ML20137J687

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Insp Repts 50-295/96-20 & 50-304/96-20 on 961207-970205. Violations Noted.Major Areas Inspected:Operations,Maint & Engineering
ML20137J687
Person / Time
Site: Zion  File:ZionSolutions icon.png
Issue date: 03/24/1997
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20137J668 List:
References
50-295-96-20, 50-304-96-20, NUDOCS 9704040095
Download: ML20137J687 (26)


See also: IR 05000295/1996020

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U.S. NUCLEAR REGULATORY COMMISSION

REGION lli

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Docket Nos: 50-295, 50-304

License Nos: DPR-39, DPR-48

Report No: 50-295/96-20; 50-304/96-20

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Licensee: Commonwealth Edison Company

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Facility: Zion Nuclear Plant, Units 1 and 2

Location: 101 Shiloh Boulevard

Zion,IL 60099

Dates: December 7,1996, through February 5,1997

Inspectors: A. Vegel, Senior Resident inspector

D. R. Calhoun, Resident inspector

E. W. Cobey, Resident inspector

J. Yesinowski, Illinois Department of

Nuclear Safety inspector

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Approved by: Marc L. Dapas, Chief

Reactor Projects Branch 2

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9704040095 970324

"DR ADOCK 05000295

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EXECUTIVE SUMMARY

Zion Nuclear Plent, Units 1 and 2

NRC Inspection Reposts 50-295/96-20; 50-304/96-20

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This inspection included aspects of licensee operations, maintenance, and engineering. l

The report covers an eight-week period of inspection activities by the resident staff. )

Licensee performance during this inspection period was characterized by procedural non-

compliance and the acceptance of degraded or abnormal plant conditions. Operations and

engineering personnel failed to recognize and appropriately evaluate the degraded material

condition of the Unit 2 containment until prompted by the NRC. In addition, maintenance

workers did not inform operations personnel of unexpected changes in the configuration of

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' equipment observed during containment spray system maintenance activities.

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Operations 1

. *- The inspectors identified numerous material condition deficiencies involving safety-

related components in the Unit 2 containment. Lack of questioning attitudes and

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low standards by licensee personnel during both the post-maintenance restoration

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of equipment and plant walkdowns, contributed to the failure of the licensee to

identify these deficiencies. (Section 02.1)

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  • The inspectors identified a violation involving the failure of operators to follow an

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abnormal operating procedure in response to a malfunctioning Eagle 21 process

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protection rack. The inspectors also determined that the procedure provided

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confusing guidance to operators which could make operator control of steam

generator water level more difficult during some abnormal plant transients. The

licensee failed to identify these problems in the post-event review. (Section 03.1)

' * The inspectors identified that the licensee's review of open operability assessments

as part of the Unit 2 restart review function was not thorough. Licensee personnel

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did not identify the need to perform 10 CFR 50.59 safety evaluations for degraded

. equipment conditions for which an operability assessment was performed to allow

i continued operation until the next outage when the discrepant condition was to be

rectified. in response to the inspectors' concerns, the licensee identified 15

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operability assessments requiring a 50.59 safety evaluation before Unit 2 startup.

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Maintenance j

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  • - Poor work practices and an inadequate equipment out-of-service resulted in a

j persone.el safety hazard during containment spray system maintenance. The

acceptance of unexpected plant conditions by operations and maintenance

personnel prevented earlier identification of the hazard. A violation was identified

for the failure to follow an equipment control procedure. (Section M1.1)

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  • _ The inspectors identified a violation involving the failure to determine the cause of ,

water intrusion into the 1 A auxiliary feedwater pump, turbine inboard beanng.  !

(Section M8.1)  !

EnginegIing

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  • Engineering and maintenance personnel cMnged the spring tension on the Unit 2 ,

pressurizer power operated relief valves without using the appropriate design

change process. Consequently, the ability of the relief valves to perform their I

design basis function was affected. A violation was identified for the licensee's  :

failure to use the site design control process. Corrective actions to address design

control configuration management deficiencies has not been effective as l

demonstrated by the inadequate control of the change to the PORV spring tension.

(Section E2.2)

} * The system engineer's troubleshooting of the Eagle 21 process protection system

was thorough. (Section E2.4)

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Report Details

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Summarv of Plant Status

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Unit 1 operated at or near 100 percent power during the inspection period, except on j

January 3 and 11, when power was reduced to approximately 40 percent to support  ;

containment entries. Licensee personnel entered the containment for inspections of '

containment coatings and the recirculation sump cover. ,

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Unit 2 remained shut down during the inspection period in support of the 14th refueling

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outage. On January 8, the licensee extended the outage to address numerous issues

including flaking and unqualified containment coatings, material condition deficiencies

} identified during containment and safety system walkdowns, and to conduct additional

reviews of programs, documentation, and commitments.

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Licensee performance during this inspection period was characterized by procedural non-

compliance and the acceptance of degraded or abnormal plant conditions. . Operations and

engineering personnel failed to recognize and appropriately evaluate the degraded material ,

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condition of the Unit 2 containment until prompted by the NRC. In addition, maintenance

I workers did not inform operations personnel of unexpected changes in the configuration of

equipment observed during containment spray system maintenance activities.

4 1. Operations  ;

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01 Conduct of Operations

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01.1 Ooerations Control of Plant Activities

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During this inspection period, the following two events occurred in which

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operations personnel did not demonstrate a questioning attitude or perform tasks  !

p consistent with procedure requirements:

  • Poor work practices and an inadequate equipment out-of-service resulted

in a personnel safety hazard during containment spray system maintenance.

A licensed operator failed to notify operations supervision promptly that

two valves in the containment spray system were in an abnormal position,

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delaying identification of the hazard. This event is discussed in

Section M1.1 of this report. l

  • During the failure of an Eagle 21 process protection rack, the operators

responded promptly and stabilized the plant. However, the operators did not

respond in accordance with the approved abnormal operating procedure.

l The licensee did not identify, during its post-event review, this example of a

failure to follow procedure and other procedure problems later identified by

the inspectors. This event is discussed in Section 03.1 of this report.

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As previously documented in NRC Inspection Reports 50-29$/96-14; 50-304/96-14

and 50-295/96-17; 50-304/96-17, the inspectors continue to be concerned with  ;

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examples of an insufficient questioning attitude and poor procedural compliance

exhibited by the operations staff.

