectors reviewed

self-contained breathing apparatus (SCBA) qualification records of a sample of 70 ERO

members. The inspectors reviewed the most recent medical response drill involving

simulated contaminated, injured victim(s), which was conducted in August 2002, and the

related corrective action program documents. The inspectors interviewed the lead EP

training instructor and reviewed relevant training records of a sample of ERO members

to determine if their training was current.

b. Observations and Findings

b.1 Training

The inspectors identified one finding that was characterized as a Non-Cited Violation of

very low safety significance (Green). The finding was a failure to establish a training

program for the emergency planning department staff.

Introduction: A Green, Non-Cited Violation associated with planning standard

10 CFR 50.47(b)(16) was identified. Specifically, the licensee failed to develop and

implement an EP staff training program to ensure that planners were properly trained.

Description: In NRC supplemental IR 50-266/02-14(DRS); 50-301/02-14(DRS), the

NRC identified that a formal training program had not been developed to ensure that

emergency planners were properly trained. The licensee wrote CAP029492, which

was closed after development of a training program in April, 2003. Subsequently, in

July 2003, the recently appointed EP manager evaluated the training program as

inadequate and canceled the training program procedure (as documented in

CAP033979). After completion of the onsite portion of this inspection, Section 5.0,

35 Enclosure

EP Staff Training, was developed (as part of CA032011) and added to

Procedure EPMP 3.2, Offsite Personnel and Emergency Preparedness Staff

Training, Revision 10, on August 27, 2003.

Analysis: The failure to develop and implement an EP staff training program was a

performance deficiency that was more than minor because it was associated with a

cornerstone attribute and affected the EP cornerstone objective (to ensure the adequate

protection of the public health and safety). The finding involved the failure to ensure

that the EP staff was properly trained. When processed through the EP SDP, the

finding had very low safety significance because lack of a staff training program

presented a potential degrading condition for the level of qualification and proficiency of

the EP staff, but did not represent a failure of the planning standard function. The

inspectors identified this finding while interviewing the EP staff and reviewing corrective

actions associated with IR 50-266/02-14(DRS); 50-301/02-14(DRS).

Enforcement: 10 CFR 50.54(q) provides in part that A licensee authorized to possess

and operate a nuclear power reactor shall follow and maintain in effect emergency plans

which meet the standards in §50.47(b). . . 10 CFR 50.47(b) requires that the onsite

emergency response plans for nuclear power reactors must meet each of 16 planning

standards, of which, planning standard 16 states, in part: ...[Emergency] planners are

properly trained. The Point Beach Emergency Plan, Section 8.0, paragraph 3.1.4,

states, in part: EP staff training required as appropriate. Contrary to this, the licensee

failed to develop and implement an emergency planning staff training program, and

therefore could not ensure that the planners were properly trained. Because the finding

was determined to be of very low safety significance and was entered into the licensees

corrective action program as CAP033979, this violation is being treated as a Non-Cited

Violation, consistent with Section VI.A of the NRC Enforcement Policy

(NCV 50-266/03-07-03; 50-301/03-07-03).

The inspectors identified an inconsistency between the Emergency Plan and EP-TP,

(EP Training Program), on requalification training requirements. EP-TP stated that an

ERO member could acceptably complete all requalification training requirements by

participating in an EP drill or exercise, but the Emergency Plan, Section 8, stated that

requalification training for the ERO shall be a combination of drills and exercises,

classroom and reading training relevant to the ERO position assignment. The

inspectors determined that the inconsistency represented a potential vulnerability to

keeping ERO members training up-to-date on changes to the Emergency Plan, the

EPIPs, associated regulatory guidance, and relevant industry OE.

During the evaluation of the LOR drills, the licensee determined that interpretation of the

Alert EAL for failure of the reactor protection system was inconsistent among the

operating shift crews. The licensee entered the observation in the corrective action

process as CAPs 034364, 034387, and 034547 and the Plant Manager issued a

memorandum to all operators to clarify the EAL. The inspectors independently

evaluated the LOR scenarios, and agreed with the licensees conclusions and corrective

actions.

36 Enclosure

b.2 Exercise Performance

The inspectors observed a limited-scope emergency exercise, August 14, 2003, which

involved use of all the licensee emergency facilities, and simulation of offsite facilities

and governmental agencies. The simulated emergency involved an escalation of

emergency conditions through each of the four emergency classification levels,

beginning with a NOUE due to abnormally high activity in the reactor coolant. Next, an

Alert was required due to a large increase in reactor coolant activity, then a Site Area

Emergency was required due to a reactor coolant leak into the containment. Finally, a

General Emergency was required due to a large break in the reactor coolant system and

a sudden failure of the containment. The simulated release of radioactivity to the

environment then required evaluation and issuance of protective action

recommendations to local government officials for the protection of the public near the

facility.

The inspectors independently assessed the onshift crew response in the simulator

control room, as well as the performance of the augmenting emergency response

organization in the EOF, TSC, and Operations Support Center (OSC). The inspectors

then compared that assessment to the licensees self-critique of its performance which

was presented to the inspectors on August 15, 2003. The licensees assessment of

performance, related to the emergency planning standards in 10 CFR 50.47(b), was

consistent with the inspectors assessment.

Overall, performance by the onshift and the augmenting emergency responders was

adequate and demonstrated successful implementation of the Emergency Plan.

The licensee identified several areas requiring corrective action during the critique and

entered the observations in the corrective action program. The inspectors determined

that none of the performance deficiencies identified were significant and did not impact

the ability of the licensee to adequately respond to an emergency. The inspectors did

not identify any additional performance deficiencies and concluded that the licensees

critique of the exercise was thorough and self-critical. In the control room simulator,

proper actions were taken to mitigate the events and the associated classifications and

notifications to offsite agencies were performed within required time limits.

Communications between the control room, OSC, TSC, and EOF were adequate. Good

command and control was observed in each of the emergency facilities, and emergency

classifications and notifications were completed successfully.

The inspectors observed the post-exercise self-critiques in each of the emergency

facilities. Each of the critiques was self-critical and focused on performance issues. In

the EOF, the inspectors observed a health physics technician question the

appropriateness of the protective action recommendation following the General

Emergency declaration. This emergency responder stated that due to the very short

duration of the release, a shelter protective action recommendation may have been

more appropriate than an evacuation recommendation. This comment was

acknowledged by the EP staff leading the critique, but it was also stated that the current

procedures did not allow a shelter recommendation. The inspectors concluded that the

protective action recommendation was consistent with the requirements in the Point

Beach Emergency Plan. The adequacy of the Emergency Plan and procedures in not

37 Enclosure

allowing a shelter recommendation was identified as an unresolved item and is

discussed in Section 3.6 of this report.

Overall, the inspectors concluded that the exercise was a successful demonstration of

the licensees ability to implement the Emergency Plan to protect public health and the

environment.

3.6 In-Depth Review of RSPSs

a. Inspection Scope

The inspectors performed a detailed review of the licensees compliance with

10 CFR 50.47(b)(4) and (10). The inspectors reviewed NUREG-0654/FEMA-REP-1,

Revision 1,Section II.D., Planning Standards and Evaluation Criteria-Emergency

Classification System, as informing criteria to determine compliance with the planning

standard. The inspectors reviewed EPIP 1.2, Emergency Classification,

Revisions 20-33, and Appendix B to the Emergency Plan, and compared the current

EALs against the criteria in NUREG-0654, Revision 1, Appendix 1. The inspectors also

reviewed NUMARC/NESP-007, Methodology for Development for Emergency Actions

Levels, Revision 2, and Regulatory Guide 1.101, Emergency Planning and

Preparedness for Nuclear Power Plants, Revision 3, as informing guidance for review

of the EALs. The inspectors conducted a facility and simulator control room walkdown

to verify that indications required for implementation of a sample of 17 EALs were

available in a timely manner to the control room staff. The inspectors also reviewed a

sample of CAPs related to event classification.

b. Observations and Findings

The inspectors identified three findings. The first finding was characterized as an

unresolved item (URI) related to the failure to establish a range of PARs associated with

RSPS 10. The second finding was characterized as an apparent violation (AV) involving

a failure to maintain a standard scheme of EALs, associated with RSPS 4. The third

finding was characterized as a Non-Cited Violation of very low safety significance

(Green) involving a failure to maintain the ability to implement a Notification of Unusual

Event (NOUE) EAL, also related to RSPS 4.

b.1 Failure to Establish a Range of Protective Action Recommendations

Introduction: A finding associated with emergency planning standard

10 CFR 50.47(b)(10) was identified. Specifically, the licensee failed to ensure that

a range of PARs was established for state and local governmental authorities. This

finding is characterized as a URI pending further regulatory review of the potential

generic aspects of this finding, including the review of the current regulations and

regulatory guidance for providing PARs.

Description: The inspectors reviewed the Emergency Plan and noted a statement in

Chapter 6.0, Emergency Measures, Section 5.1.2.a.5 (a): Although the State of

Wisconsin and the counties could implement sheltering, and because sheltering has

different meanings for NRC and FEMA, Point Beach Nuclear Plant will only recommend

38 Enclosure

evacuation as a protective action for the public. The inspectors noted that this

statement was inconsistent with federal guidance issued in a combined FEMA and NRC

document, NUREG-0654/FEMA-REP-1, Revision 1, Supplement 3, Criteria for

Preparation and Evaluation of Radiological Emergency Response Plans and

Preparedness in Support of Nuclear Power Plants. The subtitle of this guidance

document was Criteria for Protective Action Recommendations for Severe Accidents.

Section II of NUREG-0654, Supplement 3 stated, in part, The guidance emphasizes

that the preferred initial action to protect the public from a severe reactor accident is to

evacuate immediately about 2 miles in all directions from the plant and about 5 miles

downwind from the plant. In addition, shelter may also be the appropriate protective

action for controlled releases of radioactive material from the containment if there is

assurance that the release is short term (puff release) and the area near the plant

cannot be evacuated before the plume arrives.

The inspectors reviewed facility emergency notification forms, notification procedures,

and the emergency director checklists. None of the documents reviewed contained

guidance nor supported issuing other than an evacuation recommendation to the offsite

government authorities. The inspectors also observed a limited scope emergency

exercise during which a large, short duration initial release of radioactivity was

simulated, followed by an almost complete cessation of the release. During the critique

of the exercise, the individual who had acted as the emergency director in the EOF

stated that he had not made a shelter recommendation because it would have violated

the Emergency Plan.

The inspectors reviewed the change package for Revision 5 to EPIP 1.1.2, Plant

Operations Manager, General Emergency - Protective Actions; Revision 17 to

EPIP 9.3, Protective Action Evaluation; and Revision 30 to the Emergency Plan.

These changes were made in January 1994 to ensure consistency of these procedures

with the licensees interpretation of the U.S. Environmental Protection Agency guidance

in EPA-400-R-92-001, Manual of Protective Action Guides And Protective Actions For

Nuclear Incidents, May 1992. Notification forms that were to be filled out according to

EPIP 2.1, Notifications - ERO, State and Counties, and NRC, were also revised to

remove sheltering as a licensee recommendation. Revision 17 of EPIP 9.3, Protective

Action Evaluation, changed the minimum protective action for a general emergency

from sheltering to evacuation. The inspectors noted that Revision 30 of the Emergency

Plan discussed sheltering as an option, but the supporting EPIPs as changed in

January 1994 did not support issuing a shelter recommendation. The inspectors

reviewed NRC correspondence and determined that no NRC review of Revision 30 to

the Emergency Plan was documented.

The inspectors reviewed Revision 33 to the Emergency Plan. This revision, made in

January 1997, incorporated guidance in NUREG-0654, Supplement 3, by adding

Figure 1, Severe Core Damage or Loss of Control of Facility, Public Protective Actions,

as Table 4-1 in the Emergency Plan. With this revision to the Emergency Plan, all

discussion of sheltering as a PAR option was removed. NRC Region III letter dated

March 27, 1997, stated, in part, In late January, 1997, Region III received individually

numbered revisions to the Point Beach Nuclear Plants emergency plan, which were

dated January, 1997. Our initial review of these changes indicates them to be in

accordance with 10 CFR 50.54(q). Implementation of these changes will be subject to

39 Enclosure

inspection to confirm that they do not decrease the effectiveness of your emergency

plan.

The inspectors also reviewed Revision 35 to the Emergency Plan. This revision,

dated October 28, 1998, added the current statement that only an evacuation PAR

would be given to the state and local governmental agencies. This plan change was

submitted to the Region III office as required, but was not submitted for preapproval.

NRC IR 50-266/98020(DRS); 50-301/98020(DRS), which was an evaluated exercise

report, stated, in part, in Section P3, that The inspectors reviewed a sample of ...

emergency plan sections, including those related to the October 28, 1998, Emergency

Plan Revision. The observations and findings section does not address any

conclusions specifically for the Emergency Plan revisions. This scope statement in the

1998 report was the most specific reference to some level of review of the October 1998

changes, but did not specifically state that the change was reviewed for a decrease in

effectiveness. NRC Region III letter dated March 26, 1999, stated, in part, In

November 1998, Region III received various changes to portions of the Point Beach

Nuclear Plant Emergency Plan. Our initial review of these changes will be subject to

inspection to confirm that they have not decreased the effectiveness of your Emergency

Plan. The inspectors determined that review of Revision 35 to the Emergency Plan had

been documented, but approval of the changes had not been given in the inspection

report nor the March 26, 1999, letter. During the 95003 inspection, the inspectors

determined that the change constituted a decrease in effectiveness of the plan and

should have been submitted to NRC for review and pre-approval.

Analysis: The failure to ensure that a range of PARs had been developed to protect the

public is a performance deficiency that is more than minor because it is associated with

a cornerstone attribute and affected the EP cornerstone objective (to ensure the

adequate protection of the public health and safety.) The finding involved the failure to

ensure that a range of PARs was developed and would be given to state and local

government authorities as appropriate for the associated emergency conditions. When

processed through the EP SDP, the finding was found to have a potential significance of

greater than very low significance because it represented a potential failure of the RSPS

10 function of providing a range of PARs. The inspectors identified this finding while

reviewing the Emergency Plan and EPIPs. The licensee entered the finding in their

corrective action process as CAP034785.

Enforcement: 10 CFR 50.54(q) provides, in part, that a licensee authorized to possess

and operate a nuclear power reactor follow and maintain in effect emergency plans

which meet the standards in §50.47(b). The nuclear power reactor licensee may make

changes to the plans without NRC approval only if the changes do not decrease the

effectiveness of the plans and the plans, as changed, continue to meet the standards of

§50.47(b). Proposed changes that decrease the effectiveness of the approved

emergency plans may not be implemented without application to and approval by the

NRC.

10 CFR 50.47(b) requires that the onsite emergency response plans for nuclear power

reactors meet each of 16 planning standards, of which, planning standard 10 states, in

part, that a range of protective actions be developed for the plume exposure pathway

EPZ for the public, and in developing this range of actions, consideration be given to

40 Enclosure

evacuation and sheltering and that guidelines for the choice of protective actions also be

developed and put in place. Contrary to this, the Point Beach Emergency Plan,

Chapter 6.0, Emergency Measures, Section 5.1.2.a.5 (a), states, in part, Although the

State of Wisconsin and the counties could implement sheltering, and because sheltering

has different meanings for NRC and FEMA, Point Beach Nuclear Plant will only

recommend evacuation as a protective action for the public. As a result, the facility has

not developed a range of PARs. The finding was determined to be an unresolved item

pending further regulatory review of the potential generic aspects of this issue, including

a review of past correspondence and generic communications with the industry

regarding PARs (URI 50-266/03-07-04; 50-301/03-07-04).

b.2 Failure to Maintain a Standard Scheme of Emergency Action Levels

Introduction: A finding and apparent violation of 10 CFR 50.54(q), associated with

RSPS 4 of 10 CFR 50.47(b), was identified. Specifically, the licensee failed to maintain

a standard scheme of EALs, as defined in Regulatory Guide 1.101, Emergency

Planning and Preparedness for Nuclear Power Plants.

Description: The inspectors identified a significant deviation in the EAL scheme used at

Point Beach from the version approved in 1984 via a Safety Evaluation Report (SER)

after NRC review of a revision of the Emergency Plan. As discussed in Revision 4 of

Regulatory Guide 1.101, the EAL schemes in the following documents were acceptable

for meeting 10 CFR 50.47(b)(4) and 10 CFR Part 50, Appendix E requirements:

NUREG-0654/FEMA-REP-1; NUMARC NESP-007; and the most recently approved,

Nuclear Energy Institute (NEI) 99-01, Methodology for Development of Emergency

Action Levels, Revision 4, January 2003.

Chapter 4 of the Emergency Plan (Revision 38, dated February 6, 2002) stated that the

emergency classification system was based on NUREG-0654, Revision 1, Appendix 1.

In 1984, NRC reviewed revisions of the Emergency Plan using the criteria of the

16 emergency planning standards as stated in NUREG-0654. The NRCs conclusions

were transmitted to the licensee as SER 50-266/83-25 and 50-301/83-23, dated

February 2, 1984. The licensees emergency classification procedure, EPIP 1.2,

Revision 39, and the Emergency Plan, Appendix B, contained the EALs for Point Beach.

The inspectors compared EPIP 1.2, Emergency Classification, Revision 39, to

NUREG-0654 and determined that the Point Beach EAL scheme was missing the

following initiating conditions that were in NUREG 0654: NOUE 1, 4, 6, 8, and 9;

Alerts 2, 3, and 9; Site Area Emergencies (SAEs) 1, 2, 8, 10, 13b, and 13c; and General

Emergencies (GEs) 1a, 5a, 5c, 5d, and e. The inspectors also noted that the EAL

scheme used a fission product barrier table that was not consistent with NUMARC-007

in that the "barrier challenged" column was not used to escalate the classification at the

SAE level.

The inspectors also compared the current EALs in EPIP 1.2, Revision 39, to the 1984

version of EALs. The inspectors determined that there were 7 EALs missing in the

current version. The current format of the EALs was significantly changed on

December 29, 1999, with Revision 33 to EPIP 1.2, when the Fission Product Barrier

41 Enclosure

table was incorporated. Change documents also removed 3 specific EALs that were

derived from the FSAR. Another EAL was reduced from an Alert to an NOUE.

The inspectors determined that many of the changes were in agreement with changes

that would be found acceptable as described in NRC guidance in EPPOS-1,

Emergency Preparedness Position (EPPOS) On Acceptable Deviations From

Appendix 1 of NUREG-0654 Based Upon The Staffs Regulatory Analysis of

NUMARC/NESP-007, Methodology For Development of Emergency Action Levels;

however, a number of other changes, as summarized below, should have been

submitted to NRC for prior approval. Regulatory Guide 1.101, Section C, indicated that

using portions of both EAL methodologies was not acceptable. EPPOS-1 allowed use

of the basis of the NUMARC scheme to enhance and clarify some site-specific EALs

developed from NUREG 0654; however, it stated that the scheme must remain internally

consistent.

The inspectors identified eight EALs that had been changed from the 1984-approved

EAL scheme that should have been submitted to the NRCs Office of Nuclear Reactor

Regulation for review and approval prior to implementation. The inspectors determined

that the eight EAL changes, discussed below, decreased the effectiveness of the

Emergency Plan in that emergency conditions that would have resulted in classifications

at the GE, Alert, and NOUE levels would result in a lesser classification under the

licensees current EAL scheme.

GENERAL EMERGENCY: EAL GE-1, as approved in 1984, required, in part,

the declaration of a GE if a field dose rate corresponding to a 5 Rem committed

dose equivalent to the thyroid (for 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> of inhalation) was measured. With the

revision of this EAL on October 28, 1998, in Revision 32 to EPIP 1.2, the current

EAL wording does not require a GE declaration directly from a field dose rate

measurement corresponding to a 5 Rem committed dose equivalent to the

thyroid (for 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> of inhalation). This revision resulted in a less conservative

criterion for a GE declaration.

EAL GE-5(b), as approved in 1984, required, in part, the declaration of a GE for

a transient causing loss of all feed/condensate and all AFW for greater than

1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />. With the revision of this EAL on December 29, 1999, in Revision 33 to

EPIP 1.2, the current EAL required a loss of vital alternating current for greater

than 15 minutes, and replaced the greater than 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> loss of all

feed/condensate requirement with steam generator level and AFW flow criteria

that would indicate a significant loss of feed. The addition of the loss of vital

electrical power criterion is a more restrictive condition.

ALERT: EALs A-18a and A-18b involved other hazards being experienced or

projected. The first EAL involved an aircraft crash in the protected area, and the

second involved a missile impact from any source by visual observation. Both

EALs had a more restrictive condition added to say that the hazard was

affecting operability of one (1) train of a safety system.

42 Enclosure

These two EALs were revised on December 29, 1999, in Revision 33 to

EPIP 1.2, which was also part of Revision 14 to the Emergency Plan Index.

NOUE: EALs UE-14c and UE-14d, involved other hazards, including explosion

and toxic/flammable gas release. While the original EALs included the owner

controlled area, the EALs were changed to exclude areas of the site outside the

protected area, resulting in a more restrictive condition.

EAL UE-13 involved a tornado sighting. While the original EAL was applicable if

a tornado was visible from the site, the EAL was changed to make it applicable

only if a tornado was within the protected area or switchyard, resulting in a more

restrictive condition.

The EAL scheme approved by the NRC in 1984 included an NOUE

(Category 18a) for uncontrolled control rod withdrawal. This EAL was removed

from the EAL scheme with an explanation that an uncontrolled rod withdrawal

event was encompassed in the Alert EAL for a Reactor Protection System (RPS)

failure. However, the inspectors concluded that this explanation was incorrect,

since EALs for RPS failure did not address an uncontrolled rod withdrawal. The

inspectors concluded that there were no EALs in the current EAL scheme for an

uncontrolled control rod withdrawal.

The four NOUE EALs were revised on December 29, 1999, in Revision 33 to

EPIP 1.2, which was also part of Revision 14 to the Emergency Plans Index.

The licensee entered the inspectors preliminary finding (current EAL scheme not

in accordance with one of the standard EAL schemes endorsed by Regulatory

Guide 1.101) in its corrective action process as significant condition report CAP034784,

which required a formal root cause analysis and identification of corrective actions.

Analysis: Point Beachs EP program failed to maintain the Emergency Plans scheme of

EALs such that all initiating conditions, which had been assumed in the licensees

approved EAL basis (NUREG-0654, Revision 1, as amended in NRCs 1984 SER),

would result in emergency classifications at appropriate levels. Specifically, two GE, two

Alert, and four NOUE EALs were changed, resulting in decreases in effectiveness of the

Emergency Plan without a commensurate decrease in the approved basis of the

Emergency Plan. As a result, the licensee might not have classified several emergency

events at the same level that would have resulted from use of the 1984 NRC-approved

EAL scheme. A decrease in the GE level of classification would result in decreased

protective action recommendations for the offsite authorities, and potentially a reduction

in the level of protective action decisions forwarded to the public by offsite authorities. A

decrease in the Alert and NOUE levels of classification could also have resulted in a

reduced level of response by offsite authorities if their level of response was based to

some extent on which of the four emergency classes was associated with the licensees

emergency declaration.

Enforcement: 10 CFR 50.54(q) provides, in part, that a licensee shall follow and

maintain in effect emergency plans which meet the standards in §50.47(b). The

licensee may make changes to the emergency plans without NRC approval only if the

43 Enclosure

changes do not decrease the effectiveness of the plans and the plans, as changed,

continue to meet the standards of §50.47(b). Proposed changes that decrease the

effectiveness of the approved emergency plans may not be implemented without

application to and approval by the NRC.

10 CFR 50.47(b) requires that the onsite emergency response plans for nuclear power

reactors meet each of 16 planning standards, of which, planning standard 4 states, in

part, that a standard emergency classification and action level scheme is in use.

Chapter 4 of the Emergency Plan (Revision 38, dated February 6, 2002) stated that the

licensees emergency classification system was based on NUREG-0654, Revision 1,

Appendix 1.

Contrary to the above, from October 1998 through December 1999, the licensee made

changes without NRC approval to the EALs in Appendix B of its Emergency Plan that

decreased the effectiveness of the Plan and resulted in use of a non-standard scheme

of EALs. For example, as discussed above, the licensee made significant changes to

both the content and format of its EAL scheme, with resultant decreases in

effectiveness of 8 EALs. The licensee wrote CAP034784 for this finding. Also,

ACE001405, associated with CAP034833, Inconsistency In Evaluation/Interpretation of

EAL, was initiated. The failure to receive NRC approval prior to changing the EAL

scheme is an Apparent Violation of 10 CFR 50.54(q), associated with emergency

planning standard 10 CFR 50.47(b)(4) (AV 50-266/03-07-05; 50-301/03-07-05). The

details of this apparent violation were communicated to the licensee in a letter dated

December 2, 2003, and a predecisional enforcement conference to discuss it further

was conducted on January 13, 2004.

b.3 Failure To Maintain Ability To Implement An NOUE EAL

Introduction: A Green, Non-Cited Violation associated with emergency planning

standard 10 CFR 50.47(b)(4) was identified. Specifically, the licensee failed to ensure

that the facility seismic monitors were capable of supporting implementation of an

NOUE EAL.

Description: EAL 6.1.1.1 required declaration of an NOUE if ground shaking was felt or

if an indicator light (set to actuate at greater than or equal to .01g) was observed on two

or more of the four seismic monitors. The seismic event indicating lights actuate when

sensed ground motion exceeded the setpoint, then extinguish when ground motion was

reduced to below the setpoint. The as-found setpoint for all three seismic monitors (one

monitor, SEI-6211, had been sent to Sweden for repair) exceeded .03g. The licensee

discovered the incorrect setpoints in response to the inspectors questions regarding the

seismic EALs. The licensee determined that the setpoint control document, STPT 22.1,

dictated a correct setpoint of .01g. However, the only test conducted to verify

functionality of the seismic monitors, the imbalance test, did not verify the setpoint and

would not have indicated a failed test for a setpoint above .01g. Additionally, there was

no system or procedure to periodically verify the accuracy of the as-found setpoints.

The inspectors determined that the failure to maintain the setpoints created a condition

such that NOUE EAL 6.1.1.1 could not be implemented using the seismic monitor

indications.

44 Enclosure

Analysis: The failure to ensure that EP equipment was maintained ready to support

implementation of the Emergency Plan was a performance deficiency that was more

than minor because it was associated with a cornerstone attribute and affected the EP

cornerstone objective (to ensure the adequate protection of the public health and

safety.) The finding involved the failure to ensure that seismic monitoring equipment,

necessary for implementation of NOUE EAL 6.1.1.1, remained functional with

reasonable assurance. When processed through the EP SDP, the finding was found to

have very low safety significance because a NOUE could be declared based on ground

shaking. Consequently, the lack of accurately set seismic monitors only degraded the

capability to implement EAL 6.1.1.1, and was therefore not a planning standard function

failure. The inspectors identified this finding during review of CAPs that were written

during the inspection as a result of the inspectors concerns with the seismic monitors.

