ML12032A119

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IR 05000346-11-005; 10/1/2011-12/31/2011; Davis-Besse Nuclear Power Station; Inservice Inspection Activities; Maintenance Risk Assessments and Emergent Work Control; Operability Evaluations; Post Maintenance Testing; Outage Activities...
ML12032A119
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 01/31/2012
From: Cameron J L
NRC/RGN-III/DRP/B6
To: Allen B
FirstEnergy Nuclear Operating Co
References
IR-11-005
Download: ML12032A119 (93)


See also: IR 05000346/2011005

Text

January 31, 2012

Mr. Barry Allen FirstEnergy Nuclear Operating Company Davis-Besse Nuclear Power Station 5501 North State Route 2 Oak Harbor, OH 43449-9760

SUBJECT: DAVIS-BESSE NUCLEAR POWER STATION INTEGRATED INSPECTION REPORT 05000346/2011005

Dear Mr. Allen:

On December 31, 2011, the U. S. Nuclear Regulatory Commission (NRC) completed an integrated inspection at your Davis-Besse Nuclear Power Station. The enclosed report documents the results of this inspection, which were discussed on January 10, 2012, with the Director of Site Operations, Mr. Brian Boles, and other members of your staff. The inspection examined activities conducted under your license as they relate to safety and compliance with the Commission's rules and regulations and with the conditions of your license. The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel. Based on the results of this inspection, two NRC-identified and four self-revealed findings of very low safety significance were identified. Four of these findings were determined to also involve violations of NRC requirements. In addition, one Severity Level IV violation was also identified by the NRC. However, because of the very low safety significance and because these issues were entered into your corrective action program, the NRC is treating the issues as Non-Cited Violations (NCVs), in accordance with Section 2.3.2 of the NRC Enforcement Policy. If you contest the subject or severity of any finding or NCV, 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 copy to the Regional Administrator, U.S. Nuclear Regulatory Commission - Region III, 2443 Warrenville Road, Suite 210, Lisle, IL 60532-4352; the Director, Office of Enforcement, U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001; and the Resident Inspectors' Office at the Davis-Besse Nuclear Power Station. In addition, if you disagree with the cross-cutting aspect assigned to any finding in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the Regional Administrator, Region III, and the NRC Resident Inspector at the Davis-Besse Nuclear Power Station. In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,/RA/ Jamnes L. Cameron, Chief Branch 6 Division of Reactor Projects Docket No. 50-346 License No. NPF-3

Enclosure:

Inspection Report 05000346/2011005

w/Attachment:

Supplemental Information cc w/encl: Distribution via ListServ Enclosure U. S. NUCLEAR REGULATORY COMMISSION REGION III Docket No: 50-346 License No: NPF-3 Report No: 05000346/2011005 Licensee: FirstEnergy Nuclear Operating Company (FENOC) Facility: Davis-Besse Nuclear Power Station Location: Oak Harbor, OH Dates: October 1, 2011, through December 31, 2011 Inspectors: D. Kimble, Senior Resident Inspector A. Wilson, Resident Inspector T. Briley, Reactor Engineer P. Cardona-Morales, Reactor Engineer T. Go, Radiation Protection Inspector M. Holmberg, Senior Reactor Inspector L. Jones, Jr., Reactor Inspector G. O'Dwyer, Reactor Inspector M. Mitchell, Radiation Protection Inspector J. Neurauter, Senior Reactor Inspector P. Smagacz, Reactor Engineer J. Steffes, Reactor Engineer Approved by: Jamnes L. Cameron, Chief Branch 6 Division of Reactor Projects Enclosure

SUMMARY OF FINDINGS

Inspection Report 05000346/2011005; 10/1/2011-12/31/2011; Davis-Besse Nuclear Power Station; Inservice Inspection Activities; Maintenance Risk Assessments and Emergent Work Control; Operability Evaluations; Post-Maintenance Testing; Outage Activities; Follow-Up of Events and Notices of Enforcement Discretion; and Other Activities. This report covers a 3-month period of inspection by resident inspectors and announced baseline inspections by regional inspectors. Six Green findings and one Severity Level (SL) IV violation were identified by the inspectors. Four of the findings, as well as the SL IV violation, were dispositioned as non-cited violations (NCVs) of NRC regulations. The significance of most findings is indicated by their color (Green, White, Yellow, Red) using IMC (IMC) 0609, "Significance Determination Process" (SDP). Findings for which the SDP does not apply may be Green or be assigned a SL after NRC management review. The NRC's program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, "Reactor Oversight Process," Revision 4, dated December 2006. A.

===Cornerstone: Initiating Events

NRC-Identified

and Self-Revealed Findings===

GreenThe finding was determined to be of more than minor significance because it was associated with the Initiating Events Cornerstone attribute of procedure quality and had adversely affected the associated cornerstone objective to limit the likelihood of those events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, electrical power to an entire string of safety-related 480 Vac motor control center (MCCs) (i.e., E11A, E11B, E11C, E11D, and E11E) was forced to be interrupted when a deficient procedure for the operation of the station's auxiliary heating boiler caused a significant amount of water to be deluged onto MCC E11C, resulting in an electrical short and fire within the MCC. The inspectors evaluated the finding using IMC 0609, Attachment 4, "Phase 1 - Initial Screening and Characterization of Findings." Because the finding involved reactor shutdown operations and conditions, the inspectors transitioned to IMC 0609, Appendix G, Attachment 1, "Shutdown Operations Significance Determination Process - Phase 1 Operational Checklists for Both PWRs and BWRs." Since the finding was associated with an issue that occurred during the time the licensee was in a cold shutdown (Mode 5) condition, the inspectors consulted Checklist 3, "PWR Cold Shutdown and Refueling Operation: Reactor Coolant System (RCS) Open and Refueling Cavity Level Less Than 23 Feet or . A self-revealed finding of very low safety significance was identified for the licensee's failure to establish, implement, and maintain technically adequate procedures to permit the proper switching of feedwater sources for the station's auxiliary boiler, such that when the switching of feedwater sources from demineralized water to the station's normal condensate system took place per approved procedures, there were detrimental results. Specifically, the approved procedures for this activity relied upon a check valve to keep the demineralized water header from being exposed to greater pressure than its design. When that check valve failed to function as designed, failure of demineralized water system components and the inadvertent deluge and failure of safety-related electrical equipment resulted.

RCS Closed and No Inventory in the Pressurizer; Time to Boiling Less Than 2 Hours." The inspectors determined that the finding did not adversely impact any shutdown defense-in-depth or mitigation attributes, nor did it meet any of the checklist specific requirements for a Phase 2 or Phase 3 SDP analysis. Consequently, the finding was determined to be of very low safety significance. This finding had a cross-cutting aspect in the area of Problem Identification and Resolution, Corrective Action Program (CAP) component, because the licensee did not take appropriate corrective actions to address the safety issue in a timely manner, commensurate with the safety significance and complexity. Specifically, the licensee had multiple previous opportunities to have appropriately diagnosed and corrected the issue, but failed to do so. (P.1(d)) (Section 4OA3.2) GreenThe finding was determined to be more than minor because it was associated with the Initiating Events Cornerstone attribute of Equipment Performance and affected the cornerstone objective to limit the likelihood of those events that upset plant stability and challenge critical safety functions. Absent NRC identification, the licensee would not have completed surface examination of the 60 flange stud holes to ensure unacceptable material flaws (e.g., cracks) were not placed in service. Because material flaws such as cracks serve as stress risers that reduce the ability of the replacement reactor vessel closure head to withstand failure by crack propagation during design basis events (e.g., pressurized thermal shock), they would place the reactor coolant system at an increased risk for through-wall leakage and/or failure. The inspectors determined the finding could be evaluated using the SDP in accordance with IMC 0609, "Significance Determination Process," Attachment 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," Table 4a for the Initiating Events Cornerstone. Because this finding was identified prior to placing the replacement reactor vessel closure head in service and no fabrication flaws were identified, the inspectors answered "no" to the SDP Phase 1 screening question "Assuming worst case degradation, would the finding result in exceeding the Technical Specification (TS) limit for any reactor coolant system leakage or could the finding have likely affected other mitigation systems resulting in a total loss of their safety function assuming the worst case degradation?" Therefore, the finding screened as having very low safety significance. This finding had a cross-cutting aspect in the area of Human Performance, Decision Making because the licensee staff failed to demonstrate that nuclear safety was an overriding priority in decisions affecting the replacement reactor vessel closure head. Specifically, the failure to perform an adequate review of the replacement reactor vessel closure head fabrication records was caused by the licensee's decision to not review the manufacturer's interpretations and application of the CC rules. (H.1(b)) (Section 4OA5.3). . A finding of very low safety significance and an associated NCV of 10 CFR 50, Appendix B, Criterion VII, "Control of Purchased Material, Equipment, and Services," were identified by the inspectors for the licensee's failure to perform an adequate review of fabrication records to ensure material procured from a contractor (replaced reactor vessel closure head) met the construction code (CC). Specifically, the accessible surfaces of the 60 closure head flange stud holes were not subjected to dye penetrant or magnetic particle examinations as required by the CC. As a corrective action, the licensee completed magnetic particle examination of the accessible surfaces of the 60 flange stud holes prior to placing the vessel head into service.

Cornerstone: Mitigating Systems

GreenThe inspectors determined that the finding was more than minor because it was associated with the Mitigating Systems Cornerstone attribute of Human Performance and affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the damage caused when falling from plant equipment rendered low pressure injection train 1 inoperable. The inspectors evaluated the finding using IMC 0609, Attachment 4, Phase 1 - Initial Screening and Characterization of Findings, using the Phase 1 SDP worksheet for the Mitigating Systems Cornerstone. The finding screened as very low safety significance because the inspectors answered "no" to the screening questions in Table 4a. Specifically, the finding was not a design or qualification deficiency, did not represent a loss of system safety function, did not represent actual loss of safety function of a single train for greater than its TS allowed outage time, and the finding did not screen as potentially risk significant due to a seismic, flooding, or severe weather initiating event. This finding had a cross-cutting aspect in the area of Human Performance, Work Control Component, because the licensee did not plan and coordinate work activities consistent with nuclear safety. Specifically, the licensee did not appropriately plan for job site conditions impacting human performance since an appropriate available method for accessing CC258 was not evaluated. (H.3(a)) (Section 1R13.1) . A self-revealed finding of very low safety significance (Green) was identified when low pressure injection equipment was damaged by operators attempting to access an overhead valve. Specifically, by climbing and standing on sensitive plant equipment, the licensee failed to comply with the standards and expectations for accessing plant equipment contained in procedure NOP-OP-1002, "Conduct of Operations". An immediate corrective action was taken to repair the damaged temperature element and restore low pressure injection pump no. 1 to operable status. A long-term solution to providing access to the overhead valve is under evaluation in the corrective action program. GreenThe finding was determined to be of more than minor safety significance because the issue was associated with the Mitigating Systems Cornerstone attribute of procedure quality, and had adversely affected the associated cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, CCW, a mitigating system, had its reliability adversely impacted by the lack of appropriate fill and venting procedural guidance. The inspectors evaluated the finding using IMC 0609, Attachment 4, "Phase 1 - Initial Screening and Characterization of Findings." Because the finding involved . A finding of very low safety significance and an associated NCV of TS 5.4.1(a) were identified by the inspectors for the licensee's failure to establish, implement, and maintain technically adequate procedures to cover the restoration (i.e., filling and venting) of the component cooling water (CCW) system following maintenance activities. Specifically, a complex series of fill and venting evolutions to restore the system had been required following extensive maintenance activities; these evolutions did not ensure that all the air was vented from the system, such that later ultrasonic testing performed by the licensee identified a significant air void, approximately 19 cubic feet, in a CCW pump 3 horizontal suction piping segment. The issue was entered into the licensee's CAP as CRs 2011-05542 and 2011-05831.

reactor shutdown operations and conditions, the inspectors transitioned to IMC 0609, Appendix G, Attachment 1, "Shutdown Operations Significance Determination Process - Phase 1 Operational Checklists for Both PWRs and BWRs." Since the finding was associated with an issue that occurred during the time the licensee was conducting RCS fill and venting activities and plant conditions were in transition, the inspectors consulted both Checklist 2, "PWR Cold Shutdown Operation: RCS Closed and Steam Generators Available for Decay Heat Removal (Loops Filled and Inventory in the Pressurizer); Time to Boiling Less Than 2 Hours," and Checklist 3, "PWR Cold Shutdown and Refueling Operation: RCS Open and Refueling Cavity Level Less Than 23 Feet or RCS Closed and No Inventory in the Pressurizer; Time to Boiling Less Than 2 Hours." The inspectors determined that the finding did not adversely impact any shutdown defense-in-depth or mitigation attributes on either checklist, nor did it meet any of the checklist specific requirements for a Phase 2 or Phase 3 SDP analysis. Consequently, the finding was determined to be of very low safety significance. This finding had a cross-cutting aspect in the area of Human Performance, Resources component, because the licensee did not ensure that personnel, equipment, procedures, and other resources were available and adequate to assure nuclear safety. Specifically, the licensee's procedures and guidance for the restoration of the CCW system following outage maintenance activities did not ensure that the system was fully filled and properly vented prior to operation. (H.2(c)) (Section 1R15.1) Severity Level IVThe issue was determined to be associated with the Mitigating Systems Cornerstone attribute of procedure quality. However, the inspectors subsequently determined that the issue had not adversely affected the associated cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Because of several factors, the inspectors determined that the issue was of minor safety significance and, as such, did not constitute a finding. These factors included: . The inspectors identified a SL IV NCV of 10 CFR 54(i) when a non-licensed member of the licensee's engineering staff was observed operating switches that directly caused the insertion of various control rods that were being subjected to timing tests. Specifically, the inspectors observed that key switches used to interrupt power to the control rod drives and cause control rod insertion were manipulated by a member of the licensee's engineering staff, and not a licensed individual. The issue was entered into the licensee's CAP as CR 2011-06318. All control rod group withdrawal activities were accomplished from the control room by an on-watch licensed reactor operator; All activities in the electrical penetration room were performed in accordance with an approved written test procedure, and under the direct supervision of a licensed Senior Reactor Operator; The operation of the local key switches in the electrical penetration room, albeit by a non-licensed individual, could only cause control rod insertion. There was no withdrawal capability; and The individual operating the local key switches in the electrical penetration room was always in continuous communication with the on-watch licensed reactor operator in the control room. The inspectors determined that the issue was subject to the NRC's traditional enforcement process as an issue that had the potential to impact the agency's ability to perform its regulatory function. Specifically, the NRC's Reactor Oversight Process fundamentally assumes that only duly licensed individuals are allowed to manipulate reactor controls and alter core reactivity or make changes to reactor power, and that all licensed individuals perform their licensed duties in accordance with any restrictions associated with their individual licenses. The inspectors conferred with NRC Region III management and members of the enforcement staff and determined that, because of the factors noted above, the issue constituted a SL IV violation that resulted in no, or relatively inappreciable, safety consequences. Because this issue was dispositioned through the traditional enforcement process and had no Reactor Oversight Process aspects, there was no cross-cutting aspect associated with the violation. (Section 1R19.1) GreenThe finding was determined to be of more than minor safety significance because the issue was associated with the Mitigating Systems Cornerstone attribute of procedure quality, and had adversely affected the associated cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, CCW, a mitigating system, had its reliability adversely impacted by the inadequate procedural guidance for motor controller restoration. The inspectors evaluated the finding using IMC 0609, Attachment 4, "Phase 1 - Initial Screening and Characterization of Findings." Because the finding involved reactor shutdown operations and conditions, the inspectors transitioned to IMC 0609, Appendix G, Attachment 1, "Shutdown Operations Significance Determination Process - Phase 1 Operational Checklists for Both PWRs and BWRs." Since the finding was associated with an issue that occurred during the time the reactor was in a defueled condition, the inspectors conservatively consulted all four PWR checklists (i.e., Checklists 1 - 4). The inspectors determined that the finding did not adversely impact any shutdown defense-in-depth or mitigation attributes on any checklist, nor did it meet any of the checklist specific requirements for a Phase 2 or Phase 3 SDP analysis. Consequently, the finding was determined to be of very low safety significance. This finding had a cross-cutting aspect in the area of Human Performance, Resources component, because the licensee did not ensure that personnel, equipment, procedures, and other resources were available and adequate to assure nuclear safety. Specifically, the licensee's procedures, drawings and guidance for the restoration of the CCW system following outage maintenance activities did not ensure that the system was properly aligned prior to restoration of electrical power to MOV CC2645. (H.2(c)) (Section 1R20.1) . A finding of very low safety significance and an associated NCV of TS 5.4.1(a) were identified by the inspectors for the licensee's failure to establish, implement, and maintain technically adequate procedures and drawings to cover the restoration (i.e., motor controller re-energization) of components in the CCW system following maintenance activities. Specifically, as circuit breaker BE1161 was closed to restore power to motor-operated valve (MOV) CC2645, the train 1 auxiliary building return header isolation valve, the MOV unexpectedly stroked open resulting in a rapid loss of CCW system inventory and a low level alarm for the CCW surge tank. Subsequent investigation revealed that notes describing the operating logic for CC2645 on approved operational drawings were less than adequate. The issue was entered into the licensee's CAP as CR 2011-04078.

Cornerstone: Barrier Integrity

GreenThe finding was determined to be more than minor because the finding was associated with the Barrier Integrity Cornerstone attribute of Configuration Control and adversely affected the cornerstone objective to provide reasonable assurance that the physical design barriers (e.g., containment) protect the public from radionuclide releases caused by accidents or events. The shield building is part of the containment system. Absent NRC identification, rebar welds would have been fabricated with electrodes exposed to ambient temperatures for excessive periods of time creating a condition that results in hydrogen-induced weld cracking. Rebar splice material with cracks returned to service would increase risk for shield building failure during design basis events such as wind-driven missile impact or earthquake-induced loads. The inspectors completed a significance determination, in accordance with IMC 0609, "Significance Determination Process," Attachment 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," Table 4a for the Containment Barrier. Because the issue was corrected promptly, prior to introduction of weld material with hydrogen-induced cracks, the inspectors answered "no" to each of the four Phase 1 screening questions. Therefore, the finding screened as having very low safety significance. This finding had a cross-cutting aspect in the area of Human Performance, Work Practices because the licensee did not provide adequate supervisory and management oversight of work activities including contractors such that nuclear safety was supported. Specifically, the failure to control the weld rod oven temperature in accordance with procedure WFMC-1 was caused by inadequate licensee oversight of the contracted welder. (H.4(c)) (Section 1R08.1). . A finding of very low safety significance and an associated NCV of 10 CFR 50, Appendix B, Criterion V, "Instructions, Procedures, and Drawings" were identified by the inspectors for the licensee's failure to control weld rod oven temperature in accordance with procedure WFMC-1 during a rebar splice weld completed for restoration of the shield building access opening. As a corrective action, the licensee removed the welder's certification to weld rebar and documented this issue in CR 2011-05536. To ensure that the horizontal rebar splice weld 2H-03R was not affected by delayed hydrogen cracking, the licensee's vendor examined the weld splice 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br /> after fabrication and did not identify cracks. B. No violations were identified.

Licensee-Identified Violations

REPORT DETAILS

At midnight on September 30/October 1, 2011, the main generator output breakers were opened and the unit was taken offline for mid-cycle outage 17M to facilitate replacement of the reactor vessel closure head. On December 5, 2011, the reactor was restarted and criticality achieved. The unit was synchronized to the main electrical grid and the main generator output breakers were closed on December 6, 2011. The unit reached full power operation 2 days later, on December 8, 2011, and remained operating at or near full power for the remainder of the inspection period. Summary of Plant Status

REACTOR SAFETY

Cornerstones: Initiating Events, Mitigating Systems, and Barrier Integrity

1R01 Adverse Weather Protection.1

a. Winter Seasonal Readiness Preparations The inspectors conducted a review of the licensee's preparations for winter conditions to verify that the plant's design features and implementation of procedures were sufficient to protect mitigating systems from the effects of adverse weather. Documentation for selected risk-significant systems was reviewed to ensure that these systems would remain functional when challenged by inclement weather. During the inspection, the inspectors focused on plant specific design features and the licensee's procedures used to mitigate or respond to adverse weather conditions. Additionally, the inspectors reviewed the Updated Safety Analysis Report (USAR) and performance requirements for systems selected for inspection, and verified that operator actions were appropriate as specified by plant specific procedures. Cold weather protection, such as heat tracing and area heaters, was verified to be in operation where applicable. The inspectors also reviewed Corrective Action Program (CAP) items to verify that the licensee was identifying adverse weather issues at an appropriate threshold and entering them into their CAP in accordance with station corrective action procedures. Specific documents reviewed during this inspection are listed in the Attachment. The inspectors' reviews focused specifically on the following plant systems due to their risk significance or susceptibility to cold weather issues: Inspection Scope Ultimate heat sink; and Borated water storage tank and associated piping. This inspection constituted one winter seasonal readiness preparations sample as defined in Inspection Procedure (IP) 71111.01-05. b. No findings were identified. Findings 8 Enclosure

1R04 Equipment Alignment.1

a. Quarterly Partial System Alignment Verifications The inspectors performed partial system alignment verifications of the following risk-significant systems: Inspection Scope Service water train 1 in Mode 5 when lined up to support shutdown operations during the week ending November 19, 2011; and Emergency diesel generator (EDG) no. 2 when EDG no. 1 was unavailable for planned testing during the week ending December 24, 2011. The inspectors selected these systems based on their risk significance relative to the Reactor Safety Cornerstones at the time they were inspected. The inspectors attempted to identify any discrepancies that could impact the function of the system and, therefore, potentially increase risk. The inspectors reviewed applicable operating procedures, system diagrams, USAR, Technical Specification (TS) requirements, outstanding work orders (WOs), condition reports (CRs), and the impact of ongoing work activities on redundant trains of equipment in order to identify conditions that could have rendered the systems incapable of performing their intended functions. The inspectors also walked down accessible portions of the systems to verify system components and support equipment were aligned correctly and operable. The inspectors examined the material condition of the components and observed operating parameters of equipment to verify that there were no obvious deficiencies. The inspectors also verified that the licensee had properly identified and resolved equipment alignment problems that could cause initiating events or impact the capability of mitigating systems or barriers and entered them into the CAP with the appropriate significance characterization. Documents reviewed are listed in the Attachment to this report. These activities constituted two partial system alignment verification samples as defined in IP 71111.04-05. b. No findings were identified. Findings

.2 a. Semi-Annual Complete System Alignment Verification During the week ending December 10, 2011, the inspectors performed a complete system alignment inspection of the decay heat/low pressure injection system to verify the functional capability of the system.

This system was selected because it was considered both safety significant and risk significant in the licensee's probabilistic risk assessment. The inspectors walked down the system to review mechanical and electrical equipment line ups, electrical power availability, system pressure and temperature indications, as appropriate, component labeling, component lubrication, component and equipment cooling, hangers and supports, operability of support systems, and to ensure that ancillary equipment or debris did not interfere with equipment operation. A review of a sample of past and outstanding WOs was Inspection Scope 9 Enclosure performed to determine whether any deficiencies significantly affected the system function. In addition, the inspectors reviewed the CAP database to ensure that system equipment alignment problems were being identified and appropriately resolved. Documents reviewed are listed in the Attachment to this report. These activities constituted one complete system alignment verification sample as defined in IP 71111.04-05. b. No findings were identified. Findings

1R05 Fire Protection.1

a. Routine Resident Inspector Quarterly Tours The inspectors conducted fire protection inspection tours which were focused on availability, accessibility, and the condition of firefighting equipment in the following risk-significant plant areas: Inspection Scope Containment Elevation 565' (Room 217, Fire Area D); Containment Elevation 603' (Rooms 407 and 410, Fire Area D); Containment Elevation 636' (Room 580, Fire Area D); and Containment Elevation 643' (Rooms 700 and 701, Fire Area D). The inspectors reviewed areas to assess if the licensee had implemented a fire protection program that adequately controlled combustibles and ignition sources within the plant, effectively maintained fire detection and suppression capability, maintained passive fire protection features in good material condition, and implemented adequate compensatory measures for out-of-service, degraded or inoperable fire protection equipment, systems, or features in accordance with the licensee's fire plan. The inspectors selected fire areas based on their overall contribution to internal fire risk as documented in the plant's Individual Plant Examination of External Events (IPEEE) with later additional insights, their potential to impact equipment which could initiate or mitigate a plant transient, or their impact on the plant's ability to respond to a security event. Using the documents listed in the Attachment, the inspectors verified that fire hoses and extinguishers were in their designated locations and available for immediate use; that fire detectors and sprinklers were unobstructed; that transient material loading was within the analyzed limits; and fire doors, dampers, and penetration seals appeared to be in satisfactory condition. The inspectors also verified that minor issues identified during the inspection were entered into the licensee's CAP. Documents reviewed are listed in the Attachment to this report. These activities constituted four quarterly fire protection inspection samples as defined in IP 71111.05-05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement." b. No findings were identified. Findings 10 Enclosure

1R07 Heat Sink Performance

.1 a. Annual Heat Sink Performance Review The inspectors reviewed the licensee's testing of the spent fuel pool heat exchangers to verify that potential deficiencies did not mask the licensee's ability to detect degraded performance, to identify any common cause issues that had the potential to increase risk, and to ensure that the licensee was adequately addressing problems that could result in initiating events that would cause an increase in risk.

The inspectors reviewed the licensee's observations as compared against acceptance criteria, the correlation of scheduled testing and the frequency of testing, and the impact of instrument inaccuracies on test results. Inspectors also verified that test acceptance criteria considered differences between test conditions, design conditions, and testing conditions. Documents reviewed for this inspection are listed in the Attachment to this document. Inspection Scope This annual heat sink performance review constituted a single inspection sample as defined in IP 71111.07-05. b. No findings were identified. Findings

.2 a. Triennial Review of Heat Sink Performance The inspectors reviewed operability determinations, completed surveillances, vendor manual information, associated calculations, performance test results and cooler inspection results associated with the Component Cooling Water (CCW) heat exchanger number E22-3.

