ML20248C859

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Insp Repts 50-424/89-19 & 50-425/89-23 on 890609-0707.Four Violations Noted.Major Areas Inspected:Plant Operations, Radiological Controls,Maint,Surveillance,Security & Quality Programs & Administrative Controls Affecting Quality
ML20248C859
Person / Time
Site: Vogtle  Southern Nuclear icon.png
Issue date: 07/31/1989
From: Aiello R, Herdt A, Rogge J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20248C853 List:
References
50-424-89-19, 50-425-89-23, GL-88-17, NUDOCS 8908100170
Download: ML20248C859 (17)


See also: IR 05000424/1989019

Text

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             ,   y                                                                              .     . UNITED STATES -
           1 ar*                                                  -)*'               NUCLEAR REGUDTORY COMMISSION .
                                                                                                           REGsON 11
  b~                       $,                                     8                                101 MARIETTA ST., N.W.
                                                gj                                                A11ANTA, GEORGtA 30323
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                     (ReportNos.:: L50-424/89-19 and 50-425/89-23:
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                      ' Licensee: -Georgia Power Company-
                                                                     P.O. Bot 1295          .
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                                                                     Birmingham,'AL 35201                                                                                    '
                       -Docket Nos.: P1.424 and 50-425'                                                                  License Nos.: NPF-68 and NPF-81
                                                                                                                                                             -
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                       . Facility Name:                                        Vogtle 1 and 2
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                             Inspection Conducted: June 9 -' July 7, 1989                                                                                                  ,
                                                                                                                                                                          1
                             Inspectors:                                                  -            _
                                                                     J. Mogge. Scnior Resident /Inspectcr
                                                                                                               2                          MJ/M
                                                                                                                                            .Date Signed
                                                                       .           /               -c
                                                                     R..-Fr Aiello, Resident Inspector
                                                                                                               b                          7-1&cF1
                                                                                                                                            Date Signed-

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                            Approved By:
                                                                             '  -
                                                                                       Y5
                                                                       A. R. Herdt, Branch Cnief
                                                                                                                                           7/d'[[
                                                                                                                                           'Dat'e Signed
                                                                       Division of Reactor Projects
                                                                                                            SUMMARY
                             Scope:                               This routire inspection entailed resident inspection in the following
                                                                   areas: pla.1t operations, radiological controls, maintenance,
                                                                   surveillance, security, and quality programs and ad.ninistrative
                                                                  controls affecting quality.
                            Results:                               Four violations were identified, one cited and three non-cited. The
 ,
                                                                  cited violation was identified in the area of operations for failure
 m                                                                 to implement Operations procedure 10001-C as required by TS 6.7.1.a

,, to verify proper operation of control room chart recorders (paragraph

                                                                   2.. a ) .      One of the three nor.-cited violations was identified in the
                                                                   area of surveillance for failure to establish adequate diesel lube
                                                                   oil and analysis procedures to implement License Condition 2.C(b) --

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                                                                   LER 89-14 (paragraph '3.b(2)(a)), The remaining two non+ cited
                                                                   violations were identified in the area of operations for failure' to
                                                                   establish an adequate procedure for transferring radwaste from the
                                                                                          tank to the spent fuel pool per TS 6.7.1 - LER 89-13
                 ,
                                                                   recycle
                                                                   (paragraph      holdup
                                                                                     3.b (3)(b')) and failure to implement Main Tt,obine Operation
                                                                   Procedure 13800-2
                                                                   open - LER 89-21 (paragraph 3. bin verifying (2)(c)).that the intercept valves
                                                                   No specific strengths or weaknesses of licensee programs wera                                           '
                                                                   identified based on findings and observations in the areas inspected.
                                                                                                                                                                           I
            890S10G170 890731                                                         $n
            PDR                        ADuCK 05060124
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                                                                         DETAILS
                          1.          Persons Contacted
                                      Licensee Employees
                              *G. Bockhold, Jr., General Manager Nuclear Plant
                                      C. Coursey, Maintenance Superintendent
                               *G. Frederick Safety Audit and Engineering Group Supervisor
                               *H. Handfinger, Manager Maintenance
                                      W. Kitchens, Assistant General Manager Plant Operations
                                      R. Legrand, Manager Chemistry and Health Physics
                                      G. McCarley, ]ndependent Safety Engineering Group Supervisor
                                      A. Mosbaugh, Plant Support Manager
                                      W. Mundy, Quality Assurance Audit Supervisor
                               *R. Odom, Nuclear Safety and Compliance Manager / Plant Engineering
                                          Supervisor
                               *J. Sitartzwelder, Manager Operati9ns
                                      Other licensee employees contacted included technicians, supervisors,
                                      engineers, operators, maintenance personnel, quality control inspectors,
                                      and office personnel.
                                * Attended Exit interview
                                      An alphabetical list of acronyms and initialisms is located in the last
                                       paragraph of the Inspection Report.
                          2.          Operational Safety Verification - (71707)(93702)
                                      The plant began this inspection period c,1 June 9 and ended on July 7,
                                       1989, with both units operating at 100% power. On July 6, both units
                                      experienced a loss of all meteorological monitoring channels which
                                       resulted in an NUE which was declared and terminated the same day.
                                       a.    Control Room Activities
                                             Control Room tours and observations were performed to verify that

, facility operations were being safely conducted within regulatory I requirements. These inspections consisted of one or more of the

