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| issue date = 01/17/2012
| issue date = 01/17/2012
| title = IR 05000456-11-013, 05000457-11-013; 12/12/2011 - 12/15/2011; Braidwood Station, Units 1 & 2; Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12 Month Period
| title = IR 05000456-11-013, 05000457-11-013; 12/12/2011 - 12/15/2011; Braidwood Station, Units 1 & 2; Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12 Month Period
| author name = Duncan E R
| author name = Duncan E
| author affiliation = NRC/RGN-III/DRP/B3
| author affiliation = NRC/RGN-III/DRP/B3
| addressee name = Pacilio M J
| addressee name = Pacilio M
| addressee affiliation = Exelon Generation Co, LLC
| addressee affiliation = Exelon Generation Co, LLC
| docket = 05000456, 05000457
| docket = 05000456, 05000457
Line 18: Line 18:


=Text=
=Text=
{{#Wiki_filter:
{{#Wiki_filter:January 17, 2012
[[Issue date::January 17, 2012]]


Mr. Michael Senior Vice President, Exelon Generation Company, LLC President and Chief Nuclear Officer (CNO), Exelon Nuclear 4300 Winfield Road Warrenville, IL 60555
==SUBJECT:==
BRAIDWOOD STATION - NRC FOLLOW UP INSPECTION REPORT 05000456/2011013 AND 05000457/2011013


SUBJECT: BRAIDWOOD STATION - NRC FOLLOW UP INSPECTION REPORT 05000456/2011013 AND 05000457/2011013
==Dear Mr. Pacilio:==
On December 15, 2011, the U.S. Nuclear Regulatory Commission (NRC) completed a follow up inspection for four Severity Level (SL) IV violations identified between October 1, 2010, and September 30, 2011, at your Braidwood Station. The enclosed report documents the results of this inspection, which were discussed on December 15, 2011, with Mr. D. Enright, and other members of your staff.
 
The objectives of this follow up inspection were to provide assurance that: (1) the cause(s) of multiple SL IV traditional enforcement violations were understood by the licensee; (2) the extent of condition and extent of cause of multiple SL IV traditional enforcement violations were identified; and (3) licensee corrective actions to traditional enforcement violations were sufficient to address the cause(s).
 
The inspection consisted of an examination of activities conducted under your license as they relate to safety, compliance with the Commissions rules and regulations, the conditions of your operating license, and the objectives stated above.
 
Based on the results of this inspection, the inspector determined that, in general, the causes of the violations were adequately understood, the extent of condition and extent of cause of the violations were identified to the extent required by station procedures, and corrective actions planned and/or taken were sufficient to address the causes.
 
Based on the results of this inspection, no findings were identified. In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS)
component of NRC's document system (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
 
Sincerely,
/RA/  


==Dear Mr. Pacilio:==
Eric R. Duncan, Chief Branch 3 Division of Reactor Projects
On December 15, 2011, the U.S. Nuclear Regulatory Commission (NRC) completed a follow up inspection for four Severity Level (SL) IV violations identified between October 1, 2010, and September 30, 2011, at your Braidwood Station. The enclosed report documents the results of this inspection, which were discussed on December 15, 2011, with Mr. D. Enright, and other members of your staff. The objectives of this follow up inspection were to provide assurance that: (1) the cause(s) of multiple SL IV traditional enforcement violations were understood by the licensee; (2) the extent of condition and extent of cause of multiple SL IV traditional enforcement violations were identified; and (3) licensee corrective actions to traditional enforcement violations were sufficient to address the cause(s). The inspection consisted of an examination of activities conducted under your license as they relate to safety, compliance with the Commission's rules and regulations, the conditions of your operating license, and the objectives stated above. Based on the results of this inspection, the inspector determined that, in general, the causes of the violations were adequately understood, the extent of condition and extent of cause of the violations were identified to the extent required by station procedures, and corrective actions planned and/or taken were sufficient to address the causes. Based on the results of this inspection, no findings were identified. In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).


Sincerely,/RA/
Docket No. 50-456; 50-457 License No. NPF-72; NPF-77  
Eric R. Duncan, Chief Branch 3 Division of Reactor Projects Docket No. 50-456; 50-457 License No. NPF-72; NPF-77  


===Enclosure:===
===Enclosure:===
Inspection Report 05000456/2011013; 05000457/2011013;  
Inspection Report 05000456/2011013; 05000457/2011013; w/Attachment: Supplemental Information
 
REGION III==
Docket No:
50-456; 50-457 License No:
NPF-72; NPF-77 Report No:
05000456/2011013; 05000457/2011013 Licensee:
Exelon Generation Company, LLC Facility:
Braidwood Station Location:
Braceville, IL Dates:
December 12 through December 15, 2011 Inspector:
John Robbins, Byron Resident Inspector
 
Approved by:
E. Duncan, Chief Branch 3 Division of Reactor Projects


===w/Attachment:===
Enclosure  
Supplemental Information cc w/encl: Distribution via ListServ Enclosure U.S. NUCLEAR REGULATORY COMMISSION REGION III Docket No: 50-456; 50-457 License No: NPF-72; NPF-77 Report No: 05000456/2011013; 05000457/2011013 Licensee: Exelon Generation Company, LLC Facility: Braidwood Station Location: Braceville, IL Dates: December 12 through December 15, 2011 Inspector: John Robbins, Byron Resident Inspector Approved by: E. Duncan, Chief Branch 3 Division of Reactor Projects Enclosure  


=SUMMARY OF FINDINGS=
=SUMMARY OF FINDINGS=
Inspection Report 05000456/2011013, 05000457/2011013; 12/12/2011 - 12/15/2011; Braidwood Station, Units 1 & 2; Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12-Month Period. This report covers a 4-day period of inspection by the Byron Resident Inspector. No findings were identified. The NRC's program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, "Reactor Oversight Process," Revision 4, dated December 2006. The inspectors concluded that, in general, for these violations, the causes were understood by the licensee, the extent of condition and extent of cause were identified to the extent required by Braidwood Station procedures, and the licensee's corrective actions were sufficient to address the identified causes. A. No findings were identified.
Inspection Report 05000456/2011013, 05000457/2011013; 12/12/2011 - 12/15/2011;  
 
Braidwood Station, Units 1 & 2; Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12-Month Period.
 