The licensee wrote CAP034787 for the setpoint control concerns.

Enforcement: 10 CFR 50.54(q) provides, in part, that a licensee shall follow and

maintain in effect emergency plans which meet the standards in §50.47(b). 10 CFR

50.47(b) requires that the onsite emergency response plans for nuclear power reactors

meet each of 16 planning standards, of which, planning standard 4 states, in part, that a

standard emergency classification and action level scheme, the bases of which include

facility system and effluent parameters, is in use. The Point Beach Emergency Plan,

Appendix B, contains EALs, including EAL 6.1.1.1, which must be implemented based

on in-plant parameters. Contrary to this, the licensee failed to maintain the seismic

monitors in a functional condition such that EAL 6.1.1.1 could be implemented.

Because the finding was determined to be of very low safety significance and was

entered into the licensees corrective action program as CAP034787, this violation is

being treated as a Non-Cited Violation, consistent with Section VI.A of the NRC

Enforcement Policy (NCV 50-266/03-07-06; 50-301/03-07-06).

The inspectors reviewed a sample of 17 EALs to determine if the indications would be

available in the control room in a reasonable time for operators to implement the EALs.

During this review, the inspectors identified that indications for two seismic activity

EALs, 6.1.1.2 and 6.1.1.3, would not be available in a timely manner during a seismic

event due to inadequate shift staffing. The inspectors determined this was a violation of

NRC regulations, which is described in Section 3.2.b.2 of this report.

3.7 Conclusions of the Emergency Preparedness Phase of the IP 95003 Inspection

In summary, although the EP program at Point Beach has several challenges to

address in both the immediate and near-term, the inspectors concluded that Point

Beach can implement its EP program adequately to protect the public health and safety

and the environment. This conclusion is largely based on the observation of the

August 14, 2003, drill, where the licensee demonstrated that they could implement the

Emergency Plan in a manner commensurate with protecting public health and safety.

The positive results of this exercise were consistent with observations of prior drills in

November 2002 and June 2003. The Apparent Violation associated with the failure to

maintain a standard scheme of Emergency Action Levels, the Unresolved Item and drill

critique observations associated with protective action recommendations, and the NCV

associated with accurate reporting and tracking of the control room communicator in the

emergency preparedness performance indicators, were all indications of potentially

45 Enclosure

significant misunderstandings of EP regulations and guidelines. The NCVs associated

with seismic monitors, ability to implement the EALs, and lack of a formal EP staff

training program were examples of inadequate licensee processes for maintaining the

EP program. The inspectors concluded that implementation of the corrective action

program for the EP area was adequate, but that the evaluation of extent of condition of

problems continued to show some challenges. The inspectors noted that many of these

problems originated under previous EP department management, and that the current

staff and managers, while relatively inexperienced, were dedicated to the identification

and correction of those problems.

4. Engineering, Operations, and Maintenance

As discussed in Inspection Reports 50-266/01-17(DRS); 50-301/01-17(DRS), dated

April 3, 2002, and 50-266/02-15(DRP); 50-301/02-15(DRP), dated April 2, 2003, and

Final Significance Determination Letters dated July 12, 2002, and December 11, 2003,

the Red inspection finding for the AFW/IA issue and the Red inspection finding for the

AFW orifice plugging issue were caused by design process weaknesses and faulty

knowledge of the design basis of a risk-significant system, AFW. Consequently, the

focus of the third and final phase of the IP 95003 was design engineering. To assess

this area, the inspectors conducted a vertical slice of two risk significant systems:

component cooling water (CCW) and 125-volt direct current (VDC). The inspectors also

reviewed AFW corrective actions and, in response to the electrical grid disturbance in

the eastern United States on August 14, 2003, the design basis, licensing basis, and as-

built configuration of several AC electrical distribution systems.

And lastly, the inspectors reviewed selected aspects of the operations and maintenance

areas, with an emphasis on the interface of engineering with these areas.

To meet the five overall objectives of the 95003 inspection, as listed in Section 1 of this

report, the inspectors used the guidance of IP 95003 and reviewed the following key

attributes during this phase of the inspection:

a. Design

b. Human Performance

c. Procedure Quality

d. Equipment Performance

e. Configuration Control

As with the review of the corrective action program aspects of problems in the EP area

during the EP phase of the inspection, the inspectors reviewed the corrective action

program aspects of problems in engineering during this phase of the 95003 inspection.

4.1 Engineering

46 Enclosure

4.1.1 125-VDC System

4.1.1.1 Design Basis, Licensing Basis, and As-Built Review

a. Inspection Scope

The inspectors reviewed the design basis, licensing basis, as-built design features, and

several recent modifications of the 125-VDC system to determine if the system was able

to perform the intended safety functions with a sufficient margin. Included in this review

was a detailed walkdown to determine if the system was in a configuration to support its

safety function. The inspectors reviewed a sample of corrective actions involving design

control issues, the control of design and licensing input and output information, the

adequacy of design modifications, and selected 10 CFR 50.59 evaluations related to

design and procedure changes, and compared the as-built design with the current

design and licensing basis.

b. Observations and Findings

For the review of the 125-VDC system using the five key attributes of IP 95003, no

findings of greater than very low safety significance (Green) were identified and the

system was found to be operable. As discussed in Section 4.1.4, minor corrective

action program problems were identified. Of greater concern, discussed below, were a

non-conservative TS surveillance requirement for the safety-related battery chargers, a

high work load in engineering that has resulted in engineering staff frequently being

reactive to plant issues (instead of pro-active), and a failure to maintain system

calculations up-to-date.

Although the licensee had identified the need to update the calculations, the licensee

had not fully evaluated the extent of the problem nor aggressively pursued its resolution.

As of the end of the inspection, the licensee appropriately reassessed the priority

assigned to updating the calculations.

b.1 125-VDC TS Surveillance Requirement

Introduction: The inspectors identified that the TS surveillance requirement (SR) for

testing the battery chargers was non-conservative in relation to the design basis

calculation for battery charger sizing. This failure to assure that the regulatory

requirements and the design basis of the plant were accurately maintained was

determined to be of very low safety significance and was dispositioned as a Green,

Non-Cited Violation. Additionally, the TS bases for the SR did not agree with the FSAR.

Description: Calculation 2003-0046, Battery Chargers Sizing and Current Limit

Setpoint, Revision 0, established a minimum battery charger size (minimum current

limit setpoint) for the D-07, D-08, D-09, D-107, D-108, and D-109 battery chargers of

293 amps (amperes) DC. This value was calculated using the FSAR Section 8.7.2

description of the battery charger as an acceptance criterion. The FSAR stated, The

battery chargers have been sized to recharge any of their respective partially discharged

batteries within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> while carrying normal load. The licensee then established the

minimum current value by conservatively establishing current output for both the normal

47 Enclosure

DC load and the discharged battery.

Technical Specification SR 3.8.4.6, however, tested the batteries by verifying that

battery chargers D-07, D-08, and D-09 each supply $ 203 amps at $ 125 V for $

8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />, and battery chargers D-107, D-108, and D-109 each supply $ 273 amps at $

125 V for $ 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />. The TS bases stated, These requirements are based on the

design capacity of the chargers. According to Regulatory Guide 1.32 [Criteria for

Safety-Related Electric Power Systems for Nuclear Power Plants], the battery charger

supply is required to be based on the largest combined demands of the various steady

state loads and the charging capacity to restore the battery from the design minimum

charge state to the fully charged state, irrespective of the status of the unit during these

demand occurrences. The minimum required amperes and duration ensures that these

requirements can be satisfied. These requirements did not reflect both the FSAR

description and the battery charger sizing calculation which appeared to support a

requirement of 293 amps at $ 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

Based upon the inspectors finding, the licensee wrote CAP050366 and reviewed the

surveillance procedures for the battery chargers. In this CAP, the licensee attempted to

demonstrate that the existing surveillance test adequately ensured that the battery

chargers could recharge the batteries in 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> while supporting DC loads. By taking

advantage of existing conservatisms in the battery charger sizing calculation and

comparing these new required outputs for the chargers to the surveillance test

procedure, the licensee was able to conclude that the battery chargers were operable.

Although the licensee had been able to demonstrate by calculation the operability of the

battery chargers, the licensee had failed to maintain an accurate design basis and

license basis for the chargers.

The inspectors also determined that TS SR 3.8.4.6 appeared to be non-conservative in

relation to the design basis calculation for battery charger sizing.

Analysis: This failure to assure that the regulatory requirements and the design basis of

the plant were accurately maintained is a violation of the requirements in 10 CFR

Part 50, Appendix B, Criterion III, Design Control. This finding was determined to be

more than minor because it affected the mitigating systems cornerstone objective. The

finding screened as Green in the SPD Phase 1, Mitigation Systems, question 1.

Because this issue was a design deficiency that was confirmed not to result in the loss

of function in accordance with GL 91-18, Information to Licensees Regarding NRC

Inspection Manual Section on Resolution of Degraded and Nonconforming Conditions,

Revision 1.

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 basis are correctly translated into specifications, drawings,

procedures, and instructions.

Contrary to this, the licensee failed to assure that the design basis of the safety-related

48 Enclosure

battery chargers was accurately translated into TS SR 3.8.4.6. This violation was

determined to be of very low safety significance because the licensee was able to

subsequently demonstrate, through calculation, that the battery chargers were operable.

Since this design control violation was captured in the licensees corrective action

program (CAP050366), it is considered a Non-Cited Violation (NCV 50-266/03-07-07;

50-301/03-07-07), consistent with Section VI.A.1 of the NRC Enforcement Policy.

b.2 125-VDC System Calculations

Introduction: The voltage drop, baseline cable ampacity, and short-circuit calculations

needed revision and no longer reflected the configuration of the 125-VDC system at

Point Beach Nuclear Plant (PBNP). The battery sizing and 125-VDC loading calculation

had been revised but was still in draft form and the calculation of record no longer

reflected the present plant configuration. The inspectors identified that the licensee had

performed modifications to electrical equipment in the 125-VDC system without updating

affected design basis calculations. This left the plant in a configuration that was not

supported by an updated design basis. This failure to maintain the design basis of the

plant was determined to be of very low safety significance and was dispositioned as a

Green, Non-Cited Violation.

Description: Design change package MR 97-014 documented a plant modification that

was designed to improve selective coordination; to provide better independence

between Unit 1, Unit 2, and common loads; to remove some nonsafety-related loads

from the safety-related buses; and to reduce the loading on certain safety-related buses.

The modification changed loads fed from both the D-01 and D-02 125-VDC buses.

To support this modification, the licensee issued calculation addendum E-09334-472-

DC.3 to address voltage drop. This calculation provided a justification that the terminal

voltage for the relocated loads was acceptable; however, it did not evaluate voltage for

loads that were not relocated. Also, the calculation provided a qualitative analysis of

voltage drop, but it did not provide a true design basis calculation for voltage drop in the

125-VDC system. This was recognized within the calculation by a statement in the

background section that A formal revision of WE [Wisconsin Electric] calculations

N-93-056 and N-93-057, Battery D05 (D06) DC System Sizing, Voltage Drop, and Short

Circuit Calculations, is required.

The inspectors determined that for a major realignment of loads, such as that performed

by MR 97-014, the design basis voltage drop calculation should have been revised to

reflect the new loading configuration. While calculation addendum E-09334-472-DC.3

addressed voltage drop considerations qualitatively, it was used more as a justification

for operability rather than as a true design basis calculation. Additionally, the licensee

implemented the modification in seven separate phases over several years. Each

phase was implemented similarly to a completed modification. Calculation addendum

E-09334-472-DC.3 addressed the MR 97-014 as a complete design change but there

were no calculations to support the interim changes made by each phase of the

modification. The inspectors determined that this was another instance of the licensee

operating in a design configuration that was not supported by a design basis voltage

drop calculation. The inspectors reviewed calculation addendum E-09334-472-DC.3

and determined that the calculation was adequate. As a result, although the licensee

49 Enclosure

had qualitatively determined that the loads in the 125-VDC system were operable, the

design basis of the plant was not being maintained even though major configuration

changes had been made.

The inspectors also reviewed design change package MR 03-005, implemented in

May 2003. This modification repowered the turbine-driven AFW pump recirculation

valves 1AF-4002 and 2AF-4002. For this design change, the licensee performed a

more thorough analysis; however, the calculation was embedded within the modification

and was not a stand-alone calculation as required by the current plant procedure,

NP 7.2.1, Plant Modifications. The inspectors noted that this was another example of

the licensees failure to update the design basis calculations. However, since the

analysis contained within MR 03-005 determined that the change was technically

acceptable and that no operability concerns existed, there was no loss of function

associated with this issue.

Although the licensee was able to determine the operability and functionality of DC loads

for both MR 97-014 and MR 03-005, the existing design basis calculations had not been

adequate. This was further compounded by the failure of the licensee to update the

design basis calculations since MR 97-014 was implemented.

Analysis: This failure to assure that the design basis of the plant was accurately

maintained in regard to the 125-VDC voltage drop calculations is a violation of the

requirements in 10 CFR Part 50, Appendix B, Criterion III, Design Control. This finding

was determined to be more than minor because it affected the mitigating systems

cornerstone objective.

The finding screened as Green in the SPD Phase 1, Mitigation Systems, question 1.

This issue was a design deficiency that was confirmed not to result in the loss of

function in accordance with GL 91-18.

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 basis are correctly translated into specifications, drawings,

procedures, and instructions.

Contrary to this, the licensee failed to assure that the design basis of the 125-VDC

system was correctly translated into specifications when major configuration changes

were made to the system and the system voltage drop calculations were not revised to

reflect these changes. This violation was determined to be of very low safety

significance (Green), because the licensee was able to demonstrate, through analysis,

that the effects of the modifications did not affect functionality of equipment powered by

the 125-VDC system. And because this design control violation was captured in the

licensees corrective action program (CAP002410, CAP034396, CAP050403), it is

considered a Non-Cited Violation (NCV 50-266/03-07-08; 50-301/03-07-08) consistent

with Section VI.A.1 of the NRC Enforcement Policy.

The licensees overall efforts to improve calculations were included in Excellence Plan

action plan OP-14-005, Validate and Integrate Calculations and Setpoints. As with

inspectors observations about the timeliness of action plan actions for setpoints

50 Enclosure

(discussed in Sections 4.1.4 and 4.1.5), the due dates of action plan actions for

reviewing and revising calculations were not timely. The licensee subsequently revised

the due dates. The revised dates were appropriate.

4.1.2 Design Basis and As-Built Review of AC Systems, Including the Offsite Electrical

Distribution Grid and Plant Electrical System Interface

a. Inspection Scope

As part of the review of the 125-VDC system and in response to the electrical grid

disturbance in the eastern United States on August 14, 2003, the inspectors reviewed

the design basis, licensing basis, and as-built configuration of several AC systems at

Point Beach. In addition, some recent CAPs related to the AC systems were reviewed.

b. Observations and Findings

As with the review of the 125-VDC system using the five key attributes of IP 95003, no

findings of greater than very low safety significance were identified during the review of

the AC systems and the systems were found to be operable. As discussed below, minor

problems were identified with calculations, procedures, and corrective actions. Of more

concern was the inspectors observations that engineering staff had a weak

understanding of system design basis. In addition, the inspectors determined that

issues involving high-energy line break/equipment qualification were not resolved in a

timely manner.

b.1 Offsite Electrical Distribution Grid Issues

The inspectors reviewed licensee documentation and held discussions with operations

and engineering staff to assess the adequacy of plant systems and procedures to

ensure the availability of offsite power. As a result, the inspectors made the following

observations.

  • The TS basis for Limiting Condition for Operation (LCO) 3.8.1, AC Sources,

stated that the plant could withstand a Design Basis Accident with only one

offsite source without losing offsite power. The inspectors questioned this

statement and the licensee subsequently determined that it was incorrect and

would have to be changed. The problem with the basis required no change to

the LCO.

  • Fast Transfer of 13.8-Kilovolt (kV) Station Buses. The inspectors identified that

the licensee did not have a documented analysis that verified that the safety-

related electrical buses would remain connected to the offsite source following

the failure of one of the two station high voltage auxiliary transformers. Also,

there were no procedures in-place to alert operators of the increased risk of grid

separation for certain allowable onsite electrical system alignments. This risk

would be increased if one or both of the unit auxiliary transformers (UATs) were

already out-of-service prior to the transfer, because loading on the operating

51 Enclosure

high voltage transformer after the transfer would be considerably more than

when the UAT(s) was/were in-service.

The failure to analyze the electrical distribution system for limiting alignments

that could lead to the complete loss of offsite power to the safety-related buses is

a violation 10 CFR Part 50, Appendix B, Criterion III, Design Control. However,

this issue did not have a significant impact on safety because the failure of a

high voltage transformer concurrent with an accident was highly unlikely. In

addition, failure of a high voltage transformer with two UATs out-of-service was

considered very unlikely. Consequently, the issue is considered minor, and thus,

it is not subject to enforcement action in accordance with Section IV of the

NRCs Enforcement Policy. The licensee wrote CAP050414 to address this

issue.

  • Procedure for Assuring Acceptability of Grid Voltages. During the initial part of

the inspection, plant engineers were unaware of operations procedures and

controls for assuring the acceptability of grid voltages. About 2 weeks later

during the inspection and in response to inspectors questions, licensing

engineering staff were informed by operators that Procedure OP-2A, Normal

Power Operation, addressed this issue and that, in addition, measures had

been implemented by the grid operator, American Transmission Company

(ATC), in 1997 to preclude spurious separation of the Point Beach buses from

offsite power. These measures consisted of software with a real time

contingency alarm that would alert ATC personnel if grid conditions were such

that a single contingency, such as the trip of a Point Beach unit or a transmission

line failure, would cause Point Beach switchyard voltage to decrease too low.

ATC personnel would then notify the Point Beach control room. The measures

by ATC appeared to be appropriate, but were not in OP-2A, so the Point Beach

operator response to such a notification was uncertain. In response, the

licensee wrote CAP050227 and initiated actions to revise Procedure OP-2A.

After engineering personnel became aware of ATCs measures, they were not

able to retrieve an analytical basis for the contingency alarm setpoint.

Calculation N-93-098 determined the reset setpoint for the degraded voltage

relays, but it did not determine tolerances associated with this parameter so that

the maximum value was not determined.

A maximum value was needed to compare with available bus voltage to verify

that the degraded voltage relays would reset under worst case grid and plant

loading conditions. In addition to the lack of a maximum reset value, there was

no calculation that determined the safety-related 4160-V bus voltage that would

result from the minimum grid voltage of 348.5 kV used as the alarm setpoint by

ATC. The inspectors attempted to estimate the relationship between 4160-V bus

voltage and switchyard voltage using Calculation N-93-002, but due to significant

errors in the calculation, this was not successful. The inspectors were

subsequently able to determine from engineering evaluations performed by the

licensee during this inspection that the ATC setpoint was conservative relative to

maintaining the availability of the offsite source.

52 Enclosure

The failure to implement adequate procedures to enable operators to determine

the operability of the offsite power source is a violation 10 CFR Part 50,

Appendix B, Criterion V, Instructions, Procedures, and Drawings. However,

this issue was of minor safety significance because available data indicated that

grid availability at Point Beach was very high. The licensee had not received any

notifications of actual alarms from ATC for potentially unacceptable voltages

since the implementation of the real time network analyzer in 1997. Because

this issue was minor, and adequate measures were now in-place to ensure the

availability of the offsite source to mitigate an accident, it is not subject to

enforcement action in accordance with Section IV of the NRCs Enforcement

Policy. The licensee wrote CAP050227 to address this issue.

These three issues with the offsite power supplies (the inaccurate TS basis statement,

lack of analysis of limiting grid alignments, and weak procedure guidance for assuring

acceptability of grid voltage) were not operability concerns but did demonstrate

weaknesses in engineering communication with operators, lack of clear understanding

of the design basis for degraded voltage protection, and lack of rigor in the degraded

grid calculation.

b.2 Environmental Qualification of Electrical Equipment

1. The inspectors identified a Green, Non-Cited Violation of 10 CFR Part 50,

Appendix B, Criterion XVI, Corrective Action, for the licensees failure to

implement timely corrective actions for safety-related electrical equipment in the

primary auxiliary building (PAB) that was not environmentally qualified.

Description: On January 18, 1998, the licensee identified (CAP001559) that the

stations newly revised HELB analysis had identified areas in the PAB that had

previously been considered as mild environments but were now considered as

harsh environments. The licensee documented this issue in CAP001559. The

postulated HELB that could cause these harsh environments in the PAB was the

potential rupture of the 3-inch line in the PAB supplying steam to the radioactive

waste system and to the turbine-driven AFW pumps. The licensee determined

that because of these harsh environments there was electrical equipment

important to safety that was not evaluated in the environmental qualification (EQ)

program, a condition adverse to quality. At the time, the licensee performed an

operability determination (OD) and concluded that electrical equipment needed

to shut down the plant if the 3-inch steam line break were to occur was operable

but degraded.

As a corrective action, the licensee installed HELB wall barriers and a blow-off

panel in the CCW heat exchanger room to protect the non-EQ electrical

equipment.

In June 2003, the inspectors reviewed CAP001559 and the associated OD. The

OD had been revised 12 times since 1998, but the corrective action for this

condition adverse to quality had still not been completed. Additionally, the

inspectors determined that the current OD had not adequately evaluated

environmental effects on all electrical equipment that potentially could be subject

53 Enclosure

to a harsh environment. The inspectors concluded that the licensee had failed to

correct this condition adverse to quality for over 5 years and had failed to

adequately address operability concerns associated with the environmental

qualification of affected electrical equipment. After communicating this finding to

the licensee, the OD was again revised. The inspectors reviewed the new

evaluation and again determined that the OD did not adequately address the

environmental qualification of affected electrical equipment.

In August 2003, the licensee completed the corrective action by erecting HELB

wall barriers and installing a blow-off panel in the CCW heat exchanger room.

This corrective action eliminated the EQ concerns associated with the potential

rupture of the 3-inch steam line in the PAB.

Analysis: The failure to correct this condition adverse to quality was more than

minor because if left uncorrected, it would become a more significant safety

concern. Failure to correct problems with environmental qualification of electrical

equipment could potentially have adverse effects on the capability to prevent or

mitigate the consequences of accidents. However, the inspectors determined

that this finding was of very low significance and screened this finding as Green

in the SPD Phase 1, Mitigation Systems, question 1. The corrective action issue

was associated with a qualification deficiency that did not result in a loss of

function per GL 91-18. Additionally, in August 2003, the licensee completed the

corrective action for this condition by erecting HELB wall barriers and installing a

blow-off panel in the CCW heat exchanger room. This eliminated the EQ

concerns associated with the potential rupture of the 3-inch steam line in the

PAB.

Enforcement: 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action,

requires, in part, that conditions adverse to quality, be identified and corrected.

Contrary to this, as of June 2003, the licensee had not corrected a condition

adverse to quality associated with safety-related electrical equipment in the PAB

that was not environmentally qualified. Specifically, for over 5 years, the

licensee relied on an OD that did not adequately evaluate environmental effects

on all electrical equipment instead of correcting the existing condition.

Because the finding was in the licensees corrective action program

(CAP001559), this violation is being treated as a Non-Cited Violation

(NCV 50-266/03-07-09; 50-301/03-07-09) consistent with Section VI.A.1

of the NRC Enforcement Policy.

2. The inspectors also identified a Green, Non-Cited Violation of 10 CFR 50.49(f)

for the failure to environmentally qualify the equipment.

Description: As discussed previously, when the inspectors reviewed the OD

associated with CAP001559 in June 2003, it had been revised 12 times.

Revision 12 identified all equipment evaluated for harsh conditions in the PAB:

54 Enclosure

Cooling,

  • Safety-Related MCCs,
  • Electrical Cables,
  • Charging Pump Motors, and
  • CCW Pump Motors.

The inspectors reviewed the evaluation for this equipment and did not identify

any major discrepancies. However, the licensee could not provide a list of all

required equipment for safe shutdown of the plant in the case of the 3-inch

steam line rupture. Additionally, the inspectors determined that several items

were not evaluated by the OD. Specifically, the licensee had not evaluated the

following for a harsh environment:

  • electrical terminal connection boxes,
  • electrical pull boxes,
  • electrical junction boxes, and
  • nonsafety-related MCCs that could prevent satisfactory accomplishment

of safety functions.

In response to the inspectors concern regarding Revision 12 of the OD, the

licensee revised the OD. The inspectors reviewed this updated OD and

determined again that the evaluation did not address their concerns.

Specifically, while the licensee attempted to address the potential effects of a

harsh environment on electrical enclosures (terminal boxes, etc.), the licensee

relied on EQ evaluations performed by other nuclear power plants for their plant

specific configurations. The inspectors determined that the licensees evaluation

did not bound the configurations at Point Beach.

As discussed earlier in this report, the licensee completed the corrective action

for this condition in August 2003 by erecting HELB wall barriers and installing a

blow-off panel in the CCW heat exchanger room. This corrective action

eliminated the EQ concerns associated with the potential rupture of the 3-inch

steam line in the PAB. However, the licensee had failed to adequately

environmentally qualify electrical equipment important to safety in accordance

with the requirements in 10 CFR 50.49(f).

Analysis: The failure to correct this condition adverse to quality is more than

minor because it affected the mitigating systems cornerstone. Failure to

environmentally qualify electrical equipment could potentially have adverse

effects on the capability to prevent or mitigate the consequences of accidents.

However, this finding screened as Green in the SPD Phase 1, Mitigation

Systems, question 1. This issue was a design deficiency that did not result in

the loss of function per GL 91-18.

Enforcement: 10 CFR 50.49(f) states, in part, that electrical equipment

important to safety must be qualified by one of the following methods:

55 Enclosure

  • testing an identical item of equipment under identical conditions with a

supporting analysis to show that the equipment to be qualified is

acceptable,

  • testing a similar item of equipment with a supporting analysis to show that

the equipment to be qualified is acceptable,

  • experience with identical or similar equipment under similar conditions

with a supporting analysis to show that the equipment to be qualified is

acceptable, and

  • analysis in combination with partial type test data that supports the

analytical assumptions and conclusions.

Contrary to this, the licensee had identified that equipment important to safety

located in the PAB would be susceptible to a harsh environment during a

postulated HELB, but failed to environmentally qualify this electrical equipment.