This heat exchanger was chosen based on its risk significance in the licensee's probabilistic safety analysis, its important safety-related mitigating system support functions, its operating history, and its relatively low margin. Inspection Scope The inspectors verified that testing, inspection, maintenance, and monitoring of biotic fouling and macrofouling programs were adequate to ensure proper heat transfer. This was accomplished by verifying the test method used was consistent with accepted industry practices, or equivalent, the test conditions were consistent with the selected methodology, the test acceptance criteria were consistent with the design basis values, and results of heat exchanger performance testing. The inspectors also verified that the test results appropriately considered differences between testing conditions and design conditions, the frequency of testing based on trending of test results was sufficient to detect degradation prior to loss of heat removal capabilities below design basis values and test results considered test instrument inaccuracies and differences. The inspectors reviewed the methods and results of heat exchanger performance inspections. The inspectors verified the methods used to inspect and clean heat exchangers were consistent with as-found conditions identified and expected degradation trends and industry standards, the licensee's inspection and cleaning activities had established acceptance criteria consistent with industry standards, and the 11 Enclosure as-found results were recorded, evaluated, and appropriately dispositioned such that the as-left condition was acceptable. In addition, the inspectors verified the condition and operation of the CCW heat exchanger number E22-3 were consistent with design assumptions in heat transfer calculations and as described in the final safety analysis report. This included verification that the number of plugged tubes was within pre-established limits based on capacity and heat transfer assumptions. The inspectors verified the licensee evaluated the potential for water hammer and established adequate controls and operational limits to prevent heat exchanger degradation due to excessive flow-induced vibration during operation. In addition, eddy current test reports and visual inspection records were reviewed to determine the structural integrity of the heat exchanger. The inspectors verified the performance of ultimate heat sinks (UHS) and safety-related service water systems and their subcomponents such as piping, intake screens, pumps, valves, etc. by tests or other equivalent methods to ensure availability and accessibility to the inplant cooling water systems.

The inspectors reviewed the results of the licensee's inspection of the UHS weirs or excavations. The inspectors verified that identified settlement or movement indicating loss of structural integrity and/or capacity was appropriately evaluated and dispositioned by the licensee. In addition, the inspectors verified the licensee ensured sufficient reservoir capacity by trending and removing debris or sediment buildup in the UHS. The inspectors reviewed the licensee's operation of service water system and UHS. This included the review of licensee's procedures for a loss of the service water system or UHS and the verification that instrumentation, which is relied upon for decision making, was available and functional. In addition, the inspectors verified that macrofouling was adequately monitored, trended, and controlled by the licensee to prevent clogging. The inspectors verified that licensee's biocide treatments for biotic control were adequately conducted and the results monitored, trended, and evaluated. The inspectors also reviewed strong pump-weak pump interaction and design changes to the service water system and the UHS. The inspectors also verified that the licensee maintained adequate pH, calcium hardness, etc. In addition, the inspectors reviewed condition reports related to the heat exchangers/coolers and heat sink performance issues to verify that the licensee had an appropriate threshold for identifying issues and to evaluate the effectiveness of the corrective actions. The documents that were reviewed are included in the Attachment to this report. These inspection activities constituted two heat sink inspection samples as defined in IP 71111.07 05. b. No findings of significance were identified. Section

4OA2 documents a review of the licensee's assessment of the as-found condition of the intake canal. Findings

12 Enclosure

1R08 Inservice Inspection ActivitiesFrom October 11, 2011, through November 23, 2011, the inspectors conducted a review of the implementation of the licensee's Inservice Inspection (ISI) Program for monitoring degradation of the reactor coolant system (RCS), steam generator (SG) tubes, emergency feedwater (FW) systems, risk-significant piping and components and containment systems.

The inspections described in Sections 1R08.1, 1R08.2, R08.3, IR08.4, and 1R08.5 below were completed in accordance with IP 71111.08. A full inspection sample was not available during this outage, so the reviews under Section 1R08.4 are considered incomplete. Additional reviews to complete this procedure will be documented in a future inspection report. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement."

.1 a. Piping Systems Inservice Inspection The inspectors observed the following non-destructive examinations mandated by the American Society for Mechanical Engineers (ASME) Code Section XI to evaluate compliance with the ASME Code Section XI and Section V requirements and if any

indications and defects were detected, to determine if these were dispositioned in accordance with the ASME Code or an NRC approved alternative requirement. Inspection Scope Ultrasonic examination (UT) of the pressurizer nozzle-to-lower head weld (RC-PZR-WP-15); Dye penetrant (PT) examination of pipe-to-valve weld (MU-31-CCA-18-1-FW23); UT of reactor vessel shell-to-lower head weld no. 4.; and UT of reactor vessel nozzle-to-shell weld no. 11. The inspectors reviewed the following examination records (volumetric or surface) with recordable indications accepted for continued service to determine if acceptance was in accordance with the ASME Code Section XI or an NRC approved alternative: PT examination report no. 17-PT-011, valve HP92- to-pipe weld. The inspectors observed the following welds completed for risk significant systems during the outage to determine if the licensee applied the preservice non-destructive examinations and acceptance criteria required by the construction code (CC). Additionally, the inspectors reviewed the welding procedure specification and supporting weld procedure qualification records to determine if the weld procedures were qualified in accordance with the requirements of CC, the ASME Code Section IX and the American Welding Society (AWS) D.1.4 Code: Containment access door closure weld FW-1; Beam (stiffener)-to-containment plate weld FW-1; and Splice welds of shield building (SB) rebar joints 2H-03R and 2V-45B.

13 Enclosure

b. Findings

Inadequate Control of Weld Filler Metal Electrodes A finding of very low safety significance and an associated NCV of 10 CFR 50, Appendix B, Criterion V, "Instructions, Procedures, and Drawings," were identified by the inspectors for the licensee's failure to control weld rod oven temperature in accordance with procedure WFMC-1 during a rebar splice weld completed for restoration of the SB access opening. Introduction The inspectors identified that the portable weld rod oven temperature had not been maintained above the minimum required temperature of 250 degrees Fahrenheit (deg F). The inspectors were concerned that if this practice had continued, it would increase the possibility for rebar splice weld failure due to hydrogen-induced cracking. Description The coatings of shielded metal arc welding (SMAW) electrodes used for steel (especially low-hydrogen electrodes) readily absorb moisture (i.e., hydroscopic). Water present in the electrode coating, breaks down into hydrogen and oxygen within the welding arc. The hydrogen becomes entrained in the weld metal and as the metal cools, it undergoes a phase transformation from an austenitic to a martensitic structure. From 400 deg F to room temperature, some of the retained austenite changes slowly into martensite (delayed transformation). During this delayed transformation, the monatomic hydrogen has limited solubility and recombines into hydrogen gas causing metal microcracks and fissures. These defects may appear in the weld, at the weld interface, or in the parent metal, depending on how the hydrogen moves or where it becomes trapped and results in delayed hydrogen induced cracks and weld porosity. Because detection of hydrogen-induced cracks is difficult and may not be found until after a weld is placed into service, the controls used to prevent introduction of hydrogen are critical for fabrication of acceptable welds. To prevent introduction of hydrogen, the controls for storage of low-hydrogen electrodes are designed to preclude moisture absorption by the use of hermetically-sealed containers (e.g. shipping package from manufacturer) or by the use of ovens maintained at elevated temperatures to keep the electrode coating dry. For the low-hydrogen electrodes used to fabricate rebar splices in the restoration of the SB, the licensee's contractor provided for the control of the low-hydrogen electrodes in procedure WFMC-1 "Bechtel Welding Specification Welding Filler Material Control." This procedure required the use of portable rod warmers maintained at a minimum temperature of 250 deg F for storage of low-hydrogen electrodes to ensure that the hydroscopic coating of the welding electrode stayed dry and did not absorb moisture from the atmosphere.

During fabrication of a horizontal rebar splice weld 2H-03R, the inspectors observed that the low-hydrogen electrode filler material was protruding several inches above the top of the welder's portable rod storage oven (e.g. top of oven was open). The inspectors requested the welder verify that the portable oven was at or above the minimum required temperature of 250 deg F. The welder applied a temperature crayon designed to melt at 200 deg F to the oven at the inside surface of the top lid, to the oven inner wall, and at several points on the removable filler metal storage rack. The temperature 14 Enclosure crayon did not melt at any of these locations. The welder then removed a single weld electrode and applied the temperature crayon at locations along the weld electrode and was able to get the crayon to melt on the bottom 1/4 length of the electrode (portion nearest the bottom of the oven). These measurements demonstrated that the oven temperature had not been maintained above 250 deg F as required by the procedure WFMC-1. As a corrective action, the licensee removed the welder's certification to weld rebar and documented this issue in CR 2011-05536. The welder who fabricated weld 2H-03R was assigned three additional welds, and absent NRC intervention, these welds would likely have been fabricated with electrodes exposed to ambient temperature conditions for more than 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />. A 1-hour time limit outside the warming oven was the maximum allowed by procedure WFMC-1 and AWS D1.4 "Structural Welding Code - Reinforcing Steel" for the E-9018-B3H4R electrode material used on weld 2H-03R to ensure moisture was not absorbed from the atmosphere. To ensure that the horizontal rebar splice weld 2H-03R was not affected by delayed hydrogen cracking, the licensee's vendor examined the weld splice 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br /> after fabrication and did not identify cracks. The inspectors determined that the licensee's failure to control weld rod oven temperature in accordance with procedure WFMC-1 is contrary to 10 CFR 50 Appendix B, Criterion V, and a performance deficiency. Analysis The finding was determined to be more than minor because the finding was associated with the Barrier Integrity Cornerstone attribute of Configuration Control and adversely affected the cornerstone objective to provide reasonable assurance that the physical design barriers (e.g. containment) protect the public from radionuclide releases caused by accidents or events. The SB is part of the containment system. Absent NRC identification, rebar welds would have been fabricated with electrodes exposed to ambient temperatures for excessive periods of time creating a condition that results in hydrogen-induced weld cracking. Rebar splice material with cracks returned to service would increase risk for SB failure during design basis events such as wind-driven missile impact or earthquake-induced loads. The inspectors completed a significance determination, in accordance with Inspection Manual Chapter (IMC) 0609, "Significance Determination Process," Attachment 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," Table 4a for the Containment Barrier. Because the issue was corrected promptly, prior to introduction of weld material with hydrogen induced cracks, the inspectors answered "no" to each of the four Phase 1 screening questions. Therefore, the finding screened as having very low safety significance (Green). This finding had a cross-cutting aspect in the area of Human Performance, Work Practices because the licensee did not provide adequate supervisory and management oversight of work activities including contractors such that nuclear safety was supported. Specifically, the failure to control the weld rod oven temperature in accordance with procedure WFMC-1 was caused by inadequate licensee oversight of the contracted welder (IMC 0310 - Item H.4(c)). The inspector determined that this was the cause of the finding based upon discussions with licensee and vendor staff.

15 Enclosure Appendix B of 10 CFR 50, Criterion V, "Instructions, Procedures, and Drawings," required in part, that activities affecting quality shall be prescribed by documented instructions, procedures, or drawings of a type appropriate to the circumstances and shall be accomplished in accordance with these instructions, procedures, or drawings. Enforcement Procedure WFMC-1, Bechtel Welding Specification Welding Filler Material Control, Revision 0, required; in Paragraph 6.1.2.2 that: "The oven shall be held at a minimum of 250 deg F and a maximum of 350 deg F," and in Paragraph 7.5 that: "The portable rod warmers shall maintain a minimum temperature of 250 deg F" and in Table 1 for use of "All Low-Hydrogen Electrodes" to "Issue in portable warmers maintained at 250 deg F minimum." Contrary to the above, on November 16, 2011, for an activity affecting quality (weld rod oven temperature) the licensee failed to accomplish the activity in accordance with the applicable procedure WFMC-1. Specifically, the licensee failed to maintain a portable rod warmer oven containing low-hydrogen electrode weld material above the minimum required temperature of 250 deg F. Because of the very low safety significance of this finding and because the issue was entered into the licensee's CAP (CR 2011-05536), it is being treated as a non-cited violation (NCV), consistent with Section 2.3.2 of the NRC Enforcement Policy. (NCV 05000346/2011005-01)

.2 a. Reactor Pressure Vessel Upper Head Penetration Inspection Activities The vessel head penetration nozzles and J-groove welds of the inservice head had been affected by primary water stress corrosion cracking (PWSCC) and repaired during the previous outage (reference NRC Inspection Report (IR) 05000346/2010008 - Adams Accession No. ML102930380).

For the No. 17 mid-cycle outage, the in-service head was removed to an on-site storage location pending off-site disposal and thus did not require further non-destructive examination. The licensee procured a replacement reactor vessel closure head (RRVCH) with penetration nozzles and J-groove welds fabricated with materials (e.g., Alloy 690) more resistant to PWSCC. Inspection Scope For the RRVCH a bare metal visual pre-service examination and a non-visual pre-service examination was required pursuant to 10 CFR 50.55a(g)(6)(ii)(D) and Code Case N-729-1. The inspectors had previously completed the review of the non-visual preservice examination records for the replacement head as documented in NRC IR 05000346/2011004 (Adams Accession No. ML112991544). For the pre-service visual examinations of the RRVCH the inspectors observed and reviewed records of the visual examination conducted on the vessel head at penetrations 1, 3, 54, and 61 to determine if the activities were conducted in accordance with the requirements of ASME Code Case N-729-1 and 10 CFR 50.55a(g)(6)(ii)(D). In particular, the inspectors confirmed that: The required visual examination scope/coverage was achieved and limitations (if applicable) were recorded in accordance with the licensee procedures; The licensee criteria for visual examination quality and instructions for resolving interference and masking issues were adequate; and That the visual examination procedure required recording indications of potential through-wall leakage and that licensee documented relevant conditions in the corrective action system and implemented appropriate corrective actions. Prior to the mid-cycle outage, the inspectors observed a welded repair/replacement activity associated with installation of a vent assembly on the upper head penetration of the RRVCH at nozzle No. 21 as documented in NRC IR 05000346/2011004 (Adams Accession No. ML112991544). b. No findings were identified. Findings

.3 a. Boric Acid Corrosion Control The inspectors performed an independent walkdown of portions of the reactor coolant system and attached safety-related systems which had received a boric acid walkdown by the licensee staff to determine whether the licensee's Boric Acid Corrosion Control (BACC) visual examinations emphasized locations where boric acid leaks can cause degradation of safety significant components and to determine if degraded conditions were entered into the CAP. Inspection Scope The inspectors reviewed the following evaluations of reactor coolant system or other safety-related systems with components affected by boric acid to determine if the licensee applied appropriate corrosion rates and properly assessed the effects of corrosion-induced wastage on the component's structural or pressure boundary integrity:

CR 2010-74892, reactor coolant pump 1-2-2 boric acid; CR 2010-79012, high pressure injection (HPI) pump 2P58-2 boric acid; and CR 2011-94103, spent fuel pool pump 1-2 seal leak. The inspectors reviewed the following corrective actions related to evidence of boric acid leakage to determine if the corrective actions completed were consistent with the requirements of the ASME Code Section XI and 10 CFR 50, Appendix B, Criterion XVI: CR 2010-78548, leak at DH 22A packing; CR 2010-73653, leak at DH-11 packing; and CR 2010-76667, leak at SF-35 packing. b. No findings were identified. Findings

.4 a. Steam Generator Tube Inspection Activities Steam Generator tube eddy current (ET) examinations were not required during the No. 17 mid-cycle outage pursuant to TS 3.4.17 "Steam Generator Tube Integrity," and TS 5.5.8 "Steam Generator Program."

Therefore, the licensee did not conduct SG tube Inspection Scope 17 Enclosure examinations and only a portion of the NRC IP could be completed for this review area. Specifically, from October 11, 2011, through November 23, 2011, the inspectors performed an on-site review of documentation related to the SG ISI program to determine if: Primary-to-secondary leakage (e.g., SG tube leakage) was below 3 gallons per day or the detection threshold during the previous operating cycle. Completion of Section 02.04 of IP 71111.08 is scheduled to be completed during the Spring 2012 refueling outage when the licensee will perform ET of the SG tubes. b. No findings were identified. Findings

.5 a. Identification and Resolution of Problems The inspectors performed a review of ISI/SG related problems entered into the licensee's CAP and conducted interviews with licensee staff to determine if: Inspection Scope The licensee had established an appropriate threshold for identifying ISI/SG related problems; The licensee had performed a root cause (if applicable) and taken appropriate corrective actions; and The licensee had evaluated operating experience and industry generic issues related to ISI and pressure boundary integrity. The inspectors performed these reviews to evaluate compliance with 10 CFR 50, Appendix B, Criterion XVI, "Corrective Action," requirements. The corrective action documents reviewed by the inspectors are listed in the Attachment to this report. b. No findings were identified. Findings 1R12 Maintenance Effectiveness.1

a. Routine Quarterly Evaluations The inspectors evaluated degraded performance issues involving the following risk-significant systems: Inspection Scope Auxiliary building and SB structures; and Containment systems. The inspectors reviewed events such as where ineffective equipment maintenance had resulted in valid or invalid automatic actuations of engineered safeguards systems and independently verified the licensee's actions to address system performance or condition problems in terms of the following:

Implementing appropriate work practices; Identifying and addressing common cause failures; Scoping of systems in accordance with 10 CFR 50.65(b) of the maintenance rule; Characterizing system reliability issues for performance; Charging unavailability for performance; Trending key parameters for condition monitoring; Ensuring 10 CFR 50.65(a)(1) or (a)(2) classification or re-classification; and Verifying appropriate performance criteria for structures, systems, and components (SSCs)/functions classified as (a)(2), or appropriate and adequate goals and corrective actions for systems classified as (a)(1). The inspectors assessed performance issues with respect to the reliability, availability, and condition monitoring of the system. In addition, the inspectors verified maintenance effectiveness issues were entered into the CAP with the appropriate significance characterization. Documents reviewed are listed in the Attachment to this report. The inspectors' maintenance effectiveness reviews constituted two quarterly inspection samples as defined in IP 71111.12-05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement." b. No findings were identified. Findings

1R13 Maintenance Risk Assessments and Emergent Work Control.1

a. Maintenance Risk Assessments and Emergent Work Control The inspectors reviewed the licensee's evaluation and management of plant risk for the maintenance and emergent work activities affecting risk-significant and safety-related equipment listed below to verify that the appropriate risk assessments were performed prior to removing equipment for work: Inspection Scope Work activities during the week ending October 8, 2011, which included a period of yellow shutdown risk during the time that the RCS was drained to reduced inventory conditions. Other activities included the lift and movement of the reactor vessel head from the reactor vessel to the containment storage stand; Emergent work associated with cracking identified in the containment SB during the 17M mid-cycle reactor head replacement outage, as documented in CR 2011-03346 and other entries into the licensee's CAP; and Emergent repairs associated with damage to decay heat pump 1-1 during the week ending December 24, 2011, as documented in CR 2011-07195. These activities were selected based on their potential risk significance relative to the Reactor Safety Cornerstones. As applicable for each activity, the inspectors verified that risk assessments were performed as required by 10 CFR 50.65(a)(4) and were accurate and complete. When emergent work was performed, the inspectors verified that the plant risk was promptly reassessed and managed. The inspectors reviewed the scope of maintenance work, discussed the results of the assessment with the licensee's 19 Enclosure probabilistic risk analyst or shift technical advisor, and verified plant conditions were consistent with the risk assessment. The inspectors also reviewed TS requirements and walked down portions of redundant safety systems, when applicable, to verify risk analysis assumptions were valid and applicable requirements were met. Specific documents reviewed during this inspection are listed in the Attachment to this report. These maintenance risk assessments and emergent work control activities constituted three inspection samples as defined in IP 71111.13-05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement."

b. Findings

Decay Heat Pump 1-1 Damaged and Rendered Inoperable By Personnel Climbing on Equipment A self-revealed finding of very low safety significance (Green) was identified when low pressure injection equipment was damaged by operators attempting to access an overhead valve. Specifically, by climbing and standing on sensitive plant equipment, the licensee failed to comply with the standards and expectations for accessing plant equipment contained in procedure NOP-OP-1002, "Conduct of Operations". Introduction On the morning of December 22, 2011, the plant was performing DB-PF-03071, "CCW Check Valve Testing." Performance of this test requires an operator to manipulate CC258, CCW Essential Line 1 to Makeup Pump 1 Isolation Valve. The location of this valve makes it difficult for an operator to gain access. The valve is approximately 12 feet off the floor, amidst overhead interferences, and is located directly above the motor for decay heat removal pump no. 1. A convenient way to access the valve was not readily available when CC258 was required to be closed and opened during the performance of the CCW check valve test. The operator attempting to perform the task determined the most practical method to access the valve was to climb up plant equipment and position himself standing on the top of the decay heat pump motor. The first time the valve was accessed, the operator chose the more open, north, side of the motor. This proved difficult, though the operator was able to make the climb and perform the valve manipulation without event. The operator lowered himself from the motor on the east side, which contained more sensitive equipment, but had more hand and foot holds that made it easier to climb down. For the second time accessing CC258, the operator attempted to climb up the side he had just descended (east), despite the proximity to more sensitive equipment. Upon climbing the motor the second time, the operator's hand slipped causing a fall of approximately 3 feet. The operator landed on his feet, however, during the fall the operator came into contact with the oil temperature probe for the decay heat motor outboard bearing. The temperature element was dislodged and oil began spilling from motor out the open connection. Description The loss of oil from the outboard motor bearing rendered low pressure injection pump no. 1 inoperable, causing entry into the action statement for limiting condition for Operation (LCO) 3.5.2.A, which has a 7-day completion time for restoring the system to an operable status. The temperature element was repaired; and the system was 20 Enclosure restored in the afternoon of December 22, 2011, after being out-of-service for approximately 13 hours1.50463e-4 days <br />0.00361 hours <br />2.149471e-5 weeks <br />4.9465e-6 months <br />. The inspectors reviewed the standards and expectations contained in Section 4.17 of NOP-OP-1002, "Conduct of Operations", covering access to plant equipment. The expectation states that: "Climbing on equipment is the exception and not the rule." The Conduct of Operations standards also include the following: Plant equipment should not be climbed upon to gain access from one location to another. Ladders and/or scaffold are used whenever possible; and If no other means are available, plant equipment may be climbed upon provided it does not pose a risk to the safety of personnel or equipment. Contrary to the standards above, the operator climbed upon plant equipment (decay heat pump motor no. 1) despite the risks involved to personnel safety and equipment safety. An alternate method for accessing CC258 was not addressed in the pre-job brief for the CCW check valve test. A ladder could have been used to provide safer access to the top of the motor or a scaffold addition could have provided better access to the valve itself. The licensee included this issue in their CAP as CR 2011-07195. An immediate corrective action was taken to repair the damaged temperature element and restore low pressure injection pump no. 1 to operable status. A long-term solution to providing access to the overhead valve is under evaluation in the licensee's CAP.

The inspectors reviewed this finding using the guidance contained in Appendix B, "Issue Screening," of IMC 0612, "Power Reactor Inspection Reports." The inspectors determined that the licensee's failure to comply with the standards and expectations for accessing plant equipment contained in the "Conduct of Operations" procedure was a performance deficiency that was reasonably within the licensee's ability to foresee and correct and should have been prevented. The inspectors determined that the finding was more than minor because it was associated with the Mitigating Systems Cornerstone attribute of Human Performance and affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the damage caused when falling from plant equipment rendered low pressure injection train 1 inoperable. Analysis The inspectors evaluated the finding using IMC 0609, Attachment 4, "Phase 1 - Initial Screening and Characterization of Findings," using the Phase 1 SDP worksheet for the mitigating systems cornerstone. The finding screened as very low safety significance (Green) because the inspectors answered "no" to the screening questions in Table 4a. Specifically, the finding was not a design or qualification deficiency, did not represent a loss of system safety function, did not represent actual loss of safety function of a single train for greater than its TS allowed outage time, and the finding did not screen as potentially risk significant due to a seismic, flooding, or severe weather initiating event. This finding had a cross-cutting aspect in the area of Human Performance, Work Control component, because the licensee did not plan and coordinate work activities, consistent with nuclear safety. Specifically, the licensee did not appropriately plan for job site 21 Enclosure conditions impacting human performance since an appropriate available method for accessing CC258 was not evaluated. (H.3(a)) The inspectors concluded that the licensee did not comply with the standards and expectations for accessing plant equipment contained in procedure NOP-OP-1002, "Conduct of Operations." This finding, however, did not involve a corresponding violation of NRC requirements. Specifically, the inspectors determined that the "Conduct of Operations" procedure is an administrative procedure, and not covered under the quality assurance (QA) requirements set forth in 10 CFR 50, Appendix B. Additionally, the inspectors also determined that the "Conduct of Operations" procedure is not covered under TS 5.4.1(a), which requires the licensee to establish, implement, and maintain applicable written procedures for the safety-related systems and activities recommended in Regulatory Guide (RG) 1.33, Revision 2, Appendix A. (FIN 05000346/2011005-02) Enforcement

1R15 Operability Determinations and Functional Assessments.1

a. Operability Evaluations The inspectors reviewed the following issues: Inspection Scope The functionality of the containment SB and operability of the plant's containment system following identification of cracking in the SB concrete, as documented in CR 2011-03346 and other related entries in licensee's CAP; The operability of the plant's safety-related station batteries and direct current (DC) electrical distribution systems following identification of loading issues, as documented in CR 2011-01902; The functionality and operability of the CCW system following the unexpected drop in CCW surge tank level, as documented in CR 2011-05542; and The functionality and operability of the service water (SW) system following issues associated with the balancing of SW train no. 2 safety-related flows after maintenance, as documented in CR 2011-05526.

The inspectors selected these potential operability issues based on the risk significance of the associated components and systems. The inspectors evaluated the technical adequacy of the evaluations to ensure that TS operability was properly justified and the subject component or system remained available such that no unrecognized increase in risk occurred. The inspectors compared the operability and design criteria in the appropriate sections of the TS and USAR to the licensee's evaluations to determine whether the components or systems were operable. Where compensatory measures were required to maintain operability, the inspectors determined whether the measures in place would function as intended and were properly controlled. The inspectors determined, where appropriate, compliance with bounding limitations associated with the evaluations. Additionally, the inspectors reviewed a sampling of corrective action documents to verify that the licensee was identifying and correcting any deficiencies associated with operability evaluations. Documents reviewed are listed in the Attachment to this report.

