ML18330A172

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NRC Triennial Fire Protection Inspection Report 05000440/2018011 (DRS)
ML18330A172
Person / Time
Site: Perry FirstEnergy icon.png
Issue date: 11/26/2018
From: Robert Daley
Engineering Branch 3
To: Hamilton D
FirstEnergy Nuclear Operating Co
References
IR 2018011
Download: ML18330A172 (16)


See also: IR 05000440/2018011

Text

November 26, 2018

Mr. David B. Hamilton

Site Vice President

FirstEnergy Nuclear Operating Company

Perry Nuclear Power Plant

Reg Affairs-A210

10 Center Road, P.O. Box 97

Perry, OH 44081-0097

SUBJECT: PERRY NUCLEAR POWER PLANTNRC TRIENNIAL FIRE PROTECTION

INSPECTION REPORT 05000440/2018011

Dear Mr. Hamilton:

On October 18, 2018, the U.S. Nuclear Regulatory Commission (NRC) completed a Triennial

Fire Protection Inspection at your Perry Nuclear Power Plant. The NRC inspectors discussed

the results of this inspection with Mr. D. Reeves and other members of your staff. The results

of this inspection are documented in the enclosed report.

Based on the results of this inspection, the NRC has identified three issues that were

evaluated under the risk significance determination process as having very-low safety

significance (green). The NRC has also determined that three violations were associated with

these issues. Because the licensee initiated condition reports to address these issues, these

violations are being treated as Non-Cited Violations (NCVs), consistent with Section 2.3.2 of the

Enforcement Policy. These NCVs are described in the subject inspection report.

If you contest the violations or significance of these NCVs, you should provide a response within

30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear

Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with

copies to the Regional Administrator, Region III; the Director, Office of Enforcement; and the

NRC Resident Inspector at the Perry Nuclear Power Plant.

If you disagree with a cross-cutting aspect assignment or a finding not associated with a

regulatory requirement in this report, you should provide a response within 30 days of the date

of this inspection report, with the basis for your disagreement, to the U.S. Nuclear Regulatory

Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the

Regional Administrator, Region III; and the NRC Resident Inspector at Perry Nuclear Power

Plant.

D. Hamilton -2-

This letter, its enclosure, and your response (if any) will be made available for public inspection

and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document

Room in accordance with Title 10 of the Code of Federal Regulations, Part 2.390, Public

Inspections, Exemptions, Requests for Withholding.

Sincerely,

/RA/

Robert C. Daley, Chief

Engineering Branch 3

Division of Reactor Safety

Docket No. 50-440

License No. NPF-58

Enclosure:

Inspection Report 05000440/2018011

cc: Distribution via LISTSERV

D. Hamilton -3-

Letter to David B. Hamilton from Robert C. Daley dated November 26, 2018.

SUBJECT: PERRY NUCLEAR POWER PLANTNRC TRIENNIAL FIRE PROTECTION

INSPECTION REPORT 05000440/2018011

DISTRIBUTION:

Christopher Cook

RidsNrrPMPerry Resource

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RidsNrrDirsIrib Resource

Steven West

Darrell Roberts

Jamnes Cameron

Allan Barker

DRPIII

DRSIII

ROPreports.Resource@nrc.gov

ADAMS Accession Number ML18330A172

OFFICE RIII RIII

NAME ADahbur:jw RDaley

DATE 11/26/18 11/26/18

OFFICIAL RECORD COPY

U.S. NUCLEAR REGULATORY COMMISSION

REGION III

Docket No: 50-440

License No: NPF-58

Report No: 05000440/2018011

Enterprise Identifier: I-2018-011-0047

Licensee: First Energy Nuclear Operating Company (FENOC)

Facility: Perry Nuclear Power Plant

Location: North Perry, Ohio

Dates: September 17, 2018, through October 18, 2018

Inspectors: A. Dahbur, Senior Reactor Inspector (Lead)

I. Hafeez, Reactor Inspector

A. Shaikh, Senior Reactor Inspector

Approved by: Robert C. Daley, Chief

Engineering Branch 3

Division of Reactor Safety

Enclosure

SUMMARY

The U.S. Nuclear Regulatory Commission (NRC) continued monitoring licensees performance

by conducting a Triennial Fire Protection at Perry Nuclear Power Plant in accordance with

the Reactor Oversight Process. The Reactor Oversight Process is the NRCs program for

overseeing the safe operation of commercial nuclear power reactors. Refer to

https://www.nrc.gov/reactors/operating/oversight.html for more information. The NRC and

self-revealed findings, violations, and additional items are summarized in the table below.