                                             following attributes as appropriate at the time of the inspection.
                                             - Proper Contro'l Room staffing
                                             - Control Room access and operator behavior
                                             - Adherence to approved procedures for activities in progress
                                             - Adherence to technical specification limiting conditions for
                                                operations
                                             - Observance of instruments and recorder traces of safety-related and
                                                important-to-safety systems for abnormalities
                                             - Review of annunciators alarmed and action in progress to correct
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                                                                                                - Control Board walkdowns                                                         i
                                                                                                - Safety parameter dispity and the plant safety monitoring system
                                                                                                    operability status
                                                                                                - Discussions and intervicws with the On-Shift Operatioits Supervisor,
                                                                                                    $hift Supervisor, Reactor Operators, and the Shift Technical                  .
                                                                                                    Advisor (when stationed) to determine the plant status, plans, and           I
                                                                                                    to assess operator knowledge
                                                                                                - Review of the operator logs, unit logs, and shift turnover sheets
                                                                                                It was brought to the inspectors attention that insufficient time for
                                                                                                rest was being allocated between the conclusion of requalification
                                                                                                training and the begit.ning of the next shift for those who work the
                                                                                                night shift. Theretore, an inspection was conducted during the night
                                                                                                shift on June 30/ July 1 to observe the alertness of the operators at
                                                                                                their stations following requalification training.          Based on
                                                                                                interviews and observations, the inspector was unabl6 to find
                                                                                                evidence to support this cor,cern.
                                                                                                While conducting control board walkdowns end observing instrument and
                                                                                                recorder traces on June 14, 1989, the inspector noted that the
                                                                                                refueling water storage tank level channel II, ILR 990, and
                                                                                                containment pressure channel IV. IPR 934, had not been inking since
                                                                                                June 13 and June 10 respectively. In the mean time, both recorders
                                                                                                were stemped and subsequently assumed operational.          Ensuring
                                                                                                operab'ility of these items was identified to be not in accordance
                                                                                                with either TS 6.7.1.a or operations procedure 10001-C sections 3.3
                                                                                                and 5.0. Operations procedure 10001-C, section .3.3, specifies
                                                                                                criteria when performing rounds. Paragraph 5.0 further states that
                                                                                                the onerator on duty is responsible for all charts in his area which
                                                                                                include ensuring operability. The procedure violation did not result
                                                                                                in a TS LC0 violation; however, it was representative of a failure to
                                                                                                implement a procedure required by TS 6.7.1.a to verify proper
                                                                                                operation of the control room recorders daily and to implement
                                                                                                corrective maintenance when required.
                                                                                                This violation is similar to violation 50-424/88 61-01 issued on
                                                                                                February 10, 1989.        The corrective action to violation
                                                                                                50-424/88-61-01 was completed on January 31, 1989, per the licensee's
                                                                                                response on March 7, with the issuance of Standing Order C-89-01;
                                                                                                however, it has not been effective.
                                                                                                This item is identified as violation 50-424/89-19-0)., " Failure To
                                                                                                 Implement Operations Procedure 10001-C As Required By TS 6.7.1.a To
                                                                                                Verify Proper Operation Of Control Room Chart Recorders."
                                                                        b.                      Facility Activities
                                                                                                 facility tours and observations were performed to assess the
                                                                                                effectiveness of the administrative controls established by direct
                                                                                                observation of plant activities, interviews and discussions with
                                                                                                 licensee personnel, independent verification of ;efety systems status
     _ - _ _ _ _ _ _ - _ _ - _ _ . _ - _ _ _ _ _ _ _ _ - _ _ _ - _ - _ - _ - - - - _ _ - _ . _-                                                         -_-    ._. __ _ _- _ --
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                                         and LCOs, lirensee guetings, and facility records.                   During these
                                         inspections, the following objectives were achieved:                                     I
                                         (1) Safety System Status (71710) (50095) (37828) - Confirmation of
                                               system operabilir was obta1ned bi verification that flowpath
                                               valve alignment, control and power supply alignments, component
                                               conditions, and support systems for the accessible portions of
                                               the ESF trains. were proper. The in?ccessible portions are
                                               confirmed as availat,ility permits. A special inspection was
                                               conducted which observed final placement of the last spent fuel
                                               rack and drag testing. The inspector questioned the licensee's
                                               testing which did not include drag testing with the fuel pool
                                               wet. ' While the conservative approach would be try, there is a                    4
                                               swelling effect which has occurred in certain casigns which
                                               leads to binding and interference. After review of the
                                               licensee's design, the inspector concluded titat their design
                                               should not be susceptible to swelling; and therefore, dry drag
                                               testing in this case is conservative.                   Modificat!ons were
                                               reviewed in conjunction with NRC Inspection Report
                                               A'os. 50-424/89-20 and 50-425/89-24. The inspector had no
                                               comments.
                                         (2) Plant Housekeeping Conditions         -            Storage of material and           f
                                               components lnd cleanliness, conditions of various areas
                                               throughout the facility were observed to determire whether
                                               safety and/or fire hazards existed.
                                         ( 3.) Fire Protection - Fire protection activities, staffing, and
                                               equipment were observed to verify that fire brigade staffing was
                                               appropriate and that fire alarms, extinguishing equipment,
                                               actuating controls, fire fighting equipment, emergency
                                               equipment, and fire barriers were 60erable.

l- (4) Radiation Protection - Radiation protection activities,

                                               staffing, and equipment were observed to verify proper program
                                               implementation. The inspection included review of the plant
                                               program effectiveness. Radiation work permits and personnel
                                               compliance wei u reviewed during the daily plant t0ars.
                                               Radiation Control Areas were observed to verify proper
                                               identification and implementation.
                                          (5) Security - Security controls were observed to verify that
                                                security barriers were intact, guard forces were on duty, and
                                               access to the Protected Area was controlled in accordance with
                                               the facility security plan.        Persenel were sbserved to verify
                                               proper display of badges and that personnel requiring escort
                                               were properly escorted. Personnel w:tnin Vital Areas were
                                               observed to ensure proper authorization for the area. Equipment
                                               operability or proper compensatory activities were verified on a
                                                periodic basis.
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                   (6) Surveillance (61726)(61700) - Surveillance tests were observed
                        to verify that approved procedures were being used, qualified
                        personnel were conducting the tests 5 tests were adequete to
                        verify equipment operability, calibrated equipment was utilizec,-
                        and technical specification requirements were followed. The
                        inspectors observed portions of the following surveillance
                        and/or reviewed completed data against acceptance criteria:
                        Surveillance No.                         Title
                        14496-2 Rev. O                 AFW System Flow Path Verification