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02 Operational Status of Facilities and Equipment

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02.1 Dearaded Material Condition of the Unit 2 Containment ,

a. .jnsooction Scone (71707)

The inspectors identified numerous material condition deficimcies in the Unit 2

containment following the completion of major refueling outage maintenance

! activities. The inspectors discussed the deficiencies with licensee management and '

engineering personnel, reviewed licensee corrective actions, and reviewed

documentation, including the applicable sections of the Updated Final Safety

Analysis Report (UFSAR).

b. Observations and Findinos ,

On December 16 and 24, during partialinspections of the Unit 2 containment while

accompanied by licensee m; wgement, the inspectors ideritified numerous material

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condition deficiencies including:

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- * boric acid buildup on flanges

  • ' missing fasteners

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e loose cable tray covers ,

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  • missing covers on electrical junction boxes
  • damaged insulation on instrument wiring  :
  • bent, broken, and missing pipe supports I
  • nylon straps supporting small bore piping l

1 * cracked weld'on 28 reactor coolant pump oil collection container ]'

I * miscellaneous debris located throughout the containment

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  • containment recirculation sump screen damage  ;
  • peeling and flaking paint on containment surfaces

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The inspectors identified over 75 deficiencies during these inspections. The peeling

and flaking paint particularly concemed the inspectors. On December 16, the

inspectors communicated to licensee management that the potential existed for

paint flakes to possibly foul the containment recirculation sump screens which

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could impact emergency core cooling system (ECCS) operability. On December 31,

the licensee stated that all corrective actions for the identified containment material

condition deficiencies had been completed.

The inspectors later identified that the licensee had not evaluated the containment

paint issue with respect to the requirements of the UFSAR. Specifically, UFSAR

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- Section 6.3.2.1.3, " Recirculation Phase of Operation," required that containment ,

coatings not flake off, go into' solution, or otherwise provide interference with

cooling of the co.e following a loss-of-coolant accident.

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The inspectors discussed this concern with licensee management.' in response, the

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licensee stated that based upon an evaluation of the Unit 2 containment coatings

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completed by Systems Material Analysis Department (SMAD) personnel early in the

outage, the condition of the coatings, including paint, was acceptable. However, f

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- the inspectors' determined, through a review of this'avaluation, that the licensee's

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conclusion was not well supported.

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On Janbary 1, the licensee completed a walkdown of the Unit 2 containment to

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identify additiomi examples of containment coating deficiencies. Licensee

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personnel subse, uently scraped approximately 100 pounds of loose paint (and ,

other material) fn m the containment. Based upon the as-found condition of the

Unit 2 containment, the licensee's Plant Operations Review Committee members

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directed that an opwability assessment be conducted for Unit 1, the operating unit.

On January 3, the licensee determined that the Unit 1 containment recirculation

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sump could not be adysrsely affected by loose coating material and therefore it was  !

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operable The liceensee indicated that this evaluation was based upon material

transport and " zone of influence" analyses. Specifically, the amount of unqualified

coatings in the vicinity of the sump was !9 sufficient to block the strainer and cause

inadequate not positive suction head to the ECCS pumps.

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c. Conclusions

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. The inspectors concluded that: (1) lack of a questioning attitude and low standards )

by licensee personnel during both the post-maintenance restoration of equipment

and plant walkdowns, contributed to the failure of the licensee to identify the

i degraded material condition of the Unit 2 containment and equipment; (2) the i

licensee's conclusions regarding the ac.ceptability of the degraded containment I

i coatings, which were based upon the SMAD report, were not well-supported; and

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(3) licensee management did not recognize the significance of the centainment

coating deficiencies until after repeated prompting by the inspectors.

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The containment coating issue is considered an Unresolved item (50-295/96020-

01; 50-304/96020-01) pending NRC review of the licensee's " zone of influence"

'and transport analyses, evaluation of unqualified paints in the containment, and

review of net positive suction head loss calculations for the ECCS pumps. The

inspectors will address this issue further in NRC inspection Report 50 295/97-03;

50-304/97-03.

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03 Operations Procedures and Documentation

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03.1 Ooerator Resoonse to an Eaale 21 Process Protection Rack Failure

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a. Insoection Scone (71707)

A failure of the Unit 1 Eagle 21 process protection set 1, rack 1 resulted in a plant

transient. The inspectors interviewed operations personnel and reviewed Abnormal

l Operating Procedure (AOP) 7.5, " Eagle 21 Rack Failure Actions," Revision 8.

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b. Observations and Findmas '

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! On January 18, with ' Unit 1 operating at 99.8% power, a failure of the Eagle 21

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protection set 1, rack 1 occurred. The failure affected several instruments including

a "C" and "D" steam generator (SG) levels, reactor coolant loop flow, pressurizer

I level, and pressurizer pressure. Since the reactor coolant loop flow and pressurizer

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level instruments do not have a control function, their failure did not affect plant

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operation.

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!' When pressurizer pressure instrument channel 1P-455 failed high, the pressurizer

  • control system responded by opening the pressurizer spray valve. Consequently,

e actual pressurizer pressure decreased to approximately 2100 psig before a control

! room operator terminated the pressure transient by manually closing the spray

! valve. Upon the failure of the SG level instrument channels, the associated

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feedwater regulating valves (FHVs) closed, causing actual water level in the  !

affected SGs to decrease. A control room operator took manual control of the

FRVs and opened the valves to restore water level to normal. The operators were )

able to restore the plant to a stable condition, including returning pressurizer

pressure to within Technical Specification (TS) 3.2.3.D.1 required parameters, in

approximately six minutes, well within the TS action statement requirements.

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On January 21, after the licensee had reviewed the event, the inspectors identified

I that the operators did not follow AOP 7.5 while responding to the event. Abnormal

! Operating Procedure 7.5 directs the operators to first select an operable channel

when a failed instrument channel has a control function. Contrary to AOP 7.5,

upon failure of the pressurizer pressure channel, an operator manually. closed the

pressurizer spray valve without first attempting to select an operable instrument I

channel. Although in this instance the safety consequence of the operator action l

was minimal, the inspectors were concerned with the failure of the operator to ,

follow the AOP. l

The inspectors also identified the following instances in which AOP 7.5 provided

confusing guidance to operators or could make operator control of steam generator

water level more difficult during some abnormal plant transients: l

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  • Abnormal Operating Procedure 7.5 directed the operators to first select an

operable instrument channel and if an operable channel could not be  !

selected, to place the controller in manual. This step in AOP 7.5 was

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confusing in that the step, although applicable to the other instrument

channels, was not applicable for a SG water icvel instrument channel. Duc

to the design of the SG water level control system, only one channel can be

used for SG water level control. The licensee subsequently issued a

temporary procedure change to clarify operator actions in response to a SG

water level instrument failure.  ;

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  • Appendix A of AOP 7.5, which addressed operator response to SG water l

level instability, directed the operator to place the FRV controller on the '