Therefore, because this violation of 10 CFR 50.49(f) was captured in the

licensees corrective action program (CAP001559), it is considered a

Non-Cited Violation (NCV 50-266/03-07-10; 50-301/03-07-10) consistent with

Section VI.A.1 of the NRC Enforcement Policy. The licensees overall efforts for

the high energy line break issue was contained in Excellence Plan action plan

EQ-15-006, High Energy Line Break Project.

b.3 Miscellaneous AC Electrical Distribution System Issues

During the inspectors review of licensee documentation related to the design and as-

built configuration of the electrical distribution system, the following additional

observations regarding licensee design control practices were made.

  • MOV Voltage Calculation Used Non-Conservative Methodology. Calculations

used non-conservative methodology for determining voltage at motor control

centers (MCCs) serving motor-operated valves (MOVs). Calculation N-94-009

determined the minimum voltage at MCCs based on the results of Calculation

N-93-002, which determined steady state voltages on the safety-related buses.

Calculation N-93-002 treated MOVs as intermittent loads and considered them to

be off for steady-state conditions. This resulted in a non-conservative result for

use in MOV voltage calculations because there would be an additional voltage

drop in the circuit elements upstream of the MCCs when the MOVs were

operating. In response to the inspectors question, the licensee issued

CAP050174, which evaluated additional margins showing that MOV voltage was

acceptable. Because MOV operability was not compromised, this design control

violation constitutes a violation of minor significance, not subject to enforcement

action in accordance with Section IV of the NRCs Enforcement Policy.

However, it is another example of a design control weakness.

  • The inspectors identified that the transfer setpoint for the vital inverter static

transfer switches was not periodically calibrated to assure premature transfer

would not occur and that some setpoints were not contained in the stations

56 Enclosure

setpoint document. The vital inverters may be powered from a nonsafety-related

480-V source if the safety-related 125-VDC source became unreliable. The

automatic transfer to the nonsafety-related source was accomplished through a

static transfer switch that monitored inverter output. The transfer to the

nonsafety-related source was a nonsafety-related function, but preventing

spurious transfer was a safety-related function and depended on voltage and

time delay setpoints. In response to the inspectors inquiries, the licensee

identified that these setpoints were not periodically calibrated. In addition, the

slow transfer time delay setpoints for the red channel and blue channel inverters

were not listed in the setpoint document. Because maintenance records

indicated that there had been no spurious transfers due to setpoint errors, this

design control and procedure violation constitutes a violation of minor

significance, not subject to enforcement action in accordance with Section IV of

the NRCs Enforcement Policy. It indicated weaknesses in the licensees

maintenance and configuration control programs. The licensee wrote

CAP050164 to document this issue and track associated corrective actions.

Though the safety consequences of the above examples were minor, the examples

indicate a lack of attention to detail by the engineering staff in assessing issues related

to plant configuration and design control in the electrical area.

4.1.3 Component Cooling Water (CCW) System

4.1.3.1 Design Basis, Licensing Basis, and As-Built Review

a. Inspection Scope

The inspectors reviewed the design basis, licensing basis, as-built design features, and

several recent modifications of the CCW system to determine if the system was able to

perform the intended safety functions with a sufficient margin. Included in this review

was a detailed walkdown to determine if the system was in a configuration to support its

safety function. The inspectors reviewed a sample of corrective actions involving design

control issues, the control of design and licensing input and output information, the

adequacy of design modifications, and selected 10 CFR 50.59 evaluations related to

design and procedure changes, and compared the as-built design with the current

design and licensing basis.

The inspectors reviewed CCW system calculations; related CAPs; system drawings; and

design basis documents, including the FSAR, TSs, the licensing basis summary, and

the CCW DBD, to determine if the CCW system was able to perform its intended safety

function. The inspectors reviewed CCW heat exchanger thermal performance, design

temperature, and CCW surge tank minimum volume calculations to determine the

adequacy of assumptions and methodology used. These were also reviewed to

determine if calculations were consistent with design basis documents.

The inspectors also reviewed the CCW system training lesson plan for consistency with

current design basis and parameters. The lesson plan included major system

components, objectives, and operating parameters.

57 Enclosure

The inspectors also reviewed some recent CCW-related CAPs to assess whether

design and licensing operating parameters were being controlled. Corrective actions

were reviewed to assess the effectiveness of maintaining CCW system design. The

inspectors reviewed some recent CAPs related to design basis temperature and flow

limits and requirements, heat exchanger tube plugging limits, and calculation

deficiencies.

b. Observations and Findings

For the review of the CCW system using the five attributes of IP 95003, no findings of

greater than very low safety significance (Green) were identified and the system was

found to be operable. As discussed below, the inspectors identified a minor violation for

inadequate control and evaluation of relief valve setpoint changes; a Green, NCV for the

failure to include certain manual CCW valves in the inservice testing program; and a

minor procedure violation regarding an Appendix R replacement CCW pump motor

b.1 CCW Relief Valve Setpoint Changes

The inspectors reviewed calculation N-93-71, 1(2)CC-754A, 754B, 1(2)CC-759A, 759B

(Group 11) MOV Differential Pressure Calculation, Revision 0, dated February 1, 1994.

A portion of this calculation determined the most limiting pressure in the CCW system

occurred upstream of reactor coolant pump CCW outlet valves 1(2)CC-759A and

1(2)CC-759B. The calculation stated that this system pressure would be limited to

145 pounds per square inch - gauge (psig) based on the setpoint of CCW relief valves

1(2)CC-763A and 1(2)CC-763B. This value was used to determine the maximum

differential pressure across the MOVs when they were required to be closed. Valves

1(2)CC-759A and 1(2)CC-759B were manual containment isolation valves, as shown on

FSAR Figures 5.2-17 and 5.2-18, dated June 2002.

The inspectors questioned the basis of the 145 psig upstream pressure value. It was

the inspectors understanding that the setpoints of CCW relief valves 1(2)CC-763A and

1(2)CC-763B had been increased to 150 psig. In addition, the setpoint value used in

the calculation did not appear to account for relief valve accumulation.

In response to these questions, the licensee stated that the setpoints for relief valves

1(2)CC-763A and 1(2)CC-763B had been changed from 145 psig to 150 psig as a result

of CAP002914. However, the inspectors noted that this setpoint change had failed to

consider the impact of the change on the inputs to calculation N-93-71 and on the

isolation function of valves 1(2)CC-759A and 1(2)CC-759B. In addition, calculation

N-93-71 did not include any additional allowances for relief valve setpoint uncertainty or

accumulation. The licensee wrote CAP050229 on September 17, 2003, to address

these issues. The licensee also verified that valves 1(2)CC-759A and 1(2)CC-759B had

sufficient margin to close and remained operable.

After additional investigation, the licensee identified that the 10 CFR 50.59 evaluation

associated with the relief valve setpoint change (SCR 2002-0184, dated April 26, 2002)

did not adequately address the impact of the relief valves 25 percent accumulation

value on the system piping. CAP050367 was written on September 23, 2003, to

address this issue. This CAP identified actions to revise the 50.59 evaluation, establish

58 Enclosure

the extent of condition, and review the control of the setpoint change process. The

inspectors also noted that the PBNP self-assessment earlier in 2003 had not identified

this concern.

Although the failure to adequately control and evaluate the relief valve setpoint change

had been identified during the inspection, the licensee verified that valves 1(2)CC-759A

and 1(2)CC-759B had sufficient margin to close and remain operable. The inspectors

determined that this issue was not a precursor to a significant event, this issue would

not become a more significant safety concern if left uncorrected, this issue was not

related to performance indicators, and it did not directly affect any of the cornerstone

attributes. Therefore, the failure to adequately control and evaluate the relief valve

setpoint change was a violation of minor significance that was not subject to

enforcement action in accordance with Section IV of NRCs Enforcement Policy. The

licensee documented this failure in CAP050229 and CAP050367. Licensee overall

efforts to improve relief valve performance were part of Excellence Plan action plan

EQ-16-010, Make Improvements in the Relief Valve Program.

During the review of this area, the inspectors also identified a problem with the setpoints

in several EOPs. This issue is discussed in Section 4.1.5.

b.2 Appendix R Replacement CCW Pump Motor

Routine Maintenance Procedure RMP 9006-4, Component Cooling Water Pump Motor

Emergency Replacement, Revision 2, Section 2.4, listed two motors as available

spares (Lot Numbers 9101179 and 9100242). The inspectors asked the licensee to

verify the availability and acceptability of these two motors. The licensee verified that

the motor located in Warehouse 3 (Lot Number 9100242) was correct. However, the

licensee found that the lot number of the other spare CCW motor had been changed

from 9101179 to 9033181, and that the motor was located in the West Quonset Hut at

the time of the inspection. The licensee also stated that this spare motor (Lot

Number 9033181) had a higher locked rotor current rating (kVA (kilovolt-ampere)

Code G) than the installed CCW pump motors (kVA Code D), notwithstanding a

licensee evaluation performed per CA018346 that determined the motor was acceptable

for use as an Appendix R spare. The licensee wrote CAP050276 on September 18,

2003, to correct the lot number listed in RMP 9006-4.

The inspectors then questioned the acceptability of using the spare motor with the

higher locked rotor current rating (kVA Code G) without resetting the affected motor

supply breaker. The licensee performed an additional evaluation and concluded that

this motor should not be used as a spare CCW motor. The licensee then wrote

CAP050398 to supersede CAP050276 and remove the reference to the second spare

motor from Procedure RMP 9006-4.

The inspectors noted that the use of this spare motor had been previously questioned

during the 1999 CCW system self-assessment (S-A-ENG-99-007). It appeared that

Spare Parts Equivalency Evaluation Document (SPEED)99-003 had been initiated to

approve the use of this motor as an Appendix R spare, but the SPEED had not been

approved at the time of the 1999 self-assessment. The resolution of this self-

assessment issue was documented in Engineering Work Request S-A-ENG-99-007,

59 Enclosure

Action Number 6, on December 22, 1999, which concluded that this motor could not be

used without modifications to the electrical switchgear, and SPEED 99-003 would be

canceled.

The inspectors did not determine why Procedure RMP 9006-4 included a reference

to an inappropriate motor for use as a CCW spare. However, Engineering Work

Request S-A-ENG-99-007, Action Number 9, issued a temporary change to

Procedure RMP 9006-4 on September 21, 1999. Therefore, it appeared that the

procedure was updated to reference this second spare motor prior to the cancellation of

SPEED 99-003, and that the procedure was not corrected after the SPEED was

canceled. The inspectors also noted that the PBNP self-assessment earlier in 2003 had

not identified this concern.

The failure to adequately control the reference to spare CCW motors in Procedure

RMP 9006-4 was a violation of minor significance, not subject to enforcement action in

accordance with Section IV of NRCs Enforcement Policy. The licensee documented

this failure in CAP050398.

4.1.3.2 Equipment Performance

a. Inspection Scope

The inspectors evaluated the adequacy of the maintenance, operation, and testing of

the CCW system. The inspectors reviewed CCW surveillance testing and calibration

records, related CAPs, heat exchanger testing and inspection results, CCW system

health reports, and CCW pump vibration and differential pressure trending data to

determine if CCW system equipment was being adequately maintained, operated, and

tested. The inspectors also reviewed CCW pump and valves surveillance testing and

CCW surge tank lever switch calibration records to determine if the acceptance criteria

were consistent with design basis requirements.

Heat exchanger performance testing results, the GL 89-13 (Service Water System

Problems Affecting Safety-Related Equipment, July 18, 1989) program document,

related CAPs, and heat exchanger visual inspection results were also reviewed to

assess whether heat exchangers were being maintained and operated per system

design requirements. Radiography results for the EDG heat exchanger alternate supply

were also reviewed to determine if CCW lines were being maintained and available.

Equipment performance-related CAPs, such as CAPs related to CCW pump vibration,

valve stroke time testing, and surge tank level transmitter operation, were reviewed to

determine if system operability was degraded and corrective actions were effective in

maintaining system design.

b. Observations and Findings

Testing of Manual CCW System Valves

Introduction: The inspectors identified a finding of very low safety significance (Green)

involving a Non-Cited Violation of 10 CFR Part 50, Appendix B, Criterion XI, Test

60 Enclosure

Control. Specifically, the licensee failed to include in the inservice testing program

manual CCW valves that were required to perform a safety function.

Description: The inspectors reviewed the resolution of CAP028946 written on

August 5, 2002, during the NRC Safety System Design and Performance Capability

Inspection (IR 50-266/02-09(DRS); 50-301/02-09(DRS)), in response to questions

regarding the testing of manual CCW valves that were required in EOPs to be operated.

The CAP indicated that the valves should not be included in the inservice testing (IST)

program based on Section 4.4.6 of NUREG-1482, Guidelines for Inservice Testing at

Nuclear Power Plants, April 1985. Instead, the CAP recommended establishing a non-

IST program to periodically cycle the valves. The valves in question were included in

Attachment A of both EOP-1.3, Transfer to Containment Sump Recirculation - Low

Head Injection, Revision 30, and EOP-1.4, Transfer to Containment Sump

Recirculation - High Head Injection, Revision 10. After an accident, these valves were

to be closed to isolate nonessential CCW loads and ensure adequate cooling water flow

to the RHR heat exchangers.

The inspectors questioned this interpretation of NUREG-1482. In response, the

licensee reevaluated the function of the valves and concluded that they were required

to support the PBNP safety analysis. The licensee wrote CAP050340 on

September 22, 2003, to address the omission of these valves from the IST program. In

addition, the licensee prepared an OD on September 24, to address the capability of

these valves to perform their safety function. This operability review verified that all but

1 of the 36 manual valves had been exercised within the previous 3 years or were

normally closed. This provided reasonable assurance of operability. The inspectors

noted that the PBNP self-assessment earlier in 2003 had not identified this concern.

Analysis: The failure to account for these valves in the IST program was more than

minor because it affected the mitigating systems cornerstone. However, this finding

screened as Green in the SDP Phase 1, Mitigation Systems, question 1, because the

valves were considered capable of performing their safety function per GL 91-18.

Enforcement: 10 CFR Part 50, Appendix B, Criterion XI, Test Control, states, in part,

that a test program shall be established to assure that all testing required to

demonstrate that safety-related structures, systems, and components will perform

satisfactorily in service is identified and performed in accordance with written test

procedures. Contrary to this, the licensee failed to perform all testing required to

demonstrate that components would perform satisfactorily in service. Specifically,

several manual CCW valves that were required to perform a safety function were not

included in the IST program. As a result, the potential existed that these valves could

have failed to operate when required. After the identification of this issue by the

inspectors, the licensee implemented appropriate corrective actions. The PBNP staff

wrote CAP050340, entering this issue into the corrective action program.

Because of the very low safety significance of the finding and because the licensee had

entered this issue into their corrective action program, it was considered a Non-Cited

Violation, consistent with Section VI.A.1 of the NRC Enforcement Policy

(NCV 50-266/03-07-11; 50-301/03-07-11).

61 Enclosure

4.1.4 Corrective Actions

a. Inspection Scope

The inspectors reviewed various corrective action program and engineering-specific

documents and interviewed plant personnel to assess the effectiveness of corrective

actions for deficiencies involving design of the 125-VDC and CCW systems specifically,

and other systems in general.

b. Observations and Findings

The inspectors identified numerous, minor examples where corrective actions were not

timely or thoroughly implemented or the issues for which corrective actions were taken

were not thoroughly evaluated. Although these examples were not found to be

significant or to result in operability concerns, they supported an observation by the

inspectors that the engineering group was challenged by limited resources and

competing priorities. Several of the examples are discussed below.

  • Several CAPs were written as a result of the licensees self-assessment of the

125-VDC system to address concerns with the lack of updated calculations.

However, these CAPs did not address the larger issue of design basis and

configuration control. Major modifications to the 125-VDC system were

performed by the licensee even though no accurate, updated design basis

calculations to support even the present configuration existed. This issue is

discussed further in Section 4.1.1.1.b.2.

N-93-002 for degraded voltage analysis did not include acceptance criteria for

the minimum alternating current (AC) input voltage to safety-related battery

chargers. Subsequently, one battery charger was identified as having voltage

below its specified rating, and factory test results were used to justify acceptable

performance. However, a CAP was not written to identify and correct the

inadequate acceptance criteria in the calculation. In response to the concern,

CAP050211 was written but it cited the original evaluation of factory tests as a

justification for operability. The inspectors noted that both the original

assessment evaluation and the CAP assumed that the minimum voltage

requirement for the battery chargers was 414 volts (V) (90 percent of 460 V). In

response to the inspectors inquiry, it was discovered that the actual rating of the

chargers was 480 V so that the correct acceptance criteria should have been

432 V (90 percent of 480 V). This did not affect the previous evaluation of the

charger, but upon further review of Calculation N-93-002, the licensee

discovered that two other battery chargers (from a different manufacturer) also

failed to meet the revised acceptance criteria by a small margin. The licensee

then issued CAP050430 and provided a reasonable justification for the

operability of these two battery chargers.

The failure to include acceptance criteria in Calculation N-93-002 for the

safety-related battery chargers was a violation 10 CFR Part 50, Appendix B,

Criterion III, Design Control. The failure to write a CAP upon the discovery of

62 Enclosure

this omission and the use of inappropriate criteria to evaluate it were violations of

10 CFR Part 50, Appendix B, Criterion XVI, Corrective Action. Although these

issues should be corrected, they are minor and, thus, not subject to enforcement

action in accordance with Section IV of the NRCs Enforcement Policy. These

issues were entered into the licensees corrective action program as CAP050211

and CAP050430.

  • The licensees vendor failed to write a CAP to capture multiple (minor) drawing

errors identified during the preparation of 125-VDC calculations. The vendor had

accumulated a list of several dozen discrepancies over the period of several

months but had failed to provide this list to the licensee or initiate other corrective

action until questioned by the inspectors. Although this corrective actions issue

should be corrected, it constitutes a violation of minor significance, not subject to

enforcement action in accordance with Section IV of the NRCs Enforcement

Policy. The issue did indicate a weakness in the licensees vendor control and

corrective action programs. The licensee subsequently wrote CAP050258 to

address the specific drawing discrepancies.

  • The PAB battery room and inverter rooms ventilation system was installed via

modification M-784 in 1991. However, prior to the installation, changes to the

design were approved involving the omission of thermostatically controlled

solenoid valves. CAP000729 required revision to battery ventilation system

drawings to reflect the as-built condition but was canceled due to an

inappropriately classified corrective action, prior to the work being done.

Although this corrective actions issue should be corrected, it constitutes a

violation of minor significance, not subject to enforcement action in accordance

with Section IV of the NRCs Enforcement Policy. This issue did indicate a

weakness in the licensees corrective action program. It was documented in

CAP050096, which provided a new corrective action to revise the drawings.

Also regarding the inverters, FSAR Section A.1-7 stated that during a station

blackout event, the heatup of the instrument inverter rooms would reach a

maximum temperature of 115 degrees Fahrenheit in 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />. This description did

not match the most recent design basis heatup calculation associated with the

inverter room which established a maximum temperature of 120 degrees in

1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />. After questioning by the inspectors, the licensee initiated a CAP and

determined that the FSAR was incorrect and needed revision.

  • Inadequate Justification for Failure to Evaluate Replacement Motor Electrical

Characteristics. The licensee failed to perform an adequate technical evaluation

of a replacement motor after discovering that the original modification also failed

to perform an adequate evaluation. Modification 97-107 installed an Appendix R

spare CCW pump motor as a permanent replacement for the existing CCW

pump motor. CAP031241 identified that the modification did not reference

calculations that needed to be updated or discuss the differences in electrical

parameters that were evaluated in SPEED 97-084. The SPEED evaluated the

use of the motor as an Appendix R spare only. The justification in the CAP

regarding operability of the motor discussed the non-conservative effects of the

motors short circuit characteristics, and the improved full load current, but did

63 Enclosure

not evaluate the larger starting current for the replacement motor. This

parameter had an adverse impact on the starting voltage calculated in

Calculation N-93-002 so it should have been evaluated in the CAP. In response

to the inspectors question, the licensee revised CAP031241 to evaluate the

motor starting current, which the inspectors subsequently determined to be

acceptable. Because the replacement motor was acceptable in its application,

this failure to take the appropriate corrective action (conduct an adequate

evaluation) constitutes a violation of minor significance, not subject to

enforcement action in accordance with Section IV of the NRCs Enforcement

Policy. The issue did indicate weaknesses in the licensees corrective action and

design control programs.

  • Inadequate Procedures to Prevent Re-Racking of Breakers Following Failure to

Operate on Demand. CAP031069 was written following failure of a safety-

related breaker (a condition adverse to quality) but it did not identify a deficiency

relating to re-racking prior to troubleshooting the cause of failure. Interviews with

operators indicated that it was station policy to have maintenance perform

troubleshooting before trying to operate a breaker that had failed to operate on

demand, but that this policy had not been formalized in plant procedures.

Re-racking a failed breaker could destroy information needed to ascertain the

cause of the failure. When a breaker was racked into a switchgear cubicle,

levers in the cubicle sensed the breaker position and repositioned contacts in

control circuits for the breaker. If these switches failed to reposition properly due

to misalignment of the breaker in the cubicle, re-racking may simply achieve the

proper alignment and solve the problem. However, re-racking may also mask an

intermittent failure in another part of the circuit, or prevent detection of excessive

wear, or damage to the position switch mechanism. The breaker position

switches could then fail in-service due to slight movement caused by operating

the breaker, or experience a repeat failure of an unrelated circuit element.

The licensee was not able to identify similar instances of re-racking failed

breakers without troubleshooting so this failure to adequately identify and correct

the problem with the breaker constitutes a violation of minor significance, not

subject to enforcement action in accordance with Section IV of the NRCs

Enforcement Policy. This issue represented weaknesses in station procedures

for not prohibiting re-racking of failed breakers and in the corrective action

program for not identifying an inadequate station practice. The licensee wrote

CAP050390 to evaluate the issue.

  • CAP049868 was written on September 4, 2003, for a weakness in an emergency

diesel generator (EDG) transient loading calculation. Specifically, this CAP

identified that a potentially incorrect value of 4160 V was used in the calculation

for the initial starting voltage. Instead, the actual value used should have been

the more conservative, and therefore bounding, value of 3744 V. The licensee

originally asserted that the EDG was operable because of the successful

completion of the 18-month functional test and that this issue was merely an

administrative issue pertaining to the calculation.

64 Enclosure

The licensee identified that a review by a senior reactor operator had not even

been obtained for this issue when it was initially assessed by the licensee. The

licensee wrote CAP05348 to address this issue.

The inspectors questioned the validity of the operability determination and were

concerned that an evaluation of adverse effects due to the lower voltage was

needed to ensure operability. The major concern was the effects on voltage due

to the block loading of engineered safety feature loads on the EDG with this new

lower value for voltage (3744 V). The temporary voltage drop due to block

loading would cause control circuit contactors to momentarily drop out until

adequate voltage was recovered. The licensee stated that this issue was

discussed when the CAP was initiated, but was not documented in the CAP.

The concern with the calculation was being addressed through CE012276,

DG Loading Calculation Weakness.

Although the equipment was determined to be operable, this issue is an example

of an equipment deficiency that was inadequately resolved initially through the

licensees corrective action program. The concern identified in the initial CAP

was not properly resolved, and a formal OD was not performed. The issue

constitutes a violation of minor significance, not subject to enforcement action in

accordance with Section IV of the NRCs Enforcement Policy.

  • CAP028994, dated August 8, 2002, was written during the NRC Safety

System Design and Performance Capability Inspection (IR 50-266/02-09(DRS);

50-301/02-09(DRS)) in response to inspectors questions regarding the duration

of containment spray operation after a postulated accident. An operability

determination was completed on August 9, 2002 and EWR026103 was initiated

on August 16, 2002, to resolve the issue. However, at the time of this inspection

(September 2003), the due date for this activity had been extended twice and the

most recent entry in the CAP indicated that the activity would be reassigned

when supplemental staff was hired. After completion of the current inspection,

the licensee indicated that a meeting of engineering personnel was held in

December 2003 to discuss the issue and CA054169 was subsequently written to

update the calculation pertaining to the duration of containment spray operation.

The due date for the corrective action was June 23, 2004, and appeared

reasonable to the inspectors.

  • CAP028992, dated August 8, 2002, was written, also during the NRC Safety

System Design and Performance Capability Inspection, in response to

inspectors questions regarding an inappropriate setpoint included in EOP 1.3,

Large Break LOCA, Revision 27. During the 2002 inspection, Revision 28 was

issued to remove the step containing the setpoint. However, EOP 1.4, Small

Break LOCA, was issued with this setpoint still included. An operability

determination, based on an informal analysis, determined that this setpoint did

not result in an operability concern for a small-break LOCA. CA026038 was

initiated on August 12, 2002, to formally analyze the issue and remove the

setpoint from EOP 1.4. At the time of this inspection (September 2003), the due

date for this activity had been extended several times and EOP 1.4 (Revision 10)

still contained the inappropriate setpoint. After completion of the current

65 Enclosure

inspection, the licensee indicated that EOP 1.4 had been revised to address the

issue (the current revision of EOP 1.4 was 13).

  • CE010524 was initiated on August 12, 2002, to perform an extent of condition

review for the EOP 1.3 and EOP 1.4 issues. The scope of this activity indicated

that an extensive review of both the EOP alignments and EOP setpoints were

required. This activity was closed to CA026250, which was initiated on

September 6, 2002. CA026250 stated that the scope was significantly smaller

than that originally proposed in the parent CAP.

This activity was extended twice, then completed by the nuclear oversight

organization (quality assurance) on June 24, 2003. However, the scope of the

review did not appear to include an extensive review of either the EOP

alignments or the EOP setpoints. On August 12, 2002, CA026045 was initiated

by design engineering to perform a similar EOP review. This activity was

completed on September 9, 2003, after an extensive review of EOP 1.3 and

EOP 1.4 alignments by a contractor. CA033093 was initiated to resolve several

minor concerns identified by this review. However, none of these activities

appeared to address EOP setpoints, as identified in the original scope. After

completion of the inspection, the licensee indicated that a full review of the EOPs

was being conducted per step 2.A of OP-14-005, Validate and Integrate

Calculations and Setpoints.

  • The inspectors reviewed the I&C Calculation Update Program Project Plan,

Revision 0, dated June 6, 2003. This plan was associated with Excellence Plan

action plan OP-14-005, Validate and Integrate Calculations and Setpoints.