This report covers a 4-day period of inspection by the Byron Resident Inspector. No findings were identified. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, Revision 4, dated December 2006.
 
The inspectors concluded that, in general, for these violations, the causes were understood by the licensee, the extent of condition and extent of cause were identified to the extent required by Braidwood Station procedures, and the licensees corrective actions were sufficient to address the identified causes.
 
A.
 
No findings were identified.


===NRC-Identified===
===NRC-Identified===
and Self-Revealed Findings B. None.
and Self-Revealed Findings B.


===  Licensee-Identified Violations===
None.


===Licensee-Identified Violations===
=REPORT DETAILS=
=REPORT DETAILS=


==OTHER ACTIVITIES==
==OTHER ACTIVITIES==
Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, and Emergency Preparedness  
Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, and Emergency Preparedness  
{{a|4OA5}}
 
==4OA5 ==
4OA5
 
===.1 Other Activities===
===.1 Other Activities===
a. Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12-Month Period (Inspection Procedure 92723) This inspection was conducted in accordance with Inspection Procedure (IP) 92723, "Follow Up Inspection for Three or More Severity Level (SL) IV Traditional Enforcement Violations in the Same Area in a 12-Month Period," to assess the licensee's evaluation of four SL IV violations that occurred within the area of impeding the regulatory process from October 1, 2010, to September 30, 2011. These violations were documented in NRC Inspection Reports as:  (1) Non-Cited Violation (NCV) 05000456/2010005-02, 05000457/2010005-02; (2) NCV 05000457/2011002-01; (3) Notice of Violation (NOV) 05000456/2010503-01; 05000457/2010503-01; and (4) NCV 05000456/2011004-06; 05000457/2011004-06. The inspection objectives were to:  Inspection Scope  Provide assurance that the causes of multiple SL IV traditional enforcement violations were understood by the licensee;  Provide assurance that the extent of condition and extent of cause of multiple SL IV traditional enforcement violations were identified; and  Provide assurance that licensee corrective actions (CAs) to traditional enforcement violations were sufficient to address the causes.
a.


The inspector reviewed the cause evaluation associated with each of the issues. Additionally, the inspector reviewed Licensee Check-In Self-Assessment Report 1267093, "Pre-NRC Follow Up Inspection for Three or More SL IV Traditional Enforcement Violations in the Same Area in a 12-Month Period."  The inspector reviewed CAs to address the identified causes. The inspector also held discussions with licensee personnel to ensure that the causes were understood and CAs were appropriate to address the causes.
Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12-Month Period (Inspection Procedure 92723)
This inspection was conducted in accordance with Inspection Procedure (IP) 92723, Follow Up Inspection for Three or More Severity Level (SL) IV Traditional Enforcement Violations in the Same Area in a 12-Month Period, to assess the licensees evaluation of four SL IV violations that occurred within the area of impeding the regulatory process from October 1, 2010, to September 30, 2011. These violations were documented in NRC Inspection Reports as:
: (1) Non-Cited Violation (NCV) 05000456/2010005-02, 05000457/2010005-02;
: (2) NCV 05000457/2011002-01;
: (3) Notice of Violation (NOV)05000456/2010503-01; 05000457/2010503-01; and
: (4) NCV 05000456/2011004-06; 05000457/2011004-06. The inspection objectives were to:
Inspection Scope
* Provide assurance that the causes of multiple SL IV traditional enforcement violations were understood by the licensee;
* Provide assurance that the extent of condition and extent of cause of multiple SL IV traditional enforcement violations were identified; and
* Provide assurance that licensee corrective actions (CAs) to traditional enforcement violations were sufficient to address the causes.


===.2 2.01 Evaluation of the Inspection Requirements===
The inspector reviewed the cause evaluation associated with each of the issues.
a. Review of Problem Identification The inspector determined that the licensee's evaluation addressed how each of the issues were identified, how long they existed, and prior opportunities for identification.


Determine that the licensee's evaluation identifies how each of the issues were identified, how long each issue existed, and prior opportunities for identification 3 Enclosure Each issue was individually evaluated through the licensee's Corrective Action Program (CAP). Additionally, the licensee performed a collective evaluation for the four SL IV violations through a pre-NRC inspection self-assessment. This self-assessment identified one deficiency concerning the Event Reporting process not being initiated in a timely manner as a result of untimely past operability reviews. This issue was entered into the licensee's CAP as Issue Report (IR) 1292145, "LER [Licensee Event Report] Reporting Delayed Due to Numerous ATI [Action Tracking Item] Extensions."    b. No findings were identified.
Additionally, the inspector reviewed Licensee Check-In Self-Assessment Report 1267093, Pre-NRC Follow Up Inspection for Three or More SL IV Traditional Enforcement Violations in the Same Area in a 12-Month Period. The inspector reviewed CAs to address the identified causes. The inspector also held discussions with licensee personnel to ensure that the causes were understood and CAs were appropriate to address the causes.


Findings 2.02 a. Evaluate Cause, Extent of Condition, and Extent of Cause Evaluations The inspectors determined that the SL IV violations were reviewed collectively using a systematic process to identify any common cause(s). The inspectors determined this review contained an appropriate level of detail. The inspector verified that each SL IV violation was adequately evaluated in accordance with Braidwood Station's CAP requirements. The licensee did not identify a common cause for the violations. Therefore, the licensee evaluated each issue individually.
===.2 2.01===
Evaluation of the Inspection Requirements a.


