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{{Adams
#REDIRECT [[IR 05000315/2014005]]
| number = ML15042A380
| issue date = 02/10/2015
| title = IR 05000315/2014005, 05000316/2014005; on 10/01/2014 - 12/31/2014; Donald C. Cook Nuclear Power Plant, Units 1 and 2; Operability Determinations and Functional Assessments; Plant Modifications; Post Maintenance Testing; Radiological Hazard
| author name = Riemer K
| author affiliation = NRC/RGN-III/DRP/B2
| addressee name = Weber L
| addressee affiliation = Indiana Michigan Power Co, Nuclear Generation Group
| docket = 05000315, 05000316
| license number = DPR-058, DPR-074
| contact person =
| document report number = IR 2014005
| document type = Inspection Report, Letter
| page count = 69
}}
See also: [[see also::IR 05000315/2014005]]
 
=Text=
{{#Wiki_filter:UNITED STATES
                            NUCLEAR REGULATORY COMMISSION
                                                REGION III
                                    2443 WARRENVILLE RD. SUITE 210
                                          LISLE, IL 60532-4352
                                        February 10, 2015
Mr. Larry Weber
Senior VP and Chief Nuclear Officer
Indiana Michigan Power Company
Nuclear Generation Group
One Cook Place
Bridgman, MI 49106
SUBJECT: DONALD C. COOK NUCLEAR POWER PLANT, UNITS 1 AND 2
              NRC INTEGRATED INSPECTION REPORT 05000315/2014005;
              05000316/2014005
Dear Mr. Weber:
On December 31, 2014, the U.S. Nuclear Regulatory Commission (NRC) completed an
inspection at your Donald C. Cook Nuclear Power Plant, Units 1 and 2. The enclosed report
documents the results of this inspection, which were discussed on January 20, 2015, with
yourself and members of your staff.
Based on the results of this inspection, three NRC-identified and two self-revealed findings of
very low safety significance were identified. The findings involved violations of NRC
requirements. However, because of their very low safety significance, and because the issues
were entered into your corrective action program, the NRC is treating the issues as
non-cited violations (NCVs) in accordance with Section 2.3.2 of the NRC Enforcement Policy
If you contest the subject or severity of these NCVs, you should provide a response within
30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear
Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001, with a
copy to the Regional Administrator, U.S. Nuclear Regulatory Commission - Region III,
2443 Warrenville Road, Suite 210, Lisle, IL 60532-4352; the Director, Office of Enforcement,
U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001; and the Resident Inspector
Office at the Donald C. Cook Nuclear Power Plant. In addition, if you disagree with the
cross-cutting aspect assigned to any finding in this report, you should provide a response within
30 days of the date of this inspection report, with the basis for your disagreement, to the
Regional Administrator, Region III, and the NRC Resident Inspector at the Donald C. Cook
Nuclear Power Plant.
 
L. Weber                                      -2-
In accordance with Title 10 of the Code of Federal Regulations (10 CFR) 2.390, Public
Inspections, Exemptions, Requests for Withholding, 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 NRCs Public Document Room or from the Publicly Available Records (PARS)
component of the NRC's Agencywide Documents Access and Management System (ADAMS).
ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html
(the Public Electronic Reading Room).
                                              Sincerely,
                                              /RA/
                                              Kenneth Riemer, Chief
                                              Branch 2
                                              Division of Reactor Projects
Docket Nos. 50-315; 50-316
License Nos. DPR-58; DPR-74
Enclosure:
IR 05000315/2014005; 05000316/2014005
  w/Attachment: Supplemental Information
cc w/encl: Distribution via LISTSERV
 
          U.S. NUCLEAR REGULATORY COMMISSION
                          REGION III
Docket Nos:        05000315; 05000316
License Nos:        DPR-58; DPR-74
Report No:          05000315/2014005; 05000316/2014005
Licensee:          Indiana Michigan Power Company
Facility:          Donald C. Cook Nuclear Power Plant, Units 1 and 2
Location:          Bridgman, MI
Dates:              October 1 through December 31, 2014
Inspectors:        J. Ellegood, Senior Resident Inspector
                    T. Taylor, Resident Inspector
                    J. Cassidy, Senior Health Physicist
                    M. Garza, Emergency Response Specialist
                    T. Go, Health Physicist
                    J. Lennartz, Project Engineer
                    M. Mitchell, Health Physicist
                    M. Phalen, Senior Health Physicist
                    E. Sanchez Santiago, Reactor Inspector
Approved by:        Kenneth Riemer, Chief
                    Branch 2
                    Division of Reactor Projects
                                                                  Enclosure
 
                                        TABLE OF CONTENTS
SUMMARY OF FINDINGS ........................................................................................................... 2
REPORT DETAILS ....................................................................................................................... 6
Summary of Plant Status ........................................................................................................... 6
  1.      REACTOR SAFETY ................................................................................................. 6
      1R01  Adverse Weather Protection (71111.01) ............................................................ 6
      1R04  Equipment Alignment (71111.04) ....................................................................... 7
      1R05  Fire Protection (71111.05) .................................................................................. 8
      1R06  Flooding (71111.06) ........................................................................................... 9
      1R07  Annual Heat Sink Performance (71111.07) ...................................................... 10
      1R08  Inservice Inspection Activities (71111.08P) ...................................................... 10
      1R11  Licensed Operator Requalification Program (71111.11) .................................. 13
      1R12  Maintenance Effectiveness (71111.12) ............................................................ 15
      1R13  Maintenance Risk Assessments and Emergent Work Control (71111.13) ....... 15
      1R15  Operability Determinations and Functional Assessments (71111.15) .............. 16
      1R18  Plant Modifications (71111.18) ......................................................................... 21
      1R19  Post-Maintenance Testing (71111.19) ............................................................. 24
      1R20  Outage Activities (71111.20) ............................................................................ 27
      1R22  Surveillance Testing (71111.22) ....................................................................... 28
      1EP4  Emergency Action Level and Emergency Plan Changes (71114.04) ............... 29
  2.      RADIATION SAFETY ............................................................................................. 31
      2RS1  Radiological Hazard Assessment and Exposure Controls (71124.01) ............. 31
      2RS2  Occupational As-Low-As-Reasonably-Achievable Planning and Controls
            (71124.02) ........................................................................................................ 37
      2RS7  Radiological Environmental Monitoring Program (71124.07) ........................... 38
  4.      OTHER ACTIVITIES .............................................................................................. 40
      4OA1  Performance Indicator Verification (71151) ...................................................... 40
      4OA2  Identification and Resolution of Problems (71152) ........................................... 45
      4OA3  Followup of Events and Notices of Enforcement Discretion (71153) ............... 49
      4OA6  Management Meetings ..................................................................................... 50
SUPPLEMENTAL INFORMATION ............................................................................................... 1
KEY POINTS OF CONTACT..................................................................................................... 1
LIST OF ITEMS OPENED, CLOSED AND DISCUSSED ......................................................... 2
LIST OF DOCUMENTS REVIEWED......................................................................................... 3
LIST OF ACRONYMS USED .................................................................................................. 13
 
                                        SUMMARY OF FINDINGS
Inspection Report 05000315/2014005, 05000316/2014005; 10/01/2014 - 12/31/2014;
Donald C. Cook Nuclear Power Plant, Units 1 and 2; Operability Determinations and Functional
Assessments; Plant Modifications; Post-Maintenance Testing; Radiological Hazard Assessment
and Exposure Controls.
This report covers a 3-month period of inspection by resident inspectors and announced
baseline inspections by regional inspectors. Three Green findings were identified by the
inspectors. Additionally, there were two Green self-revealed findings. The findings were
considered non-cited violations (NCVs) of NRC regulations. The significance of inspection
findings is indicated by their color (i.e., greater than Green, or Green, White, Yellow, Red) and
determined using Inspection Manual Chapter (IMC) 0609, Significance Determination Process
dated June 2, 2011. Cross-cutting aspects are determined using IMC 0310, Aspects Within the
Cross-Cutting Areas effective date December 4, 2014. All violations of NRC requirements are
dispositioned in accordance with the NRCs Enforcement Policy dated July 9, 2013. The NRC's
program for overseeing the safe operation of commercial nuclear power reactors is described in
NUREG-1649, Reactor Oversight Process, Revision 5, dated February 2014.
        Cornerstone: Mitigating Systems
    *  Green. A finding of very low safety significance, with an associated non-cited violation of
        10 CFR Part 50, Appendix B, Criterion 16, Corrective Actions, was identified by the
        inspectors for the licensees failure to promptly identify and correct a condition adverse
        to quality (CAQ) associated with Unit 1 Turbine-Driven Auxiliary Feedwater (TDAFW)
        pump turbine bearing oil. Specifically, the licensee failed to identify that water was
        entering the oil system after leakage had been identified directly above one of the
        TDAFW pump turbine bearings. On April 7, 2014, a cooling water leak was identified
        above the outboard turbine bearing. The leak was classified as about 1 drop-per-minute
        (dpm). On April 11, 2014, the licensee discovered the turbine bearing oil level was
        above the maximum mark on an attached sight glass. Several possible reasons were
        postulated for the high level (which had been steady in-band for over a year), such as
        rising turbine building temperatures and the fact that it was not uncommon for personnel
        to do unnecessary oil adds to the machine. Oil was drained out until level returned to
        the maximum mark. On May 22, 2014, the licensee again noted oil level to be above the
        maximum mark. Oil was drained again, and similar reasons provided for the level
        increase. Further, a statement was made that oil level had been steady for the past
        month, neglecting the previous high level condition. In parallel, NRC inspectors had
        questioned why level was being maintained at the maximum mark when the operator
        logs and a sign stated level should be kept at the minimum mark. On May 23, the
        licensee decided to drain the oil system; 620 ml of water was found. New oil was added,
        and a temporary modification was installed which directed leakage away from the
        bearing. The issue was entered into the Corrective Action Program (CAP), and an
        apparent cause evaluation later determined the leakage to be the primary intrusion
        pathway for the water.
        The issue was more-than-minor because it adversely affected the Configuration Control
        attribute of the Mitigating Systems Cornerstone, whose objective is to ensure the
        availability, reliability, and capability of systems that respond to initiating events to
        prevent undesirable consequences. Additionally, if left uncorrected, the issue could lead
        to a more significant safety concern. The inspectors assessed the finding for
                                                      2
 
  significance using IMC 0609, Significance Determination Process. Per Appendix A, the
  finding screened as Green, or very low safety significance, in Exhibit 2. Specifically, all
  questions were answered no under Section A for findings related to Mitigating
  Structures, Systems and Components (SSCs) and Functionality. The inspectors
  reviewed the licensees past operability evaluation and concluded that given the
  projected amount of water that could be entrained in the oil during operation, along with
  the duration of operation assumed in the safety analyses, that operability of the pump
  would be maintained. The finding had an associated cross-cutting aspect in the Human
  Performance area, specifically, H.11, Challenge the Unknown. Regarding the TDAFW
  oil system, the licensee rationalized why the level was increasing without sufficient
  investigation given the significance of the system, and did not seek further information
  that was readily available regarding appropriate oil levels. (Section 1R15)
* Green. A finding of very low safety significance, with an associated non-cited violation
  of Technical Specification (TS) 5.4, Procedures, was self-revealed when a vacuum was
  inadvertently drawn on the AB Fuel Oil Storage Tank (FOST) during preparations for
  surveillance activities. The vacuum caused an indication of lowering level in the tank,
  alarms, and an unplanned TS Limiting Condition for Operation (LCO) action statement
  entry. The licensee was performing work activities in preparation for a leak test of the
  FOST. The general sequence of activities should have been a loosening of the vent
  filter for the tank, a transfer of fuel from the FOST to the Emergency Diesel Generator
  (EDG) day tanks, removal of the FOST from service, and finally removal of the vent filter
  so test equipment could be connected to the tank. Due to ambiguous work instruction
  steps and activities not being adequately controlled to ensure the proper sequence
  occurred, workers first removed the vent filter completely and placed a Foreign Material
  Exclusion (FME) bag over the vent. When operators later transferred fuel, a vacuum
  was drawn in the tank and level appeared to be going down. Utilizing a manual method
  of level measurement (which had also been affected by the vacuum), operators
  determined fuel was actually being lost from the tank to the environment. Shortly
  thereafter, the bag was found and removed, and level restored to normal (there was no
  actual loss of fuel). Technical Specification 5.4, Procedures, states, in part, that written
  procedures shall be established, implemented, and maintained covering the applicable
  procedures recommended in Regulatory Guide 1.33. Regulatory Guide 1.33 states, in
  part, that maintenance that can affect the performance of safety-related equipment
  should be properly preplanned and performed in accordance with written procedures,
  documented instructions, or drawings appropriate to the circumstances. Contrary to
  these requirements, the FOST surveillance was performed with inadequate instructions
  and was not coordinated appropriately. The licensee entered the issue into the CAP and
  performed a root cause analysis.
  The performance deficiency was more than minor because it adversely impacted the
  Configuration Control attribute of the Mitigating Systems cornerstone, whose objective is
  ensuring the availability, reliability, and capability of systems that respond to initiating
  events to prevent undesirable consequences. The finding screened as Green, or very
  low safety significance, utilizing IMC 0609, Appendix A, The Significance Determination
  Process for Findings at Power. Specifically, all questions were answered no under
  Section A of Exhibit 2 for Mitigating Systems, since that was the affected cornerstone.
  The FME bag was installed, which rendered the AB FOST inoperable, for approximately
  16 hours. This was less than the TS allowed outage time of 48 hours. The finding had
  an associated cross-cutting aspect in the human performance area, specifically, H.5,
  Work Management. Work activities should be planned, controlled, and executed with
                                                3
 
  nuclear safety as the overriding priority. Contrary to the tenets of the cross-cutting
  aspect, the work was planned and executed with inadequate work instructions. Further,
  there was a lack of coordination between a number of work groups and activities
  associated with the test. (Section 1R15)
* Green. A finding of very low safety significance, with an associated non- violation
  of TS 5.4, Procedures, was self-revealed on November 1, 2014, when the Unit 1
  TDAFW pump tripped during an emergent dual-unit shutdown. Both units were taken
  offline by operators due to debris intrusion from Lake Michigan into the cooling water
  screenhouse. The TDAFW pump started as expected but shutdown after a few minutes
  of operation. Investigation by the licensee revealed that a cover for the trip solenoid had
  been installed incorrectly. The cover was relatively loose and had been placed near
  components involved with the proper latching of the Trip and Throttle valve (TTV) (the
  valve which opens to let steam in to turn the pump on). After refuting several possible
  causes and running the pump several times for testing, the licensee determined the
  likely cause of the trip was the misplaced enclosure, which could have interfered with the
  proper latching of the TTV. Technical Specification 5.4, Procedures, states, in part,
  that written procedures shall be established, implemented, and maintained covering the
  applicable procedures recommended in Regulatory Guide 1.33. Regulatory Guide 1.33
  states, in part, that maintenance that can affect the performance of safety-related
  equipment should be properly preplanned and performed in accordance with written
  procedures, documented instructions, or drawings appropriate to the circumstances.
  Contrary to these requirements, the cause of the misplaced enclosure was due to a lack
  of detailed instructions regarding the installation and removal of the enclosure. The
  enclosure was most recently affected by maintenance performed during the fall 2014
  refueling outage. The licensee worked with the vendor and reinstalled the enclosure
  correctly. The Unit 2 TDAFW pump trip solenoid enclosure was also found out of
  position and corrected. The licensee entered the issue into the CAP.
  The performance deficiency was more than minor because it adversely impacted the
  Configuration Control attribute of the Mitigating Systems cornerstone, whose objective is
  ensuring the availability, reliability, and capability of systems that respond to initiating
  events to prevent undesirable consequences. The inspectors utilized IMC 0609
  Appendix A, The Significance Determination Process for Findings at Power, to assess
  the significance of the finding. Per Exhibit 2, the finding represented a loss of function
  for one train of Auxiliary Feedwater (AFW) for greater than the TS allowed outage time.
  Therefore, the inspectors consulted the regional Senior Reactor Analyst for a detailed
  risk evaluation. The inspectors considered the Unit 1 TDAFW pump inoperable since
  the last successful surveillance on October 23, 2014. Given the evidence available, this
  was the likely opportunity for the conditions to be established to set-up the improper
  engagement between the TTV and the trip hook. In the detailed analysis, the finding
  screened as Green, or very low safety significance. The finding had an associated
  cross-cutting aspect in the area of human performance, specifically, H.8, Procedure
  Adherence. During maintenance, work proceeded on the trip enclosure despite a lack of
  detailed instructions on the removal/installation of the enclosure. (Section 1R19)
  Cornerstone: Barrier Integrity
* Green. The inspectors identified a non- violation of 10 CFR Part 50, Appendix B,
  Criterion 3 Design Control, for the licensees inadequate radiological review of
  permanently removing the Auxiliary Missile Blocks (AMBs) from the Unit 1 and Unit 2
                                              4
 
  containment accident shields. The finding was determined to be more than minor
  because it was associated with the Barrier Integrity Cornerstone attribute of design
  control; and adversely affected the cornerstone objective of maintaining radiological
  barrier functionality of the safety-related accident shield. Specifically, the failure to
  control plant design and adequately evaluate the radiological effects of permanently
  removing the AMBs from the Unit 1 and Unit 2 containment accident shields did not
  ensure that the accident shield will provide its design function to ensure safe radiation
  levels outside the containment building following a maximum design basis accident.
  The inspectors evaluated the finding using the Significance Determination Process
  (SDP) in accordance with IMC 0609, Significance Determination Process, Attachment
  0609.04, Initial Characterization of Findings, dated June 19, 2012. Because the finding
  impacted the Barrier Integrity Cornerstone, the inspectors screened the finding through
  IMC 0609, Appendix A, The Significance Determination Process for Findings At-Power,
  dated June 19, 2012, using Exhibit 3, Barrier Integrity Screening Questions. The
  finding screened as very-low safety significance (Green) because the finding only
  represented a degradation of the radiological barrier function provided for the Auxiliary
  Building. The inspectors determined the cause of this finding did not represent current
  licensee performance and, thus, no cross-cutting aspect was assigned. (Section 1R18)
  Cornerstone: Occupational Radiation Safety
* Green. The inspectors identified a finding of very-low safety significance for inadequate
  procedures used to verify Locked High Radiation Controls in the Unit 2 Containment with
  an associated non- violation of TS 5.4, Procedures. As a result, weekly, from
  November 1, 2013, to March 2014, multiple Radiation Protection Technicians verified the
  Unit 2 Upper Containment Cavity Gate was locked; however it did not secure the area
  against unauthorized access.
  The inspectors determined that the performance deficiency was more than minor
  because if left uncorrected the performance deficiency could lead to a more significant
  safety concern. Specifically, the failure to identify deficient Locked High Radiation Area
  (LHRA) controls could result in unintentional exposure to high levels of radiation. The
  finding was determined to be of very-low safety significance because the problem was
  not an as-low-as-is-reasonably-achievable (ALARA) planning issue, there was no
  overexposure, nor substantial potential for an overexposure, and the licensees ability to
  assess dose was not compromised. The inspectors did not identify a corresponding
  cross-cutting aspect for this performance deficiency. The licensee entered the
  deficiency in their Corrective Action Program as Action Request (AR) 2014-9001
  immediately upon discovery and presentation by the inspectors. (Section 2RS1.1)
                                              5
 