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affected SG in manual and to maintain SG water level in a wider then normal

band (i.e.,30% to 50%.) This guidance was appropriate for plant operation l

at high power levels. However, at low power levels when SG water leval is

, being controlled with the feedwater regulating bypass valve, opening a neuch

, higher cs;:ccity FRV would make SG water level control more difficult for the i

I operattvs. The inspectors discussed this concern with the licensee. The j

i licensee & greed that a preferred method to stabilize SG wat6r level during a 1

j transient at low power was manual control of the feedwater regulating ]

bypass valve.

c. Conclusions

1 The inspectors concluded that: (1) control room operators failed to follow AOP 7.5  ;

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a in response to the Eagle 21 failure, in that,' pressurizer pressure control was not

i ' transferred to an operable channel; and (2) the licensee's post-event review was ,

not thorough, in that, the licensee failed to identify the operators' failure to follow i

AOP 7.5 and problems with the guidance in this procedure for controlling SG water i

level. l

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l Step 2 in Section C of AOP-7.5 requires that if the controlling channel of the

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pressurizer pressure instrument is inoperable, then an operable instrument channel

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is to be selected. The failure of the operators to select an operable channel in

response to the failure of the controlling channel on January 18, is considered a

violation of 10 CFR Part 50, Appendix B, Criterion V (50-2g5/g6020-02), as

described in the attached Notice of Violation. The inspectors did not consider the

problems with the guidance in AOP 7.5 on SG water level control to be a violation

of NRC requirements, since the procedure was not actually inadequate for the

intended purpose. Although the prescribed actions for controlling SG water level

during a transient at low power was not the preferred method, operators could

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possibly stabilize SG water level by following the AOP.

07 Quality Assurance in Operations

07.1 ~ Licensee Oversiaht of Unit 2 Readiness for Restart

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a. inspection Scone (71707)

The inspectors observed several meetings of the Plant Operations Review

Committee (PORC) during which the readiness to restart Unit 2 was discussed,

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and reviewed selected portions of the pre-existing onsite review process used by I

the licensee to assess Unit 2 restart readiness,

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b. Observations and Findinas

Before implementation of the PORC concept, the onsite review function consisted

solely of independent reviews / evaluations by selected licensee managers as

described in the licensee's quality assurance manual. The licensee implemented the

PORC process to augment this onsite review function. The PORC process

consisted of onsite reviews in a group forum versus independent reviews by

selected managers. Once the PORC process is effectively implemented, the

licensee intends to replace the current onsite review process entirely with the

PORC.

Through observations of several PORC meetings and followup discussions with the

licensee, the inspectors identified that the licensee had not determined, as part of

the Unit 2 restart review effort, whether existing open operability assessments

required a 10 CFR 50.59 safety evaluation. Specifically, the licensee did not i

identify the need to perform 10 CFR 50.59 safety evaluations for degraded I

equipment conditions for which an operability assessment was performed to allow

continued operation until the next outage when the discrepant condition was to be

rectified. In response to the inspectors' concerns, the licensee identified that 15 of

29 open operability assessments required a 50.59 safety evaluation before Unit 2 l

startup. The licensee had not recognized the need to conduct these safety i

evaluations until prompted by the inspectors.

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c. Conclusions

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The inspectors concluded that the implementation of the PORC process was a

positive step towards improving the licensee's safety focus, however, continued

process improvement is needed. The PORC did not identify that the review of open ,

operability assessments as part of the onsite restart review function, was not

thorough. Specifically, the onsite review did not recognize the need to perform

50.59 safety evaluations to determine if startup with open operability assessments

involved any unreviewed safety questions.

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ll. Maintenance

M1 Conduct of Maintenance

s - M1.1 Unexoacted Valve Actuation Durina Unit 1 Containment Sorav (CS) Svt ' 'n

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Maintenance

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o a. Inanection Scone (62707)

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On January 14, while performing maintenance activities on the "B" CS header

e isolation valve,1MOV-CSOO5, an electrical maintenance (EM) technician

inadvertently caused two other vaives in the CS system to open. The inspectors

interviewed operations, maintenance, and supervisory personnel; reviewed the

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applicable procedures; and reviewed the instructions in Work Request No.

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950082299-01, " Pump,1B Containment Spray Change Lubrication Pump / Motor

Coupling," and Work Request No. 950095411-01, "Limitorque,1B CS PP [ Pump)

Header Isolation Valve AdjustNerify Close Torque Switch Bypass."

b. Observations and Findinas

While performing an adjustment to a limit switch on 1MOV-CSOO5 with an

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uninsulated screwdriver, the EM technician unknowingly touched two contacts

which energized a relay. Due to the energized relay, the "B" CS pump discharge

i stop valve, IMOV-CSOO4, and the sodium hydroxide tank to "B" CS stop valve,

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1MOV-CSOO9, unexpectedly opened. The open CS pump discharge stop velve

established a flow path from the refueling water storage tank (R'NST) through the

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"B" CS pump to the CS piping downstream of 1MOV-CSOOS, which was also open.

The EM technicians involved in the work activity observed 1MOV-CSOO4 opening

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and heard flow noise, but they did not recognize that this was an abnormal

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condition, nor did they realize that one of the EM technicians had caused the valve

. actuation. Consequently, the EM technicians did not notify the contrc,1 room of the

valve movement.

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1 In parallel with the work on 1MOV-CSOO5, mechanical maintenance (MM)-

4 technicians were reassembling the 1B CS pump coupling. The EM and MM work

activities were both performed in the CS pump room. While attempting to recoupla

the pump, the MM technicians heard water flow and observed the pump impeller

rotate. The MM technicians did not recognize that uncontrolled rotation of the

pump impeller during lubrication of the impeller, constituted a significant personnel

safety hazard. As a result, the MM technicians continued with their work without

notifying the control room.

Subsequently, the EM technicians transferred administrative control of valve ,

1MOV-CSOO5 to the control room operators for post-maintenance testing. During

this testing, the control room operator noted that normally closed valves

1MOV-CSOO4 and IMOV-CSOO9 were open. The control room operator assumed

i the valves were opan to support CS system maintenance activities. Consequently,

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the control room operator did not communicate the changes in normal valve -i

r position to the unit supervisor (US).

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Approximately an hour and a half later, an EM technician notified the US that

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IMOV-CS004 opened during work on 1MOV-CS005. As a result, the US initiated

an investigation. Approximately 30 minutes later, the control room operator

communicated to the US that 1MOV-CS009 was also open. Subsequently, a MM

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supervisor notified the US that the CS pump impellar unexpectedly began to rotate

during earlier maintenance activities. As a result, the US stopped all work on the >

CS system and notified licensee management of the event.