There were no Licensee-identified violations.

List of Findings and Violations

Failure to have Adequate Pre-Fire Plans

Cornerstone Significance Cross-Cutting Aspect Report Section

Initiating Events Green None 71111.05T

NCV 05000331/2018011-01

Opened and Closed

The inspectors identified a finding of very-low safety significance (Green), and associated

Non-Cited Violation (NCV) of License Condition 2.C(6), Fire Protection, for the licensees

failure to implement and maintain all provision of the approved Fire Protection Program to

ensure that a fire in any zone would not have the potential to cause a secondary fire/damage

to safe shutdown components in different zone. Specifically, the inspectors identified a

potential existed for a fire induced fault to cause a secondary fire in a different fire zones/areas

due to unfused circuit associated with the Diesel Generator Building Ventilation Fan

1M43C0001A. This condition was outside the boundaries of the safe shutdown analysis.

Failure to Include Operator Action in the Plant Operating Procedure

Cornerstone Significance Cross-Cutting Aspect Report Section

Mitigating Systems Green [H.2] - CCA 71111.05T

NCV 05000331/2018011-02 Field Presence

Opened and Closed

The inspectors identified a finding of very-low safety significance and associated violation

of License Condition 2.C.6, Fire Protection, for failure to meet the requirements of its Fire

Protection Program. Specifically, the licensee failed to implement a fire watch in accordance

with the Fire Protection Program when transient combustibles were located in the Emergency

Service Water pump house room that is classified as a combustible control zone.

2

Failure to have Adequate Pre-Fire Plans

Cornerstone Significance Cross-Cutting Aspect Report Section

Mitigating Systems Green None 71111.05T

NCV 05000331/2018011-01

Opened and Closed

The inspectors identified a finding of very-low safety significance (Green), and an associated

NCV of License Condition 2.C.6, Fire Protection, for the licensees failure to install smoke

detection system in accordance with National Fire Protection Association 72E Automatic Fire

Detectors. Specifically, the licensee installed the smoke detectors in the Emergency Service

Water pump-house with one-half at ceiling level and one-half at 18 inches from the ceiling

instead of 36 inches as required per National Fire Protection Association 72E-1974.

Additional Tracking Items

None

3

INSPECTION SCOPES

Inspections were conducted using the appropriate portions of the inspection procedures (IPs)

in effect at the beginning of the inspection unless otherwise noted. Currently, approved IPs with

their attached revision histories are located on the public website at http://www.nrc.gov/reading-

rm/doc-collections/insp-manual/inspection-procedure/index.html. Samples were declared

complete when the IP requirements most appropriate to the inspection activity were met

consistent with Inspection Manual Chapter (IMC) 2515, Light-Water Reactor Inspection

Program - Operations Phase. The inspectors reviewed selected procedures and records,

observed activities, and interviewed personnel to assess licensee performance and compliance

with Commission rules and regulations, license conditions, site procedures, and standards.

REACTOR SAFETY

71111.05TFire Protection (Triennial)

The inspectors evaluated the following from September 17, 2018, to October 18, 2018:

Fire Protection Inspection Requirements (4 Samples)

The inspectors evaluated the Fire Protection Program implementation in the following

selected areas:

(1) Fire Zone 1CC-3c, Division 1 Switchgear Room;

(2) Fire Zone 1CC-5a, Control Room;

(3) Fire Zone CC1, Control Complex Elevation 574; and

(4) Fire Zone ESW1, Essential Service Water (ESW) Pump House.

B.5.b Inspection Activities (2 Samples)

The inspectors evaluated feasibility of the following B.5.b Mitigating Strategies:

(1) NEI 06-12, Section 3.4.5, Make up to Condensate Storage Tank; and

(2) NEI 06-12, Section 3.4.9, Inject Water Into Drywell.