                                        REPORT DETAILS
Summary of Plant Status
Unit 1 began the inspection period in a refueling outage. On October 29, 2014, the plant was
restored to 100 percent power. On November 1, rough lake conditions generated substantial
amounts of debris that clogged trash racks and travelling screens. The licensee manually
tripped the reactor and maintained the plant in hot standby (Mode 3). On November 8, the
licensee restored the plant to 100 percent power.
Unit 2 began the inspection period at 100 percent power. On November 1, 2014, rough lake
conditions generated substantial amounts of debris that clogged trash racks and travelling
screens. The licensee reduced power to 50 percent to reduce circulating water flow.
Conditions continued to degrade; therefore the licensee manually tripped the reactor. The
licensee cooled down and entered Mode 5 to repair an intermediate range nuclear instrument.
On November 13, the plant was restored to 100 percent power.
1.      REACTOR SAFETY
        Cornerstones: Initiating Events, Mitigating Systems, and Barrier Integrity
1R01 Adverse Weather Protection (71111.01)
  .1    Winter Seasonal Readiness Preparations
    a.  Inspection Scope
        The inspectors conducted a review of the licensees preparations for winter conditions to
        verify that the plants design features and implementation of procedures were sufficient
        to protect mitigating systems from the effects of adverse weather. Documentation for
        selected risk-significant systems was reviewed to ensure that these systems would
        remain functional when challenged by inclement weather. During the inspection, the
        inspectors focused on plant specific design features and the licensees procedures used
        to mitigate or respond to adverse weather conditions. Additionally, the inspectors
        reviewed the Updated Final Safety Analysis Report (UFSAR) and performance
        requirements for systems selected for inspection, and verified that operator actions were
        appropriate as specified by plant specific procedures. Cold weather protection, such as
        heat tracing and area heaters, was verified to be in operation where applicable. The
        inspectors also reviewed CAP items to verify that the licensee was identifying adverse
        weather issues at an appropriate threshold and entering them into their CAP in
        accordance with station corrective action procedures. Documents reviewed are listed in
        the Attachment to this report. The inspectors reviews focused specifically on the
        following plant systems due to their risk significance or susceptibility to cold weather
        issues:
        This inspection constituted one winter seasonal readiness preparations sample as
        defined in Inspection Procedure (IP) 71111.01-05.
    b.  Findings
        No findings were identified.
                                                  6
 
.2  Readiness for Impending Adverse Weather ConditionHigh Wind Conditions
  a. Inspection Scope
      On November 6, 2014, the National Weather Service predicted high winds and rough
      lake conditions in the vicinity of the plant. Since debris intrusion during similar conditions
      the previous week had resulted in damage to equipment and a dual unit plant trip, the
      inspectors validated the sites readiness for the adverse weather. The inspectors
      reviewed the licensees overall preparations/protection for the expected weather
      conditions. The inspectors walked down the service water screen house to assess the
      licensee progress on repairing trash racks and traveling water screens. The inspectors
      evaluated the licensee staffs preparations against the sites procedures and determined
      that the staffs actions were adequate. During the inspection, the inspectors focused on
      actions taken to minimize debris intrusion and operators preparations to address
      degradation of raw water systems. The inspectors also reviewed a sample of CAP items
      to verify that the licensee identified adverse weather issues at an appropriate threshold
      and disposed them through the CAP in accordance with station corrective action
      procedures. Documents reviewed are listed in the Attachment to this report.
      This inspection constituted one readiness for impending adverse weather condition
      sample as defined in IP 71111.01-05.
  b. Findings
      No findings were identified.
1R04 Equipment Alignment (71111.04)
.1  Quarterly Partial System Walkdowns
  a. Inspection Scope
      The inspectors performed partial system walkdowns of the following risk-significant
      systems:
      *        Unit 2 Residual Heat Removal system after maintenance;
      *        Unit 2 Steam Generator (SG) power-operated relief valves during maintenance
              on other power-operated relief valves; and
      *        Unit 2 AFW during maintenance on a single train.
      The inspectors selected these systems based on their risk significance relative to the
      Reactor Safety Cornerstones at the time they were inspected. The inspectors attempted
      to identify any discrepancies that could impact the function of the system and, therefore,
      potentially increase risk. The inspectors reviewed applicable operating procedures,
      system diagrams, UFSAR, TS requirements, outstanding work orders (WOs), condition
      reports, and the impact of ongoing work activities on redundant trains of equipment in
      order to identify conditions that could have rendered the systems incapable of
      performing their intended functions. The inspectors also walked down accessible
      portions of the systems to verify system components and support equipment were
      aligned correctly and operable. The inspectors examined the material condition of the
      components and observed operating parameters of equipment to verify that there were
      no obvious deficiencies. The inspectors also verified that the licensee had properly
                                                  7
 
      identified and resolved equipment alignment problems that could cause initiating events
      or impact the capability of mitigating systems or barriers and entered them into the CAP
      with the appropriate significance characterization. Documents reviewed are listed in the
      Attachment to this report.
      These activities constituted three partial system walkdown samples as defined in
      IP 71111.04-05.
  b. Findings
      No findings were identified.
.2  Semiannual Complete System Walkdown
  a. Inspection Scope
      On December 30, 2014, the inspectors completed a complete system alignment
      inspection of the Unit 1 Containment Spray system to verify the functional capability of
      the system. This system was selected because it was considered both safety significant
      and risk significant in the licensees probabilistic risk assessment. The inspectors
      walked down the system to review mechanical and electrical equipment lineups;
      electrical power availability; system pressure and temperature indications, as
      appropriate; component labeling; component lubrication; component and equipment
      cooling; hangers and supports; operability of support systems; and to ensure that
      ancillary equipment or debris did not interfere with equipment operation. A review of a
      sample of past and outstanding WOs was performed to determine whether any
      deficiencies significantly affected the system function. In addition, the inspectors
      reviewed the CAP database to ensure that system equipment alignment problems were
      being identified and appropriately resolved. Documents reviewed are listed in the
      Attachment to this report.
      These activities constituted one complete system walkdown sample as defined in
      IP 71111.04-05.
  b. Findings
      No findings were identified.
1R05 Fire Protection (71111.05)
.1  Routine Resident Inspector Tours (71111.05Q)
  a. Inspection Scope
      The inspectors conducted fire protection walkdowns which were focused on availability,
      accessibility, and the condition of firefighting equipment in the following risk-significant
      plant areas:
      *        Unit 2 AB EDG;
      *        Unit 2 CD EDG;
      *        Unit 2 Quadrant cable tunnels; and
      *        Unit 1 Essential Service Water Motor Control Center Room.
                                                  8
 
      The inspectors reviewed areas to assess if the licensee had implemented a fire
      protection program that adequately controlled combustibles and ignition sources
      within the plant, effectively maintained fire detection and suppression capability,
      maintained passive fire protection features in good material condition, and implemented
      adequate compensatory measures for out-of-service, degraded or inoperable fire
      protection equipment, systems, or features in accordance with the licensees fire plan.
      The inspectors selected fire areas based on their overall contribution to internal fire risk
      as documented in the plants Individual Plant Examination of External Events with later
      additional insights, their potential to impact equipment which could initiate or mitigate a
      plant transient, or their impact on the plants ability to respond to a security event.
      Using the documents listed in the Attachment to this report, the inspectors verified that
      fire hoses and extinguishers were in their designated locations and available for
      immediate use; that fire detectors and sprinklers were unobstructed; that transient
      material loading was within the analyzed limits; and fire doors, dampers, and penetration
      seals appeared to be in satisfactory condition. The inspectors also verified that minor
      issues identified during the inspection were entered into the licensees CAP.
      Documents reviewed are listed in the Attachment to this report.
      These activities constituted four quarterly fire protection inspection samples as defined in
      IP 71111.05-05.
  b. Findings
      No findings were identified.
1R06 Flooding (71111.06)
.1  Underground Vaults
  a. Inspection Scope
      The inspectors selected underground bunkers/manholes subject to flooding that
      contained cables whose failure could disable risk-significant equipment. The inspectors
      determined that the cables were not submerged, that splices were intact, and that
      appropriate cable support structures were in place. In those areas where dewatering
      devices were used, such as a sump pump, the device was operable and level alarm
      circuits were set appropriately to ensure that the cables would not be submerged. In
      those areas without dewatering devices, the inspectors verified that drainage of the area
      was available, or that the cables were qualified for submergence conditions. The
      inspectors also reviewed the licensees corrective action documents with respect to past
      submerged cable issues identified in the corrective action program to verify the
      adequacy of the corrective actions. The inspectors performed a walkdown of the
      following underground bunkers/manholes subject to flooding:
      *        Bunkers/manholes containing security cabling; and
      *        Bunkers/manholes with safety-related cabling supporting technical specification
              offsite power sources
      Specific documents reviewed during this inspection are listed in the Attachment to this
      report. This inspection constituted one underground vaults sample as defined in
      IP 71111.06-05.
                                                9
 
  b. Findings
      No findings were identified.
1R07 Annual Heat Sink Performance (71111.07)
  a. Inspection Scope
      The inspectors reviewed the licensees inspection of Unit 1 CD EDG north air aftercooler
      to verify that potential deficiencies did not mask the licensees ability to detect degraded
      performance, to identify any common cause issues that had the potential to increase
      risk, and to ensure that the licensee was adequately addressing problems that could
      result in initiating events that would cause an increase in risk. The inspectors observed
      licensee visual observations of the internals of the heat exchanger to verify cleanliness
      of the heat exchanger. Additionally, the inspectors reviewed eddy current testing results
      and interviewed heat exchanger program engineers. Documents reviewed for this
      inspection are listed in the Attachment to this document.
      This annual heat sink performance inspection constituted one sample as defined in
      IP 71111.07-05.
  b. Findings
      No findings were identified.
1R08 Inservice Inspection Activities (71111.08P)
      From September 29, 2014, through October 10, 2014, the inspector conducted a review
      of the implementation of the licensees Inservice Inspection (ISI) Program for monitoring
      degradation of the Unit 1 Reactor Coolant System (RCS), steam generator tubes,
      Emergency Feedwater Systems, Risk Significant Piping and Components, and
      Containment Systems.
      The inspections described in Sections 1R08.1, 1R08.2, IR08.3, IR08.4, and 1R08.5
      below constituted one inservice inspection sample as defined in IP 71111.08-05.
.1  Piping Systems Inservice Inspection
  a. Inspection Scope
      The inspectors observed and reviewed records of the following non-destructive
      examinations (NDE) mandated by the American Society of Mechanical Engineers
      (ASME) Section XI Code to evaluate compliance with the ASME Code Section XI
      and Section V requirements, and if any indications and defects were detected, to
      determine whether these were dispositioned in accordance with the ASME Code or an
      NRC-approved alternative requirement:
      *        Ultrasonic (UT) examination of ASME Code Class 2, risk informed (R-A), pipe to
              elbow weld, 1-FW-12-02S;
      *        UT of ASME Code Class 1, Pressurizer Relief Nozzle inner Radius;
              6-1-RC-7-IRS;
                                                10
 
    *      UT of ASME Code Class 1; Pressurizer Spray Nozzle Inner Radius;
            4-1-RC-10-IRS; and
    *      Magnetic Particle (MT) Examination of ASME Code Class 1, Pressurizer Vessel
            Support; 1-PRZ-26.
    There were no recordable indications identified during the previous refueling outage.
    The inspectors reviewed NDE records associated with the following pressure boundary
    welds completed for risk significant components during the current refueling outage to
    determine whether the licensee applied the pre-service NDE and acceptance criteria
    required by the Construction Code and ASME Code, Section XI. Additionally, the
    inspectors reviewed the welding procedure specification and supporting weld procedure
    qualification records to determine whether the weld procedure was qualified in
    accordance with the requirements of Construction Code and the ASME Code Section IX:
    *      Welds OW-1, OW-2 and OW-3 associated with replacement valve 1-CS-314
            (Work Order 55440759-5); and
    *      Welds OW-1 and OW-2 associated with replacement valve 1-NLI-112-V1 (Work
            Order 55390312-01)
    The inspectors also reviewed NDE records associated with the following pressure
    boundary welds completed for risk significant systems since the beginning of the last
    refueling:
    *      Welds OW-1, 2, 3, 4, 5 and OW-6 associated with replacement of valve
            1-NFP-222-V2 (Work Order 55421212-10/13); and
    *      Welds OW-1 associated with the installation of pipe support 1-ARC-S4012
            (WO Order 55404504-06).
  b. Findings
    No findings were identified.
.2  Reactor Pressure Vessel Upper Head Penetration Inspection Activities
  a. Inspection Scope
    For the Unit 1 reactor vessel head, no examination was required pursuant to
    10 CFR 50.55a(g)(6)(ii)(D) for the current refueling outage. Therefore, no NRC review
    was completed for this inspection procedure attribute.
  b. Findings
    No findings were identified.
.3    Boric Acid Corrosion Control (BACC)
  a. Inspection Scope
    The inspectors observed the licensees BACC visual examinations for portions of the
    RCS, connected systems, and verified whether these visual examinations emphasized
                                            11
 
      locations where boric acid leaks can cause degradation of safety significant
      components.
      The inspectors reviewed the following licensee evaluations of RCS components with
      Boric Acid deposits to determine whether degraded components were documented in
      the corrective action system. The inspectors also evaluated corrective actions for any
      degraded RCS components to determine whether they met the component Construction
      Code, ASME Section XI Code, and/or NRC approved alternative:
      *      AR 2013-4317; 1-QRV-114, body to bonnet leak;
      *      AR 2013-4625;1-CS-448-1 has a BA leak;
      *      AR 2013-5096; No. 14 SG cold leg nozzle dam leakage;
      *      AR 2013-6839; U1C25 Refueling Cavity Leakage; and
      *      AR 2013-7061; 1-RH-147W has Boric Acid on Body to Bonnet.
      The inspectors reviewed the following corrective actions related to evidence of
      BA leakage to determine whether the corrective actions completed were consistent with
      the requirements of the ASME Code Section XI and 10 CFR Part 50, Appendix B,
      Criterion XVI:
      *      AR 2013-0534; 12-CS-185 has a body to bonnet leak;
      *      AR 2014-9459; 12-CS-185 has a ruptured diaphragm;
      *      AR 2013-7220; Reactor Head and Pressure Vent Piping Area;
      *      AR 2013-7355; 1-NFP-240 has evidence of prior test fitting leakage; and
      *      AR 2013-7067; 1-RH-107W leaks by at 0.095 ml/min.
  b. Findings
      No findings were identified.
.4    Steam Generator Tube Inspection Activities
  a.  Inspection Scope
      The NRC inspectors observed acquisition of eddy current (ET) data, interviewed ET data
      analysts, and reviewed documentation related to the SG ISI Program to determine
      whether:
      *      the numbers and sizes of SG tube flaws/degradation identified was consistent
              with the licensees previous outage Operational Assessment predictions;
      *      the SG tube ET examination scope and expansion criteria were sufficient to meet
              the Technical Specifications, and the Electric Power Research Institute (EPRI)
              Document 1013706, Pressurized Water Reactor Steam Generator Examination
              Guidelines;
      *      the SG tube ET examination scope included potential areas of tube degradation
              identified in prior outage SG tube inspections and/or as identified in NRC generic
              industry operating experience applicable to these SG tubes;
      *      the licensee-identified new tube degradation mechanisms and implemented
              adequate extent of condition inspection scope and repairs for the new tube
              degradation mechanism;
      *      the licensee implemented qualified depth sizing methods to degraded tubes
              accepted for continued service;
                                              12
 