Section 1 of the I&C plan described problems associated with past programs

implemented to establish design basis I&C calculations. This section stated, in

part, that some of these initiatives were not fully implemented as financial and

manpower resources were directed to other projects. Updates to design basis

calculations were performed on a just-in-time, as-needed basis and other critical

calculations have lain dormant for several years. Many calculations were never

reviewed and approved, and others were maintained outside the design control

process. The problems and issues discussed in the plan was consistent with the

inspectors observations.

4.1.5 Procedure Quality

a. Inspection Scope

The inspectors evaluated the role of procedures in the performance deficiencies in

corrective actions and engineering. Specifically, selected operating, maintenance, and

testing procedures were reviewed to ensure the incorporation of appropriate design

basis information.

The inspectors reviewed CAPs and surveillance and calibration procedures to ensure

incorporation of appropriate design information. Specifically, the inspectors reviewed

CCW surge tank lever channel calibration procedures, CCW pump and valves

surveillance testing, and CCW heat exchanger performance testing data collection

66 Enclosure

procedures. These procedures were reviewed to determine the technical adequacy of

the acceptance criteria and that the CCW system was operated in accordance with

system design.

Corrective action program documents related to inadequate procedures were reviewed

to assess if corrective actions were effective and to ensure that the procedures were

corrected. Specifically, the inspectors reviewed CAPs related to CCW pump post-

maintenance testing procedures and procedure feedback backlog issues.

The inspectors also reviewed the resolution of CAP028998, written on August 8, 2002,

in response to deficiencies identified in EOPs by the NRC during the NRC Safety

System Design and Performance Capability Inspection (IR 50-266/02-09(DRS);

50-301/02-09(DRS)).

b. Observations and Findings

Introduction: The inspectors identified a finding of very low safety significance involving

a Non-Cited Violation of 10 CFR Part 50, Appendix B, Criterion V, Instructions,

Procedures, and Drawings. Specifically, the licensee failed to include appropriate

quantitative setpoint values in plant EOPs. Two examples of non-conservative setpoint

values were identified during the inspection.

Description: The inspectors reviewed selected EOPs and EOP setpoints and noted

that the EOP setpoint basis document for the minimum low head safety injection B train

flow (EOPSTPT L.3, Revision 1, dated March 25, 1992) appeared to contain an informal

instrument uncertainty calculation. The inspectors questioned the accuracy of the EOP

setpoint value of 275 gallons per minute (gpm) developed by this document.

In response to this question, the licensee investigated the L.3 EOP setpoint and found it

to be non-conservative. The licensee stated that the L.3 setpoint value should have

been 400 gpm. The 275-gpm value did not account for instrument uncertainties. In

addition, the licensee investigated the EOP setpoint for the minimum low head safety

injection A train flow (EOPSTPT L.13, Revision 0, dated March 25, 1992) and

determined that it was also non-conservative. The 450-gpm L.13 setpoint value should

have been 650 gpm to appropriately account for instrument uncertainties. The licensee

identified 34 EOP steps that included these setpoint values, and wrote CAP050388 on

September 24, 2003, to address this issue. The licensee determined that this was not

an operability concern because these setpoint values were not the sole indication

used to verify adequate safety injection flow. The CAP also stated that the potential

for the discovery of this condition had been identified in Excellence Plan action plan

OP-14-005, Validate and Integrate Calculations and Setpoints.

Based on these examples, the inspectors questioned the timeliness of the extent of

condition review associated with action plan OP-14-005, which was scheduled for

completion by 2006. In response to this concern, the licensee wrote CAP050429 on

September 25, 2003, to perform an extent of condition evaluation on all EOP setpoints

and consider accelerating the appropriate steps of action plan OP-14-005.

67 Enclosure

The inspectors noted that the vendor calculation that addressed the instrument

uncertainties associated with EOP setpoints L.3 (WEP-SPT-34a, Revision 0) had been

approved by the licensee on April 30, 2000, but had not been incorporated into the EOP

setpoint basis document or the EOPs. Discussions with licensee personnel indicated

that the update of the EOP setpoint bases had not been completed due to resource

limitations.

The inspectors also identified incorrect values in two other EOP basis documents

(EOPSTPT V.14, Revision 1, dated November 29, 1994, and EOPSTPT V.35,

Revision 0, dated November 29, 1994). In these cases, the actual EOP setpoint values

agreed with the engineering analyses, but the EOP setpoint basis documents were

incorrect. The licensee initiated CAP050192 on September 15, 2003, to address this

issue.

Analysis: The failure to account for instrument inaccuracies for EOP setpoints was

considered more than minor because it affected the mitigating systems cornerstone.

However, this finding screened as Green in the SDP Phase 1, Mitigation Systems,

question 1. Although this issue could have resulted in challenges to the operators, the

inspectors considered the redundancy of flow indication adequate for system availability

per GL 91-18.

Enforcement: Criterion V, Instructions, Procedures, and Drawings, of 10 CFR Part 50,

Appendix B, states, 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 this, the licensee failed to

include in procedures appropriate quantitative acceptance criteria for determining that

important activities were satisfactorily accomplished. Specifically, several plant EOPs

included non-conservative setpoint values. As a result, the operators could have

isolated one train of low head safety injection flow while the other train was not providing

adequate post-LOCA flow. After the identification of this issue by the inspectors, the

licensee entered this finding into its corrective action program as CAP050388 and

implemented appropriate corrective actions.

Because of the very low safety significance (Green) of the finding and because the

licensee has entered this issue into its corrective action program, the failure of the

licensee to include the appropriate setpoints in EOPs is considered as a Non-Cited

Violation, consistent with Section VI.A.1 of the NRC Enforcement Policy

(NCV 50-266/03-07-12; 50-301/03-07-12).

4.1.6 Human Performance

a. Inspection Scope

The inspectors evaluated the role of human performance attributes, such as group

organization, training and qualifications, communications, and the human-system

interfaces in the corrective action and engineering programs. This was accomplished

through document review, interviews with plant staff and management, and attendance

at various plant meetings, including the daily engineering department meeting. The

inspectors evaluated a sample of corrective actions related to deficiencies involving

68 Enclosure

human performance and identified one CAP regarding the leak-before-break analysis of

record that warranted further review.

b. Observations and Findings

Of the CAPs that were reviewed for the 125-VDC system, none specifically identified

human performance as a deficiency; therefore, no corrective actions for deficiencies

involving human performance were identified. The inspectors noted that there appeared

to be a propensity at PBNP to regard technical issues that result in CAPs as significant

only if equipment was inoperable (an observation also noted during the corrective action

phase of the inspection--see Significance Level, in Section 2.1.b.3 of this report). As a

result, some technical issues without immediate operability ramifications but with

possibly important ramifications under slightly different circumstances appeared to be

treated with less significance in the corrective action program. This would appear to be

consistent with the observation that engineering issues do not seem to get as high a

priority as they should merit.

The inspectors concluded that the daily morning engineering department meeting

appeared to be effective. Again, it was apparent that the engineering department was

focused on addressing emergent plant issues. However, this focus on emergent issues

has resulted in long-term design engineering work, such as re-establishing an accurate

and up-to-date design and licensing basis being treated as low priority work. By being

primarily operations focused, the engineering department appeared to be in the habit of

putting out fires rather than preventing the fires from occurring. The inspectors

recognized that safe operation of the plant was the appropriate priority, but that

maintaining the design bases of the plant also required attention to ensure that the plant

was operated within design limitations.

Individual engineer work hours per week were limited to 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br />, unless there was

signed approval from the Director of Engineering to exceed this limit; based on

interviews with engineers, the average work week was approximately 50 to 60 hours6.944444e-4 days <br />0.0167 hours <br />9.920635e-5 weeks <br />2.283e-5 months <br />.

However, as noted by the inspectors and in assessments of engineering done for the

licensee in early 1998 and 2003, the engineering organization was often in a reactive

mode because of a heavy work load.

b.1 Leak-Before-Break Analysis of Record

On June 16, 2003, the licensee wrote CAP033580 to address concerns related to the

PBNP leak-before-break (LBB) analyses. The original plant design basis required

consideration of the dynamic affects resulting from non-mechanistic breaks in class 1

piping systems. In addition, new industry concerns regarding asymmetrical blowdown

loads were identified subsequent to the original PBNP design (NRC Unresolved Safety

Issue A-2, Asymmetric Blowdown Loads on Reactor Primary Coolant Systems). This

Unresolved Safety Issue was addressed by Westinghouse on a generic basis. The

NRC reviewed and approved the generic Westinghouse LBB analysis (GL 84-04,

Safety Evaluation of Westinghouse Topical Reports Dealing With Elimination of

Postulated Pipe Breaks in PWR Primary Main Loops, February 1, 1984) as a basis to

remove (or not install) protection against asymmetrical dynamic loads. In 1986, the

NRC stated that PBNP was bounded by the generic Westinghouse LBB analysis;

69 Enclosure

however, a plant-specific LBB analysis (WCAP-14439, Revision 0) was subsequently

performed for PBNP Units 1 and 2 by Westinghouse. This analysis included

parameters associated with the Unit 2 steam generator replacement, partial power

uprate conditions, and a 40-year operating period.

The plant specific analysis was not submitted to the NRC for review and approval as

required by 10 CFR Part 50, Appendix A, Criterion 4, Environmental and Dynamic

Effects Design Basis. This plant specific analysis was credited in SER 96-084-02,

PBNP Unit 2 Replacement Steam Generator Design, and SE 2001-0007, Component

Cooling System Closed Loop Inside Containment.

CAP033580 evaluated the condition and, on June 17, 2003, incorrectly determined that

NRC review and approval was not required for the plant-specific LBB analysis. On

August 1, 2003, the licensee reevaluated the condition and determined that NRC review

was required. As a result, OD OPR000072 was performed, and concluded that the

reactor coolant systems of both Units were operable, but non-conforming. CAP034513

was initiated on August 1 to address the failure to recognize the NRC submittal

requirement during the June 17, 2003, screening. CAP034513 concluded that this was

a knowledge-based error, apparently due to reliance on a dated piece of

correspondence rather than on the current regulatory requirements.

Based on discussions with PBNP personnel, the inspectors determined that the plant-

specific LBB analysis (WCAP-14439, Revision 0) had not been submitted to the NRC at

the time of the inspection. Instead, the licensee intended to submit Revision 1. The

revised analysis incorporated parameters associated with the proposed full power

uprate and a 60-year operating period. The licensee stated that it was working with

Westinghouse to incorporate corrections into WCAP-14439, Revision 1, prior to the

submittal. These activities were being tracked by OPR000072.

The licensee-identified failure to submit the plant-specific LBB analysis to the NRC for

review and approval as required by 10 CFR Part 50, Appendix A, Criterion 4, constitutes

a violation of minor significance, not subject to enforcement action in accordance with

Section IV of NRCs Enforcement Policy. The licensee documented the failure to submit

the analysis in CAP034513.

4.1.7 Miscellaneous Issue - Appendix R Concern for Speed Controllers for the Charging

Pumps

a. Inspection Scope

While reviewing corrective actions for the AFW/IA Red finding, the inspectors identified

a finding related to Appendix R and the speed controllers for the three per Unit positive

displacement charging pumps.

b. Observations and Findings

Introduction: The inspectors identified a Green, Non-Cited Violation of 10 CFR Part 50,

Appendix R, III.L.1.c, for not ensuring adequate control air to the speed controllers for

70 Enclosure

the charging pumps during a postulated Appendix R fire event requiring an alternative

shutdown method.

Description: For certain postulated fire scenarios that required the use of an alternative

shutdown method, instrument air to the charging pump speed controllers would be lost

and the controllers would then fail to slow speed. For certain alternative shutdown

scenarios, where only one charging pump was available, the pump was required to be

operating in fast speed to ensure adequate makeup to the RCS.

A 12-pack of nitrogen bottles that were hard-piped to the speed controller instrument air

header served as a backup. However, the capacity of the backup was 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />. As

compensatory measures, the licensee staged a dedicated air compressor, electrical

cables, hoses, and fittings so that if the postulated fire were to occur, operators could

assemble the equipment and supply air to the controllers. These actions were

necessary for the plant to maintain hot standby conditions.

The inspectors concluded that this compensatory measure was a repair activity required

to maintain hot standby conditions, that is hot standby repairs, and as such were not

allowed by 10 CFR Part 50, Appendix R.

Analysis: This failure to ensure that control air to the speed controllers for the charging

pumps would be maintained during a postulated Appendix R fire event is a violation of

10 CFR Part 50, Appendix R, Section III.L.1.c. This finding is more than minor because

if left uncorrected, the finding would become a more significant safety concern. Without

control air available for the charging pump speed controllers, operators would not have

been able to maintain adequate makeup to the RCS. However, the inspectors

determined that even though the operators would have been challenged by this type of

hot shutdown repair, the operators most likely could have performed the necessary

actions to assemble the staged equipment (air compressor, electrical cables, hoses, and

fittings) so that the temporary air compressor could supply the required control air to the

charging pump speed controllers.

This violation had no significant impact on the cornerstone because it did not involve the

impairment or degradation of a fire protection feature. Therefore, this finding was

considered to be a Green finding.

Enforcement: 10 CFR Part 50, Appendix R, Section III.L.1.c states, in part, that

alternative shutdown capability shall be able to achieve and maintain hot standby

conditions for a pressurized water reactor (such as Point Beach).

Contrary to this, the licensee could not maintain hot standby conditions, because for an

alternative shutdown scenario, control air to the charging pump speed controllers could

have been lost. This could have resulted in insufficient makeup to the RCS. The results

of this violation were determined to be of very low safety significance. Therefore,

because this violation of 10 CFR Part 50, Appendix R, Section III.L.1.c, was captured in

the licensees corrective action program (CAP050456), it was considered a Non-Cited

Violation (NCV 50-266/03-07-13; 50-301/03-07-13) consistent with Section VI.A.1 of the

NRC Enforcement Policy.

71 Enclosure

4.2 Operations

4.2.1 Control Room and In-Plant Observations

a. Inspection Scope

The inspectors performed extended observations of licensed operator crews on both

operating Units over multiple shifts to assess whether the operators were proactive in

assessing plant conditions that may have indicated a safety concern and effectively

communicating these issues to engineering. The inspectors interviewed individual

operators while onshift, observed responses to expected and unexpected annunciators,

observed log taking activities, observed verbal communication methods, observed crews

perform reactivity changes on both Units, and observed periodic testing of the gas

turbine (the station blackout power source). The inspectors also accompanied auxiliary

(non-licensed) operators on daily plant tours. The inspectors evaluated operator

performance against requirements contained in station Procedures OM 1.1, Conduct of

Plant Operations, PBNP Specific, Revision 13, and NP 2.1.1, Conduct of Operations,

Revision 1. Additionally, the inspectors discussed expectations for the conduct of

operations with operations department management.

b. Observations and Findings

No findings of significance were identified. In general, the performance of control room

operating crews was in accordance with station procedures and department

management expectations. Communications between operators and engineers on day-

to-day issues was adequate. During interviews with operators, it was clear that the

operators recognized some differences in the level of formality exhibited from crew to

crew. These differences did not appear to be significant and the Shift Managers

interviewed by the inspectors acknowledged the need to establish uniformity between

the crews in regards to formality and control room conduct (the Shift Manager was the

senior reactor operator who supervised the onshift crews of licensed and non-licensed

operators).

4.2.2 Time-Critical Operator Actions

a. Inspection Scope

The inspectors reviewed actions taken by the licensee to validate time-critical operator

actions (such as, operator response to a steam generator tube rupture, post-accident

alignment of the RHR system, containment sump recirculation initiation time, and post-

accident alignment of the containment fan coolers) as documented in Nuclear Plant

Memorandum (NPM) 2003-0646, Time-Critical Operator Actions. The inspectors

reviewed EOPs, AOPs, the FSAR, and DBDs. The inspectors performed job

performance measure (JPM)-style timed walk-downs of time-critical operator actions

related to the restoration of safety-related battery chargers, response to Appendix R

fires, operation of the gas turbine, switchover from refueling water storage tank injection

to containment sump recirculation, and manual switchover from the condensate storage

tank to the SW system for AFW system suction. The inspectors interviewed licensed

72 Enclosure

and non-licensed operators and reviewed CAPs and ODs related to time-critical

operator actions.

b. Observations and Findings

No findings of significance were identified. Overall, the licensees review of time-critical

operator actions was thorough and time-validation bases were well founded in the

DBDs. The original charter from the Site Vice-President to the Time Validation Team

(dated August 18, 2003) included a requirement to identify time-dependent maintenance

actions that analyses were dependent on, such as replacement of a CCW pump for

Appendix R or station blackout scenarios. However, the licensee team did not validate

the availability and suitability of equipment staged to support safe shutdown of the

reactor concurrent with a fire in the area of the CCW pumps. As a result, the licensees

Time Validation Team missed the opportunity to identify several issues later identified by

the inspectors, including the failure to evaluate the locked rotor current and/or starting

current requirements for a replacement CCW pump motor (as discussed in

Section 4.1.3.5).

The inspectors walkdowns indicated that required auxiliary equipment was available;

required components, such as valves and breakers, were easily accessible; and times

established for the completion of time-critical operator actions were realistic and

achievable. However, the inspectors identified multiple examples of auxiliary equipment

that was poorly labeled which could slow the operators response times. The licensee

wrote CAP050523 for the labeling issues. Efforts to improve equipment labeling were

part of Excellence Plan action plan OP-13-002, Equipment Label and Operator Aid

Improvement.

4.2.3 System Walkdowns

a. Inspection Scope

The inspectors performed extensive walkdowns of the in-plant and main control room

portions of the 125-VDC, CCW, and AFW systems. The inspectors reviewed the

individual system electrical and mechanical lineups, the FSAR sections and applicable

TSs for each system, and radiographs of AFW pump suction piping. The inspectors

reviewed CAPs and open ODs regarding problems noted with these systems. The

inspectors noted the material condition of system pumps, valves, and installed freeze

protection (if applicable), as well as piping hangers and other supports. In the vicinity of

these systems, the inspectors checked for unanalyzed flammable materials, general

cleanliness and lighting, the condition of scaffolding, and the temporary storage of

material and equipment.

The inspectors reviewed Procedures NP 2.1.4, Operator Workarounds, Revision 1;

OM 1.1, Conduct of Plant Operations, PBNP Specific, Revision 13; NP 2.1.1, Conduct

of Operations, Revision 1; and OM 5.4.4, Control of Posted Plant Information. The

inspectors assessed the aggregate impact on control room operators imposed by

alarms taken out of service, the posting of temporary instructions, open temporary

modifications, and conditions resulting in operator burdens or workarounds. The

inspectors reviewed the Operator Work Around Summary Report, minutes from periodic

73 Enclosure

Operator Work Around Meetings, the Operator Work Around Aggregate Impact

performance indicator data contained in the Point Beach Nuclear Power Plant

Performance Indicator Monthly Reports, and CAPs related to operator workarounds and

burdens.

The inspectors reviewed EOPs and AOPs for proceduralized workarounds. Finally,

the inspectors interviewed licensed operators, non-licensed operators, and operations

department management. Efforts by the licensee to further reduce operator burdens,

including workarounds, were captured in Excellence Plan action plan OP-13-001,

Reduce Total Operator Burden.

b. Observations and Findings

No findings of significance were identified. In general, the inspectors found that the

125-VDC, CCW, and AFW systems were aligned to support their safety functions and

appeared to be of good material condition. During the walkdown of the AFW system,

the inspectors noted that the licensees Master Data Book had not been updated to

reflect power supply changes made as a result of a recent modification to the differential

pressure indicating switch (DPIS) power supplies that provide for open and closed

indication for the AFW pump recirculation line isolation valves. The licensee wrote

CAP050641 for this issue. Additionally, the inspectors identified an empty CCW system

pump bearing oiler. The licensee refilled the oiler and wrote CAP050094 to determine

why the oiler was not identified earlier.

The licensee appeared to effectively manage the aggregate impact of workarounds on

control room operators. Operations department management were cognizant of current

operator workarounds and sensitive to the need to monitor, prioritize, and workdown the

total number. The licensee maintained several databases containing information

regarding total numbers of equipment issues contributing to operator burdens and

workarounds and appeared to be effectively managing the workdown of those lists. A

review of CAPs indicated that the licensee was identifying workarounds and assigning

appropriate corrective actions to minimize impact. The licensees efforts appeared to be

effective in minimizing the aggregate impact of workarounds on the control room

operators ability to operate the plant in a safe manner and in minimizing the impact on

the operators ability to respond to events.

The inspectors identified an example of a proceduralized operator workaround

involving the cross-tie capability of the Unit 1 and Unit 2 CCW systems described in

AOP-10B, Safe to Cold Shutdown in Local Control, Revision 5. As originally designed,

the CCW systems could be cross-tied by opening two valves: CC-722A (suction) and

CC-722B (discharge). Because of a history of excessive seat leakage on CC-722B,

AOP-10B was modified to cross-tie the discharge side of one CCW system directly at

the CCW heat exchangers; requiring the opening of five valves instead of one. The

licensee wrote CAP050465 to address this inspector-identified proceduralized

workaround.

74 Enclosure

4.2.4 Operator Interactions with Engineering and Maintenance Personnel

a. Inspection Scope

The inspectors reviewed ODs and CAPs and interviewed operations and engineering

personnel to determine if operations, engineering, maintenance, and affected support

groups were involved in evaluation and concurrence process for approving:

(1) performance of non-routine maintenance activities, (2) temporary modifications, and

(3) field change requests.

The inspectors reviewed a sample of planned and emergent on-line maintenance

activities including readjustment of current limiters in the safety-related battery chargers.

The inspectors also reviewed currently open temporary modifications; reviewed station

Procedure NP 7.3.1, Temporary Modifications, Revision 13; and a sample of recently

installed permanent plant modifications made to the AFW system.

b. Observations and Findings

No findings of significance were identified. Operations department communications and

interaction with the engineering department appeared to be effective for dealing with

day-to-day and emergent equipment availability or operability issues. No problems were

noted with the involvement of operations, engineering, maintenance, and affected

support groups in evaluation and concurrence process for approving: (1) performance

of non-routine maintenance activities, (2) temporary modifications, and (3) field change

requests.

4.2.5 Distribution of Temporary Changes to EOPs

a. Inspection Scope

During the special inspection to review the AFW orifice plugging issue

(IR 50-266/02-15(DRP); 50-301/02-15(DRP), a problem was identified regarding the

inadequate distribution of temporary changes of EOPs to the appropriate emergency

response facilities. The operations department, as the owner of the EOPs, was

responsible for determining the distribution of temporary changes. During the current

inspection, the inspectors reviewed recent changes made to EOPs (and AOPs) to

ensure controlled copies of these documents in various emergency response facilities

were updated as required. The inspectors reviewed station Procedure NP 1.2.3,

Temporary Procedure Changes, Revision 12, and NP 1.1.3, Procedure Preparation,

Review, and Approval, Revision 12. The inspectors also reviewed CAPs documenting

previous issues regarding untimely or incomplete incorporation of changes for EOPs

and AOPs.

b. Observations and Findings

No findings of significance were identified. The licensee appeared to be effectively

incorporating temporary and permanent changes to AOPs and EOPs into controlled

copies of these procedures in the various emergency response facilities.

75 Enclosure

4.3 Maintenance

4.3.1 Maintenance Work Control

a. Inspection Scope

The inspectors reviewed the licensees process for planning work, including the

assessment of risk and the inclusion of new emergent work into the schedule. Also

reviewed was the licensees approach for reviewing aggregate risk of long-term

deficiencies, such as tagouts, control room deficiencies, and operator workarounds.

The inspectors also evaluated the licensees methodology for ensuring component

out-of-service time with respect to updating the Probabilistic Risk Assessment (PRA).

b. Observations and Findings

The inspectors reviewed the licensees 12-week cycle schedule and determined that it

adequately grouped plant systems into a rotating set of work weeks based on the

intervals for performing TS surveillances. At least weekly, the installed temporary

modifications, operator workarounds, control board deficiencies, and lit annunciators

were reviewed to ensure these items were scheduled as soon as practical. Risk

assessments, using Safety Monitor, were performed at 5 weeks prior, 2 weeks prior,

and immediately prior to the start of the execution week to ensure maintenance did not

elevate risk unnecessarily, determine risk categories, and develop appropriate

compensatory measures prior to performing work activities. Proposed work week

schedules were compared with the actual completed work week to evaluate the actual

risk level compared to the average and for a lessons-learned opportunity. Overall, the

control of plant risk and configuration were appropriately controlled using risk insights to

minimize the plants aggregate risk.

The inspectors also reviewed a sampling of emergent maintenance activities and

determined that the activities were adequately planned and controlled to avoid causing

initiating events to occur or affect the functional capability of mitigating systems.

The plant highlighted the aggregate impact of items such as operator workarounds,

temporary modifications, and control board deficiencies during the Plan of the Day

meeting. Using the PRA, total system deficiencies in these categories were given a

relative importance. The report effectively highlighted the impact of these somewhat

less-significant items.

The inspectors reviewed the operational performance history for selected components in

the 125-VDC and CCW systems and compared it with the assumed out-of-service times

in the licensees updated PRA. The licensee appropriately used component failure rates

and test and maintenance unavailabilities developed from plant-specific data and

generic nuclear industry data. Similar to industry practices, the licensee updated the

PRA model every 3 years. The licensees upgrade of the PRA model was part of

Excellence Plan action plan OP-13-003, Probabilistic Risk Assessment (PRA) Program

Upgrade. The inspectors determined that the licensees PRA group was very

76 Enclosure

knowledgeable and was actively involved in assessing day-to-day plant operations and

emergent issues with respect to the impact of these activities on the plant risk model.

4.3.2 Equipment Performance for the 125-VDC, CCW, and AFW Systems

a. Inspection Scope

The inspectors reviewed maintenance rule (10 CFR 50.65) scoping information for the

125-VDC, CCW, and AFW systems and compared it to the safety functions of each

system as described in the DBDs. The inspectors reviewed the current maintenance

rule designations ((a)(1) or (a)(2)) for the above systems. The inspectors reviewed a

sample of CAPs documenting equipment problems with the systems and compared the

information to current licensee listings of problems considered to constitute maintenance

rule or maintenance preventable functional failures for each system.

The inspectors reviewed a sample of corrective actions taken for documented

equipment problems to ensure actions taken were commensurate with the problems

identified.

b. Observations and Findings

No findings of significance were identified.