INSPECTION RESULTS

71111.05TFire Protection (Triennial)

Failure to have Adequate Pre-Fire Plans

Cornerstone Significance Cross-cutting Aspect Report Section

Initiating Events Green None 71111.05T

NCV 05000440/2018011-01

Opened and Closed

Introduction: The inspectors identified a finding of very-low safety significance (Green), and

associated NCV of License Condition 2.C(6), Fire Protection, for the licensees failure to

implement and maintain all provision of the approved Fire Protection Program to ensure that

a fire in any zone would not have the potential to cause a secondary fire/damage to safe

shutdown components in a different zone. Specifically, the inspectors identified a potential for

4

a fire induced fault to cause a secondary fire in different fire zones/areas due to an unfused

circuit associated with the Diesel Generator Building Ventilation fan 1M43C0001A.

This condition was outside the boundaries of the safe shutdown analysis.

Description: While reviewing the Schematic Drawing 208-0135-00003, Revision AA, for Diesel

Generator Building Ventilation Fan 1M43C0001A, the inspectors identified an unfused circuit

fed directly from 250 VA control power transformer associated with the control circuit for the

fan. This circuit was contained in Cable 1M43C88A and was routed from Motor Control Center

EF1A08-PP located in Division 1 Switchgear Room (Fire Zone 1CC-3C), through the Elevator

vestibule (1CC-3e), through the Diesel Generator Hallway (DG-1d), and finally terminated in

the Division 1 Diesel Generator Room (1DG-1c).

Further review revealed that the change to the originally installed fan circuit that added this

cable was performed under Engineering Change Notice 27102-86-1502/G in June of 1985

specifically for Appendix R compliance. It was determined that in order to be able to run the

fan locally from the EDG Room, in the event of a fire in the control room area that could result

in fire damage to a portion of the fan circuit and the control power fuse blown, the 1985

modification would still allow the capability to locally start the fan by bypassing the blown

control fuse.

In response to the inspectors question related to this unfused circuit, the licensee determined

that without overcurrent protection for this circuit, the potential existed for a fire event that

affects this circuit to cause a short circuit without protection. This event would cause excessive

current through the circuit beyond the capacity rating of the conductors or the control power

transformer. This could lead to a secondary fire in another plant area where this circuit was

routed, thereby challenging the ability to achieve and maintain safe shutdown.

This condition was not bounded by existing design and licensing documents. The stations fire

protection safe shutdown analysis, documented in Calculation SSC-001, was dependent on a

fire being limited to a single area. Once a secondary fire was possible, it represented an

unanalyzed condition. The licensee reported this condition to the U.S. Nuclear Regulatory

Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations, Part 50.72,

per non-emergency Event Notification EN-53644 on October 4, 2018.

Corrective Action(s): As immediate corrective actions, the licensee established interim

compensatory measures (i.e., fire watches) and recommended an action to fuse this circuit.

Corrective Action References: Condition Report (CR) 2018-08718 and EN-53644

Performance Assessment:

Performance Deficiency: The inspectors determined that the licensees failure to ensure that a

single fire in any zone would not result in the potential to cause a secondary fire/damage to

safe shutdown component in a different zone was contrary to License Condition 2.C(6) and

was a performance deficiency. Specifically, the licensee failed to ensure that a fire induced

fault on the unfused circuit associated with EDG Building Ventilation Fan 1M43C0001A would

not result in a secondary fire in other zones, which was not bounded by the existed design and

licensing documents.

Screening: The inspectors determined the performance deficiency was more-than-minor

because it adversely affected the Initiating Events cornerstone attribute of Protection Against

5

External Factors (Fire) and affected the cornerstone objective of limiting the likelihood of events

that upset plant stability and challenge critical safety functions during shutdown as well as

power operations. Specifically, the unfused circuit associated with 1M43C0001A increased the

potential of a secondary fire in other zones. This condition was outside the boundaries of the

safe shutdown analysis. Additionally, a secondary fire event could complicate firefighting

activities by the fire brigade and could either increase the likelihood of a larger fire event or the

severity of the fire.

