05000251/FIN-2015002-01
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Finding | |
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| Title | Inadequate General Operating Procedure to Prevent Inadvertent AFAS While Performing a Reactor Plant Planned Shutdown |
| Description | A self-revealing non-cited violation (NCV) of Technical Specification (TS) 6.8.1, Procedures, was identified for the licensees failure to maintain adequate guidance in procedure 4-GOP-103, Power Operation to Hot Standby. Specifically, 4-GOP-103 did not contain adequate instructions to control reactor power prior to opening the reactor trip breakers in order to minimize steam generator inventory loss to prevent an auxiliary feed water (AFW) system actuation. As a result, the AFW actuation system (AFAS) actuated unexpectedly during a planned unit shutdown resulting in an excessive reactor coolant system cool down and the operators closing the main steam isolation valves. Corrective actions included entering this issue into their corrective action program (CAP) and revising the procedure to reduce reactor power to at least 20 percent to prevent steam generator inventory loss due to shrinkage following a manual reactor trip during a planned reactor plant shutdown from power operations to hot standby. The performance deficiency was more than minor because it is associated with the procedure quality attribute of the initiating events cornerstone and adversely affected the cornerstone objective to limit the likelihood of events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, the failure to have specific guidance in procedure 4-GOP-103 to ensure reactor power is lowered to at least 20 percent prior to initiating a manual reactor trip during a planned shutdown resulted in an inadvertent AFAS actuation, reactor coolant system cool down, closing of the main steam isolation valves, and a reduced safe shutdown margin. The inspectors screened the finding using IMC 0609, Appendix A, The Significance Determination Process for Findings at Power, Exhibit 1, Initiating Events Screening Questions. The inspectors determined that this finding was of very low safety significance (Green) because the finding did not cause a reactor trip and the loss of mitigation equipment relied upon to transition the plant from the onset of the trip to a stable shutdown condition. The finding was associated with a cross-cutting aspect in the resources component of the human performance area because the licensee failed to ensure an adequate general operating procedure was available to support nuclear safety. |
| Site: | Turkey Point  |
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| Report | IR 05000251/2015002 Section 4OA3 |
| Date counted | Jun 30, 2015 (2015Q2) |
| Type: | NCV: Green |
| cornerstone | Initiating Events |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71153 |
| Inspectors (proximate) | L Suggs M Endress T Hoeg |
| Violation of: | Technical Specification - Procedures Technical Specification |
| CCA | H.1, Resources |
| INPO aspect | LA.1 |
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Finding - Turkey Point - IR 05000251/2015002 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Turkey Point) @ 2015Q2
Self-Identified List (Turkey Point)
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