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                        1A510-2 Rev. 2                 Control Room Emergency Filtration
                                                       System Operability Test                                3
                        14553-2 Rev. 1                 ESF Room Cooler And Safety Related
                                                       Chiller Flou Path Verification
                        14980-2 Rev. 2                 DG Operability Test
               .
                        14993-2 Rev. O                 SG Feedpump Turbine Lube Oil
                                                       System Test

L 14994-2 Rev. O MFP Turbine Steam Admission Valve

                                                       Movement
                        24810-1 Rev. 10                Delta T/Tavg loop 1 Protection
                                                       Channel I Analog Channel
                                                       Operational Test
                        32144-C Rev. 3                 Determination Of Boron - Auto
                                                       Titration
                        32802-C Rev. O                 Flame Operation Of The . Atomic
                                                       Absorption Spectrophotometer
                        35515-2 Rev. 0                 Operation Of The Nuclear Sampling
                                                       System - Liquid
                   (7) Maintenance Activities (62703)     -  The inspector observed
                        maintenance activities to verify that correct equipment
                        clearanc.es were in effect, work requests and fire prevention
                        work permits as required were issued and being followed, quality
                        control personnel were available for inspection activities as
                        required, retesting and return of systems to service was prompt
                        and correct, and technical specification requirements were being
                        followed. The Maintenance Work Order backlog was reviewed, and
                        maintenance was observed and/or work packages were reviewed for
                        the following maintenance activities:

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                              MWO No.                                WorkDescrjption
                              18901851                        Repair DG "B" #8 Right Cylinder
                                                               Inlet Jacket Water Leak
                              18902265                         Reactor Coolant Pump Seal Water
                                                               Injection     Flows        Channel
                                                              Calibration
                        (8) Multi-Plant Action Item A-15 (25593) - This inspection was to                                   '
                              verify that plants utilizing diesel generators as backup power
                              sources have complied with 10 CFR Part 50, Appendix B, require-
                              ments regarding diesel generator fuel oil. During the review,
                              the inspector noted that the Q-list in FSAR Sections 3.2.2-1 and
                              17.3 does not specifically identify diesel fuel oil or other
                              lubricants. Upon contacting the NRR technical contact, the
                              inspector was ir. formed that another inspection procedure would
                              examine the proper receipt, storage, and handling of emergency
                              diesel generator fuel oil and verify that the licensee has a
                              quality program in place. This inspection was completed in NRC
                              Inspection Report Nos. 50-424/89-08 and 50-425/89-11. The                                    i
                              inspector was informed of procedure 7051E-C, " Requisition Review                            1
                              For Technical And Quality Requirements," and procedu're 261-C,
                              " Fuel Oil Handling And Safety," as applicable. These procedures
                              control both the purchase and receipt of diesel fuel oil.
                        (9) Multi-Plant Action Item B-05 (25594)        - This inspection was
                              intended to verify that changes rude to administrative controls
                              or plant modifications committed to by licensees in response to
                              Information Memorandum No. 7 issued on October 4,1977, to                                    i
                              comply with dilution requirements were completed. The inspector
                              verified with the NRR lead technical contact that this issue is                              1
                              not applicable to this facility.
                       (10) Oyerations Management Council - On June 26, 1989, the inspector
                              attended the licensee's Operations Management Council. The
                              agenda consisted of PRB activities, LER administration,
                              procurement of fire protection and security equipment, and the
                              recent unit overpower event. As a result of this meeting, the
                              PRB membership will be upgraded by July 31 to utilize the
                              Departnient Heads. While LER administration is still under
                              study, proposals were made to reduce the barriers to submitting
                              reports in a timely manner. Procurement activities, regarding Q
                              and non-Q uses conflicting with the plant policy of ordering all
                              parts Q, was resolved by deciding to split the systems. This
                              council was forned as a forum to elevate and discuss issues of
                              multi-departmental concern. The inspector determined that it
                              apparently functions as planned.
                        (11) Licensed Operator Requalification Program - The inspector was
                              requested by +he NRC Region Management to review the
                              notification system for removing operators from licensed duty.
                              Administrative Procedure 00715-C, " Licensed Operator
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                           Requalification Program," was reviewed.         This procedure
                            establishes in step 4.2.6.1.3 that the Operations Superintendent
                           Training will notify Operations of examination results. Written         !
                            notification of p?acement in an Accelerated Requalification            !
                           Program will be provided to the individual by the Manager              j
                            Operations.      Attachment 2 of the procedure is a                   i
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                            fill-in-the-blanks letter to be used for notification with             )
                            distribution to 'the responsible supervisor.     Discussions with      .
                            operations revealed that the notification is by telephonic means       l
                            with the letter to follow.     Tc inspector noted that the form      )
                            could be enhanced to document what actually occurred since the       i
                            letter does not document the who, what, and when cf the actual        i
                            notification. The inspector also suggested that they contact           l
                            V. C. Summer Nuclear Power Station for details of how an               l
                            operator assumed the controls while holding an inactive license.       1
                            Further program enhancements may be needed. The inspector              I
                            determined that the licensee understands the NRC requirements      .l
                            for timely removal from duty and has at; adequate procedure for       j
                            handling notification to operators of an inactive status.             1
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                      One violation was identified in paragraph 2.a above.                         !
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             3.  Review of Licensee Reports (90712)(90713)(92700)                                )
                                                                                              .)
                 a.   In-Office Review-of Periodic and Special Reports                            j
                      This inspection consisted of reviewing the below listed reports to
                      determine whether the information reported by the licensee was             .
                      technically adequate and consistent with the inspector knowledge of
                      the material contained within the report. Selected material within          2
                      the report was questioned randomly to verify accuracy and to provide       I
                      a reasonable assurance that other NRC personnel have an appropriate         l
                      document for their activities.
                      Monthly Operating Report - The reports dated June 6 and June 12,
                      1989, were reviewed. The June 6 report updates the test status of
                      Unit 2 and includes information concerning PORV challenges which            i
                      occurred on April 13, 1989. The inspector had no comments.
                                                                                                (
                 b.   Deficiency Cards and Licensee Event Reports                                 j
                      Deficiency Cards and Licensee Event Reports were reviewed for
                      potential generic impact, to detect trends, and to determine whether
                      corrective actions appeareri appropriate. Events which were reported
                      pursuant to 10 CFR 50.72 were reviewed as they occurred to determine