22 Enclosure The inspectors' reviews of these operability and functionality evaluations constituted four inspection samples as defined in IP 71111.15-05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement."

b. Findings

Air Voids in Component Cooling Water System Caused By Inadequate Fill and Vent Procedure A self-revealed finding of very low safety significance (Green) and an associated NCV of TS 5.4.1(a) were identified for the licensee's failure to establish, implement, and maintain technically adequate procedures to cover the restoration (i.e., filling and venting) of the CCW system following maintenance activities. Introduction In the early morning hours of November 17, 2011, the plant was in Mode 5, cold shutdown. A heightened shutdown safety awareness condition (i.e., "yellow" risk) was in effect due to the plant having a reduced capacity for decay heat removal until activities to fill and vent the RCS were completed. These RCS filling and venting procedures were in progress. Description At approximately 0120 hours0.00139 days <br />0.0333 hours <br />1.984127e-4 weeks <br />4.566e-5 months <br />, the on-watch control room crew received an unexpected annunciator alarm, 11-3-A, which indicated a low level in the CCW surge tank. The crew entered DB-OP-02011, "Heat Sink Alarm Panel 11 Annunciators," and cut in demineralized water to the CCW system to retard the drop in surge tank level in accordance with the procedure. CCW surge tank level was stabilized, and restored to the normal operating band in short order. The operating crew calculated that approximately 125 gallons of inventory from the CCW surge tank had been lost. A follow-on investigation by the operating crew revealed no signs of leakage from the system, but that a chemical addition had been made to the CCW system approximately 50 minutes before the receipt of annunciator alarm 11-3-A. From this, the licensee surmised that an air bubble might have been introduced into the CCW system during the chemical addition. The chemical addition piping was a long run of approximately 300 feet that had not been used since maintenance had been conducted on the system and, if voided, could have introduced an air bubble of sufficient size to account for the drop in CCW surge tank level. On November 18, 2011, the inspectors discussed the issue with the licensee's Superintendent of Nuclear Operations, and voiced a concern regarding how the licensee's procedures for restoration from maintenance activities on the CCW system could have permitted parts of the system to have air entrapped. The possibility that more sections of the CCW system could be voided was also discussed, whereupon the Superintendent of Nuclear Operations stated that the licensee would conduct additional inspections and investigation into the issue. On November 22, 2011, UT performed by the licensee identified a significant air void, approximately 19 cubic feet, in a CCW pump 3 horizontal suction piping segment. CCW pump 3 is a 'swing' pump that can be lined up to take the place of either the 23 Enclosure normal train 1 CCW pump or the normal train 2 CCW pump. Component Cooling Water pump 3 was immediately declared unavailable upon identification of the air void, but because the pump was not lined up to support either train of the CCW system there was no TS implications. Extensive ultrasonic testing was performed on the rest of the CCW system, with no abnormal conditions being noted. A follow-on investigation by licensee engineering and operations personnel revealed that the air entrapment in the CCW system was most likely due to the extensive maintenance activities on the system during the 17M mid-cycle outage. A complex series of fill and venting evolutions to restore the system had been required, and these evolutions may not have vented all of the air from the system. The licensee had entered this issue into their CAP as CRs 2011-05542 and 2011-05831. Planned corrective actions included additional procedural guidance for CCW fill and venting activities. The inspectors determined that failure of the licensee to establish, implement, and maintain technically adequate procedures to cover the restoration (i.e., filling and venting) of the CCW system following maintenance activities was contrary to the requirements in the licensee's Quality Assurance Program Manual and TS, and as such constituted a performance deficiency that was reasonably within the licensee's ability to foresee and correct and should have been prevented. Analysis The inspectors reviewed this issue using the guidance contained in Appendix B, "Issue Screening," of IMC 0612, "Power Reactor Inspection Reports," and determined that it was of more than minor safety significance and constituted a finding. The issue was determined to be associated with the Mitigating Systems Cornerstone attribute of procedure quality, and had adversely affected the associated cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, CCW, a mitigating system, had its reliability adversely impacted by the lack of appropriate fill and venting procedural guidance. In addition, the unexpected 11-3-A annunciator alarm and ensuing alarm response and investigation caused the on-watch operations crew to temporarily suspend the in-progress RCS fill and venting procedures, which extended the heightened shutdown safety awareness condition (i.e., "yellow" risk) by approximately 30 minutes. The inspectors evaluated the finding using IMC 0609, Attachment 4, "Phase 1 - Initial Screening and Characterization of Findings." Because the finding involved reactor shutdown operations and conditions, the inspectors transitioned to IMC 0609, Appendix G, Attachment 1, "Shutdown Operations Significance Determination Process - Phase 1 Operational Checklists for Both PWRs and BWRs." Since the finding was associated with an issue that occurred during the time the licensee was conducting RCS fill and venting activities and plant conditions were in transition, the inspectors consulted both Checklist 2, "PWR Cold Shutdown Operation: RCS Closed and Steam Generators Available for Decay Heat Removal (Loops Filled and Inventory in the Pressurizer); Time to Boiling Less Than 2 Hours," and Checklist 3, "PWR Cold Shutdown and Refueling Operation: RCS Open and Refueling Cavity Level Less Than 23 Feet or RCS Closed and No Inventory in the Pressurizer; Time to Boiling Less Than 2 Hours." The inspectors determined that the finding did not adversely impact any shutdown defense-in-depth or mitigation attributes on either checklist, nor did it meet any 24 Enclosure of the checklist specific requirements for a Phase 2 or Phase 3 SDP analysis. Consequently, the finding was determined to be of very low safety significance (Green). This finding had a cross-cutting aspect in the area of Human Performance, Resources component, because the licensee did not ensure that personnel, equipment, procedures, and other resources were available and adequate to assure nuclear safety. Specifically, the licensee's procedures and guidance for the restoration of the CCW system following outage maintenance activities did not ensure that the system was fully filled and properly vented prior to operation. (H.2(c)) Technical Specification 5.4.1(a) requires the licensee to establish, implement, and maintain applicable written procedures for the safety-related systems and activities recommended in RG 1.33, Revision 2, Appendix A. Section 3(e) of RG 1.33, Revision 2, Appendix A, requires procedures for the proper operation of the CCW system, including filling, venting, and draining operations. Contrary to this requirement, the licensee failed to properly prepare and implement technically adequate written procedures for the filling and venting of the CCW system following mid-cycle outage 17M maintenance, such that significant air voids were left in the system following its restoration and return to service. Enforcement Because this finding was of very low safety significance and had been entered into the licensee's CAP as CRs 2011-05542 and 2011-05831, the associated violation is being treated as an NCV, consistent with Section 2.3.2 of the NRC Enforcement Policy.

(NCV 05000346/2011005-03)

1R18 Plant Modifications.1

a. Temporary and Permanent Plant Modifications The inspectors reviewed the following temporary and permanent plant modifications: Inspection Scope Engineering change package (ECP) 11-0412, which covered replacement of large portions of service water (SW) piping and removal of emergency core cooling system (ECCS) room cooler check valves [permanent modification]; ECP 02-0540, which covered replacement of the unit load demand module of the station's integrated control system (ICS) [permanent modification]; and ECPs 10-0458 and 10-0459, which covered the opening and restoration of the access openings in the concrete containment SB and steel containment vessel (CV) to facilitate replacement of the integrated reactor head assembly [temporary modification]. The inspectors reviewed the configuration changes and associated 10 CFR 50.59 safety evaluation screenings against the design basis, the USAR, and the TS to verify that the modification did not affect the operability or availability of the affected systems. The inspectors observed ongoing and completed work activities to ensure that the modifications were installed as directed and consistent with the design control documents; the modifications operated as expected; post-modification testing adequately demonstrated continued system operability, availability, and reliability; and that operation of the modifications did not impact the operability of any interfacing 25 Enclosure systems. In addition, the inspectors verified that relevant procedure, design, and licensing documents were properly updated. Lastly, the inspectors discussed the plant modification with operations, engineering, and training personnel to ensure that the individuals were aware of how the operation with the plant modification in place could impact overall plant performance. Documents reviewed in the course of this inspection are listed in the Attachment to this report. These inspection activities constituted a single temporary modification sample and two permanent plant modification samples as defined in IP 71111.18-05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement." b. No findings were identified. Findings

1R19 Post-Maintenance Testing.1

a. Post-Maintenance Testing

The inspectors reviewed the following post-maintenance testing (PMTs) to verify that procedures and testing activities were adequate to ensure system operability and functional capability: Inspection Scope Motor testing and pump baseline testing of containment spray train 1 during the week ending October 29, 2011, following motor replacement and preventive maintenance activities; Motor testing and baseline testing of no. 1 makeup pump during the week ending October 29, 2011, following motor replacement and preventive maintenance (PM) activities; Motor testing and baseline testing of no. 1 decay heat pump during the week ending November 5, 2011, following motor replacement and preventive maintenance activities; Motor testing and 18-month response time testing of containment air cooling unit no. 3 during the week ending November 12, 2011, following motor replacement and preventive maintenance activities; Post-modification test and 8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> load test of station battery charger 1N and 1P during the weeks ending October 29 and November 5, 2011, following replacement of the battery chargers; Emergency ventilation system train 1 refueling interval SFAS drawdown test during the week ending November 26, 2011, following restoration of the SB and CV openings; Testing and tuning of main feedwater regulating valve (FRV) SP6B during the week ending November 5, 2011, following various outage-related maintenance activities; Integrated leakage testing of the primary containment during the week ending November 19, 2011, following restoration of the maintenance access opening that facilitated replacement of the reactor vessel integrated closure head assembly; Performance testing of auxiliary FW train no. 1 during the week ending December 10, 2011, following various outage-related maintenance activities; and Control rod drop timing testing during the week ending December 10, 2011, following replacement of the reactor vessel integrated closure head assembly. These activities were selected based upon the structure, system, or component's ability to impact risk. The inspectors evaluated these activities for the following (as applicable): that the effect of testing on the plant had been adequately addressed; that testing was adequate for the maintenance performed; that acceptance criteria were clear and demonstrated operational readiness; that test instrumentation was appropriate; that the tests were performed as written in accordance with properly reviewed and approved procedures; that equipment was returned to its operational status following testing (i.e., temporary modifications or jumpers required for test performance were properly removed after test completion, etc.); and that test documentation was properly evaluated. The inspectors evaluated the activities against TS, the USAR, 10 CFR 50 requirements, licensee procedures, and various NRC generic communications to verify that the test results adequately ensured that the equipment met the licensing basis and design requirements. In addition, the inspectors reviewed corrective action documents associated with PMTs to determine whether the licensee was identifying problems and entering them in the CAP and that the problems were being corrected commensurate with their importance to safety. Documents reviewed are listed in the Attachment to this report. The inspectors' reviews of these activities constituted ten PMT samples as defined in IP 71111.19-05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement."

b. Findings

Reactivity Manipulations Performed By Non-Licensed Individual The inspectors identified a SL IV NCV of 10 CFR 54(i). Specifically, on December 4, 2011, during the conduct of control rod insertion timing testing, the inspectors observed a non-licensed member of the licensee's engineering staff operating switches that directly and purposefully caused the insertion of various control rods that were being tested. Introduction On December 4, 2011, the inspectors were observing control rod insertion timing testing as part of a normal baseline inspection sample, and also to fulfill post-installation testing requirements associated with IP 71007, "Reactor Vessel Head Replacement." The sequence of testing involved the withdrawal of each control rod group (one group at a time) from the control room, and then timing the insertion of the control rods upon removal of power from their control rod drive (CRD) mechanisms. This latter action was accomplished locally in the field from electrical penetration room no. 1 where the control rod power supply cabinets were situated. Description The inspectors observed the first of several control rod groups to be tested from the control room. Control rod group withdrawal was accomplished by an on-watch licensed 27 Enclosure reactor operator who was in constant communication with testing personnel in the electrical penetration room, and no issues were noted by the inspectors. During a brief pause between control rod groups, the inspectors moved to electrical penetration room no. 1 to observe the remaining testing from that location. During the next control rod group to be tested, the inspectors observed that the actual key switches used to interrupt power to the CRDs and cause control rod insertion were manipulated by a member of the licensee's engineering staff, and not a licensed individual. A licensed Senior Reactor Operator (SRO) was present in the electrical penetration room and providing oversight and test direction. The inspectors immediately questioned the SRO concerning the appropriateness of having a non-licensed individual causing control rod insertion and directly manipulating core reactivity, at which point the testing was suspended and the Shift Manager and Superintendent of Nuclear Operations were contacted and informed of the issue. The licensee immediately dispatched a licensed reactor operator to the electrical penetration room and testing resumed with a licensed reactor operator conducting all further operation of the local key switches. The licensee entered the issue into their CAP as CR 2011-06318, and initially classified it as a severity level (SL) 5 reactivity management issue (i.e., low level and inconsequential). The inspectors determined that failure of the licensee to assign a licensed operator to manipulate the key switches in the electrical penetration room and directly change core reactivity constituted a performance deficiency that was reasonably within the licensee's ability to foresee and correct and should have been prevented. Analysis The inspectors reviewed this issue using the guidance contained in Appendix B, "Issue Screening," of IMC 0612, "Power Reactor Inspection Reports." The issue was determined to be associated with the Mitigating Systems Cornerstone attribute of procedure quality. However, the inspectors subsequently determined that the issue had not adversely affected the associated cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Because of several factors, the inspectors determined that the issue was of minor safety significance and, as such, did not constitute a finding. These factors included: All control rod group withdrawal activities were accomplished from the control room by an on-watch licensed reactor operator; All activities in the electrical penetration room were performed in accordance with an approved written test procedure, and under the direct supervision of a licensed SRO; The operation of the local key switches in the electrical penetration room, albeit by a non-licensed individual, could only cause control rod insertion; there was no withdrawal capability; and The individual operating the local key switches in the electrical penetration room was always in continuous communication with the on-watch licensed reactor operator in the control room.

28 Enclosure Continuing in Appendix B, "Issue Screening," of IMC 0612, "Power Reactor Inspection Reports," the inspectors determined that the issue was subject to the NRC's traditional enforcement process as an issue that had the potential to impact the agency's ability to perform its regulatory function. Specifically, the NRC's Reactor Oversight Process fundamentally assumes that only duly licensed individuals are allowed to manipulate reactor controls and alter core reactivity or make changes to reactor power, and that all licensed individuals perform their licensed duties in accordance with any restrictions associated with their individual licenses. The inspectors reviewed the violation examples in Section 6.4 of the NRC's Enforcement Policy, "Licensed Reactor Operators." However, no similar examples of non-licensed individuals performing licensed duties could be found. Subsequently, the inspectors conferred with NRC Region III management and members of the enforcement staff and determined that, because of the factors noted above, the issue constituted a SL IV violation that resulted in no, or relatively inappreciable, safety consequences. Because this issue was dispositioned through the traditional enforcement process and had no Reactor Oversight Process aspects, there was no cross-cutting aspect associated with the violation. Controls is defined in 10 CFR 50.2, "Definitions," as: "When used with respect to nuclear reactors means apparatus and mechanisms, the manipulation of which directly affects the reactivity or power level of the reactor." Further, 10 CFR 50.54(i) states that: "Except as provided in part 55.13 of this chapter, the licensee may not permit the manipulation of the controls of any facility by anyone who is not a licensed operator or senior operator as provided in part 55 of this chapter." Enforcement Contrary to this requirement, on December 4, 2011, the licensee permitted a non-licensed member of the engineering staff to manipulate controls (e.g., key switches) in electrical penetration room no. 1 that directly altered core reactivity through the insertion of a group of control rods. Because the licensee entered this issue into the CAP as CR 2011-06318, this SL IV violation is being treated as an NCV, consistent with Section 2.3.2 of the NRC Enforcement Policy. (NCV 05000346/2011005-04)

1R20 Outage Activities.1

a. Reactor Vessel Head Replacement Outage Activities The inspectors reviewed the licensee's shutdown safety plan and contingency plans for the 17M mid-cycle outage conducted from October 1, 2011, to December 6, 2011, to confirm that the licensee had appropriately considered risk, industry experience, and previous site-specific problems in developing and implementing a plan that assured maintenance of defense-in-depth. During the outage, the inspectors observed portions of the shutdown and cooldown processes and monitored licensee controls over the outage activities listed below: Inspection Scope Licensee configuration management, including maintenance of defense-in-depth commensurate with the shutdown safety plan for key safety functions and compliance with the applicable TS when taking equipment out of service; Implementation of clearance activities and confirmation that tags were properly hung and equipment appropriately configured to safely support the work or testing; Installation and configuration of reactor coolant pressure, level, and temperature instruments to provide accurate indication, accounting for instrument error; Controls over the status and configuration of electrical systems to ensure that TS and the licensee's shutdown safety plan requirements were met, and controls over switchyard activities; Monitoring of decay heat removal processes, systems, and components; Controls to ensure that outage work was not impacting the ability of the operators to operate the spent fuel pool cooling system; Reactor water inventory controls including flow paths, configurations, and alternative means for inventory addition, and controls to prevent inventory loss; Controls over activities that could affect reactivity; Maintenance of secondary containment as required by TS; Licensee fatigue management, as required by 10 CFR 26, Subpart I; Refueling activities, including fuel handling and sipping to detect fuel assembly leakage; Startup and ascension to full power operation, tracking of startup prerequisites, walkdown of the containment building to verify that debris had not been left which could block ECCS suction strainers; and Licensee identification and resolution of problems related to outage activities. In addition, the inspectors reviewed the licensee's heavy lift plans and activities in conjunction with the NRC's Operating Experience Smart Sample (OpESS) FY2007-03, Revision 2, "Crane and Heavy Lift Inspection, Supplemental Guidance for IP 71111.20." Documents reviewed during the inspection are listed in the Attachment to this report. This inspection constituted one non-refueling outage activity sample as defined in IP 71111.20-05. Additionally, these inspection items contributed towards completion of IP 71007, "Reactor Vessel Head Replacement."

b. Findings

Inadequate Information on Valve Interlocks Resulted in Inadvertent Operation and Loss of Component Cooling Water Surge Tank Inventory A self-revealed finding of very low safety significance (Green) and an associated NCV of TS 5.4.1(a) were identified for the licensee's failure to establish, implement, and maintain technically adequate procedures to cover the restoration (i.e., motor controller re-energization) of components in the CCW system following maintenance activities. Introduction On Thursday, October 20, 2011, the plant was in a defueled condition. At approximately 1511 hours0.0175 days <br />0.42 hours <br />0.0025 weeks <br />5.749355e-4 months <br />, the on-watch control room crew received an unexpected annunciator alarm, 11-3-A, which indicated a low level in the CCW surge tank. The crew entered DB-OP-02011, "Heat Sink Alarm Panel 11 Annunciators," and cut in demineralized water Description 30 Enclosure to the CCW system to retard the drop in surge tank level in accordance with the procedure. At the same time that the above event was occurring, an equipment operator was in the process of restoring electrical loads on 480 Vac Motor Control Center (MCC) E11D. The operator had just closed circuit breaker BE1161 for motor-operated valve (MOV) CC2645, the train 1 auxiliary building return header isolation valve. This valve had been in the shut position to isolate a portion of the CCW system that had been drained for maintenance, and plant operators after reviewing the valve's operating drawings and interlock logic had expected the valve to remain in the shut position following closure of its circuit breaker. As circuit breaker BE1161 was closed, however, CC2645 unexpectedly stroked open. Operations personnel in the control room heard the distinct sounds of collapsing air voids in the CCW piping outside the control room as CC2645 stroked open and annunciator 11-3-A came into alarm. The on-watch operations crew quickly determined that the unexpected opening of MOV CC2645 was the cause of the low level condition in the CCW system. Because of the low level condition, once CC2645 completed its open stroke it automatically received a command to shut and moved back to the closed position. On an ensuing cycle when the valve was closed or nearly closed, plant operators reopened circuit breaker BE1161 and halted the transient. Component Cooling Water surge tank level was then restored to the normal operating band and stabilized there. Prior to the event, loads on MCC E11D were being restored at the discretion of the unit supervisor. Drawings being utilized by the plant operators for this activity indicated that CC2645 should only automatically open under a set of very specific conditions. All but one of these conditions were met, and the operators believed that CC2645 would remain in the shut position when circuit breaker BE1161 was closed because an interlock associated with CCW pump no. 1 was not met. Specifically, the operators thought that based on the information on their reference drawings that CC2645 would only open with the circuit breaker for CCW pump no. 1 racked into the "test" position. Since the circuit breaker for CCW pump no. 1 was racked to the "out" position, plant operators had concluded that closing circuit breaker BE1161 would not result in any change in CC2645 valve position. A follow-up investigation by licensee engineering personnel, however, identified that both CCW pump no. 1 being racked into the "test" position and being racked to the "out" position satisfied the CC2645 interlocks and will provide the MOV with a signal to open. The licensee had entered this issue into their CAP as CR 2011-04078. Corrective action taken or planned by the licensee included a revision to the referenced drawings to include all interlock requirements associated with MOV CC2645, as well as other similar valves. The inspectors determined that failure of the licensee to establish, implement, and maintain technically adequate procedures to cover the restoration (i.e., motor controller re-energization) of the CCW system following maintenance activities was contrary to the requirements in the licensee's Quality Assurance Program Manual and TS, and as such constituted a performance deficiency that was reasonably within the licensee's ability to foresee and correct and should have been prevented. Analysis 31 Enclosure The inspectors reviewed this issue using the guidance contained in Appendix B, "Issue Screening," of IMC 0612, "Power Reactor Inspection Reports," and determined that it was of more than minor safety significance and constituted a finding. The issue was determined to be associated with the Mitigating Systems Cornerstone attribute of procedure quality, and had adversely affected the associated cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, CCW, a mitigating system, had its reliability adversely impacted by the inadequate procedural guidance for motor controller restoration. The inspectors evaluated the finding using IMC 0609, Attachment 4, "Phase 1 - Initial Screening and Characterization of Findings." Because the finding involved reactor shutdown operations and conditions, the inspectors transitioned to IMC 0609, Appendix G, Attachment 1, "Shutdown Operations Significance Determination Process - Phase 1 Operational Checklists for Both PWRs and BWRs." Since the finding was associated with an issue that occurred during the time the reactor was in a defueled condition, the inspectors conservatively consulted all four PWR checklists (i.e., Checklists 1 - 4). The inspectors determined that the finding did not adversely impact any shutdown defense-in-depth or mitigation attributes on any checklist, nor did it meet any of the checklist specific requirements for a Phase 2 or Phase 3 SDP analysis. Consequently, the finding was determined to be of very low safety significance (Green). This finding had a cross-cutting aspect in the area of Human Performance, Resources component, because the licensee did not ensure that personnel, equipment, procedures, and other resources were available and adequate to assure nuclear safety. Specifically, the licensee's procedures, drawings and guidance for the restoration of the CCW system following outage maintenance activities did not ensure that the system was properly aligned prior to restoration of electrical power to MOV CC2645. (H.2(c)) Technical Specification 5.4.1(a) requires the licensee to establish, implement, and maintain applicable written procedures for the safety-related systems and activities recommended in RG 1.33, Revision 2, Appendix A. Section 3(e) of RG 1.33, Revision 2, Appendix A, requires procedures for the proper operation of the CCW system, including restoration operations following maintenance and other outage activities. Contrary to this requirement, the licensee failed to properly prepare and implement technically adequate written procedures and drawings for the restoration of CCW system components, specifically electrical power to MOV CC2645, following mid-cycle outage 17M maintenance. Enforcement Because this finding was of very low safety significance and had been entered into the licensee's CAP as CR 2011-04078, the associated violation is being treated as an NCV, consistent with Section 2.3.2 of the NRC Enforcement Policy. (NCV 05000346/2011005-05)32 Enclosure

1R22 Surveillance Testing.1

a. Surveillance Testing The inspectors reviewed the test results for the following activities to determine whether risk-significant systems and equipment were capable of performing their intended safety function and to verify testing was conducted in accordance with applicable procedural and TS requirements: Inspection Scope DB-SC-03121, "Safety Features Actuation System Train 2 Integrated Response Time Test," during the weeks ending October 15, 2011 and November 12, 2011 (routine); DB-PF-10310, "Containment Integrated Leakage Rate Test," during the week ending November 19, 2011 (routine); DB-SC-03074, "Emergency Diesel Generator 1, ABDC1, and AC103 Appendix R Test," during the week ending October 29, 2011 (routine); DB-PF-03010, "Reactor Coolant System Leakage Test," during the week ending December 10, 2011 (RCS leakage); DB-PF-03008, "Containment Local Leakage Rate Tests," {Local Leak Rate Test P71C - Core Flood Tank 1-1 Fill and Nitrogen Supply Line and Local Leak Rate Test P49 - Refueling Canal Fill Line}, during the week ending October 8, 2011 (containment isolation valve); and DB-SP-03157, "Auxiliary Feedwater Pump 1 Response Time Test," during the week ending December 10, 2011 (inservice testing). The inspectors observed in-plant activities and reviewed procedures and associated records to determine the following: Did preconditioning occur; Were the effects of the testing adequately addressed by control room personnel or engineers prior to the commencement of the testing; Were acceptance criteria clearly stated, demonstrated operational readiness, and consistent with the system design basis; Plant equipment calibration was correct, accurate, and properly documented; As-left setpoints were within required ranges; and the calibration frequency was in accordance with TSs, the USAR, procedures, and applicable commitments; Measuring and test equipment calibration was current; Test equipment was used within the required range and accuracy; applicable prerequisites described in the test procedures were satisfied; Test frequencies met TS requirements to demonstrate operability and reliability; tests were performed in accordance with the test procedures and other applicable procedures; jumpers and lifted leads were controlled and restored where used; Test data and results were accurate, complete, within limits, and valid; Test equipment was removed after testing; Where applicable for inservice testing (IST) activities, testing was performed in accordance with the applicable version of Section XI, ASME code, and reference values were consistent with the system design basis; Where applicable, test results not meeting acceptance criteria were addressed with an adequate operability evaluation or the system or component was declared inoperable; Where applicable for safety-related instrument control surveillance tests, reference setting data were accurately incorporated in the test procedure; Where applicable, actual conditions encountering high resistance electrical contacts were such that the intended safety function could still be accomplished; Prior procedure changes had not provided an opportunity to identify problems encountered during the performance of the surveillance or calibration test; Equipment was returned to a position or status required to support the performance of its safety functions; and All problems identified during the testing were appropriately documented and dispositioned in the CAP. Documents reviewed are listed in the Attachment to this report. These inspection activities constituted three routine surveillance testing samples, one RCS leakage testing sample, one containment isolation valve testing sample, and one IST sample as defined in IP 71111.22, Sections -02 and -05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement." b. No findings were identified. Findings

RADIATION SAFETY

Cornerstones: Occupational Radiation Safety and Public Radiation Safety

2RS1 Radiological Hazard Assessment and Exposure ControlsThe activities in sections 1 through 9 that follow constituted one complete inspection sample as defined in IP 71124.01-05. In addition, these samples contributed towards completion of IP 71007, "Reactor Vessel Head Replacement."

.1 Inspection Planninga.

(02.01) The inspectors reviewed all licensee performance indicators (PIs) for the occupational exposure cornerstone for follow-up since the last inspection. The inspectors reviewed the results of radiation protection program audits (e.g., licensee's QA audits or other independent audits). The inspectors also reviewed reports of operational occurrences related to occupational radiation safety since the last inspection. The inspectors reviewed and assessed results of the licensee's audit and operational report reviews to gain insights into overall licensee performance before and during the outage. Inspection Scope b. No findings were identified. Findings 34 Enclosure

.2 Radiological Hazard Assessmenta.