Determine that the group of Severity Level IV violations received an evaluation at an appropriate level of detail using a systematic method(s) to identify cause(s) The inspector identified an issue with the licensee's self-assessment efforts to investigate the failure to submit a timely report to notify the NRC of Residual Heat Removal (RHR) system performance problems (NCV 05000456/2010005-02; 05000457/2010005-02, "Failure to Submit an LER Per 10 CFR 73(a)(2)(v)"). In this case, the self-assessment effort focused on the technical aspects of the issue, rather than the underlying causes of the failure to submit a timely report for the loss of safety function of the RHR system. The inspector discussed this issue with the licensee and, as a result, the licensee subsequently entered this issue into their CAP as IR 1302866, "NRC Identified No Formal Evaluation for Untimely LER Submittal for RHR." However, when the failure to submit the LER that resulted in the SL IV violation was first identified by the inspectors in September 2010, the licensee entered the issue into their CAP as IR 1292145. During this inspection, the inspector confirmed that the issue was appropriately reviewed and addressed. In particular, IR 1155372, "RHR System Issue Resulting in LER," identified that the due date for a task in IR 1073616, "Perform Past Operability Review for RHR in Mode 4," had been extended 11 times such that the deadline for submitting the LER was exceeded and that appropriate supervision was unaware of the deadline. The licensee also identified that the action item associated with the LER submittal was coded as an ATI and therefore did not receive as high a level of review as was warranted.
Review of Problem Identification The inspector determined that the licensees evaluation addressed how each of the issues were identified, how long they existed, and prior opportunities for identification.


4 Enclosure As a result, a revision to the Station Operating Committee (SOC) process was implemented. Specifically, for issues associated with operability or reportability, the process was revised to assign CAs (vice ATIs) to individual owners to elevate the level of management review.
Determine that the licensees evaluation identifies how each of the issues were identified, how long each issue existed, and prior opportunities for identification Each issue was individually evaluated through the licensees Corrective Action Program (CAP). Additionally, the licensee performed a collective evaluation for the four SL IV violations through a pre-NRC inspection self-assessment. This self-assessment identified one deficiency concerning the Event Reporting process not being initiated in a timely manner as a result of untimely past operability reviews. This issue was entered into the licensees CAP as Issue Report (IR) 1292145, LER [Licensee Event Report]
Reporting Delayed Due to Numerous ATI [Action Tracking Item] Extensions.


In addition, Braidwood Station Policy Memorandum BR-40, "Expectations for Extending Issue Report Cause Investigations and Corrective Action Due Dates," required that the first CA extension be reviewed by the department head and that subsequent changes be approved by the Management Review Committee (MRC) or the Plant Manager. At the end of this inspection, the licensee planned to revise Policy Memorandum BR-40 to enhance these requirements to preclude missing an LER submittal deadline. b. The inspector determined that the licensee's evaluation included a consideration of how prior occurrences in the area of impeding the regulatory process were addressed. The four SL IV violations were reviewed to determine if they were due to a more fundamental concern involving weaknesses in the station's CAP. The inspector did not identify any commonality among the four SL IV violations that suggested a fundamental weakness with the station's CAP.
b.


Determine that the evaluation included a consideration of how prior occurrences in the same traditional enforcement area (willfulness, regulatory process, or consequences) were addressed by the licensee c. A review of the station's CAP procedures identified that LS-AA-125, "Corrective Action Program (CAP) Procedure," did not require an extent of condition review for a Class D (Work Group) evaluation unless it was specifically requested by the Ownership Committee or MRC. Procedure LS-AA-125, "Corrective Action Program Procedure," only required an extent of condition evaluation for Class A (Root Cause) and Class B (Apparent Cause) evaluations. Determine that the evaluation addresses the extent of the condition and the extent of cause of the problem The inspectors reviewed the individual CAP items for each of the four SL IV violations as well as the self-assessment. A number of the SL IV violations reviewed were categorized at the Class D level and the inspector determined that the licensee addressed the extent of condition and the extent of cause in accordance with the procedural requirements.
No findings were identified.


d. No findings were identified.
Findings 2.02 a.


Findings 2.03 a. Evaluate Corrective Actions The inspector determined that appropriate CAs were specified for the causes identified for each of the SL IV violations.
Evaluate Cause, Extent of Condition, and Extent of Cause Evaluations The inspectors determined that the SL IV violations were reviewed collectively using a systematic process to identify any common cause(s). The inspectors determined this review contained an appropriate level of detail. The inspector verified that each SL IV violation was adequately evaluated in accordance with Braidwood Stations CAP requirements. The licensee did not identify a common cause for the violations.


Determine that appropriate corrective action(s) are specified for each cause identified for the group of violations or that there is an evaluation indicating that no actions are necessary 5 Enclosure Because no common cause was identified for the group of violations, no CA was taken to address the group of violations collectively.
Therefore, the licensee evaluated each issue individually.


b. The inspector determined that CAs were adequately prioritized with the consideration of regulatory compliance.
Determine that the group of Severity Level IV violations received an evaluation at an appropriate level of detail using a systematic method(s) to identify cause(s)
The inspector identified an issue with the licensees self-assessment efforts to investigate the failure to submit a timely report to notify the NRC of Residual Heat Removal (RHR) system performance problems (NCV 05000456/2010005-02; 05000457/2010005-02, Failure to Submit an LER Per 10 CFR 73(a)(2)(v)). In this case, the self-assessment effort focused on the technical aspects of the issue, rather than the underlying causes of the failure to submit a timely report for the loss of safety function of the RHR system. The inspector discussed this issue with the licensee and, as a result, the licensee subsequently entered this issue into their CAP as IR 1302866, NRC Identified No Formal Evaluation for Untimely LER Submittal for RHR.
 