Significance: In accordance with IMC 0609, Significance Determination Process (SDP),

Attachment 0609.04, Initial Characterization of Findings, Table 2, the inspectors determined

the finding affected the Initiating Events cornerstone. The finding degraded fire protection

defense-in-depth strategies and the inspectors determined, using Table 3, that it could be

evaluated using Appendix F, Fire Protection SDP. The inspectors assigned this finding to

the Fire Prevention, category in Step 1.4 of IMC 0609, Appendix F. The inspectors then

answered NO to Question 1.4.6-A because the finding did not result in a more significant fire

than previously analyzed such that the credited safe shutdown strategy could be adversely

impacted, and determined that the issue screened as having very-low safety significance

(Green). Although, a secondary fire could complicate firefighting activities and could either

increase the likelihood of a larger fire event or the severity of the fire, the probability of a fire

that could impact both safe shutdown methods was very-low. The inspectors walk down the

affected Fire Zones (1CC-3e, 1CC-3c, DG-1d and 1DG-1c) and reasonably concluded that

the potential of a fire that could impact both safe shutdown methods was low.

Cross-Cutting Aspect: The finding did not have a cross-cutting aspect because it was

considered not to be indicative of current licensee performance (i.e., deficiency existed

for more than 3 years).

Enforcement:

Violation: License Condition 2.C(6) requires the licensee to implement and maintain

in effect all provisions of the approved Fire Protection Program as described in the Final

Safety Analysis Report (FSAR), as amended, and as approved through Safety Evaluation

Report (NUREG-0887) dated May 1982, and Supplements Numbers 1 through 10. The FSAR

Section 9A.2.3.6, Review of Redundant Shutdown Systems, stated, in part, that a Safe

Shutdown Analysis/Evaluation was performed to ensure that redundant shutdown systems

and all circuits, equipment and instrumentation that are associated with shutdown system

are separated from each other, so that both are not subject to damage from a single fire.

In addition, Section 3.4.03.04 of SSC-001, Safe Shutdown Capability Report, Revision 5,

stated in part, that Fire Zone 1CC-3e, contains components and circuits for Method A and

Method B systems. For this area, safe shutdown could be achieved utilizing Method A

systems and equipment.

Contrary to the above, as of October 18, 2018, the licensee failed to ensure that redundant

shutdown systems including circuits were separated from each other, so that both were not

subject to damage from a single fire. Specifically, the licensee failed to ensure a fire induced

fault to unfused circuit associated with DG Building Ventilation Fan 1M43C0001A would not

result in a secondary fire in a different zones. This condition was not bounded by existed

design and licensing documents. A fire in any of these fire zones 1CC-3c, DG-1d and

1DG-1c could cause a secondary fire in zone 1CC-3e that impact the credited safe

shutdown components for a fire in area 1CC-3e.

6

Disposition: This violation is being treated as a NCV, consistent with Section 2.3.2 of the

Enforcement Policy.

Failure to Include Operator Action in the Plant Operating Procedure

Cornerstone Significance Cross-cutting Aspect Report Section

Mitigating Systems Green [H.2] - CCA 71111.05T

NCV 05000440/2018011-02 Field Presence

Opened and Closed

Introduction: The inspectors identified a finding of very-low safety significance and associated

violation of License Condition 2.C(6), Fire Protection, for failure to meet the requirements of

its Fire Protection Program. Specifically, the licensee failed to implement a fire watch in

accordance with the fire protection program when transient combustibles were located in the

ESW pump house room that is classified as a combustible control zone.

Description: During a field walk down of the ESW pump house room, the inspectors identified

a significant quantity of temporary 480V power cables in the combustible control zone of the

pump house (ESW-1a). In addition, a portable diving pump with oil was also found by the

licensee in the combustible control zone. The inspectors questioned the impact to safe

shutdown equipment in this area by staging a portable oil filled pump and routing these

temporary power cables through a combustible control zone and requested a transient

combustible control permit for these combustibles. The licensee determined that no transient

combustible control permit was issued for these power cables and portable pump and

therefore, no evaluation was performed on the impact of these combustibles in this combustible

control zone. Subsequent to the NRC inspectors questions, the licensee performed an

evaluation on the impact of these combustibles in the combustible control zone.