(02.02) The inspectors assessed any changes to plant operations since the last inspection that may result in a significant new radiological hazard for onsite workers or members of the public. The inspectors evaluated whether the licensee assessed the potential impact of these changes and has implemented periodic monitoring, as appropriate, to detect and quantify the radiological hazard. Inspection Scope The inspectors reviewed the last three to five radiological surveys from selected plant areas and evaluated whether the thoroughness and frequency of the surveys where appropriate for the given radiological hazard. The inspectors conducted walkdowns of the facility, including radioactive waste processing, storage, containment, fuel handling, and auxiliary building areas to evaluate material conditions, and performed independent radiation measurements to assess conditions of radioactive materials at these areas. The inspectors selected the following radiologically risk-significant work activities that involved exposure to radiation: Reactor head swap work activities in containment; ISI of the reactor vessel, core support assembly; Plenum and reactor flange maintenance; Reactor head disassembly/reassembly work activities; and Replacement of SW piping in the auxiliary building. For these work activities, the inspectors assessed whether the pre-work surveys performed were appropriate to identify and quantify the radiological hazard and to establish adequate protective measures. The inspectors evaluated the radiological survey programs to determine if hazards were properly identified, including the following: Identification of hot particles; The presence of alpha emitters; The potential for airborne radioactive materials, including the potential presence of transuranics and/or other hard-to-detect radioactive materials; The hazards associated with work activities that could suddenly and severely increase radiological conditions and that the licensee has established a means to inform workers of changes that could significantly impact their occupational dose; and Severe radiation field dose gradients that can result in non-uniform exposures of the body. The inspectors observed work in potential airborne areas during the 17M mid-cycle outage and evaluated whether the air samples were representative of the breathing air zone. The inspectors evaluated whether continuous air monitors (CAMs) were located in areas with low background to minimize false alarms and were representative of actual work areas. The inspectors evaluated the licensee's program for monitoring levels of loose surface contamination in areas of the plant with the potential for the contamination to become airborne.

35 Enclosure b. No findings were identified. Findings

.3 Instructions to Workersa.

(02.03) The inspectors selected various containers holding non-exempt licensed radioactive materials that may cause unplanned or inadvertent exposure of workers, and assessed whether the containers were labeled and controlled in accordance with 10 CFR 20.1904, "Labeling Containers," or met the requirements of 10 CFR 20.1905(g), "Exemptions To Labeling Requirements." Inspection Scope The inspectors reviewed the following radiation work permits (RWPs) used to access high-radiation areas and evaluated the specified work control instructions or control barriers. Reactor head swap work activities in containment; ISI of the reactor vessel, core support assembly; Plenum and reactor flange maintenance; Reactor head disassembly/reassembly work activities; and Refueling activities. For these RWPs, the inspectors assessed whether allowable stay times or permissible dose (including from the intake of radioactive material) for radiologically significant work under each RWP were clearly identified. The inspectors evaluated whether electronic personal dosimeter alarm set-points were in conformance with survey indications and plant policy. The inspectors reviewed selected occurrences where a worker's electronic personal dosimeter noticeably malfunctioned or alarmed. The inspectors evaluated whether workers responded appropriately to the off-normal condition. The inspectors assessed whether the issue was included in the CAP and dose evaluations were conducted as appropriate. For work activities in transient radiological conditions, the inspectors assessed the licensee's means to inform workers of changes that could significantly impact their occupational dose. b. No findings were identified. Findings

.4 Contamination and Radioactive Material Controla.

(02.04) The inspectors observed locations where the licensee monitors potentially contaminated material leaving the radiological control area and inspected the methods used for control, survey, and release from these areas. The inspectors observed the performance of personnel surveying and releasing material for unrestricted use and Inspection Scope 36 Enclosure evaluated whether the work was performed in accordance with plant procedures and whether the procedures were sufficient to control the spread of contamination and prevent unintended release of radioactive materials from the site. The inspectors assessed whether the radiation monitoring instrumentation had appropriate sensitivity for the types of radiation present. The inspectors reviewed the licensee's criteria for the survey and release of potentially contaminated material. The inspectors evaluated whether there was a procedural guidance on how to respond to an alarm that indicates the presence of licensed radioactive material. The inspectors reviewed the licensee's procedures and records to assess that the radiation detection instrumentation was used at its typical sensitivity level based on appropriate counting parameters. The inspectors assessed whether or not the licensee has established a de facto "release limit" by altering the instrument's typical sensitivity through such methods as raising the energy discriminator level or locating the instrument in a high-radiation background area. The inspectors selected several sealed sources from the licensee's inventory records and assessed whether the sources were accounted for and verified to be intact. The inspectors evaluated whether any transactions, since the last inspection, involving nationally tracked sources were reported in accordance with 10 CFR 20.2207. b. No findings were identified. Findings

.5 Radiological Hazards Control and Work Coveragea.

(02.05) The inspectors evaluated ambient radiological conditions (e.g., radiation levels or potential radiation levels) during tours of the facility. The inspectors assessed whether the conditions were consistent with applicable posted surveys, RWPs, and worker briefings. Inspection Scope The inspectors evaluated the adequacy of radiological controls, such as required surveys, radiation protection job coverage (including audio and visual surveillance for remote job coverage), and contamination controls. The inspectors evaluated the licensee's use of electronic personal dosimeters in high noise areas as high radiation area monitoring devices. The inspectors assessed whether radiation monitoring devices were placed on the individual's body consistent with licensee procedures. The inspectors assessed whether the dosimeter was placed in the location of highest expected dose or that the licensee properly employed an NRC-approved method of determining effective dose equivalent. The inspectors reviewed the application of dosimetry to effectively monitor exposure to personnel in high-radiation work areas with significant dose rate gradients.

37 Enclosure The inspectors reviewed the following RWPs for work within airborne radioactivity areas with the potential for individual worker internal exposures. Reactor head swap work activities in containment; ISI of the reactor vessel and core support assembly; Plenum and reactor flange maintenance; Reactor head disassembly/reassembly work activities; and Replacement of SW piping in the auxiliary building. For these RWPs, the inspectors evaluated airborne radioactive controls and monitoring, including potential for significant airborne levels (e.g., grinding, grit blasting, system breaches, entry into tanks, cubicles, and reactor cavities). The inspectors assessed barrier (e.g., tent or glove box) integrity and temporary high efficiency particulate air ventilation system operation. The inspectors examined the licensee's physical and programmatic controls for highly activated or contaminated materials (nonfuel) stored within spent fuel and other storage pools. The inspectors assessed whether appropriate controls (i.e., administrative and physical controls) were in place to preclude inadvertent removal of these materials from the pool. The inspectors examined the posting and physical controls for selected high radiation areas and very high radiation areas to verify conformance with the occupational PI. b. No findings were identified. Findings

.6 Risk-Significant High Radiation Area and Very High Radiation Area Controlsa.

(02.06) The inspectors discussed with the radiation protection manager the controls and procedures for high-risk high radiation areas and very high radiation areas. The inspectors discussed methods employed by the licensee to provide stricter control of very high radiation area access as specified in 10 CFR 20.1602, "Control of Access to Very High Radiation Areas," and Regulatory Guide 8.38, "Control of Access to High and Very High Radiation Areas of Nuclear Plants." The inspectors assessed whether any changes to licensee procedures substantially reduce the effectiveness and level of worker protection. Inspection Scope The inspectors discussed the controls in place for special areas that have the potential to become very high radiation areas during certain plant operations with first-line health physics supervisors (or equivalent positions having backshift health physics oversight authority). The inspectors assessed whether these plant operations require communication before hand with the health physics group, so as to allow corresponding timely actions to properly post, control, and monitor the radiation hazards including re-access authorization. The inspectors evaluated licensee controls for very high radiation areas and areas with the potential to become very high radiation areas to ensure that an individual was not able to gain unauthorized access to the very high radiation area.

38 Enclosure b. No findings were identified. Findings

.7 Radiation Worker Performancea.

(02.07) The inspectors observed radiation worker performance with respect to stated radiation protection work requirements. The inspectors assessed whether workers were aware of the radiological conditions in their workplace and the RWP controls/limits in place, and whether their performance reflected the level of radiological hazards present. Inspection Scope The inspectors reviewed radiological problem reports since the last inspection that found the cause of the event to be human performance errors. The inspectors evaluated whether there was an observable pattern traceable to a similar cause. The inspectors assessed whether this perspective matched the corrective action approach taken by the licensee to resolve the reported problems. The inspectors discussed with the radiation protection manager any problems with the corrective actions planned or taken. b. No findings were identified. Findings

.8 Radiation Protection Technician Proficiencya.

(02.08) The inspectors observed the performance of the radiation protection technicians with respect to all radiation protection work requirements. The inspectors evaluated whether technicians were aware of the radiological conditions in their workplace and the RWP controls/limits, and whether their performance was consistent with their training and qualifications with respect to the radiological hazards and work activities. Inspection Scope The inspectors reviewed radiological problem reports since the last inspection that found the cause of the event to be radiation protection technician error. The inspectors evaluated whether there was an observable pattern traceable to a similar cause. The inspectors assessed whether this perspective matched the corrective action approach taken by the licensee to resolve the reported problems. b. No findings were identified. Findings

.9 Problem Identification and Resolutiona.

(02.09) The inspectors evaluated whether problems associated with radiation monitoring and exposure control were being identified by the licensee at an appropriate threshold and were properly addressed for resolution in the licensee's CAP. The inspectors assessed the appropriateness of the corrective actions for a selected sample of problems documented by the licensee that involve radiation monitoring and exposure controls. Inspection Scope 39 Enclosure The inspectors assessed the licensee's process for applying operating experience to their plant. b. No findings were identified. Findings

2RS5 Radiation Monitoring InstrumentationThe activities in Sections 1 through 4 that follow constituted one complete inspection sample as defined in IP 71124.05-05.

.1 Inspection Planninga.

(02.01) The inspectors reviewed the plant USAR to identify radiation instruments associated with monitoring area radiological conditions including airborne radioactivity, process streams, effluents, materials/articles, and workers. Additionally, the inspectors reviewed the instrumentation system and the associated TS requirements for post-accident monitoring instrumentation including instruments used for remote emergency assessment. Inspection Scope The inspectors reviewed a listing of in-service survey instrumentation including air samplers and small article monitors, along with instruments used to detect and analyze workers' external contamination. Additionally, the inspectors reviewed personnel contamination monitors and portal monitors, including whole-body counters, to detect workers' internal contamination. The inspectors reviewed this instrumentation list to assess whether an adequate number and type of instruments were available to support operations. The inspectors reviewed licensee and third-party evaluation reports of the radiation monitoring program since the last inspection. These reports were reviewed for insights into the licensee's program and to aid in selecting areas for review ("smart sampling"). The inspectors reviewed procedures that govern instrument source checks and calibrations, focusing on instruments used for monitoring transient high radiological conditions, including instruments used for underwater surveys. The inspectors reviewed the calibration and source check procedures for adequacy and as an aid to smart sampling. The inspectors reviewed the area radiation monitor (ARM) alarm setpoint values and setpoint bases as provided in the TS and the USAR. The inspectors reviewed effluent monitor alarm setpoint bases and the calculational methods provided in the Offsite Dose Calculation Manual (ODCM). b. No findings were identified. Findings 40 Enclosure

.2 Walkdowns and Observationsa.

(02.02) The inspectors walked down effluent radiation monitoring systems, including at least one liquid and one airborne system. Focus was placed on flow measurement devices and all accessible point-of-discharge liquid and gaseous effluent monitors of the selected systems. The inspectors assessed whether the effluent/process monitor configurations aligned with ODCM descriptions and observed monitors for degradation and out-of-service tags. Inspection Scope The inspectors selected portable survey instruments that were in use or available for issuance and assessed calibration and source check stickers as well as instrument material condition and operability. The inspectors observed licensee staff performance as the staff demonstrated source checks for various types of portable survey instruments. The inspectors assessed whether high-range instruments were source checked on all appropriate scales. The inspectors walked down ARMs and CAMs to determine whether they were appropriately positioned relative to the radiation sources or areas they were intended to monitor. Selectively, the inspectors compared monitor response (via local or remote control room indications) with actual area conditions for consistency.

The inspectors selected personnel contamination monitors, portal monitors, and small article monitors and evaluated whether the periodic source checks were performed in accordance with the manufacturer's recommendations and licensee procedures. b. No findings were identified. Findings

.3 Calibration and Testing Programa.

(02.03) (1) Process and Effluent Monitors The inspectors selected effluent monitor instruments (such as gaseous and liquid) and evaluated whether channel calibration and functional tests were performed consistent with radiological effluent TS/ODCM. The inspectors assessed whether: (a) the licensee calibrated its monitors with National Institute of Standards and Technology traceable sources; (b) the primary calibrations adequately represented the plant nuclide mix; (c) the sources were verified by the primary calibration when secondary calibration sources were used; and (d) the licensee's channel calibrations encompassed the instrument's alarm set-points. Inspection Scope The inspectors assessed whether the effluent monitor alarm setpoints were established as provided in the ODCM and station procedures. When changes to effluent monitor setpoints were made, the inspectors evaluated the bases for the changes to ensure that an adequate justification existed.

41 Enclosure (2) No findings were identified. Findings b. (1) Laboratory Instrumentation The inspectors assessed laboratory analytical instruments used for radiological analyses to determine whether daily performance checks and calibration data indicated that the frequency of the calibrations was adequate and there were no indications of degraded instrument performance. Inspection Scope The inspectors assessed whether appropriate corrective actions were implemented in response to indications of degraded instrument performance. (2) No findings were identified. Findings c. (1) Whole Body Counter The inspectors reviewed the methods and sources used to perform whole body count functional checks before daily use of the instrument and assessed whether check sources were appropriate and aligned with the plant's nuclide mix. Inspection Scope The inspectors reviewed whole body count calibration records and evaluated whether calibration sources were representative of the plant source term and whether the appropriate calibration phantoms were used. The inspectors assessed the calibration data for anomalous results or other indications of instrument performance problems. (2) No findings were identified. Findings d. (1) Post-Accident Monitoring Instrumentation The inspectors selected containment high-range monitors and reviewed the calibration documentation since the last inspection. Inspection Scope The inspectors reviewed the electronic calibration data and assessed whether calibration acceptance criteria were reasonable, accounted for the large measuring range, and reflective of the intended purpose of the instruments.

The inspectors reviewed the licensee's stack effluent process monitors that were relied on by the licensee in its emergency operating procedures as a basis for triggering emergency action levels and emergency classifications in order to make protective action recommendations during an accident. The inspectors evaluated the calibration and availability of these instruments.

42 Enclosure The inspectors reviewed the licensee's capability to collect high-range, post-accident iodine effluent samples. As available, the inspectors observed electronic and radiation calibration of these instruments to assess conformity with the licensee's calibration and test protocols. (2) No findings were identified. Findings e. (1) Portal Monitors, Personnel Contamination Monitors, and Small Article Monitors During a review of these instruments used on site, the inspectors assessed whether the alarm setpoint values were reasonable under the circumstances to ensure that licensed material was not released from the site. Inspection Scope The inspectors reviewed the calibration documentation for each instrument selected and discussed the calibration methods with the licensee to determine consistency with the manufacturer's recommendations. (2) No findings were identified. Findings f. (1) Portable Survey Instruments, Area Radiation Monitors, Electronic Dosimetry, and Air Samplers/Continuous Air Monitors The inspectors reviewed calibration documentation for at least one of each type of instrument. In reviewing these portable survey instruments and ARMs, the inspectors reviewed detector measurement geometry and calibration methods and had the licensee demonstrate use of its instrument calibrator as applicable. The inspectors conducted comparison of instrument readings versus an NRC survey instrument if problems were suspected. Inspection Scope As available, the inspectors reviewed the data for portable survey instruments that did not meet acceptance criteria during calibration in order to assess whether the licensee took appropriate corrective actions with instruments that were found significantly out of calibration greater than 50 percent. The inspectors assessed whether the licensee evaluated the out of tolerance instruments for possible consequences when used during radiation surveys. (2) No findings were identified. Findings 43 Enclosure g. (1) Instrument Calibrator As applicable, the inspectors reviewed the current output values for the licensee's portable survey and ARM instrument calibrator units. The inspectors assessed whether the licensee periodically measures calibrator output over the range of the instruments used through measurements by ion chamber/electrometer. Inspection Scope The inspectors assessed whether the measuring devices had been calibrated by a facility using National Institute of Standards and Technology traceable sources and whether corrective factors for these measuring devices were properly applied by the licensee in its output verification. (2) No findings were identified. Findings h. (1) Calibration and Check Sources The inspectors reviewed the licensee's 10 CFR Part 61, "Licensing Requirements for Land Disposal of Radioactive Waste," source term to assess whether calibration sources used were representative of the types and energies of radiation encountered in the plant. Inspection Scope (2) No findings were identified. Findings

.4 Problem Identification and Resolutiona.

(02.04) The inspectors evaluated whether problems associated with radiation monitoring instrumentation were being identified by the licensee at an appropriate threshold and were properly addressed for resolution in the licensee's CAP. The inspectors assessed the appropriateness of the corrective actions for a selected sample of problems documented by the licensee that involve radiation monitoring instrumentation. Inspection Scope b. No findings were identified. Findings 44 Enclosure

OTHER ACTIVITIES

Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, Emergency Preparedness, Occupational Radiation Safety, Public Radiation Safety, and Security

4OA1 Performance Indicator Verification.1

a. Reactor Coolant System Specific Activity The inspectors sampled licensee submittals for the RCS Specific Activity performance indicator for the period from October 2010 through September 2011. To determine the accuracy of the PI data reported during those periods, PI definitions and guidance contained in the Nuclear Energy Institute (NEI) Document 99-02, "Regulatory Assessment Performance Indicator Guideline," Revision 6, dated October 2009, were used. The inspectors reviewed the licensee's RCS chemistry samples, TS requirements, CRs, and NRC Integrated Inspection Reports for the period from October 2010 through September 2011 to validate the accuracy of the submittals. The inspectors also reviewed the licensee's condition report database to determine if any problems had been identified with the PI data collected or transmitted for this indicator. In addition to record reviews, the inspectors observed a chemistry technician obtain and analyze a reactor coolant system sample. Documents reviewed are listed in the Attachment to this report. Inspection Scope This inspection constituted one reactor coolant system specific activity sample as defined in IP 71151-05. b. No findings were identified. Findings

.2 a. Reactor Coolant System Leakage The inspectors sampled licensee submittals for the RCS Leakage performance indicator for the period from October 2010 through September 2011.

To determine the accuracy of the PI data reported during those periods, PI definitions and guidance contained in the NEI Document 99-02, "Regulatory Assessment Performance Indicator Guideline," Revision 6, dated October 2009, were used. The inspectors reviewed the licensee's operator logs, RCS leakage tracking data, condition reports and NRC Integrated IRs for the period from October 2010 through September 2011 to validate the accuracy of the submittals. The inspectors also reviewed the licensee's condition report database to determine if any problems had been identified with the PI data collected or transmitted for this indicator. Documents reviewed are listed in the Attachment to this report. Inspection Scope This inspection constituted one reactor coolant system leakage sample as defined in IP 71151-05.

45 Enclosure b. No findings were identified. Findings

4OA2 Identification and Resolution of Problems.1

a. Routine Review of Items Entered into the Corrective Action Program As part of the various baseline IPs discussed in previous sections of this report, the inspectors routinely reviewed issues during baseline inspection activities and plant status reviews to verify that they were being entered into the licensee's CAP at an appropriate threshold, that adequate attention was being given to timely corrective actions, and that adverse trends were identified and addressed. Attributes reviewed included: identification of the problem was complete and accurate; timeliness was commensurate with the safety significance; evaluation and disposition of performance issues, generic implications, common causes, contributing factors, root causes, extent-of-condition reviews, and previous occurrences reviews were proper and adequate; and that the classification, prioritization, focus, and timeliness of corrective actions were commensurate with safety and sufficient to prevent recurrence of the issue. Minor issues entered into the licensee's CAP as a result of the inspectors' observations are included in the Attachment to this report.

Inspection Scope These routine reviews for the identification and resolution of problems did not constitute any additional inspection samples. Instead, by procedure they were considered an integral part of the inspections performed during the quarter and documented in Section 1 of this report. b. No findings were identified. Findings

.2 a. Daily Corrective Action Program Reviews In order to assist with the identification of repetitive equipment failures and specific

human performance issues for follow-up, the inspectors performed a daily screening of items entered into the licensee's CAP. This review was accomplished through inspection of the station's daily condition report packages. Inspection Scope These daily reviews were performed by procedure as part of the inspectors' daily plant status monitoring activities and, as such, did not constitute any separate inspection samples. b. No findings were identified. Findings 46 Enclosure

.3 a. Semi-Annual Trend Review The inspectors performed a review of the licensee's CAP and associated documents to identify trends that could indicate the existence of a more significant safety issue.

The inspectors' review was focused on repetitive equipment issues, but also considered the results of daily inspector CAP item screening discussed in Section 4OA2.2 above, licensee trending efforts, and licensee human performance results. The inspectors' review nominally considered the 6 month period of July 1, 2011, through December 31, 2011, although some examples expanded beyond those dates where the scope of the trend warranted. Inspection Scope The review also included issues documented outside the normal CAP in major equipment problem lists, repetitive and/or rework maintenance lists, departmental problem/challenges lists, system health reports, QA audit/surveillance reports, self-assessment reports, and Maintenance Rule assessments. The inspectors compared and contrasted their results with the results contained in the licensee's CAP trending reports. Corrective actions associated with a sample of the issues identified in the licensee's trending reports were reviewed for adequacy. This review constituted a single semi-annual trend inspection sample as defined in IP 71152-05. b. The inspectors identified a potential adverse trend related to the technical quality of the licensee's infrequently performed procedures, specifically those procedures that are potentially only utilized during a unit refuel or other outage: Observations On October 20, 2011, the on-watch control room crew received an unexpected annunciator alarm, 11-3-A, which indicated a low level in the CCW surge tank. The crew entered DB-OP-02011, "Heat Sink Alarm Panel 11 Annunciators," and cut in demineralized water to the CCW system to retard the drop in surge tank level in accordance with the procedure. The lowering level in the CCW surge tank was traced to the inadvertent stroking of MOV CC2645, the train 1 auxiliary building return header isolation valve, which had unexpectedly stroked open when plant operators restored 480 Vac power to the MOV as part of system restoration following outage maintenance. Operations personnel had been misled by instructional notes on approved plant drawings that indicated that the valve would not automatically stroke open upon restoration of power. A finding associated with this issue is discussed in detail in Section 1R20.1 of this report; On November 17, 2011, the on-watch control room crew again received an unexpected annunciator alarm, 11-3-A, which indicated a low level in the CCW surge tank. Once again, the crew entered DB-OP-02011, "Heat Sink Alarm Panel 11 Annunciators," and cut in demineralized water to the CCW system to retard the drop in surge tank level in accordance with the procedure. Following this event, the lowering level in the CCW surge tank was traced to air intrusion into the CCW system. A complex series of fill and venting evolutions to restore the system had been required, and these evolutions had not vented all of the air 47 Enclosure from the system. A finding associated with this issue is discussed in detail in Section 1R15.1 of this report; On November 16, 2011, an Alert was declared by the licensee due to a fire and "explosion" with a "flash of flame" coming from safety-related MCC E11C. The fire was caused by an electrical short within one of the MCC's circuit breakers that had resulted from water intrusion. A demineralized water supply valve, PW55, located above MCC E11C had been overpressurized and leaked water onto the MCC. The overpressurization of PW55 resulted from an improper sequence of procedure steps for the switching of makeup water to the station's auxiliary boiler that relied upon a check valve to protect lower pressure rated piping and components. A finding associated with this issue is discussed in detail in Section 4OA3.2 of this report; On November 21, 2011, while conducting RCS fill and venting activities the licensee overpressurized the low-range suction pressure gauges on decay heat pump 1 and decay heat pump 2. The sequence of steps in procedure DB-OP-06904, "Shutdown Operations," was identified as the issue. The licensee documented this issue in their CAP as CRs 2011-05781 and 2011-05782; On November 19, 2011, the licensee attempted to obtain a chemistry sample to verify pressurizer dissolved oxygen concentrations during pressurizer heatup in accordance with procedure DB-CH-06002, "Sampling System Nuclear Areas." The sample was unable to be obtained due to limitations with the procedure as written. The licensee documented this issue in their CAP as CR 2011-05726; and On November 29, 2011, the licensee identified an adverse condition associated with procedure DB-PF-03811, "Miscellaneous Valves Test." The procedure as written would have overpressurized a section of piping in the decay heat system had it been performed as scheduled. Fortunately, the on-watch Operations crew identified the vulnerability before the procedure was performed and had it rescheduled for a time when plant conditions would adequately support it. The licensee entered the issue into their CAP as CR 2011-06011. In each of these cases, the issue was of very low or minor safety significance. However, taken collectively they represent a potential adverse trend that may require a mitigation strategy. c. No findings were identified. Findings

.4 a. Annual Sample:

Review of Licensee Extent-of-Condition for Shield Building Concrete Cracking On October 10, 2011, a laminar crack was found in the flute shoulder area of the opening being cut through the SB concrete cylindrical wall for transfer of the RRVCH head. The crack was found on the vertical side of the opening (left side, looking from the Inspection Scope 48 Enclosure outside), generally along the main reinforcing steel of the cylinder, and extending to across the top (approximately 6 feet) and across the bottom (approximately 4 feet) of the opening. After the licensee performed some minor manual chipping along the edges, the crack indication along the left and bottom edges essentially disappeared. Based on the observation, the licensee considered the crack to have been a circumferential laminar tear and not a radial 'through-thickness' direction crack. The licensee initiated CR 2011-03346 to identify this issue and informed the NRC via the Resident Inspectors' Office on site. Based upon inspection of this crack at the SB opening, the licensee determined that the extent of the cracking warranted further examination and investigation. A contractor was contacted to perform impulse response (IR) testing. The IR testing method measured the structure's frequency at a specific location and plotted that frequency with adjacent readings to obtain any change in building frequency. Changes in frequency within a short span were possible subsurface indications of concrete cracking. To confirm the IR readings, the licensee performed core boring of the concrete in the indicated areas (where cracking was suspected) and in the adjacent areas (where no cracking was suspected). The IR readings were performed on a representative sample of all readily accessible areas of the SB, with the progression of IR testing based upon the indications of possible cracking that were obtained. From this information, the licensee concluded that the laminar cracking initially identified adjacent to the RRVCH opening was not restricted to that area, but was a much more generic issue for the SB as a whole. The licensee entered this extent-of-condition issue for the SB cracking into their CAP as CR 2011-03996 on October 19, 2011, and informed the NRC via the Resident Inspectors' Office on site. On October 26, 2011, during investigation actions associated with CR 2011-03346, the licensee identified additional areas of concern via IR testing in semicircular zones above the main steam line penetrations through the SB. This condition appeared to be different from the condition documented in CR 2011-03346, which had been primarily concerned with cracking at the SB opening and similar areas around the building's circumference. These new areas of concern were not similar to those previously identified, and appeared to be associated with the main steam line penetrations. The licensee entered this extent-of-condition issue for the SB cracking into their CAP as CR 2011-04402 and informed the NRC via the Resident Inspectors' Office on site. On October 31, 2011, the licensee identified additional indications of concrete cracking during IR testing towards the top of the SB wall, approximately between the 780 ft and 800 ft elevations. This area of indications was yet another one different from the laminar cracking initially identified adjacent to the RRVCH opening.

