ML20246F856

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Forwards AEOD/T912, Technical Review Rept,Selected Maint Rework. Events Reviewed Illustrate Benefits of Working from Approved Procedures
ML20246F856
Person / Time
Issue date: 06/30/1989
From: Israel S
NRC OFFICE FOR ANALYSIS & EVALUATION OF OPERATIONAL DATA (AEOD)
To: Rosenthal J
NRC OFFICE FOR ANALYSIS & EVALUATION OF OPERATIONAL DATA (AEOD)
Shared Package
ML20246F861 List:
References
AEOD-T912, NUDOCS 8907140074
Download: ML20246F856 (2)


Text

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JUN 3 01989 ,

NEMORANDUM FOR: Jack E. Rosenthal, Chief Reactor Operations Analysis Branch Division of Safety Programs Office for Analysis and Evaluation of Operational Data THRU: Peter Lam, Chief < M Reactor Systems Section W and B&W Reactor Operations Analyiis Branch Division of Safety Programs Office for Analysis and Evaluation of Operational Data FROM: Sanford Israel Reactor Systems Section W and B&W Reactor Operations Analyiis Branch Division of Safety Programs Office for Analysis and Evak. ion of Operational Data

SUBJECT:

SELECTED MAINTENANCE REWORK Enclosed is a Technical Review Report on maintenance rework that covers about 80 selected events for 1986, 1987, and 1988. This study was initiated because of a concern that maintenance rework was a significant factor in plant operations.

This study limited itself to random events, rather than situations involved with chronic problems, such as those observed in MOV limitorque switches and solenoid valves.

About 38 percent the events reviewed involved simple personnel errors such as disassembly following maintenance. These events had minimal safety signifi-cance because they involved one component, were of short duration, or were easily detectable by current procedures for inspection or post maintenance testing.

Misdiagnosis of the root cause of component / system failure accounted for another 25 percent of the events. The data suggest that the component / system designs involved may be too sensitive. Improvisations by maintenance personnel accounted for about 8 percent of the events and are covered by existing requirements to follow approved procedures. The remainder of the events were caused by admini-strative, procedural, and vendor problems which art also covered by existing requirements.

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' Jack E. Rosenthal Although ma4ntenance rework poses a safety concern because of potential common

! couse f ail'ivs, the events reviewed were not considered overly significant.

The events generally involved only a single component, were identified in a short time frame, involved degradations rather than failures, or involved a second liue system. In summary, these events illustrate the benefits of workino from app.oved procedures,-inspection and post maintenance testing.

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Sanford Israel Reactor Systems Section W and B&W Reactor Operations AnalyIis Cranch Division of Saf ety Programs Office for Analysis and Evaluation of Operational Data

Enclosure:

As stated cc w/ enclosure:

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