The temporary power cables were routed immediately adjacent to cable tray 1305, which

contains safe shutdown Method B circuits. The circuits in cable tray 1305 include those circuits

that support the ESW screen wash pump (B train), ESW pump house ventilation supply fan

and related dampers (B train) and the ESW pump discharge isolation valve and related limit

switch (B train). Although, these circuits are spatially separated from redundant equipment by

at least 20 feet. A postulated fire involving the temporary power cables and a portable oil filled

pump could damage the circuits in cable tray 1305, but could also potentially damage the

corresponding redundant circuits (Method A).

Procedure PAP-1910, Fire Protection Program, establishes the fire protection policy at

Perry Nuclear Power Plant. The PAP-1910, Section 4.6.4, Fire Watches, states, in part,

that the specifics that control this process are described in sub-tier instruction FPI-A-C01,

Fire Protection Program Control Processes (Hot Work Permits, Transient Combustibles,

Impairments, and Fire Watches). The FPI-A-C01, Section 6.5, Fire Watches, states, in part,

that continuous fire watches are established when there is increased combustible loading in

areas listed in Attachment 1 beyond the exempted limits specified in PAP-1910. Attachment 1

of FPI-A-C01 lists the ESW pump house room, area ESW-1a as a combustible control zone

and PAP-1910 specifies the exempted limit of combustible material in a combustible control

zone is 10 pounds. The licensee determined that approximately 60 pounds of temporary

power cables were located in the ESW-1a combustible control zone and the portable diving

pump was in excess of 10 pounds as well.

Corrective Action(s): The licensee entered the NRC inspectors concern into its Corrective

Action Program. As part of immediate corrective actions, the licensee removed and relocated

7

the temporary power cables and pump outside the combustible control zone of the ESW pump

house room.

Corrective Action Reference: CR 2018-08305

Performance Assessment:

Performance Deficiency: Failure to implement a fire watch due to exceeding combustible

loading limit in a combustible control zone.

Screening: The licensees Failure to implement fire watches due to exceeding the combustible

loading limit in a combustible control zone was a performance deficiency. The inspectors

determined the performance deficiency was more-than-minor, and therefore, a finding,

because it adversely affected the Protection Against External Factors attribute of the Mitigating

Systems Cornerstone objective to ensure the availability, reliability, and capability of systems

that respond to initiating events to prevent undesirable consequences (i.e., core damage).

Specifically, the failure to implement a fire watch in the ESW pump house room, fire area

ESW-1a, reduced the defense in depth in fire protection of the ESW pump house and could

have resulted in a potential fire damaging equipment required for both safe shutdown methods.

Significance: The inspectors assessed the significance of the finding in accordance with

IMC 0609, SDP, Attachment 0609.04, Initial Characterization of Findings, Table 2. The

inspectors determined the finding affected the Mitigating Systems cornerstone. The finding

degraded fire protection defense-in-depth strategies, and the inspectors determined, using

Table 3, that it could be evaluated using Appendix F, Fire Protection SDP. The inspectors

screened the finding using IMC 0609, Appendix F, Attachment 1, Part 1: Fire Protection SDP

Phase 1 Worksheet, dated May 2, 2018. The inspectors determined that the finding

degradation rating was low in accordance with the guidance in IMC 0609, Appendix F,

Attachment 2. The inspectors answered YES to question 1.3.1 of IMC 0609, Appendix F,

Attachment 1, Based on the criteria in Attachment 2, does the finding have a low

degradation? Therefore, the inspectors determined that the finding screened as having

very-low safety significance (Green).

Cross-Cutting: The finding had a cross-cutting aspect of Field Presence in the Area of Human

Performance for the licensees failure to provide supervisory oversight of work activities

including contractors and supplemental personnel. Specifically, the licensee management and

supervisors failed to appropriately recognize the requirements in Procedure FPI-A-C01, which

establishes fire watches in combustible control zones when exempted combustible limits were

exceeded. [H.2]

Enforcement:

Violation: License Condition 2.C(6) requires the licensee to implement and maintain all

provisions of the approved Fire Protection Program as described in the FSAR, as amended,

and as approved through Safety Evaluation Report (NUREG-0887) dated May 1982, and

Supplements Numbers 1 through 10. The FSAR, Appendix 9A, Fire Protection Evaluation

Report, Position B.1, states, in part, that First Energy Nuclear Operating Company has

implemented Plant Administrative Procedure PAP-1910, Fire Protection Program as the

controlling document.