However, when the failure to submit the LER that resulted in the SL IV violation was first identified by the inspectors in September 2010, the licensee entered the issue into their CAP as IR 1292145. During this inspection, the inspector confirmed that the issue was appropriately reviewed and addressed. In particular, IR 1155372, RHR System Issue Resulting in LER, identified that the due date for a task in IR 1073616, Perform Past Operability Review for RHR in Mode 4, had been extended 11 times such that the deadline for submitting the LER was exceeded and that appropriate supervision was unaware of the deadline. The licensee also identified that the action item associated with the LER submittal was coded as an ATI and therefore did not receive as high a level of review as was warranted.
 
As a result, a revision to the Station Operating Committee (SOC) process was implemented. Specifically, for issues associated with operability or reportability, the process was revised to assign CAs (vice ATIs) to individual owners to elevate the level of management review.
 
In addition, Braidwood Station Policy Memorandum BR-40, Expectations for Extending Issue Report Cause Investigations and Corrective Action Due Dates, required that the first CA extension be reviewed by the department head and that subsequent changes be approved by the Management Review Committee (MRC) or the Plant Manager. At the end of this inspection, the licensee planned to revise Policy Memorandum BR-40 to enhance these requirements to preclude missing an LER submittal deadline.
 
b.
 
The inspector determined that the licensees evaluation included a consideration of how prior occurrences in the area of impeding the regulatory process were addressed.
 
The four SL IV violations were reviewed to determine if they were due to a more fundamental concern involving weaknesses in the stations CAP. The inspector did not identify any commonality among the four SL IV violations that suggested a fundamental weakness with the stations CAP.
 
Determine that the evaluation included a consideration of how prior occurrences in the same traditional enforcement area (willfulness, regulatory process, or consequences)were addressed by the licensee c.
 
A review of the stations CAP procedures identified that LS-AA-125, Corrective Action Program (CAP) Procedure, did not require an extent of condition review for a Class D (Work Group) evaluation unless it was specifically requested by the Ownership Committee or MRC. Procedure LS-AA-125, Corrective Action Program Procedure, only required an extent of condition evaluation for Class A (Root Cause) and Class B (Apparent Cause) evaluations.
 
Determine that the evaluation addresses the extent of the condition and the extent of cause of the problem The inspectors reviewed the individual CAP items for each of the four SL IV violations as well as the self-assessment. A number of the SL IV violations reviewed were categorized at the Class D level and the inspector determined that the licensee addressed the extent of condition and the extent of cause in accordance with the procedural requirements.
 
d.
 
No findings were identified.
 
Findings 2.03 a.
 
Evaluate Corrective Actions The inspector determined that appropriate CAs were specified for the causes identified for each of the SL IV violations.
 
Determine that appropriate corrective action(s) are specified for each cause identified for the group of violations or that there is an evaluation indicating that no actions are necessary Because no common cause was identified for the group of violations, no CA was taken to address the group of violations collectively.
 
b.
 
The inspector determined that CAs were adequately prioritized with the consideration of regulatory compliance.


Determine that the corrective actions have been prioritized with consideration of the regulatory compliance Procedure LS-AA-125 provided guidance for prioritizing CAs. A sample review conducted by the inspector indicated that CAs were appropriately prioritized.
Determine that the corrective actions have been prioritized with consideration of the regulatory compliance Procedure LS-AA-125 provided guidance for prioritizing CAs. A sample review conducted by the inspector indicated that CAs were appropriately prioritized.


c. The inspector determined that a schedule was established for implementing and completing the CAs.
c.
 
The inspector determined that a schedule was established for implementing and completing the CAs.


Determine that a schedule has been established for implementing and completing the corrective actions Procedure LS-AA-125 provided guidance for establishing due dates for CAs. The inspector conducted a sample review of completed and planned CAs and did not identify any discrepancies.
Determine that a schedule has been established for implementing and completing the corrective actions Procedure LS-AA-125 provided guidance for establishing due dates for CAs. The inspector conducted a sample review of completed and planned CAs and did not identify any discrepancies.


d. The inspector determined that there were no measures of success developed for determining the effectiveness of the CAs to prevent recurrence. Determine that measures of success have been developed for determining the effectiveness of the corrective actions to prevent recurrence Procedures LS-AA-125 and LS-AA-125-1004, "Effectiveness Review Manual," provided guidance for assigning and conducting effectiveness reviews. Effectiveness reviews were only required to be performed for CAs to prevent recurrence (CAPR) or for an individual CA that the Corrective Action Program Coordinators (CAPCOs) or MRC deemed necessary. None of the CAs were required to have an effectiveness review completed and no additional actions were deemed necessary; therefore, none of the SL IV violations reviewed had associated CAPRs.
d.
 
The inspector determined that there were no measures of success developed for determining the effectiveness of the CAs to prevent recurrence.
 
Determine that measures of success have been developed for determining the effectiveness of the corrective actions to prevent recurrence Procedures LS-AA-125 and LS-AA-125-1004, Effectiveness Review Manual, provided guidance for assigning and conducting effectiveness reviews.
 
Effectiveness reviews were only required to be performed for CAs to prevent recurrence (CAPR) or for an individual CA that the Corrective Action Program Coordinators (CAPCOs) or MRC deemed necessary. None of the CAs were required to have an effectiveness review completed and no additional actions were deemed necessary; therefore, none of the SL IV violations reviewed had associated CAPRs.
 
The licensee's self-assessment identified that there were no effectiveness reviews established for the CAs associated with the four SL IV violations. Although there were no procedural requirements to perform effectiveness reviews, the licensees self-assessment concluded that the likelihood of recurrence was reduced due to the CAs planned and/or taken.
 
e.


The licensee's self-assessment identified that there were no effectiveness reviews established for the CAs associated with the four SL IV violations. Although there were no procedural requirements to perform effectiveness reviews, the licensee's self-assessment concluded that the likelihood of recurrence was reduced due to the CAs planned and/or taken. e. No findings were identified.
No findings were identified.