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i The licensee had established out-of-service (OOS) No. 960000673 to provide .

protection for maintenance personnel performing CS system work, which included

lubrication of the pump coupling. The OOS boundaries for the coupling work

included the CS pump motor and breaker. However, the pinnp suction and

discharge valves were not closed and tagged OOS. Consequently, when 1MOV-

i CS004 inadvertently opened, water from the RWST flowed through the pump and

caused the impeller to rotate. Although no personnel were injured and no

1 equipment was damaged, the potential for significant personnel injury existed. The

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OOS did not adequately isolate the CS pump work area, in that, the pump was not

isolated from the RWST, a potential energy source.

The EM technician performing the work on 1MOV-CS005 used en uninsulated

screwdriver for work on energized equipment. Licensee personnel indicated that

! work on enorgized equipment was within the craft capability and that no specific

requirements concoming electrical safety practices were violated. However, the

expectation of licensee management was that an insulated screwdriver be used and

, the equipment de-energized.

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The licensee concluded that the nuclear safety consequences of the event were

minimal. The water that was inadvertently transferred from the RWST into the CS

! system filled existing voided piping, and therefore, water did not actually spray into

containment. In addition, no discernable change in RWST level occurred.

c. Conclusions

The inspectors concluded that: (1) maintenance personnel in the CS pump room

l and the involved control room operator demonstrated poor judgment by not

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promptly communicating the observation of abnormal plant conditions to plant

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management, (2) the OOS initiated to protect equipment and personnel associated

i with the 1B CS pump coupling work was inadequate, and (3) the EM technician

performing work on 1MOV-CS005 exhibited poor work practices by performing

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adjustments on energized equipment with an uninsulated screwdriver. In addition,.

i some licensee personnel exhibited a poor questioning attitude and were insensitive

to a potentially hazardous plant condition during this event.

Zion Administrative Procedure (ZAP) 300-06, "Out-of-Service Process," Revision 9,

Appendix A, " Placing OOS Techniques," requires that when it is possible to add -

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energy to equipment from more than one source, then OOS cards be placed on all

isolating devices, including valves. The failure to isolate all potential energy sources

i to the 18 CS pump is considered a violation of TS 6.2.1.a, (50-295/96020-03), as

, described in the attached Notice of Violation.

M1.2 Emeroency Diesel Generator (EDG) Testina Deficiencias

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l The licensee identified two failures to conduct EDG surveillance testing. In

addition, while attempting to satisfactorily complete this testing, the licensee

experienced several EDG protective trips and equipment failures.

* On January 17, during a review initiated to address questions raised by the

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NRC Project Manager, the licensee identified that hot restart testing had not

been performed as prescribed by the Technical Specifications for the EDGs.

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Flot restart testing is intended to verify that shortly after an operating EDG

has been shut down, it will restart and reach specified voltage and frequency

within the required time period.

  • On January 17, the licensee identified that testing had not been properly

performed on the EDG starting air system discharge check valves.

  • On January 18, the licensee completed hot restart testing on the 1 A,18,

and O EDGs. During initial testing of the 1 A EDG, the licensee aborted the

test due to an improperly installed strip chart recorder.

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  • On January 18, during performance of hot restart testing, operators

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unloaded and manually tripped the 2A EDG due to indications of rapidly

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rising jacket water level. The abnormal indication was caused by the

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freezing of water in the indicator's sensing line due to an excessively cold

condition of the EDG room.

  • * On January 19, during performance of hot restart testing, the 28 EDG

tripped on high turbocharger lubricating oil ratio due to an excessively cold

condition of the EDG room which affected the lube oil sensing line.

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Associated instrumentation compares lubricating oil pressure and

turbocharger discharge pressure and provides an EDG trip if oil pressure is

too high or low to ensure proper lubrication.

1- * On January 22, the licensee declared the 28 EDG operable and returned it to

service without successfully completing hot restart testing. Hot restart

testing'was subsequently ccmpleted later in the day.

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  • On January 22, the licensee removed the 2B EDG from service to investigate

the cause of abnormally high lobe oil temperatures. On January 23, the

licensee discovered that the service water sides of the lube oil and }acket

water heat exchangers were fouled with debris.

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  • On January 25, while attempting to perform hot restart testing, the 2A EDG

did not start due to a failure of the starting air system control valve to open.

The licensee successfully started the 2A EDG locally. During subsequent hot

restart testing, the 2A EDG tripped on high crankcase pressure due to

j blockage of the crankcase vent line. . .

,

  • On January 27, while attempting to perform hot restart testing on the 2A l'

EDG, the licensee aborted the test due to another incorrect installation of the

strip chart recorder. During the engine cooldown, the 2A EDG experienced a *

loss of lobe oil.

i The inspectors were concerned with the numerous material condition problems tint

cccurred during EDG testing activities. Follow-up inspection for these problems will .;

be the sub}ect of a special inspection which will be documented in NRC inspection

Report 50-295/97-05; 50-304/97-05.

' M2 Maintenance end Matedal Condition of Facilities and Equipme,!

.

'

M2.1 incorrect Oilin 2B CS Pumn

a. Insoection Scone (37551)

The licensee identified that the incorrect type of oil had been added to the 2B CS

, pump. The inspectors reviewed the oil sample results, and interviewed the involved

, system engineer, the lubrication coordinator, and a fuel handling supervisor.

.

b. Observations and Findinos

^

On November 25, the licensee determined that based on an oil sample drawn on

October 28, the 2B CS pump motor outboard bearing contained Mobile heavy

i medium oilinstead of the required Mobile medium oil. The system. engineer

! determined that a fuel handler, who was responsible for adding the oil, added the

wrong oil to the pump in March 1995. The licensee determined that the pump's

'

other bearings contained the correct oil.

!

The inspectors questioned the operability of the 2B CS pump. The system engineer

'

stated that there was no immediate operability concern because the condition was

I- corrected and the pump was not required to be operable at the time the wrong oil

was discovered. However, the inspectors were concerned that the licensee had not

evaluated past operability of the pump to ensure 10 CFR 50.72 and 10 CFR 50.73

reportability requirements were met. The system engineer, with the concurrence of

engineering management, initiated a problem identification form (PlF) to document

'

use of the incorrect oil and informed the inspectors that the PlF process would

address the reportability concern. The inspectors reviewed ZAP 700-08, " Problem

Identification Process," Revision _10, and noted that it did not require evaluation of a

degraded equipment condition to determine past operability.

.

13

.

9. y-,,... 3--,__., , ---- , , , , [ ~ . .

.

- - - - . . - --- - - - - -

_

t

,

u

i e-

.

-

.