4.4 Extension of the Engineering, Operations, and Maintenance Inspection

a. Inspection Scope

On September 24, 2003, while reviewing information to respond to a question from

the inspectors, the licensee identified concerns with the closure in early 2003 of an

operability determination (OPR 000040, AFW Pump Silting Due to SW Debris,

Revision 1). This OD had been written in January 2003 during the AFW orifice plugging

special inspection (IR 050050-266/02-15(DRP); 50-301/02-15(DRP)) after the licensee

identified that a turbine-driven AFW (TDAFW) pump failed in 1974 after being operated

with service water. As documented in CAP050404, Concerns With Closure of

OPR 00040 Rev 1 (AFW Pump Silting Due to SW Debris), the licensee identified four

issues: 1) The operability determination was closed with the non-conformance

described in the operability determination still in existence since the compensatory

measures were not evaluated for use as permanent Appendix R compliance strategies;

2) In an alternate shutdown scenario, the compensatory measures needed to ensure

availability of the TDAFW pumps would not have been available to the operators;

3) Revisions 0 and 1 OPR 000040 identified two corrective actions involving increased

reliability and potential improvements; however, no actions were found tracking

resolution of these issues; and 4) The feasibility of the compensatory measures

described in Revision 1 of OPR 00040 which were to be taken to ensure condensate-

grade water was available following exhaustion of the CST water supply was not fully

documented. Since these four concerns were identified by the licensee in response to

the inspectors questions, and the resultant questions regarding the ability of the AFW

system to perform its safety function, the IP 95003 inspection was extended a week

from September 29,2003, to October 3, 2003.

77 Enclosure

During the additional week of inspection, the inspectors focused on the following areas

related to the AFW system:

  • Verify completion of AFW corrective actions: procedures, physical plant

changes

  • Adequacy of AFW corrective actions
  • Assess timeliness of planned AFW corrective actions, plant

modifications, RCE corrective actions, and excellence plan items.

  • Assess overall operability of AFW system.

The inspectors reviewed selected procedures, corrective action program documents,

operability determinations, and drawings; interviewed engineering, operations, and

maintenance personnel; and conducted a detailed walkdown of the AFW system.

These actions were in addition to those actions taken by the inspectors during the

review of AFW issues during the corrective action phase of the IP 95003 inspection and

in the as-scheduled engineering, operations, and maintenance phase.

b. Observations and Findings

b.1 Adequacy of Operability Determination

The inspectors reviewed open operability evaluations related to the AFW system,

reviewed the disposition of related CAPs, and reviewed the recently approved 50.59

evaluation on operating the AFW system with new orifices. In addition, the inspectors

verified that compensatory measures identified in degraded but operable evaluations

were adequate and that these actions could be performed. Based on review of licensee

documents and discussions with licensee engineering and operations staff, the

inspectors determined the following:

issue (OPR 82, Revision 1) was considered to be much improved in providing

the support documentation and engineering judgement needed to determine

operability without the compensatory measures with respect to Appendix R

concerns. Inspectors reviewed SW pipe radiographs and agreed that the

condition of the SW system in 2003 was much different and improved with

respect to the amount of sand/silt contained in the system. Implementation of

the GL 89-13 program, which included monthly flushing, accounted for much of

the credit in minimizing the amount of debris in the SW system.

adequate engineering analysis to support operability.

78 Enclosure

b.2 Verify Completion of AFW Corrective Actions: Procedures, Physical Plant Changes

The inspectors conducted in-plant inspections and reviewed licensee documentation to

validate that completed corrective actions related to AFW have actually been

accomplished. Based on review of licensee documents and inspections the inspectors

determined the following:

  • AFW system procedures and changes to procedures supporting modifications

that were reviewed appeared to be appropriately implemented or were being

tracked to ensure completion.

  • Outstanding AFW modifications were reviewed and determined to be adequately

dispositioned and appropriately scheduled. In fact, the modification to repower

one of the SW MOVs to AFW was rescheduled to be completed approximately

6 months earlier than originally scheduled.

  • The 50.59 evaluation regarding the full implementation of the new recirculation

line orifices was reviewed and determined to be adequate. Shift briefings were

considered appropriate based on review of the briefing package and attendance

at the briefings.

b.3 Adequacy of AFW Corrective Actions

The inspectors conducted in-plant inspections and reviewed licensee documentation,

including a sample of approximately one-hundred corrective action documents (CAPs),

to validate that planned and completed corrective actions related to the AFW system

provided reasonable assurance that the problems have been adequately addressed.

Based on review of licensee documents and inspections, the inspectors determined the

following:

  • CAPs reviewed did not identify any significant instances where AFW corrective

actions were not complete or inappropriate. However, the licensee did identify

instances of incomplete corrective actions during a review of corrective action

documents performed in response to the issues identified in CAP050404.

CAPs with incomplete corrective actions were identified in many disciplines

(i.e., training, operation procedures, and engineering). These incomplete

corrective actions, which involved primarily administrative issues, did not impact

the operability of the AFW system. The inspectors determined that the quality

review and closure of CAPs was an area needing improvements.

b.4 Timeliness of Planned AFW Corrective Actions, Plant Modifications, RCE Corrective

Actions, and Excellence Plan Items

The inspectors reviewed licensee documentation, including related Excellence Plan

action items, modifications, and CAPs associated with the AFW Red finding root cause

evaluations to validate that these actions were scheduled to be completed in a

reasonable time. Based on review of licensee documents, the inspectors determined

the following:

79 Enclosure

  • As discussed in Sections 2.1, 4.1.1.1.b, and 4.1.5 of this report, the inspectors

were concerned with some Excellence Plan completion dates with respect to

corrective actions associated with the AFW significant findings root cause

evaluations and design basis calculation and setpoint reviews. In particular, the

inspectors noted that the AFW system Issue Manager was not cognizant of the

concerns regarding AFW operability documented in CAP050404 until notified by

the inspectors several days after the CAP was issued. The inspectors

determined that the lack of Issue Manager involvement in initially resolving this

issue was due in part to the lack of documented guidance on Issue Manager

responsibilities (Section 2.1.b.2).

b.5 Assess Overall Operability of AFW System

The inspectors conducted in-plant inspections, including a detailed AFW system

walkdown. In addition, the inspectors reviewed licensee documentation, including the

results of recent licensee self-assessment efforts focused on AFW operability. Based

on review of licensee documents and inspections, the inspectors determined the

following:

  • Hand-over-hand AFW walkdowns (mechanical and electrical) verified agreement

between plant drawings and the current system configuration. Also, recent

modifications to the AFW system were observed and appeared to be installed in

accordance with modification packages. The inspectors did not identify any

significant issues that challenged the licensees determination that the AFW

system was operable.

c. Conclusions

Based on the results of the additional week of inspection focused on AFW system

operability, the inspectors determined that the AFW was capable of performing its

required safety functions. In addition, the licensee established 11 teams to review the

following areas related to AFW system operability: operability determinations, AFW

procedures and surveillances, corrective action documents, electrical and mechanical

modifications, independent assessment results, work orders, AFW pump silt operability

verification, improved TS impact, Appendix R and compensatory measures, and

training. The inspectors reviewed some of the results of the licensees reviews and

determined that the reviews were comprehensive. The inspectors determined that

extensive licensee effort was needed to verify that the AFW system was operable

because previous efforts in this area were either poorly implemented or documented.

The licensees failure to clearly demonstrate the operability of AFW system until an

extensive review was conducted reflects on several performance areas needing

improvement, including corrective action implementation and organizational

effectiveness. In the area of corrective action implementation, the licensees failure to

complete corrective actions associated with Revision 1 of OPR 00040 (AFW Pump

Silting Due to SW Debris) resulted in the operability of the AFW system being

questioned. In addition, though the licensee created the Issue Manager position as a

corrective action for the AFW RED findings, the poor implementation of this initiative

rendered the Issue Manager as only partially effective in tracking and coordinating the

resolution of AFW issues. In the area of organizational effectiveness, poor

80 Enclosure

communication and coordination between engineering and operations staff resulted in

corrective actions being ineffectively implemented, including Appendix R compensatory

measures not being fully implemented. Though the inspectors concluded that the AFW

system was operable, extensive inspection effort was required to verify that previous

licensee corrective actions adequately addressed historic AFW system performance

problems due to the inconsistent quality of the licensees documentation and

implementation of corrective actions.

4.5 Conclusion of the Engineering, Operations, and Maintenance Phase of the IP 95003

Inspection

The engineering organization was often in a reactive mode because of a heavy work

load, a condition that has persisted since at least early 1998, when an assessment was

performed of the Milwaukee-based design engineering group for the licensee. The high

engineering work load was exacerbated by a loss of electrical system design information

and experienced personnel when the design function was moved from Milwaukee to the

site several years ago (1998-1999) and by turnover in plant management, particularly

engineering upper management, in the past several years. Design engineering issues,

including the existence of longstanding operability determinations, inexperienced staff

engineers, and the reliance on out-of-date, inaccurate, or incomplete calculations, were

identified during the review of the AC and 125-VDC systems.

Problems with individual calculations and control of calculations in general were

previously identified by a third-party assessment early in 1998 and in 2003, and by the

licensees self-assessment in mid-2003. Confirmatory calculations by the inspectors

confirmed that the electrical systems, which were relatively robust, were operable.

Similar problems were not identified during the review of CCW, AFW, and other

systems; however, several examples were identified by the inspectors of incorrect or

narrowly focused evaluations by engineers of issues in the corrective action program.

For AFW in particular, these corrective action problems resulted in the inspection being

extended an additional week for the inspectors to gain assurance that the system was

operable. The inspectors confirmed that based on their review of licensee

documentation, various independent calculations, and system walkdowns, the 125-VDC,

CCW, and AFW systems were operable and capable of performing their safety

functions.

The inspectors found the operations and maintenance programs that were reviewed to

be adequate. The operations/engineering interface warranted additional licensee

attention.

5. Licensee-Identified Violation

The following violation of very low safety significance (Green) was identified by the

licensee and is a violation of NRC requirements which meets the criteria of Section VI of

the NRC Enforcement Policy, NUREG-1600, for being dispositioned as a Non-Cited

Violation.

81 Enclosure

Failure To Declare An NOUE In a Timely Manner

10 CFR 50.54(q) requires, in part, that licensees follow and maintain in effect

emergency plans which meet the standards in § 50.47(b) and the requirements in

Appendix E of Part 50. 10 CFR 50.47(b)(4) states, in part, that a standard emergency

classification and action level scheme will be in use. Appendix E, paragraph IV.D.3,

states, in part, that a licensee shall have the capability to notify responsible State and

local governmental authorities within 15 minutes after declaration of an emergency.

EPIP 1.2, Emergency Classification, Step 5.1.5, NOTE states that "classifications are

to be made consistent with the goal of 15 minutes once plant parameters reach an

Emergency Action Level (EAL), are first indicated in the Control Room." Contrary to

this, on March 4, 2002, the licensee took approximately 31 minutes to notify responsible

State and local governmental authorities of a liquified propane gas leak which met the

criteria for declaration of an NOUE given in EAL 6.3.1.1, "A toxic or flammable gas

release in or near the Protected Area." The licensee entered this failure to timely notify

in their corrective action program as CAP034652. The violation is considered to be of

very low safety significance because the state and local authorities were notified of the

event and there was no affect on protective action recommendations to the public.

6. Management Meetings

Exit Meeting Summary

The inspectors presented the preliminary results of the inspection to Messrs.

M. Sellman, P. Cowan, D. Cooper, A. Cayia and other members of licensee

management on November 17, 2003. The licensee acknowledged the findings

presented. No information reviewed during the inspection and likely to be included in

the inspection report was identified as proprietary.

On December 16, a public exit meeting was held at the Holiday Inn in Manitowoc,

Wisconsin, with Messrs. Cowan, Cooper, and Cayia and other members of licensee

management to discuss the results of the inspection. The licensee acknowledged the

findings presented. A summary of the meeting, a list of principal NRC and NMC

attendees, and copies of the overhead slides used at the meeting were issued in a letter

dated December 31, 2003.

On January 13, 2004, a predecisional enforcement conference was held to discuss the

apparent violation regarding the EALs. A summary of that meeting and the results of

the NRCs enforcement deliberation regarding that apparent violation will be issued in

separate correspondence.

ATTACHMENT: SUPPLEMENTAL INFORMATION

82 Enclosure

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee

R. Amundson Operations Training Specialist

G. Arent Kewaunee/Point Beach Regulatory Affairs Manager (former)

A. Cayia Site Vice-President

J. Connolly Regulatory Affairs Manager

J. Cowan Senior Vice-President - Operations (NMC)

D. Fadel Engineering Director (former)

F. Flentje Senior Regulatory Compliance Specialist

J. Flessner Engineering Projects Supervisor (Root Cause Team Leader)

D. Hettick Performance Improvement Manager

R. Hopkins Kewaunee-Point Beach Oversight Supervisor

J. Jensen Plant Manager (former)

T. Kendall Engineering Analysis Supervisor

J. Masterlark PRA Engineer

J. McCarthy Site Director

R. Milner Emergency Preparedness Manager

L. Peterson Engineering Projects Manager

K. Peveler Kewaunee-Point Beach Nuclear Oversight Manager

S. Pfaff Corrective Action Program Supervisor

J. Pruitt Nuclear Oversight Assessor

M. Reddemann NMC Vice-President - Engineering

E. Schmidt AFW System Engineer

D. Schoon Training Manager

J. Schweitzer Engineering Director

P. Smith Operations Training Coordinator

J. Strharsky Production Planning Manager

T. Vandenbosch EOP Coordinator

R. Wood Engineering Programs Supervisor

T. Taylor Site Assessment Manager

S. Thomas Radiation Protection Manager

T. Webb Regulatory Affairs Manager

E. Weinkam NMC Director of Regulatory Services

W. Zipp System Engineering Supervisor

1 Attachment

ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

50-266/03-07-01 NCV 10 CFR 50.54(q) and 10 CFR 50.47(b) Violation For

50-301/03-07-01 Failure To Assign Adequate Emergency Response

Organization Staffing. (Section 3.2.b.2)

50-266/03-07-02 NCV 10 CFR 50.9 Violation For Failure To Report In The

50-301/03-07-02 Third Quarter Of 2001 That The Emergency

Response Organization Performance Indicator

Crossed The Significance Threshold From Green To

White. (Section 3.2.b.3)

50-266/03-07-03 NCV 10 CFR 50.54(q) and 10 CFR 50.47(b) Violation For

50-301/03-07-03 The Failure To Develop And Implement A Training

Program For The Emergency Planning Staff.

(Section 3.5)

50-266/03-07-04 URI A Range Of Protective Action Recommendations Was

50-301/03-07-04 Not Established For State And Local Governmental

Authorities. (Section 3.6.b.1)

50-266/03-07-05 AV 10 CFR 50.54(q) and 10 CFR 50.47(b) Apparent

50-301/03-07-05 Violation For Failure To Maintain A Standard Scheme

of Emergency Action Levels. (Section 3.6.b.2)

50-266/03-07-06 NCV 10 CFR 50.54(q) and 10 CFR 50.47(b) Violation For

50-301/03-07-06 Failure To Ensure That The Facility Seismic Monitors

Could Support NOUE Declaration. (Section 3.6.b.3)

50-266/03-07-07 NCV Design Control Violation For The Failure To Assure

50-301/03-07-07 That The Regulatory Requirements And The Design

Basis Were Accurately Maintained For The Battery

Chargers. (Section 4.1.1.1.b.1)

50-266/03-07-08 NCV Design Control Violation For The Failure To Revise

50-301/03-07-08 Voltage Drop Calculations. (Section 4.1.1.1.b.2)

50-266/03-07-09 NCV Corrective Action Violation For Untimely Correction of

50-301/03-07-09 Equipment Not Environmentally Qualified.

(Section 4.1.2.b.2.1)

50-266/03-07-10 NCV 10 CFR 50.49(f) Violation For Equipment Not

50-301/03-07-10 Environmentally Qualified. (Section 4.1.2.b.2.2)

50-266/03-07-11 NCV Test Control Violation For Not Including Several

50-301/03-07-11 Manual CCW Valves In The Inservice Testing

Program. (Section 4.1.3.2)

50-266/03-07-12 NCV Inadequate Procedure Violation For Inaccurate

50-301/03-07-12 Setpoints in EOPs. (Section 4.1.5)

2 Attachment

50-266/03-07-13 NCV Appendix R Violation For Failure To Ensure Air Would

50-301/03-07-13 Be Available to Charging Pumps. (Section 4.1.7)

Closed

50-266/03-07-01 NCV 10 CFR 50.54(q) and 10 CFR 50.47(b) Violation For

50-301/03-07-01 Failure To Assign Adequate Emergency Response

Organization Staffing. (Section 3.2.b.2)

50-266/03-07-02 NCV 10 CFR 50.9 Violation For Failure To Report In The

50-301/03-07-02 Third Quarter Of 2001 That The Emergency

Response Organization Performance Indicator

Crossed The Significance Threshold From Green To

White. (Section 3.2.b.3)

50-266/03-07-03 NCV 10 CFR 50.54(q) and 10 CFR 50.47(b) Violation For

50-301/03-07-03 The Failure To Develop And Implement A Training

Program For The Emergency Planning Staff.

(Section 3.5)

50-266/03-07-06 NCV 10 CFR 50.54(q) and 10 CFR 50.47(b) Violation For

50-301/03-07-06 Failure To Ensure That The Facility Seismic Monitors

Could Support NOUE Declaration. (Section 3.6.b.3)

50-266/03-07-07 NCV Design Control Violation For The Failure To Assure

50-301/03-07-07 That The Regulatory Requirements And The Design

Basis Were Accurately Maintained For The Battery

Chargers. (Section 4.1.1.1.b.1)

50-266/03-07-08 NCV Design Control Violation For The Failure To Revise

50-301/03-07-08 Voltage Drop Calculations. (Section 4.1.1.1.b.2)

50-266/03-07-09 NCV Corrective Action Violation For Untimely Correction of

50-301/03-07-09 Equipment Not Environmentally Qualified.

(Section 4.1.2.b.2.1)

50-266/03-07-10 NCV 10 CFR 50.49(f) Violation For Equipment Not

50-301/03-07-10 Environmentally Qualified. (Section 4.1.2.b.2.2)

50-266/03-07-11 NCV Test Control Violation For Not Including Several

50-301/03-07-11 Manual CCW Valves In The Inservice Testing

Program. (Section 4.1.3.2)

50-266/03-07-12 NCV Inadequate Procedure Violation For Inaccurate

50-301/03-07-12 Setpoints in EOPs. (Section 4.1.5)

50-266/03-07-13 NCV Appendix R Violation For Failure To Ensure Air Would

50-301/03-07-13 Be Available to Charging Pumps. (Section 4.1.7)

Discussed

3 Attachment

50-266/03-02-02 URI Emergency Planning Organization 10 CFR 50.54(q);

50-301/03-02-02 Technician Instructions, Procedures, And Drawings;

Emergency Response Facility Equipment

Replacements Without Licensee Knowledge; And

Remote Emergency Notification Telephone System

Monitoring Capability Issues. (Section 3.3)

LIST OF DOCUMENTS REVIEWED

CORRECTIVE ACTION PROGRAM

Corrective Action Program Documents

ACE001251, SOER 02-04 Evaluation: Underground Cables - Water Intrusion

CA030587, Excellence Plan - ACE & CE Skills, June 6, 2003

CA052332, Review Due Date Associated With CA029836 (From RCE 202),

September 15, 2003

CAP002220, Procedure Marked Up, February 15, 2002

CAP002777, Untimely Corrective Actions - Failure to Establish Qualification Files for Equipment

Credited for Operating in a High Energy Line Break (Operability Determination 98-0164),

April 8, 2002

CAP002968, Work Performed on SI-878B While Valve Was Energized, April 22, 2002

CAP026410, AOP-9A Has Little Guidance for System Blockage, September 21, 2002

CAP028270, Inadequate Procedure Temp Change Process, May 20, 2002

CAP029952, Possible Common Mode Failure of Aux Feed Recirculation Lines,

October 29, 2002

CAP030002, PBNP Facility Not Prepared For Cold Weather on 1 November 2002,

November 5, 2002

CAP030040, Power Supply to AFW Pump Recirc Valves not Safety Related, November 7, 2000

CAP030236, SGTR Timing Scenario Results, November 25, 2002

CAP030664, Corrective Actions Not Timely, January 9, 2003

CAP031858, OPR-000038 Failed to Address Two Issues, March 27, 2003

CAP031860, NP 5.3.1 Requirement for CAQ Issue Resolution, March 27, 2003

4 Attachment

CAP031894, Validation of New Manual Operator Actions Credited as Compensatory Measure,

March 28, 2003

CAP033062, Improvements for NOS Processes Identified in Self-Assessments, May 23, 2003

CAP033681, NOS Self-Assessment PBSA-NOS-03-03 Improvement Item Assessment

Process, June 20, 2003

CAP033889, Unit 1 Flux Map Detectors Failing, July 2, 2003

CAP033997, Unit 2 Main Feed Pump Trip Results in a Unit 2 Reactor Trip, July 10, 2003

CAP034489, Management Exception Evaluation Omitted Some CA Items, August 1, 2003

CAP034564, CA Items Outside Expected Completion Dates Require Detailed Review for

Approvals, August 5, 2003

CAP034566, Low Amount of Site Data to Perform trending on HU [Human Performance],

Process and Organization/Management Issues, August 5, 2003

CAP034598, No Documented Justification For Non-Performance of RCEs For Level A CAPs,

August 6, 2003

CAP034626, MR 03-0656 Design Description Doesn't Reference Foxboro CIM, August 3, 2003

CAP050026, Corrective Action Due Date Extension Not Properly Approved, September 9, 2003

CAP050060, CAPs Not Initiated on QRT Reviews Graded as 3, September 10, 2003

CAP050108, Review Due Date Associated With CA029836 (From RCE 202),

September 11, 2003

CAP050114, AFW RCE202 Requires a Revision, September 11, 2003

CAP050120, Management Support of the DRB, September 11, 2003

CAP050143, The Quality Review Team Has Not Been Effectively Implemented,

September 12, 2003

CAP050177, 95003 EOM [Engineering, Operations, and Maintenance] Inspection Technical

Debrief CAP Issues, September 15, 2003

CAP050350, Perform New Review of AFW System to Support Recirc AOV Safety Function

Upgrade, September 23, 2003

CAP050509, Incorrect Closure of CAP 32355, September 29, 2003

CAP050590, Apparent Lack of Guidance for Duties and Responsibilities of an Issue Manager,

October 1, 2003

5 Attachment

CAP AR Screen Team - Screening Process, Revision 2

CAP Meeting Schedules

CAP Trend Code Manual, January 17, 2003

CARB Agenda for Tuesday, August 5, 2003 at 1:00PM

CARB Charter

CARB Training

Condition Evaluation and Apparent Cause Evaluation Techniques

Corrective Action Program User Aid - CA Closure Guide, June 2003

RCE000044, U2 Safety Injection Pump "Gas Bound" During Routine Preventive Maintenance,

April 13, 2002

RCE000051, Untimely Corrective Action - Failure to Establish Qualification Files for Equipment,

June 13, 2002

RCE000179, PB Corrective Action Program Performance Indicator Turned RED, June 13, 2002

RCE000182, U2R25 Maintenance Valve Team Personnel Repack a Non-Electrically Isolated

Motor Operated Valve, August 26, 2002

RCE000191, Possible Common Mode Failure of Aux Feed Recirculation Lines, April 10, 2003,

Revision 1

RCE000192, PBNP Facility Not Prepared For Cold Weather on 1 November 2002,

May 14, 2003

RCE000202, Potential AFW Pump Damage Due to Low Flow that Results in Increase Core

Damage Frequency, April 9, 2003

RCE000205, Unit 1 Flux Map Detectors Failing, September 15, 2003

RCE000206, Unit 2 Main Feed Pump Trip Results In a Unit 2 Reactor Trip, July 11, 2003

RCE 01-069, Increase CDF in AFW PRA Model Due to Procedural Inadequacies Related to

Loss of Instrument Air, February 28, 2002

RCE Casual Assessment Guideline

RCE Certification Card

RCE Team Lead Certification Card

6 Attachment

Drawings

Drawing EAPK00000317, Single Line Diagram Station Connections, June 28, 2003

Drawing EDCK00000142, Single Line Diagram 125V DC Dist. System, December 22, 2001

Drawing EDCK00000215, Single Line Diagram 125 Volt D. C. System, July 14, 2001

Drawing EDCK00000303, Single Line Diagram 125V DC System (Non-1E), June 18, 2003

Drawing EDCK00000402, Single Line Diagram 125V DC Dist, System, January 20, 1996

Drawing EDGK00000112, Logic Diagram Emergency Generator Starting, August 5, 2000

Drawing EDGK12800105, Train B Emergency Generator Starting, August 12, 2000

Procedures

AM 3-15, Work Control Manual

1ICP 04.003-5, Auxiliary Feedwater Flow Instruments Outage Calculations, July 30, 2002

ESG 1.7, Expectations for Use of Human Performance Tools in Engineering, July 17, 2003

ESG 1.8, Engineering Human Performance Improvement Team Charter, June 20, 2003

NP 1.1.3, Procedure Preparation Review and Approval, Revision 17

NP 1.6.5, Plant Operations Review Committee and Qualified Reviewer, August 6, 2003

NP 5.3.1, Action Request Process, April 23, 2003

NP 5.3.2, Industry Operating Experience Review Program, November 12, 2002

NP 5.3.3, Incident Investigation and Post Trip Review, February 12, 2003

NP 7.1.7, Quality Review Team, Revisions 0 and 1

NP 7.2.1, Plant Modifications, March 12, 2003

NP 7.3.1, Temporary Modifications, June 26, 2002

NP 9.3.3, Spare Parts Equivalency Evaluation, April 3, 2002

NP 10.2.4, Work Order Processing, June 4, 2003

ESC-030LP012, Equipment Failure Root Cause Analysis, June 4, 2003

FP-T-SAT-60, SAT Overview Procedure, June 13, 2003

7 Attachment

OEG 001, Root Cause Evaluation, June 28, 2002

OEG 005, Equipment Root Cause Evaluation, June 13, 2003

OR 2003-002-3-031, Management Systems, June 8, 2003

ORI-01-LPARP, Action Request Process, June 11, 2003

Control of PBNP IP 95003 Inspection Guidelines, May 20, 2003

CP 0041, Integrated Planning Process (IPP), July 27, 2001

Other Documents

Condition Assessment of Several Primary Cables for PBNP, May 2003

DBD-01, Auxiliary Feedwater System, March 31, 2000

DBD Validation Procedure, June 2003

DRB Meeting on Tuesday, August 5, 2003 at 11:00PM, 99-036*A, Upgrade U-2 Containment

Airlock Operating Mechanism (C-1)

DRB Meeting on Tuesday, August 5, 2003 at 11:00PM, 99-036*A, Upgrade U-2 Containment