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                      if the technical specifications and other regulatory requirements
                      were satisfit;d.     In-office review of LERs may result in further
                      follow-up to verify that the stated corrective actions have been
                      completed or to identify violations in addition to those described in
                      the LER.     Each LER is reviewed for enforcement action in accordance
                      with 10 CFR Part 2, Appendix C; ar.d if the violation is not being
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                                      cited, the criteria specified in Section V.G of the Enforcement
                                      Policy were satisfied.       Review of DCt. was performed to maintain a
                                      realtime status of deficiencies, determine regulatory compliance,
                                      follow licensee corrective actions, and assist as a basis for closure
                                      of the LER when reviewed.       Due to the numerous DCs processed, only
                                      those DCs which result in enforcement action or further inspector
                                      followup with the licensee at the end of the inspectior, are listed
                                      below.    The LERs and DCs denoted with an asterisk indicate that
                                      reactive' inspection occurred at the time of the event prior to
                                      receipt of the written report.
                                      (1) Deficiency Card reviews:
                                            (a) 00-1-89-1076, " Failure To Perform a Response Time Test Of a
                                                 Newly Installed Reactor Trip Breater "
                                                 On June 19, 1989, during the performance of the six month
                                                 PM on the reactor trip breaker, a spare breaker which had
                                                 not been response-time tested was installed in the reactor
                                                 trip breaker cubic resulting in the inoperability of the
                                                 breaker.     This will be further followed up when submitted
                                                 as a LER.
                                            (b) *DC-2-89-1138, " Failure To Implement The Monthly Tritium
                                                 Analysis Required By Procedure 30025-C."
                                                 The licensee was attempting to perform the initial
                                                 technical specification surveillance for E BAR in May 1989,
                                                 when it was discovered that no tritium data was available.
                                                 The analysis was not implemented until May 24, 1989. It
                                                 was the licensee's intention to begin implementation at
                                                  fuel load. The licensee contacted NRR regarding the problem
                                                 of having to perform surveillance which require a later
                                                  surveillance to determine acceptability.      This deficiency
                                                 will be followed up wen submitted as an LER.
                                            (c) *DC-2-89-1182, " Debris Found In The Installed Temporary
                                                  Feedwater Transmitters Resulting In Overpower Condition."
                                                 On June 14, 1989, durin9 the performance of test
                                                  Engineering 89-09, calibration of the installed temporary
                                                  feedwater transmitters revealed debris in the sensing lines
                                                  from the nozzles to the installed transmitters. Feedwater
                                                  flow indication increased and apparent reactor power
                                                  increased approximately 0.5% (18 MWt) higher than the
                                                  licensed maximum power level of 3411 MWt. This condition
                                                 may have existed since Unit 2 first reached 100% power on
                                                 May 15,~1989. Additional evaluation is underway. The unit
                                                  2 reactor is now operating within the licensed power level.
                                                  This event will be further followed up when submitted as a
                                                  LER.