      *        the ET probes and equipment configurations used to acquire data from the SG
                tubes were qualified to detect the known/expected types of SG tube degradation
                in accordance with Appendix H, Performance Demonstration for Eddy Current
                Examination, of EPRI Document 1013706, Pressurized Water Reactor Steam
                Generator Examination Guidelines;
      *        the licensee performed secondary side SG inspections for location and removal
                of foreign materials;
      *        The licensee implemented repairs for SG tubes damaged by foreign material;
                and
      *        Foreign objects were left within the secondary side of the SGs, and if so, that the
                licensee implemented evaluations, which included the effects of foreign object
                migration and/or tube fretting damage.
  b.  Findings
      No findings were identified.
.5    Identification and Resolution of Problems
    a. Inspection Scope
      The inspectors performed a review of ISI-related problems entered into the licensees
      CAP and conducted interviews with licensee staff to determine whether:
      *        the licensee had established an appropriate threshold for identifying ISI-related
                problems;
      *        the licensee had performed a root cause (if applicable) and taken appropriate
                corrective actions; and
      *        the licensee had evaluated operating experience and industry generic issues
                related to ISI and pressure boundary integrity.
      The inspectors performed these reviews to evaluate compliance with 10 CFR Part 50,
      Appendix B, Criterion XVI, Corrective Action, requirements. The corrective action
      documents reviewed by the inspectors are listed in the Attachment to this report.
    b. Findings
      No findings were identified.
1R11 Licensed Operator Requalification Program (71111.11)
.1    Resident Inspector Quarterly Review of Licensed Operator Requalification (71111.11Q)
  a.  Inspection Scope
      On November 19, 2014, the inspectors observed a crew of licensed operators in the
      plants simulator during licensed operator requalification training to verify that operator
      performance was adequate, evaluators were identifying and documenting crew
      performance problems and training was being conducted in accordance with licensee
      procedures. The inspectors evaluated the following areas:
      *        licensed operator performance;
                                                  13
 
    *        crews clarity and formality of communications;
    *        ability to take timely actions in the conservative direction;
    *        prioritization, interpretation, and verification of annunciator alarms;
    *        correct use and implementation of abnormal and emergency procedures;
    *        control board manipulations;
    *        oversight and direction from supervisors; and
    *        ability to identify and implement appropriate TS actions and Emergency Plan
              actions and notifications.
    The crews performance in these areas was compared to pre-established operator action
    expectations and successful critical task completion requirements. Documents reviewed
    are listed in the Attachment to this report.
    This inspection constituted one quarterly licensed operator requalification program
    simulator sample as defined in IP 71111.11
  b. Findings
    No findings were identified.
.2  Resident Inspector Quarterly Observation of Heightened Activity or Risk (71111.11Q)
  a. Inspection Scope
    On October 17-18, 2014, the inspectors observed the drain-down and vacuum fill of the
    RCS during the Unit 1 refueling outage. This was a high-risk (Orange) activity planned
    during the outage. The inspectors evaluated the following areas:
    *        licensed operator performance;
    *        crews clarity and formality of communications;
    *        ability to take timely actions in the conservative direction;
    *        prioritization, interpretation, and verification of annunciator alarms (if applicable);
    *        correct use and implementation of procedures;
    *        control board (or equipment) manipulations;
    *        oversight and direction from supervisors; and
    *        ability to identify and implement appropriate TS actions and Emergency Plan
              actions and notifications (if applicable).
    The performance in these areas was compared to pre-established operator action
    expectations, procedural compliance and task completion requirements. Documents
    reviewed are listed in the Attachment to this report.
    This inspection constituted one quarterly licensed operator heightened activity/risk
    sample as defined in IP 71111.11, and was done in conjunction with the requirements of
    IP 71111.20.
                                                  14
 
1R12 Maintenance Effectiveness (71111.12)
  a. Inspection Scope
    The inspectors evaluated degraded performance issues involving the following
    risk-significant systems:
    *        Nuclear Instrumentation;
    *        Main Steam;
    *        Anticipated Transient Without Scram Mitigating System Actuation Circuitry; and
    *        Rod Position Indication
    The inspectors reviewed events such as where ineffective equipment maintenance had
    resulted in valid or invalid automatic actuations of engineered safeguards systems and
    independently verified the licensee's actions to address system performance or condition
    problems in terms of the following:
    *        implementing appropriate work practices;
    *        identifying and addressing common cause failures;
    *        scoping of systems in accordance with 10 CFR 50.65(b) of the maintenance rule;
    *        characterizing system reliability issues for performance;
    *        charging unavailability for performance;
    *        trending key parameters for condition monitoring;
    *        ensuring 10 CFR 50.65(a)(1) or (a)(2) classification or re-classification; and
    *        verifying appropriate performance criteria for SSCs/functions classified as (a)(2),
              or appropriate and adequate goals and corrective actions for systems classified
              as (a)(1).
    The inspectors assessed performance issues with respect to the reliability, availability,
    and condition monitoring of the system. In addition, the inspectors verified maintenance
    effectiveness issues were entered into the CAP with the appropriate significance
    characterization. Documents reviewed are listed in the Attachment to this report.
    This inspection constituted four quarterly maintenance effectiveness samples as defined
    in IP 71111.12-05.
  b. Findings
1R13 Maintenance Risk Assessments and Emergent Work Control (71111.13)
  a. Inspection Scope
    The inspectors reviewed the licensee's evaluation and management of plant risk for the
    maintenance and emergent work activities affecting risk-significant and safety-related
    equipment listed below to verify that the appropriate risk assessments were performed
    prior to removing equipment for work:
    *        Rough lake conditions during emergent trash rack work;
    *        Essential service water flow verification work concurrent with EDG testing; and
    *        Emergent repairs to the Unit 2 Motor-Driven Auxiliary Feedwater (MDAFW) pump
              room ventilation unit
                                                15
 
    These activities were selected based on their potential risk significance relative to the
    Reactor Safety Cornerstones. As applicable for each activity, the inspectors verified that
    risk assessments were performed as required by 10 CFR 50.65(a)(4) and were accurate
    and complete. When emergent work was performed, the inspectors verified that the
    plant risk was promptly reassessed and managed. The inspectors reviewed the scope
    of maintenance work, discussed the results of the assessment with the licensee's
    probabilistic risk analyst or shift technical advisor, and verified plant conditions were
    consistent with the risk assessment. The inspectors also reviewed TS requirements and
    walked down portions of redundant safety systems, when applicable, to verify risk
    analysis assumptions were valid and applicable requirements were met.
    Documents reviewed during this inspection are listed in the Attachment to this report.
    These maintenance risk assessments and emergent work control activities constituted
    three samples as defined in IP 71111.13-05.
  b. Findings
    No findings were identified.
1R15 Operability Determinations and Functional Assessments (71111.15)
  a. Inspection Scope
    The inspectors reviewed the following issues:
    *        Main Steam Safety Valves lift during dual-unit trip;
    *        Water intrusion into the Unit 1 TDAFW turbine bearings;
    *        Question regarding TDAFW pump mission time;
    *        Inability to make new ice during the Unit 1 refueling outage;
    *        Inadvertent placement of FME bag on AB Fuel Oil Storage Tank vent;
    *        Failure of automatic load tapping of Unit 2 Reserve Auxiliary Transformer and
              failure of automatic generator trip during dual-unit trip; and
    *        Leakby on a Unit 2 AFW flow control valve.
    The inspectors selected these potential operability issues based on the risk significance
    of the associated components and systems. The inspectors evaluated the technical
    adequacy of the evaluations to ensure that TS operability was properly justified and the
    subject component or system remained available such that no unrecognized increase in
    risk occurred. The inspectors compared the operability and design criteria in the
    appropriate sections of the TS and UFSAR to the licensees evaluations to determine
    whether the components or systems were operable. Where compensatory measures
    were required to maintain operability, the inspectors determined whether the measures
    in place would function as intended and were properly controlled. The inspectors
    determined, where appropriate, compliance with bounding limitations associated with the
    evaluations. Additionally, the inspectors reviewed a sampling of corrective action
    documents to verify that the licensee was identifying and correcting any deficiencies
    associated with operability evaluations. Documents reviewed are listed in the
    Attachment to this report.
    This operability inspection constituted seven samples as defined in IP 71111.15-05.
                                                16
 
b.  Findings
(1) Failure to Identify Conditions Adverse to Quality Associated with the Unit 1 TDAFW
    Pump Turbine Oil System
    Introduction: A finding of very low safety significance (Green) with an associated NCV of
    10 CFR Part 50, Appendix B, Criterion 16, Corrective Actions, was identified by the
    inspectors for the licensees failure to promptly identify and correct a CAQ associated
    with Unit 1 TDAFW pump turbine bearing oil. Specifically, the licensee failed to identify
    that water was entering the Unit 1 TDAFW pump turbine bearing oil system after leakage
    had been identified directly above one of the TDAFW pump turbine bearings.
    Description: On April 7, 2014, the licensee identified a 1 dpm leak from the Unit 1
    TDAFW pump governor cooling pipe located directly above the outboard turbine bearing.
    An AR was written (AR 2014-4473) which determined that due to the leak rate and the
    apparent lack of any equipment impacts, there were no operability concerns. On
    April 11, 2014, the licensee discovered that the turbine bearing oil level was
    approximately 0.5 inches above the MAXIMUM mark on the sight glass. Level had been
    recorded in the logs as being within band for over a year without any prior evidence of
    high level. Additionally, there were no evolutions that had been performed which would
    explain the high level. The licensee generated AR 2014-4684 to document this
    condition. The AR documented several possible reasons for the unexplained level rise.
    One was that turbine building temperature had gone up. Another was that it was not
    uncommon for personnel to unnecessarily add oil to the machine from time to time. No
    other information was provided to validate either potential cause. Additionally, there was
    no mention of the leak identified above one of the turbine bearings four days prior. No
    formal monitoring plan was established. An action was created to sample the oil for
    water, but as of six weeks later, a work order had not been finalized and scheduled.
    The only other action was a lessons-learned that was created for Mechanical
    Maintenance department regarding unnecessary oil adds. The response to the action
    from the group was that they dont typically do oil adds, but that they discussed the topic
    anyway. The inspectors reviewed reference information with respect to oil levels and
    their importance to machine operability. According to the vendor manual, EPRI
    guidance on Terry turbines, and an AR the licensee evaluated in 2012, oil level is
    extremely critical in the turbine bearing pedestals. The references all concluded that oil
    level above the MAXIMUM mark could lead to oil frothing, which could affect stable
    operation of the turbine and loss of oil from the system. Further, the references, along
    with the plant logs, stated that oil level should be kept at or slightly above the MINIMUM
    mark. Action Request 2014-4684 concluded that in April 2013, the reservoir was
    over-filled to the MAXIMUM mark. No further information was provided on why this
    occurred or why it was acceptable to stay at the MAXIMUM mark. One quart of oil was
    drained from the turbine bearing pedestals, bringing the level back to near the
    MAXIMUM mark. Approximately five weeks later, an NRC inspector touring the plant
    questioned why level was near the MAXIMUM mark given a placard near the sight glass
    said to keep level at the MINIMUM mark (which aligned with the references above).
    The licensee generated an AR (2014-6315) about one week later on May 22 when the
    inspector asked about the condition again. In the AR, they documented the NRC
    observation and also the fact that an operator had noted level to be above the
    MAXIMUM mark by approximately 0.25 inches. Oil was again drained from the
    machine, this time to right above the MINIMUM mark. The operability assessment
    (which was not documented until the following day), stated that at time of discovery, the
                                                17
 
machine was operable because of oil level not affecting operability of the turbine and a
history of overfilling that sometimes required draining of the oil. Further, a statement
was made that there had been a consistent oil level trend for the past month. Again,
the leakage above the bearing was not discussed. There was no discussion of the
previous high-level condition from April 11. On May 23, the licensee decided to
completely drain the oil and sample it for water; 620 ml of water was found in the 2.5
gallon system. New oil was added, and an apparent cause evaluation was performed.
The evaluation concluded that leakage above the bearing housing (documented
originally in AR 2014-4473), combined with a small casing steam leak that condensed
above the housing while the machine was in operation, caused the water intrusion in the
bearing oil. Later evaluation determined the leak rate from the pipe had increased to
8 dpm in standby, and while running the leak rate was 20 dpm. The leakage sources
were diverted away from the bearing housing with a temporary modification pending
repairs (which were completed in the September-October 2014 refueling outage).
Based on the above, the inspectors concluded the licensee had sufficient information to
promptly identify and correct water intrusion into the TDAFW turbine bearing oil system
on April 11 and May 22, 2014. Additionally, the licensee failed to identify the potential
operability impacts (as described in the multiple references above) on April 11 and
May 22 when oil level was above the MAXIMUM mark. Water intrusion into safety-
related oil systems is a CAQ.
Analysis: The failure to promptly identify and correct a CAQ, as required by
10 CFR Part 50, Appendix B, Criterion 16, associated with water intrusion into the
TDAFW turbine oil system was an issue warranting further review in the SDP. Per
IMC 0612, Appendix B, Issue Screening, dated September 7, 2012, the issue was
more-than-minor because it adversely affected the Configuration Control attribute of the
Mitigating Systems Cornerstone, whose objective is to ensure the availability, reliability,
and capability of systems that respond to initiating events to prevent undesirable
consequences. Additionally, if left uncorrected, the issue could lead to a more significant
safety concern. Specifically, not recognizing water intrusion into safety-related oil
systems can impact operability and affect how safety equipment operates.
The inspectors assessed the finding for significance using IMC 0609, Significance
Determination Process, issued June 2, 2012. Per Appendix A, The Significance
Determination Process (SDP) for Findings-at-Power, issued June 19, 2012, the finding
screened as Green, or very low safety significance, in Exhibit 2. Specifically, all
questions were answered no under Section A for findings related to Mitigating SSCs
and Functionality. The inspectors reviewed the licensees past operability evaluation
and concluded that given the projected amount of water that could be entrained in the oil
during operation, along with the duration of operation assumed in the safety analyses,
that operability of the pump would be maintained.
The inspectors determined the finding had an associated cross-cutting aspect in the
Human Performance area, specifically, H.11, Challenge the Unknown. Some of the
tenets of H.11, as described in NUREG-2165, Safety Culture Common Language
Initiative, Section QA.2, Questioning Attitude, are that individuals avoid complacency
and continuously challenge existing conditions in order to identify discrepancies that
might result in error or inappropriate action. Further, it states that individuals challenge
unanticipated results rather than rationalize them, and that abnormal indications are not
attributed to indication problems. Regarding the TDAFW oil system, the licensee
rationalized why the level was increasing without sufficient investigation given the
                                          18
 
    significance of the system, and did not seek further information that was readily available
    regarding appropriate oil levels.
    Enforcement: 10 CFR Part 50, Appendix B, Criterion 16, Corrective Action, requires, in
    part, that conditions adverse to quality, such as deficiencies, defective material and
    equipment, and nonconformances are promptly identified and corrected.
    Contrary to the above, between April 11 and May 23, 2014, the licensee failed to
    promptly identify and correct a CAQ. Specifically, the licensee failed to promptly identify
    and correct water intrusion into the safety-related Unit 1 TDAFW pump oil system
    despite multiple opportunities to do so. On April 7, the licensee became aware of a
    water leak directly above the TDAFW pump turbine outboard bearing. On April 11, and
    May 22, the licensee learned that the oil level had exceeded the MAXIMUM mark. The
    actions taken (draining the oil level) did not correct the condition adverse to quality in
    that water continued to leak into the oil. On May 23, the licensee drained the oil system
    and discovered approximately 620 ml of water.
    For immediate corrective actions, the licensee added new oil to the system and installed
    a temporary modification to prevent further water intrusion. Further corrective actions
    included an apparent cause evaluation and past operability evaluation. Permanent
    repairs to the cooling water leak above the bearing were completed during the Fall 2014
    refueling outage. The licensee initiated AR-2014-6315 to document the condition and
    track corrective actions.
    This violation is being treated as an NCV, consistent with Section 2.3.2 of the
    Enforcement Policy because it was of very low safety significance and was entered into
    the licensees CAP. (NCV 05000315/2014005-01; Failure to Identify Conditions
    Adverse to Quality associated with the Unit 1 TDAFW Pump Turbine Oil System)
(2) Unplanned Inoperability of the AB Fuel Oil Storage Tank During Maintenance
    Introduction: A finding of very low safety significance (Green) with an associated NCV of
    TS 5.4, Procedures, was self-revealed when a vacuum was inadvertently drawn on the
    AB FOST during preparations for surveillance activities. The vacuum caused an
    indication of lowering level in the tank, alarms, and an unplanned TS LCO action
    statement entry.
    Description: On August 20, 2014, the licensee was performing work activities in
    preparation for an upcoming, routine leak-test of the AB FOST. The AB FOST is one of
    two underground tanks on site that supply fuel to the EDGs via the smaller day tanks
    (which are provided for each EDG and offer a more limited, immediate fuel supply). The
    test consists of establishing a vacuum in the tank and monitoring it for a period of time.
    Several support activities are required to be performed prior to the test, some of which
    include transfer of fuel from the FOST to the day tanks, removal of a vent cover for the
    FOST, and connection of vendor-supplied vacuum and test equipment to the vent. Per
    the overarching surveillance procedure, the basic order of activities should have been to
    loosen the vent cover, transfer an amount of fuel to the day tanks, remove the FOST
    from service, remove the vent cover, hook up the test equipment, and perform the test.
    During the day shift on August 20, workers went out to work on the vent cover. The
    associated work instruction did not provide adequate guidance on what exactly was to
    be done. While the intent was just to loosen the cover at that point, the Subject of the
                                              19
 