Airlock Operating Mechanism (C-2)

Engineering CAP Action Backlog Listing

ICAM 1.6, I&C Minimum Staffing, August 16, 2002

IWP 01-128*J-3F, 2SI-856A RHR Pump Suction Isolation MCC Bucket 2B52-323F

Replacement, June 19, 2003

List of Design Basis Documents, July 1, 2003

List of Design Changes in Progress DCNs, August 1, 2003

List of Drawing Change Notices, August 1, 2003

List of System Abbreviations

Management Review Meeting Expectations, October 4, 2002

N-97-0154-00-A, Refinements to Electrical AC Power Distribution System Short Circuit Analysis

Outstanding Drawing Changes as of July 28, 2003

Plant Health Committee, FP-E-PHC-01, December 11, 2002

8 Attachment

Plant Modification (MR) 01-128*C, Replace 1B-42 Outage Related Breakers (24 Total)

MR 01-128*D, Replace MCC 1B-42 Non-Outage Breaker Buckets to Resolve Bolted Fault

Issues

MR 01-128*J, Resolve Bolted Fault Concerns Associated with MCC 2B-32

MR 03-006, Repower AFW Pump Recirculation Valve DPIS Devices from Safety Related Power

Supplies, January 22, 2003

Plant Modification Flow Chart

Plant Modification Review Committee, Meeting Agenda

POD Management Update, Bolted Fault Project

Point Beach Organizational Effectiveness Assessment, Conducted December 9, 2002 -

January 17, 2003

Program Health Process, August 4, 2003

Q List

System Health Report, May 23, 2003

480 V Breaker Overloads, Protective Relay Setpoints

ACE Training Module

Action Plan for Optimizing the Corrective Action Program at Point Beach, April 7, 2003

Action Plan OP-10-006, Effective Root Cause Evaluations, July 7, 2003

Attendance Record for the ACE Briefing

Attendance Record for the RCE Refresher Training

Charter for the Corrective Action Program Technical Review Panel, May 16, 2003

Charters for all RCE for 2003

Common Factors Assessment, May 28, 2003

CP0026, Change Management Process, September 12, 2001

Current Organizational Chart

Employee Orientation Flow Charts

9 Attachment

KPB [Kewaunee/Point Beach] RCE Preparation Checklist

KPB-SA-Corrective Action-2002-01, Kewaunee - Point Beach Assessment of the Corrective

Action Program, June 2002

License Renewal Assessment/Engineering Recovery Plan, March 19, 2003

NPM 2002-0240, Minutes from the May 1, 2002 CARB Meeting, May 7, 2002

NPM 2003-0432, Minutes from the June 17, 2003 CARB Meeting, June 18, 2003

NPM 2003-0522, Minutes from the July 22, 2003 CARB Meeting, July 22, 2003

NRC 2003-0065, PBNP Excellence Plan, July 18, 2003

Numbers of CAPs sorted by Significance Level

PBNP Corrective Action Effectiveness Review Job Aid, July 16, 2003

PBNP Corrective Action Program, The Why and How of the Corrective Action Program (CAP)

PBNP Corrective Action Review Board Charter

PBSA-CAP-03-01, Point Beach Corrective Action Program Self-Assessment Report,

July 7- 11, 2003

Personnel Who Attended Equipment Root Cause Training from PII (2003)

Point Beach Corrective Action Program Managers Workshop, Course Notes

Point Beach Corrective Action Program Supervisor Review/Approval Guide, June 2003,

Point Beach Corrective Action Review Board Workshop, Course Notes

Point Beach Nuclear Plant 2003-2007 Business Plan

Point Beach Nuclear Plant, 2003 - 2007 Business Plan Briefing Slides

Point Beach Nuclear Plant, 95003 CAP Inspection Entrance Briefing, July 28, 2003

Point Beach Nuclear Plant, Assessment of Potential Vulnerabilities for License Renewal,

Martin/Sigmon Consulting Services Inc., March 2003

Qualified RCE Evaluator Roster

RCE Training Module

Request Not to Perform Corrective Actions for Screening Meeting on August 7, 2002 RE:

CAP000594

10 Attachment

Root Cause Investigation Charter

Root Cause Lead Investigators 2002-2003

SAT Overview Procedure

Schedule for 2003 General CAP Training

CAPs Screening Tool

Design Review Board Charter

Desktop Guide to Assist Supervisors With Review and Closeout of Caps -Excellence Plan

10-004.8

Guideline for Identification and Verification of Issues Related to the Site Excellence Plan,

June 12, 2003

Improved Guidance for EOC Assessments

IP 95003, Assessment Guideline, June 12, 2003

IP 95003, Requirements Review Guideline

Method for Trending and Monitoring Equipment - Excellence Plan 10-005.7

PBSA-PBNP-03-01, Point Beach Organizational Effectiveness Assessment, Conducted July 14

- July 18, 2003

Site Excellence Plan Guideline, July 28, 2003

Assessment of Nuclear Engineering Services, Martin/Sigmon Consulting Services Inc.,

February 1998

FP-E-MOD-07, Design Verification and Technical Review, December 27, 2002

OPR 000070, CAP 034430, Operability Determination Part I, Revision 0

OR 2003-002-3-007, Emergent Assessment, August 5, 2003

OR 2003-002-3-015, Maintenance and Work Control, August 4, 2003

OR 2003-002-3-016, Management Systems, August 5, 2003

OR 2003-002-3-036, Emergent Assessment, August 5, 2003

OR 2003-003-3-022, Training, August 5, 2003

Action Items Older Than 300 days That Remain Open Priority 1, 2, and 3

11 Attachment

Documentation of Abbreviations on Modification Lists

Level "A" Apparent Cause Investigation, Inadequate Danger Tagging Clearance for G02 RMP,

Completed January 25, 2002

List of Conditions Adverse to Quality CAPS Closed to Work Orders

List of Work Orders That Are Closed Without or Canceled From Priority 4 CAPS or Work Order

C or Z

List of Work Orders That Are Closed Without Work

MM Corrective Non-Outage Work List

NMC Trend Code Manual, January 17, 2003

Operating Experience (OE) Improvement Plan

Procedure Periodic Review Backlog

EMERGENCY PREPAREDNESS

Correction of Weaknesses and Deficiencies

SA-Ops-01-06, Gap Analysis, August 2001

Self-Assessment Report, KPB-EP-02-01, April 2002

Self-Assessment Report, KPB EP 02-02, June 18, 2002

Focused Self-Assessment Report KPBNP-EP-02-02, Kewaunee/Point Beach Emergency

Preparedness Program Audit of May 28 Through 30, 2002, June 18, 2002

Self-Assessment Report, PBSA-EP-03-01, EP Staffing and Shift Augmentation Requirements,

January 31, 2003

Quarterly Effectiveness Review Report, Emergency Preparedness, 1st and 2nd Quarters 2003

PBNP NRC EP Readiness Assessment, January 30, 2003

ERO Training Program Description, August 2003

RCE000187, Failure of the EP Critique Process To Identify Drill/Exercise Weaknesses,

Revisions 0, 1, and 2

RCE000194, RCE000187 Did Not Meet Standards to Close NRC Inspection,

Revisions 0 and 1

12 Attachment

ACE000662, Wellhouse Propane Tank Leak, March 6, 2002

ACE001112, March 4, 2002 - UE Declaration May Not Be a Timely Declaration (CAP030381),

December 13, 2002

OTH028187, Four Measures to Improve RCE Quality, February 18, 2003

OTH029034, Compare Timeline of March 4, 2003 Event With NEI 99-02 for PI Requirements,

April 8, 2003

OTH029037, Review Documentation of March 4, 2003 Event For Inconsistencies Between

Reports, CAPs, Control Room Logs and Other Reports, April 8, 2003

NPM 2002-0116, Report of Unusual Event, March 4, 2002

NPM 2002-0158, Emergency Preparedness Response to March 4, 2002 Unusual Event,

March 27, 2002

NPM 2002-0612, Minutes From the November 15, 2002 Corrective Action Review Board

(CARB) Meeting, November 18, 2002

NP 5.3.2, Industry Operating Experience Review Program, Revision 12

CAP002385, March 4, 2002 Wellhouse Propane Tank Leak and Unusual Event, March 4, 2002

CAP028396, EP Documentation of 2001 Annual EAL Review With State/Counties Not

Available, June 5, 2002

CAP030381, March 4, 2002 Unusual Event Declaration May Not Be A Timely Declaration,

December 11, 2002

CAP031099, 2002 EAL Review With State and Counties Not Formally Documented With

Signatures, February 12, 2003

CAP031548, Focused Self-Assessment KPBNP-EP-02-02 Not Distributed in a Timely Manner -

Date Completed in Question, March 10, 2003

CAP032422, A Formal Method For Scheduling Ingestion Exercises With the State Is Needed,

April 28, 2003

Effectiveness Review (EFR)028122, Excellence Plan CA2, Ensure That Multi-Discipline Teams

Perform Team Investigations, February 18, 2003

EFR028123, Excellence Plan CA3, Ensure Adequate Number of RCE-Qualified Personnel Are

at Point Beach, February 18, 2003

CA027674, Revise the Report of the March 4, 2002, Propane Tank Leak Unusual Event

Documented in NPM 2002-0158, January 14, 2003

13 Attachment

CA027675, Annotate the Station Log Entries for the March 4, 2002, Unusual Event Declaration,

January 14, 2003

CA028117, Direct the Performance of a RCE for Any NRC Finding That is Worse Than Green,

February 18, 2003

CA028118, Increase the Number of RCE-Qualified Personnel, February 18, 2003

CA028119, Develop a Minimum Set of Requirements or Qualifications to Function as a RCE

Team Leader, February 18, 2003

CA028120, Develop a Standard Review/Grading Checklist for CARB Use When Reviewing

Completed RCE, February 18, 2003

CA028121, Develop a Management Expectation for the RCE Management Sponsor to Provide

RCE Status Updates to the CARB, February 18, 2003

CA028285, Strengthen the Roles and Responsibilities of the Management Sponsor of a RCE,

February 26, 2003

CA028286, Establish a RCE Mentor Position to Aid RCE Investigators, February 26, 2003

CE011554, A Formal Method For Scheduling Ingestion Pathway Exercises With the State Is

Needed, April 28, 2003

NEI 99-02, Regulatory Assessment Performance Indicator Guideline, Revision 2,

November 2001

ERO Readiness

CAP034650, Potential Enhancement Needed For ERO Participation PI Key Position Tracking,

August 7, 2003

CAP034652, Inadequate Communication of UE Evaluation Results in Inaccurate Declaration,

August 7, 2003

CAP034693, Evaluate the Availability of Seismic Monitor Data Computers and Seismic

Monitors, August 8, 2003

1984 E-Plan and Safety Evaluation Report

NP 4.2.28, Health Physics Represented Personnel Assignment and Scheduling Policy,

August 18, 2001

Facilities and Equipment

NUREG 0696, Functional Criteria for Emergency Response Facilities, February 1981

FEMA-Approved Alert and Notification System Design Report, 1982

14 Attachment

Plant Health Committee Meeting Minutes, May 9, 2003, and August 1, 2003

White Paper on Configuration Management, 2003

Letter to NRC Region III Regional Administrator from Assistant Vice President, Emergency

Preparedness Confirmation of Action, Point Beach Nuclear Plant, Units 1 and 2,

February 18, 1982

Emergency Plan Chapter 7, Emergency Facilities and Equipment, Revisions 45 and 46

Instructions for Modular Meteorological System with Telemetry, Climatronics Job Number 7381,

May 13, 1982

Vendor Inspection Report on Condition of Meteorological Towers, June 26, 2000

Emergency Plan Maintenance Procedure (EPMP) 5.0, Post-TMI Meteorological Monitoring

Program Design, Operation, and Maintenance, Revisions 4, 5, and 7

Instrument and Control Procedure (ICP) 6.55, Meteorological Instrumentation Calibration,

Revisions 5, 6, 7, 8, and 9

Sample of ICP 6.55 Calibration Records, November 1994, June 1999, July 2000, July 2001,

July 2002, and May 2003

10 CFR 50.59 Screening Record 2003-0184, Meteorological Instrumentation Calibration

Procedure ICP 6.55, May 2, 2003

ICP 7.30, Meteorological Monitoring System (Bi-monthly Surveillance Checklist), Revision 4

Excerpts of Control Room Log Entries on Placing Onsite and Inland Meteorological Monitoring

Systems Out of Service Due to Being Out of Calibration, May 2, 2003

Excerpts of Control Room Log Entries on Placing Certain Onsite Meteorological Monitoring

System Components Back in Service Following Re-calibration, May 3, 2003

CAP030676, Loss of Direct Current Power to the SBCCs Emergency Notification System

Telephone, January 10, 2003

CAP032129, Proceduralized Backup Sources for Wind Speed Indications, April 9, 2003

CAP032232, Assess Use of the SBCC Data Centers Propane-Powered Generator as Backup

Power Supply for EOF Equipment, April 14, 2003

CAP032569, Primary Towers 45 Meter Wind Direction Indicator is Occasionally Inaccurate,

April 30, 2003

CAP032593, Meteorological Measurement Tolerances Are Not in Accordance With NRC

Commitments, May 1, 2003

15 Attachment

CAP032877, Meteorological System Alarm Setpoints Not Properly Configured on Plant Process

Computer System, May 14, 2003

CAP034511, Adequacy of Work Control for Phone Systems at the SBCC, August 1, 2003

CA029777, Create Instructions to Follow When Equipment Referenced in EALs Is Out of

Service, May 14, 2003

Assessment of the Point Beach Meteorological Equipment Following the Ice Storm of April 3

and 4, 2003, August 4, 2003

2003 White Paper on Configuration Management of the EOF in the Site Boundary Control

Center (SBCC), undated

Plant Health Committee Meeting Minutes on SBCC/EOF Modifications Control, August 1, 2003

OTH029216, Assessment of SBCC Data Centers Propane-Powered Generator as a Backup

Power Supply for EOF Equipment, July 24, 2003

WO 0203763-001, Inspect and Maintain SBCCs Air Conditioning System

WO 0203774, Inspection and Maintain SBCCs Air Filtration System

In-Place Test Reports for TSCs Air Filtration and Adsorber Bed Systems, June 11, 2003

NP 4.2.28, Health Physics Represented Personnel Assignment and Scheduling Policy,

April 18, 2001

Procedure Quality

CA029777, Create a Procedure to Follow When EP-Related Equipment Is OOS, May 14, 2003

CAP030938, FT-3299B, DAVS Isokinetic Sampler Flow Channel Failed High, January 30, 2003

CAP032427, U2 Condenser Air Removal Oscillations Affect On Primary to Secondary Leak

Detection, April 24, 2003

PBNP Excellence Plan, July 11, 2003

NP 1.8.3, 10 CFR 50.54(q) Evaluations, Revision 1

ERO Performance

July 31, 2003, Off-hours Emergency Facility Activation Drill Results

August 14, 2003 Emergency Preparedness Exercise Scenario, Notification Forms, Facility

Logs, Dose Assessment Evaluations, and Final Drill Critique

EPMP 3.2, Offsite Personnel and Emergency Preparedness Staff Training, Revisions 10 and 11

16 Attachment

July 28 and Aug 4, 2003 Licensed Operator Requalification Drills

CA026651, Revise EPIP 11.2 and EPMP 1.3e to Reflect Changes Made to Medical Kits in

Control Room, October 9, 2002

CA027769, CATPR #3: Develop Program to Address Training and Development Needs of EP

Staff, January 22, 2003

CA032011, CATPR #3 of RCE000187 Closed With Incomplete Actions - Review CAP033979

and Implement Recommendations, July 14, 2003

CAP028952, August 1 Drill EAL for Site Emergency, August 5, 2002

CAP029232, Reassess Number of Medical Emergency First Responder Kits in Control Room,

September 6, 2002

CAP029492, White Finding in EP Following the 2002 Graded Exercise, September 23, 2002

CAP029814, Radiation Protection Staff Lacked Familiarity with Aurora Medical Facility and

EPIP 11.2, October 15, 2002

CAP029816, Radiation Protection Staff Needed Prompting to Complete Hallway Survey and

Decontamination Tasks During Medical Drill, October 15, 2002

CAP032488, AR Due to EPIP Entry, April 26, 2003

CAP033206, EPIP 1.1 Entry Due to Propane Type Smell Non Classifiable, June 1, 2003

CAP033979, CATPR #3 of RCE000187 Closed With Incomplete Actions, July 10, 2003

CAP034364, Question on Classification Generated During LOR Session, July 28, 2003

CAP034387, Additional Information Requested on an EAL, July 29, 2003

CAP034531, Adequacy of Work Control for Plant Phone Numbers, August 1, 2003

CAP034547, Failed DEP Performance Indicator Opportunity, August 4, 2003

CAP034644, NRC Document Request by 95003 Inspection Team, August 7, 2003

Emergency Plan Section 8, Maintaining Emergency Preparedness, May 9, 2003

Emergency Plan Section 8, Maintaining Emergency Preparedness, 1984

Emergency Response Training Program (TRPR) 34.0, November 28, 2000

Point Beach EP Training Program (EP-TP) Description, August 1, 2003

NP 5.3.2, Industry Operating Experience Review Program, November 12, 2002

17 Attachment

Form FP-T-SAT-40, Management Observation of Training Form, Revision 3

Computerized EP Training Records of a Random Sample of 25 Personnel Assigned to Key and

Support ERO Positions

Random Sample of 70 ERO Members Records Indicating Status of Their Qualifications to Use

Self-Contained Breathing Apparatus, July 28, 2003

Kewaunee/Point Beach Nuclear Emergency Telephone Directory, June 30, 2003

EPG 1.0, Emergency Preparedness Drill Guideline, October 18, 2002

August 20, 2002, Medical Drill Critique Report, October 17, 2002

Lesson Plan 2300 (master copy), Emergency Preparedness Overview, November 17, 2000

Lesson Plan 3015 (master copy), Emergency Classification, January 25, 2000

Lesson Plan 3017 (master copy), Notifications, November 17, 2000

Lesson Plan 3018 (master copy), Assembly and Accountability, Release and Evacuation of

Personnel, January 31, 2000

Lesson Plan 3019 (master copy), Dose Projection Theory, March 19, 2001

Lesson Plan 3020 (master copy), Protective Action Determination, March 23, 2001

Lesson Plan 3021 (master copy), Tools for Dose Assessment, January 10, 2002

Lesson Plan HPC-02-LP004 (master copy), Control Room Accident Assessment, Revision 0

Lesson Plan EPI-02-LP001 (working copy), Emergency Classification

Lesson Plan 3017 (working copy), Notifications

Lesson Plan 3018 (working copy), Assembly and Accountability, Release and Evacuation

Lesson Plan 3020 (working copy), Protective Action Determination

EPIP 1.1, Course of Action, Revision 43

EPIP 1.3, Dose Assessment and Protective Action Recommendations, Revision 30

EPIP 1.4, Credible High or Low Security Threat, Revision 2

EPIP 2.1, Notifications - ERO, State and Counties, and NRC, Revision 26

EPIP 6.1, Assembly and Accountability, Release and Evacuation of Personnel, Revision 24

18 Attachment

EPIP 11.2, Medical Emergency, September 20, 2002

In Depth Review of RSPS

Emergency Plan, Revisions 32, 33, 35, and 39

Emergency Plan, Appendix B, Revision 2

Emergency Plan, Section EP 6.0, Emergency Measures, Revisions 21 and 42 - 46

ACE001405, Inconsistency In Evaluation/Interpretation of EAL, August 15, 2003

CA053364, Update EP, EPIPs, PIMs - Ability to Recommend Sheltering, October 23, 2003

CAP030161, Large Scale EPIP 2.2 Attachment A EAL Matrix Not Printed From,

November 16, 2002

CAP032977, Emergency Plan Classification Times, May 19, 2003

CAP033031, NARS Form Not Filled Out Correctly, May 22, 2003

CAP033034, Tracking of Multiple EALs, May 22, 2003

CAP034364, Question on Classification Generated During LOR (Licensed Operator

Requalification) Session, July 28, 2003

CAP034784, NRC 95-003-1 Inspection Team Questions on EALs, August 12, 2003

CAP034785, NRC 95-003-1 Inspection Team Questions on Approval Process for PAR

Discussion, August 12, 2003

CAP034787, Seismic Event Monitor Set-Points Not In Accordance With STPT 22.1 or EPIP 1.2,

August 12, 2003

CAP034833, Inconsistency In Evaluation/Interpretation of EAL, August 13, 2003

CAP051288, Sheltering Not Included As Part of Protective Action Recommendations for EP,

October 21, 2003

EPIP 1.1, Course of Action, Revision 43

Change Package for EPIP 1.1.2, Plant Operations Manual, General Emergency-Protective

Actions, January 1, 1994

EPIP-1.2, Emergency Classification, Revisions 20 - 39

EPIP 9.3, Protective Action Evaluation, Revision 17

19 Attachment

Point Beach Presentation at NRC Region III Office of Proposed EAL Changes, July 29, 1999

NUMARC/NESP-007, Methodology for Development for Emergency Actions Levels, Revision 2

NUREG-0654/FEMA-REP-1, Criteria for Preparation and Evaluation of Radiological Emergency

Response Plans and Preparedness in Support of Nuclear Power Plants, Revision 1

Regulatory Guide 1.101, Emergency Planning and Preparedness for Nuclear Power Plants,

Revision 3

EPPOS-1, Emergency Preparedness Position (EPPOS) On Acceptable Deviations

From Appendix 1 of NUREG-0654 Based Upon The Staffs Regulatory Analysis of

NUMARC/NESP-007, Methodology For Development of Emergency Action Levels,

June 1, 1995

ENGINEERING, OPERATIONS, AND MAINTENANCE

Electrical Systems

Calculations

E-09334-472-DC.3, DC Panel Voltage Drop for MR 97-014*E and *F, Revision 2

N-93-056, Battery D05 DC System Sizing, Short Circuit Calculations, Revision 2

N-93-056, Battery D05 DC System Sizing, Voltage Drop and Short Circuit Calculations, Draft

Revision 4

N-93-058, Battery D105 DC System Sizing, Voltage Drop and Short Circuit Calculations, Draft

Revision 3

Calculation 2003-0046, Battery Charger Sizing and Current Limit Set Point, Revision 1

Calculation N-93-098, Degraded Grid Voltage Relay Settings, Revision 6

Calculation N-93-002-03-A, Determination of Minimum Sustained Voltage Required on 4160

VAC Safeguards Buses, Revision 3, Addendum A

Calculation N-93-002-03-B, Effects of CR 94-270 on Calculation N-93-002, Revision 3,

Addendum B

Calculation N-93-002-03-C, OWA 1-99R-006, EWR 99-105, Revision 3, Addendum C

Calculation N-93-002-03-D, Determination of Minimum Sustained Voltage Required on 4160V

Safeguard Buses with Modification MR 03-014, Revision 3, Addendum D

Calculation N-94-076, Use of a Fluke 8505A-09A Multimeter to Calibrate the Degraded Grid

Voltage Relays, Revision 0

20 Attachment

Calculation N-94-009-01-A, Determination of Minimum Voltage at Safety-Related MCCs with

Modification MR 03-014, Revision 0

Calculation N-94-081, AC Distribution System Maximum Voltage, Revision 0

Calculation 95-0040, Determination of Voltage Drop in Safety-Related MCC Control Circuits,

Revision 0

Calculation 95-0040-00-A, Effects of Bolted Fault Bucket Replacement, Revision 0

Calculation 95-0040-00-B, Effects of Bolted Fault Bucket Replacement, Revision 0

Calculation 2003-0015, PRA Evaluation for Missed Surveillance of A05 and A06 Degraded

Voltage Relays, April 4, 2003

Calculation N-97-0154-00-A, Refinements to Electrical AC Power Distribution System Short

Circuit Analysis, Revision 0, Addendum A

Engineering Evaluation 2003-003, Minimum Required 345-kV System Voltage,

September 24, 2003

Drawings

E-6, Sheet 1, Single Line Diagram 125 VDC Distribution System, Revision 42

E-6, Sheet 2, Single Line Diagram 125 VDC Distribution System, Revision 15

E-6, Sheet 4, Single Line Diagram 125 VDC DC System (Non-1E), Revision 3

Elementary Wiring Diagram EAPS 240009, 4160V Switchgear Bus 1A05 Undervoltage and Diff.

L.O. Relays Point Beach Unit 1, Revision 06

Elementary Wiring Diagram EAPS 241010, 4160V Switchgear Bus 1A05 Undervoltage and Diff.