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                                                                     (d) *DC-1-89-1139, " Loss of Power to the meteorological
                                                                           monitoring channels."
                                                                            On July 6, 1989, both units experienced a loss of power to
                                                                            both meteorological monitoring - channels. An Nile was
                                                                            declared and terminated the same day per the emergency
                                                                            plan. This item will be followed up when submitted as a
                                                                            LER.
                                                     (2) The following LERs were reviewed and are ready for closure
                                                                     pending verification that the lictnsee's stated corrective
                                                                     actions have been completed.
                                                                     (a) 50-424/89-14. Rev. 0, " Failure To Analyze Diesel Lube Oil
                                                                            Leads To License Condition Violation."
                                                                            On June 2, 1989, it was discovered that the plant had not
                                                                             complied with the Operating License paragraph 5.c because
                                                                             the quarterly ferrographic analysis was last performed in
                                                                             October 1988 for the train A diesel generator and in July
                                                                             1988 for the train 3 diesel generator.                                                                       Operating License
                                                                             NPF-68, Section 2.Ct6), requires GPC to implement diesel
                                                                             generator requirements as specified in Attachment 1 to the
                                                                              license. Attachment 1, paragraph 5.c. mandates querterly
                                                                              spectrographic and ferrographic analysis of engine oil to
                                                                              detect evidence of bearing degradation.- Additionally,
                                                                              spectrographic analyses have not been regularly trended to
                                                                             detect indication of abnormal bearing degradation. The
                                                                             cause of this event was the failure to adequately
                                                                              incorporate license commitments into plant procedures. A
                                                                              ferrographic analyses was performed and found acceptable
                                                                              based on comparison with previously taken baseline data.
                                                                              Corrective actions will also include revision to Procedures
                                                                              54170-1, " Diesel Generator Lube Oil Analysis, Tranding, And
                                                                              Evaluation," to require trend evaluation of quarterly
                                                                              spectrographic and ferrographic analyses and                                                                                Procedure
                                                                              32531-C, " Diesel Generator Lube Oil Sampling And Analysis,"
                                                                               to require engine oil samples to be taken for ferrographic
                                                                              analysis. These actions will be complete by July 15, 1989.
                                                                              This item represents a violation of NRC requirements which
                                                                             meet the criteria for non-citation.                                                        In order to track this
                                                                               item, the following is established.
                                                                              NCV 50-424/89-19-02, " Failure To Establish Adequate Diesel
                                                                               Lube Oil And Analysis Procedures To Implement License                                                                                                                                              i
                                                                              Condition 2.C(b) - LER 89-14."
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                     (b) *50-425/89-20 Rev. O, " Loss Of Power To Ni Channel Causes
                           Reactor Trip During Surveillance Test."
                           On May 12, 1989, while personnel were . performing
                           surveillance of nuclear instrument channel N44, a 2 out of
                           4 Hi Finx rate trip coincidence signal was received causing
                           an automatic reactor trip.        Power range channel N43
                           experienced a momentary loss of power, which tripped the
                           Rate Trip bistable on N43. The control room operator
                           acknowledged the alann for the tripped bistable but failed
                           to notice that the wrong bistable had tripped for the work
                           being performed. A step of the surveillance procedure,
                           which was being performed for N44, requires the fuses to be
                           pulled. This tripped the Rate Trip bistable for N44. The
                           N43 and N44 bistables satisfied the 2 out of 4 Logic for a
                           power range trip. The reactor trip breakers opened
                           tripping the reactor.     All automatic systems functioned as
                           designed. The control room operators brought the plant to
                           stable conditions in Mode 3 (Hot Standby). The causes of
                           this event were the loss of power to channel N43 and the
                           failure of control room operators to notice that the wrong
                           bistable had tripped. Extensive troubleshooting of N43 was
                           performed. The cause for the power loss could not be
                           determined.     The opera tions requalification training
                           program will be revised to increase emphasis on recognizing
                           the cause of the alarm being acknowledged.         Nuclear
                           instrument calibration procedures will be revised b
                           August 1,1989 to require reactor operator signoff (yin
                           addition to instrument technician signoff presently
                           required) prior to manually tripping bistables or removing
                           instrument power.       The inspector aiscussed with the
                           licensee why the loss of power to N43 had not been
                           determined.    Since N43 was not operating properly, the
                           licensee suspects that improper cleaning of the high          l
                           voltage power supply leads may have caused the prthlem.
                           The licensee now requires the connectors to be cleaned
                           whenever reinsta11ation occurs.
                     (c) *50-425/89-21, Rev. O, " Failure Of Intercept Valves To Open
                           Results In Reactor Trip On SG Lolo Level."
                           On M9y 22, 1989, with the unit at 12% power, preparations
                           were underway to start up the main turbine. Indications of
                           a steam / feed mismatch problem were seen on SG #2.
                           Operators checked various parameters but could not
                           determine the cause of the problem. At approximately the
                           same time, the Reactor Operator observed a decrease in
                           primary temperature that was greater than expected.
                           Because SG 1evels and pressures were decreasing, the
                           Balance-of-Plant operator tripped the turbine. Feed to the
                           steam generators was increased and the steam dumps were
                           manually closed. An automatic reactor trip occurred on
         - ,           .      ._ .                    -                                    _    __
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     !                                       Lolo level in SG #2. The cause of the event was the
                                             failure of.the intercept valves to open when the turbine
                                             speed was increased and the failure of .the operator to
                                             follow the main turbine operations procedure in verifying
                                              that the valves opened.     The LER incorrectly states that
                                              the B Main Steam Reactor relief lifted creating an
                                              increased steam load, which resulted in the lowering of the
                                              SG water icvel and reactor trip.      In fact, the steam flow
                                             had been increasing for five minutes prior to the relief
                                              .ifting; and as a result of the lifting, steam flow
                                             stabilized. At this point, operators noticed a drop jn
                                              primary temperature, steam generator levels, and steam
                                             generator pressures and subsequently. tripped the main
                                              turbine. Due to the long period of high steam flow with
                                              limited feedflow, the SG inventory had been reduced and
                                              this resulted in a Lolo SG reactor trip.        The intercept
                                              valves have been corrected and personnel counseled. ~ Since
                                              the enly action which can preclude a failed intercept valve
                                              from becoming a more serious transient is attention to
                                              detail during turbine startup.        The proper corrective
                                              action should be to counsel the operators and utilize this
                                              event as an example in training on attention to detail.
                                              This item represents a violation of NRC requirements which
                                              meets the criteria for non-citation.       Ir order to track

i

                                              this item, the following is established.
                                              NCV 50-425/89-23-01, " Failure To implement Main Turbine
                                              Operation Procedure 13800-2 in Verifying That The Intercept

'.

                                              Valves Properly Open - LER 89-21."
                                   (3) The foll] wing LERs were reviewed and closed.
                                        (a) *50-424/89-12, Rev. O, " Failed Vibration Monitoring Card
                                              Causes Main Feed Pump Trip And Reactor Trip."                          ,

l

                                              ,0n May 9,1989, the unit began experiencing MFP 'B' high

l vibration alarms (6 aiarms in 15 seconds), which would I, immediately clear. The Turbine Building Operator reported

                                              no unusual noise at the pump. The Advanced Turbine
                                              Supervisory Instrumentation was checked, and readings were
                                              found to be below alarm levels.        At this time it was
                                               thought that pa* inters working in the area had moved cables
                                              causing the alarm. Alarms were again received, and a check
                                              of the Advanced Turbine Supervisory Instrumentation and a                .
                                               report from the Turbine Building Operator did not indicate             .

...