Procedure PAP-1910, Section 4.6.4, Fire Watches states, in part, that the specifics that

control this process are described in sub-tier instructions FPI-A-C01, Fire Protection Program

8

Control Processes (Hot Work Permits, Transient Combustibles, Impairments, and Fire

Watches). The FPI-A-C01, Section 6.5, Fire Watches, states, in part, that continuous fire

watches are established when there is increased combustible loading in areas listed in

Attachment 1 beyond the exempted limits specified in PAP-1910. Attachment 1 of FPI-A-C01

lists the ESW pump house room, area ESW-1a as a combustible control zone and PAP-1910

specifies the exempted limit of combustible material in a combustible control zone is

10 pounds.

Contrary to the above, since September 2018, the licensee failed to maintain its Fire Protection

Program because it failed to implement fire watches in the ESW pump house room area

ESW-1a when greater than 10 pounds (approximately 60 pounds) of combustible material was

temporary located in this area.

Disposition: This violation is being treated as a NCV, consistent with Section 2.3.2 of the

Enforcement Policy.

Failure to Include Operator Action in the Plant Operating Procedure

Cornerstone Significance Cross-cutting Aspect Report Section

Mitigating Systems Green None 71111.05T

NCV 05000440/2018011-03

Opened and Closed

Introduction: The inspectors identified a finding of very-low safety significance (Green),

and an associated NCV of License Condition 2.C.6, Fire Protection, for the licensees

failure to install smoke detection system in accordance with National Fire Protection

Association (NFPA) 72E-1974. Specifically, the licensee installed the smoke detectors in

the ESW pump-house with one-half at ceiling level and one-half at 18 inches from the ceiling

instead of 36 inches as required per NFPA 72E-1974.

Description: During a walkdown of the ESW pump house area, the inspectors observed smoke

detectors installed on the high ceiling (approximately 62 feet) of the pump house. The ESW

pump house contains fire area ESW-1a which contains safe shutdown Method A and B

equipment. The inspectors questioned the position of the detectors relative to the ceiling

height. Specifically, the inspectors noted that the detectors were installed in an alternating

pattern where half the ESW pump house room detectors were mounted on the I-beams running

across the ceiling of the pump house and the other half of the detectors were mounted flush to

the ceiling. The depth of the I-beam was 18 inches and the I-beam was flush with the ceiling

such that the detectors were mounted 18 inches from the ceiling surface.

A review of the licensees code of record of NFPA 72E-1974, Automatic Fire Detectors,

Section 4-4, High Ceilings Location and Spacing, revealed that for proper protection for

building with high ceilings, detectors shall be installed alternately at two levels; one-half at

ceiling level, and the other half at least 3 feet below the ceiling. This is required to

accommodate for stratification of smoke due to the smoke losing its thermal lift from the fire

and the generally higher temperature of the air near the ceiling.

In addition, Calculation P54-010, Revision 0, evaluated the smoke detection to be used in

the ESW Pump house. This calculation states that ionization detectors were installed at

ceiling level and 3 feet below the ceiling. Specifically, the calculation referenced the applicable

portion of the NFPA 72E standard. Also, Drawing 221-0071-00000 showed half the detectors

were mounted at elevation 643-1 inch where the ceiling level is at 646-1 inch per

9

Drawing 526-0301-00000 Revision D. Additionally, in Supplemental Safety Evaluation

Report 3, the NRC staff granted the licensee a requested deviation from meeting the Branch

Technical Position 9.5-1 requiring automatic suppression system in fire area ESW-1a. One of

the basis for the NRC granted deviation was that the license stated that fire area ESW-1a had

early warning detection.

Corrective Action(s): The inspectors were concerned that failure to install detectors in

accordance with the applicable NFPA 72E code could result in an adverse impact in the ability

of the detectors to provide an early warning in the event of a fire. Subsequent to the NRC

inspectors questions, the licensee acknowledge the inspectors concerns and entered it into its

Corrective Action Program and as immediate corrective actions, the licensee declared a fire

detection impairment for the ESW pump house room and implemented an hourly fire watch in

accordance with the site fire protection program.