WO was Remove manway cover and vent cover. The instructions in the WO were
written as loosen/remove vent cover, and under the Precautions section the statement
Per tank procedure, as a minimum, we only have to loosen vent filter. The workers
ended up removing the cover instead of loosening it, and placed an FME bag over the
vent to prevent foreign material from entering the tank. Later on night shift, operations
staff commenced the transfer of fuel to the day tanks. With the FME bag installed, a
vacuum was drawn on the tank. Based on the configuration of the level instruments and
tank vent, the instruments indicated a lowering tank level and generated low level alarms
because of the vacuum. Operators performed a back-up measurement of tank level
using a dip stick, however, again, based on the tank construction, this method also
showed what appeared to be a lowering tank level. With this information, operators
believed an actual loss of fuel from the tank had occurred. Absent any indications in the
plant of fuel leaving the system, they concluded a release to the environment may have
occurred. Appropriate reports were made to state, federal, and local agencies.
Additionally, the operators entered TS LCO 3.8.3 Condition A based on the observed
level indications. During investigation soon after the abnormal level indications, the FME
bag was found on the vent. Once removed, level in the tank returned to normal. There
was no actual loss of fuel from the tank.
Analysis: The failure to have adequate instructions for performing work on safety-related
equipment, as required by TS 5.4, Procedures, was a performance deficiency
warranting further review utilizing IMC 0612, Appendix B, Issue Screening, issued
September 7, 2012. The performance deficiency was more than minor because it
adversely impacted the Configuration Control attribute of the Mitigating Systems
cornerstone, whose objective is ensuring the availability, reliability, and capability of
systems that respond to initiating events to prevent undesirable consequences.
The finding screened as Green, or very low safety significance, utilizing IMC 0609
Appendix A, The Significance Determination Process for Findings at Power, issued
June 19, 2012. Specifically, all questions were answered no under Section A of
Exhibit 2 for Mitigating Systems, since that was the affected cornerstone. The FME bag
was installed, which rendered the AB FOST inoperable, for approximately 16 hours.
This was less than the TS allowed outage time of 48 hours.
The finding had an associated cross-cutting aspect in the human performance area,
specifically, H.5, Work Management. Work activities should be planned, controlled, and
executed with nuclear safety as the overriding priority. Contrary to the tenets of the
cross-cutting aspect, the work was planned and executed with inadequate work
instructions. Further, there was a lack of coordination between a number of work groups
and activities associated with the test.
Enforcement: Technical Specification 5.4, Procedures, states, in part, that written
procedures shall be established, implemented, and maintained covering the applicable
procedures recommended in Regulatory Guide 1.33. Regulatory Guide 1.33 states, in
part, that maintenance that can affect the performance of safety-related equipment
should be properly preplanned and performed in accordance with written procedures,
documented instructions, or drawings appropriate to the circumstances.
Contrary to those requirements, on August 20, 2014, the AB FOST leak test was
performed with inadequate procedures and with tasks done outside the proper
                                        20
 
    sequence. As a result, the AB FOST was rendered inoperable for approximately
    16 hours.
    Immediate corrective actions involved the removal of an FME bag which had been
    placed over the AB FOST vent. The licensee also generated AR-2014-9877, which
    included a root cause analysis. This violation is being treated as an NCV, consistent
    with Section 2.3.2 of the Enforcement Policy because it was of very low safety
    significance and was entered into the licensees CAP. (NCV 05000315/2014005-02;
    05000316/2014005-02; Unplanned Inoperability of the AB Fuel Oil Storage Tank
    During Maintenance)
1R18 Plant Modifications (71111.18)
  a. Inspection Scope
    The inspectors reviewed the following modification(s):
    *        Permanent removal of shield/missile blocks
    The inspectors reviewed the configuration changes and associated 10 CFR 50.59 safety
    evaluation screening against the design basis, the UFSAR, and the TS, as applicable, to
    verify that the modification did not affect the operability or availability of the affected
    system(s). The inspectors, as applicable, observed ongoing and completed work
    activities to ensure that the modifications were installed as directed and consistent with
    the design control documents; the modifications operated as expected; post-modification
    testing adequately demonstrated continued system operability, availability, and reliability;
    and that operation of the modifications did not impact the operability of any interfacing
    systems. As applicable, the inspectors verified that relevant procedure, design, and
    licensing documents were properly updated. Lastly, the inspectors discussed the plant
    modification with operations, engineering, and training personnel to ensure that the
    individuals were aware of how the operation with the plant modification in place could
    impact overall plant performance. Documents reviewed are listed in the Attachment to
    this report.
    This inspection constituted one permanent plant modification sample as defined in
    IP 71111.18-05.
  b. Findings
    Lack of Adequate Design Review of Effects of Removing the Auxiliary Missile Blocks
    from the Containment Accident Shield
    Introduction: A finding of very-low safety significance (Green) and associated NCV of
    Title 10 CFR Part 50, Appendix B, Criterion 3, Design Control, was identified by the
    NRC inspectors for the licensees inadequate radiological review of permanently
    removing the AMBs from the Unit 1 and Unit 2 containment accident shields.
    Description: In March 2014, the NRC reviewed a licensee modification
    (EC-0000049191) to the Unit 1 and 2 safety-related containment accident shields. The
    modification consisted of permanently removing the AMBs, located in front of the primary
    containment equipment hatches on the 650 elevation of the Auxiliary Building. The
    AMBs are portable and removable shield blocks and are a part of the safety-related
                                              21
 
containment accident shield. The AMBs are in place during power operations for
shielding purposes. The AMBs are removed during plant outages to permit containment
access for equipment.
The main purpose of the accident shield, as a part of original plant design and currently
described in the UFSAR, Section 11.2.1.1.4, is to ensure safe radiation levels outside
the containment building following a maximum design-basis accident; specifically, a
large break loss-of-coolant accident (LBLOCA). The plant containment and the accident
shield function (USFAR Section 11.2.1) ensure that operating personnel at the plant and
the general public are protected by adequate containment shielding, post LBLOCA. This
was in accordance with plant specific design Criteria 1 of 10 CFR Part 50 General
Design Criteria 1 Quality Standards and Records of Appendix A General Design
Criteria for Nuclear Power Plants, 10 CFR Part 20 Standards for Protection Against
Radiation, and 10 CFR Part 100 Reactor Site Criteria. The inspectors reviewed the
original and current plant design configuration and determined that, prior to plant
modification (EC-0000049191), the plant design met General Design Criteria 1 for
radiation safety. Specifically, RG 1.69 Concrete Radiation Shields for Nuclear Power
Plants was explicit in stating that General Design Criteria 1 for containment ensures
reasonable assurance for compliance to 10 CFR Part 20 Standards for Protection
Against Radiation under post-accident conditions. Additionally, initial plant design for
the containment accident shield was consistent with RG 1.69 Concrete Radiation
Shields for Nuclear Power Plants.
Using the licensees design basis source term, licensee calculation number RS-C-0046
Doses and Dose Rates from Post LOCA Airborne Sources determined that with the
AMBs in place, the Post LBLOCA dose rates were:
    *  A nominal 31 Rem/hr at 1 second after LBLOCA at 1 inch from the AMBs; and
    *  A nominal 3.9 Rem/hr at 1 second after LBLOCA at 50 feet from the AMBs.
These dose rates provide for safe radiation levels outside the containment building
following a maximum design-basis accident consistent with the UFSAR design
statements and in accordance with the requirements of 10 CFR Part 20, Standards for
Protection Against Radiation.
The licensee provided no comparable post-modification dose rate calculations to the
inspectors specific to AB 650 elevation once the AMBs were removed. However, the
licensee provided information (Calculation Number RS-C-0232, Equipment Hatch Dose
Rates - Gap Release; Revision 01) that showed calculated Post LBLOCA dose rates
of 196.2 Rem/hr at 45 feet from the equipment hatch. Additionally, the licensee had
analogous Post-LBLOCA dose rate calculations for the containment personnel hatch.
These dose rates provide a frame of reference, in that, the calculations provide for no
AMB shielding. However, the calculations did include shielding benefit from the inside
containment crane wall (Calculation Number RS-C-0046, Doses and Dose Rates from
Post LOCA Airborne Sources). Specific calculated dose rates were:
*    A nominal 36,300 Rem/hr at 1 second after LBLOCA at 1 inch from the personnel
    hatch; and
*    A nominal 397 Rem/hr at 1 second after LBLOCA at 50 feet from the personnel
    hatch.
                                        22
 
The inspectors determined that post-modification dose rates on the AB 650 elevation
could result in lethal doses, as defined in NUREG/CR 6545 Probabilistic Accident
Consequence Uncertainty Analysis: Early Health Effects Uncertainty Assessment, to
individuals in a very short period of time (from fractions of a second to minutes,
depending on the location of personnel relative to the radiation source). By permanently
removing the AMBs, the licensee failed to provide for safe radiation levels outside the
containment building following a maximum design-basis accident, contrary to the design
bases and inconsistent with the requirements of 10 CFR Part 20.
Additionally, 10 CFR 20.1101(b) and RG 1.69 state, in part, that the licensee shall use,
to the extent practical, engineering controls based upon sound radiation principles to
achieve occupational doses and doses to members of the public that are
as-low-as-reasonably-achievable (ALARA). Original plant design and the plants 40-year
operational history demonstrate that plant operation with the AMBs in place was both
practical and ALARA.
The licensee documented this issue in the CAP as AR 2014-13016. Corrective actions
included licensee determination to achieve radiation attenuation analogous to original
plant design of the AMBs in place.
Analysis: The inspectors determined that the licensees inadequate radiological review
of permanently removing the AMBs from the Unit 1 and Unit 2 containment accident
shields was a performance deficiency. The performance deficiency was determined to
be more than minor (Green) because it was associated with the Barrier Integrity
Cornerstone attribute of design control; and adversely affected the cornerstone objective
of maintaining radiological barrier functionality of the safety-related containment accident
shield. Specifically, the failure to control plant design and adequately evaluate the
radiological effects of permanently removing the AMBs from the Unit 1 and Unit 2
containment accident shields did not ensure that the accident shield will provide its
design function to ensure safe radiation levels outside the containment building following
a maximum design basis accident.
The inspectors evaluated the finding using the SDP in accordance with IMC 0609,
Significance Determination Process, Attachment 0609.04, Initial Characterization of
Findings, dated June 19, 2012. Because the finding impacted the Barrier Integrity
Cornerstone, the inspectors screened the finding through IMC 0609, Appendix A, The
Significance Determination Process for Findings At-Power, dated June 19, 2012, using
Exhibit 3, Barrier Integrity Screening Questions. The finding screened as of very-low
safety significance (Green) because the finding only represented a degradation of the
radiological barrier function provided for the Auxiliary Building.
The inspectors determined the cause of this finding did not represent current licensee
performance and, thus, no cross-cutting aspect was assigned.
Enforcement: Title 10 CFR Part 50, Appendix B, Criterion 3, Design Control, requires,
in part, that design changes be subject to design control measures commensurate with
those applied to the original design.
Contrary to the above, on February 6, 2009, the licensee performed a design change
and failed to subject it to design control measures commensurate with those applied to
the original design. Specifically, the licensee modified the original plant design by
                                          23
 
    removing the auxiliary missile blocks from the safety-related accident shield. However,
    the design control measures applied to the modification failed to ensure safe radiation
    levels outside the containment accident shield following a design basis loss-of-coolant
    accident.
    Because this violation was of very-low safety significance and was entered into the
    licensees CAP (AR 2014-13016), this violation is being treated as an NCV, consistent
    with Section 2.3.2 of the NRC Enforcement Policy. (NCV 05000315/2014005-03;
    05000316/2014005-03; Radiological Impact of the Removal of the Auxiliary Shield
    Blocks on the Containment Accident Shield Post LBLOCA)
1R19 Post-Maintenance Testing (71111.19)
  a. Inspection Scope
    The inspectors reviewed the following post-maintenance activities to verify that
    procedures and test activities were adequate to ensure system operability and functional
    capability:
    *      Unit 1 AB EDG following governor replacement;
    *      Unit 1 CRID III and IV maintenance;
    *      Unit 2 UAT breakers following failure to close;
    *      Unit 1 CD EDG governor replacement and aftercooler maintenance;
    *      Unit 1 TDAFW governor overhaul;
    *      Repair of Unit 2 AFW flow control valve flow retention issue;
    *      Repair of circuitry associated with failure of fast transfer and generator trip during
            dual-unit trip; and
    *      Unit 1 TDAFW repairs following inadvertent trip.
    These activities were selected based upon the structure, system, or component's ability
    to impact risk. The inspectors evaluated these activities for the following (as applicable):
    the effect of testing on the plant had been adequately addressed; testing was adequate
    for the maintenance performed; acceptance criteria were clear and demonstrated
    operational readiness; test instrumentation was appropriate; tests were performed as
    written in accordance with properly reviewed and approved procedures; equipment was
    returned to its operational status following testing (temporary modifications or jumpers
    required for test performance were properly removed after test completion); and test
    documentation was properly evaluated. The inspectors evaluated the activities against
    TSs, the UFSAR, 10 CFR Part 50 requirements, licensee procedures, and various
    NRC generic communications to ensure that the test results adequately ensured that the
    equipment met the licensing basis and design requirements. In addition, the inspectors
    reviewed corrective action documents associated with post-maintenance tests to
    determine whether the licensee was identifying problems and entering them in the CAP
    and that the problems were being corrected commensurate with their importance to
    safety. Documents reviewed are listed in the Attachment to this report.
    This inspection constituted eight post-maintenance testing samples as defined in
    IP 71111.19-05.
                                              24
 
b. Findings
  Introduction: A finding of very low safety significance (Green) with an associated NCV of
  TS 5.4, Procedures, was self-revealed on November 1, 2014, when the Unit 1 TDAFW
  pump tripped during an emergent dual-unit shutdown. Both units were taken offline by
  operators due to debris intrusion from Lake Michigan into the cooling water
  screenhouse. The TDAFW pump started as expected but shutdown after a few minutes
  of operation.
  Description: On November 1, 2014, operators removed both units from service in
  response to excessive debris intrusion into the cooling water screenhouse. Following
  the trip of both reactors, AFW pumps started as expected. However, the Unit 1 TDAFW
  unexpectedly turned off after a few minutes of operation while operators were adjusting
  flow to the steam generators. Adequate flow continued to be provided by the two other
  AFW pumps. During the ensuing forced outage to address the debris intrusion issue,
  the licensee performed an investigation into why the pump tripped off. The licensee
  explored and ruled out causes such as a pump overspeed, failed overspeed trip circuitry,
  and governor control problems. The investigation included several test runs of the pump
  while rapidly changing demand in an effort to stress the pump and replicate the trip
  event. During continued troubleshooting, the licensee later discovered a protective
  enclosure around an electronic component (the trip solenoid) had been installed
  incorrectly. The enclosure was relatively loose, and the licensee found by moving it
  slightly, it could be placed in a position where a threaded rod on the enclosure could
  interfere with the proper latching of the TTV for the pump. When the pump turns on, the
  TTV opens to admit steam to the turbine. As the valve stem moves up, an attachment
  engages a trip hook. The trip hook basically acts to hold the valve open. On a trip
  condition, such as a pump overspeed, the hook would move out of the way, allowing the
  valve to shut and the pump to turn off. Precise engagement between the TTV and the
  trip hook is required for the pump to operate correctly. In this case, the licensees
  apparent cause evaluation determined the most likely cause was inadequate trip hook
  engagement as a result of the interference from the trip solenoid enclosure. As part of
  the extent-of-condition, the licensee discovered the same potential issue on the Unit 2
  TDAFW pump. Further investigation revealed that the enclosure was not captured in
  design diagrams, and that work instructions regarding its installation/removal were not
  detailed. Most recently, the Unit 1 TDAFW pump trip solenoid enclosure had been
  removed and reinstalled during the Fall 2014 refueling outage as part of planned
  maintenance. Working with the pump vendor, the licensee identified the correct
  configuration of the enclosure and reinstalled them correctly on both pumps. The
  licensee tested the pump several times afterwards, and restored the Unit 1 TDAFW
  pump to operable status at the conclusion of the forced outage.
  Analysis: The failure to have adequate instructions for performing work on safety-related
  equipment, as required by TS 5.4, Procedures, was a performance deficiency
  warranting further review utilizing IMC 0612, Appendix B, Issue Screening, issued
  September 7, 2012. The performance deficiency was more than minor because it
  adversely impacted the Configuration Control attribute of the Mitigating Systems
  cornerstone, whose objective is ensuring the availability, reliability, and capability of
  systems that respond to initiating events to prevent undesirable consequences.
  The inspectors utilized IMC 0609 Appendix A, The Significance Determination Process
  for Findings at Power, issued June 19, 2012, to assess the significance of the finding.
                                              25
 
