ML17333B129

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LER 97-S01-00:on 971009,control of Vital Areas Lost Due to Personnel Error.Retrained Personnel Involved on Vital Area Breach Conditions & Modified Procedure Which Controls Removal of Missile block.W/971110 Ltr
ML17333B129
Person / Time
Site: Cook American Electric Power icon.png
Issue date: 11/10/1997
From: BLIND A A, RUSSELL P
INDIANA MICHIGAN POWER CO., INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
LER-97-S01, LER-97-S1, NUDOCS 9711140196
Download: ML17333B129 (6)


Text

~CATEGORYgREGULATORYINFORMATIONDISTRIBUTIONSYSTEM(RIDS)ACCESSIONNBR:9711140196DOC.DATE:97/11/10NOTARIZED:NODOCKETFAC1L:50-316DonaldC.CookNuclearPowerPlant,Unit2,IndianaM05000316AUTH.NAMEAUTHORAFFILIATIONRUSSELL,P.IndianaMichiganPowerCo.BLIND,A.A.IndianaMichiganPowerCo.(formerlyIndiana&,MichiganEleRECIP.NAMERECIPIENTAFFILIATION

SUBJECT:

LER97-S01-00:on971009,controlofvitalareaslostduetopersonnelerror.Retrainedpersonnelinvolvedonvitalareabreachcondit'ions6modifiedprocedurewhichcontrolsremovalofmissileblock.W/971110ltr.DISTRIBUTIONCODE:IE74TCOPIESRECE1VED:LTRENCLSIZE:TITLE:SafeguardsPhysSecEventPt.73.71(PublicAvailable)NOTES:CRECIPIENTIDCODE/NAMEHICKMAN,JCOPIESLTTRENCL10RECIPIENTIDCODE/NAMECOPIESLTTRENCLINTERNAL:AEOD/SPD/RRABNMSS/FCSS/FCOBRGN301111111ILECENCT1111EXTERNAL:NRCPDR11DCM'NNOTETOALL"RIDS"RECIPIENTS:PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATIONREMOVEDFROMDISTRIBUTIONLISTSORREDUCETHENUMBEROFCOPIESRECEIVEDBY,YOUORYOURORGANIZATION,CONTACTTHEDOCUMENTCONTROLDESK(DCD)ONEXTENSION415-2083FULLTEXTCONVERSIONREQUIREDTOTALNUMBEROFCOPIESREQUIRED:LTTR7ENCL6 IndianaMichig~PowerCompan~Cock'%marp'art9:eCwiP.'aceB.dgman,'L~l491r6INDUNANICHICsMNPQMfJPRNovember10,1997UnitedStatesNuclearRegulatoryCommissionDocumentControlDeskWashington,DC20555OperatingLicensesDPR-74DocketNo.50-316DocumentControlManager:97-S001-00Sincerely,A.A.BlindSiteVicePresidentlmbdAttachmentA.B.Beach,RegionIIIE.E.FitzpatrickP.A.BarrettS.J.BrewerJ.R.PadgettD.HahnRecordsCenter,INPONRCResidentInspector97iii40i9697iii0PDRADOCK050003ibSPDRiiillllllllllllllllltlllilllllllll NRCFORH366(5-92)U.S.NUCLEARREGULATORYCOHMISSIONLICENSEEEVENTREPORT(LER)APPROVEDBYOMBNO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCOMPLY'IIITHTHIINFORMATIONCOLLECTIONREQUEST:50.0HRS.FORWARCOMHENTSREGARDIHGBURDENESTIMATETOTH:NFORMATIONANDRECORDSMANAGEMENTBRANCH(MNB7714),U.S.NUCLEARREGULATORYCOMMISSION,WASHINGTON,DC20555-0001,ANDTOTHEPAPERWORREDUCTIONPROJECT(3150.0104),OFFICE0HANAGEMENTANDBUDGETWASHINGTON,OC20503.FACILITYNAME(1)DonaldC.CookNuclearPlant-Unit2TITLE<4)ControlofVitalAreaLostDuetoPersonnelErrorDOCKETNUMBER(2)50-316Page1of3MONTHDAYYEARYEARSEQUENTIALNUMBERREVISIONNUMBERMONTHDAYFACILITYNAHENoneDOCKETNUMBER10099797---S0010010FACILITYNAMEDOCKETNUMBEROPERA'IINGMODE(9)POWERLEVEL(10)10020.2201(b)20.2203(a)(2)(I)20.2203(a)(2)(iii)20.2203(a)(2)(iv)20.2203(a)(2)(v)20.2203(a)(3)(i)20.2203(a)(4)50.36(c)(2)50.73(a)(2)(i)50.73(a)(2)(ii)50.73(a)(2)(iii)50.73(a)(2)(v)50.73(a)(2)(viii)(A)50.73(a)(2)(viii)(B)50.73(a)(2)(x)73.71(b)OTHER(SpecifyinAbstractbelowandinText,NRCForm366A)NAHEMr.PatRussell,PlantProtectionManagerTELEPHONENUMBER<IncludeAreaCode)616/465-5901,x3370CAUSESYSTEHCOMPONENTMANUFACTURERREPORTABLEToHPRDSCAUSESYSTEMCOMPONENTHANUFACTURERREPORTABLETONPRDSYESXNOEXPECTEDSUBMISSIONDATE15ABSTRACT(Limitto1400spaces,i.e.,approximately15single-spacedtypewritten'lines)(16)OnOctober9,1997at1549hours,withUnit2inMode5,thecontrolofavitalareawaslostcontraryto10CFR73.55(d)(7)(i)(B).Themissilesblocksthatmadeupaportionofthephysicalboundaryaroundthevitalareacontainingthespentfuelpitwereremovedwithoutestablishingcompensatorymeasures.Controlofthevitalareawasreestablishedat1817hoursthesameday.Notificationofthiseventwasmadeinaccordancewith10CFR73.71(b)(1)at1909hoursonOctober9,1997.Thisreportisbeingsubmittedinaccordancewith10CFR73.71(d).Thecauseforthiseventwasdeterminedtobepersonnelerror.Thepersonnelinvolvedhavereviewedtheeventandwereretrainedonthecriteriaforvitalareabreachconditions.TheprocedurewhichcontrolstheremovalofthemissileblockhasbeenmodifiedtoincludestepstonotifyPlantProtectionofmissileblockremovalandtheneedforacontinuouscompensatorysecuritypost.DuringtheperiodthebreachexistedtheSpentFuelPitareawasundersurveillancebyclosedcircuittelevisionmonitoredinthesecurityalarmstations.Alarmstationoperatorsmonitoractivitiesandwouldhaverespondedtoactionsdeemedinappropriate.Theeventposednothreattothehealthandsafetyofthepublic.