                                              anything abnormal. Bearing metal and lube oil temperatures              l
                                              were checked on the main computer, and the readings were                j
                                               acceptable. Assistance was requested from Maintenance and
                                                                                                                      '
                                               Engineering. The individuals investigating the problem did
                                               not detect any unusual vibration of the MFP. The MFP                      ,
                                               tripped on high vibration.        Control Reoa operatora               ]
                                               attempted recovery from the pump trip but were not able to
                                               prevent a reactor trip due to SG #4 Lolo level. The cause
                                                                                                                      i

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                          of the MFP trip was a broken solder connection on a test                                           j
                          jack in the Advanced Turbir.e Supervisory Instrumentation                                          {
                          vibration . card for the low pressure bearing.                                    A                  l
                          contributing cause to the reactor trip was a failed
                          bistable in the Control Rod Driva Circuitry which resulted                                         l 1
                          in the failure of the rods to insert when placed in auto.
                          Corrective actions included repair of the broken solder
                          connection and rep'lacement of the affected rod control'
                          system circuit card.
                    (b) *50-424/89-13, Rev. O, " Procedure Inadequacy leads To Fuel
                          Handling Building Isolation."
                          On May 30, 1989, with the unit at 86% power, filling of the
                          spent fuel pool transfer canal from the Recycle Holdup Tank
                          was in progress. Reactor Coolant System letdown was
                          diverted from the Volume Control Tank to the RHT. However,
                          because of the evolution in progress to fill the spent fuel
                          pool . trai sfer canal, the letdown was inadvertently sent to
                          the spent fuel pool transfer canal.         Dissolved gases-came
                          out of solution and actuated a high radiation signal, and a
                          Fuel Handling Building Isolation occurred. This event was
                          caused by an inadequate procedure which allowed both the                                           j
                          filling for the spent fuel pool tran;far canal and the
                          letdown diversion to occur simultaneously. The appropriate'                                        I
                          procedure has been changed to prevent recurrence.
                          Procedures 13719-1,13719-2 (Spent Fuel Pocl Cooling and -
                          Purification System), and 13703-C (Boron Recycle System),
                          have been revised and were reviewed by the inspector. The
                          changes remove direction from 13719 procedures ar.d
                          establish 13703-C as the overall procedure. During the
                          review of 13703-C, the inspector noted that typographical
                          errors had been made which reflected poor proofing prior to
                          approval. These errors were discussed with the Operations
                          Manager and Operations Radwaste Supervisor, and the
                           inspector was informed that these would be corrected.                                    In
                          addition, the revision would include an enhancement to
                          ensure that the tank to be transferred is removed from
                          service. The inspector noted that the procedure in general
                          has operators closing and opening valves which are already
                           in the correct position.     The inspector was i.oncerned that
                           the operator direction should be to " check close6" or
                           " check open" these components.     1his methodology would
                           serve to identify components that are not in the assumed
                           position and lend itself to better plant control. A review
                          of the operations procedure writers guide noted definitions
                           for action verbs " check," "open," and "close" but does not
                           indicate combined usage as a requirement when a component
                           is already in the correct position. The inspector could
                          only recall one i. vent (LER 50-424/87-59) where an operator
                          was directed to open a valve in which he failed to report
                                                                  ____ --__ _ ____ _______--- _ -

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                                             the valve as already open. This. failure to report resulted
                                            .in the failure of~the plant to' recognize that this was the
                                             wrong ' valve. . The operator- raisedino concern because, as
                                             illustrated above, it.is routine to position stems which'
  ,,                                         are already in position., The procedure werkness was
     'l                                      referred to Operations. Management for consideration. The
      '
                                             event described in this-LER represents a violation'of NkC
                                             requirements which meet the criteria for ron-citation." In
                                             order to track this item, the follow 1.ng'is-established.
#
                                             NCY 50-424/89-19-03, " Failure To Establish An Adequite :
                                             Procedure For Transferring Radwaste From The Recycle holdup
                                             Tank To The Spent Fuel' Pool'Per TS 6.7,1. - LER 89-13."

'

                                       (c) *50-425/89-18, Rev. 0, " Loss Of Stator. Cooling. Water Leads'
                                             To Feedwater Isolation."
                                            'On' April 22, 1989, a plant operator, performing the weekly
                                             transfer - of the generator stator cooling water pumps,
                                             attempted to start pump "A" but found that both dumps had
                                                                           ~
                                             shut.'down. A turbine trip occurred, as designed, from the~
                                             loss of stator cooling water. The steam dumps opened, and

> reactor power was reduced from 36% to 8% due to autofuatic

                                             rod control motion. Control room operators manually _
                                             controlled- steam generator water levels during the power
                                             descent by manipulating the Main 'Feedwater Regulating
                                             Valves.   A Feedwater Isolation occurred when SG #3 reached
                                             its high-high level setpoint.        - Placing control red                     i
                                             operation .in automatic, per proc'edure 18011-C, allowed
                                             reactor power to rapidly drop to a level at which SG 1evel
                                             control was difficult. This requirement was the cause of
                                             the Feedwater Isolation 'and AFW actuation Procedure
                                             18011-C was revised and reviewed. NRC enforcement action
                                             is documented in NRC Inspection Report No. 50-425/E9-18.
                           Three non-cited violations were identified.
                   4.    ' Loss of Decay Heat Removal (Generic Letter No. 88-17),
                           TI 2515/101-(255101) - Units 1 and 2
                           This inspection consisted of a redew of the licensee response to Generic
                           Letter '88-17 (Loss of Decay Heat Removal) dated October 17, 1988. The
                             inspector verified that the licensee has completed or is in the process of'

'

                           completing its response to the expeditious actions by verification of the
                           following:
                           -     Training - Lesson plan RQ-LP-61991-00-C (Case Study On Loss Of RHR At
                                 Mid-Loop), covered loss of RHR during mid-loop operations. Included
                                 was a discussion of the consequences and possible mitigating actions
,
                                 for a loss of.RHR during various mid-loop lineups. The lesson plan
                                 also ' discusses Vogtle's response to Westinghouse Owners Group letters