Per Exhibit 2, the finding represented a loss of function for one train of AFW for greater
than the TS allowed outage time. Therefore, the inspectors consulted the regional
Senior Reactor Analyst (SRA) for a detailed risk evaluation. The inspectors considered
the Unit 1 TDAFW pump inoperable since the last successful surveillance on
October 23. Given the evidence available, this was the likely opportunity for the
conditions to be established to set-up the improper engagement between the TTV and
the trip hook.
The Region III SRA used the NRC standardized plant analysis risk model for D.C. Cook
to perform a detailed risk evaluation. The model has internal and external event
initiators. The SRA assumed an exposure period for the condition of 9 days. The delta
core damage frequency (CDF) calculated was 4.5E-7/yr, which is a finding of very low
safety significance (Green). The dominant risk sequence was a fire in the turbine
building, followed by a failure of main feedwater, auxiliary feedwater and feed and bleed.
Since the calculated delta CDF was greater than 1E-7/yr, the SRA also considered the
potential impact of the finding on large early release frequency using IMC 0609
Appendix H, Containment Integrity Significance Determination Process. The plant has
an ice condenser containment and sequences important to large early release frequency
are steam generator tube rupture, inter-system loss-of-coolant accident, and station
blackout. Some of the sequences that contributed to the change in CDF included station
blackout sequences but their contribution was less than 1E-7/yr. The SRA concluded
that the risk of this finding should be characterized by the overall change in CDF.
The finding had an associated cross-cutting aspect in the area of human performance,
specifically, H.8, Procedure Adherence. Safety Culture Common Language Initiative
NUREG-2165 provides an example of the aspect as individuals review procedures
before work to validate they are appropriate for scope of work, and ensure required
changes are completed before implementation. Contrary to this description, work
proceeded on the trip enclosure despite a lack of detailed instructions on the
removal/installation of the enclosure.
Enforcement: Technical Specification 5.4, Procedures, states, in part, that written
procedures shall be established, implemented, and maintained covering the applicable
procedures recommended in Regulatory Guide 1.33. Regulatory Guide 1.33 states, in
part, that maintenance that can affect the performance of safety-related equipment
should be properly preplanned and performed in accordance with written procedures,
documented instructions, or drawings appropriate to the circumstances.
Contrary to those requirements, work was performed on the Unit 1 TDAFW pump trip
solenoid enclosure with inadequate work instructions. As a result, an apparent cause
evaluation determined the misplaced enclosure was the likely cause of the pump
failure during an actual demand following a dual-unit trip. The violation existed from
October 23, 2014, until troubleshooting and post-maintenance testing activities were
completed on November 3, 2014, following the dual-unit trip.
For immediate corrective actions, the licensee initiated AR-2014-13668 and began
troubleshooting activities. The licensee investigation revealed the misplaced trip
solenoid enclosure to be the likely cause of the pump trip. Subsequently, the enclosures
were installed in the correct position. This violation is being treated as an NCV,
consistent with Section 2.3.2 of the Enforcement Policy because it was of very low safety
                                          26
 
      significance and was entered into the licensees CAP. (NCV 05000315/2014005-04;
      Inadvertent Trip of the Unit 1 TDAFW Pump)
1R20 Outage Activities (71111.20)
.1  Refueling Outage Activities
  a. Inspection Scope
      The inspectors reviewed the Outage Safety Plan and contingency plans for the Unit 1
      refueling outage, conducted September 24 - October 24, 2014, to confirm that the
      licensee had appropriately considered risk, industry experience, and previous
      site-specific problems in developing and implementing a plan that assured maintenance
      of defense-in-depth. During the refueling outage, the inspectors observed portions of
      the shutdown and cooldown processes and monitored licensee controls over the outage
      activities listed below:
      *        licensee configuration management, including maintenance of defense-in-depth
              commensurate with the Outage Safety Plan for key safety functions and
              compliance with the applicable TS when taking equipment out of service;
      *        implementation of clearance activities and confirmation that tags were properly
              hung and equipment appropriately configured to safely support the work or
              testing;
      *        installation and configuration of reactor coolant pressure, level, and temperature
              instruments to provide accurate indication, accounting for instrument error;
      *        controls over the status and configuration of electrical systems to ensure that
              TS and Outage Safety Plan requirements were met, and controls over switchyard
              activities;
      *        monitoring of decay heat removal processes, systems, and components;
      *        controls to ensure that outage work was not impacting the ability of the operators
              to operate the spent fuel pool cooling system;
      *        reactor water inventory controls including flow paths, configurations, and
              alternative means for inventory addition, and controls to prevent inventory loss;
      *        controls over activities that could affect reactivity;
      *        maintenance of secondary containment as required by TS;
      *        licensee fatigue management, as required by 10 CFR 26, Subpart I;
      *        refueling activities, including fuel handling and sipping to detect fuel assembly
              leakage;
      *        startup and ascension to full power operation, tracking of startup prerequisites,
              walkdown of the drywell (primary containment) to verify that debris had not been
              left which could block emergency core cooling system suction strainers, and
              reactor physics testing; and
      *        licensee identification and resolution of problems related to refueling outage
              activities.
      Documents reviewed are listed in the Attachment to this report.
      This inspection constituted one Refueling Outage sample as defined in IP 71111.20-05.
                                                  27
 
  b. Findings
      No findings were identified.
.2  Unit 1 and Unit 2 Forced Outages Commencing November 1, 2014
  a. Inspection Scope
      On November 1, rough lake conditions generated substantial amounts of debris that
      clogged trash racks and travelling screens. The licensee manually tripped the Unit 1
      reactor and initially reduced power to 50 percent on the Unit 2 reactor to reduce
      circulating water flow. Conditions continued to degrade; therefore the licensee
      subsequently tripped the Unit 2 reactor. Unit 1 remained in Mode 3 and returned to
      100 percent power on November 8. Unit 2 was cooled down to Mode 5 to repair an
      intermediate range nuclear instrument. Unit 2 was returned to 100 percent power on
      November 13. The inspectors toured portions of containment, observed shutdown and
      startup activities, assessed plant risk, and observed maintenance activities.
      This inspection constituted one Forced Outage sample as defined in IP 71111.20-05.
  b. Findings
      No findings were identified.
1R22 Surveillance Testing (71111.22)
  a. Inspection Scope
      The inspectors reviewed the test results for the following activities to determine whether
      risk-significant systems and equipment were capable of performing their intended safety
      function and to verify testing was conducted in accordance with applicable procedural
      and TS requirements:
      *      1-OHP-4030-108-008R, Unit 1 ECCS Check Valve Test, (IST);
      *      1-EHP-4030-134-203, Unit 1 LLRT (Containment Isolation Valve);
      *      12-MHP-4030-010-004, Ice Condenser Intermediate Deck Door Surveillance,
              (Ice Condenser Surveillance);
      *      Unit 1 Control Room Emergency Ventilation Surveillance, 1-EHP-4030-128-229
              (Routine); and
      *      Loss of Offsite Power/Loss-of-Coolant Accident Circuit Testing (Routine).
      The inspectors observed in-plant activities and reviewed procedures and associated
      records to determine the following:
      *      did preconditioning occur;
      *      the effects of the testing were adequately addressed by control room personnel
              or engineers prior to the commencement of the testing;
      *      acceptance criteria were clearly stated, demonstrated operational readiness, and
              were consistent with the system design basis;
      *      plant equipment calibration was correct, accurate, and properly documented;
      *      as-left setpoints were within required ranges; and the calibration frequency was
              in accordance with TSs, the USAR, procedures, and applicable commitments;
                                                28
 
    *      measuring and test equipment calibration was current;
    *      test equipment was used within the required range and accuracy; applicable
            prerequisites described in the test procedures were satisfied;
    *      test frequencies met TS requirements to demonstrate operability and reliability;
            tests were performed in accordance with the test procedures and other
            applicable procedures; jumpers and lifted leads were controlled and restored
            where used;
    *      test data and results were accurate, complete, within limits, and valid;
    *      test equipment was removed after testing;
    *      where applicable for inservice testing activities, testing was performed in
            accordance with the applicable version of Section XI, American Society of
            Mechanical Engineers code, and reference values were consistent with the
            system design basis;
    *      where applicable, test results not meeting acceptance criteria were addressed
            with an adequate operability evaluation or the system or component was
            declared inoperable;
    *      where applicable for safety-related instrument control surveillance tests,
            reference setting data were accurately incorporated in the test procedure;
    *      where applicable, actual conditions encountering high resistance electrical
            contacts were such that the intended safety function could still be accomplished;
    *      prior procedure changes had not provided an opportunity to identify problems
            encountered during the performance of the surveillance or calibration test;
    *      equipment was returned to a position or status required to support the
            performance of its safety functions; and
    *      all problems identified during the testing were appropriately documented and
            dispositioned in the CAP.
    Documents reviewed are listed in the Attachment to this report.
    This inspection constituted two routine surveillance testing samples, one inservice
    testing sample, one ice condenser surveillance, and one containment isolation valve
    sample as defined in IP 71111.22, Sections-02 and-05.
  b. Findings
    No findings were identified.
1EP4 Emergency Action Level and Emergency Plan Changes (71114.04)
  a. Inspection Scope
    The regional inspectors performed an in-office review of the latest revisions to the
    Emergency Plan and Emergency Plan Implementing Procedures as listed in the
    Attachment to this report.
    The licensee transmitted the Emergency Plan and Emergency Action Level revisions to
    the NRC pursuant to the requirements of 10 CFR Part 50, Appendix E, Section V,
    Implementing Procedures. The NRC review was not documented in a safety
    evaluation report and did not constitute approval of licensee-generated changes;
    therefore, this revision is subject to future inspection. The specific documents reviewed
    during this inspection are listed in the Attachment to this report.
                                                29
 
  This Emergency Action Level and Emergency Plan Change inspection constituted one
  sample as defined in IP 71114.04-06.
b. Findings
  Introduction: An Unresolved Item (URI) was identified because additional information is
  required to determine whether a performance deficiency that is more than minor exists
  and if a violation of 10 CFR 50.54(q)(3) occurred. The inspectors identified an issue of
  concern for a change to the Donald C. Cook Emergency Plan, Table 1, that reduced the
  number of Radiation Protection Technicians (RPTs) required to augment the on-shift
  emergency response organization in 60 minutes of a declared emergency and replaced
  them with a Radiological Assessment Coordinator (RAC) and an Environmental
  Assessment Coordinator (EAC).
  Description. During the review, the inspectors identified a change made in Table 1 of
  Revision 35 to the Emergency-Plan (E-Plan), dated June 3, 2014. The change reduced
  the number of 60-minute response RPTs tasked with conducting offsite surveys from
  three RPTs to two RPTs and one EAC. The second change reduced the number of
  60-minute response RPTs tasked with conducting in-plant surveys from two RPTs to one
  RPT and one RAC. According the licensees 10 CFR 2014 50.54(q) screening
  evaluation, this change was to align the wording in Table 1 with Sections B.5.a.4 and
  B.5.c.4 of the E-Plan. The inspectors identified that the wording in Section B.5.a.4 and
  B.5.c.4 of the E-Plan had been changed to include the EAC and the RAC as 60-minute
  responders in Revision 19 of the plan in March of 2004. Inspectors review of the
  10 CFR 50.54(q) screening for the changes in Revision 19, identified no evaluations had
  been done for this change. The inspectors reviewed Revision 18 of the E-Plan and the
  associated March 21, 2003 licensee request for prior approval for changes to the E-plan
  that was conducted, approved by the NRC, and implemented in this revision. The NRC
  approved change request included specific numbers of RPTs for 60-minute response
  tasks of three RPTs for offsite surveys and 2 RPTs for onsite surveys.
  The licensee indicated that the EAC and RAC were not currently qualified RPTs. This
  suggests a performance deficiency, due to the appearance of a reduction in
  effectiveness to the licensees E-plan, without prior NRC approval. However, in order to
  determine if this is a performance deficiency of more than minor significance, additional
  information is required to understand if the RAC and EAC positions had equivalent
  capabilities as the qualified RPTs. The licensee has entered this issue in their
  Corrective Action Program as AR 2014-15685, Potential EP Finding. Compensatory
  actions were taken while their staff gathers additional information, which included
  requiring two additional qualified RPTs to respond to the Operations Support Center
  within 60 minutes prior to activating the facility in the event of a declared emergency.
  The licensee stated that it will provide the inspectors with additional information within
  30 days of the exit meeting.
  Therefore, a URI was identified pending additional information. Specifically,
  documentation demonstrating the knowledge, skills, and abilities of the EAC and RAC
  are equivalent to the RPTs is necessary for the inspectors to determine whether the
  performance deficiency is more than minor and if a violation of 10 CFR 50.54(q)
  occurred. (URI 05000315/2014005-05; Changes to Minimum 60-Minute Emergency
  Responder Staffing Without Prior Approval)
                                            30
 
2.    RADIATION SAFETY
2RS1 Radiological Hazard Assessment and Exposure Controls (71124.01)
      The inspection activities supplement those documented in NRC Inspection Report
      05000315-05000316/2014002 and constitute one complete sample as defined in
      Inspection Procedure 71124.01-05.
.1  Radiological Hazard Assessment (02.02)
  a. Inspection Scope
      The inspectors determined whether there have been changes to plant operations since
      the last inspection that may result in a significant new radiological hazard for onsite
      workers or members of the public. The inspectors evaluated whether the licensee
      assessed the potential impact of these changes and has implemented periodic
      monitoring, as appropriate, to detect and quantify the radiological hazard.
      The inspectors reviewed the last two radiological surveys from selected plant areas and
      evaluated whether the thoroughness and frequency of the surveys where appropriate for
      the given radiological hazard.
      The inspectors selected the following radiologically risk significant work activities that
      involved exposure to radiation:
      *      Refuel Cavity Decontamination Activities;
      *      Steam Generator Platform Activities;
      *      Valve Maintenance / Repair;
      *      Perform Radiography in Auxiliary and Turbine Buildings and Plant Restricted
              Areas; and
      *      Reactor Pit Very High Radiation Area (VHRA) Downpost Survey.
      For these work activities, the inspectors assessed whether the pre-work surveys
      performed were appropriate to identify and quantify the radiological hazard and to
      establish adequate protective measures. The inspectors evaluated the radiological
      survey program to determine if hazards were properly identified, including the following:
      *      identification of hot particles;
      *      the presence of alpha emitters;
      *      the potential for airborne radioactive materials, including the potential presence
              of transuranics and/or other hard-to-detect radioactive materials (This evaluation
              may include licensee planned entry into non-routinely entered areas subject to
              previous contamination from failed fuel.);
      *      the hazards associated with work activities that could suddenly and severely
              increase radiological conditions and that the licensee has established a means to
              inform workers of changes that could significantly impact their occupational dose;
              and
      *      severe radiation field dose gradients that can result in non-uniform exposures of
              the body.
                                                31
 