NRCFORM366AU.S.NUCLEARREGULATORYCOMMISSIONAPPROVEDBYOMBNO.3150.0104EXPIRES5/31/95LICENSEEEVENTCONTZNUATZONESTIHATEDBURDENPERRESPONSETOCOMPLYWITHTHISINFORMATIONCOLLECTIONREQUEST:50.0HRS.FORWARDCOMHENTSREGARDINGBURDENESTIMATETOTHEINFORMATIONANDRECORDSMANAGEHEN'IBRANCH(HNBB7714),U.S.NUCLEARREGULATORYCOHHISSION,WASHINGTON,DC20555-0001,ANDTOTHEPAPERWORKREDUCTIONPROJECT(3150.0104),OFFICEOFHANAGEHENI'NDBUDGETWASHINGTON,DC20503.CookNuclearPlant-Unit2TEXT(ifmoresoeoeiseŽsiieo.~seeo."is;we)iRC=o~2V>"s)I:i50-316YEARSEOUENTIAL97-S001REVISION002OF3ConditionsPriortoEventUnit2wasinMode5,ColdShutdown.DescriionofEvenOnOctober9,1997Unit2wasinMode5,ColdShutdown.WorkwasunderwaywhichrequiredaccesstotheUnit2containmentviathepersonnelhatchlocatednexttothespentfuelpitarea.Thisworkhadbeenongoingforapproximatelyfourweeks.Thepersonnelhatch,whichistheentrancetouppercontainment,isprotectedbyastructuremadeupofmissileblocks.Theblocksarearrangedtoenclosethehatchandaccesstothehatchisthroughthestructureformedbytheblocks.Thehatchesforbothunitsarelocatedatthesameelevationasthespentfuelpitwiththespentfuelpitlocatedbetweenandslightlyeastofthem.Thevitalareabarrierconsistsofafencerunningfromtheinnerwallofoneunit'suppercontainmentpersonnelhatchprotectivestructuretotheother.Withremovalofthemissileblocksbetweenthehatchandthespentfuelpit,accesstothespentfuelpitwaspossiblefromtheuppercontainmenthatchareabypassingaroundtheendofthefence.Onthedayoftheevent,themissileblocksaroundtheUnit2uppercontainmentpersonnelhatchwereremovedinpreparationfortheupcomingrefuelingoftheunit.Removaloftheblocksbeganatapproximately0830hourswithcompensatorymeasuresbeingprovidedbythesamesecuritypersonnelwhowerecontrollingaccesstoUnit2uppercontainment.Atapproximately1530hoursthecontainmentaccesssecurityofficerwasinformedbytheworkersthattheywerefinishedfortheday.FollowingtheroutineestablishedoverthepreviousweeksthesecurityofficercalledtheShiftSecuritySupervisorforpermissiontoclosethepost.Permissionwasgrantedandasecondsecurityofficerwasdispatchedtofunctionallytestthealarmsandsecurethegatetocontainment.Followingthechecksbythesecondofficerthepostwassecuredat1549hours.Withtheclosingofthispostthecontroloverthespentfuelpitvitalareawaslost.Duringturnoverthemissileblockremovalwasreviewedbyothersecuritysupervisorsanditwasdeterminedabreachexistedinthephysicalbarrieraroundthespentfuelpitvitalarea.Actionsweretakenimmediatelytoimplementcompensatorymeasures.Therequiredcompensatorymeasureswereimplementedat1817hoursthesameday,withthestationingofasecurityofficertocontrolaccesstothespentfuelpitvitalarea.Thevitalareaaccesswasuncontrolledfor2hoursand28minutes.Thecauseoftheeventwaspersonnelerror.Thelossofcontrolresultedfromafailuretorecognizeoreffectivelycommunicatetheneedforcompensatorymeasures.Theexpectationpriortothethiseventwasthatsecuritypersonnel,atalllevelsoftheorganization,wouldrecognizechangingplantconditionsandtakeappropriateactions.P