The licensee entered this extent-of-condition issue for the SB cracking into their CAP as CR 2011-04648, informed the NRC via the Resident Inspectors' Office on site, and continued to investigate further to determine if any additional adverse conditions existed. The inspectors evaluated the licensee's implementation of their process used to identify, document, track, and resolve these challenges. The inspectors also reviewed the associated CRs and investigations for the issue to verify that the licensee's identification of the problems were complete, accurate, and timely, and that the consideration of the extent-of-condition reviews, generic implications, common causes, and previous occurrences, if any, were adequate. Throughout the entire process, the NRC Resident Inspectors' Office was augmented by structural engineering experts from the NRC 49 Enclosure Region III Office in Lisle, Illinois, as well as structural engineering and concrete construction experts from the Office of Nuclear Reactor Regulation located at NRC Headquarters in Washington, D.C. Inspector follow-up activities related to the laminar concrete cracking and the long-term impact on the SB are on-going. Upon completion, the inspection will be documented in a separate report, IR 05000346/2012007, along with the results of the NRC's technical assessment of the licensee's evaluation of the SB's capability to perform its designated safety functions. The documents listed in the Attachment were reviewed to accomplish the objectives of the IP. This review constituted one annual inspection sample as defined in IP 71152-05. In addition, this sample contributed towards completion of IP 71007, "Reactor Vessel Head Replacement." b. No findings were identified. Findings

.5 a. Selected Issue Follow-Up Inspection Associated with Condition Report 07-26185 "Degradation Found on Rip-Rap sides of the Forebay and Intake Canal" The inspectors reviewed the corrective actions associated with excessive settlement in a section of the safety-related Northern Wall of the Intake Canal Forebay that was identified by the licensee and documented in CR 07-26185 "Degradation Found on Rip-Rap sides of the Forebay and Intake Canal." This issue was selected for an in-depth review based on the Ultimate Heat Sink inspection (Section 1R.07) and discussions with the Division of License Renewal in the Office of Nuclear Regulation.

The inspectors reviewed the troubleshooting activities and subsequent CRs to verify that the licensee was appropriately addressing the adverse condition in their corrective action program. Inspection Scope b. During a routine inspection of the Intake Canal in 2007, the licensee identified unexpected settlement on the North side of the embankment in the safety-related portion of the Forebay for a length of approximately 200 feet. This settlement reduced the slope of the embankment and the concern was captured in CR 07-26185. The licensee contracted an external organization to perform a stability study to ensure the operability of the embankment. In 2009, the licensee received the final report and CR 09-54330 "Slope Stability Study for the FOREBAY North Wall Found Low Strength Clay Till," was created to evaluate the conclusions of the contractor's report, Bowser- Morner Report No. 144188-0209-1575. The report documented the soil profile of the core bores taken above the affected areas were very similar to the soil profile described in the original plant design documents. The licensee concluded the condition was insignificant and did not affect operability of the canal walls; however, the licensee initiated actions to restore the canal wall. However, in 2010, the licensee rejected the initial repair plan and in March 2011, concluded additional data and analysis were necessary to understand the cause of the condition.

Findings and Observations 50 Enclosure During the Ultimate Heat Sink inspections, the inspectors walked the length of the canal walls with the system engineer and noted that the wall had degraded further. At the NRC's prompting, the licensee initiated CR 11-97166, "Degradation of the Intake Canal North Wall in the Q/NQ Portion of the Canal." The licensee concluded the canal remained operable based on EQE Calculation 250785-C-001, "Slope Stability," dated March 31, 1999, which evaluated erosion of the earthen wall embankment in the nonsafety-related portion of the canal. However, the inspectors questioned the applicability of the EQE Calculation and subsequent licensee conclusion of current functionality because the EQE addressed a specific failure mechanism, which was not present in the safety-related section of the intake structure. The inspectors also questioned the term "stable" being used to describe what the inspectors observed as active degradation of the canal wall.

During this same time period, the licensee performed a surveillance to measure the length and width of the intake canal. The licensee concluded portions of the canal were narrower than expected; therefore, the Intake Canal did not meet the licensed design requirements due to volume reduction of approximately three percent (3 percent). Additionally, the slopes, canal toe-to-toe lengths and wall heights were not consistent with the original design requirements and documentation. The licensee initiated CR 11-00422 "Intake Canal Dike Does Not Meet Design Configuration Requirements," and a prompt operability determination. The licensee re-calculated the available volume and surface area and determined that margin was available such that the canal remained operable. However, the licensee noted UFSAR Section 2.5.1.10.2, "Foundations for Seismic Class I Structures; Seismic Class I Intake Forebay Canal Dikes," stated the intake canal was designed to have a 2.5 factor of safety against failure during the maximum possible earthquake. The current condition resulted in a factor of safety of 2.44. The licensee determined in the prompt operability determination that while this condition did not meet the UFSAR, there was reasonable assurance of operability.

Although the licensee was aware of the above issues, the inspectors were concerned that in the prompt operability determinations, the licensee narrowly assessed the current, as-found condition and did not consider whether the mechanism causing the degradation could result in a problem beyond additional sediment in the canal. As part of their corrective actions, core bores of the affected area were obtained and the November 2011 preliminary assessment found the soil profile was very similar to that described in the original plant design documents. The inspectors were also concerned with the timeliness of repairs described in the CRs because the initial plans were replaced with continued monitoring. The condition and the licensee's plans to repair the wall became the subject of several Requests for Additional Information (RAIs) associated with the License Renewal Application. As documented in a letter dated October 31, 2011, (ML11306A066), the licensee outlined a schedule to repair the canal wall while continuing to monitor for further degradation. No findings were identified. This review constituted one in-depth problem identification and resolution sample as defined in IP 71152 05.

51 Enclosure

4OA3 Follow-Up of Events and Notices of Enforcement Discretion.1

On February 28, 2010, Davis-Besse commenced refueling outage sixteen. Per the outage plan, the site's pressurizer safety valves were removed and sent to an offsite vendor for testing and refurbishment. This testing was performed on August 16, 2010. In December 2010, the licensee received information from the testing vendor that the two pressurizer safety valves had as-found lift setpoints (2531 psig and 2535 psig respectively) that were slightly above the limits specified in TS 3.4.10 (2525 psig). The licensee attributed the as-found values to setpoint drift during operation. A past operability evaluation was completed by the licensee on January 12, 2011, and concluded that the pressurizer safety valves had been inoperable while they were installed in the plant during the previous reactor operating cycle. (Closed) Licensee Event Report 05000346/2011-001-00: Pressurizer Code Safety Valve Setpoint Test Failures The inspectors' review of this event determined that the safety significance of the issue was minimal. While both valves had as-found setpoints that exceeded the TS allowed value, the highest out-of-tolerance setpoint was only 10 psig higher than the required value, and the discrepancy would not have adversely impacted either valve's ability to have fulfilled its safety function had either been called upon to do so during the previous period of reactor operation. Consequently, the inspectors determined that this failure to comply with TS 3.4.10 was a violation of minor safety significance that was not subject to formal enforcement action in accordance with Section 2.3 of the NRC Enforcement Policy. The licensee had entered these failures into their CAP as CR 2010-87048. Documents reviewed as part of this inspection are listed in the Attachment. This Licensee Event Report (LER) is closed. This event follow-up review by the inspectors constituted a single inspection sample as defined in IP 71153-05.

.2 a. Event Notification 47443:

ALERT Due to Fire in Electrical Bus Affecting Safety-Related Equipment In the early morning hours of November 16, 2011, the inspectors responded to the site following the report of an electrical explosion and fire, and the licensee's declaration of an Alert per the site's Emergency Plan. In response to the event, the inspectors observed and reviewed the licensee's response to the event, plant parameters and status, including but not limited to: Inspection Scope Mitigating systems and fission product barriers performance and integrity; The realignment of the plant's affected electrical equipment; All emergency notifications made to state and local government agencies as required by 10 CFR 50.72; and Emergency plan termination and exit. The inspectors remained on station in the site's control room providing independent assessment of the event until after the licensee had completed determinations that the 52 Enclosure Alert could be terminated. Documents reviewed in this inspection are listed in the Attachment. This event follow-up review by the inspectors constituted a single inspection sample as defined in IP 71153-05.

b. Findings

Inadequate Procedure Resulted in Water Intrusion Into Safety-Related Motor Control Center A self-revealed finding of very low safety significance (Green) was identified for the licensee's failure to establish, implement, and maintain technically adequate procedures to permit the proper switching of FW sources for the station's auxiliary boiler, such that when the switching of FW sources from demineralized water to the station's normal condensate system took place per approved procedures there were detrimental results. Specifically, the approved procedures for this activity relied upon a check valve to keep the demineralized water header from being exposed to greater pressure than its design. When the check valve failed to function as designed, a failure of demineralized water system components and the inadvertent deluge and failure of safety-related electrical equipment resulted. Introduction At 0200 hours0.00231 days <br />0.0556 hours <br />3.306878e-4 weeks <br />7.61e-5 months <br />, the licensee switched makeup water to the auxiliary boiler from the demineralized water system, operating at approximately 95 psig, to the plant's normal condensate system, operating at approximately 300 psig. Shortly thereafter, at approximately 0205 hours0.00237 days <br />0.0569 hours <br />3.38955e-4 weeks <br />7.80025e-5 months <br />, control room operators were notified of water spraying from the overhead in the auxiliary building corridor between mechanical penetration rooms 3 and 4. The operations Shift Engineer, who was dispatched to the scene, reported that the water was coming down on safety-related MCC E11C. Description At about 0214 hours0.00248 days <br />0.0594 hours <br />3.53836e-4 weeks <br />8.1427e-5 months <br />, the Shift Engineer witnessed an "explosion" with a "flash of flame" coming from MCC E11C. The control room was notified and operations personnel entered the site's procedures for a fire and dispatched the fire brigade. Electrical power was removed to MCC E11C by opening the feeder breaker to the entire E11 MCC string (i.e., E11A, E11B, E11C, E11D, and E11E). Power to numerous train 1 safety-related MOVs was lost as a result. However, because the plant was in cold shutdown/Mode 5 at the time of the event, these MOVs were either not required to be operable under present plant conditions and/or already in their safety-related positions. At 0222 hours0.00257 days <br />0.0617 hours <br />3.670635e-4 weeks <br />8.4471e-5 months <br />, the on-watch Shift Manager declared an Alert per the site's Emergency Plan in accordance with Emergency Action Level HA4, "Fire or Explosion Affecting the Operability of Plant Safety Systems Required to Establish or Maintain Safe Shutdown." The fire was reported out by the fire brigade at approximately 0233 hours0.0027 days <br />0.0647 hours <br />3.852513e-4 weeks <br />8.86565e-5 months <br />. No extinguishing agents were required; the removal of electrical power resulted in the fire burning itself out. A subsequent investigation of the condition of MCC E11C revealed that the source of the fire was the 480 Vac breaker BE1144, "HA5261A Control Room Emergency Ventilation Fan 1-1 Inlet Valve," and that certain breaker subcomponents had shorted when they became wetted by the water spray cascading down through the 53 Enclosure MCC from the overhead. Further investigation revealed that the source of the water was a small diaphragm valve located above MCC E11C, PW55, which served to supply demineralized water to a nearby maintenance shop. At approximately 0443 hours0.00513 days <br />0.123 hours <br />7.324735e-4 weeks <br />1.685615e-4 months <br />, the site exited from the Alert and fire response procedures. Following the event, the licensee conducted an investigation into the cause. Station engineering personnel quickly concluded that the procedure being used to switch makeup water to the auxiliary boiler from the demineralized water system, operating at approximately 95 psig, to the plant's normal condensate system, operating at approximately 300 psig, contained a sequence of steps that relied upon a check valve to keep portions of the demineralized water system from being exposed to the much higher condensate system pressure. When the check valve failed to completely close, the excessive pressure, albeit not high enough to damage piping and other "hard" components within the demineralized water system due to that system's installed relief valve protection, was high enough to cause catastrophic failure to "soft" components, such as the soft diaphragm inside PW55. More egregious, however, was that there were no fewer than three previous occurrences (March 7, 2006, December 31, 2007, and August 28, 2008) where the licensee had identified water spraying from above MCC E11C under similar circumstances, but failed to pursue the matter sufficiently to identify the real cause and enact proper corrective actions. The licensee had entered this issue into their CAP as CRs 2006-00624, 2007-32157, 2008-45463; 2011-05456, 2011-05457, 2011-05465, 2011-05466, and 2011-05523. Corrective actions taken by the licensee included, but were not limited to, changes to the station auxiliary boiler operating procedure and repair of the affected electrical components. The inspectors determined that failure of the licensee to establish, implement, and maintain technically adequate procedures to permit the proper switching of FW sources for the station's auxiliary boiler was contrary to the requirements in the licensee's administrative procedure governing the content of balance-of-plant system procedures, NG-QS-00121, "Davis-Besse Procedure Writer's Guide," and as such constituted a performance deficiency that was reasonably within the licensee's ability to foresee and correct and should have been prevented. Analysis The inspectors reviewed this issue using the guidance contained in Appendix B, "Issue Screening," of IMC 0612, "Power Reactor Inspection Reports," and determined that it was of more than minor safety significance and constituted a finding. The issue was determined to be associated with the Initiating Events cornerstone attribute of procedure quality, and had adversely affected the associated cornerstone objective to limit the likelihood of those events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, electrical power to an entire string of safety-related 480 Vac MCCs (i.e., E11A, E11B, E11C, E11D, and E11E) was forced to be interrupted when a deficient procedure for the operation of the station's auxiliary heating boiler caused a significant amount of water to be deluged onto MCC E11C, resulting in an electrical short and fire within the MCC. The inspectors evaluated the finding using IMC 0609, Attachment 4, "Phase 1 - Initial Screening and Characterization of Findings." Because the finding involved reactor shutdown operations and conditions, the inspectors transitioned to IMC 0609, Appendix G, Attachment 1, "Shutdown Operations Significance Determination Process -

54 Enclosure Phase 1 Operational Checklists for Both PWRs and BWRs." Since the finding was associated with an issue that occurred during the time the licensee was in a cold shutdown (Mode 5) condition, the inspectors consulted Checklist 3, "PWR Cold Shutdown and Refueling Operation: RCS Open and Refueling Cavity Level Less Than 23 Feet or RCS Closed and No Inventory in the Pressurizer; Time to Boiling Less Than 2 Hours." The inspectors determined that the finding did not adversely impact any shutdown defense-in-depth or mitigation attributes, nor did it meet any of the checklist specific requirements for a Phase 2 or Phase 3 SDP analysis. Consequently, the finding was determined to be of very low safety significance (Green). This finding had a cross-cutting aspect in the area of Problem Identification and Resolution, CAP component, because the licensee did not take appropriate corrective actions to address the safety issue in a timely manner, commensurate with the safety significance and complexity. Specifically, the licensee had multiple previous opportunities to have appropriately diagnosed and corrected the issue, but failed to do so. (P.1(d)) The inspectors concluded that the licensee did not comply with the standards and expectations for establishing, implementing, and maintaining technically adequate procedures to permit the proper switching of FW sources for the station's auxiliary boiler, as required in Attachment F7 of NG-QS-00121, "Davis-Besse Procedure Writer's Guide." This finding, however, did not involve a corresponding violation of NRC requirements.

Specifically, the inspectors determined that the "Davis-Besse Procedure Writer's Guide" is an administrative procedure, and not covered under the QA requirements set forth in 10 CFR 50, Appendix B. Additionally, the inspectors also determined that the "Davis-Besse Procedure Writer's Guide" is not covered under TS 5.4.1(a), which requires the licensee to establish, implement, and maintain applicable written procedures for the safety-related systems and activities recommended in RG 1.33, Revision 2, Appendix A. (FIN 05000346/2011005-06) Enforcement

4OA5

.1 Other Activities On September 15, 2011, instrumentation and controls (I&C) technicians replaced the HPI 3A and 3B flow instrument signal monitors with refurbished modules.

Upon insertion of the module into the cabinet, the control room received an unexpected alarm for ICS Input Mismatch. The alarm immediately cleared and was attributed to a slight disruption in voltage when the modules were inserted. A decision was made to continue replacement activities. On September 16, 2011, I&C technicians commenced PMT of the signal monitors. During the string check of the HPI flow instrument alarms, annunciator alarm 14-4-E, "ICS Input Mismatch," was received. The alarm initially cleared, then returned. Coincident with ICS Input Mismatch alarm, the plant's ICS began reducing reactor power without any operator input. On-watch plant operators entered procedure DB-OP-02526, "Primary to Secondary Plant Upset," and went through actions of placing ICS stations in manual control. The I&C technicians performing the HPI flow instrument signal monitor refurbishment were directed to stop their activities. Reactor power initially dropped to approximately 95 percent before (Closed) Unresolved Item 05000346/2011-004-01: Plant Transient During High Pressure Injection Flow Instrument String Checks 55 Enclosure operators stabilized the plant, and then returned reactor power to approximately 100 percent using manual controls. The refurbished HPI flow instrument signal monitor modules were removed from the system and taken to the I&C shop for inspection and testing, while the original signal monitor modules were reinstalled. Inspection and testing of the refurbished modules in the I&C shop did not reveal any issues. The modules were sent to the licensee's offsite testing laboratory for further analysis. The inspectors reviewed the licensee's analysis which identified that when the K1 "high flow" positive relay coil was energized on the refurbished signal monitor module, Electromagnetic Interference/Radio Frequency Interference (EMI/RFI) affected the low input ICS converter module located in an adjacent slot in the cabinet. The licensee's laboratory identified that some of the signal monitor modules, including the one used that caused the plant transient, did not have ferrite suppression beads on the leads of two capacitors in the circuitry. Ferrite suppression beads are passive electrical components used to suppress high frequency noise and prevent oscillations from occurring. The licensee's laboratory confirmed that signal monitor circuit boards without ferrite beads resulted in oscillations larger in duration and amplitude than circuit boards that did contain ferrite suppression beads. These oscillations were the underlying reason why EMI/RFI was generated from the K1 "high flow" relay coil, causing the ICS circuitry to respond. The installation of ferrite suppression beads on signal monitor circuit boards was an enhancement that the circuit card manufacturer had implemented sometime in the 1980's. Circuit boards manufactured in the 1970's did not contain ferrite beads. The licensee's supply of signal monitor modules contains a mix of boards with and without the ferrite suppression beads installed. The licensee indicated that they did not have any prior knowledge of this design enhancement and discovered it during the investigation of the event. A review of operating experience did not reveal any similar design issues associated with the signal monitor modules at Davis-Besse or any other nuclear plant facility. Therefore, the inspectors determined that the issue was a latent problem with the refurbished circuit board and was not within the licensee's ability to foresee and correct. The licensee has initiated corrective actions to inspect all currently installed signal monitor modules of the same module and will replace boards that do not contain ferrite suppression beads. Also, an order was created to inspect all spare signal monitor modules onsite to identify any other boards that lack ferrite suppression beads. All further circuit board refurbishments at the laboratory will contain a requirement to ensure ferrite suppression beads are installed.

The inspectors did not identify a performance deficiency or violation of NRC requirements. Based on the inspectors' review of the licensee's analysis of the event, this unresolved item is closed.

.2 a. Reactor Vessel Head Replacement (IP 71007) - Containment Access Restoration The Davis-Besse containment lacked an access opening of sufficient size to permit removal of the old vessel head and reinstallation of the RRVCH.

Therefore, the licensee cut a temporary access opening in the SB and CV of sufficient size to support the head replacement. To restore the temporary construction opening in the CV, the licensee Inspection Scope 56 Enclosure reused and reinstalled (by SMAW) the original plate section cut from the CV. To restore the temporary construction opening in the SB, the licensee installed new reinforcing steel (i.e., rebar) to replace the original steel reinforcement and poured new concrete fabricated at an on-site batch plant. The inspectors reviewed the licensee activities associated with the restoration of the CV and SB access openings. Specifically, the inspectors observed activities and reviewed records as discussed below: Inspectors observed the cutting of the CV opening using a track-mounted welding torch to determine if the cutting activity followed the WO; Inspectors observed installation of the replaced CV plate to determine if the gap tolerances had been maintained in accordance with the WO and to determine if site procedures were adequate to control plate distortion; Inspectors observed full penetration butt welds fabricated during reinstallation of the 1.5 inch thick CV access plate to determine if the welding process followed the qualified welding procedures and to determine if weld filler materials were traceable to certified material test reports; Inspectors reviewed the welding procedures and welder qualification records for containment closure welding activities to determine if the welding was qualified in accordance with the ASME Code Section IX; Inspectors reviewed samples of the radiographic (RT) records and magnetic particle (MT) exam records of the CV welds to determine if weld acceptance criteria met the CC requirements (ASME Code 1968 Edition, 1969 Summer Addenda of Section III); Inspectors observed installation of mechanical rebar splices (reattachment by crimping of the steel reinforcement (rebar)) in the reinforcing steel used to restore the SB opening to determine if the licensee process conformed to the qualified procedure and design requirements; Inspectors observed installation of welded rebar splices in the reinforcing steel used to restore the SB to determine if the welding process followed the qualified welding procedures and that weld filler materials were traceable to certified material test reports and that welders were properly qualified; Inspectors reviewed the results of concrete field tests (e.g., slump and air content) during installation to determine if the concrete had the expected properties specified for the mix design; Inspectors observed the onsite and off-site storage and curing conditions for concrete test cylinders to determine if they met the American Society for Testing and Materials (ASTM) C31 "Making and Curing Concrete Test Specimens in the Field," and ASTM C192 "Making and Curing Concrete Test Specimens in the Laboratory," prior to acceptance testing; Inspectors reviewed the licensee's vendor records for the source materials (e.g., aggregate, cement, water, and admixtures) for concrete batches used in restoration of the SB to determine if it these materials conformed to the design specifications; Inspectors observed concrete cylinder compressive tests to determine if testing was conducted in accordance with ASTM C39 "Compressive Strength of Cylindrical Concrete Specimens," and to determine if the test results demonstrated that the concrete used for restoration of the SB opening had 57 Enclosure adequate shear strength to meet the USAR Section 3.8.2.3.7 minimum design compressive strength (e.g., in excess of 4000 psi); and The records reviewed by the inspectors are identified in the Attachment to this report. b. No findings were identified. Findings

.3 a. (Closed) Unresolved Item 05000346/2011004-05:

Code Surface Examination Requirements Not Applied to Closure Head Stud Holes During the review of the fabrication records for the RRVCH, the inspectors identified a URI associated with the licensee's decision to not perform surface examination of the accessible surfaces of the RRVCH stud holes based upon an interpretation of the ASME Code Section III requirements. On October 6, 2011, the Agency completed a review of the licensee's interpretation of the Code, and determined that it was not correct (reference Task Interface Agreement (TIA) No. 2011-15 - ADAMS Accession No. ML11279A218). Based upon review of this issue as discussed below, Unresolved Item (URI)05000346/2011004-05 is closed. Inspection Scope

b. Findings

Incomplete Surface Examination of the Replacement Reactor Vessel Closure Head A finding of very low safety significance and an associated NCV of 10 CFR 50, Appendix B, Criterion VII, "Control of Purchased Material, Equipment, and Services," were identified by the inspectors for the licensee's failure to perform an adequate review of fabrication records to ensure material procured from a contractor (RRVCH) met the CC. Specifically, the accessible surfaces of the 60 closure head flange stud holes were not subjected to PT or MT examinations as required by the CC. Introduction The inspectors identified that the licensee had not performed PT or MT examinations of accessible surfaces for the 60 closure head flange stud holes as required by the CC.