Findings and observations
Findings and observations 4OA6
{{a|4OA6}}
==4OA6 ==
===.1 Management Meetings On December 15, 2011, the inspector presented the inspection results to Mr. D. Enright, and other members of the licensee staff.===
The licensee acknowledged the issues


=====Exit Meeting Summary=====
===.1 Management Meetings===
On December 15, 2011, the inspector presented the inspection results to Mr. D. Enright, and other members of the licensee staff. The licensee acknowledged the issues


6 Enclosure presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary.
===Exit Meeting Summary===
presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary.


ATTACHMENT:
ATTACHMENT:  


=SUPPLEMENTAL INFORMATION=
=SUPPLEMENTAL INFORMATION=


==KEY POINTS OF CONTACT==
==KEY POINTS OF CONTACT==
: [[contact::D. Enright]], Site Vice President Licensee  
: [[contact::D. Enright]], Site Vice President
Licensee  
: [[contact::M. Kanavas]], Plant Manager  
: [[contact::M. Kanavas]], Plant Manager  
: [[contact::T. Tierney]], Operations Support Manager  
: [[contact::T. Tierney]], Operations Support Manager  
Line 112: Line 202:
: [[contact::T. Kirman]], Maintenance Support Manager  
: [[contact::T. Kirman]], Maintenance Support Manager  
: [[contact::F. Gogliotti]], Sr. Engineering Manager  
: [[contact::F. Gogliotti]], Sr. Engineering Manager  
: [[contact::M. Abbas]], Regulatory Assurance NRC Coordinator
: [[contact::M. Abbas]], Regulatory Assurance NRC Coordinator  
: [[contact::E. Duncan]], Chief, Reactor Projects Branch 3 Nuclear Regulatory Commission  
: [[contact::E. Duncan]], Chief, Reactor Projects Branch 3
Nuclear Regulatory Commission  
: [[contact::J. Robbins]], Resident Inspector, Byron  
: [[contact::J. Robbins]], Resident Inspector, Byron  
: [[contact::J. Benjamin]], Senior Resident Inspector, Braidwood
: [[contact::J. Benjamin]], Senior Resident Inspector, Braidwood  
Attachment
 
==LIST OF ITEMS==
==LIST OF ITEMS==
===OPENED, CLOSED AND DISCUSSED===
===OPENED, CLOSED AND DISCUSSED===
===Opened===
None.


===Opened===
None.   
===Closed===
===Closed===
: None.    
None.  
 
===Discussed===
===Discussed===
: 05000456/2010005-02;  
: 05000456/2010005-02;  
: 05000457/2010005-02 NCV Failure to Submit an LER Per 10 CFR 73(a)(2)(v)
: 05000457/2010005-02 NCV Failure to Submit an LER Per 10 CFR 73(a)(2)(v)  
: 05000457/2011002-01 NCV Failure to Provide Complete and Accurate Information in LER  
: 05000457/2011002-01 NCV Failure to Provide Complete and Accurate Information in LER  
: 05000457/2010-04-00
: 05000457/2010-04-00  
: 05000456/2010503-01;  
: 05000456/2010503-01;  
: 05000457/2010503-01 NOV Changes to EAL [Emergency Action Level] Basis Decreases the Effectiveness of the Plan Without Prior NRC Approval
: 05000457/2010503-01 NOV Changes to EAL [Emergency Action Level] Basis Decreases the Effectiveness of the Plan Without Prior NRC Approval  
: 05000456/2011004-06;  
: 05000456/2011004-06;  
: 05000457/2011004-06 NCV Modification of the AF [Auxiliary Feedwater] System Without Prior NRC Approval
: 05000457/2011004-06 NCV Modification of the AF [Auxiliary Feedwater] System Without Prior NRC Approval  
Attachment
 
==LIST OF DOCUMENTS REVIEWED==
==LIST OF DOCUMENTS REVIEWED==
The following is a partial list of documents reviewed during the inspection.
 