NRCFORM366AU.S.NUCLEARREGULATORYCOMMISSIONAPPROVEDBYOMBHO.3150.0104EXPIRES5/31/95LICENSEEEVENTCONTINUATIONESTIMATEDBURDENPERRESPONSETOCOMPLYIIITHTHISINFORMATIONCOLLECI'IOHREQUEST:50.0HRS.FORWARDCOMMENTSREGARDINGBURDENESTIMATETOTHEINFORMATIONANDRECORDSMANAGEMENTBRANCH(MHBB7714),U.S.NUCLEARREGULATORYCOMMISSION,'WASHINGTON,DC20555-0001,ANDTOTHEPAPERWORKREDUCTIONPROJECT(3150-0104),OFFICEOFMANAGEMENTANDBUDGETWASHINGTONDC20503.CookNuclearPlant-Unit250-316YEARSEOUENTIAL97-S001REVISION003OF3TEXT(ifcerespseess~ec~irec.~see".cisierel%Csrc366~'s>:IT}AnalsisofEventOnOctober9,1997at1549hours,withUnit1andUnit2bothinMode5,thecontrolofthespentfuelpitvitalareawaslostcontraryto10CFR73.55(d)(7)(i)(B).Themissilesblocl(sthatmadeupaportionofthephysicalboundaryaroundthevitalareacontainingthespentfuelpitwereremovedwithoutestablishingcompensatorymeasures.Controlofthevitalareawasreestablishedat1817hoursthesameday.Notificationofthiseventwasmadeinaccordancewith10CFR73.71(b)(1)at1909hoursonOctober9,1997.Thisreportisbeingsubmittedinaccordancewith10CFR73.71(d).Surveillance'ofthespentfuelpitvitalareaisaugmentedbyclosedcircuittelevisionwhichismonitoredintheSecurityAlarmStation.Alarmstationoperatorsperiodicallymonitoractivitiesintheareaandwouldhaverespondedtoactionsdeemedinappropriateduringthetimecontroloverthespentfuelpitvitalareahadbeenlost.Thelossofaccesscontroltothespentfuelpitvitalareasdidnotresultinasafetyconcern,nordiditcreateahazardtothehealthandsafetyofthepublic.CorrectiveActionsTheeventoccurredduetopersonnelerrors.Theofficersinvolvedunderstandwhatfailuresoccurredandhowourdefenseindepthstrategyshouldhaveidentifiedandpreventedthiseventfromoccurring.Allsecuritypersonnelwerebriefedonthechainofeventsthatleduptotheactuallossof.controloftheaccesstothisvitalarea.1TheprocedurewhichcontrolstheremovalofthemissileblockshasbeenmodifiedtoincludethenotificationofSecuritythatthemissileblocksaregoingtoberemoved.Additionally,asign-offwasincludedforthesecurityofficerstationedtoprovidethecompensatorymeasure.Thisprovidesforthenotificationpriortomissileblockremovaland-ensuresthatasecurityofficerisinplacetoprovidecompensatoryactionpriortoremovalofthemissileblocks.FailedComonentIdentificationNonePreviousSimilarEvetsNone 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