The inspectors also noted that the licensee did not classify the problem with the

3

incorrect oil in the pump bearing as a nonconforming condition on the PIF. The

'

inspectors were concerned that this particular deficient condition would not be

captured by the PlF trerxling process and as such, a similar problem in the future

could be treated as an isolated incident. The licensee's initial response to the

. Inspector's concern was that the PIF was properly classified because the incorrect

i' oil was not considered a hardware failure. However, after further review, the 3

licensee agreed that the incorrect oil problem documented in the PlF should be i

'

. classified as a nonconforming condition, and recognized the need to expand the

l / definition of a nonconforming condition to encompass this type of deficiency.

'

! ,

'

c. Conclusion I

l The inspectors determined that the system engineer was sufficiently involved in

evaluating the condition of the pump. ' However, the inspectors were concerned

that no formal mechanism existed to ensure that assessments were conducted to i

determine past operability of degraded equipment. The inspectors concluded that I

the definition of a nonconforming condition in ZAP 700-08 was too narrow in scope i

to assure that all equipment deficiencies were adequately captured for appropriate i

'

l trending. This issue is considered an Unresolved item (50-304/96020-04) pending

NRC review of the licensee's evaluation to determine the impact of the incorrect oil ,

on operability of the 2B CS pump and to determine why the fuel handler added the  !

! incorrect oil.

M8 Miscellaneous Maintenance issues

M8.1 (Closed) Unresolved item 50 295/96017-09: Resolve discrepancies in licensee's

root cause analysis for water in the 1 A auxiliary feedwater (AFW) pump turbine

inboard bearing.

!-

! On November 26,1996, while replacing the oil in the 1 A AFW pump turbine

'

inboard bearing, the licensee identified the presence of approximately one-half

<

gallon of water in the bearing reservoir. The licensee initially concluded that the

water came from the oil cooler that was in service before December 1995 and that

i

the water had not been detected due to the manner in which the oil change

preventive maintenance (PM) task was performed. However, as discussed in NRC

inspection Report 50-295/96017; 50-304/96017, the inspectors identified that this  !

root cause explanation was in conflict with statements by the fuel handlers

'

responsible for performing the PM activity.

On December 23,1996, in response to the inspectors' concerns, system

engineering and regulatory assurance personnel stated that PIF 96-4466, which

originally documented this condition, would be reopened and a root cause

investigation would be conducted to determine the source of the water intn
.bn.

However, the inspectors noted that as of the end of this inspection period, the

licensee had not reopened the PlF or attempted to determine the cause of the water l

intrusion.

l

14 ,

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. - . - _ _ _ _ _ _ _ _ ._ __ __ . _ ___ _ - __.._ _ ._ _ _._ _

"

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4 .

A de -

i.  ;

'

The failure to determine the cause of a significant condition adverse to quality,

specifically, water in the 1 A AFW pump turbine, inboard bearing oil reservoir, is

i considered a violation of 10 CFR Part 50, Appendix B, Criterion XVI i

,

(50-295/96020-05), as described in the attached Notice of Violation. This >

Unresolved item is closed.

111. Ennineering

)

E1 Conduct of Engineering

,

-

E1.1 Valves Not Tested as Raouired By the Inservice Test (IST) Prooram

a. insoection Scone (37551)

The licensee identified that several valves had not been tested as required by the l

i IST program. The inspectors interviewed the IST engineer and reviewed applicable 1

l procedures.

.

b. Observations and Findinas l

l

' )

On December 12 and 26, an IST engineer identified during a review of the IST  !

'

program that the following valves had not been tested:

.

B, C, and D and 1(2)AOV-RC8034 A, B, C, and D,

'

  • primary water injection to blender valves 1(2)FCV-VC111B l

!

!

  • excess letdown heat exchanger stop valves 1(2)AOV-VC8381

. The licensee determined that an IST program change had not been properly

implemented. The IST program did not require remote position verification testing

for the RCS loop drain and fill valves and the excess letdown heat exchanger stop l

valves during the second ten year IST interval. However, this testing was required l

during the third ten year interval, effective May 1994. Although the licensee had  !

incorporated the valves into the IST program, procedures were not developed to
accomplish this testing. The licensee determined that the primary water to blender

'

valves had never been incorporated into the IST program second ten year interval.

Consequently, the same valves were not included in the third ten year interval

! program.

i Upon discovery of this issue, the licensee revised appropriate procedures and tested

'

the valves with the exception of valves 1(2)AOV-RC8034 A-D. The licensee

'

tagged these valves out-of-service and documented the valves' non-credit status for

remote po6ition indication in the degraded equipment log. The licensee plans to

continue a comprehensive review of the IST program to verify that every test listed

-

for each component in the IST program database is covered by a referenced

15

!

-- . < - - ,. _ . _ _

,__________..__.__.___I

-

~ _ . - . - - _ . _ . - _ .~.. _ _ _ _ . _ _ . _ ._ _ _ _ - ___-____ _ _ _ _

i

.

i - . ,

.

,.

procedure. The licensee stated that the review, which is scheduled to be complete

by March 31, will also verify that the IST procedures properly test each component

to applicable American Society of Mechanical Engineer (ASME) Code requirements.

>

'

'

c. Conclusion

F

L

.The inspectors concluded that the licensee had identified some long-standing IST ,

'

program deficiencies. Although the IST review was still in progress at the

i conclusion of the inspection period, the initial effectiveness of this review was good

, as reflected in the identification of the missed tests.

The failure to test the RCS loop drain and fill, primary water to blender, and excess

letdown heat exchanger valves, in accordance with the IST program, is considered .i

a violation of TS 4.0.5 which requires inservice inspection and testing of ASME  ;

Code components (50-295/9602046; 50-304/96020-06). This licensee-identif'uni '

and corrected violation is being treated as a Non-Cited Violation, consistent with

'

l Section Vll.B.1 of the NRC Enforcement Policy.

E2 Engineering Support of Faciuties and Equipment

'

E2.1 Residual Heat Removal (RHR) System Samole Valve Wirina Discrepancy '

i

a. Insoection Scone (37551)

The licensee identified that the RHR sample valves for Unit 2 were wired

-

incorrectly. The inspectors reviewed applicable procedures and drawings and

interviewed operations, chemistry, system engineering, and electrical maintenance

personnel.  !

4

b. Observations and Findinos

'

On January 6, with Unit 2 in Mode 5 (Cold Shutdown), licensee personnel opened

the 2B RHR loop sample valve but did not observe flow at the sample panel.

2-

Chemistry personnel initiated PlF No. 97-0097 to document the event.

Subsequently, the licensee determined that the wiring from the RHR sample valves'

electrical junction boxes to the valves' control switches was reversed. As a result,

i the loop "A" sample valve control switch operated the loop "B" sample valve and

,

the loop "B" sample valve control switch operated the loop "A" sample valve. The

,

actual wiring configuration in the field did not match the configuration specified in

drawing 22E 2-4668," Wiring Diagram, Nuclear Sampling System & Miscellaneous

!.. Valves." The licensee subsequently corrected the wiring configuration problem.