L.O. Relays Point Beach Unit 2, Revision 05

Elementary Wiring Diagram, EAPS 031018, Alternate Supply 1P-11A/B Breaker B-52-55C,

Revision 3

Elementary Wiring Diagram, EAPS 0000187, Component Cooling Pump, Revision 13

Elementary Wiring Diagram, EDCS 068010, D-05 DC Station Battery Charger Supply D-07

Point Beach Units 1 and 2, Revision 6

Elementary Wiring Diagram, EDCS 068011, D-06 DC Station Battery Charger Supply D-08

Point Beach Units 1 and 2, Revision 5

Panel Layout, Graphics, Nameplates & Bill of Materials Drawing MVAG 037001, HVAC Control

Panel Battery Room, Revision 6

21 Attachment

Wiring Diagram Johnson Controls 8401-WD, Battery Room HVAC [Heating, Ventilation, and Air

Conditioning] Control Panel, Revision 8

Elementary Wiring Diagram, E242024001, Battery Room HVAC System 499B46 Sheet 1653,

Revision 6

Elementary Wiring Diagram, EAPS 000108, Battery Room HVAC System 499B46 Sheet 1656,

Revision 6

Elementary Wiring Diagram, PAB Battery and Inverter Room Ventilation Fan W-85, Revision 7

Elementary Wiring Diagram, EAPS 241023, 1B03 480V Undervoltage Scheme, Revision 19

Elementary Wiring Diagram, EAPS 241024, 1B03 480V Undervoltage Scheme, Revision 16

Schematic Diagram ERPS 141078, SI Logic Engineered Safety Features (ESF) Systems Train

A Reactor Safeguards Systems, Revision 18

Logic Diagram EAPK 1410021, 480 Bus Schemes, Revision 10

Schematic Diagram ERPS 000002, Safeguard System, Revision 16

P&ID MRML 000002, Battery & EE Room MS VAC Point Beach Units 1 and 2, Revision 18

Modifications

MR 96-032, Replace Control Power Transformers in 1B32 and 1B42, October 28, 1997

MR 97-014*C, Transfer Loads from D-40 to D-14, Install D-27 and 1D-202, Provide Temporary

Power to Inverters DY-OD & 2DY-04, Revision 0

MR 97-107, CCW Pump Motor Replacement, October 22, 1997

MR 99-003, HELB Wall Barriers and Blow-Off Panel in CCW HX Room, August 28, 2002

MR 01-128*C, Replace MCC 1B-42 Breaker Buckets to Resolve Bolted Fault Issues,

June 24, 2002

Spare Parts Equivalency Evaluation Document (SPEED)97-084, 1 or 2P11B Spare Motor,

January 7, 1988

Setpoint Document and Setpoint Change Sheet STPT 21.1 Sheet 10, Change High Side Fixed

Tap of 1X-04 Low Voltage Station Auxiliary Transformer, add this information to STPT,

March 22, 1994

Setpoint Document and Setpoint Change Sheet STPT 21.1 Sheet 11, Protective Relay

Setpoints: Transformer 2X-04, January 25, 1998

Self-Assessments

22 Attachment

Point Beach Self-Assessment Report, 125-VDC System Self-Assessment, PBSA-ENG-03-03,

September 8, 2003

Training

RFT010190, Request for Training, OP-2A Temp Change, September 24, 2003

LP0121, Training Lesson Plans, DC Distribution, Revision 4

Procedures

NP 1.1.8, Complex Troubleshooting, Revision 0

NP 2.1.5, Electrical Communications, Switchyard Access and Work Planning, Revision 2

NP 7.2.4, Calculation Preparation, Review, and Approval, Revision 7

NP 8.5.2, CHAMPS Equipment Database Usage and Control, Revision 4

AOP 0.1, Declining Frequency on 345 kV Distribution System, Revision 6

0-TS-EP-001, Weekly Power Availability Verification, Revision 4

OP-2A, Normal Power Operation, Revision 49

2003-0486, Temporary Change Review and Approval for OP-2A, September 23, 2003

American Transmission Co. Procedure TOP-20GN-000004, Voltage/Reactive Control,

August 31, 2001

Single Line Diagram, EAPK 000003, Station Connections, Revision 17

Routine Maintenance Procedure (RMP) 9200-1, Station Battery D-05 Discharge Tests and

Equalizing Charge, Revision 8

RMP 9201, Control and Documentation for Troubleshooting and Repairs, Revision 0

RMP 9369-1, Amptector Overload Setpoint Check on Low Voltage Breakers, Revision 5

RMP 9303, DB-50 Breaker Routine Maintenance, Revision 15

RMP 9374-1, Molded Case Circuit Breaker and Drawout Unit Maintenance, Revision 7

RMP 9374-2, Molded Case Circuit Breaker (MOB/Panel) Maintenance, Revision 0

RMP 9374-3, Molded Case Circuit Breaker Functional Testing Procedure, Revision 0, Draft B

Correspondence

23 Attachment

E-mail from M. Marz, American Transmission Company, to H. Soulia, NMC, Regarding

Kewaunee and Pt. Beach Voltages Following Loss of Generation, November 14, 2001

E-mail from M. Zahorik, American Transmission Company, to W. Hennig, NMC, Regarding

Point Beach Lower Initial Bus Voltage, September 26, 2003

E-mail from M. Zahorik, American Transmission Co., to T. Lensmire, NMC, Regarding Point

Beach Lower Voltages, September 25, 2003

Letter from L.G. Lutz, Power Conversion Products, to P. Katers, Wisconsin Electric Company.,

Regarding Battery Charge Design and Production Test Data, August 4, 1981

Letter from D. Livermore, Cutler Hammer, to W. Sprang, NMC, Technical Data for PO04777,

August 23, 2002

Miscellaneous

EOM-0119, 95003 Question Response - Grid Voltage Data for Last 4 years,

September 24, 2003

EOM-0159, 95003 Question Response - Plant Operating History, September 23, 2003

EOM-0169, 95003 Question Response - Point Beach Degraded Grid Historical Issue,

September 26, 2003

Feedback Request for OI-35B, Electrical Equipment General Information, Revision 6

Engineering Evaluation 2003-0039, Minimum Required 345 kV System Voltage,

September 24, 2003

White Paper, Licensing Basis Summary for 345kVAC Offsite Power System (GDC-17),

September 2003

2001 Analysis of Circuit Breaker Trending Database, November 2, 2001

WO 9948833, 2002 Analysis of Circuit Breaker Trending Database

WO 0300088, 2003 Analysis of Circuit Breaker Trending Database

Design Guide DGI01, Instrument Setpoint Methodology, Revision 3

PRA Notebook 5.6, 125 VDC Electric Power, Revision 0, Draft A

Design Basis Document DBD-22, 4160 VAC System, Revision 2

Appendix R SER for Appendix R Exemptions, July 3, 1985

SER of the Point Beach Response to the Station Blackout Rule, October 3, 1990

24 Attachment

Technical Specifications

TS LCO 3.8.1, AC Sources - Operating, Unit 1 - Amendment No. 201, Unit 2 - Amendment

No. 206

TS LCO Bases B 3.8.1, AC Sources - Operating, Unit 1 - Amendment No. 201, Unit 2 -

Amendment No. 206

TS LCO 3.8.4, DC Sources - Operating, Unit 1 - Amendment No. 201, Unit 2 - Amendment

No. 206

TS LCO Bases B 3.8.4, DC Sources - Operating, Unit 1 - Amendment No. 201, Unit 2 -

Amendment No. 206

Operability Determination/Recommendation

Operability Determination CR 98-0164, High Energy Line Break in PAB - Electrical Equipment

Important to Safety, Not Previously Evaluated in the Environmental Qualification Program,

Revision 12, April 7, 2003

Operability Recommendation OPR000080, Calculation N-93-002 Does Not Reflect Current

Plant Configuration, September 16, 2003

CAPs and Other Corrective Action Program Documents

ACE001369, DC Voltages Specified in AOP 0.0 Are Inconsistent with 125 VDC Calculations,

July 25, 2003

ACE001379, Available Battery Margin May Be Less Than Calculated, July 31, 2003

ACE001381, Multiple Calculation Related Issues Identified During Assessment, August 1, 2003

CA032290, Implement Recs DC Voltages Specified in AOP 0.0 Are Inconsistent With 125 VDC

Calcs, July 25, 2003

CA033052, Calculations Do Not Adequately Support the DC System - Create Master Calcs,

August 24, 2003

CA033053, Calculations Do Not Adequately Support the DC System - Address Affected Calcs,

August 24, 2003

CA033054, Calculations Do Not Adequately Support the DC System - Affected Procedures,

August 24, 2003

CA033055, Calculations Do Not Adequately Support the DC System - Other Affected

Documents, August 24, 2003

CAP000729, QA Switches - No Periodicity for Calibration, May 30, 2001

25 Attachment

CAP001532, Plant Electrical Equipment May Be Used In Applications Beyond Fault Current

Rating, March 30, 1993

CAP001559, High Energy Line Break in PAB, January 18, 1998

CAP002410, DC Master Calculations Require Updates For Recently Completed Modifications,

March 5, 2002

CAP003038, Calculation N-94-081 Revision 0 Is No Longer Applicable, April 25, 2002

CAP031069, Initial Breaker Close on 2P-10A RHR Pump Failed After MCE/RIC Testing,

February 10, 2003

CAP031241, Insufficient Documentation to Support 1P-11B Motor Replacement and Document

Update, February 20, 2003

CAP033324, Concerns Regarding a High Energy Line Break in the PAB, June 5, 2003

CAP033447, Issues Associated With Battery Charger Current Limit Setpoint, June 9, 2003

CAP034219, DC Voltages Specified in AOP 0.0 Are Inconsistent with 125 VDC Calculations,

July 22, 2003

CAP034379, Available Battery Margin May Be Less Than Calculated, July 29, 2003

CAP034396, Vendor Calculations Were Not Entered Into the Document Control System,

August 29, 2003

CAP034424, Calculations Do Not Adequately Support the 125 VDC System, July 30, 2003

CAP034427, Multiple Calculation Related Issues Identified During Assessment, July 30, 2003

CAP035109, Active Calculation Does Not Reflect Current Plant Configuration, August 25, 2003

CAP049793, Enhancements and Clarifications for Modification MR 03-005, September 2, 2003

CAP049868, DG Loading Calculation Weakness, September 4, 2003

CAP050013, FSAR Appendix A.1 (Station Blackout) Inaccuracies, September 9, 2003

CAP050022, Design Basis Document DBD-T-46 (Station Blackout) Error, September 9, 2003

CAP050027, FSAR Appendix A.1 Not Updated to Reflect More Recent SBO Information,

September 9, 2003

CAP050028, Old Calculations on Inverter Room Heatup Should Be Superseded,

September 9, 2003

CAP050090, Questions on New DC Calculations, September 11, 2003

26 Attachment

CAP050096, Need to Update Drawings to Reflect As-Built Condition; PAB Battery Room Vent,

September 11, 2003

CAP050127, Missing Documentation on DB Breaker Testing Methodology, September 12, 2003

CAP050151, NRC Question On Temperature Effects On 125VDC Cables, September 14, 2003

CAP050164, Instrument Bus Static Transfer Switch Issues, September 15, 2003

CAP050171, Calculation N-93-058 Contains an Inappropriate Assumption, September 15, 2003

CAP050174, Consideration Should Be Given to Add MOV Loads in Calculation N-93-002,

September 15, 2003

CAP050179, Industry OE - Callaway - Inoperability of Both Offsite Power Sources,

September 15, 2003

CAP050203, Calculation N-93-002 Does Not Reflect Current Plant Configuration,

September 16, 2003

CAP050211, Calc N-93-002 Does Not Adequately Address the Voltage Available at Battery

Charger, September 16, 2003

CAP050225, 345 kV & 4160 V Low Voltage Alarms Not Available in the Control Room,

September 17, 2003

CAP050227, OP 2A Attachment H Enhancement May Be Needed, September 17, 2003

CAP050258, Multiple Drawing Errors Discovered During Creation of Calculation 2003-0006,

September 17, 2003

CAP050270, WO 9510436 Testing Inadequate for Bucket Starter 1B52-427M,

September 18, 2003

CAP050325, Errors and Inconsistencies in Calculation N-93-003-03-A, September 22, 2003

CAP050343, Evaluate Combinations of Offsite Power Conditions That Could Challenge Plant

Ops, September 23, 2003

CAP050348, CAP049868 Screened by Non-SRO, Prescreened by SRO, September 23, 2003

CAP050356, Assumption in Calc 2003-0046 Needs Clarification, September 23, 2003

CAP050359, FSAR Section 8.1 May Not Accurately Reflect Degraded Grid Licensing Basis,

September 23, 2003

CAP050366, Tech Spec SR 3.8.4.6 Is Non-Conservative With Respect to the Calc of Record,

September 23, 2003

27 Attachment

CAP050369, Calculation 95-0040, Rev. 0 Input Is Not Conservative, September 24, 2003

CAP050390, OI-35 Series Procedure Improvement Recommendation, September 24, 2003

CAP050396, NRC Questions - Basis of TS 3.8.1, Offsite Power Sources and Related

Assumptions, September 24, 2003

CAP050403, Modifications Not Adhering to Requirements of Calculation Procedure

Requirements, September 24, 2003

CAP050407, Calculation E-09334-369-DG.1 Enhancement, September 25, 2003

CAP050414, Potential to Separate From Grid When Both X02 Are OOS And a X03 Failure

Occurs, September 25, 2003

CAP050415, Question On the Set Point Drift Value Provided in Calculation N-93-098,

September 25, 2003

CAP050430, D-07, D-08, and D-09 Transformer Tap Setting Documentation Discrepancies,

September 25, 2003

CAP050456, Establishment of App. R Backup Air for Charging Pumps May Be Hot Shutdown

Repair, September 26, 2003

CE011998, Calculations Do Not Adequately Support the 125 VDC System, August 1, 2003

CE012276, DG Loading Calculation Weakness, September 8, 2003

CE012342, NRC Question On Temperature Effects On 125VDC Cables, September 16, 2003

QCR95032, Breaker Testing Equipment Being Used While Past Due Calibration,

October 20, 1995

QCR94004, Reset Characteristics of the Degraded Voltage Relays Have Not Been Analyzed,

February 4, 1994

Vendor

Power Conversion Products Inc. Instruction Manual, Three-Phase Thyristor Controlled,

May 28, 1981

Westinghouse Instruction Leaflet I.L. 33-791-G, Amptector Tester Instructions, April 1986

Westinghouse Descriptive Bulletin 49-380, Static Trip Modernization Low Voltage Air Circuit

Breakers, November 1973

Work Orders (WOs)

WO 0200812, Analyze the Condition with MCE Tester - MCE Test W/RIC: Perform Standard,

28 Attachment

PI, RIC, and DA Tests, March 6, 2003

WO and Associated Work Plan 0200976, Perform Breaker Maintenance per RMP 9303

Perform Amptector Settings Maintenance per RMP 9369-1, March 6, 2003

WO 0200976 and Associated Work Plan, Perform Breaker Maintenance per RMP 9303

Perform Amptector Settings Maintenance per RMP 9369-1, March 6, 2003

WO 9933756 and Associated Work Plan, Perform Breaker Maintenance per RMP 9303

Perform Amptector Settings Maintenance per RMP 9369-1, March 6, 2003

WO 9510436 and Associated Work Plan, Removal of the 1B52-427M Breaker Bucket,

Performance of Breaker Starter Testing and Breaker Bucket Replacement, December 7, 1999

WO 9510437 and Associated Work Plan, Perform a Bench Test to Determine if the P-12A

Motor Starter Contactor Will Pick Up, December 13, 1999

CCW and AFW Systems

Calculations

Calculation 96-0103, Cooling of Recirculation Flow by the RHR HX Post-LOCA, Revision 0,

September 3, 1996

Calculation 96-0284, Uncertainty Associated with Instrumentation Used in IT-12 & IT-13,

Revision 1, April 20, 1998

Calculation 98-0034, CCW Surge Tank Minimum Water Volume at the Low Level Alarm

Setpoint, Revision 0

Calculation 98-0036, CCW Heat Exchanger Service Water Differential Pressure Indicator

Uncertainty Calculation, Revision 0, April 6, 1998

Calculation 2001-0055, MOV Stem Thrust Margin for Gate and Globe Valves, Revision 1,

September 30, 2002

Calculation 2002-0003, Service Water System Design Basis, Revision 0, June 13, 2002

Calculation ATD-0296, Evaluation of Closing the Vent on the Component Cooling Water Surge

Tank, Revision 0, July 23, 1993

Calculation EVAL-WE0005-01, Determination of Initial Setting for Component Cooling Water

Throttle Valves 1CC-842B and 2CC-842B, Revision 0, November 3, 1998

Calculation M-09334-353-CC.1, Closed Loop Inside Containment Reclassification of the Unit 1

and 2 CCW System Field Walkdown Report, Revision 0, July 2, 1999

Calculation M-09334-353-CC.3, Evaluation of HELB Affect on CCW Piping, Revision 0,

29 Attachment

July 2, 1999

Calculation M-09334-353-CC.4, Evaluation of HELB Affect on CCW Piping, Revision 0,

July 2, 1999

Calculation M-09334-353-CC.5, CC System External Pressure Capability, Revision 0,

July 2, 1999

Calculation M-09334-353-CC.6, Evaluation of CC for Closed System Inside Containment,

Revision 0, July 26, 1999

Calculation N-89-009, Decay Heat Rate Curve, Revision 0, March 2, 1989

Calculation N-93-71, 1(2) CC-754A, 754B, 1(2) CC-759A, 759B (Group 11) MOV Differential

Pressure Calculation, Revision 0, February 1, 1994

Calculation N-94-059, CCW HX-12A-D Service Water Flow Versus Temperature Requirement,

Revision 1, July 17, 2003

Calculation PGT-2000-1382, Point Beach Nuclear Plant Component Cooling Water Heat

Exchangers HX-12C and HX-12D Thermal Performance Test Data Evaluation and Uncertainty

Analysis, Revision 0, January 22, 2001

Calculation PGT-2001-1180, Point Beach Nuclear Plant Component Cooling Water Heat

Exchangers HX-12A and HX-12B Thermal Performance Test Data Evaluation and Uncertainty

Analysis, Revision 0, May 7, 2001

Calculation PGT-2003-1189, PBNP Component Cooling Water Heat Exchangers HX-012A and

HX-012B Thermal Performance Test Data Evaluation and Uncertainty Analysis, Revision 0

Calculation RFS-W-440, Size the ACS Relief Valves, February 23, 1968

Calculation WEP-SPT-34a, RHR Flow Indication Uncertainty (F-928), Revision 0, April 30, 2000

RFS-W-107, WEP Plant ACS Design Parameters, December 23, 1966

Corrective Action Program Documents

ACE000442, Radwaste CC Isolation Valves CC-LW-63/64 Quick Closure On Break in

Radwaste System, August 26, 1999

ACE001407, CC System Licensing Basis Not Well Documented and/or Ambiguous,

August 18, 2003

CA003024, Radwaste CC Isolation Valves CC-LW-63/64 Quick Closure On Break in Radwaste

System, September 14, 1999

CA009715, Non-Essential Loads Not Isolated in EOP During DBA, November 13, 1997

30 Attachment

CA003025, Radwaste CC Isolation Valves CC-LW-63/64 Quick Closure On Break in Radwaste

System, May 10, 2000

CA013529, Safety Injection IST Program Acceptance Criteria Non-Conservative, June 27, 1996

CA013530, Safety Injection IST Program Acceptance Criteria Non-Conservative,

December 3, 1996

CA013790, Accident Analysis Assumptions Questioned, March 3, 1997

CA013791, Accident Analysis Assumptions Questioned, June 24, 1997

CA017975, Potential Overstress Piping and Supports During Post-LOCA Recirculation,

July 2, 1999

CA017976, Potential Overstress Piping and Supports During Post-LOCA Recirculation,

July 2, 1999

CA018346, Restricted Use of Appendix R Spare Motor Not Adequately Documented - Review

Calculation, November 22, 2000

CA026038, EOP 1.4 Step 19d - Inadequate Basis for the 130 psig Setpoint, August 12, 2002

CA026042, EOP 1.4 Step 19d - Inadequate Basis for the 130 psig Setpoint, August 12, 2002

CA026043, EOP 1.4 Step 19d - Inadequate Basis for the 130 psig Setpoint, August 12, 2002

CA026044, EOP 1.4 Step 19d - Inadequate Basis for the 130 psig Setpoint, August 12, 2002

CA026045, EOP 1.4 Step 19d - Inadequate Basis for the 130 psig Setpoint, August 12, 2002

CA026066, Calc of Cont Spray Duration Does Not Consider No Auto Initiation of Cont Spray,

August 13, 2002

CA026250, EOP Issues Identified During 2002 SSDI [Safety System Design Inspection],

September 6, 2002

CA028253, Adequacy of Comp Measure to Start/Stop AFW Pumps While Running on Service

Water, February 21, 2003

CA028254, Vulnerability of TDAFPs to Restart When Run on SW, February 21, 2003

CA032399, EOP 1.4 Step 19d - Inadequate Basis for the 130 psig Setpoint, July 29, 2003

CA032642, Revise EOP 1.3 Step 24/26 by Revising/Removing CCW HX Outlet Temperature

Limit, August 8, 2003

CA033093, Review EOP 1.4 and Consider Recommended Changes, August 25, 2003

31 Attachment

CA051892, SFP HX Safety Classification Change, August 29, 2003

CAP000195, Action Plan for GL 89-13 (SW) Needed, May 17, 2000

CAP001640, Radwaste CC Isolation Valves CC-LW-63/64 Quick Closure On Break in

Radwaste System, August 12, 1999

CAP001870, 2P-11A CCW Pump Post Maintenance Testing Change, January 15, 2002

CAP002914, PBNP Continues To Lift CC and CCW System Relief Valves During Routine

Maintenance, April 18, 2002

CAP003216, Potential to Dead-Head CC Pumps Not Evaluated, May 7, 2002

CAP003224, Q-List Discrepancies on Auxiliary Feedwater Minimum Flow Recirculation Line,

May 8, 2003

CAP005473, Component Cooling Heat Exchanger, August 15, 2001

CAP005667, Component Cooling Water (CCW) Surge Tank Level Transmitter Concerns,

November 11, 2001

CAP012480, Conflicting Information on Required Valve Position (Valve 2CC-748A),

August 11, 2000

CAP012797, Component Cooling (CC) Supply to Containment Failed Stroke Test,

October 16, 2000

CAP018366, Non-Essential Loads Not Isolated in EOP During DBA, November 12, 1997

CAP022794, CCW Heat Exchanger Cleaning Compliance With GL 89-13, May 7, 2001

CAP023473, Safety Injection IST Program Acceptance Criteria Non-Conservative,

June 25, 1996

CAP023644, Accident Analysis Assumptions Questioned, February 28, 1997

CAP024039, IST Program Excluded Thermal Barrier CCW Supply and Return Valves,

November 19, 1997

CAP026451, Potential Overstress Piping and Supports During Post-LOCA Recirculation,

June 25, 1998

CAP026926, CCW Pump Vibration, February 15, 2001

CAP028467, Inappropriate Value for CCW Flow to CCW HX Used in Calculation,

June 13, 2002

CAP028472, Auxiliary Feedwater Testing Concerns, June 14, 2002

32 Attachment

CAP028893, Two Cases in EOPs Omitted When Revising ECCS NPSH [Emergency Core

Cooling System Net Positive Suction Head] Calculation, July 30, 2002

CAP028894, Observations in EOP 1.3, July 30, 2002

CAP028910, SI Alignments in EOP 1.3 Could Result in Excessive Flow Rates, July 31, 2002

CAP028911, Potential for Draining the RWST to Containment During a DBA LOCA,

July 31, 2002

CAP028946, SSDI Question #43, EOP 1.3 Manual CC Valves, August 5, 2002

CAP028992, EOP 1.4 Step 19d - Inadequate Basis for the 130 psig Setpoint, August 8, 2002

CAP028994, Calculation of Containment Spray Duration Does Not Consider No Auto Initiation

of Cont Spray, August 8, 2002

CAP028998, EOP Issues Identified During the 2002 SSDI, August 8, 2002

CAP029261, Appendix R Classification Discrepancies in AFW Common Recirc Line,

September 10, 2002

CAP029510, 1P-11A CC Pump Operated at Above Max Flow for Continuous Operation,

September 24, 2002

CAP030790, Raceway Separation Requirements Are Met for CST Level Indication on Both T-

24A & B, January 21, 2003

CAP030899, AFW Pump Suction Check Valves Function, January 28, 2003

CAP030902, Point Beach AFW Pump Failure in 1974 After Unintentionally Pumping Service

Water, January 28, 2003

CAP031002, Analysis for Aux Feed Pumps dP [differential pressure] Is Non-Conservative for

IST Test Criteria, February 5, 2003

CAP031021, Correction to 1/2MS-2090 IST Valve Data Sheet, February 6, 2003

CAP031040, IST Background Data Sheets for AFWP Suctions Contain Incorrect Information,

February 27, 2003

CAP031157, Adequacy of Comp Measure to Start/Stop AFW Pumps While Running on Service

Water, February 14, 2003

CAP031339, Facade Heat Trace for TDAFW Pumps Steam Lines, February 26, 2003

CAP031726, Unit 2 CC System Temperature Exceeds 105 Degrees F for Two Minutes,

March 20, 2003

33 Attachment

CAP031730, Requirements for Seismic Induced Blockage of Pipe Not Clear, March 20, 2003

CAP032409, Engineering Evaluation for CC HX Tube Plugging Limit Did Not Address Increase

in Velocity, April 23, 2003

CAP033104, GL 89-13 Action Plan Item in OPS Procedure Feedback Backlog for 2 Years,

May 27, 2003

CAP033467, Unexpected U-2 CCW Surge Tank Level Hi Alarm, June 10, 2003

CAP033580, Determine Current LBB Analysis of Record for PBNP, June 16, 2003

CAP034321, Temperature Inconsistency for Non-Regen CC Temperature Between Units,

July 25, 2003

CAP034408, Component Cooling Pump Hydraulic Concerns, July 29, 2003

CAP034416, Seismic Concerns Identified During CC System Assessment Walkdown,

July 30, 2003

CAP034446, Compilation of CC System Inadvertent Relief Valve Lifting Evaluations,

July 30, 2003

CAP034504, Manual Operation of Main Zurn After Loss of Power Not Described in Procedures,

August 1, 2003

CAP034513, Basis for Prompt Operability Screening on CAP 33580 Incorrect, August 1, 2003

CAP034526, Documentation for Upgrade of CC System to Safety-Related Could Not be Found,

August 2, 2003

CAP034548, Calculation Weaknesses in Calculation N-94-064, Revision 3, August 4, 2003

CAP034555, Calculation N-94-059, Revision 1 Weakness, August 4, 2003

CAP034560, Completed Procedure Does Not Have Vibration Data Entered, August 4, 2003

CAP034575, Tracking Method for IST Procedure Updates Seen as Informal, August 5, 2003

CAP034608, Conflicting Drawings, Procedures, and Operability Status of 1(2)RC-508,

August 6, 2003

CAP034628, Enhance EOP 1.3 Step 24/26 By Revising/Removing CCW HX Outlet

Temperature Limit, August 6, 2003

CAP034636, Interface Between Lever and Shaft Damaged on 2CC-130, August 7, 2003

CAP034703, Temporary Modification Procedure Questions, August 8, 2003

34 Attachment

CAP034710, Install Larger Motors on 1-CC-738A&B to Increase Close Margin, August 8, 2003

CAP034716, CC Header Temperature Design Basis Clarification, August 8, 2003

CAP034717, CC System - Electrical Evaluation, Revision 0, Nomenclature Deficiency,

August 8, 2003

CAP034718, Abandoned in Place Configuration Deficiencies, August 8, 2003

CAP034719, NP 7.1.5 Definition and Section Title Inconsistency, August 8, 2003

CAP034720, OI-151 Acceptance Criteria Deficiency, August 8, 2003

CAP034721, Temporary Modification Procedure Concerns, August 8, 2003

CAP034782, SW Main Zurn Strainers Auto-Backwash & Alarm Setpoint Deficiencies,

August 12, 2003

CAP034800, Potential Need for Equipment Root Cause on Closed CAPs, August 13, 2003

CAP034803, Potential of Closed CAP Without Sufficient Investigation, August 13, 2003

CAP034809, Main SW Zurn Strainer Documentation of Current Method of Operation Concern,