Corrective Action Reference: Condition Report (CR) 2018-08725

Performance Assessment:

Performance Deficiency: The inspectors determined that the licensees failure to install

smoke detectors in the ESW pump-house area 36 inches from the ceiling was contrary

to NFPA 72E-1974, Section 4-4 and was a performance deficiency.

Screening: The inspectors determined the performance deficiency was more-than-minor

because it affected the Mitigating Systems cornerstone attribute of Protection Against External

Factors (Fire), and affected the cornerstone objective of ensuring the availability, reliability, and

capability of systems that respond to initiating events to prevent undesirable consequences

(i.e., core damage). Specifically, the failure to install the detection system in accordance with

the code of record degraded the defense-in-depth element of the Fire Protection Program for

this area. This could affect the timeliness of response to a fire in the area due to delayed

detection of smoke, allowing the fire to grow and delaying the firefighting activities of the

fire-brigade. In addition, this condition did not ensure early-warning fire detection, which

was one of the bases for approval of a deviation for the lack of a suppression system.

Significance: In accordance with IMC 0609, SDP, Attachment 0609.04, Initial

Characterization of Findings, Table 2 the inspectors determined that the finding affected

the Mitigating Systems cornerstone. The finding degraded fire protection defense-in-depth

strategies, and the inspectors determined, using Table 3, that it could be evaluated using

Appendix F, Fire Protection SDP. The inspectors screened the finding using IMC 0609,

Appendix F, Attachment 1, Part 1: Fire Protection SDP Phase 1 Worksheet, dated

May 2, 2018. The inspectors assigned a Low degradation rating in accordance with

Attachment 2 of Appendix F, because although the smoke detection system installed in ESW

did not fully conform to NFPA 72E-1974, all installed detectors in the area were functional. The

inspectors determined that the finding screened as having very-low safety significance (Green)

per answering YES to Question 1.3.1 A, based on the finding had a low degradation rating.

Cross-Cutting Aspect: The finding did not have a cross-cutting aspects because it was

considered not to be indicative of current licensee performance (i.e., deficiency existed

for more than 3 years).

10

Enforcement:

Violation: License Condition 2.C(6) requires the licensee to implement and maintain all

provisions of the approved Fire Protection Program as described in the FSAR, as amended,

and as approved through Safety Evaluation Report (NUREG-0887) dated May 1982, and

Supplements Numbers 1 through 10. The FSAR Section 9A.7, states, in part, that fire

detectors are located and spaced in accordance with NFPA 72E. The NFPA 72E, Section 4-4,

High Ceilings Location and Spacing, states that for proper protection for building with high

ceilings, detectors shall be installed alternately at two levels; one-half at ceiling level, and the

other half at least 3 feet below the ceiling.

Contrary to the above, since original construction, the licensee failed to install smoke detection

system in ESW pump house accordance with the requirements of NFPA 72E-1974.

Specifically, the detectors in the ESW pump house were installed with one-half at ceiling level

and one-half at 18 inches from the ceiling instead of at least 3 feet from the ceiling as required

per NFPA 72E-1974, Section 4-4.

Disposition: This violation is being treated as a NCV, consistent with Section 2.3.2 of the

Enforcement Policy.

EXIT MEETINGS AND DEBRIEFS

The inspectors confirmed that proprietary information was controlled to protect from public

disclosure. No proprietary information was documented in this report.

  • On October 18, 2018, the inspectors presented the Triennial Fire Protection inspection

results to Mr. D. Reeves, and other members of the licensee staff.

DOCUMENTS REVIEWED

Condition Reports - Issued During Inspection

- CR 2018-08191; Combustibles Found in ESW Pumphouse Combustible Control Zone;

09/17/2018

- CR 2018-08305; Unevaluated Transient Combustibles in Combustible Control Zone (Fire Zone

ESW-1a); 09/20/2018

- CR 2018-08310; B.5.b Building Exhaust Fan Inappropriate Status Labeling; 09/20/2018

- CR 2018-08648; 2018 Discrepancy Between Calculation P54-024, Rev.6 and As-Found Field

Conditions; 10/02/2018

- CR 2018-08649; CC-574 Scaffolding Obstructing Overhead Sprinklers with No Active Fire