The inspectors noted that on December 13,1996, the licensee obtained a TS

required sample from the operating RHR loop. Technical Specification 4.2.1.A.2

j requires that when reactor coolant system pressure is less than 200 psig, boron

concentration in the operating RHR loop be used to verify shutdown margin at least

[ once a shift. Due to the wiring configuration discrepancy described in the

16

~

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,. 4 -.

.v ,e..--, ,. ... , , . . . .,, . , , . _ , , , . , _ _ _ _,c - ,-

_ _ _-. _ _ ,. . . _ _ . _ . . . _ _ _ _ __. _ _ __ _ _ . _ _.

.

. .

t y

.

preceding paragraph, the licensee may have obtained a non-representative sample.

The inspectors were concerned that the TS requirements may not have been met.

c. Conclusion

The Jicensee took prompt action to determine the cause for the inability to sample

the RHR loop. However, this issue is considered an Unresci4ed ihm

(50 295/96020-07, 50-304/96020-07) pending NRC review of the consequences

,

of the wiring discrepancy relative to obtaining TS required boron concentration

j samples.

I

E2.2 Modification of the Pressyrizar Power Ooerated Relief Valves (PORVs) Without

i Usina the Desian Control Process

2'

a. Inspection Scone (37551)

4

On November 22,1996, licensee personnel changed the spring tension on the

l Unit 2 pressurizer PORVs without using the appropriate design change process.

, The inspectors reviewed licensee documentation including maintenance procedures,

,

work packages, and operability assessments, and interviewed maintenance and

4 system engineering personnel.

.

'

b. Observations and Findinos

To stop seat leakage from Unit 2 pressurizer PORVs 2PCV-455C and 2PCV-456,

the licensee made spring tension adjustments to these valves per Work Package

r No. 960041517 and Work Package No. 960018157, respectively. Subsequently,

. pressurizer PORV 2PCV 455C failed its stroke time surveillance test. During review

'

of the test failure, the involved system engineer identified that a change to a

pressurizer PORV's spring tension could potentially affect the valve's ability to

operate. After further evaluation, the licensee determined that PORV 2PCV-455C

would operate correctly with the new spring tension and associated accumulator

'

capacity provided that personnel maintained instrument air system header pressure

at greater than or equal to 105 psig. The licensee normally maintained instrument

air system pressure at 106 psig. On January 20, instrument air system pressure

i dropped below 105 psig and the licensee declared 2PCV-455C inoperable.

. Instrument air system pressure did not drop low enough to impact the operability of

i PORV 2PCV-456. The licensee subsequently restored instrument air system

pressure to 106 psig and declared PORV 2PCV-455C operable.

c. Conclusion

i

The inspectors were concerned that the spring tension change was implemented

during corrective maintenance without a proper evaluation of the impact on PORV

operability. The licensee failed to use the design control process, and as a result,

l- the ability of a safety-related component to perform its design basis function was

affected.

17

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- - - - . _ ~ .- .. . .. - .-. _ . . . . . - _- - -. . - .

-

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l Zion Administrative Procedure 510-02, " Plant Modification Program," Revision'6,

<

establishes requirements for assuring design control during the modification

process. It defines a " design change" as any change in design that may affect ,

functional requirements, operating conditions, or safety, regulatory, reliability, and  !

! ASME Code-related requirements, and that would require that affected

, documentation be changed. The failure to use design control measures prescribed

in ZAP 510-02 for a change to the safety related functional requirements of the

PORVs is considered a violation of 10 CFR Part 50, Appendix B, Criteria Ill (50-

-

304/96020-08), as described in the attached Notice of Violation.

1

As provicusly documented in Inspection Report 50-295/96011: 50-304/96011,

implementation of the modification process was an area of inspector concern. i

Corrective actions to address design control configuration management deficiencies  :

I

has not been effective as demonstrated by the inadequate control of the change to

the PORV spring tension.

E2.3 Missina Ventilation Holes on Contalomant Recirculation Sumo Covers

i

a. Insoection Scone (37551 and g3702)

On January 10, the licensee identified that two holes specified in design drawings

were missing from the Unit 2 recirculation sump cover. On January 11, the

'

licensee identified that the same holes were missing on Unit 1. The inspectors

reviewed the applicable drawings and interviewed station management, operations,

, and engineering personnel.

b. .Qbservations and Findinas

! During an engineering review of the containment recirculation sump drawings in

7, support of the licensee's evaluation of the containment coating issue (see l

'

Section O2.1), the licensee identified that two one-inch ventilation holes were

missing on the Unit 2 containment recirculation sump cover. The licensee

determined that the cover plate holes were designed to allow air to escape from the i

!.

sump as it fills with water from the containment floor. In the absence of venting l

j through these holes, flow to the ECCS pumps could be hindered during the l

recirculating phase of a postulated low-of-coolant accident.

The licensee decided to reduce power on Unit 1 to approximately 40 percent to

facilitato a containment entry to determine whether the ventilation holes existed on l

l the Unit 1 sump cover. However, the normal letdown and charging flow path was > l

isolated to support corrective maintenance for a stem packing leak on the low

pressure letdown control valve,1PCV-VC131. This plant configuration temporarily

prevented power reduction through boron concentration changes. 't.icensee

management decided not to use control rods to effect the power reduction due to  !

concerns with unnecessarily increasing the complexity of the evolution and the  :

'

potential for operator error. The licensee decided to postpone the power reduction )

until the maintenance was cornpleted and normal letdown was restored, which was '

!

m

.

18

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.

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4

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expected to be approximately five hours. However, the restoration of normal

, letdown took approximately 11.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> due to delays in completion of the -

j maintenance activities. -

'

After entering the Unit 1 containment, the licensee determined that ventilation

holes were also missing in the Unit 1 recirculation sump cover, in evaluating this

condition far operability and reportability purposee, the licensee assumed that an  :

,

expected gap between the sump and the cover plate would provide an adequate

.

vent path. However, the licensee found that the gap did not exist on Unit 1 and

through a later evaluation, that the gap was not of sufficient size on Unit 2. The

inspectors were concerned that the licensee had initially taken credit for the

existence of a gap in determining operability of the ECCS without verifying the

actual sump configuration. The licensee drilled holes in the Unit 1 and 2 sump

covers to provide the required vent path.

c. Conclusions

The inspectors concluded that: (1) due to a material condition deficiency on the

'

normal letdown and charging flow path, the licensee delayed action to determine if 1

the Unit 1 sump cover had the required ventilation holes; and (2) the licensee did l

'

not determine if a gap existed in the Unit 2 containment ECCS sump before taking  !

