05000341/FIN-2015003-06
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Finding | |
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Title | Failure to Adequately Assess Plant Impact for Post-Maintenance Testing on RBHVAC |
Description | A finding of very low safety significance was self-revealed on July 7, 2015, during post-maintenance testing of the Reactor Building heating, ventilation, and air conditioning (RBHVAC) system when reverse rotation of the center exhaust fan pressurized secondary containment due to reversed electrical leads. Personnel responsible for oversight and execution of the post-maintenance test of the RBHVAC center exhaust fan did not appropriately consider the possibility and adverse effects of prolonged reverse rotation after performing a revision to the work order. As a result, a normal post-installation test activity (i.e., "bump-check" for rotation) was deviated from and produced unintended consequences, (i.e., a momentary degradation of secondary containment). No violation of regulatory requirements was identified because the RBHVAC system fans were not safety-related equipment. This issue was determined to be a finding. The licensees corrective actions for this event include revising the maintenance procedure to clarify work instructions when visible verification of rotation cannot be completed and an operational check is required for flow characteristics, and providing required reading to all operations shift personnel, electrical planners, and maintenance personnel to clarify the difference between a rotational check and an operational check and any potential impact. The finding was of more than minor safety significance because it was associated with the Human Performance attribute of the Barrier Integrity Cornerstone and adversely affected the cornerstone objective of providing reasonable assurance that physical design barriers protect the public from radionuclide releases caused by accidents or events. Specifically, the failure to assess the plant impact from potential prolonged reverse rotation of the center RBHVAC exhaust fan during a post-maintenance test had a direct effect on the licensees ability to maintain the safety function of secondary containment. The finding was determined to be a licensee performance deficiency of very low safety significance because it represented only a degradation of the radiological barrier function provided by the reactor building. The inspectors concluded this finding affected the cross-cutting area of human performance and the cross-cutting aspect of consistent process (IMC 0310, H.13), the licensee did not utilize a consistent, systematic approach when the request was made to change the post-maintenance test from a rotational check to an operational check. |
Site: | Fermi ![]() |
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Report | IR 05000341/2015003 Section 4OA3 |
Date counted | Sep 30, 2015 (2015Q3) |
Type: | Finding: Green |
cornerstone | Barrier Integrity |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71153 |
Inspectors (proximate) | A Shaikh B Kemker G Hansen J Wojewoda M Kunowski P Smagacz R Walton S Bell T Briley |
CCA | H.13, Consistent Process |
INPO aspect | DM.1 |
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Finding - Fermi - IR 05000341/2015003 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Fermi) @ 2015Q3
Self-Identified List (Fermi)
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