: Inclusion on this list does not imply that the NRC inspector reviewed the documents in their entirety, but rather that selected sections or portions of the documents were evaluated as part of the overall inspection effort.
: Inclusion of a document on this list does not imply NRC acceptance of the document or any part of it, unless this is stated in the body of the inspection report.  -
: IR 0906754; Improvements Needed to
: EP 50.54(Q) Evaluations and Process, April 13, 2009 -
: IR 1073616; RHR System Issue Associated with Westinghouse NSAL 09-08, May 26, 2010 -
: IR 1105448; Addendum to Root Cause Report, Rev. 7 -
: IR 1105448; Unplanned LCO Entry Due to Operator Error, August 24, 2011 -
: IR 1155372; RHR System Issue Resulting in LER - Tracking, December 22, 2010 -
: IR 1166336; Inaccurate Information Contained in
: LER 2010-004, January 21, 2011 -
: IR 1173606; Braidwood URI on EAL HU6 Classified as Violation, February 10, 2011 -
: IR 1183518; Receipt of NRC Green Finding - Improper Change to EAL, March 1, 2011 -
: IR 1184456; Braidwood HU6 EAL Violation Requires Written Response, March 7, 2011 -
: IR 1195224; Two NRC Enforcements Within a 12 Month Period, March 30, 2011 -
: IR 1199710; Three NRC Severity Level IV Violations Within a 12 Month Period, April 6, 2011 -
: IR 1244984; Apparent Cause Report for 50.54(q) NCV, September 16, 2011 -
: IR 1258017; 1A/2A AF Pump Discharge Crosstie Regulatory Concern, August 22, 2011 -
: IR 1263931; Three Traditional Enforcement Violations Need Detailed Answer, September 16, 2011 -
: IR 1267093; Self-Assessment Report, November 17, 2011 -
: IR 1273856; Potential NRC Severity Level IV Violation, October 5, 2011 -
: IR 1292145; LER Reporting Delayed Due to Numerous ATI Extensions, November 19, 2010 -
: IR 1299906; NRC Identified Missed 10CFR50.73 Notification for HELB Design, March 8, 2011 -
: LER 2010-004-00; Unit 2 Unplanned Limiting Condition for Operation Entry Due to Low Header Pressure on the 2B Essential Service Water Pump, October 25, 2011 -
: BR-40; Braidwood Station Policy
: Memorandum - Expectations for Extending Issue Report Cause Investigations and Corrective Action Due Dates, Rev. 4 -
: EP-AA-120; Emergency Plan Administration, Rev. 14 -
: EP-AA-120-1001; 50.54(q) Program Evaluation and Effectiveness Review, Rev. 6 -
: HU-AA-101; Human Performance Tools and Verification Practices, Rev. 5 -
: HU-AA-102; Technical Human Performance Practices, Rev. 6 -
: LS-AA-120; Issue Identification and Screening Process, Rev. 14 -
: LS-AA-125; Corrective Action Program Procedure, Rev. 16 -
: LS-AA-125-1001; Root Cause Analysis Manual, Rev. 8 -
: LS-AA-125-1002; Common Cause Analysis Manual, Rev. 7 -
: LS-AA-125-1003; Apparent Cause Evaluation Manual, Rev. 10 -
: LS-AA-126; Self-Assessment Program, Rev. 6 -
: LS-AA-1400; Event Reporting Guidelines 10
: CFR 50.72 and 50.73, Rev. 4 -
: OP-AA-103-102; Watch Standing Practices, Rev. 8 
: Attachment
==LIST OF ACRONYMS==
: [[USED]] [[]]
: [[ACE]] [[Apparent Cause Evaluation]]
: [[AF]] [[Auxiliary Feedwater]]
: [[ATI]] [[Action Tracking Item]]
: [[ADAMS]] [[Agencywide Document Access Management System]]
: [[CA]] [[Corrective Action]]
: [[CAP]] [[Corrective Action Program]]
: [[CAPCO]] [[Corrective Action Program Coordinator]]
: [[CAPR]] [[Corrective Action to Prevent Recurrence]]
: [[CCA]] [[Common Cause Analysis]]
: [[CFR]] [[Code of Federal Regulations]]
: [[DRP]] [[Division of Reactor Projects]]
: [[EAL]] [[Emergency Action Level]]
: [[IP]] [[Inspection Procedure]]
: [[IR]] [[Issue Report]]
: [[LER]] [[Licensee Event Report]]
: [[MRC]] [[Management Review Committee]]
: [[NCV]] [[Non-Cited Violation]]
: [[NOV]] [[Notice of Violation]]
: [[NPF]] [[Nuclear Power Facility]]
: [[NRC]] [[U.S. Nuclear Regulatory Commission]]
: [[PARS]] [[Publicly Available Records System]]
: [[RCE]] [[Root Cause Evaluation]]
: [[RHR]] [[Residual Heat Removal]]
: [[SL]] [[Severity Level]]
: [[SOC]] [[Station Ownership Committee]]
: [[M.]] [[Pacilio    -2-  In accordance with 10]]
: [[CFR]] [[2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the]]
: [[NRC]] [[Public Document Room or from the Publicly Available Records System (]]
: [[PARS]] [[) component of NRC's document system (ADAMS).]]
: [[ADAMS]] [[is accessible from the]]
NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room). Sincerely,  /RA/
Eric
: [[R.]] [[Duncan, Chief Branch 3 Division of Reactor Projects  Docket No. 50-456; 50-457 License No.]]
NPF-72; NPF-77
Enclosure: Inspection Report 05000456/2011013; 05000457/2011013  w/Attachment:  Supplemental Information  cc w/encl: Distribution via ListServ  DISTRIBUTIONSee next page :
: [[DOCUME]] [[NT NAME:  G:\DRPIII\BRAI\Braidwood 2011 013.docx  Publicly Available  Non-Publicly Available  Sensitive  Non-Sensitive To receive a copy of this document, indicate in the concurrence box "C" = Copy without attach/encl "E" = Copy with attach/encl "N" = No copy]]
: [[OFFICE]] [[]]
: [[RIII]] [[]]
: [[NAME]] [[]]
: [[ED]] [[uncan:dtp]]
: [[DATE]] [[01/17/12]]
: [[OFFICI]] [[AL]]
: [[RECORD]] [[]]
: [[COPY]] [[Letter to]]
: [[M.]] [[Pacilio from E. Duncan dated January 17, 2012.]]
: [[SUBJEC]] [[T: BRAIDWOOD STATION -]]
: [[NRC]] [[]]
: [[FOLLOW]] [[]]
: [[UP]] [[]]
: [[INSPEC]] [[TION REPORT 05000456/2011013; 05000457/2011013]]
}}
}}

Latest revision as of 21:05, 12 January 2025

IR 05000456-11-013, 05000457-11-013; 12/12/2011 - 12/15/2011; Braidwood Station, Units 1 & 2; Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12 Month Period
ML120170382
Person / Time
Site: Braidwood  Constellation icon.png
Issue date: 01/17/2012
From: Eric Duncan
Region 3 Branch 3
To: Pacilio M
Exelon Generation Co
References
IR-11-013
Download: ML120170382 (16)


Text

January 17, 2012

SUBJECT:

BRAIDWOOD STATION - NRC FOLLOW UP INSPECTION REPORT 05000456/2011013 AND 05000457/2011013

Dear Mr. Pacilio:

On December 15, 2011, the U.S. Nuclear Regulatory Commission (NRC) completed a follow up inspection for four Severity Level (SL) IV violations identified between October 1, 2010, and September 30, 2011, at your Braidwood Station. The enclosed report documents the results of this inspection, which were discussed on December 15, 2011, with Mr. D. Enright, and other members of your staff.

The objectives of this follow up inspection were to provide assurance that: (1) the cause(s) of multiple SL IV traditional enforcement violations were understood by the licensee; (2) the extent of condition and extent of cause of multiple SL IV traditional enforcement violations were identified; and (3) licensee corrective actions to traditional enforcement violations were sufficient to address the cause(s).