The inspectors were concerned that failure to perform these examinations could have allowed rejectable indications to be placed inservice. Description On July 22, 2011, during review of RRVCH fabrication records, the inspectors identified that the licensee had not completed the surface examinations required by the CC (1989 Edition of the ASME Code Section III). Specifically, the accessible surfaces of the RRVCH flange stud holes had not been examined using MT or PT methods as required by the Articles NB-2541(a) and NB-4121.3 of Section III of the ASME Code. The inspectors were concerned that without surface examination, rejectable flaws could be placed in service. Additionally, inservice examination of stud hole surfaces is not required by Section XI of the ASME Code, so rejectable fabrication defects would not be identified once the RRVCH was placed inservice. In response to the inspectors' 58 Enclosure concern, the licensee determined that the accessible interior surfaces of the RRVCH stud holes did not require surface examination. The licensee's position was based on the ASME Code Interpretation III-1-77-162, which stated in part that drilled holes are not considered to be material form surfaces and the requirement for examination of holes (if any) resides in NX-4000 and NX-5000. The licensee concluded that the reexamination of machined surfaces as discussed in the ASME Code Section III, Article NB-4121.3 did not apply to the accessible interior surfaces of the flange stud holes because they were not material form surfaces. On October 6, 2011, the NRC issued TIA No. 2011-15, which documented the Agency position on the application of the CC requirements. Specifically, the NRC determined that examination of the accessible surfaces of the RRVCH flange stud holes by MT or PT was required to meet the requirements of Articles NB-2541(a) and NB-4121.3 of Section III of the ASME Code. The licensee entered this issue into the corrective action system in multiple CRs (reference CR-2011-00344, CR-2011-01739 and CR 2011-04373) and subsequently completed MT examination of the accessible surfaces of the 60 RRVCH flange stud holes prior to placing the vessel head into service. At each stud hole, the accessible surface for MT examination included 3 inches in depth from the flange top and bottom surface and in total, amounted to an additional 7,917 square inches of surface area examined. No rejectable fabrication flaws were identified during this examination. The inspectors determined that failure to perform an adequate review of fabrication records to ensure material procured from a contractor (RRVCH) met the CC was contrary to 10 CFR 50, Appendix B, Criterion VII, and was a performance deficiency. Analysis The finding was determined to be more than minor because the finding was associated with the Initiating Events Cornerstone attribute of Equipment Performance and affected the cornerstone objective to limit the likelihood of those events that upset plant stability and challenge critical safety functions. Absent NRC identification, the licensee would not have completed surface examination of the 60 flange stud holes to ensure unacceptable material flaws (e.g., cracks) were not placed in service. Because material flaws such as cracks serve as stress risers that reduce the ability of the RRVCH to withstand failure by crack propagation during design basis events (e.g., pressurized thermal shock), they would place the reactor coolant system at an increased risk for through-wall leakage and/or failure. The inspectors determined the finding could be evaluated using the SDP in accordance with IMC 0609, "Significance Determination Process," Attachment 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," Table 4a for the Initiating Events Cornerstone. Because this finding was identified prior to placing the RRVCH in service and no fabrication flaws were identified, the inspectors answered "no" to the Significance Determination Process Phase 1 screening question "Assuming worst case degradation, would the finding result in exceeding the TS limit for any reactor coolant system leakage or could the finding have likely affected other mitigation systems resulting in a total loss of their safety function assuming the worst case degradation?" Therefore, the finding screened as having very low safety significance (Green). This finding had a cross-cutting aspect in the area of Human Performance, Decision Making because the licensee staff failed to demonstrate that nuclear safety was an overriding priority in decisions affecting the RRVCH. Specifically, the failure to perform 59 Enclosure an adequate review of the RRVCH fabrication records was caused by the licensee's decision to not review the manufacturer's interpretations and application of the CC rules (IMC 0310 - Item H.1.b). The inspectors reached this conclusion based on discussions with licensee staff and review of the licensee's apparent cause evaluation documented in CR-2011-04373. Appendix B of 10 CFR 50, Criterion VII, "Control of Purchased Material, Equipment, and Services," requires in part that "Measures shall be established to assure that purchased material, equipment, and services, whether purchased directly or through contractors and subcontractors, conform to the procurement documents." And: "This documentary evidence shall be retained at the nuclear power plant, or fuel reprocessing plant site and shall be sufficient to identify the specific requirements, such as codes, standards, or specifications, met by the purchased material and equipment." Enforcement Contrary to the above, as of July 22, 2011, the licensee had not established adequate measures (e.g. adequate review of vendor fabrication records) to ensure material procured from a contractor for the RRVCH conformed to the procurement documents. Specifically, licensee measures were not sufficient to ensure that surface examinations of 60 flange stud holes were completed in accordance with Section III of the ASME Code as required by Procurement Specification BUHSDB/NCC001 issued on January 22, 2002, and Purchase Order 7084643 issued on January 31, 2002. Because this violation was of very low safety significance and it was entered into the licensee's CAP (reference CR 2011-00344, CR 2011-01739, and CR 2011-04373), this violation is being treated as an NCV, consistent with Section 2.3.2 of the NRC Enforcement Policy. (NCV 05000346/2011005-07)

4OA6

.1 Management Meetings On January 10, 2012, the inspectors presented the inspection results to the Director of Site Operations, Mr. Brian Boles, and other members of the licensee staff.

The licensee acknowledged the issues presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary.

Exit Meeting Summary

.2 Interim exits were conducted for: Interim Exit Meetings

Radiological Hazard Assessment and Exposure Controls Program inspections under the Occupational Radiation Safety Cornerstone with the Site Vice President, Mr. Barry Allen, on October 21, 2011; Radiation Monitoring Instrumentation Program and Performance Indicator Verification under both the Public Radiation Safety Cornerstone and the Occupational Radiation Safety Cornerstone with the Site Vice President, Mr. Barry Allen, on September 16, 2011. Additionally, a telephone re-exit was conducted on October 21, 2011; and The Reactor Vessel Head Replacement Fabrication Review (IP 71007) with the Director of Special Projects, Mr. Clark Price, and other members of the licensee's staff on November 23, 2011.

The Triennial Heat Sink Performance Review, the inspectors presented the inspection results to Mr. Barry Allen, and other members of the licensee staff, on January 31, 2012 via telephone conference. The licensee acknowledged the issues presented.

The inspectors confirmed that none of the potential report input discussed was considered proprietary. ATTACHMENT:

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

B. Allen, Site Vice President Licensee
P. Boissoneault; Manager, Chemistry
B. Boles, Director, Site Operations
K. Byrd, Director, Site Engineering
T. Chowdhary, NRC Liaison
J. Dominy, Director, Site Maintenance
J. Hook, Manager, Design Engineering
R. Hovland, Manager, Training
G. Kendrick, Manager, Site Outage Management
P. McCloskey, Manager, Site Regulatory Compliance
D. Noble, Manager, Radiation Protection
W. O'Malley, Manager, Nuclear Oversight
R. Oesterle, Superintendent, Nuclear Operations
M. Parker, Manager, Site Protection
R. Patrick, Manager, Site Work Management
D. Petro, Manager, Steam Generator Replacement Project
S. Plymale, Manager, Site Operations
C. Price, Director, Special Projects
M. Roelant, Manager, Site Projects
C. Sacha, Radiation Protection Services Supervisor
D. Saltz, Manager, Site Maintenance
S. Steagall, Fleet Oversight Manager
C. Steenbergen, Superintendent, Operations Training
J. Stelmaszak, Supervisor of NSSS Plant Engineering
J. Sturdavant, Regulatory Compliance
T. Summers, Manager, Plant Engineering
L. Thomas, Manager, Nuclear Supply Chain
M. Travis, Superintendent, Radiation Protection
J. Vetter, Manager, Emergency Response
A. Wise, Manager, Technical Services
G. Wolf, Supervisor, Regulatory Compliance
K. Zellers, Supervisor, Reactor Engineering

Attachment

LIST OF ITEMS

OPENED, CLOSED AND DISCUSSED

05000346/2011005-01 Opened NCV Inadequate Control of Weld Filler Metal Electrodes (Section 1R08.1)
05000346/2011005-02 FIN Decay Heat Pump 1-1 Damaged and Rendered Inoperable By Personnel Climbing on Equipment (Section 1R13.1)
05000346/2011005-03 NCV Air Voids in Component Cooling Water System Caused By Inadequate Fill and Vent Procedure (Section 1R15.1)
05000346/2011005-04 NCV Reactivity Manipulations Performed By Non-Licensed Individual (Section 1R19.1)
05000346/2011005-05 NCV Inadequate Information on Valve Interlocks Resulted in Inadvertent Operation and Loss of Component Cooling Water Surge Tank Inventory (Section 1R20.1)
05000346/2011005-06 FIN Inadequate Procedure Resulted in Water Intrusion Into Safety-Related Motor Control Center (Section 4OA3.2)
05000346/2011005-07 NCV Incomplete Surface Examination of the RRVCH (Section 4OA5.3)
05000346/2011005-01 Closed NCV Inadequate Control of Weld Filler Metal Electrodes (Section 1R08.1)
05000346/2011005-02 FIN Decay Heat Pump 1-1 Damaged and Rendered Inoperable By Personnel Climbing on Equipment (Section 1R13.1)
05000346/2011005-03 NCV Air Voids in Component Cooling Water System Caused By Inadequate Fill and Vent Procedure (Section 1R15.1)
05000346/2011005-04 NCV Reactivity Manipulations Performed By Non-Licensed Individual (Section 1R19.1)
05000346/2011005-05 NCV Inadequate Information on Valve Interlocks Resulted in Inadvertent Operation and Loss of Component Cooling Water Surge Tank Inventory (Section 1R20.1)
05000346/2011004-01 URI Plant Transient During HPI Flow Instrument String Checks (Section 4OA5.1)
05000346/2011005-06 FIN Inadequate Procedure Resulted in Water Intrusion Into Safety-Related Motor Control Center (Section 4OA3.2)
05000346/2011005-07 NCV Incomplete Surface Examination of the RRVCH (Section 4OA5.3)
05000346/2011004-05 URI Code Surface Examination Requirements Not Applied to Closure Head Stud Holes (Section 4OA5.3)
05000346/2011-001-00 LER Pressurizer Code Safety Valve Setpoint Test Failures (Section 4OA3.1)

Attachment

Discussed

None.

Attachment

LIST OF DOCUMENTS REVIEWED

The following is a partial list of documents reviewed during the inspection.