Impairment; 10/02/2018

- CR 2018-08258; Issues Identified During B.5.b Walkdown of Emergency Management

Overview, OAI-1901; 09/19/2018

- CR 2018-08725; Smoke Detection in the Emergency Service Water Pumphouse Not Installed

in Accordance with Design Documents and NFPA Code; 10/04/2018

- CR 2018-08718; Vulnerability to Cause Secondary Fire due to Unfused M43 Circuit Caused by

Fire Induced Short; 10/04/2018

- CR 2018-09112; Potential Shortfall in IOI-0011; Shutdown from Outside Control Room;

10/17/2018

- CR 2018-09093; Reportability of 20101-76215; 10/17/2018

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Condition Reports - Reviewed During Inspection

CR 2012-04734; Potential Spray Nozzle Coverage Issue in 638 Penetration Room; 03/28/2012

CR 2012-04714; Detection Coverage in Unit 1, Division 2 Cable Spreading Area; 03/28/2012

CR 2017-12488; NRC Question-Effects of internal flooding in the Control Complex 620

elevation; 12/28/2017

CR 2010-76215; Control Room Fire Induced MSO Potential Vulnerability; 04/30/2010

CR 2012-14336; Calculation P54-010 references the incorrect year of NFPA 72E, 09/18/2012

CR G202-2010-76215; Control Room Fire Induced MSO potential Vulnerability; 04/30/2010

Procedures

- PTI-P54-P0003; Fire Main Flow Test; Revision 7

- ONI-SPI-A-8; LPCS Fire Water; Revision 4

- ONI-SPI-D-9; Makeup Water Sources; Revision 1

- FPI-A-A02; Periodic Fire Inspections; Revision 6

- PYBP-POS-0029; Time Critical Operator Action Validation; Revision 3

- IOI-0011; Shutdown from Outside Control Room; Revision 37

- ONI-P54; Fire; Revision 23

Drawings

- 023-0034-00000; Fire Protection Evaluation - Emergency Service Water Pumphouse Plans

and Sections; Revision H

- 015-0002-00000; Final Plant Layout, Revision F

- 549-D-526-301; Emergency Service Water Pump House Steel Framing- Roofing Plan- EL.

648-0; Revision D

- 302-0602-00000; Reactor Water Recirculation System; Revision U

- 302-0621-00000; Emergency Closed Cooling System; Revision TT

- 302-0791-00000; Emergency Service Water System; Revision AAA

- 206-0044-00000; One Line Diagram Non-Class 1E 480V Bus XF-1-A; Revision WW

- 220-0834-00000; Lighting Panel R71P136; Revision N

- 023-0034-00000; Fire Protection Evaluation - Emergency Service Water Pump house Plans

and Sections; Revision H

Calculations and Evaluations

- P54-213; Fire Protection Evaluation to Abandon the Drywell Supplemental Heat Detection

(Zone 8 and 9) in the Unit 1 Drywell (Fire Zone 1RB-1c); 03/14/2018

- P54-145; Unit 1, Division 1 Cable Spreading Areas, Vertical Cable Chase and Tunnel Fire

Suppression Hydraulic Calculation; 08/28/2012

- P54-123; Piping Configuration Input for the Hydraulic Model of the Water Supply Distribution

System for Fire Suppression Systems; 04/29/1997

- SSC-001; Appendix R Evaluation: Safe Shutdown Capabilities Report, Revision 5

Work Orders

- 200677254; 24 Month M21 System Fire Damper Visual Inspection; 04/10/2018

- 200667900; 24 Month M23 System Fire Damper Visual Inspection; 12/31/2017

- 200689434; 24 Month M24 System Fire Damper Visual Inspection; 07/06/2018

- 200680396; 24 Month M25 and M26 System Fire Damper Visual Inspection; 06/12/2018

- 200710691; 6 Month Magnetically Held Open Fire Door Operability Test; 05/07/2018

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- 200477581; 3 Year Fire Main Flow Test; 09/22/2012

- 200532067; 3 Year Fire Main Flow Test; 05/06/2016

- 200655272; 18 Month Diesel Fire Pump Flow Data and Control Panel Functional Test;

06/22/2017

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