The inspection consisted of an examination of activities conducted under your license as they relate to safety, compliance with the Commissions rules and regulations, the conditions of your operating license, and the objectives stated above.

Based on the results of this inspection, the inspector determined that, in general, the causes of the violations were adequately understood, the extent of condition and extent of cause of the violations were identified to the extent required by station procedures, and corrective actions planned and/or taken were sufficient to address the causes.

Based on the results of this inspection, no findings were identified. In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS)

component of NRC's document system (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,

/RA/

Eric R. Duncan, Chief Branch 3 Division of Reactor Projects

Docket No. 50-456; 50-457 License No. NPF-72; NPF-77

Enclosure:

Inspection Report 05000456/2011013; 05000457/2011013; w/Attachment: Supplemental Information

REGION III==

Docket No:

50-456; 50-457 License No:

NPF-72; NPF-77 Report No:

05000456/2011013; 05000457/2011013 Licensee:

Exelon Generation Company, LLC Facility:

Braidwood Station Location:

Braceville, IL Dates:

December 12 through December 15, 2011 Inspector:

John Robbins, Byron Resident Inspector

Approved by:

E. Duncan, Chief Branch 3 Division of Reactor Projects

Enclosure

SUMMARY OF FINDINGS

Inspection Report 05000456/2011013, 05000457/2011013; 12/12/2011 - 12/15/2011;

Braidwood Station, Units 1 & 2; Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12-Month Period.

This report covers a 4-day period of inspection by the Byron Resident Inspector. No findings were identified. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, Revision 4, dated December 2006.

The inspectors concluded that, in general, for these violations, the causes were understood by the licensee, the extent of condition and extent of cause were identified to the extent required by Braidwood Station procedures, and the licensees corrective actions were sufficient to address the identified causes.

A.

No findings were identified.

NRC-Identified

and Self-Revealed Findings B.

None.

Licensee-Identified Violations

REPORT DETAILS

OTHER ACTIVITIES

Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, and Emergency Preparedness

4OA5

.1 Other Activities

a.

Follow Up Inspection for Three or More Severity Level IV Traditional Enforcement Violations in the Same Area in a 12-Month Period (Inspection Procedure 92723)

This inspection was conducted in accordance with Inspection Procedure (IP) 92723, Follow Up Inspection for Three or More Severity Level (SL) IV Traditional Enforcement Violations in the Same Area in a 12-Month Period, to assess the licensees evaluation of four SL IV violations that occurred within the area of impeding the regulatory process from October 1, 2010, to September 30, 2011. These violations were documented in NRC Inspection Reports as:

(1) Non-Cited Violation (NCV)05000456/2010005-02, 05000457/2010005-02;
(2) NCV 05000457/2011002-01;
(3) Notice of Violation (NOV)05000456/2010503-01; 05000457/2010503-01; and
(4) NCV 05000456/2011004-06; 05000457/2011004-06. The inspection objectives were to:

Inspection Scope

  • Provide assurance that the causes of multiple SL IV traditional enforcement violations were understood by the licensee;
  • Provide assurance that the extent of condition and extent of cause of multiple SL IV traditional enforcement violations were identified; and
  • Provide assurance that licensee corrective actions (CAs) to traditional enforcement violations were sufficient to address the causes.

The inspector reviewed the cause evaluation associated with each of the issues.

Additionally, the inspector reviewed Licensee Check-In Self-Assessment Report 1267093, Pre-NRC Follow Up Inspection for Three or More SL IV Traditional Enforcement Violations in the Same Area in a 12-Month Period. The inspector reviewed CAs to address the identified causes. The inspector also held discussions with licensee personnel to ensure that the causes were understood and CAs were appropriate to address the causes.

.2 2.01

Evaluation of the Inspection Requirements a.

Review of Problem Identification The inspector determined that the licensees evaluation addressed how each of the issues were identified, how long they existed, and prior opportunities for identification.

Determine that the licensees evaluation identifies how each of the issues were identified, how long each issue existed, and prior opportunities for identification Each issue was individually evaluated through the licensees Corrective Action Program (CAP). Additionally, the licensee performed a collective evaluation for the four SL IV violations through a pre-NRC inspection self-assessment. This self-assessment identified one deficiency concerning the Event Reporting process not being initiated in a timely manner as a result of untimely past operability reviews. This issue was entered into the licensees CAP as Issue Report (IR) 1292145, LER [Licensee Event Report]

Reporting Delayed Due to Numerous ATI [Action Tracking Item] Extensions.

b.

No findings were identified.

Findings 2.02 a.

Evaluate Cause, Extent of Condition, and Extent of Cause Evaluations The inspectors determined that the SL IV violations were reviewed collectively using a systematic process to identify any common cause(s). The inspectors determined this review contained an appropriate level of detail. The inspector verified that each SL IV violation was adequately evaluated in accordance with Braidwood Stations CAP requirements. The licensee did not identify a common cause for the violations.

Therefore, the licensee evaluated each issue individually.

Determine that the group of Severity Level IV violations received an evaluation at an appropriate level of detail using a systematic method(s) to identify cause(s)

The inspector identified an issue with the licensees self-assessment efforts to investigate the failure to submit a timely report to notify the NRC of Residual Heat Removal (RHR) system performance problems (NCV 05000456/2010005-02; 05000457/2010005-02, Failure to Submit an LER Per 10 CFR 73(a)(2)(v)). In this case, the self-assessment effort focused on the technical aspects of the issue, rather than the underlying causes of the failure to submit a timely report for the loss of safety function of the RHR system. The inspector discussed this issue with the licensee and, as a result, the licensee subsequently entered this issue into their CAP as IR 1302866, NRC Identified No Formal Evaluation for Untimely LER Submittal for RHR.