Inclusion on this list does not imply that the NRC inspector reviewed the documents in their entirety, but rather that selected sections or portions of the documents were evaluated as part of the overall inspection effort.
Inclusion of a document on this list does not imply NRC acceptance of the document or any part of it, unless this is stated in the body of the inspection report.
Condition Reports: 1R01 Adverse Weather Protection - 2011-06080; Technical Specification Freeze Point Reads All ***** - 2011-96566; Open Input Found on Freeze Circuit #90 - 2011-05352; Warehouse Repairs Required for ANSI N45.2.2 Storage Compliance - 2011-04606; SH5968, Secondary Hot Water Heating Loop Recirculation Heat Exchanger Temperature Control Valve, Not Maintaining 185 Degrees Fahrenheit Procedures: -
DB-OP-06913; Seasonal Plant Preparation Checklist; Revision 22 -
DB-OP-06331; Freeze Protection & Electrical Heat Trace; Revision 20 -
DB-ME-09521; Preventative Maintenance & Circuit Testing of Freeze Protection and Heat Tracing; Revision 4 -
NOP-OP-1012; Material Readiness and Housekeeping Inspection Program; Revision 7 -
NOP-WM-4006; Conduct of Maintenance; Revision 5 Work Orders: -
200391823;
PM 0912 Check Technical Specification Related Freeze Protection Heat Trace Condition Reports: 1R04 Equipment Alignment - 2011-01109; Decay Heat Pump 1 Outboard Axial Vibrations in Alert Range - 2011-02969; Decay Heat 2733 Leakby Needs Quantified - 2011-04403;
DB-PF-03012 (DB-PF-03011) Emergency Core Cooling System Integrated Train 1 (2) Leakage Test Section 4.5 Decay Heat 2733 (Decay Heat 2734) not Performed on 24 Month Interval - 2011-05687; Decay Heat Valve Pit Leak Test Does Not Meet Acceptance Criteria - 2011-97140; Valves Added to Inservice Testing Program Procedures: -
DB-SP-03019; Service Water Valve Verification Monthly Test Train 1; Revision 11 -
DB-OP-06261; Service Water System Operating Procedure; Revision 47 -
DB-OP-06012; Decay Heat and Low Pressure Injection System Operating Procedure; Revision 52 -
DB-OP-06316; Diesel Generator Operating Procedure; Revision 50 Drawings: -
OS-020, sheet 1; Service Water System; Revision 84 -
OS-004, sheet 1; Decay Heat Removal/Low Pressure Injection System; Revision 50 -
OS-041A, sheet 2; Emergency Diesel Generator Systems; Revision 29 -
OS-041B, sheet 1; Emergency Diesel Generator Air Start/Engine Air System; Revision 40
Attachment
Conditions Report: 1R05 Fire Protection - 2011-04510, Compressed Gas Cylinders Secured with Scaffold Wire Pre-Fire Plans: -
PFP-CB-410; East Elevation 603' and Valve Room Elevation 636', Rooms 410 and 580, Fire Area D; Revision 4 -
PFP-CB-215; Let Down Coolers Area, Room 215, Fire Area D; Revision 5 Drawings: - A-222F; Fire Protection, General Floor Plan El. 565'-0"; Revision 15 - A-223F; Fire Protection, General Floor Plan El. 585'-0"; Revision 21 - A-224F; Fire Protection, General Floor Plan El. 603'-0"; Revision 23 - A-225F; Fire Protection, General Floor Plan El. 623'-0"; Revision 18 - A-226F; Fire Protection, General Floor Plan El. 643'-0"; Revision 13 Other: - Fire Hazard Analysis Report; Revision 24 Condition Reports: 1R07 Heat Sink Performance - 2011-03664; Spent Fuel Pool Heat Exchanger 1 Does Not Meet Extrapolated Heat Transfer Rate - 2011-03776; Procedure Improvements for Spent Fuel Pool Heat Exchanger Performance Test (DB-PF-04707) Procedures: -
DB-PF-04707; Spent Fuel Pool Heat Exchangers; Revision 3 Drawings: -
OS-007; Spent Fuel Pool Cooling System; Revision 23 Work Orders: -
200198502; Spent Fuel Pool Heat Exchanger Performance Test; 10/14/2011 Condition Reports Generated as a Result of the Inspection: 1R07T Heat Sink Performance - Triennial - 11-00422; Intake Canal Dike Does Not Meet Design Configuration Requirements; August 10, 2011 - 11-97166; Degradation of the Intake Canal North Wall in the Q/NQ Portion of the Canal; June 30, 2011 Condition Reports: - 09-62045; FME: Lost 1 Screw, 1 Nut and 2 Washers in CCW Train 1; July 28, 2009 - 10-79648; CCW hx 3 Repair per CR10-79648-CA6; July 14, 2010 - 10-80388; CCW hx 3 Returned to Service with 2 Areas Below Min Wall; July 28, 2010 - 10-81143; Three CCW hx 2 Tubes Remained Blocked After Cleaning Activities; August 12, 2010
Attachment - 10-83726; NRC Questions Process Control of CCW HX Straightening Process; October 5, 2010 - 11-87861; Flange Distortion From Weld Repair On No. 3 CCW HX; January 6, 2011 - 11-89424; CCW hx Unavailable > 30 Days Risk-Evaluation; February 10, 2011 - 11-89559; CCW hx 3 Straightening and Welding Issue @ 90 and 270; February 14, 2011 - 11-90322; Crack in Weld on No. 3 CCW HX During Repair; March 2, 2011 - 11-90364; Crack in Toe of Weld On No. 3 CCW HX; March 3, 2011 - 11-95719; Corrosion Identified in CCW HX 1; May 31, 2011 - 11-95924; Below Minimum Wall Thickness On CCW HX No.1 SW Side; June 3, 2011 - 11-96284; crack In Exterior Weld During Welding of CCW hx No. 1 SW Side; June 10, 2011 - 11-96398; CCW hx 1 Outer Tube Sheet to Channel Head Weld Crack; June 14, 2011 - 11-96432; Indications on Dye Penetrant Exam on No. 1 CCWHX; June 14, 2011 - 11-96441; Dye Penetrant Test Indications Found on No. 1 CCW hx; June 15, 2011 -
06-6749; CC1467 CCW from Decay Heat Cooler 1 Solenoid Outlet Valve Would not Close; September 24, 2006 - 08-50956; Packing Loads on AF3869 Exceed Current Design Values; December 16, 2008 - 09-64856; Containment Spray Pump No. 1 "as found" Information; September 23, 2009 - 10-69758;
AF 68 Check Valve Failure; January 9, 2010 - 11-88345; SFAS Ch. 3 CTMT Pressure Test Switch Required Agitation When Released From Test; January 17, 2011 - 11-90425; EDG Exhaust Missile Barrier Grating Attachment Discrepancies; March 4, 2011 - 11-00422; Intake Canal Dike Does Not Meet Design Configuration Requirements; August 10, 2011 - 11-97166; Degradation of the Intake Canal North Wall in the Q/NQ portion of the Canal; June 30, 2011 - 11-95451; S33-2DB-SS-03711; CTRM Emerg Vent Sys Train 2 Performance Test; May 27, 2011 - 07-26185; Degradation on Rip-Rap Sides of the FOREBAY and Intake Canal; August 9, 2007 - 09-54330; Slope Stability Study for the FOREBAY North Wall Found Low Strength Clay Till; February 27, 2009 Procedures: -
DB-OP-06261; Service Water System Operating Procedure; Revision 45 -
DB-OP-02011; Heat Sink Alarm Panel 11 Anunciators ; Revision 09 -
NORM-OP-1009; SRO Review of Condition Reports; Revision 00 -
NOP-LP-2001; Corrective Action Program; Revision 27 -
DB-OP-03007; Miscellaneous Instrument Daily Checks; Revision 19 -
RA-EP-02820; Emergency Plan Off Normal Occurrence Procedure (Earthquake); Revision 07 -
PM 8369; Inspection - Embankment Intake Canal; June 21, 2011 -
PM 2694; Inspection - Intake Crib; June 21, 2011 Calculations: - C-ICE-009.01-002; Ultimate Heat Sink Level; July 3, 2003 - 12501-703; Thermal Performance Analysis for UHS Pond; Revision 01 - 12501-M-004; Thermal Performance Analysis For UHS Station 0+00 - 10+00; Revision 01 - 12501-M-001; Thermal Performance Analysis For UHS Station 10+00; Revision 01 Other: - 7749-M-23;
CCW HX specification sheets; August 1, 1977 - Serial 1-823; Licensee Response to Bulletin 88-04 "Potential Safety-Related Pump Loss"; September 8, 1988
Attachment - 06-003; Standing Order for Limit on UHS; CREVS Train 1, Design/Licensing Basis; August 24, 2006 - 144188-0209-1575; Slope Stability Study, (Bowser Morner); February 11, 2009 - Serial 2654; Response to RAI
LA 96-0008 (UHS Temp Increase); June 6, 2000 -
RAS-00-00250; TeleCon
NRC-FENOC
LA 96-0008 (UHS Temp Increase); - March 28-30, 2000 - Serial 2397;
LAR 96-0008 (UHS Temp Increase); July 18, 2000 -
RAS-98-00063; FENOC Presentation to NRR (License Basis and Design Basis of the UHS); February 17, 1998 - Serial 2347; Ultimate Heat Sink/Service Water Temperature; January 31, 1996 - 2011-01; UHS Limitation Due to CREATCS Calc Issue (CR 11-95467); Revision 00 - 154381-0811-2995; Intake Canal Study, (Bowser Morner); August 05, 2011 Work Orders: -
WO 200426314; Completed Repairs on CCW HX 3 per
CR 10-80388; June 13, 2011 -
WO 200423055 Addendum 1; Completed Repairs on ccw hx 3 per CR10-79648-CA6; June 13, 2011 -
WO 200117165; Tubes Plugged in ccw hx 2; September 20, 2010 -
WO 200284546; Work Order for Intake Canal Fix; October 5, 2007 -
WO 200220528; Intake Canal Inspection; May 29, 2007 -
WO 200325296; CCW HX 3 Performance Test Completed July 9, 2010; Revision 08 Audits, Assessments and Self-Assessments: -
SN-SA-11-191; Snapshot Assessment of Reliability of Heat Exchangers Cooled by Service Water and
GL 89-13 Implementation; June 16, 2011 Tests: -
DB-PF-04706 Order
200325296; CCW HX 3 Performance Test Completed July 9, 2010; Revision 8 Modifications: - C-ICE-009.01-002 A01; Ultimate Heat Sink Level; Multiplexor Replacement; February 23, 2010 - 07-00464; CAC Heat Duty at Elevated SW Inlet Temperature; January 31, 2007 Drawings: - 7749-M-23-8-5;
Struther Wells Corporation CCW HX Details Drawing; December 6, 1971 - C-1; Site Plan; Revision 21 -
OS-032B; Control Room Emergency Ventilation System; Revision 18 -
OS-020; SH 2 Operational Schematic Service Water System; Revision 42 - C-49; Discharge System; Revision 21 - C-46; Discharge System; Revision 28 - C-45; Flood Control Dike-Sections; Revision 11 - C-45A; Flood Control Dike-Section and Intake Structure Miscellaneous Steel; Revision 01 - C-45B; Intake Structure Miscellaneous Steel Sections and Details; Revision 00 - C-45C; Intake Structure Miscellaneous Steel Sections and Details; Revision 00 -
TEC 201 B1; Water Intake and Discharge; Sh. 3 of 17 (Finkbeiner, Drawing); December 20, 1972
Attachment
Condition Reports: 1R08 Inservice Inspection - 2011-94103; SFP Pump 1-2 Seal Leak; dated May 4, 2011 - 2011-05605; NRC Question of 17M RPV UT Data (S-dim); dated November 17, 2011 - 2011-05118; Inadequate Reconciliation of E22-3 HX Repair; dated November 4, 2011 - 2011-04942; Results of BMV of the RVCH; dated November 4, 2011 - 2011-04891; NRC UT Procedure Issue; dated November 3, 2011 - 2011-04847; Reactor Head BMV Procedure Briefing; dated November 3, 2011 - 2011-04810; Incomplete Quality Record; Dated November 2, 2011 - 2011-03984; Failure to Declare Component Inoperable Due to ISI Indication; dated October 19, 2011 - 2011-03875; Results of ISI Exam of the Exterior Containment Vessel Moisture Barrier; dated October 17, 2011 - 2011-02113; Linear Indication HP92 Base Metal; dated September 19, 2011 - 2010-79648; Corrosion at T-Weld for CCW HX 1-3; dated June 26, 2010 - 2010-79012; HPI Pump 2P58-2 Boric Acid at Mechanical Seal; dated June 29, 2010 - 2010-78548; RCS to DH System Leak at DH22A Packing; dated June 20, 2010 - 2010-78373; OA for
EOC 17; dated June 16, 2010 - 2010-77851; Debris on Lower Core Grid; dated June 6, 2010 - 2010-76667; Packing Leak
SF 35; dated May 10, 2010 - 2010-75053; Debris at FW51; dated April 8, 2010 - 2010-74892; RCP 1-2 Boric Acid Leak at Bolted Connection; dated April 5, 2010 - 2010-73653; DH11 Packing Leak; dated March 16, 2010 - 2010-73412; 16 RFO Debris on Fuel Assembly; dated March 14, 2010 Miscellaneous Documents: -
NIS-2 Form; CCW HX 1-3; dated July 23, 2010 - Welding and NDE Services Lab Work Request; dated July 26, 2011 - Davis-Bessel Project Welder Qualification List; dated October 17, 2011 - Non Destructive Examination Records - Liquid Penetrant Examination Report 17-PT-011; Valve HP92 to Pipe Weld; dated September 19, 2011 - Liquid Penetrant Examination Report 17-PT-012; Valve HP92 to Pipe Weld; dated September 19, 2011 - Liquid Penetrant Examination Report 17-PT-036;
MU-31-CCA-18-1-FW23; dated October 13, 2011 - UT Calibration/Examination Report 17-UT-053;
RC-PZR-WP-15; dated October 12, 2011 - Reactor Vessel 10 Year Ultrasonic Examination Summary Report; dated October 20, 2011 Procedures: -
CR-ASME III CL B; Nondestructive Examination Standard Computed Radiographic Examination; Revision 0 - 54-ISI-367-11; Visual Examination for Leakage of Reactor Head Penetrations; dated January 26, 2010 - 54-ISI-69-31; Administrative Procedure for Processing Nondestructive Examination Data; dated February 26, 2010 - 54-PT-200-04; Color Contrast Solvent Removable Liquid Penetrant Examination of Components; dated June 24, 2011 - 54-MT-02-08; Wet or Dry Magnetic Particle Examination Procedure; dated February 24, 2009
Attachment - 54-ISI-801-02; Automated Ultrasonic Examination of PWR Vessel Shell Welds; dated February 14, 2011 - 54-ISI-805-07; Ultrasonic Examination of Reactor Pressure Vessel Welds; Revision 7 - NOP
ER-2001; Boric Acid Corrosion Control Program; Revision 9 - NOP
DP-01501; Boric Acid Corrosion Control Inspection; Revision 13 - Weld Procedures and Qualification Records: - GWS Arc Welding Standard Arc Welding of Reinforced Steel (GWS-Rebar), Revision 0 - WPS P1-Rebar (Indiret-0.57 CE); Revision 0 - WPS P1-Rebar (0.87 CE); Revision 0 - WPS P1-A-Lh(CVN 0F); Revision 1 -
PQR 1310; dated June 20, 2001 -
PQR 1675; dated August 12, 2011 -
PQR 1359 P1-Rebar (Indiret-0.57 CE); dated June 18, 2003 -
PQR 1392 P1-Rebar (0.87 CE); dated September 30, 2003 Welder Qualification Records: -
WR-1 Welder Performance Qualification Test Record-
CBI-3; dated September 13, 2011 -
WR-1 Welder Performance Qualification Test Record-
CBI-7; dated September 13, 2011 -
WR-1 Welder Performance Qualification Test Record-
CBI-13; dated October 2, 2011 -
WR-1 Welder Performance Qualification Test Record-
CBI-14; dated October 2, 2011 -
WR-1 Welder Performance Qualification Test Record- I-1; dated October 7, 2011 -
WR-1 Welder Performance Qualification Test Record- I-4; dated October 10, 2011 Weld Data Records: - Madison Inc Certified Material Test Report-A516 Grade 70 Plate - Heat
1505681; dated September 19, 2010 -
WR-5C Structural Field Welding Checklist- FW13 and 14; dated October 24, 2011 -
WR-5 Field Welding Checklist-
FW-1; dated October 22, 2011 -
WR-6 Filler Metal Withdrawal Form E 7018; dated October 23, 2011 -
WR-6 Filler Metal Withdrawal Form E 7018; dated October 22, 2011 -
WR-6 Filler Metal Withdrawal Form E 7018; dated October 21, 2011 - ELAB Group Inc CMTR No. 743965-E9018-B3H4R- Heat M100021; dated January 21, 2011 - GERDAU CMTR Heat No. K115877- No. 10 Rebar; dated September 1, 2011 - GERDAU CMTR Heat No. K111485- No. 11 Rebar; dated September 1, 2011 - GERDAU CMTR Heat No. C014692- No. 8 Rebar; dated September 1, 2011 - GERDAU CMTR Heat No. J112953- No. 10 Rebar; dated September 1, 2011 - Mistras CE Rebar Sample Chemical Analysis; dated November 3, 2011 Condition Reports: 1R12 Maintenance Effectiveness - 2008-33710; Groundwater In-seepage Identified In The Annulus Sandpocket - 2011-01540; Exterior Shield Building Inspection Findings - 2011-03346: Fractured Concrete Found at 17M Shield Building Construction Opening - 2011-03875; Results of ISI Examination of the Exterior of the Containment Vessel Moisture Barrier - 2011-03996; Extent of Condition for Shield Building Fracture Indications - 2011-04190; Surface Cracks Identified on Fluted Areas of the Shield Building - 2011-04214; Core Bore Found Additional Crack in Architectural Flute Area - 2011-04402; Fractured Concrete Found at 17M Shield Building at Main Steam Line Penetrations Attachment - 2011-04507; Isolated Crack Indication Identified by Impulse Response Testing - 2011-04648; Shield Building IR Indications above Elevation 780 - 2011-05475; Concrete Cracking at the Top of the Shield Building Wall - 2011-05648; Concrete Cracking in Shoulder 4 / Flute 2 Region of the Shield Building (Azimuth 67.5) - 2011-05904; Errors Identified in Shield Building Crack Calculation C-CSS-059.20-056 - 2011-06185; Error in Calculation C-CSS-099.20-056, Revision 01 Procedures: -
NOP-ER-3004; FENOC Maintenance Rule Program; Revision 01 -
EN-DP-01511; Design Guidelines For Maintenance Rule Evaluation of Structures; Revision 0 -
DB-PF-03009; Containment Vessel and Shield Building Visual Inspection; Revision 7 Other: - MRPM; Maintenance Rule Program Manual; Revision 29 - Maintenance Rule Unavailability Hours Database - Maintenance Rule Evaluation Worksheets; Containment Shield Building Dome; dated September 2, 2005 and June 14, 1999 - Maintenance Rule Evaluation Worksheets; Containment Shield Building Exterior; dated October 17, 2005 and June 14, 1999 - Maintenance Rule Evaluation Worksheets; Containment Shield Building Interior; dated May 3, 2010 and January 2, 2008 - Maintenance Rule Evaluation Worksheets; Containment Vessel Exterior; dated May 3, 2006 and May 4, 1998 - Maintenance Rule Evaluation Worksheets; Containment Vessel Interior; dated April 1, 2010, May 1, 2010, January 23, 2008, March 17, 2007 and May 12, 1998 Condition Reports: 1R13
Maintenance Risk Assessments and Emergent Work Control - 2011-03022;
DB-PA-11-03: Configuration Control Issue Noted During RCS Drain - 2011-03346: Fractured Concrete Found at 17M Shield Building Construction Opening - 2011-03465;
DB-PA-11-03: Issues Identified With Containment Closure Documentation and Implementation - 2011-03996; Extent of Condition for Shield Building Fracture Indications - 2011-04190; Surface Cracks Identified on Fluted Areas of the Shield Building - 2011-04214; Core Bore Found Additional Crack in Architectural Flute Area - 2011-04402; Fractured Concrete Found at 17M Shield Building at Main Steam Line Penetrations - 2011-04507; Isolated Crack Indication Identified by Impulse Response Testing - 2011-04648; Shield Building IR Indications above Elevation 780 - 2011-05475; Concrete Cracking at the Top of the Shield Building Wall - 2011-05648; Concrete Cracking in Shoulder 4 / Flute 2 Region of the Shield Building (Azimuth 67.5) - 2011-05904; Errors Identified in Shield Building Crack Calculation C-CSS-059.20-056 - 2011-06185; Error in Calculation C-CSS-099.20-056, Revision 01 - 2011-07195; DH Pump 1-1 O/B Bearing Oil Temp Element Damaged Procedures: -
NOP-OP-1007; Risk Management; Revision 9 -
DB-MM-09234; Equipment Hatch Removal and Reinstallation; Revision 8
Attachment -
NG-DB-00117; Shutdown Defense In Depth Assessment; Revision 11 -
DB-OP-06904; Shutdown Operations; Revision 37 -
DB-OP-1005; Shutdown Defense In Depth; Revision 13 -
NOP-OP-1002; Conduct of Operations; Revision 5 Business Practices: -
DBBP-OPS-0003; On-Line Risk Management Process; Revision 10 -
DBBP-OPS-0011; Protected Equipment Posting; Revision 3 Calculations: - C-NSA-099.16-023; Risk Significant Component Matrix - Attachment 7; Revision 7 - C-CSS-099.20-046; Evaluation of Shield Building for the Permanent Condition; Revision 0 - C-CSS-099.20-047; Restoration of Shield Building Construction Opening; Revision 0 - C-CSS-099.20-053; Evaluation of Shield Building for the Interim Condition with Outside Vertical Reinforcement Removed at Each Flute Shoulder; Revision 0 - C-CSS-099.20-054; Evaluation of Shield Building for the Permanent condition with Outside Vertical Reinforcement Removed at Cracking Areas; Revisions 0, 1, 2, and 3 - C-CSS-099.20-055; II/I Evaluation for Architectural Flute Shoulder; Revision 0 - C-CSS-099.20-056; Evaluation of Shield Building Hoop Reinforcement with Observed Cracking; Revisions 0 and 1 Drawings: - C-111A; Shield Building Exterior Developed Elevation; Revision 0 and 1 Other: - MRPM; Maintenance Rule Program Manual; Revision 29 - 17M Shutdown Defense In Depth Report; Revision 1 - Davis-Besse Shield Building Investigation and Technical Summary; Revisions 0 and 1 - Davis-Besse Shield Building Cracking Investigation and Assessment Report; Revisions 0 and 1 Condition Reports: 1R15 Operability Evaluations - 2011-01902; Extent of Condition Concerns from
CR 2011-98223 - 2011-03346: Fractured Concrete Found at 17M Shield Building Construction Opening - 2011-03996; Extent of Condition for Shield Building Fracture Indications - 2011-04190; Surface Cracks Identified on Fluted Areas of the Shield Building - 2011-04214; Core Bore Found Additional Crack in Architectural Flute Area - 2011-04402; Fractured Concrete Found at 17M Shield Building at Main Steam Line Penetrations - 2011-04507; Isolated Crack Indication Identified by Impulse Response Testing - 2011-04648; Shield Building IR Indications above Elevation 780 - 2011-05475; Concrete Cracking at the Top of the Shield Building Wall - 2011-05648; Concrete Cracking in Shoulder 4 / Flute 2 Region of the Shield Building (Azimuth 67.5) - 2011-05904; Errors Identified in Shield Building Crack Calculation C-CSS-059.20-056 - 2011-06185; Error in Calculation C-CSS-099.20-056, Revision 01 - 2011-98223; DC System Issues from NRC CDBI - 2011-05526; Acceptance Criteria For Train 2 Service Water Flow Balance,
DB-SP-03001, Not Met Attachment - 2011-05283;
DB-SP-03001 Service Water Loop 2 Integrated Flow Balance Procedure Flow Does Not Meet Minimum Acceptance Criteria - 2011-05163; Questionable Margin of CCW SW Flow Balance Acceptance Criteria - 2011-05183; Cycling of #2 SW Pump Strainer During Performance of
DB-SP-03001 Procedures: -
NOP-LP-2001; Corrective Action Program; Revision 27 -
NOP-OP-1009; Operability Determinations and Functionality Assessments; Revision 3 -
NOP-OP-1014; Plant Status Control; Revision 1 -
NOBP-OP-0004; Plant Status Control and Clearance Events; Revision 4 -
DB-OP-02011; Heat Sink Alarm Panel 11 Annunciators; Revision 9 -
DB-OP-02521; Loss of AC Bus Power Sources; Revision 17 -
DB-SP-03001; Service Water Loop 2 Integrated Flow Balance Procedure; Revision 15 -
DB-CH-06033; Auxiliary Systems Chemical Addition; Revision 19 Calculations: - C-EE-001.01-010; DC Calc-Battery/Charger Size, Short Circuit, Voltage Drop; Revision 31 - C-CSS-099.20-046; Evaluation of Shield Building for the Permanent Condition; Revision 0 - C-CSS-099.20-047; Restoration of Shield Building Construction Opening; Revision 0 - C-CSS-099.20-053; Evaluation of Shield Building for the Interim Condition with Outside Vertical Reinforcement Removed at Each Flute Shoulder; Revision 0 - C-CSS-099.20-054; Evaluation of Shield Building for the Permanent condition with Outside Vertical Reinforcement Removed at Cracking Areas; Revisions 0, 1, 2, and 3 - C-CSS-099.20-055; II/I Evaluation for Architectural Flute Shoulder; Revision 0 - C-CSS-099.20-056; Evaluation of Shield Building Hoop Reinforcement with Observed Cracking; Revisions 0 and 1 - C-NSA-011.01-016; Service Water System Design Basis Flowrate Analysis and Testing Requirements Work Orders: -
200379719; Service Water Train 2 Flow Balance Simple Troubleshooting Drawings: - E-0007; 250/125 Vdc and Instrumentation AC One Line Diagram; Revision 40 - E-642A, Sheet 1A; Nonessential 125 Vdc Distribution Panel "DAP" Channel - A; Revision 13 - E-642A, Sheet 1B; Nonessential 125 Vdc Distribution Panel "DAP" Channel - A; Revision 15 - E-642A, Sheet 2A; Nonessential 125 Vdc Distribution Panel "DBP" Channel - B; Revision 15 - E-642A, Sheet 2B; Nonessential 125 Vdc Distribution Panel "DBP" Channel - B; Revision 15 - E-642A, Sheet 3A; Nonessential 125 Vdc Distribution Panel "DAN" Channel - A; Revision 10 - E-642A, Sheet 3B; Nonessential 125 Vdc Distribution Panel "DAN" Channel - A; Revision 5 - E-642A, Sheet 4A; Nonessential 125 Vdc Distribution Panel "DBN" Channel - B; Revision 11 - E-642A, Sheet 4B; Nonessential 125 Vdc Distribution Panel "DBN" Channel - B; Revision 8 - E-640A, Sheet 1A; Essential 125 Vdc Distribution Panel "D1P" Channel - 1; Revision 22 - E-640A, Sheet 1B; Essential 125 Vdc Distribution Panel "D1P" Channel - 1; Revision 14 - E-640A, Sheet 2A; Essential 125 Vdc Distribution Panel "D2P" Channel - 2; Revision 21 - E-640A, Sheet 2B; Essential 125 Vdc Distribution Panel "D2P" Channel - 2; Revision 14 - E-640A, Sheet 3A; Essential 125 Vdc Distribution Panel "D1N" Channel - 3; Revision 11 - E-640A, Sheet 3B; Essential 125 Vdc Distribution Panel "D1N" Channel - 3; Revision 3 - E-640A, Sheet 4A; Essential 125 Vdc Distribution Panel "D2N" Channel - 4; Revision 12 - E-2013H, Sheet No. 1 of 12; Station 125 Vdc Distribution System Failure Analysis Manual Cover Sheet Introduction; Revision 2
Attachment - E-2013J, Sheet No. 1 of 71; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel D1P; Revision 3 - E-2013K, Sheet No. 1 of 118; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel DAP; Revision 3 - E-2013L, Sheet No. 1 of 8; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel D1N; Revision 2 - E-2013M, Sheet No. 1 of 38; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel DAN; Revision 2 - E-2013N, Sheet No. 1 of 68; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel D2P; Revision 3 - E-2013P, Sheet No. 1 of 103; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel DBP; Revision 3 - E-2013Q, Sheet No. 1 of 7; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel D2N; Revision 3 - E-2013R, Sheet No. 1 of 43; Station 125 Vdc Distribution System Failure Analysis Manual - Cover Sheet Panel DBN; Revision 3 -
OS-060, Sheet 1; Operational Schematic 250/125 Vdc and 120 V Instrument AC System; Revision 17 -
OS-060, Sheet 2; Operational Schematic 250/125 Vdc and 120 V Instrument AC System; Revision 17 - C-111A; Shield Building Exterior Developed Elevation; Revision 0 and 1 Other: - Davis-Besse Shield Building Investigation and Technical Summary; Revisions 0 and 1 - Davis-Besse Shield Building Cracking Investigation and Assessment Report; Revisions 0 and 1 Condition Reports: 1R18 Plant Modifications - 2011-02133; ICS/ULD Upgrade HLG NR TEMP Divergence Alarms - 2011-02136; ICS/ULD Upgrade Communication Alarm to PPC - 2011-02253: Penetration Sleeve Size Error Resulted in Nonconservative Analysis Error - 2011-02261; Unanalyzed Failure Mode of ICS/ULD Modification - 2011-03125; Inadvertent Short in NNI X - 2011-04311; Service Water Pipe Project - Jacking Bolt Cannot Be Installed In Orifice Flange - 2011-04267; Service Water Supports A-328 and A-341 Do Not Match Drawing Offsets - 2011-04491; SW Pipe 3" -HABC-45 Not Installed Per Drawings by WSI Under Order
200432711 - 2011-03418; Service Water Replacement Piping Tie-In As Found Conditions - 2011-05689; As Found Data Out of Tolerance - Order
204428777 - ICS ULD & V Buffer FYSP02A1-D Found Failed - 2011-95917; ICS
ECP 02-0540-00 Makeup Flow Out of Range High in New ICS Unit Load Demand Work Orders: -
200432023; Replace SW Piping to ECCS Room Coolers -
200316618; Replace SW ECCS Supply/Return Piping -
200432711; Replace SW Piping to ECCS Room Cooler #1 -
200432714; Replace SW Piping to ECCS Room Cooler #2 -
200432715; Replace SW Piping to ECCS Room 1 Coolers Attachment -
200432716; Replace SW Piping to ECCS Room Cooler #4 -
200432717; Replace SW Piping to ECCS Room Cooler #5 -
200432718; Replace SW Piping From ECCS Room 2 Coolers Procedures: -
NOP-OP-4106; Control of Radiography Operations; Revision 2 Engineering Change Packages: - 02-0540-000; Integrated Control System (ICS) Unit Load Demand Replacement - 10-0458-000; SGR - 17M - Install Shield Building Construction Opening - 10-0459-003; SGR - 17M - Containment Vessel Opening, Cut Wall Opening - 10-0459-004; SGR - 17M - Containment Vessel Opening, Restore Wall - 11-0412-000; Removal of ECCS Room Cooler Check Valves - 11-0412-003; 17M Service Water Replacement Other: - USAR Section 9.2.1; Service Water System Condition Reports: 1R19 Post Maintenance Testing - 2008-33814; Diagnostic Testing on Valve SP6B - 2011-03878; #1 Decay Heat Pump (P42-1) Bearing Housing Has Loose/Chipping Internal Coating - 2011-04176; Incorrect Sealant Used on the Containment Air Cooler (CAC) #3 Endbell - 2011-04244; CTMT Spray Baseline Test, Motor Data Greater Than 100 Percent FLA and Line Voltage Greater Than 110 Percent - 2011-04251; Containment Spray (CS) Pump 1 Baseline Test Results - 2011-04252; Inadequate Acceptance Criteria in
DB-PF-03472, Makeup Pump 1 Baseline Test - 2011-04338; #3 CTMT Air Cooler Motor Found Damaged - 2011-04344; MP37-1A Makeup Baseline Test, Motor Data Greater Than 100 Percent FLA and Line Voltage Greater than 110 Percent - 2011-04400; Battery Charger DBC1N - Termination of 500 MCM Cable at D134 - 2011-04437; Test Deficiency: Battery Charger DBC1N Low AC Voltage Disconnect Did Not Function - 2011-04501; Question on the Configuration of the Condensate Drain Plug for CTMT Air Cooler Motor #3 - 2011-04574; MP42-1 Decay Heat Pump 1-1 Baseline Test (DB-PF-03236) Line Voltage Greater than 110 Percent of the Motor Nameplate Voltage and to Evaluate the Motor and Pump Hydraulic Data from
DB-PF-03236 - 2011-04591; SP6B Has In-Body Thread Damage - 2011-04602; At Step 6.5.34 of
DB-SC-10023, DBC1P AC Input Breaker Did Not Trip When AC Power Was Removed (BE 1233 Opened) - 2011-04620; Test Deficiency: Battery Charger DBC1P - 2011-04830; Abnormal Thermal Indications Noted Via Infrared Thermography within BE1501 - 2011-04901; Solenoid Valves Required Rebuild After Maintenance - 2011-04993; Data Recorded For
DB-PF-03236 DH Pump 1 Baseline Testing - 2011-05228; ILRT Procedure (DB-PF-10310) Discrepancy in Attachment 3E - 2011-05630; Decay Heat Pit Has a Crack in the caulking That May Have Been Caused By/During the ILRT - 2011-05687; Decay Heat Valve Pit Leak Test Does Not Meet acceptance Criteria Attachment - 2011-05693; Relative Position Indication for Control Rod 2-2 Not Responding - 2011-05716; Penetration Boot Seal Could Not Be Performed By Procedure - 2011-05847; EVS Train 1 Refueling Interval SFAS Drawdown Test,
DB-SS-03254, Failure - 2011-06302; Auxiliary Feedwater Pump Turbine 1 Steam/Water Casing Leakage - 2011-06318; Trip Keylock Switch to Insert Control Rod Groups During Testing Was Not Operated by a Licensed Individual Procedures: -
DB-PF-03437; Containment Spray Pump 1 Baseline Test; Revision 3 -
DB-PF-05000; Motor Testing; Revision 3 -
DB-PF-05064; Electrical Machine Testing Using PdMA Motor Tester; Revision 9 -
DB-SP-03157; AFP 1 Response Time Test; Revision 18 -
DB-SP-03299; Containment Air Cooling Unit 3 18 Month Test; Revision 8 -
DB-SP-03296; Containment Air Cooling Unit 3 Monthly Test; Revision 11 -
DB-PF-03472; Makeup Pump 1 Baseline Test; Revision 4 -
DB-PF-03236; Decay Heat Pump 1 Baseline Test; Revision 7 -
DB-PF-10310; Containment Integrated Leakage Rate Test; Revision 7 -
DB-ME-03003; Station Battery Charger Test; Revision 12 -
DB-SC-03270; Control Rod Assembly Insertion Time Test; Revision 11 -
DB-SC-03272; Control Rod Exercising Test; Revision 4 -
DB-SC-10023; Post-Modification Test For Battery Charger DBC1P; Revision 0 -
DB-SC-10024; Post-Modification Test For Battery Charger DBC1N; Revision 0 -
DB-SS-03254; Emergency Ventilation System Train 1 Refueling Interval SFAS Drawdown Test; Revision 12 -
DB-SC-03270; Control Rod Assembly Insertion Time Test; Revision 11 -
NOP-WM-3620; Air Operated Valve Diagnostic Testing; Revision 0 -
DB-OP-02011; Heat Sink Alarm Panel 11 Annunciators; Revision 9 Work Orders: -
200005040; Decay Heat 1: Inspect/Recoat Bearing Housings. Replace Mechanical Seals -
200376148; Makeup Pump 1 I/B Cover to Casing Gasket Replace -
200389986; DBC1N Replace Charger
ECP 02-0707-003 -
200389987; DBC1P Replace Charger
ECP 02-0707-002 -
200404473; Makeup Pump 1 Replace O/B Seal -
200423169;
PM 6095
MC1-3 Motor Testing CAC Fan 3 Motor -
200423797;
ECP 10-0578
PM 7739 Makeup Pump 1 Refurb/Replace/Rewind Motor -
200423980;
ECP 11-0467
PM 9896 Decay Heat 1 Refurb/Rewind/Replace Motor -
200423981; Containment Spray 1
PM 9897, Refurb/Rewind/Replace Motor -
200427977; Rod Drop CRA Insertion Time Test -
200428009; AFP 1 Response Time Test -
200428641;
PM 4301 FVSP6B Rebuild #1 MN FW -
200429509; Containment ILRT -
200437806;
ECP 11-0143-001 CAC Fan #3 Motor Needs Replaced Other: - Containment Spray Pump 1 Motor Data, dated October 24, 2011 - Makeup Pump 1 Motor Data, dated October 25, 2011 -
ECP 02-0707-002; Replace Battery Charger
DB-DBC1P -
ECP 02-0707-003; Replace Battery Charger
DB-DBC1N -
ECP 11-0143-001; Replacement Motor For
MC1-3; Revision 0
Attachment
Condition Reports: 1R20 Refueling and Other Outage Activities - 2011-04881; Violation of
NOP-LP-1202, Vehicle Found With Keys in Ignition - 2011-04886; Requirements to Enter Mode 6 for Containment Closure After Vessel Opening - 2011-05036; Paint Thickness Requirements Outside Specification - 2011-05173; P78A Containment Normal Sump Pump A Did Not Meet Acceptance Criteria - Failed Test - 2011-05419; Evaluate Areas in Containment Not Coated Per Specification A-024Q - 2011-05517; Protective Coating Applied Inside Containment Not in Compliance With Order or Requirements of Engineering Change Package - 2011-05558;
POD 10-001 Review of Mode Change or Plant Operating Restrictions - 2011-05588; Entry Into Plant Condition Prior to Resolving Listed Restraints - 2011-05630; Decay Heat Pit Has a Crack in the caulking That May Have Been Caused By/During the ILRT - 2011-05652; Pressurizer Insulation Not Properly Secured - 2011-05672; Containment Walkdown - 2011-05675; Peeling Paint and Tape in Containment - 2011-05687; Decay Heat Valve Pit Leak Test Does Not Meet acceptance Criteria - 2011-05690; Containment Unacceptable Items Found During Containment Closure Walkdown - 2011-05692; Potential Rework for CRD Rod 2-2 - 2011-05709; Containment Closeout Inspection Tour With NRC Inspectors - 2011-05711; Removed Outer Jacket From Sealtite in Containment - 2011-05740; Mirror Insulation Clips Damaged, Missing, and Not Clipped - 2011-05777; Void in Concrete at the top of the Shield Building pour back (Bechtel
NCR 20) - 2011-05904; Errors Identified in Shield Building Crack Calculation C-CSS-059.20-056 - 2011-06196; Rising Reactor Coolant Drain Tank Level - 2011-06291; Pressurizer Safety Valve Performance During Plant Heatup Procedures: -
NG-DB-00117; Shutdown Defense in Depth Assessment; Revision 11 -
NOP-OP-01005; Shutdown Defense in Depth; Revision 13 -
DB-OP-06002; RCS Draining and Nitrogen Blanketing; Revision 19 -
DB-OP-06003; Pressurizer Operating Procedure; Revision 28 -
DB-OP-06230; Steam Generator Secondary Side Fill, Drain, and Layup; Revision 14 -
DB-OP-06301; Generator and Exciter Operating Procedure; Revision 23 -
DB-OP-06903; Plant Cooldown; Revision 40 -
DB-OP-06904: Shutdown Operations; Revision 38 -
DB-OP-06912; Approach to Criticality; Revision 16 -
DB-MM-04004; Station Cranes Periodic Test; Revision 12 -
DB-MM-06002; Polar Crane Operation; Revision 16 -
DB-MM-09242; P&H station Crane Maintenance; Revision 2 -
DB-MS-04009; Hand and Electric Operated Hoists Inspection; Revision 6 -
DB-ME-09500; Installation and Termination of Electrical Cables; Revision 23 Business Practices: -
DBBP-ESAF-1010; Containment Cranes; Revision 0
Attachment
Work Orders: -
200429982; Polar Crane Inspections Other: - Bechtel Radiography Management Plan, Davis-Besse Containment Vessel, Fall 2011; Revision 0 Condition Reports: 1R22 Surveillance Testing - 2011-03416;
DB-SC-03121: Non-Conservative Computer Pt Used as Time Reference for Response Time Calcs - 2011-04315; Required CR for IST Valve Times From 2011 SFAS Integrated Train 2
DB-SC-03121 - 2011-04935; EDG 2 Frequency High Test Deficiency in
DB-SC-03121, Integrated SFAS Train 2 - 2011-05228; ILRT Procedure (DB-PF-10310) Discrepancy in Attachment 3E - 2011-05630; Decay Heat Pit Has a Crack in the caulking That May Have Been Caused By/During the ILRT - 2011-05687; Decay Heat Valve Pit Leak Test Does Not Meet Acceptance Criteria - 2011-05716; Penetration Boot Seal Could Not Be Performed By Procedure - 2011-06382; During Normal Operating Pressure, Normal Operating Temperature Walkdown Inspection the L7 Removable Insulation Panel on the Integrated Head Assembly could not be Extracted from the Installed Location - 2011-88100; Pressurizer Code Safety Valves Setpoint Test Failure Reporting Procedures: -
DB-PF-03008; Containment Local Leakage Rate Tests; Revision 15 -
DB-SC-03121; SFAS Train 2 Integrated Response Time Test; Revision 2 -
DB-SC-03074; Emergency Diesel Generator 1, ABDC1, and AC103 Appendix R Test; Revision 6 -
DB-SP-03157; AFP 1 Response Time Test; Revision 18 -
DB-PF-03010; RCS Leakage Test; Revision 11 -
DB-PF-10310; Containment Integrated Leakage Rate Test; Revision 7
VT-2 Summary Numbers: - B15.000.RC01; Primary Reactor Coolant System Class 1 Pipe for Leakage Test; 17-VT-286, 17-VT-287, 17-VT-288, 17-VT-289, 17-VT-290, 17-VT-291, 17-VT-292, 17-VT-293, 17-VT-294, 17-VT-295, 17-VT-297 - B15.000.DH15; Reactor Coolant System to Decay Heat Pump Suction (Bypass); 17-VT-298 - B15.000.DH14; Reactor Coolant System to Decay Heat Pump Suction (Normal); 17-VT-299 - B15.000.CF10; Core Flood and Decay Heat Train 2 Injection Lines to Reactor Vessel; 17-VT-300 - B15.000.CF09; Core Flood and Decay Heat Train 1 Injection Lines to Reactor Vessel; 17-VT-301 - B15.000.DH16; Pressurizer Spray Line; 17-VT-302 Work Orders: -
200353901;
SGR-RC2A - Replace Power Operated Relief Valve
ECP 10-0309-001 -
200380790;
PM 5078 RC13A Replace Pressurizer Relief Valve -
200380791;
ECP 09-0116-002
PM 5079 RC13B Replace Pressurizer Relief Valve Attachment -
200428009; AFP 1 Response Time Test -
200429509; Containment ILRT -
200433297;
ECP 10-0470-006 SGR - Install New Reactor Replacement Vessel Closure Head and Control Rod Drive Mechanism's Post Maintenance (Modification) Testing -
200464590; SGR - Replace Power Operated Relief Valve (Electrical)
ECP 10-0309-001 Other: - ISTP3; Third Ten Year Inservice Testing Program; Revision 11 - ASME Operation & Maintenance Code, 1995 Edition, 1996 Addenda - ISTB1; Pump and Valve Basis Document, Volume I - Valve Basis; Revision 10 - ISTB2; Pump and Valve Basis Document, Volume II - Pump Basis; Revision 12 - ISTB3; Pump and Valve Basis Document, Volume III - Stroke Time Basis; Revision 41 Condition Reports: 2RS1 Radiological Hazard Assessment and Exposure Controls - 2011-02491; Unsatisfactory radiological Condition in the Aux Building 565' Elevation - 2011-02797; Annulus Scaffolding Sealands are Inadequate for Radioactive Storage or Shipment - 2011-02868; WSI Worker Receives Dose Rate Alarm after Coming to Contact with Piping in No. 2 MPR Pipe Chase - 2011-03034; Potential Tritium Leak - Condenser Pit Outage Temporary Line to Settling Basin - 2011-03200; Insulators Receives Dose Rate Alarm While Working in the East "D" Ring 565' - 2011-03256; Bad Radiological Practice of Men in the Batwing Box with Contaminated Material such as Tool without Wearing Protective Clothing - 2011-03270; Individual Discovered in Containment with a Rag on his Head Instead of Hood - 2011-03401; Recent Trending Indicates Improvement is Warranted in Radworker Work Behavior in the Area of Radiological Anti-Contamination Clothing Control - 2011-03404; Condenser Pit Sump Discharge Leak to Ground - 2011-03429; Individual did not Meet RWP Requirements - 2011-03459;
NOP-OP-4601 Contamination Control Program Guidance was not Completely Implemented - 2011-03533; Worker Lost Dosimeter in RCA - 2011-03535; Contamination Boundary Violation - 2011-03680; There were an Increased of Radworkers Coaching to use Low Dose Waiting Areas - 2011-03687; Worker Enters Radiologically Controlled Area without Being on Proper RWP - 2011-03808; Personnel Contamination Event 17M - 2011-03808; Personnel Contamination Event 17M-11 - 2011-03847; Radworkers Using Electronic Alarming Dosimeters as Dose Rate Meters - 2011-03918; Observations Indicate Additional Action is Warranted in the Area of Hoses and Cords not Being Secured at Contaminated area Boundaries - 2011-03980; Radiological Posting Standards Not Met - 2011-04057; Method Used to Control VHRA Access to Fuel Transfer Tube from Core Flood Tank 1-1 Area - 2011-04083; Revise Station Vent Radiation Element Radiation Alarm Setpoints - 2011-91281-001; Plant Health Committee to Design Engineering to Develop a Plan to Enlarge the Current 3" Diameter Piping from the Condenser Flood Pump to the Settling Basin Procedures: -
DB-0204-0; Source Leak Test Records Attachment -
NOP-OP-4102; Radiological Posting, Labeling and Markings; Revision 7 -
NOP-OP-4104; Job Coverage; Revision 0 -
NOP-OP-4106; Control of Radiography Operation; Revision 2 -
NOP-OP-4107; Radiation Work Permit; Revision 7 -
NOP-OP-4204; Special External Exposure Monitoring; revision 5 -
NOP-OP-4301; Respiratory Protection Program; Revision 2 -
NOP-OP-4702; Air Sampling; Revision 2 Other: - Davis Besse Methods for Measuring Effective Dose Equivalent from External Exposure for OTSG Work and Reactor Head Repair Activities - Davis Besse Nuclear Power Station; 17 Mid-Cycle and 17 RFO In-Processing Focus Areas - 17M Outage Daily Exposure Summary; October 18, 2011 - 17 Mid-cycle Radiation Protection Trending; October 20, 2011 - Bechtel Radiography Management Plan, Davis-Besse Containment Vessel, Fall 2011; Revision 0 Condition Reports: 2RS2 Occupational ALARA Planning and Controls - 2010-72971; Alloy 600 Dose Delta - 2010-73156; Elevated Dose Rates on Core Flood Shielded Work Platforms with the Incores Pulled - 2010-74240; A Review of Alloy-600 Weld Overlays Procedures: -
DB-HP-01801; ALARA Design Review; Revision 3 -
DB-HP-01802; Control of Shielding; Revision 8 -
DB-HP-04027; Installed Shielding Inspection and Engineering Evaluation; Revision 4 -
DBBP-RP-0018; Guidance for Work In Progress (WIP) ALARA Reviews; Revision 0 -
NOP-OP-417-12; ALARA Work In Progress Review; Revision 0 -
NOP-OP-4005; ALARA Program; Revision 1 -
NOP-WM-7002; Operational ALARA Program; Revision 1 Radiation Work Permits: - 2010-5016; ALARA Plan: Work In Progress Review; Insulation Work Activities in the Containment; April 17, 2010 - 2010-5018; ALARA Plan: Reactor Canal Decontamination to Include ALARA Plan and associated TEDE ALARA Evaluations for
RWP 10010886; Drywell Insulation Activities; Revision 1 - 2010-5104; ALARA Plan: Reactor Head Disassembly/Reassembly Work Activities; January 17, 2010 - 2010-5302; ALARA Plan: Work In Progress Review; OT Steam Generator Platform Work; March 13, 2010 - 2010-5405; All Task: Letdown Cooler Project; ALARA Work In Progress Review; April 21, 2010 - 2010-5600; ALARA Plan: ALARA Work In Progress; Weld Overlays of RCP Cold Leg (4) Suction and (4) Discharge Lines and all Support Activities such as Scaffolding, Insulation, Shielding, UT/PT, and Interference Removal; April 12, 2010 - 2010-5601; ALARA Plan: Alloy-600, Cutting to Access North and South Core Flood Nozzles, Install and Remove shielded Work Platforms; April 30, 2010
Attachment - 2010-5602; ALARA Plan; Weld Overlays of North/South Core Flood Nozzles and All Support Activities; February 17, 2010 - 2010-5603; ALARA Plan: Concrete Cutting through Bio-shield to Access North and South Core Nozzles; January 6, 2010 - 2010-5604; ALARA Plan: ALARA Work-In-Progress Review; March 14, 2010 Other: - ALARA Work In Progress Reviews for
RWP 1010-5600; Weld Overlay on Reactor Coolant Pumps; March 16, 2010 - Alloy-600-1R16; Preliminary Estimate Summary: RCP/Drain Line Overlays; Core Flood Nozzle Overlays; and Common Support Activities; April 15, 2010 Condition Reports: 2RS5 Radiation Monitoring Instrumentation -
CR-2011-02061; Flow Rate Information Could Effect Information Reported in the Annual Radiological Environmental Operating Report; September 16, 2011 -
CR-11-89820; 4598AA Flow was Recorded Less than Three SCFM; February 18, 2011 -
CR-11-87764;
RE-4598BA Sample Pump Failed and Caused A Momentary Spurious Spike in Radiation; January 5, 2011 -
CR-10-81010;
RE-4598BA RIC Flowrate Indication does not Correspond with Local Flowrate Indication; August 10, 2010 -
CR-10-83234; Broken Gasket was discovered on the Inner Bottom of the Charcoal Holder; September 27, 2010 -
CR-10-81607; Radiological Air Sampler Documentation Deficiencies; August 23, 2010 -
CR-11-94845;
FT-5090 Appears to be Degraded Due to Both F885 and
RIC 4598AA Reading a Spiked Indication of 145 KCFM as Compared 4598BA Which Reads a Steady 125 KCFM; May 15, 2011 -
CR-10-79761; Station Vent Accident Range Radiation Appears to Have Gone to the Default Setting; July 16, 2010 Procedures: -
ED-7191-2; Toledo Edison Calculation Sheet;
RE-4598AA and 4598BA Setpoint Basis; January 23, 1995 -
DB-CN-03008; Station Vent Releases, Weekly Radiological Monitoring, Sampling and Analysis of
RE-4598AA; Revision 10 -
RA-EP-02240; Davis Besse Emergency Plan Implementing Procedure; Revision 5 -
DB-MI-03414; Calibration of Flow Power Supplies and Battery Checks for
RE-4597AA,
RE-4597BA,
RE-4598AA, and
RE-4598BA Normal Range Radiation Monitors; Revision 9 -
DB-OP-03007; Miscellaneous Instrument Daily Checks; Revision 19 - M-340DQ-00196-02; Instrument Manual for Hastings Linear Gas Flow Probe; Manual -
DB-OP-03011; Radioactive Liquid Batch Release; Revision 19 -
DB-HP-01457; Radiation Protection Instrumentation Procedure;
MGP-AMP-50/100/200 Calibration and Use; Revision 2 -
DB-HP-01456; Radiation Protection Instrumentation Procedure; Calibration of Eberline
AMS-4; Revision 2 -
DB-HP-01460; Radiation Protection Instrumentation Procedure; RADeco Model H-810 DC Calibration and Use; Revision 0 -
DB-HP-01461; Radiation Protection Instrument Procedure; PCM12 Calibration, Source Check and Use; Revision 1 -
DB-HP-01455; Radiation Protection Procedure; Operation of Eberline
AMS-4; Revision 1
Attachment -
DB-HP-01453; Radiation Protection Instrumentation Procedure; Continuous Particulate Air Monitor
AMS-3, Calibration and Use; Revision 6 -
DB-HP-01456; Radiation Protection Instrumentation Procedure; Air Sampler Calibration; Revision 7 -
DB-HP-01452; Radiation Protection Procedure; Small Article Monitor Calibration; Revision 3 -
DB-HP-01442; Radiation Protection Instrumentation Procedure; MGP Telepole Calibration and Use; Revision 3 -
DB-HP-01439; Radiation Protection Procedure; Bicron Labtech; Revision 1 -
DB-HP-01438; Radiation Protection Instrumentation Procedure; Frisker Calibration; Revision 5 -
DB-HP-01435; Radiation Protection Instrumentation Procedure; Calibration and Use of the Portal Monitor
SPM 904C/SPM 906; Revision 3 -
DB-HP-01436; Radiation Protection Procedure;
DMC 90/100/2000 Calibration and Use; Revision 3 -
DB-CN-03005; Radiological Monitoring Weekly, Semi-Monthly and Monthly Sampling; Revision 3 -
DB-HP-01432; Radiation Protection Instrumentation Procedure;
ASP-1 Calibration and Use; Revision 3 -
MS-C-09-10-01; Fleet Oversight Audit Report
Other: - Davis-Besse Offsite Dose Calculation Manual; Revision 25 - Radiation Monitor Setpoint Manual;
RE-4598AAC Vent Normal Range; August 3, 2011 Forms: 4OA1 Performance Indicator Verification -
NOBP-LP-4012-52; Reactor Coolant System Specific Activity; Completed Forms for October 2010 through September 2011 -
NOBP-LP-4012-53; Reactor Coolant System Leakage; Completed Forms for October 2010 through September 2011 Procedures: -
DB-CH-06002; Sampling System Nuclear Areas; Revision 28 -
NOBP-LP-4012; NRC Performance Indicators; Revision 3 -
NOBP-LP-4012; NRC Performance Indicators; dated April 21, 2008 -
NOBP-LP-4012-52; Reactor Coolant System Specific Activity Occurrence; Revision 0; from August 2010 through August 2011
Other: -
NEI 99-02; Regulatory Assessment Performance Indicator Guideline; Revision 6 - Select Operator Logs covering the period of October 2010 through September 2011 - Maintenance Rule Unavailability Database covering the period of October 2010 through September 2011 Condition Reports: 4OA2 Identification and Resolution of Problems - 2011-03346: Fractured Concrete Found at 17M Shield Building Construction Opening - 2011-03996; Extent of Condition for Shield Building Fracture Indications - 2011-04190; Surface Cracks Identified on Fluted Areas of the Shield Building - 2011-04214; Core Bore Found Additional Crack in Architectural Flute Area Attachment - 2011-04402; Fractured Concrete Found at 17M Shield Building at Main Steam Line Penetrations - 2011-04507; Isolated Crack Indication Identified by Impulse Response Testing - 2011-04648; Shield Building IR Indications above Elevation 780 - 2011-05475; Concrete Cracking at the Top of the Shield Building Wall - 2011-05648; Concrete Cracking in Shoulder 4 / Flute 2 Region of the Shield Building (Azimuth 67.5) - 2011-05726; Unable to Perform Section 4.14, Pressurizer Liquid Space Sampling During Pressurizer Heatup, of
DB-CH-06002, Sampling System Nuclear Areas, as Written - 2011-05735; Final Portion of Shield Building Restoration Included a Cement Not Tested By a Safety-Related (Q) Laboratory - 2011-05777; Void in Concrete at the top of the Shield Building pour back (Bechtel
NCR 20) - 2011-05781; PI1507A For No. 1 Decay Heat Pump Over-Ranged - 2011-05782; PI1538A For Decay Heat Pump 2 Was Over-Ranged - 2011-05794; Bechtel Out-of-Process for Authorizing Use-as-Is on Shield Building Opening Restoration Nonconformance - 2011-05904; Errors Identified in Shield Building Crack Calculation C-CSS-059.20-056 - 2011-06185; Error in Calculation C-CSS-099.20-056, Revision 01 Calculations: - C-CSS-099.20-046; Evaluation of Shield Building for the Permanent Condition; Revision 0 - C-CSS-099.20-047; Restoration of Shield Building Construction Opening; Revision 0 - C-CSS-099.20-053; Evaluation of Shield Building for the Interim Condition with Outside Vertical Reinforcement Removed at Each Flute Shoulder; Revision 0 - C-CSS-099.20-054; Evaluation of Shield Building for the Permanent condition with Outside Vertical Reinforcement Removed at Cracking Areas; Revisions 0, 1, 2, and 3 - C-CSS-099.20-055; II/I Evaluation for Architectural Flute Shoulder; Revision 0 - C-CSS-099.20-056; Evaluation of Shield Building Hoop Reinforcement with Observed Cracking; Revisions 0 and 1 Drawings: - C-111A; Shield Building Exterior Developed Elevation; Revision 0 and 1 Procedures: -
NOP-LP-2001; Corrective Action Program; Revision 29 -
NOBP-LP-2010; FENOC Trend Coding; Revision 10 -
DB-CH-06002; Sampling System Nuclear Areas; Revision 28 -
DB-PF-03811; Miscellaneous Valves Test; Revision 19 -
DB-OP-06904; Shutdown Operations; Revision 38 Other: - FENOC Quality Assurance Program Manual; Revision 15 - Davis-Besse Shield Building Investigation and Technical Summary; Revisions 0 and 1 - Davis-Besse Shield Building Cracking Investigation and Assessment Report; Revisions 0 and 1 Condition Reports: 4OA3
Followup of Events and Notices of Enforcement Discretion - 2006-00624; Water Spray on Motor Control Centers E11B and E11C
Attachment - 2007-32157; Water Spraying Out of the Overhead Between No. 3 and No. 4 Mechanical Penetration Rooms - 2008-45463; Water Dripping on E11C - 2010-87048; RC13A and RC13B Fail As-Found Testing at Vendor - 2011-05456; E11C Water Intrusion / Fire - 2011-05457; 4-Way Ringdown Not Ringing at State and Lucas County During Alert Classification - 2011-05465; Emergency Response Facility Computer Issues During Alert - 2011-05466; Recovery From the 11/16/2011 Davis-Besse Alert - 2011-05523; Second Control Power Transformer Found Damaged as a Result of MCC E11C Fire Procedures: -
RA-EP-01500; Emergency Classification; Revision 14 -
DB-OP-02529; Fire Procedure; Revision 5 -
DB-OP-02501; Serious Station Fire; Revision 16 -
DB-OP-06241; Auxiliary Boiler Operating Procedure; Revision 24 -
DB-OP-00000; Conduct of Operations; Revision 19 -
NOP-OP-01014; Plant Status Control; Revision 1 -
NG-QS-00121: Davis-Besse Procedure Writer's Guide; Revision 5 Condition Reports: 4OA5 Other Activities - 2011-03346: Fractured Concrete Found at 17M Shield Building Construction Opening - 2011-03996; Extent of Condition for Shield Building Fracture Indications - 2011-04190; Surface Cracks Identified on Fluted Areas of the Shield Building - 2011-04214; Core Bore Found Additional Crack in Architectural Flute Area - 2011-04402; Fractured Concrete Found at 17M Shield Building at Main Steam Line Penetrations - 2011-04507; Isolated Crack Indication Identified by Impulse Response Testing - 2011-04648; Shield Building IR Indications above Elevation 780 - 2011-05475; Concrete Cracking at the Top of the Shield Building Wall - 2011-05648; Concrete Cracking in Shoulder 4 / Flute 2 Region of the Shield Building (Azimuth 67.5) - 2011-05735; Final Portion of Shield Building Restoration Included a Cement Not Tested By a Safety-Related (Q) Laboratory - 2011-05770; Bechtel Subcontractor Certifications not Transmitted to FENOC for Review - 2011-05777; Void in Concrete at the top of the Shield Building pour back (Bechtel
NCR 20) - 2011-05794; Bechtel Out-of-Process for Authorizing Use-as-Is on Shield Building Opening Restoration Nonconformance - 2011-05795; Concrete Void at Top of Shield Building Restoration Larger than Previously Reported per
CR 2011-05777 - 2011-05804; Conditional Release of Concrete for Shield Building Void - 2011-05904; Errors Identified in Shield Building Crack Calculation C-CSS-059.20-056 - 2011-06185; Error in Calculation C-CSS-099.20-056, Revision 01 - 2011-04373; NRC Potential Violation Regarding RRVCH Stud Hole Exams; dated October 26, 2011 - 2011-03772; Visual Inspection of Containment Vessel Attachment Welds not Performed; dated October 15, 2011 - 2011-03771; Missed MT on Temporary Weld; dated October 15, 2011
Attachment - 2011-01739; NRC Surface Examination of Accessible Internal Surface of RRVCH Stud Holes; dated September 9, 2011 - 2011-00344; No Surface Exam of the RRVCH Stud Holes; dated August 9, 2011 Calculations: - C-CSS-099.20-046; Evaluation of Shield Building for the Permanent Condition; Revision 0 - C-CSS-099.20-047; Restoration of Shield Building Construction Opening; Revision 0 - C-CSS-099.20-053; Evaluation of Shield Building for the Interim Condition with Outside Vertical Reinforcement Removed at Each Flute Shoulder; Revision 0 - C-CSS-099.20-054; Evaluation of Shield Building for the Permanent condition with Outside Vertical Reinforcement Removed at Cracking Areas; Revisions 0, 1, 2, and 3 - C-CSS-099.20-055; II/I Evaluation for Architectural Flute Shoulder; Revision 0 - C-CSS-099.20-056; Evaluation of Shield Building Hoop Reinforcement with Observed Cracking; Revisions 0 and 1 Drawings: - C-111A; Shield Building Exterior Developed Elevation; Revision 0 and 1 - Bechtel drawing; 000-DB-1000-000001; Shield Building Temporary Construction Opening Concrete Preparation; Revision 2 - Bechtel drawing; 25539-200-C0K-1002-00048; Layer 2 Horizontals (Outside Rebar Mat); Revision 0 Other: - Davis-Besse Shield Building Investigation and Technical Summary; Revisions 0 and 1 - Davis-Besse Shield Building Cracking Investigation and Assessment Report; Revisions 0 and 1 - AMEC Report of Concrete Mixer Uniformity Testing; dated October 12, 2011 - Bechtel Nonconformance Report 25539-200-G61-GCE-00002; dated October 13, 2011 - 25539-000-3PS-DB02-Q00001; Concrete Work for Safety-Related Applications; Revision 1 - 25539-000-3PS-DB01-Q00001; Purchase of Ready-Mix Concrete for Safety-Related Applications; Revision 5 - 25539-000-3PS-SY01-Q0001; Material Testing Services; Revision 5 - AMEC Concrete Field and Lab Test Report; dated November 2, 2011 - Production and Sister Splice Report; dated November 17, 2011 - Reinforcing Bar Mechanical Splicing Qualification Form; dated October 7, 2011 - Interim Report Camtack and Bargrip Sleeve Testing for Dayton Barsplice Inc.; dated September 18, 1979 - BASF COC Letter Pozzolith 200N; Lot 2004-78841V11; dated July 19, 2011 - BASF COC Letter Rheobuild 1000; Lot 2004-67107011; dated July 19, 2011 - BASF COC Letter Air Entraining Admixture for Concrete; Lot 2004-77071U11; dated July 19, 2011 -
ECP 10-0458-002;
SGR-17M- Restore Shield Building Wall at Construction Opening; Revision 0 - Procedure Demonstration Qualification Summary No. 449, Procedure 54-ISI-801-00" UT of PWR Shell Welds"; Revision 0 - 25539-200-V1A-FU00-00001-001; Type 3 Dedication Plan - No. 8 to No. 8 Bargrip XL Coupler, Barsplice Part No. 8XL - 25539-200-V1A-FU00-00001-001; Type 3 Dedication Plan - No. 10 to No. 8 Bargrip XL Coupler, Barsplice Part No. 10/8XL - 25539-200-V1A-FU00-00001-001; Type 3 Dedication Plan - No. 11 to No. 11 Bargrip XL Coupler, Barsplice Part No. 11XL
Attachment - 25539-200-V1A-FU00-00001-001; Type 3 Dedication Plan - No. 10 to No. 10 Bargrip XL Coupler, Barsplice Part No. 10XL - Concrete Field and Lab Test Report 002; dated November 2, 2011 - Concrete Field and Lab Test Report 003; dated November 2, 2011 - Concrete Field and Lab Test Report 006; dated November 22, 2011 - Concrete Field and Lab Test Report 009; dated November 22, 2011 - Concrete Field and Lab Test Report 010; dated November 22, 2011 - Rebar Splice Test Inspection Record; Splice Number V-1; ID Number 190 - Rebar Splice Test Inspection Record; Splice Number V-2; ID Number 190 - Rebar Splice Test Inspection Record; Splice Number H-1; ID Number 190 - Rebar Splice Test Inspection Record; Splice Number H-2; ID Number 190 - Rebar Splice Test Inspection Record; Splice Number V-1; ID Number 204 - Rebar Splice Test Inspection Record; Splice Number V-2; ID Number 204 - Rebar Splice Test Inspection Record; Splice Number H-1; ID Number 204 - Rebar Splice Test Inspection Record; Splice Number H-2; ID Number 204 - Rebar Splice Test Inspection Record; Splice Number V-1; ID Number 114 - Rebar Splice Test Inspection Record; Splice Number V-2; ID Number 114 - Rebar Splice Test Inspection Record; Splice Number H-1; ID Number 114 - Rebar Splice Test Inspection Record; Splice Number H-2; ID Number 114 - SKZ904; Shield Building Exterior Developed Elevation; Revision 0 - SM02; Swaging Instructions;
BPI-Grip Couplers; March 2010 -
SP-701; Consolidated Power Supply, Dedication of Commercial Grade Items; Revision 14 - QC Record of Weld Heat Input - Door Sheet
FW-1 Weld; dated November 2, 2011 Radiographic Records: - Computed Radiographic Image Interpretation Sheets
FW-1; dated November 11, 2011 - Computed Radiographic Image Interpretation Sheets
FW-1 Repairs; dated November 12, 2011 - Computed Radiographic Technique Report and Evaluation Sheets
FW-1; dated November 10, 2011 - Computed Radiographic Technique Report and Evaluation Sheets
FW-1 Repairs; dated November 12, 2011 Non Destructive Examination Records: - AC Magnetic Particle Examination Data Sheet Report
MT-02; RRVCH Stud Holes; dated October 1, 2011 - AC Magnetic Particle Examination Data Sheet Report
MT-02; RRVCH Stud Holes; dated November 1, 2011 - Magnetic Particle Examination Report
MT-043; CV Plate Door Sheet Weld
FW-1 Annulus Side; dated November 7, 2011 - Magnetic Particle Examination Report
MT-040; CV Plate Door Sheet Weld
FW-1 Containment Side; dated November 5, 2011
Attachment