'

credit for this gap in the associated sump operability and reportability evaluations.

! -

i

,

. The missing ventilation holes for the Unit 1 and 2 containment recirculation sumps '

is considered an Unresolved item (50-295/96020-09; 50-304/96020-09) pending

l

"

NRC review of the licensee's design change package for drilling the sump cover

l. oles and final assessment of ECCS operability with the holes missing.

, E2.4 Enole 21 Failures

a. IDADection Scone (37551) -

,

Durirsg this inspection period, several failures of components in the Unit 1 Eagle 21

process protection system occurred. The inspectors reviewed licensee actions in

j response to these failures. The inspectors interviewed engineering and operations

personnel and reviewed applicable documentation.

b. Observations and Findinas ,

j I

'

Dioital Filter Processor (DFP) Board Failure

.

On December 29,1996, an annunciator alarmed in the control room indicating a

problem with the Eagle 21 protection set 1, rack 1. The licensee determined

through diagnostic testing that a DFP board was faulty. Maintenance technicians

replaced and satisfactorily tested the DFP board. '

,

I

'

19

.

, ,

w- aye-, ,-. -m y -

+ - - - .-- e -

-- - - - -- ----- -

. _ . . . _ _ .. _ . _ _ . . ._ . - . _ _ _ _ . ._ . . . _ . . _ _ ___ ~ . _ . _

,

1

. . .

'

.

.

Hiah AC Rinole Identified on Primary Power Sunolv

1

3'

'

On January 1,1997, Eagle 21 annunciators alarmed for "RCP [ reactor coolant

pump) low flow or RCP breaker trip" for loops A, C, and D and for "PZR

.

[ pressurizer) pressure deviation." The licensee determined that the actuations were 1

4

not caused by an actual plant event, but could not identify a failed component l

, through diagnostic testing.

1-

'

instrument mechanics determined that there was high AC ripple,450mVs, on an i

l Eagle 21 system's 15V primary power supply. However, system engineering ,

personnel determined that the ripple amplitude was within vendor specifications and . j

,i

not of sufficient magnitude to impact equipment operability. After replacing the ,

power supply and completing tests on the channels that had tripped,' the licensee "

returned the affected protection set to service.

On January 6, control room operators noted that indication 1F1-414 (RCS loop "A" l

!

_

flow) was approximately four percent lower than the highest redundant flow

'

.

Indication. The licensee declared the channel inoperable and tripped the associated

bistable. Engineering personnel determined that all outputs from protection set 1,

.

rack 1 had dropp6d approximately one percent due to the removal of the high AC

l ripple. The vendor subsequently determined through testing that the faulty power

supply was not the cause of the control room alarms, but that it did affect the

outputs from protection set 1, rack 1. The licensee calibrated the control room

indication on January 7 and restored the bistable to service on January 10.

Low Flow on 1 A Reactor Coolant Loon

L

.On January 15, the licensee tripped the bistable for 1FC-414 again because the

indication was four percent lower than the highest redundant indication. The

system engineer believed that the transmitter for 1FC-414 may have drifted

out-of-tolerance and the licensee, therefore, initiated an action request to calibrate

the transmitter durity 'he next Unit 1 outage.

Faulty DFP Board

l On January 18, the Eagle 21 protection set 1, rack 1 failure annunciator alarmed l

l Four of 20 bistables automatically tripped and cleared. The bistable actuation

resulted in a plant transient which is discussed in Section 03.1 of_ this report. The

licensee could not identify a failed component with the Eagle 21 oystem self-

,

diagnostic feature. I

!

In response to the event, the licensee initiated the following troubleshooting

activities to identify the cause of the alarms and actuations:

7

. adjusted the voltage on the input card to determine the effec l % the output,  !

f i

, *

replaced the primary power supply with the backup secoDtary power supply,

20

.

1

. - . . . . -. .. - . . _ . .

, _ _ _ _ - ._ ___ ._ _ .._ ..__. ._ _ _ _ _ ._ _ _

.

'

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,.

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- . ,
  • verified the configuration of the DFP board, and
  • checked connections to the DFP board and the primary power supply to

J verify electrical contact.

!

!- The licensee did not identify any problems during the troubleshooting activities.

4 However, based on the results of troubleshooting, the system engineer concluded

{ that the most likely cause of the actuation was a faulty DFP board, since all

. Instrument inputs feed into the DFP board and the same board was in place during

i both the January 1 and January 18 events. The system engineer assumed that the

analog portion of the DFP board had failed. The syatem engineer sent the suspect

DFP board to Westinghouse for analysis. Since replacement of the DFP board on

January 22, no other problems with the Eagle 21 process protection system have

occurred.

t

- c. Conclusion

i'

The inspectors were concerned with the numerous problems exhibited by the

! Eagle 21 system, some of which adversely impacted plant operation. The

inspectors determined that the involved system engineer was proactive in pursuing

..

resolution of the Eagle 21 system actuations. In response to the Eagle 21 failure on

January 18, the licensee's troubleshooting plan was thorough and well

implemented. ,

E3 Engineering Procedures and Documentation

l

"

E3.1 Review of UFSAR Commitments

The discovery of a licensee operating its facility in a manner contrary to the UFSAR

, description highlighted the need for a special focused review that compares plant

practices, procedures, and/or parameters to the UFSAR descriptions. The

inspectors reviewed the applicable portions of the UFSAR that related to the areas

,

inspected. The inspectors noted the following inconsistencies between the plant

practices, procedures, and/or parameters:

a. Containment Coatinas Did Not Comolv with the Raouirements of the UFSAR

The inspectors identified that the Unit 2 containment coatings did not meet the

requirements of UFSAR Section 6.3.2.1.3, " Recirculation Phase of Operation."

'

Specifically, the UFSAR required that containmer,t coatings not flake off, go into

solution, or otherwise provide interference with cooling of the core following a loss

-

of coolant accident. This issue is discussed in Section 02.1 of this report.

,

21

l

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y ,- ,m----- - - ,

, . . . -, w

- . - - - -. -. . - - . - .... .. . ~ . . . - ... ... .. . _ , - _ - - - . _ . - - - - . . ,

l

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Je

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,

E8 Miscellaneous L@::-bg issues

E8.1 Pressurizer Relief Pinina Stresses and Pine Suonort Loads Optside of the Desian .)

Basis 1

On January 21, while evaluating a discrrn ancy in the design temperature and -

pressure used in the analysis of pressuri.or relief piping, the licensee identified that,  !

j based on preliminary results of the computer analysis, piping stresses and pipe i

support loads could exceed design limits. The licensee subsequently concluded that

the piping stresses and pipe support loads were within operability limits. At the end

a of the inspection period, the licensee was finalizing calculations and implementing a

j design change to ensure that piping stresses and support loads are within design .

limits. This issue is considered an Unresolved item (50-295/96020-10;

4. 50-304/96020-10) pending NRC review of the final calculations and the completed

j modification documentation.