    The inspectors observed work in potential airborne areas and evaluated whether the air
    samples were representative of the breathing air zone. The inspectors evaluated
    whether continuous air monitors were located in areas with low background to minimize
    false alarms and were representative of actual work areas. The inspectors evaluated
    the licensees program for monitoring levels of loose surface contamination in areas of
    the plant with the potential for the contamination to become airborne.
  b. Findings
    No findings were identified.
.2  Instructions to Workers (02.03)
  a. Inspection Scope
    The inspectors reviewed the following radiation work permits used to access high
    radiation areas and evaluated the specified work control instructions or control barriers:
    *      RWP 141100; U1C26 - Refuel Cavity Decontamination Activities;
    *      RWP 141148; U1C26 - Steam Generator Platform Activities;
    *      RWP 141145; U1C26 - Valve Maintenance / Repair;
    *      RWP 1 41130; U1C26 - Perform Radiography in Auxiliary & Turbine Buildings &
            Plant Restricted Areas; and
    *      RWP 141172; U1C26 - Reactor Pit VHRA Downpost Survey.
    For these radiation work permits, the inspectors assessed whether allowable stay times
    or permissible dose (including from the intake of radioactive material) for radiologically
    significant work under each radiation work permit were clearly identified. The inspectors
    evaluated whether electronic personal dosimeter alarm set-points were in conformance
    with survey indications and plant policy.
    For work activities that could suddenly and severely increase radiological conditions, the
    inspectors assessed the licensees means to inform workers of changes that could
    significantly impact their occupational dose.
  b. Findings
    No findings were identified.
.3  Contamination and Radioactive Material Control (02.04)
  a. Inspection Scope
    The inspectors observed locations where the licensee monitors potentially contaminated
    material leaving the radiological control area and inspected the methods used for
    control, survey, and release from these areas. The inspectors observed the
    performance of personnel surveying and releasing material for unrestricted use and
    evaluated whether the work was performed in accordance with plant procedures and
    whether the procedures were sufficient to control the spread of contamination and
    prevent unintended release of radioactive materials from the site. The inspectors
    assessed whether the radiation monitoring instrumentation had appropriate sensitivity for
    the type(s) of radiation present.
                                              32
 
    The inspectors reviewed the licensees criteria for the survey and release of potentially
    contaminated material. The inspectors evaluated whether there was guidance on how to
    respond to an alarm that indicates the presence of licensed radioactive material.
    The inspectors reviewed the licensees procedures and records to verify that the
    radiation detection instrumentation was used at its typical sensitivity level based on
    appropriate counting parameters. The inspectors assessed whether or not the licensee
    has established a de facto release limit by altering the instruments typical sensitivity
    through such methods as raising the energy discriminator level or locating the instrument
    in a high-radiation background area.
    The inspectors selected several sealed sources from the licensees inventory records
    and assessed whether the sources were accounted for and verified to be intact.
    The inspectors evaluated whether any transactions, since the last inspection, involving
    nationally tracked sources were reported in accordance with 10 CFR 20.2207.
  b. Findings
    No findings were identified.
.4  Radiological Hazards Control and Work Coverage (02.05)
  a. Inspection Scope
    The inspectors evaluated ambient radiological conditions (e.g., radiation levels or
    potential radiation levels) during tours of the facility. The inspectors assessed whether
    the conditions were consistent with applicable posted surveys, radiation work permits,
    and worker briefings.
    The inspectors evaluated the adequacy of radiological controls, such as required
    surveys, radiation protection job coverage (including audio and visual surveillance for
    remote job coverage), and contamination controls. The inspectors evaluated the
    licensees use of electronic personal dosimeters in high noise areas as high radiation
    area monitoring devices.
    The inspectors reviewed the application of dosimetry to effectively monitor exposure to
    personnel in high-radiation work areas with significant dose rate gradients.
    The inspectors reviewed the following radiation work permits for work within airborne
    radioactivity areas with the potential for individual worker internal exposures:
    *      RWP 141100; U1C26 - Refuel Cavity Decontamination Activities;
    *      RWP 141148; U1C26 - Steam Generator Platform Activities; and
    *      RWP 141145; U1C26 - Valve Maintenance / Repair.
    For these radiation work permits, the inspectors evaluated airborne radioactive controls
    and monitoring, including potential for significant airborne levels (e.g., grinding, grit
    blasting, system breaches, entry into tanks, cubicles, and reactor cavities). The
    inspectors assessed barrier (e.g., tent or glove box) integrity and temporary
    high-efficiency particulate air ventilation system operation.
                                                33
 
  The inspectors examined the licensees physical and programmatic controls for highly
  activated or contaminated materials (i.e., nonfuel) stored within spent fuel and other
  storage pools. The inspectors assessed whether appropriate controls (i.e.,
  administrative and physical controls) were in place to preclude inadvertent removal of
  these materials from the pool.
  The inspectors examined the posting and physical controls for selected high radiation
  areas and very-high radiation areas to verify conformance with the occupational
  performance indicator.
b. Findings
  Failure to Identify Deficient Locked High Radiation Area Controls Due to Procedure
  Inadequacy
  Introduction: An NRC identified Green NCV of TS 5.4.1, Procedures, was identified for
  inadequate procedures used to verify Locked High Radiation Controls in the Unit 2
  Containment.
  Description: On July 24, 2014, the inspector walked down the Unit 2 containment cavity
  access ladder. At the time of the walkdown, the access to the cavity was posted LHRA
  and had a ladder cage that functioned as a ladder lock device, in addition to a four-foot
  high locked gate for access to the permanently installed cavity ladder. Discussions with
  Radiation Protection staff had identified that the ladder lock device was not in place in
  March 2014. Additionally, it was established that the locking cage was not placed back
  on the ladder following the refueling outage in October 2013 when the area was
  conservatively posted as a LHRA as the dose rates in the containment cavity were not in
  excess of 1000 millirem per hour at 30 centimeters. The inspector reviewed Survey
  Number CNP-1311-0001, dated November 1, 2013, which was a survey of the Final
  Containment Cavity Survey following the last refueling outage. This survey confirmed
  that the highest dose in the accessible areas of the cavity were nominally 2400 millirem
  per hour on contact, and 500 millirem per hour at 30 centimeters from the source with
  the highest readings in the cavity lift system pit area following the cavity
  decontamination. These dose rates would not constitute a LHRA (greater than
  1000 millirem per hour at 30 centimeters.) The survey showed that the gate to the cavity
  ladder was posted as a LHRA.
  Licensee Procedure PMP-6010-RPP-003, High, Locked High, and VHRA Access,
  Section 3.3.5, directs weekly LHRA and VHRA verifications. Additional procedure
  guidance is provided in THG-026, Locked High Radiation Area, and Very-High Radiation
  Weekly Verification Process, Data Sheet 1, LHRA/VHRA Status Sheet, with additional
  management expectations and a tracking tool for door/gate verifications while used as a
  field guide for verifying LHRA/VHRA controls (i.e., doors/gates). The inspector identified
  a substantial procedural weakness in this guidance in that the Data Sheet apparently did
  not provide enough detail to direct Radiation Protection Technicians (RPTs) to verify that
  the locked cage/ladder lock to the reactor cavity was in place and locked; a condition
  which is necessary to provide reasonable assurance that the area is secured against
  unauthorized access and cannot be easily circumvented. A review of the data verified
  that RP staff did not identify the missing cage/ladder lock to the Unit 2 Reactor Cavity
  ladder during weekly LHRA verification from November 2013 through March 2014. The
  NRC inspectors also reviewed the LHRA and VHRA verification documentation in the
                                              34
 
RP station daily logs from November 2013 to March 2014 and the inspectors did not
identify any discrepancies noted in the logs associated with in LHRA controls during their
weekly walkdowns of LHRA and VHRA verification. A review of the Corrective Action
Program documents did not identify a record of the missing ladder lock device or
identification of an unlocked LHRA. Therefore the licensee was not aware of the
deficient LHRA controls at the Unit 2 cavity ladder until it was discussed with the
inspectors. The failure to identify deficient LHRA controls could have the potential failure
to identify and report a Performance Indicator (PI) occurrence.
Analysis: The inspectors determined that there was an inadequacy in the licensees
procedure for identifying a deficient Locked High Radiation Area for the barrier in their
weekly locked cage/ladder barrier to the cavity of Unit 2 containment. The inspectors
determined that the procedure did not provide clear directions to assure the Radiation
Protection Technician would verify the required controls for LHRA is a performance
deficiency. The inspectors determined that the cause of the performance deficiency was
reasonably within the licensees ability to foresee and correct and should have been
prevented.
The finding was not subject to traditional enforcement since the incident did not have a
significant safety consequence, did not impact the NRCs ability to perform its regulatory
function, and was not willful.
The inspectors determined that the performance deficiency was more than minor in
accordance with IMC 0612, Appendix B, Issue Screening, because if left uncorrected,
the performance deficiency could lead to a more significant safety concern. Specifically,
the failure to identify deficient LHRA controls could result in unintentional exposure to
high levels of radiation.
The finding was assessed using the Occupational Radiation Safety SDP and was
determined to be of very-low safety significance because the problem was not an
ALARA planning issue, there were no overexposures nor substantial potential for
overexposures given the highest dose rates present in the room, the scope of work, and
the licensees ability to assess dose was not compromised.
The inspectors did not identify a corresponding cross-cutting aspect for this performance
deficiency.
Enforcement: Technical Specification 5.4.1, Procedures, requires that written
procedures shall be established, implemented and maintained covering the activities
referenced in Appendix A of Regulatory Guide 1.33, Revision 2. Control of Radioactivity
procedures, including limiting personnel exposure, are specified in Appendix A.
Contrary to the above, Procedure PMP-6010-RPP-003, High, Locked High, and
Very-High Radiation Area Access, Section 3.3.5, LHRA and VHRA Door/Gate
verification in conjunction with Procedural Guidance THG-026, Locked High Radiation
Area, and Very-High Radiation Weekly Verification Process did not provide sufficient
details to direct RPTs to verify that the locked cage/ladder lock to the reactor cavity was
in place and locked; a condition which is necessary to provide reasonable assurance
that the area is secured against unauthorized access and cannot be easily
circumvented. Consequently, weekly, from November 1, 2013, to March 2014 multiple
                                          35
 
    RPTs verified the Unit 2 Upper Containment Cavity gate was locked, but did not secure
    the area against unauthorized access.
    Corrective actions included review and revision of Procedure PMP-6010-RPP-003, High,
    Locked High, and Very-High Radiation Area Access, and the associated Procedural
    Guidance THG-026, Locked High Radiation Area and Very-High Radiation Weekly
    Verification. Because this violation is of very-low safety significance and it was entered
    into the licensees CAP as AR 2014-9001, this violation is being treated as an NCV
    consistent with Section 2.3.2 of the NRC Enforcement Policy.
    (NCV 05000315/2014005-06; 05000316/2014005-06; Failure to Identify Deficient
    Locked High Radiation Area Controls Due to Procedure Inadequacy)
.5  Risk Significant High Radiation Area and Very-High Radiation Area Controls (02.06)
  a. Inspection Scope
    The inspectors discussed with the radiation protection manager the controls and
    procedures for high-risk, high radiation areas and very-high radiation areas. The
    inspectors discussed methods employed by the licensee to provide stricter control of
    very-high radiation area access as specified in 10 CFR 20.1602, Control of Access to
    Very-High Radiation Areas, and Regulatory Guide 8.38, Control of Access to High and
    Very-High Radiation Areas of Nuclear Plants. The inspectors assessed whether any
    changes to licensee procedures substantially reduce the effectiveness and level of
    worker protection.
    The inspectors discussed the controls in place for special areas that have the potential
    to become very-high radiation areas during certain plant operations with first-line health
    physics supervisors (or equivalent positions having backshift health physics oversight
    authority). The inspectors assessed whether these plant operations require
    communication beforehand with the health physics group, so as to allow corresponding
    timely actions to properly post, control, and monitor the radiation hazards including
    re-access authorization.
    The inspectors evaluated licensee controls for very-high radiation areas and areas with
    the potential to become a very-high radiation areas to ensure that an individual was not
    able to gain unauthorized access to the very-high radiation areas.
  b. Findings
    No findings were identified.
.6  Radiation Worker Performance (02.07)
  a. Inspection Scope
    The inspectors observed radiation worker performance with respect to stated radiation
    protection work requirements. The inspectors assessed whether workers were aware of
    the radiological conditions in their workplace and the radiation work permit controls/limits
    in place, and whether their performance reflected the level of radiological hazards
    present.
                                              36
 
  b. Findings
      No findings were identified.
.7  Radiation Protection Technician Proficiency (02.08)
  a. Inspection Scope
      The inspectors observed the performance of the radiation protection technicians with
      respect to all radiation protection work requirements. The inspectors evaluated whether
      technicians were aware of the radiological conditions in their workplace and the radiation
      work permit controls/limits, and whether their performance was consistent with their
      training and qualifications with respect to the radiological hazards and work activities.
  b. Findings
      No findings were identified.
.8  Problem Identification and Resolution (02.09)
  a. Inspection Scope
      The inspectors evaluated whether problems associated with radiation monitoring and
      exposure control were being identified by the licensee at an appropriate threshold and
      were properly addressed for resolution in the licensees Corrective Action Program. The
      inspectors assessed the appropriateness of the corrective actions for a selected sample
      of problems documented by the licensee that involve radiation monitoring and exposure
      controls. The inspectors assessed the licensees process for applying operating
      experience to their plant.
  b. Findings
      No findings were identified.
2RS2 Occupational As-Low-As-Reasonably-Achievable Planning and Controls (71124.02)
      The inspection activities supplement those documented in NRC Inspection Report
      05000315-05000316/2014002 and constitute a partial sample as defined in Inspection
      Procedure 71124.02-05.
.1  Radiation Worker Performance (02.05)
  a. Inspection Scope
      The inspectors observed radiation worker and radiation protection technician
      performance during work activities being performed in radiation areas, airborne
      radioactivity areas, or high radiation areas. The inspectors evaluated whether workers
      demonstrated the ALARA philosophy in practice (e.g., workers are familiar with the work
      activity scope and tools to be used, workers used ALARA low-dose waiting areas) and
      whether there were any procedure compliance issues (e.g., workers are not complying
      with work activity controls). The inspectors observed radiation worker performance to
      assess whether the training and skill level was sufficient with respect to the radiological
      hazards and the work involved.
                                                37
 
  b. Findings
      No findings were identified.
2RS7 Radiological Environmental Monitoring Program (71124.07)
      This inspection constituted one complete sample as defined in Inspection Procedure
      71124.07-05.
.1  Inspection Planning (02.01)
  a. Inspection Scope
      The inspectors reviewed the annual radiological environmental operating reports and the
      results of any licensee assessments since the last inspection to assess whether the
      Radiological Environmental Monitoring Program was implemented in accordance with
      the Technical Specifications and Offsite Dose Calculation Manual. This review included
      reported changes to the Offsite Dose Calculation Manual with respect to environmental
      monitoring, commitments in terms of sampling locations, monitoring and measurement
      frequencies, land use census, Inter-Laboratory Comparison Program, and analysis of
      data.
      The inspectors reviewed the Offsite Dose Calculation Manual to identify locations of
      environmental monitoring stations.
      The inspectors reviewed the Final Safety Analysis Report for information regarding the
      environmental monitoring program and meteorological monitoring instrumentation.
      The inspectors reviewed quality assurance audit results of the program to assist in
      choosing inspection smart samples. The inspectors also reviewed audits and technical
      evaluations performed on the vendor laboratory if used.
      The inspectors reviewed the annual effluent release report and the 10 CFR Part 61,
      Licensing Requirements for Land Disposal of Radioactive Waste, report, to determine if
      the licensee was sampling, as appropriate, for the predominant and dose-causing
      radionuclides likely to be released in effluents.
  b. Findings
      No findings were identified.
.2  Site Inspection (02.02)
  a. Inspection Scope
      The inspectors walked down select air sampling stations and dosimeter monitoring
      stations to determine whether they were located as described in the Offsite Dose
      Calculation Manual and to determine the equipment material condition. Consistent with
      smart sampling, the air sampling stations were selected based on the locations with the
      highest X/Q, D/Q wind sectors, and dosimeters were selected based on the most risk
      significant locations (e.g., those that have the highest potential for public dose impact).
                                                38
 