LIST OF ACRONYMS

USED [[]]
ADAMS Agencywide Document Access Management System
ALARA As-Low-As-Is-Reasonably-Achievable
ARM Area Radiation Monitor
ASME American Society of Mechanical Engineers
ASTM American Society for Testing and Materials
AWS American Welding Society
BACC Boric Acid Corrosion Control
CAM Continuous Air Monitor
CAP Corrective Action Program
CC Construction Code
CCW Component Cooling Water
CFR Code of Federal Regulations
CR Condition Report
CRD Control Rod Drive
CV Containment Vessel
DC Direct Current deg F Degrees Fahrenheit
DRP Division of Reactor Projects
ECCS Emergency Core Cooling System
ECP Engineering Change Package
EDG Emergency Diesel Generator
EMI /RFI Electromagnetic Interference/Radio Frequency Interference
ET Eddy Current
FRV Feedwater Regulating Valve
FW Feedwater
HPI High Pressure Injection
I&C Instrumentation and Controls
ICS Integrated Control System
IMC Inspection Manual Chapter
IP Inspection Procedure
IPEEE Individual Plant Examination of External Events
IR Inspection Report or Impulse Response
ISI Inservice Inspection
LCO Limiting Condition for Operation
LER Licensee Event Report
MOV Motor-Operated Valve
MT Magnetic Particle
NCV Non-Cited Violation
NDE Nondestructive Examination
NEI Nuclear Energy Institute
NRC U.S. Nuclear Regulatory Commission
NUMARC Nuclear Management and Resources Council
ODCM Offsite Dose Calculation Manual Op
ESS Operating Experience Smart Sample
PARS Publicly Available Records System
PI Performance Indicator
PI&R Problem Identification and Resolution

PM Planned or Preventative Maintenance

Attachment

PMT Post-Maintenance Testing psig Pounds Per Square Inch Gauge
PT Dye Penetrant
PWSCC Primary Water Stress Corrosion Cracking
QA Quality Assurance
RCA Radiologically Controlled Area
RCS Reactor Coolant System
RFO Refueling Outage
RG Regulatory Guide
RP Radiation Protection
RPV Reactor Pressure Vessel
RRVCH Replacement Reactor Vessel Closure Head
RT Radiographic
RWP Radiation Work Permit
SB Shield Building
SDP Significance Determination Process
SG Steam Generator
SL Severity Level
SMAW Shielded Metal Arc Weld
SRO Senior Reactor Operator
SSC Structures, Systems and Components
SW Service Water
TIA Task Interface Agreement
TS Technical Specification
USAR Updated Safety Analysis Report
URI Unresolved Item
UT Ultrasonic Examination Vac Volts Alternating Current Vdc Volts Direct Current WO Work Order
B. Allen -2- In accordance with 10
CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the
NRC Public Document Room or from the Publicly Available Records System (
PARS ) component of NRC's document system (ADAMS).
ADAMS is accessible from the
NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room). Sincerely, /RA/ Jamnes
L. Cameron, Chief Branch 6 Division of Reactor Projects Docket No. 50-346 License No.

NPF-3

Enclosure: Inspection Report 05000346/2011005 w/Attachment: Supplemental Information cc w/encl: Distribution via ListServ

DOCUME NT NAME: G:\DRPIII\DAVI\DAVI 2011 005.docx Publicly Available Non-Publicly Available Sensitive Non-Sensitive To receive a copy of this document, indicate in the concurrence box "C" = Copy without attach/encl "E" = Copy with attach/encl "N" = No copy
OFFICE [[]]
RIII [[]]
RIII [[]]
NAME PSmagacz:dtp JCameron
DATE 01/31/12 01/31/12
OFFICI AL
RECORD [[]]
COPY Letter to
B. Allen from J. Cameron dated January 31, 2012.
SUBJEC T: DAVIS-BESSE NUCLEAR
POWER [[]]
STATIO N INTEGRATED INSPECTION REPORT 05000346/2011005