However, when the failure to submit the LER that resulted in the SL IV violation was first identified by the inspectors in September 2010, the licensee entered the issue into their CAP as IR 1292145. During this inspection, the inspector confirmed that the issue was appropriately reviewed and addressed. In particular, IR 1155372, RHR System Issue Resulting in LER, identified that the due date for a task in IR 1073616, Perform Past Operability Review for RHR in Mode 4, had been extended 11 times such that the deadline for submitting the LER was exceeded and that appropriate supervision was unaware of the deadline. The licensee also identified that the action item associated with the LER submittal was coded as an ATI and therefore did not receive as high a level of review as was warranted.

As a result, a revision to the Station Operating Committee (SOC) process was implemented. Specifically, for issues associated with operability or reportability, the process was revised to assign CAs (vice ATIs) to individual owners to elevate the level of management review.

In addition, Braidwood Station Policy Memorandum BR-40, Expectations for Extending Issue Report Cause Investigations and Corrective Action Due Dates, required that the first CA extension be reviewed by the department head and that subsequent changes be approved by the Management Review Committee (MRC) or the Plant Manager. At the end of this inspection, the licensee planned to revise Policy Memorandum BR-40 to enhance these requirements to preclude missing an LER submittal deadline.

b.

The inspector determined that the licensees evaluation included a consideration of how prior occurrences in the area of impeding the regulatory process were addressed.

The four SL IV violations were reviewed to determine if they were due to a more fundamental concern involving weaknesses in the stations CAP. The inspector did not identify any commonality among the four SL IV violations that suggested a fundamental weakness with the stations CAP.

Determine that the evaluation included a consideration of how prior occurrences in the same traditional enforcement area (willfulness, regulatory process, or consequences)were addressed by the licensee c.

A review of the stations CAP procedures identified that LS-AA-125, Corrective Action Program (CAP) Procedure, did not require an extent of condition review for a Class D (Work Group) evaluation unless it was specifically requested by the Ownership Committee or MRC. Procedure LS-AA-125, Corrective Action Program Procedure, only required an extent of condition evaluation for Class A (Root Cause) and Class B (Apparent Cause) evaluations.

Determine that the evaluation addresses the extent of the condition and the extent of cause of the problem The inspectors reviewed the individual CAP items for each of the four SL IV violations as well as the self-assessment. A number of the SL IV violations reviewed were categorized at the Class D level and the inspector determined that the licensee addressed the extent of condition and the extent of cause in accordance with the procedural requirements.

d.

No findings were identified.

Findings 2.03 a.

Evaluate Corrective Actions The inspector determined that appropriate CAs were specified for the causes identified for each of the SL IV violations.

Determine that appropriate corrective action(s) are specified for each cause identified for the group of violations or that there is an evaluation indicating that no actions are necessary Because no common cause was identified for the group of violations, no CA was taken to address the group of violations collectively.

b.

The inspector determined that CAs were adequately prioritized with the consideration of regulatory compliance.

Determine that the corrective actions have been prioritized with consideration of the regulatory compliance Procedure LS-AA-125 provided guidance for prioritizing CAs. A sample review conducted by the inspector indicated that CAs were appropriately prioritized.

c.

The inspector determined that a schedule was established for implementing and completing the CAs.

Determine that a schedule has been established for implementing and completing the corrective actions Procedure LS-AA-125 provided guidance for establishing due dates for CAs. The inspector conducted a sample review of completed and planned CAs and did not identify any discrepancies.

d.

The inspector determined that there were no measures of success developed for determining the effectiveness of the CAs to prevent recurrence.

Determine that measures of success have been developed for determining the effectiveness of the corrective actions to prevent recurrence Procedures LS-AA-125 and LS-AA-125-1004, Effectiveness Review Manual, provided guidance for assigning and conducting effectiveness reviews.

Effectiveness reviews were only required to be performed for CAs to prevent recurrence (CAPR) or for an individual CA that the Corrective Action Program Coordinators (CAPCOs) or MRC deemed necessary. None of the CAs were required to have an effectiveness review completed and no additional actions were deemed necessary; therefore, none of the SL IV violations reviewed had associated CAPRs.

The licensee's self-assessment identified that there were no effectiveness reviews established for the CAs associated with the four SL IV violations. Although there were no procedural requirements to perform effectiveness reviews, the licensees self-assessment concluded that the likelihood of recurrence was reduced due to the CAs planned and/or taken.

e.

No findings were identified.

Findings and observations 4OA6

.1 Management Meetings

On December 15, 2011, the inspector presented the inspection results to Mr. D. Enright, and other members of the licensee staff. The licensee acknowledged the issues

Exit Meeting Summary

presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary.

ATTACHMENT:

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

D. Enright, Site Vice President

Licensee

M. Kanavas, Plant Manager
T. Tierney, Operations Support Manager
L. Dworakowski, Regulatory Assurance Licensing Engineer
J. Gerrity, Emergency Preparedness Manager
R. Radulovich, Nuclear Oversight Manager
T. Kirman, Maintenance Support Manager
F. Gogliotti, Sr. Engineering Manager
M. Abbas, Regulatory Assurance NRC Coordinator
E. Duncan, Chief, Reactor Projects Branch 3

Nuclear Regulatory Commission

J. Robbins, Resident Inspector, Byron
J. Benjamin, Senior Resident Inspector, Braidwood

LIST OF ITEMS

OPENED, CLOSED AND DISCUSSED

Opened

None.

Closed

None.

Discussed

05000456/2010005-02;
05000457/2010005-02 NCV Failure to Submit an LER Per 10 CFR 73(a)(2)(v)
05000457/2011002-01 NCV Failure to Provide Complete and Accurate Information in LER
05000457/2010-04-00
05000456/2010503-01;
05000457/2010503-01 NOV Changes to EAL [Emergency Action Level] Basis Decreases the Effectiveness of the Plan Without Prior NRC Approval
05000456/2011004-06;
05000457/2011004-06 NCV Modification of the AF [Auxiliary Feedwater] System Without Prior NRC Approval

LIST OF DOCUMENTS REVIEWED