For the air samplers and dosimeters selected, the inspectors reviewed the calibration
and maintenance records to evaluate whether they demonstrated adequate operability of
these components. Additionally, the review included the calibration and maintenance
records of select composite water samplers.
The inspectors assessed whether the licensee had initiated sampling of other
appropriate media upon loss of a required sampling station.
The inspectors observed the collection and preparation of environmental samples from
different environmental media (e.g., ground and surface water, milk, vegetation,
sediment, and soil) as available to determine whether environmental sampling was
representative of the release pathways as specified in the Offsite Dose Calculation
Manual and if sampling techniques were in accordance with procedures.
Based on direct observation and review of records, the inspectors assessed whether
the meteorological instruments were operable, calibrated, and maintained in
accordance with guidance contained in the Final Safety Analysis Report, NRC
Regulatory Guide 1.23, Meteorological Monitoring Programs for Nuclear Power Plants,
and licensee procedures. The inspectors assessed whether the meteorological data
readout and recording instruments in the control room and, if applicable, at the tower
were operable.
The inspectors evaluated whether missed and/or anomalous environmental samples
were identified and reported in the annual environmental monitoring report. The
inspectors selected events that involved a missed sample, inoperable sampler, lost
dosimeter, or anomalous measurement to determine if the licensee had identified the
cause and had implemented corrective actions. The inspectors reviewed the licensees
assessment of any positive sample results (i.e., licensed radioactive material detected
above the lower limits of detection) and reviewed the associated radioactive effluent
release data that was the source of the released material.
The inspectors selected structures, systems, or components that involve or could
reasonably involve licensed material for which there is a credible mechanism for
licensed material to reach ground water, and assessed whether the licensee had
implemented a sampling and monitoring program sufficient to detect leakage of these
structures, systems, or components to ground water.
The inspectors evaluated whether records, as required by 10 CFR 50.75(g), of leaks,
spills, and remediation since the previous inspection were retained in a retrievable
manner.
The inspectors reviewed any significant changes made by the licensee to the Offsite
Dose Calculation Manual as the result of changes to the land census, long-term
meteorological conditions (3-year average), or modifications to the sampler stations
since the last inspection. They reviewed technical justifications for any changed
sampling locations to evaluate whether the licensee performed the reviews required to
ensure that the changes did not affect its ability to monitor the impacts of radioactive
effluent releases on the environment.
The inspectors assessed whether the appropriate detection sensitivities with respect to
Technical Specifications/Offsite Dose Calculation Manual where used for counting
                                        39
 
      samples (i.e., the samples meet the technical specifications/Offsite Dose Calculation
      Manual required lower limits of detection). The inspectors reviewed quality control
      charts for maintaining radiation measurement instrument status and actions taken for
      degrading detector performance. The licensee uses a vendor laboratory to analyze the
      radiological environmental monitoring program samples so the inspectors reviewed the
      results of the vendors quality control program, including the inter-laboratory comparison,
      to assess the adequacy of the vendors program.
      The inspectors reviewed the results of the licensees Inter-Laboratory Comparison
      Program to evaluate the adequacy of environmental sample analyses performed by the
      licensee. The inspectors assessed whether the inter-laboratory comparison test
      included the media/nuclide mix appropriate for the facility. If applicable, the inspectors
      reviewed the licensees determination of any bias to the data and the overall effect on
      the radiological environmental monitoring program.
  b. Findings
      No findings were identified.
.3  Identification and Resolution of Problems (02.03)
  a. Inspection Scope
      The inspectors assessed whether problems associated with the radiological
      environmental monitoring program were being identified by the licensee at an
      appropriate threshold and were properly addressed for resolution in the licensees
      Corrective Action Program. Additionally, they assessed the appropriateness of the
      corrective actions for a selected sample of problems documented by the licensee that
      involved the radiological environmental monitoring program.
  b. Findings
      No findings were identified.
4.    OTHER ACTIVITIES
      Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, Emergency
      Preparedness, and Occupational and Public Radiation Safety
4OA1 Performance Indicator Verification (71151)
.1  Mitigating Systems Performance Index - Emergency AC Power System
  a. Inspection Scope
      In the third quarter of 2014, the inspectors sampled licensee submittals for the Mitigating
      Systems Performance Index (MSPI) - Emergency AC Power System performance
      indicator for Donald C. Cook Unit 1 and Unit 2 for the period from the third quarter 2013
      through the second quarter 2014. To determine the accuracy of the PI data reported
      during those periods, PI definitions and guidance contained in the Nuclear Energy
      Institute (NEI) Document 99-02, Regulatory Assessment Performance Indicator
      Guideline, Revision 7, dated August 31, 2013, were used. The inspectors reviewed the
                                                40
 
    licensees operator narrative logs, MSPI derivation reports, issue reports, event reports
    and NRC Integrated Inspection Reports for the period of July 2013 through June 2014 to
    validate the accuracy of the submittals. The inspectors reviewed the MSPI component
    risk coefficient to determine if it had changed by more than 25 percent in value since the
    previous inspection, and if so, that the change was in accordance with applicable
    NEI guidance. The inspectors also reviewed the licensees issue report database to
    determine if any problems had been identified with the PI data collected or transmitted
    for this indicator and none were identified. Documents reviewed are listed in the
    Attachment to this report. Portions of this inspection activity were credited in NRC
    Inspection Report 05000315-05000316/2014004.
    This inspection constituted one MSPI emergency AC power system sample as defined in
    IP 71151-05.
  b. Findings
    No findings were identified.
.2  Mitigating Systems Performance Index - High Pressure Injection Systems
  a. Inspection Scope
    In the third quarter of 2014, the inspectors sampled licensee submittals for the Mitigating
    Systems Performance Index - High Pressure Injection Systems performance indicator
    for Donald C. Cook Unit 1 and Unit 2 for the period from the third quarter of 2013 thru
    the third quarter of 2014. To determine the accuracy of the PI data reported during
    those periods, PI definitions and guidance contained in the NEI Document 99-02,
    Regulatory Assessment Performance Indicator Guideline, Revision 7, dated August 31,
    2013, were used. The inspectors reviewed the licensees operator narrative logs, issue
    reports, MSPI derivation reports, event reports and NRC Integrated Inspection Reports
    for the period of the third quarter of 2013 thru the 2nd quarter of 2014 to validate the
    accuracy of the submittals. The inspectors reviewed the MSPI component risk
    coefficient to determine if it had changed by more than 25 percent in value since the
    previous inspection, and if so, that the change was in accordance with applicable
    NEI guidance. The inspectors also reviewed the licensees issue report database to
    determine if any problems had been identified with the PI data collected or transmitted
    for this indicator and none were identified. Documents reviewed are listed in the
    Attachment to this report. Portions of this inspection activity were credited in NRC
    Inspection Report 05000315-05000316/2014004.
    This inspection constituted one MSPI high pressure injection system sample as defined
    in IP 71151-05.
  b. Findings
    No findings were identified.
                                                41
 
.3  Mitigating Systems Performance Index - Heat Removal System
  a. Inspection Scope
    In the third quarter of 2014, the inspectors sampled licensee submittals for the Mitigating
    Systems Performance Index - Heat Removal System performance indicator for
    Donald C. Cook Unit 1 and Unit 2 for the period from the third quarter 2013 through the
    second quarter 2014. To determine the accuracy of the PI data reported during those
    periods, PI definitions and guidance contained in the NEI Document 99-02, Regulatory
    Assessment Performance Indicator Guideline, Revision 7, dated August 31, 2013, were
    used. The inspectors reviewed the licensees operator narrative logs, issue reports,
    event reports, MSPI derivation reports, and NRC Integrated Inspection Reports for the
    period of July 2013 through June 2014 to validate the accuracy of the submittals. The
    inspectors reviewed the MSPI component risk coefficient to determine if it had changed
    by more than 25 percent in value since the previous inspection, and if so, that the
    change was in accordance with applicable NEI guidance. The inspectors also reviewed
    the licensees issue report database to determine if any problems had been identified
    with the PI data collected or transmitted for this indicator and none were identified.
    Documents reviewed are listed in the Attachment to this report. Portions of this
    inspection activity were credited in NRC Inspection Report
    05000315-05000316/2014004.
    This inspection constituted one MSPI heat removal system sample as defined in
    IP 71151-05.
  b. Findings
    No findings were identified.
.4  Mitigating Systems Performance Index - Residual Heat Removal System
  a. Inspection Scope
    In the third quarter of 2014, the inspectors sampled licensee submittals for the Mitigating
    Systems Performance Index - Residual Heat Removal System performance indicator for
    Donald C. Cook Unit 1 and Unit 2 for the period from the third quarter 2013 through the
    second quarter 2014. To determine the accuracy of the PI data reported during those
    periods, PI definitions and guidance contained in the NEI Document 99-02, Regulatory
    Assessment Performance Indicator Guideline, Revision 7, dated August 31, 2013, were
    used. The inspectors reviewed the licensees operator narrative logs, issue reports,
    MSPI derivation reports, event reports and NRC Integrated Inspection Reports for the
    period of July 2013 through June 2014 to validate the accuracy of the submittals. The
    inspectors reviewed the MSPI component risk coefficient to determine if it had changed
    by more than 25 percent in value since the previous inspection, and if so, that the
    change was in accordance with applicable NEI guidance. The inspectors also reviewed
    the licensees issue report database to determine if any problems had been identified
    with the PI data collected or transmitted for this indicator and none were identified.
    Documents reviewed are listed in the Attachment to this report. Portions of this
    inspection activity were credited in NRC Inspection Report
    05000315-05000316/2014004.
                                              42
 
    This inspection constituted one MSPI residual heat removal system sample as defined in
    IP 71151-05.
  b. Findings
    No findings were identified.
.5  Mitigating Systems Performance Index - Cooling Water Systems
  a. Inspection Scope
    In the third quarter of 2014, the inspectors sampled licensee submittals for the Mitigating
    Systems Performance Index - Cooling Water Systems performance indicator for
    Donald C. Cook Unit 1 and Unit 2 for the period from the third quarter 2013 through the
    second quarter 2014. To determine the accuracy of the PI data reported during those
    periods, PI definitions and guidance contained in the NEI Document 99-02, Regulatory
    Assessment Performance Indicator Guideline, Revision 7, dated August 31, 2013, were
    used. The inspectors reviewed the licensees operator narrative logs, issue reports,
    MSPI derivation reports, event reports and NRC Integrated Inspection Reports for the
    period of July 2013 through June 2014 to validate the accuracy of the submittals. The
    inspectors reviewed the MSPI component risk coefficient to determine if it had changed
    by more than 25 percent in value since the previous inspection, and if so, that the
    change was in accordance with applicable NEI guidance. The inspectors also reviewed
    the licensees issue report database to determine if any problems had been identified
    with the PI data collected or transmitted for this indicator and none were identified.
    Documents reviewed are listed in the Attachment to this report. Portions of this
    inspection activity were credited in NRC Inspection Report
    05000315-05000316/2014004.
    This inspection constituted one MSPI cooling water system sample as defined in
    IP 71151-05.
  b. Findings
    No findings were identified.
.6  Reactor Coolant System Leakage
  a. Inspection Scope
    The inspectors sampled licensee submittals for the RCS Leakage performance indicator
    for both Unit 1 and 2 for the period from the fourth quarter 2013 through the third quarter
    2014. To determine the accuracy of the PI data reported during those periods, PI
    definitions and guidance contained in the NEI Document 99-02, Regulatory
    Assessment Performance Indicator Guideline, Revision 7, dated August 31, 2013, were
    used. The inspectors reviewed the licensees operator logs, RCS leakage tracking data,
    issue reports, event reports and NRC Integrated Inspection Reports for the period of the
    fourth quarter 2013 through the third quarter 2014 to validate the accuracy of the
    submittals. The inspectors also reviewed the licensees issue report database to
    determine if any problems had been identified with the PI data collected or transmitted
    for this indicator and none were identified. Documents reviewed are listed in the
    Attachment to this report.
                                              43
 
    This inspection constituted two RCS leakage samples as defined in IP 71151-05.
  b. Findings
    No findings were identified.
.7  Reactor Coolant System Specific Activity
  a. Inspection Scope
    The inspectors sampled licensee submittals for the RCS specific activity Performance
    Indicator for D.C. Cook Nuclear Power Plant Units 1 and 2 for the period from the third
    quarter 2013 through the third quarter 2014. The inspectors used Performance Indicator
    definitions and guidance contained in the Nuclear Energy Institute Document 99-02,
    Regulatory Assessment Performance Indicator Guideline, Revision 7, dated August
    2013, to determine the accuracy of the Performance Indicator data reported during those
    periods. The inspectors reviewed the licensees RCS chemistry samples, Technical
    Specification requirements, issue reports, event reports, and NRC Integrated Inspection
    Reports to validate the accuracy of the submittals. The inspectors also reviewed the
    licensees issue report database to determine if any problems had been identified with
    the Performance Indicator data collected or transmitted for this indicator and none were
    identified. In addition to record reviews, the inspectors observed a chemistry technician
    obtain and analyze a RCS sample. Documents reviewed are listed in the Attachment to
    this report.
    This inspection constituted two RCS specific activity samples as defined in IP 71151-05.
  b. Findings
    No findings were identified.
.8  Radiological Effluent Technical Specification/Offsite Dose Calculation Manual
    Radiological Effluent Occurrences
  a. Inspection Scope
    The inspectors sampled licensee submittals for the radiological effluent Technical
    Specification/Offsite Dose Calculation Manual radiological effluent occurrences
    Performance Indicator for the period from the third quarter 2013 through the third quarter
    2014. The inspectors used Performance Indicator definitions and guidance contained in
    the Nuclear Energy Institute Document 99-02, Regulatory Assessment Performance
    Indicator Guideline, Revision 7, dated August 2013, to determine the accuracy of the
    Performance Indicator data reported during those periods. The inspectors reviewed the
    licensees issue report database and selected individual reports generated since this
    indicator was last reviewed to identify any potential occurrences such as unmonitored,
    uncontrolled, or improperly calculated effluent releases that may have impacted offsite
    dose. The inspectors reviewed gaseous effluent summary data and the results of
    associated offsite dose calculations for selected dates to determine if indicator results
    were accurately reported. The inspectors also reviewed the licensees methods for
    quantifying gaseous and liquid effluents and determining effluent dose. Documents
    reviewed are listed in the Attachment to this report.
                                              44
 
      This inspection constituted one Radiological Effluent Technical Specification/Offsite
      Dose Calculation Manual radiological effluent occurrences sample as defined in
      IP 71151 05.
  b. Findings
      No findings were identified.
.9  Occupational Exposure Control Effectiveness
  a. Inspection Scope
      The inspectors sampled licensee submittals for the Occupational Exposure Control
      Effectiveness Performance Indicator for the period from the third quarter 2013 through
      the third quarter 2014. The inspectors used Performance Indicator definitions and
      guidance contained in the Nuclear Energy Institute Document 99-02, Regulatory
      Assessment Performance Indicator Guideline, Revision 7, dated August 2013, to
      determine the accuracy of the Performance Indicator data reported during those periods.
      The inspectors reviewed the licensees assessment of the Performance Indicator for
      occupational radiation safety to determine if the indicator related data was adequately
      assessed and reported. To assess the adequacy of the licensees Performance
      Indicator data collection and analyses, the inspectors discussed with radiation protection
      staff the scope and breadth of its data review and the results of those reviews. The
      inspectors independently reviewed electronic personal dosimetry dose rate and
      accumulated dose alarms and dose reports and the dose assignments for any intakes
      that occurred during the time period reviewed to determine if there were potentially
      unrecognized occurrences. The inspectors also conducted walkdowns of numerous
      locked high and very-high radiation area entrances to determine the adequacy of the
      controls in place for these areas. Documents reviewed are listed in the Attachment to
      this report.
      This inspection constituted one occupational exposure control effectiveness sample as
      defined in IP 71151-05.
  b. Findings
      No findings were identified.
4OA2 Identification and Resolution of Problems (71152)
      Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, Emergency
      Preparedness, Public Radiation Safety, Occupational Radiation Safety, and
      Physical Protection
.1  Routine Review of Items Entered into the Corrective Action Program
  a. Inspection Scope
      As part of the various baseline inspection procedures discussed in previous sections of
      this report, the inspectors routinely reviewed issues during baseline inspection activities
      and plant status reviews to verify they were being entered into the licensees CAP at an
      appropriate threshold, that adequate attention was being given to timely corrective
                                                45
 
    actions, and that adverse trends were identified and addressed. Attributes reviewed
    included: identification of the problem was complete and accurate; timeliness was
    commensurate with the safety significance; evaluation and disposition of performance
    issues, generic implications, common causes, contributing factors, root causes,
    extent-of-condition reviews, and previous occurrences reviews were proper and
    adequate; and that the classification, prioritization, focus, and timeliness of corrective
    actions were commensurate with safety and sufficient to prevent recurrence of the issue.
    Minor issues entered into the licensees CAP as a result of the inspectors observations
    are included in the Attachment to this report.
    These routine reviews for the identification and resolution of problems did not constitute
    any additional inspection samples. Instead, by procedure they were considered an
    integral part of the inspections performed during the quarter and documented in
    Section 1 of this report.
  b. Findings
    No findings were identified.
.2  Daily Corrective Action Program Reviews
  a. Inspection Scope
    In order to assist with the identification of repetitive equipment failures and specific
    human performance issues for followup, the inspectors performed a daily screening of
    items entered into the licensees CAP. This review was accomplished through
    inspection of the stations daily condition report packages.
    These daily reviews were performed by procedure as part of the inspectors daily plant
    status monitoring activities and, as such, did not constitute any separate inspection
    samples.
  b. Findings
    No findings were identified.
.3  Semiannual Trend Review
  a. Inspection Scope
    The inspectors performed a review of the licensees CAP and associated documents to
    identify trends that could indicate the existence of a more significant safety issue. The
    inspectors review was focused on repetitive equipment issues, but also considered the
    results of daily inspector CAP item screening discussed in Section 4OA2.2 above,
    licensee trending efforts, and licensee human performance results. The inspectors
    review nominally considered the 6-month period of July 2014 through December 2014,
    although some examples expanded beyond those dates where the scope of the trend
    warranted.
    The review also included issues documented outside the normal CAP in major
    equipment problem lists, repetitive and/or rework maintenance lists, departmental
    problem/challenges lists, system health reports, quality assurance audit/surveillance
                                                46
 
