05000293/FIN-2016011-03

Finding

Title

Failure to Issue Appropriate Corrective Actions to Preclude Repetition for the Causes of the September 2016 Scram

Description

The NRC team identified a Green finding because Entergy did not issue appropriate CAPRs in accordance with Entergy procedure EN-LI-102, Corrective Action Process, Revision 28. Specifically, Entergy did not issue adequate CAPRs associated with Root Cause 1 of the feedwater regulating valve failure in September 2016 that resulted in a manual scram. As a result of the NRC teams questions, Entergy issued procedure 1.13.2, Vendor and Technical Information Reviews, Revision 0, as continuous use to ensure that planners will always have the checklist in-hand when planning work to ensure that appropriate vendor technical information is always included in applicable work instructions. Entergy entered the NRC teams concerns in the corrective action program as CR-PNP-2017-00687 and CR-PNP-2017-00936. The performance deficiency was more than minor because it is associated with the equipment performance attribute of the Initiating Events cornerstone and if left uncorrected, the performance deficiency would have the potential to lead to a more significant safety concern. Specifically, if left uncorrected, the performance deficiency could have the potential to result in repetition of a significant condition adverse to quality, loss of control of feedwater regulating valve 642A and a manual scram. The NRC team evaluated the finding using Exhibit 1, Initiating Events Screening Questions, of IMC 0609, Appendix A, Significance Determination Process for Findings At-Power, and determined this finding did not cause a reactor trip or the loss of mitigation equipment relied upon to transition the plant from the onset of a trip to a stable shutdown condition. Therefore, the NRC team determined the finding was of very low safety significance (Green). The NRC team determined that the finding had a cross-cutting aspect in the area of Human Performance, Procedure Adherence, because individuals did not follow processes, procedures, and work instructions. Specifically, Entergy did not follow procedure EN-LI-102, which provides the station standards for crafting a corrective action and states, in part, that the corrective action descriptions must be worded to ensure that the adverse condition or cause/factor is addressed [H.8].

03
Site:	Pilgrim
Report	IR 05000293/2016011 Section 4OA4
Date counted	Mar 31, 2017 (2017Q1)
Type:	Finding: Green
cornerstone	Initiating Events
Identified by:	NRC identified
Inspection Procedure:	IP 95003
Inspectors (proximate)	A Nguyen A Sanchez C Bickett C Norton D Dodson D Jackson D Silk E Duncan F Arner G Eatmon G Pick J Brand J Bream J Josey J Schoppy K Miller L Micewski M Keefe N Staples R Clagg R Lorson R Ruiz S Elkhiamy D Sieracki
CCA	H.8, Procedure Adherence
INPO aspect	WP.4
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v • d • e

Finding - Pilgrim - IR 05000293/2016011

1(4)2(8)3(0)4(0)5(0)6(0)7(2)8(0)9(0)10(0)201(0)301(0)403(4)404(0)405(2)14(3)

IR 05000293/2016011: 1 2 3 4 5 6 7 8 9 10 11 12 13

Finding List (Pilgrim) @ 2017Q1

CCA Matrix: 2017Q1

	Q	CCA	Title
05000293/FIN-2016003-04	2016Q3	H.8	Failure to Adequately Evaluate the Effect of Degraded Normally Energized Agastat relays on PCIVs Operability
05000293/FIN-2016003-03	2016Q3		Failure to Properly Implement Agastat Control Relays Preventive Maintenance Procedure in Accordance with TS 5.4.1
05000293/FIN-2016003-02	2016Q3	P.5	Inadequate Operability Assessment on EDG B
05000293/FIN-2016003-01	2016Q3	P.2	Process Radiation Monitor Subsystems 10 CFR 50.65(a)(2) Not Met
05000293/FIN-2016403-02	2016Q4	H.1	Security
05000293/FIN-2016403-10	2016Q4		Security
05000293/FIN-2016004-05	2016Q4	H.5	Feedwater Regulating Valve Failure Results in Reactor Scram
05000293/FIN-2016004-04	2016Q4	H.14	Failure to Correct a Condition Adverse to Quality Associated with Main Steam Isolation Valve
05000293/FIN-2016004-02	2016Q4	H.6	Ineffective Corrective Actions to Correct High Pressure Coolant Injection System Vibrations
05000293/FIN-2016403-01	2016Q4	H.12	Security
05000293/FIN-2016403-03	2016Q4	H.11	Security
05000293/FIN-2016403-04	2016Q4	H.14	Security
05000293/FIN-2016403-06	2016Q4		Security
05000293/FIN-2016004-03	2016Q4	H.12	Failure to Properly Assess and Manage Risk Associated with Shutdown Transformer Protective Relay Testing
05000293/FIN-2016403-05	2016Q4	H.7	Security
05000293/FIN-2016004-01	2016Q4	H.14	Failure to Promptly Perform an Operability Evaluation for a Recirculation Flow Converter
05000293/FIN-2016011-10	2017Q1	H.14	Failure to Promptly Correct a Condition Adverse to Quality for the Residual Heat Removal System
05000293/FIN-2017001-01	2017Q1		Concern Regarding Ability to Declare EALs during Loss of Control Room Air Conditioning
05000293/FIN-2017406-01	2017Q1		Security
05000293/FIN-2017001-04	2017Q1		Failure to Submit a Required 50.72 Notification
05000293/FIN-2016011-07	2017Q1		Failure to Report Condition Prohibited by Technical Specifications and a Safety System Functional Failure
05000293/FIN-2017001-03	2017Q1	P.2	Untimely Corrective Actions associated with Boraflex degradation in the Spent Fuel Pool
05000293/FIN-2017001-02	2017Q1	H.8	Failure to Follow Procedures for Controlled Shutdown
05000293/FIN-2016011-11	2017Q1	H.3	Failure to Adequately Develop and Implement Targeted Performance Improvement Plans
05000293/FIN-2016011-09	2017Q1	P.2	Ineffective Corrective Actions to Address Conditions Adverse to Quality Regarding Components in Contact with or Close Proximity to the Drywell Liner
05000293/FIN-2016011-08	2017Q1	P.2	Failure to Adequately Monitor the Performance of Maintenance Rule Scoped Components
05000293/FIN-2016011-05	2017Q1	H.1	Failure to Establish Corrective Actions to Address Scope of Procedure Quality Issues
05000293/FIN-2016011-04	2017Q1	H.4	Programmatic Issue with Implementation of the Operability Determination Process
05000293/FIN-2016011-03	2017Q1	H.8	Failure to Issue Appropriate Corrective Actions to Preclude Repetition for the Causes of the September 2016 Scram
05000293/FIN-2016011-02	2017Q1	H.8	Failure to Establish Corrective Actions to Preclude Repetition of a Significant Condition Adverse to Quality
05000293/FIN-2016011-01	2017Q1	H.12	Failure to Identify All Root Causes of a Significant Condition Adverse to Quality
05000293/FIN-2016011-06	2017Q1		Design Change Not Appropriately Reviewed by Entergy

Self-Identified List (Pilgrim)

	Q	Title
05000293/FIN-2016403-07	2016Q4	Licensee-Identified Violation
05000293/FIN-2016403-08	2016Q4	Licensee-Identified Violation
05000293/FIN-2016403-09	2016Q4	Licensee-Identified Violation
05000293/FIN-2016004-06	2016Q4	Licensee-Identified Violation
05000293/FIN-2016011-12	2017Q1	Licensee-Identified Violation
05000293/FIN-2016011-13	2017Q1	Licensee-Identified Violation

[Pilgrim Findings full list]

05000293/FIN-2016011-03

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