,

                                                                                 _--.___--._.____..__-__--____---.__--___l-
     ,     __     -    _                 _             _                 __
                                                                                  -   ._  ._ _    _
                                                                                                    _ _ - _ -

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                          88-21 and 88-078.     The lesson plan also references the licensee's                l
                          response to Generic Letter 88-12, Lesson plan RQ-LP-61992-00-C
                          (Case Study On RHR Valve Closure Events) covers the chain of events
                          described in NRC Information Notice 87-01 (RHR valve misalignment
                          causes degradation of ECCS in PWRs) and LER 50-424/87-55 (closure of
                          the RHR system valves causes loss of availability of one RHR pump).
                          The Westinghouse P.HR vortex video tape was presented. The effects of
                          varying loop water level and RHR flow rate on vortex formation vere
                          emphasized.
       ,
                     -    Containment Closure     - Operations procedure 12007-C, Rev. 11,
                          Refueling Entry, Step 4.1.lb(1), requires the operators to ensure
                          that the containment hatch is capable of being closed within 2 hours                {
                          or ensure the equipment hatch is closed prior to reducing RCS level
                          three feet below the reactor vessol flange.       Operations procedure
                          18019-C, Rev. 6. Loss Of RHR, had a chution prior to Step A1.        It
                          states:                                                                             ,
                                 "During mid-loop operation with hot leg dams installed and
                                 inadequate RCS venting, a loss of RHR cooling will result in
                                 saturated RCS conditions vithin 10 minutes subsequently
                                 resulting in core uncovery and requiring containment closure
                                 initiation."
                     -    RCS Inventory - The licensee plans to purstfe a change to the
                          technical specifications which will allow the SI pamps to be
                          availbble during operation in a reduced inventory condition without
                          having to invoke 10 CFR 50.54x. There are three options availeble as
                          a means of water addition: charging flow to a closed cold leg,
                          gravity fill via the RWST, and the SI/RHR pmps (operations procedure
                          18019-C ' Rev. 6, Loss Of RH3, Steps A6b, A6c, and A6e, respectively).
                          Procedure 18019-C contains a graph (Figure 3), which graphs time to
                          core uncovery in seconds versus time after shutdown in hours. This
                          procedure addresses flow rate suffit.ient to prevent uncovering the
                          core. This is illu:,trated by operations procedure 18019-C, figure 1,
                          which graphsr.CCS flow rate in GPM verses time in hours. A vent path
                           is provided on the RHR suction to vent unwanted steam or water as a
                           result of a nump loss or cavitation.
                     -    Hot Leg Flow Paths - The inspector verified that the licensee has
                          Eijilemented procedures and administrative controls that reasonably
                           assure that all hot legs are not blocked simultaneously by nozzle
                           dams unless a vent path is provided that is large enough to prevent                !
                           pressurization of the upper plenun of the reactor vessel. The s1ze
                           of the openings specified in procedures 12006-C, Rev.13, (Unit
                           Cooldown to Cold Shutdown) and 12007-C, Rev. 11, (Refueling Entry) is
                           sufficient per Westinghouse Owners Group generic analysis.
                     This inspection also included a review of temperature indications, RCS
                     water level indication and RCS perturbations which have been addressed in
                     GPC Response to Ganeric Letter 88-17 dated February 2,1989, to the
                                                                                                               1
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                                            ' inspectors satisfaction.                     The NRC staff reviewed the GPC response to
                                               Generic Letter 88-17 dated December 29, 1988, and found the
                                               licensee's response to appear to be incomplete in three areas.                                                                         The
                                                inspector _ examined these areas.                            The result of the inspection are as
                                                follows:
                                               -                   _
                                                                   T racking of Containment Penetrations - The licensee only addressed
                                                                   containment penetrations that have been opened by " Manual means,"                                                       t
                                                                   The auto closure items are covered by a caution statement (see above)                                                    l
                                                                   prior to Step Al in operations procedure 18019-C. The licensee
                                                                   stated that initiating containment closure means to also initiate
                                                                   containment isolation " phase A" and containment ventilation isolation
                                                                   as well as initiating closure of the containment hatch.
                                               --
                                                                   Containment Closure Within Allowable Times - The licensee has two
                                                                   options with respect to closure status of the containment equipment
                                                                   hatch when the reactor vessel is drained down to mid loop (3 feet
                                                                   below the reactor vessel flange). In accordance with operations
                                                                   procedure 12007-C, Rev.11 (Refueling Entry), paragraph 4.1.1.b.(1),
                                                                   they must either ensure the hatch is capable of being closed within
                                                                   2 hours or ensure the hatch is closed prior to reaching a mid loop
                                                                   status. Penetrations other than the equipment hatch are tracked by
                                                                   information LCOs.
                                               -                   Containment Cooling Fans / Feasibility of Continued Work Within
                                                                   Containment Once Boiling Initiates              -       A request for engineering
                                                                   assistance has been submitted to examine the feasibility of continued
                                                                   work inside containment once boiling initiates within the reactor
                                                                   vessel and creates a steam environment within containment.
                                                                   Additionally, the licensee has been asked to identify what reasonable
                                                                   assurance is available that containment fans will also be available
                                                                   under the same conditions. Resolution of these items is considered'
                                                                   an IFI and is identified as:
                                                                         IFI 50-424/89-19-04 and 50-425/89-23-02, " Review Resolution Of
                                                                         Engineering Evaluation On The Feasibility Of Continued Work
                                                                         Inside Containment And Identify What Reasonable Assurance Is
                                                                         Availabh That Containment fans Will Be Available Once Boiling
                                                                         Initiatts Within The Reactot Vessel."
                   5.                         Actions on Previous Inspection Findings - (S2701)(92702)
                                                (a)                (Closed) VIO 50-424/89-10-01, " Failure To Follow Procedure 35301-C
                                                                   For The Establishment Of Quality Control Hold Points.
                                                                   The inspector reviewed the licensee's response dated May 18, 1989, to
                                                                   the Notice dated April 19, 1989.                  Full compliance wat achieved                                           ,
                                                                   subsequent to the assignment of hold points for the mechanical                                                           !
                                                                   portion of the repairs on March 7,1989. The inspector concluded
                                                                   that this issue har been resolved properly.