4

E8.2 Pinino Svstems in Containment Possibiv Outside the Deslan Basis Durina a

Postulated Main Steam Line Break (MSLB)/ Loss-of-Cool, ant Accident (LOCA)

On January 24, the licensee notified the NRC regarding its proposed response to

Generic Letter (GL) 96-06, " Assurance of Equipment Operability and Containment

l

'

Integrity During Design Basis Accident Conditions." The licensee indicated that

isolated sections of liquid filled piping which penetrate the containment could

-

experience thermally induced over-pressurization during s postulated MSLB/LOCA,

3

and as a consequence, both units would be outside their design bases.

'

After discussions with the inspectors on January 29, the licensee notified the NRC

that there was also a potential to experience hydraulic transients in service water

piping in containment during postulated accident conditions and consequently,

design stress limits would be exceeded. These issues are considered an Unrusolved

item (50 295/96020-11; 50 304/9602011) pending NRC review of the licensee's

i response to GL 96-06.

i

.

V. Manacoment Meetinaa

X1 Exit Meeting Summary

.

'

The inspectors presented the inspection results to members of licensee

. management at the conclusion of the inspection on February 5,1997. The licensee

acknowledged the findings presented.

The inspectors asked the licensee whether any materials examined during the

inspection should be considered proprietary. No proprietary information was

'

identified.

,

i

22 .

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= , .- . . _ - - . .-. . -.. . . . - . - - - - - - _ _ - _ - - _ _ - - - - - - _ - _ _ - - _ - - - - - - _ _ - -

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- X3 Management Meeting Summary

The Acting Deputy Director of the Office of Nuclear Reactor Regulation toured the

, Zion facility and met with licensee management on December 18 and 19,1996.

On December 23,1996, and January 3,1997, the NRC bold management meetings .

which were open to the public, with Commonwealth Edison in the NRC Region lii

'

office. Participants discussed the results of the licensee's independent Safety

Assessment (ISA) at both the LaSalle and Zion Stations. The meeting on January 3 6

2 siso included a discussion of the Zion containment coating deficiencies described in

.i Section 02.1 of this report. The NRC issued meeting minutes for the January 3 ,

i, meeting which were placed in the NRC public document room. During the

l-

'

December 23 meeting, the licensee described the (GA process and emphasized the  ;

'

high experience level of the ISA team members. The license > J-*cribed various

plant performance and personnel deficiencies identified durir:; % ISA and  ;

discussed the initiative to develop improvement plans. The licensee planned to  !

'

'

make the ISA report available to the public.

i

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Partial Ust of Persons Contacted

'

Licensee

J. Mueller, Site Vice President

'

S. Lacey, Plant General Manager

R, Godley, Regulatory Assurarme Manager

T. Patterson, Unit 1 Plant Manager

R. Starkey, Unit 2 Plant Manager

K. Hansing, Unit 1 Operations Manager

G. Vanderheyden, Unit 2 Operations Manager

D. Bump, Unit 1 Maintenance Superintendent

C. Schultz, Training Supervisor

j B. Schramer, Chemistry Supervisor

T. Kirwin, Work Control Manager

P. Garda, Maintenance Engineering Supervisor ,

K. Moser, Operations Supervisor. l

!

G. Ponce, Electrical Maintenance Supervisor l

W. Stone, Regulatory Assurance Supervisor

.

D. Beutel, Regulatory Assurance

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M. Depas, Chief, Reactor Projects Branch

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[* Ust of inanaction Prae =A=es Used

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IP 37551 Engineering

.i IP 62707 Maintenance Observation

IP 71707 Plant Operations

IP 93702 Prompt Onsite Response to Events at Operating Power Reactors

List of items Onaned. Closed, and Diann==M

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i 50-295/304-96020-01 URI Review of the " zone of influence" analysis, transport I

j analysis, evaluation of unqualified paints in the

containment, and not positive suction head loss

calculations for the emer9ency core cooling system j

l pumps

50-295/96020-02 VIO Failure to follow abnormal operations procedure for the
failure of an Eagle 21 protection rack *

50 295/96020-03 VIO Failure to follow the OOS procedure resulted in

inadequate isolation of CS work area , ,

. 50-304/96020-04 URl . Review of the impact of incorrect oil on the operability

{ of the 2B CS pump

50-295/96020-05 VIO Failure to determine the cause of a water intrusion into

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the 1 A AFW pump turbine inboard bearing reservoir

, 50-295/304-96020-06 NCV Failure to test valves as required by the IST program  ;

50 295/304-9602047 URI Review the adequacy of boron concentration samples

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with the RHR sample valves wired incorrectly '

l 50-304/96020-08 VIO Failure to implement appropriate design control

measures when conducting a design change on the Unit

i 2 PORVs

i 50-295/364-96020-09 Ual Review of design change package and past operability

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l assessment for recirculation sump

l 50-295/304-96020-10 URI Review of final calculations and modification

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documentation for the pressurizer relief piping

50-295/304-96020-11 URI Review GL 96-06 response

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Closed

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50-295/96017-09 URI Water intrusion into the 1 A AFW pump turbine inboard

bearing reservoir

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50 295/304-96020-06 NCV Failure to test valves as required by the IST program

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List of Acronyms

AFW Auxiliary Feedwater

AOP Abnormal Operating Procedure

ASME American Society of Mechanical Engineers

CS Containment Spray

DFP Digital Filter Processor '

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ECCS i Emergency Core Cooling Systems

EDG Emergency Diesel Generator

EM Electrical Maintenance '

i FRV Feedwater Regulating Valve

GL~ . Generic Letter i

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IP Inspection Procedure

ISA independent Safety Assessment

IST Inservice Test

. .. LOCA Loss of Coolant Accident

MM Mechanical Maintenance

MSLB Main Steam Line Break

NCV Non Cited Violation

NRC Nuclear Regulatory Commission l

OOS Out-of-Service

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PDR Public Document Room

PIF Problem identification Form

PM Preventive Maintenance

PORC. Plant Operations Review Committee

PORV Power Operated Relief Valve  !

! PZR Pressurizer

RCP Reactor Coolant Pump

RCS Reactor Coolant System

RHR l

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Residual Heat Removal 1

RWST Refueling Water Storage Tank

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SG Steam Generator

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SMAD Systems Material Analysis Department

TS Technical Specifications

UFSAR Updated Final Safety Analysis Report

, URI Unresolved item

US Unit Supervisor

VIO Violation

, ZAP Zion Administrative Procedure

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