05000346/FIN-2016004-02
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Finding | |
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| Title | Failure to Adequately Evaluate Degraded Turbine Building Roof Vents |
| Description | A finding of very low safety significance was self-revealed on September 10, 2016, when rainwater intrusion into the automatic voltage regulator caused a generator lockout and reactor trip. Specifically, station management failed to adequately assess the identified degraded condition of the turbine building roof vents in accordance with station expectations and procedures when four roof vents were left stuck open although it was identified by operators that water intrusion was possible onto the stator water cooling skid and automatic voltage regulator on August 17th, 24 days prior to the event. No violation of regulatory requirements was identified because the turbine building roof vents and automatic voltage regulator are not safety related, and the applicable maintenance procedures were not covered under Title 10 of the Code of Federal Regulations (10 CFR) 50, Appendix B. The finding was of more than minor safety significance because it affected the Equipment Reliability attribute of the Initiating Events cornerstone. Specifically, the failure to fully evaluate the risk associated with the stuck open turbine building roof vents affected the availability and reliability of the automatic voltage regulator causing a reactor trip. The inspectors also reviewed the examples of minor issues in IMC 0612, Power Reactor Inspection Reports, Appendix E, Examples of Minor Issues, dated August 11, 2009, and found no similar examples. The finding was determined to be a licensee performance deficiency of very low safety significance because the performance deficiency did not cause a reactor trip with the loss of mitigating equipment. The inspectors determined this finding affected the cross-cutting area of problem identification and resolution and the cross-cutting aspect of evaluation. The licensee did not properly evaluate the problem and assigned an incorrect priority to the work order to address the degraded roof vents. (P.2) |
| Site: | Davis Besse  |
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| Report | IR 05000346/2016004 Section 4OA3 |
| Date counted | Dec 31, 2016 (2016Q4) |
| Type: | Finding: Green |
| cornerstone | Initiating Events |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71153 |
| Inspectors (proximate) | A Dahbur D Kimble D Mills J Cassidy J Mancuso J Rutkowski J Seymour M Garza P Smagacz R Walton T Briley |
| Violation of: | Pending |
| CCA | P.2, Evaluation |
| INPO aspect | PI.2 |
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Finding - Davis Besse - IR 05000346/2016004 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Davis Besse) @ 2016Q4
Self-Identified List (Davis Besse)
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