August 13, 2003

CAP034829, PRA Model Has Non-Conservative Value for SW Strainer Plugging,

August 13, 2003

CAP034830, CC System Licensing Basis Not Well Documented and/or Ambiguous,

August 13, 2003

CAP034865, FSAR (06/03) Table 9.1-1 Was Not Updated to Reflect Current Design

Information, August 14, 2003

CAP034916, 2Z104b Is Obsolete, August 15, 2003

CAP034923, Zurn Strainer Failures, August 16, 2003

CAP034962, Shear Pin Material Concerns With the 3 and 6 Zurn Strainers, August 19, 2003

CAP034982, Parts No Longer Available for Zurn Strainers, August 19, 2003

CAP035026, SFP [Spent Fuel Pool] HX Safety Classification Change, August 20, 2003

CAP035030, CCW HX Cleaning Delays & Issues Related to HX Cleaning, August 20, 2003

CAP035031, SW Zurn Strainer Blowdown Drainline Backflow, August 20, 2003

CAP035046, Discrepancies Noted During Component Cooling Water Walkdown,

35 Attachment

August 21, 2003

CAP035073, Cause of CCW Pipe Crack Not Evaluated Under CAP030312, August 22, 2003

CAP035087, Calculation 0087-00027-005 Weakness, August 22, 2003

CAP035093, Procedure Enhancements to CC Operating Procedures, August 23, 2003

CAP049694, Engineering System Assessment Open Questions - Zurn SW Strainers,

August 27, 2003

CAP049695, Engineering System Assessment Open Questions, August 27, 2003

CAP049735, PBNP May Not Have Notified NRC Re: Completion of CCW Safety-related

Upgrade, August 29, 2003

CAP049751, Items to Consider Prior to Upgrading Main SW Zurn Strainers to Safety Related,

August 29, 2003

CAP049752, Ensure Service Water Operating Procedures are Complete and Consistent,

August 29, 2003

CAP049812, Potential Improvements for AOP-9A, September 3, 2003

CAP049829, OI-70 Procedure Adequacy, September 3, 2003

CAP049832, Supporting Design Basis Documents for CWPH HVAC System Marginally

Acceptable, September 4, 2003

CAP049860, Q-List Classification of Identified RHR Components Need to be Re-evaluated,

September 4, 2003

CAP049867, Apparent Mismatch in CCW Appendix R Commitment, September 4, 2003

CAP049873, Items to Consider Prior to Upgrading Main SW Zurn Strainers to Safety Related,

September 4, 2003

CAP050070, CCW Test Protocol Update Needed, September 10, 2003

CAP050116, GL 89-13 Related Callups Are Not Identified as NRC Commitments in CHAMPS,

September 11, 2003

CAP050133, Procedural Clarifications Recommended for Spare CC Pump Motor,

September 12, 2003

CAP050168, PM Item 2CC-00721D, Replace Relief Valve Not Completed By Its 125 percent of

Due Date, September 15, 2003

CAP050171, Calculation N-93-058 Contains an Inappropriate Assumption, September 15, 2003

36 Attachment

CAP050173, NRC Required Programs May Not Fully Implement Commitments,

September 15, 2003

CAP050192, EOP Setpoint Basis Document for V.14 and V.35 Is Not Accurate,

September 15, 2003

CAP050229, Relief Set Point Changed on 1&2CC-736A&B Without Considering MOV Design

Basis, September 17, 2003

CAP050258, Multiple Drawing Errors Discovered During Creation of Calculation 2003-0006,

September 17, 2003

CAP050276, Lot Number for Spare CCW Motor in Procedure RMP 9006-4 Incorrect,

September 18, 2003

CAP050284, Appendix R Discussion in Section 2.2.3 of DBD-02 Is Not Accurate,

September 18, 2003

CAP050340, Determine Safety Function of Component Cooling Water System Manual Valves,

September 22, 2003

CAP050350, Perform New Review of AFW System to Support Recirc AOV Safety Function

Upgrade, September 23, 2003

CAP050367, 50.59 Screening for CC Relief Valve Setpoint Change Inadequately Documented,

September 23, 2003

CAP050388, EOPSTPT L.3 and L.13 Existing Values Are Non-Conservative,

September 24, 2003

CAP050398, Remove Reference to Second Spare CCW Pump Motor for Appendix R Use,

September 24, 2003

CAP050405, CCW Licensing Basis, September 24, 2003

CAP050420, Procedure Feedback Request Concern, September 25, 2003

CAP050429, EOP Setpoint Calculations Recommendation, September 25, 2003

CAP050456, Establishment of Appendix R Backup Air For Charging Pumps May Be Hot

Shutdown Repair, September 26, 2003

CAP050499, Emergency Procedure Conflicts Not Yet Corrected, September 29, 2003

CAP050502, Local Manual Operation of MOVs and Manual Valves Not in IST Program,

September 29, 2003

CAP050509, Incorrect Closure of CAP032355, September 29, 2003

37 Attachment

CAP050511, Fire Operating Procedure FOP 1.2 Not Updated in a Timely Fashion,

September 29, 2003

CAP050515, OPR 49, Part II Deficiency, September 29, 2003

CAP050538, Corrective Action Not Fully Completed, September 30, 2003

CAP051530, Non QA Worm and Worm Gear Used in QA Application for Limitorque Operator

SMB-00, October 29, 2003

CE005825, Potential Overstress Piping and Supports During Post-LOCA Recirculation,

June 30, 1998

CE010497, SSDI Question #43, EOP 1.3 Manual CC Valves, August 6, 2002

CE010524, EOP Issues Identified During 2002 SSDI, August 12, 2002

CE011207, Adequacy of Comp Measure to Start/Stop AFW Pumps While Running on Service

Water, February 18, 2003

CE011789, Determine Current LBB Analysis of Record For PBNP, June 18, 2003

EWR026103, Calc of Cont Spray Duration Does Not Consider No Auto Initiation of Cont Spray,

August 16, 2002

OTH029041, SSDI Question #43, EOP 1.3 Manual CC Valves, April 8, 2003

OTH032467, Compilation of CC System Inadvertent Relief Valve Lifting Evaluations,

August 1, 2003

OTH033040, Take to ORC - SFP HX Safety Classification Change, August 22, 2003

Drawings

110E018, P&ID Auxiliary Coolant System, Sheet 1, Revision 57

PB-01-M-CCK-000-001, P&ID Auxiliary Coolant System, Revision 40

PB-01-M-CCK-000-004, P&ID Auxiliary Coolant System, Revision 21

PB-01-M-SFK-000-002, P&ID Auxiliary Coolant System, Revision 59

PB-02-M-SFK-000-001, P&ID Auxiliary Coolant System, Revision 50

PB-02-M-SFK-000-003, P&ID Auxiliary Coolant System, Revision 43

PB-02-M-SFK-000-004, P&ID Auxiliary Coolant System, Revision 17

PB-31-M-WHK-000-001, P&ID Radwaste Component Cooling Water, Revision 13

38 Attachment

Operability Determinations

Operability Determination CR 99-1972, Radwaste CC Isolation Valves CC-LW-63/64 Quick

Closure On Break in Radwaste System, August 17, 1999

Operability Recommendation OPR 000024, Potential for Draining the RWST to Containment

During a DBA LOCA, August 2, 2002

OPR 000025, Calc of Cont Spray Duration Does Not Consider No Auto Initiation of Cont Spray,

August 9, 2002

OPR 000040, Point Beach AFW Pump Failure in 1974 After Unintentionally Pumping Service

Water, January 28, 2003

OPR 000072, Determine Current LBB Analysis of Record for PBNP, August 1, 2003

OPR 000073, Interface Between Shaft and Lever Damaged on 2CC-130, August 8, 2003

OPR, Component Cooling Water System Manual Valves Listed in Attachment A of Unit 1 and 2

EOPs 1.3 and 1.4 (Transfer to Containment Sump Recirculation), September 24, 2003

Procedures

AOP-9B, Unit 2, Component Cooling System Malfunction, May 8, 2000

AOP-10B, Unit 1, Safe to Cold Shutdown in Local Control, August 7, 2003

Design & Installation Guidelines Manual DG-101, Instrument Setpoint Methodology,

October 12, 2001

EOP-1.3, Unit 1, Transfer to Containment Sump Recirculation - Low Head Injection,

December 5, 2002

EOP-1.4, Unit 1, Transfer to Containment Sump Recirculation - High Head Injection,

December 5, 2002

ICP 6.15, Auxiliary Coolant System (Non-Outage), Data Sheet 19, Revision 27

Inservice Test IT 12, Component Cooling Water Pumps and Valves (Quarterly) Unit 1,

April 18, 2002

IT 12A, CC Pumps and Valves While Aligned for RHR Operation (Cold Shutdown) Unit 1,

Revisions 5 and 9

IT 13, Component Cooling Water Pumps and Valves (Quarterly) Unit 2, April 22, 2002

IT 13A, CC Pumps and Valves While Aligned for RHR Operation (Cold Shutdown) Unit 2,

39 Attachment

Revisions 2 and 13

Operating Instructions OI 62A, Motor-Driven Auxiliary Feedwater System (P-38A & P-38B),

April 7, 2003

OI 62B, Turbine-Driven Auxiliary Feedwater System (P-29), April 7, 2003

OI 151, HX-012C & D Component Cooling System Heat Exchanger Data Collection Unit 2,

May 5, 2003

OI 152, HX-012A & B Component Cooling System Heat Exchanger Data Collection Unit 1,

May 5, 2003

Operations Refueling Test (ORT) 11, CVCS and CC Systems Check Valve Stroke Test Unit 1

(Refueling), May 15, 2003

ORT 68, Component Cooling Water To and From 2P-1A Refueling Shutdown - Unit 2,

April 30, 2002

ORT 68, Component Cooling Water To and From 2P-1A Refueling Shutdown - Unit 1,

August 26, 2002

ORT 69, Component Cooling Water To and From 2P-1B Refueling Shutdown - Unit 1,

September 5, 2002

Periodic Check PC 43, Part 3, Service Water System Stainers and Flushing, Revision 27

NP 1.4.2, Permanent Drawing System, Revision 4

NP 5.3.7, Operability Determinations (OD), September 10, 2003

NP 8.4.8, Requirements for Scaffold Near Safety Related Equipment, January 29, 2003

RMP 9006-4, Component Cooling Water Pump Motor Emergency Replacement, June 12, 2002

System Operating Procedure 0-SOP-SW-101, South Service Water Supply Header Isolation

and Restoration, September 19, 2002

System Operating Procedure 1-SOP-CC-001, Component Cooling System, June 12, 2003

System Operating Procedure 2-SOP-CC-001, Component Cooling System, June 12, 2003

System Operating Procedure 1-SOP-CC-002, Component Cooling System Drain and Refill,

July 14, 2003

System Operating Procedure 2-SOP-CC-002, Component Cooling System Drain and Refill,

July 14, 2003

Work Orders

40 Attachment

WO 86-114A, Check Valve Will Not Seat Properly, January 1, 1986

WO 860910, Failed ORT Cut Out and Replace, October 4, 1986

WO 871475, Replace Check Valve Perform an ORT Leak Check on New Check Valve Before

Installing, April 17, 1987

WO 881532, Check Valve Leaked by During ORT-68 @ 122 lpm @ 42 psig, April 14, 1988

WO 881954, Valves of this Type Have History of Failing Leak Rate Tests - Replace,

May 10, 1988

WO 911677, During the Performance of ORT-11 Check Valve Stroke Test, the Valve

Demonstrated Gross Leakage, April 11, 1991

WO 9714608, During the Performance of ORT-11 Check Valve Has Gross Leakage as

Identified in IT-255, November 29, 1997

10 CFR 50.59 Evaluations

SER 93-071, Change to CCW System Configuration for Normal Operation, August 31, 1993

SE 2001-0007, Component Cooling Water System Closed Loop Inside Containment,

February 24, 2001

Other Documents

Assessment of Potential Vulnerabilities for License Renewal, Martin/Sigmon Consulting

Services Inc., March 2003

CCW GL 89-13 Performance Testing Results for HX-012A/B/C/D, December 1998 -

September 2002

DBD-02, Component Cooling Water System Design Basis Document, June 20, 2003

DBD Validation Procedure, June 2003

EOP Setpoint Document EOPSTPT L.3, Flows (LHSI B Train), March 25, 1992

EOP Setpoint Document EOPSTPT L.7, Flows (LHSI), March 25, 1992

EOP Setpoint Document EOPSTPT L.8, Flows (RHR Recirculation), July 1, 1985

EOP Setpoint Document EOPSTPT L.13, Flows (LHSI A Train), March 25, 1992

EOP Setpoint Document EOPSTPT V.14, Misc (CC HX D/P), November 29, 1994

EOP Setpoint Document EOPSTPT V.35, Misc (CC HX D/P), November 29, 1994

41 Attachment

FSAR Figure 5.2-15, Component Cooling Water to Reactor Coolant Pump, June 2002

FSAR Figure 5.2-16, Component Cooling Water to Reactor Coolant Pump, June 2002

FSAR Figure 5.2-17, Component Cooling Water from Reactor Coolant Pump, June 2002

FSAR Figure 5.2-18, Component Cooling Water from Reactor Coolant Pump, June 2002

FSAR Figure 5.2-19, Component Cooling Water to Excess Letdown Heat Exchanger,

June 2002

FSAR Figure 5.2-20, Component Cooling Water from Excess Letdown Heat Exchanger,

June 2002

FSAR Section 9.1, Component Cooling Water (CC), June 2003

FSAR Table 5.2-1, Index of Containment Penetration Figures, June 2003

FSAR Table 9.1-1, Component Cooling System Component Data, June 2003

Heat Exchanger Visual Inspection Results for HX-012A/B/C/D, 2002-2003

I&C Calculation Update Program Project Plan, June 6, 2003

Licensing Basis Summary for Component Cooling Water System, September 8, 2003

LER 92-009-01, Component Cooling Water Surge Tank Vent Valves Outside Design Basis,

May 17, 1993

LER 96-009-00, Component Cooling Water System Outside Design Basis for Closed System

Outside Containment, October 14, 1996

Point Beach Letter, NRC-92-144, Classification of Auxiliary Systems Necessary to Assure Safe

Plant Shutdown at Point Beach Units 1 and 2, December 22, 1992

Point Beach Letter, NRC-93-074, Classification of Auxiliary Systems Necessary to Assure Safe

Plant Shutdown at Point Beach Units 1 and 2, June 17, 1993

Point Beach Letter, NPL 97-0401, Component Cooling Water System Issues Update - Point

Beach Units 1 and 2, July 7, 1997

Point Beach Letter, NRC 2003-0065, PBNP Excellence Plan, July 18, 2003

Point Beach Self-Assessment Report, Component Cooling (CC) Water System Self-

Assessment, PBSA-ENG-03-02, September 8, 2003

Point Beach Service Water ISI, Radiography Schedule, Emergency Diesel Generator Coolant

42 Attachment

Heat Exchanger G01 & G02 Cross Tie Supply Lines, 2nd Quarter 2000

Probabilistic Safety Assessment Section 4.11, Component Cooling Water System Notebook,

Revision 0

Program Document, GL 89-13, Revision 2

S-A-ENG-99-007, Component Cooling Water System Safety System Engineering Inspection,

July 26 to September 24, 1999

S-A-ENG-99-007, Engineering Work Request, June 23, 2000

Safety Evaluation Related to Amendment Nos. 174 and 178, July 9, 1997

Safety Evaluation Related to Exemption from Section III.G of 10 CFR Part 50, Appendix R, not

dated

Safety Evaluation Related to Exemption from Appendix R to CFR Part 50, December 31, 1986

Surveillance Test Trending Data - Vibration and Differential Pressure, CCW Pumps 1P11A/B

and 2P11A/B, 2001-2003

System Health Report, Component Cooling Water System (CCW), 2003

System Health Report, Service Water (SW), July 31, 2003

Technical Specification Basis B 3.6.3, Containment Isolation Valves, Unit 1 - Amendment

No. 201, Unit 2 - Amendment No. 206

Technical Specification 3.7.7, Component Cooling Water (CC) System

Training Lesson Plan LP0084, Component Cooling Water, Revision 10

Westinghouse Letter WEP-98-017, Containment Pressure and Temperature Increase During

Recirculation Due to the Loss of RHR Heat Exchanger Cooling, March 5, 1998

Westinghouse Specification Sheet, Auxiliary Relief Valves 1-RV-763A and 1-RV-763B,

May 17, 1968

Maintenance Work Control

ESG 5.1, PRA Maintenance Update Guideline, Revision 2

PRA 4.0, Data Analysis Notebook, Revision 0

Weekly Core Damage Risk Profile (Safety Monitor), August 24, 2003

43 Attachment

Weekly Core Damage Risk Profile (Safety Monitor), July 27, 2003

NP 1.1.7, Managing Work Activity Risk, Revision 2

NP 2.1.4, Operator Workarounds, October 16, 2002

NP 10.2.2, Scheduling, Planning and Implementing On-Line Work, July 30, 2003

NP 10.3.7, On-Line Safety Assessment, October 16, 2002

Safety Monitor Calculation, September 10, 2003, 23:14

PBSA-ENG-03-02, Component Cooling System Self-Assessment, Revision 3, Section 3.03.f.3

Operator Work Around Summary, September 10, 2003

Operable but Degraded Excel Spreadsheet, September 9, 2003

Modification In-Progress (Installing or Testing) Spreadsheet, September 18, 2003

Plan of the Day, PRA Aggregate Impact, September 9, 2003

Plan of the Day, Temporary Modifications Aggregate Impact, September 9, 2003

Plan of the Day, LIT Annunciator Aggregate Impact, September 9, 2003

Plan of the Day, Control Board Deficiencies Aggregate Impact, September 9, 2003

Nuenergy, Inc. AFW SSFA Report, July 23, 2003

CCW Basic Events Ranked by RAW, Point Beach PRA Model, Unit 1, Revision 3.03

CCW Basic Events Ranked by Fussell-Vesely Importance, Point Beach PRA Model,

Unit 1,Revision 3.03

EDG Failure Events, Point Beach PRA Model, Revision 3

PSA Component Cooling Water System Notebook, Revision 0

PRA 5.6, 125Vdc Electric Power Notebook, Revision 0

PRA 5.9, Auxiliary Feedwater System Notebook, Revision 0

Corrective Action Program Documents

CAP000195, Action Plan for GL 89-13 (SW) Needed, May 17, 2000

CAP001870, 2P-11A CCW Pump Post Maintenance Testing Change, January 15, 2002

CAP003216, Potential to Dead-Head CC Pumps Not Evaluated, May 7, 2002

44 Attachment

CAP005473, Component Cooling Heat Exchanger, August 15, 2001

CAP005667, Component Cooling Water (CCW) Surge Tank Level Transmitter Concerns,

November 11, 2001

CAP012480, Conflicting Information on Required Valve Position (Valve 2CC-748A),

August 11, 2000

CAP012797, Component Cooling (CC) Supply to Containment Failed Stroke Test,

October 16, 2000

CAP022794, CCW Heat Exchanger Cleaning Compliance With GL 89-13, May 7, 2001

CAP026926, CCW Pump Vibration, February 15, 2001

CAP028467, Inappropriate Value for CCW Flow to CCW HX Used in Calculation,

June 13, 2002

CAP029510, 1P-11A CC Pump Operated at Above Max Flow for Continuous Operation,

September 24, 2002

CAP031299, IPC Risk Ranking May Overlook Risks Related to Slowly Developing Problems,

February 24, 2003

CAP031726, Unit 2 CC System Temperature Exceeds 105 Degrees F for Two Minutes,

March 20, 2003

CAP032409, Engineering Evaluation for CC HX Tube Plugging Limit Did Not Address Increase

in Velocity, April 23, 2003

CAP033104, GL 89-13 Action Plan Item in OPS Procedure Feedback Backlog for 2 Years,

May 27, 2003

CAP033467, Unexpected U-2 CCW Surge Tank Level Hi Alarm, June 10, 2003

CAP034548, Calculation Weaknesses in Calculation N-94-064 Rev. 3, August 4, 2003

CAP034608, Conflicting Drawings, Procedures, and Operability Status of 1(2)RC-508,

August 6, 2003

CAP034716, CC Header Temperature Design Basis Clarification, August 8, 2003

CAP034720, OI-151 Acceptance Criteria Deficiency, August 8, 2003

CAP034826, Maintenance Rule PRA Calculation Not Completed, August 13, 2003

CAP035026, SFP HX Safety Classification Change, August 20, 2003

CAP050029, Temporary Fire Seal Design Used for Permanent Seal Closure,

45 Attachment

September 9, 2003

CAP050038, Safety Monitor and Maintenance Rule (a)(1) Systems, September 10, 2003

CAP050042, Design Guidance Use for PRA Activities Requires Review, September 10, 2003

CAP050044, Configuration Risk Management Process and Safety Monitor,

September 10, 2003

CAP050048, PRA Review of Proposed Modifications, September 10, 2003

CAP050066, Error in PRA Model for Unit 2 Main Feedwater, September 10, 2003

CAP050093, Appendix R Spare CC Equipment Storage Improvement, September 11, 2003

CAP050094, 2P-11A CCW Pump Is Losing Excessive Amounts of Oil on Its Outboard Pump

Bearing, September 11, 2003

CAP050117, Inadequate Administrative Controls on Appendix R Equipment Temporary

Storage, September 11, 2003

CAP050404, Concerns With Closure of OPR 00040 Rev 1 (AFW Pump Silting Due to SW

Debris), September 24, 2003

CAP050465, Operator Workaround Program Improvement, September 27, 2003

CAP050523, Certain Appendix R Fires May Challenge Operator Response,

September 29, 2003

CAP050641, MOB 406 Labeled as Spare in Master Data Book in WCC [Work Control Center],

October 2, 2003

Log Number 2002-19, PRA Model Review and Change Form, September 11, 2002

Log Number 2003-22, PRA Model Review and Change Form, September 25, 2003

OD Review Team Charter, September 28, 2003

AFW Procedure/Surveillances Charter, September 27, 2003

AFW CAP Evaluation Team Charter

AFW Assessments Area Team Charter, October 1, 2003

AFW Work Order Review Charter

Improved Tech Specifications Team Charter, September 27, 2003

Appendix R Team Charter

46 Attachment

Other Documents

Calculation 2000-0004, Required Seal Thickness of Kaowool Used in Temporary Fire

Penetration Seals, January 25, 2000

47 Attachment

LIST OF ACRONYMS USED

AC Alternating Current

ACE Apparent Cause Evaluation

AFW Auxiliary Feedwater

amp Ampere

ANS Alert and Notification System

AOP Abnormal Operating Procedure

AOV Air-Operated Valve

ATC American Transmission Company

AV Apparent Violation

CA Corrective Action

CAP Corrective Action Program Problem Identification Document

CATPR Corrective Action to Prevent Recurrence

CARB Corrective Action Review Board

CC Component Cooling (Water)

CCW Component Cooling Water

CDF Change in Core Damage Frequency

CE Condition Evaluation

CLB Current Licensing Basis

CR Condition Report (the former Corrective Action Program Problem

Identification Document)

CSP Critical Safety Procedure

CST Condensate Storage Tank

DBD Design Basis Document

DC Direct Current

DEP Drill and Exercise Performance

DRB Design Review Board

DRP Division of Reactor Projects

DRS Division of Reactor Safety

EAL Emergency Action Level

ECA Emergency Contingency Action

ECP Employee Concerns Program

EDG Emergency Diesel Generator

EFR Effectiveness Review

ENS Emergency Notification System

EOF Emergency Operations Facility

EOP Emergency Operating Procedure

EOPSTPT EOP Setpoint Basis Document

EP Emergency Preparedness/Emergency Planning

EPAC Emergency Preparedness Advisory Committee

EPIP Emergency Plan Implementing Procedure

EPMP Emergency Plan Maintenance Procedure

EPZ Emergency Planning Zone

EQ Environmental Qualification

ERO Emergency Response Organization

FEMA Federal Emergency Management Agency

FME Foreign Material Exclusion

48 Attachment

FSAR Final Safety Analysis Report

GE General Emergency

GL NRC Generic Letter

gpm Gallons Per Minute

HELB High-Energy Line Break

HEP Human Error Probability

HVAC Heating, Ventilation, and Air Conditioning

HX Heat Exchanger

IA Instrument Air

I&C Instrument and Control

IMC Inspection Manual Chapter

IP Inspection Procedure

IR Inspection Report

ISI Inservice Inspection

IST Inservice Testing

IT Inservice Test

JPIC Joint Public Information Center

kV Kilovolt(s)

kVA Kilovolt-ampere

LER Licensee Event Report

LCO Limiting Condition for Operation

LOCA Loss-of-Coolant Accident

LLOCA Large-Break Loss-of-Coolant Accident

LOA Letter of Agreement

LOIA Loss of Instrument Air

LOOP Loss of Offsite Power

LOR Licensed Operator Requalification

MC Manual Chapter

MDAFW Motor-Driven Auxiliary Feedwater

MOV Motor-Operated Valve

MR Plant Modification

MRE Maintenance Rule Evaluation

NEI Nuclear Energy Institute

NMC Nuclear Management Company, LLC

NOS Nuclear Oversight (Quality Assurance)

NOUE Notification of Unusual Event

NP Nuclear Plant Business Unit Procedure

NPM Point Beach Memorandum

NRC Nuclear Regulatory Commission

OD Operability Determination

ODI Old Design Issue

OE Operating Experience

OI Operating Instructions

OM Operations Manual

OP Operating Procedure

OPR Operability Request

OTH Other (corrective action program document)

PAB Primary Auxiliary Building

PAR Protective Action Recommendation

49 Attachment

PARS Publicly Available Records System

PBNP Point Beach Nuclear Plant

PCP Power Conversion Products

PI Performance Indicator

P&ID Piping and Instrumentation Diagram

PRA Probabilistic Risk Assessment

psig Pounds Per Square Inch - Gauge

QRT Quality Review Team

RCE Root Cause Evaluation

RCS Reactor Coolant System

RHR Residual Heat Removal

RSPS Risk Significant Planning Standard

SAE Site Area Emergency

SBCC Site Boundary Control Center

SDP Significance Determination Process

SER Safety Evaluation Report

SEM Scanning Electron Microscopy

SEN Significant Event Notice

SGTR Steam Generator Tube Rupture

SPEED Spare Parts Equivalency Evaluation Document

SR Surveillance Requirement

SS Safety Screening

SSFA Safety System Functional Assessment

SW Service Water

TDAFW Turbine-Driven Auxiliary Feedwater

TPCS Transients Without Power Conversion System

TRANS Transients

TS Technical Specification

TSC Technical Support Center

UAT Unit Auxiliary Transformer

URI Unresolved Item

V Volt(s)

Vac Volt(s) Alternating Current

VDC Volt(s) Direct Current

VIO Violation

50 Attachment