05000348/FIN-2011012-01
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Finding | |
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| Title | Flame Detected on the 1A RCP Handswitch |
| Description | A self-revealing finding and apparent violation of Technical Specification 5.4, Procedures, was identified for failing to maintain the configuration of the 1A RCP oil lift pump system in accordance with plant design and drawings. The licensee incorrectly relanded electrical wiring following maintenance to the 1A RCP oil lift pump pressure switch. This issue revealed itself upon the discovery of a flame on the 1A RCP handswitch in the Unit 1 main control room (MCR). The licensees failure to maintain the configuration of the 1A RCP oil lift pump system in accordance with plant design and drawings is a performance deficiency. Work was completed, by skill of the craft, without inclusion into an amendment to the existing calibration work order, and resulted in the incoming electrical feeds for the 125 vDC and 130 vAC circuits being cross-connected and causing a fire on the MCR board when the 1A RCP handswitch was taken to start. The finding is more than minor because it was associated with the Protection Against External Factors attribute of the Initiating Events cornerstone to limit the likelihood of those events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, a fire occurred in the MCR for Units 1 and 2 as a result of the mis-wiring causing an electrical short in the 1A RCP handswitch. This finding was assessed using the Phase 1 screening worksheets of Appendix 4 and Appendix F of MC 0609, and warranted a review by a regional Senior Risk Analyst because a fire in the MCR had actually occurred. The regional Senior Risk Analysts determined the significance of this finding is preliminarily White. The finding does not represent an immediate safety concern because the wiring has been returned to the original plant design. The finding was assigned a cross-cutting aspect in the Work Practices component of the Human Performance area in that personnel did proceed in the face of uncertainty or unexpected circumstances. |
| Site: | Farley  |
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| Report | IR 05000348/2011012 Section 4OA5 |
| Date counted | Jun 30, 2011 (2011Q2) |
| Type: | NCV: Green |
| cornerstone | Initiating Events |
| Identified by: | Self-revealing |
| Inspection Procedure: | |
| Inspectors (proximate) | E Crowe J Sowa S Shaeffer W Rogerse Crowej Sowa S Shaeffer S Sparks T Lighty W Rogers |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
| ' | |
Finding - Farley - IR 05000348/2011012 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Farley) @ 2011Q2
Self-Identified List (Farley)
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