- - . _ _ _ - _ _ _ - _ - - - _ _ _ _ _ - _ _ _ - _ _ _ _ _ _ _ _ - _ - _ - - - _ _ _ _ - - _ _ _ _ - - - _ _ - _ _ _ _ _ _ _ _ _ -

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                                               :(b)           (Closed) VIO 50-425/89-12-01, " Failure To Maintain Two independent
                                                              Core Cooling Subsystems Operable As Required By TS 3.5.2."                                                                                      l
                                                              The inspector reviewed the licensee's response dated May 18, 1989, to
                                                              the Notice dated April 19, 1989.                                                                             Full compliance was achieved on
                                                              March 9,1989, upon closure of valves 2-1205-U4-027 and 226. To
                                                              preclude recurrence, an enhanced locked valve program which included
                                                              more clearly defined Support Shift Supervisor responsibilities has                                                                              [
                                                              been implemented and reviewed by the inspector.                                                                            Enhanced sensitivity 1
                                                              to system status has been included in the lessons learned portion of                                                                            i
                                                              requalification training.                                                 The inspector concluded that this issue                               !
                                                              has been resolved properly.
                      6.                               Exit Interviews - (30703)                                                                                                                              l
                                                      The inspection scope and findings were summarized on July 7,1989, with
                                                       tNse persons indicated in paragraph 1 above. The inspectors described
                                                        the areas inspected and discussed in detail the inspection results. No-
                                                        dissenting comments were received from the licensee. The licensee did 'not
                                                        identify as proprietary any of the materials provided to or reviewed by
                                                        the inspector -during this inspection. Region based NRC exit interviews
                                                       were attended during the inspection period by a resident inspector. This
                                                         inspection closed two violations (paragraph 5(a) and 5(b)) e.n! three
                                                        Licensee Event Reports (paragraph 3.b(3)(a), 3.b(3)(b), and ' 3)(c)).
                                                       The items identified during this inspection were:
                                                        -     VIO 50-424/89-19-01, " Failure To Implement Operations Proceo.:re
                                                              10001-C As Required By TS 6.7.1.a To Verify Proper Operation Of
                                                              Control Room Chart Recorders" - paragraph 2.a.
                                                        -     NCY 50-424/89-19-02, " Failure To Establish Adequate Diesel tube Oil-
                                                              And Analysis Procedures To Implement License Condition 2.C(b) - LER
                                                              89-14" - paragraph 3.b(2)(a).
                                                        -     NCV 50-424/89-19-03, " Failure To Establish An Adequate Procedure For                                                                           ,
                                                              Transferring Radwaste From The Recycle Holdup Tank To The Spent Fuel                                                                            ;
                                                              Pool Per TS 6.7.1. - LER 89-13" - paragraph 3.b(3)(b),                                                                                          1
                                                         -    NCV 50-425/89-23-01, " Failure To Implement Main Turbine Operation
                                                              Procedure 13800-2 In Verifying That The Intercept Valves Properly
                                                              Open - LER 89-21" - paragraph 3.b(2)(c).
                                                         -    IFI 50-424/89-19-04 and 50-425/89-23-02, " Review Resolution Of
                                                              Engineering Evaluation On The Feasibility Of Contineed Work Inside
                                                              Containment And Identify What Reasonable Assurance Is Available That
                                                              Containment Fans Will Be Available Once Boiling Initiates Within The
                                                              Reactor Vessel" - paragraph 4.                                                                                                                  I
                                                        The licensee committed at the exit to submit a corrected LER 50 425/89-21
                                                         discussed in paragraph 3.b(2)(c).
      _ _ _ _             _ _ _ _ _ _ _ - - _ _ _ - _ - - .                  . - _ - - _ - _ _ _ _ _ _ - _ - . - _ - - - _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
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                      7.     Acronyms And Initialisms
                             AFW                Auxiliary Feedwater System
                             CDT                 Central Daylight Time
                             CFR                 Code of Federal Regulations
                             DC                   Deficiency Cards
                             DG                  Diesel Generator
                             ECCS                 Emergency Core Cooling System
                              ESF                 Engineered Safety Features
                              FSAR                Final Safety Analysis Report
                             GPC                  Georgia Power Company
                             GPM                  Gallons per Minute
                              IFI                  Inspector Followup Item
                              ILR                  Instrument Level Recorder
                              IPR                  Instrument Pressure Recorder
                             LCO                 timiting Conditions for Operations
                             LER                  Licensee Event Reports
                              LP                  Low Pressure                                                                  !
                             MFP                  Main Feed Pump                                                                ;
                             MWO                  Maintenance Work Order                                                        l
                             MWt                  Megawatt thermal
                              NCV                  Non-cited Violation
                              NI-                  Nuclear Instrument
                              NPF'                 Nuclear Power Facility                                                       i
                              NRC                  Nuclear Regulatory Commission
                              NRR                 Office of Nuclear Reactor Regulation
                              NUE                  Notice of Unusual Event
                              PM                    Planned Maintenance
                              PORV                 Power Operated Relief Valve
                              PRB                   Plant Review Beard
                              PWR                   Pressurized Water Reactor
                              RCS                   Reactor Coolant System
                              Rev.                  Revision
                              CriR                  Residual Heat Removal System
                              RHT                   Recycle Holdup Tank
                              RWST                  Refueling Water Storage Tank
                              SG                    Steam Generator
                              SI                    Safety Injection System
                              TI                    Temporary Instruction
                              TS                    Technical Specification
                               VIO                  Violation
                                                                                                                                i
                                                                                                                                !

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