05000341/FIN-2016004-02
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Description | The inspectors identified a finding of very low safety significance with an associated NCV of TS 3.3.8.1, Loss of Power (LOP) Instrumentation, and TS 3.8.1, AC [Alternating Current] Sources Operating. The licensee failed to satisfy applicable action requirements for inoperable loss of voltage and degraded voltage instrument channels, inoperable EDGs, and an inoperable offsite power circuit when power was lost to the station transformer 64 auto voltage tap changer and one-half of the instrument channels for engineered safety features bus 64C due to failure of line side potential transformer fuses on April 24, 2016. The licensee entered this performance deficiency into its CAP as CARDs 16-23392, 16-25194 and 16-28120. As an immediate corrective actions the licensee established an expectation to enter Limiting Condition for Operation (LCO) 3.3.8.1 when any of the LOP instrumentation channels are tripped. Other corrective actions included additional training for licensed operators. This performance deficiency was of more than minor safety significance because a failure to correctly implement TS LCO requirements has the potential to lead to a more significant safety concern if left uncorrected. Specifically, a failure to declare an LCO not met, enter the applicable condition(s), and follow the applicable actions could reasonably result in operations outside of established safety margins or analyses. The finding was determined to be of very low safety significance during a detailed Significance Determination Process review since the delta core damage frequency (CDF) was determined to be less than 1.0E-6/year. The inspectors concluded this finding affected the cross-cutting area of human performance and the cross-cutting aspect of training. Specifically, licensed operators failed to correctly apply the TS LCO requirements for inoperable LOP instrument channels and inoperable AC power sources due to lack of knowledge and unfamiliarity with the equipment conditions they faced during the event [IMC 0310, H.9]. |
Site: | Fermi |
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Report | IR 05000341/2016004 Section 1R15 |
Date counted | Dec 31, 2016 (2016Q4) |
Type: | NCV: Green |
cornerstone | Mitigating Systems |
Identified by: | NRC identified |
Inspection Procedure: | IP 71111.15 |
Inspectors (proximate) | B Kemker G Hansen I Hafeez K Pusateri K Riemer M Beilby T Briley V Myers |
Violation of: | Technical Specification |
CCA | H.9, Training |
INPO aspect | CL.4 |
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Finding - Fermi - IR 05000341/2016004 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Fermi) @ 2016Q4
Self-Identified List (Fermi)
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