    reports, self-assessment reports, and Maintenance Rule assessments. The inspectors
    compared and contrasted their results with the results contained in the licensees CAP
    trending reports. Corrective actions associated with a sample of the issues identified in
    the licensees trending reports were reviewed for adequacy.
    The inspectors observed some weaknesses in different aspects of the operability
    determination process. There were some instances where ARs were written but were
    not flagged for an operability review. Some had been already identified by the licensee
    upon questioning by the inspectors, others had not. In these cases, the inspectors did
    not find any instances where equipment should have been called inoperable but was
    not. The inspectors also found a functionality assessment associated with fire pumps
    where necessary compensatory measures were not formalized until the inspectors had
    questioned the assessment. During the period of review, there were two NRC identified
    findings with identified weaknesses in the operability determination process. One was
    documented in NRC Inspection Report 2014004 and dealt with a failure to provide
    adequate technical justification for operability of a TDAFW pump with respect to
    governor oil levels. Another issue is documented in Section 1R15 of this report and
    dealt with, in part, appropriate oil levels for TDAFW bearings. The inspectors discussed
    the observations with licensee staff, who agreed with the assessment.
    The inspectors also observed weaknesses in work planning and execution. Multiple
    instances were identified of scheduled work activities that had to be de-conflicted the
    day/week of execution. In some cases, procedures had to be revised to support work, or
    post-maintenance test activities changed to appropriately cover the scope of work near
    time of execution. In some cases, where changes were made or expanded scope
    encountered, the plant risk summary sheet (a vehicle by which the plant risk is conveyed
    to the site) was not updated appropriately. A finding in Section 1R15 of this report
    documents a case where inadequate planning and execution unexpectedly rendered a
    diesel fuel oil storage tank inoperable. Inspectors have discussed the issue with
    licensee staff, who agreed with the assessment.
    This review constituted one semiannual trend inspection sample as defined in
    IP 71152-05.
  b. Findings
    No findings were identified.
.4  Selected Issue Followup Inspection: Review of Operator Workarounds
  a. Inspection Scope
    The inspectors evaluated the licensees implementation of their process used to identify,
    document, track, and resolve operational challenges. Inspection activities included, but
    were not limited to, a review of the cumulative effects of the operator workarounds
    (OWAs) on system availability and the potential for improper operation of the system, for
    potential impacts on multiple systems, and on the ability of operators to respond to plant
    transients or accidents.
    The inspectors performed a review of the cumulative effects of OWAs. The documents
    listed in the Attachment to this report were reviewed to accomplish the objectives of the
    inspection procedure. The inspectors reviewed both current and historical operational
                                                47
 
    challenge records to determine whether the licensee was identifying operator challenges
    at an appropriate threshold, had entered them into their CAP and proposed or
    implemented appropriate and timely corrective actions which addressed each issue.
    Reviews were conducted to determine if any operator challenge could increase the
    possibility of an Initiating Event, if the challenge was contrary to training, required a
    change from long-standing operational practices, or created the potential for
    inappropriate compensatory actions. Additionally, all temporary modifications were
    reviewed to identify any potential effect on the functionality of Mitigating Systems,
    impaired access to equipment, or required equipment uses for which the equipment was
    not designed. Daily plant and equipment status logs, degraded instrument logs, and
    operator aids or tools being used to compensate for material deficiencies were also
    assessed to identify any potential sources of unidentified operator workarounds.
    This review constituted one in depth review of a selected issue sample (operator work
    arounds) as defined in IP 71152-05.
  b. Findings
    No findings were identified.
.5  Selected Issue Follow-up Inspection: Follow-up to Previous NRC Findings
  a. Inspection Scope
    The inspectors selected a sample of previously issued NRC findings to assess the
    adequacy of licensee corrective actions. Two instances were identified where the
    technical issues had been adequately addressed; however, it appeared there were no
    corrective actions for underlying performance issues. In one case, a finding was issued
    regarding a change in the system pressures at which the fire pumps would automatically
    start (NCV 05000315-05000316/2013009-02). While the licensee was able to eventually
    show the new setpoints were acceptable, nothing was done to explore potential
    breakdowns in the engineering change process or in human performance that allowed
    the change to occur without the additional reviews being done to begin with. In another
    example, FIN 05000315-05000316/2013002-02 was issued for a failure to follow the
    guidance in the operability determination procedure. Subsequently, the licensee used
    methods that were acceptable to validate the past operability of Emergency Core
    Cooling piping when a void was discovered. However, any underlying issues in human
    performance or in the operability determination process were not explored at the time.
    The licensee acknowledged the inspectors observations.
    Regarding the finding discussed above for the fire pump starting setpoints, the
    inspectors also identified that changes had been made to the plant design basis since
    the licensees previous corrective actions were completed. Pursuant to the change to
    NFPA-805 standards of fire protection, additional sprinklers were added to the required
    Technical Requirements Manual fire suppression systems. When this occurred, the
    licensee did not re-review the impacts on the fire pump starting setpoint issue which was
    the subject of the NRC finding. Based on inspector questions, the licensee re-instituted
    compensatory measures to restore functionality of the fire suppression system pending
    approval of new calculations that will incorporate the new systems and starting setpoints
    of the fire pumps. Additionally, the inspectors questioned the adequacy of current fire
    pump surveillance tests in light of the NRC finding. The inspectors discovered the
                                                48
 
      licensee had already identified a discrepancy between the surveillance tests and design
      requirements and had written an AR in September of 2014. Basically, a pump could
      degrade to a point where it would still pass a surveillance, yet not meet all aspects of the
      design calculation requirements for the fire suppression system. The licensee was able
      to demonstrate the pumps had not degraded to a point outside the design requirements,
      and was working to resolve the discrepancy between the tests and design requirements.
      This review constituted one in-depth review of a selected issue sample as defined in
      IP 71152-05.
4OA3 Follow-up of Events and Notices of Enforcement Discretion (71153)
.1  Dual Unit Trip Caused by Debris Intrusion in the Forebay
  a. Inspection Scope
      On November 1, 2014, the inspectors responded to the site following a dual unit trip
      caused by debris intrusion in the forebay of the screenhouse. During the evening of
      October 31, and early morning of November 1, rough lake conditions and high wind
      mobilized and transported a large mass of sea grass and other debris. This debris
      entered the D.C. Cook intake structure and collected on trash racks and travelling
      screens in the fore bay. Prior to the unit shutdown, the licensee monitored forebay
      conditions and took actions to maintain the travelling screens clean. However, the rate
      of debris intrusion exceeded the equipments ability to clean the screens. As differential
      pressure increased across the screens, the licensee entered the Degraded Forebay
      abnormal procedure. The licensee reduced power in Unit 2 to 50 percent and secured a
      circulating water pump. However, conditions in the fore bay continued to degrade to the
      point that the licensee had to manually trip both units. This action allowed the licensee
      to secure all circulating water pumps thus protecting the safety-related service water
      system.
      Following the plant trip, the licensee notified the resident inspector who responded to the
      site. The inspectors verified licensee actions in the control rooms were consistent with
      plant procedures. In addition, the inspectors focused on performance of safety-related
      equipment supplied with service water. The inspectors concluded that the service water
      system had not been impacted by the debris intrusion.
      As part of the plant shutdown, several plant SSCs did not perform as expected. For
      Unit 2, auto transfer between the unit auxiliary transformer and reserve auxiliary
      transformer on turbine trip did not occur. Auto transfer did occur after the licensee
      manually inserted a generator trip. The licensee replaced a failed relay associated with
      a turbine stop valve to correct the condition. In addition, a relay on the unit two reserve
      auxiliary transformer failed that precluded auto-stepping of the transformer; the licensee
      replaced this relay prior to unit startup.
      On Unit 1, the turbine driven auxiliary feedwater pump tripped while the licensee
      throttled flow. Because both MDAFW pumps were operable, the licensee used the
      MDAFW pumps for steam generator level control. The inspectors identified a finding as
      documented in Section 1R15 of this report. Additionally, on Unit 2, an AFW flow control
      valve appeared to not respond to a flow retention signal. The flow retention circuit acts
      to prevent excessive flows to the steam generators from the AFW pumps by throttling
                                                49
 
      closed flow control valves. Upon investigation, given instrument tolerances, tests of the
      circuitry, time delay settings, and actual measured flow, it was determined the system
      acted appropriately.
      In addition, three steam safety valves lifted prior to their nominal set point tolerance
      band. In reviewing the condition, the licensee documented that set point surveillances
      are conducted using a defined set of conditions that allow the safeties to achieve
      repeatable lift setpoints. For an installed safety, several factors can influence actual lift
      pressure. These factors include vibration and temperature transients. As a result, the
      licensee concluded that the valves responded in a fashion consistent with the design of
      the valves. The licensee plans on performing lift tests on the valves during the next
      refueling outage to confirm valve operability.
      This event follow-up review constituted one sample as defined in IP 71153-05.
  b. Findings
      No findings were identified.
4OA6 Management Meetings
.1  Exit Meeting Summary
      On January 20, 2015, the inspectors presented the inspection results to Mr. L. Weber
      and other members of the licensee staff. The licensee acknowledged the issues
      presented. The inspectors confirmed that none of the potential report input discussed
      was considered proprietary.
.2  Interim Exit Meetings
      Interim exits were conducted for:
      *        The results of the inservice inspection were discussed with site vice president,
              Mr. J. Gebbie on October 10, 2014;
      *        The inspection results for the areas of radiological hazard assessment and
              exposure controls; occupational ALARA planning and controls; and occupational
              exposure control effectiveness performance indicator verification with
              Mr. J. Gebbie, Site Vice President, on October 17, 2014;
      *        The inspection results for the area of radiological hazard assessment and
              exposure controls with Mr. J. Gebbe, Site Vice President, on October 29, 2014;
      *        The inspection results for the areas of radiological environmental monitoring; and
              RCS specific activity and RETS/ODCM radiological effluent occurrences
              performance indicator verification with Mr. J. Gebbe, Site Vice President, on
              November 7, 2014;
      *        The results of the inspection of the permanent removal of shield/missile blocks
              with Mr. L. Weber, Chief Nuclear Officer, and other members of the licensee staff
              on December 01, 2014; and
      *        The Annual Review of Emergency Action Level and Emergency Plan Changes
              with the Licensee's Chief Nuclear Officer, Mr. L. Weber, on January 12, 2015.
                                                50
 
    The inspectors confirmed that none of the potential report input discussed was
    considered proprietary. Proprietary material received during the inspection was returned
    to the licensee.
ATTACHMENT: SUPPLEMENTAL INFORMATION
                                            51
 
                                SUPPLEMENTAL INFORMATION
                                  KEY POINTS OF CONTACT
Licensee
L. Weber, Chief Nuclear Officer
J. Gebbie, Site Vice President
L. Baun, Director Performance Assurance
J. Beer, Principal Health Physicist
D. Bronicki, Interim Radiation Protection Manager
R. Hall, ISI Program Owner
J. Harner, Environmental Manager
G. Hill, Supervisor Nuclear Safety Analysis
S. Lies, Vice President Engineering
S. Mitchell, Regulatory Affairs
D. Miller, Health Physicist
J. Nimtz, Senior Licensing Activity Coordinator
J. Ross, Engineering Director
M. Scarpello, Regulatory Affairs Manager
P. Schoepf, Nuclear Site Services Director
R. Sieber, Emergency Preparedness Manager
Nuclear Regulatory Commission
K. Riemer, Chief, Reactor Projects Branch 2
R. Daley, Chief, Engineering Branch 3
B. Dickson, Chief, Health Physics and Incident Response
N. Feliz-Adorno, Reactor Engineer
J. Gilliam; Reactor Engineer
M. Mitchell, Health Physicist
                                                        Attachment
 
                LIST OF ITEMS OPENED, CLOSED AND DISCUSSED
Opened
05000315/2014005-01  NCV  Failure to Identify Conditions Adverse to Quality
                            associated with the Unit 1 TDAFW Pump Turbine Oil
                            System (Section 1R15.b(1))
05000315/2014005-02;  NCV  Unplanned Inoperability of the AB Fuel Oil Storage Tank
05000316/2014005-02        during Maintenance (Section 1R15.b(2))
05000315/2014005-03;  NCV  Inadequate Review of Radiological Impact of the Removal
05000316/2014005-03        of the Auxiliary Shield Blocks on the Containment
                            Accident Shield Post LBLOCA (Section 1R18)
05000315/2014005-04  NCV  Inadvertent Trip of the Unit 1 TDAFW Pump
                            (Section 1R19)
05000315/2014005-05  URI  Changes to Minimum 60-Minute Emergency Responder
                            Staffing Without Prior Approval (Section 1EP4)
05000315/2014005-06;  NCV  Failure To Identify Deficient Locked High Radiation Area
05000316/2014005-06        Controls Due To Procedure Inadequacy (Section 2RS1.4)
Closed
05000315/2014005-01  NCV  Failure to Identify Conditions Adverse to Quality
                            associated with the Unit 1 TDAFW Pump Turbine Oil
                            System (Section 1R15.b(1))
05000315/2014005-02;  NCV  Unplanned Inoperability of the AB Fuel Oil Storage Tank
05000316/2014005-02        during Maintenance (Section 1R15.b(2))
05000315/2014005-03;  NCV  Inadequate Review of Radiological Impact of the Removal
05000316/2014005-03        of the Auxiliary Shield Blocks on the Containment
                            Accident Shield Post LBLOCA (Section 1R18)
05000315/2014005-04  NCV  Inadvertent Trip of the Unit 1 TDAFW Pump
                            (Section 1R19)
05000315/2014005-06;  NCV  Failure To Identify Deficient Locked High Radiation Area
05000316/2014005-06        Controls Due To Procedure Inadequacy (Section 2RS1.4)
Discussed
None
                                        2
 
                                  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.
1R01 Adverse Weather Protection
- 12-IHP-5040-EMP-004, Plant Winterization and De-Winterization, Revision 21
- 12-OHP-4022-057-001, Screen House Forebay Degraded Condition, Revision 7
- 12-OHP-5030-057-001, Screen House Vulnerability Determination, Revision 22
- AR-2014-14403, 12-HV-DGH Appears to Have Failed
- Cook Seasonal Readiness Affirmation Letter, November 11, 2014
- PMP-5055-001-001, Winterization/Summerization Checklist, Revision 22
1R04 Equipment Alignment
- 2-OHP-4021-017-002, Placing in Service the Residual Heat Removal System, Revision 24
- 2-OHP-4030-217-050W, West Residual Heat Removal Train Operability Test, Modes 1-4,
  Revision 14
- AR-2014-14089, CTS Nozzle Leaking
- AR-2014-8502, Possible PORV Leakby
- Drawing OP-1-5144-51, Containment Spray
- Drawing OP-2-5105D-22, Steam Generating System
- Drawing OP-2-5106A-55, Aux Feedwater
- List of Open Work Orders, Unit 1 Containment Spray System
1R05 Fire Protection
- AR 2014-15683, Combustible Material Stored in 2AB DB FO Transfer Pump Room
- AR-2014-12540, Unattended Test Equipment
- CNP Fire Safety Analysis, Report R1900-007-AA32, Fire Area 32, June 2011
- Fire Hazards Analysis, Revision 16
- PMP-2270-CCM-001, Control of Combustible Materials, Revision 24
- PMP-2270-WBG-001, Welding, Burning, and Grinding Activities, Revision 23
1R06 Flooding
- 12-1141-53, 34.5Kv & 4 Kv Power Duct Runs & Control Cable Pipe Runs in Plant Yard Area,
  April 4, 1971
1R07 Heat Sink Performance
- 12-EHP-8913-001-002, Heat Exchanger Inspection, Revision 9
- D.C. Cook Commitment Change Number CC-0218, Regarding Heat Exchanger Inspection
  Program, March 10, 2003
- Fall 2014 U1C26 Eddy Current Inspection Results, 1-HE-47-CDN Heat Exchanger
- NRC Generic Letter 89-13, Service Water System Problems Affecting Safety-Related
  Equipment, July 18, 1989
                                                    3
 
1R08 Inservice Inspection Activities
- 12-EHP-5037-SGP-004, Steam Generator Foreign Object Disposition, Revision 5
- 12-EHP-5070-NDE-DMW, Ultrasonic Examination of ASME Section XI, Appendix VIII,
  Supplement 10 Dissimilar Metal Welds, Revision 0
- 12-QHP-5050-NDE-002, Magnetic Particle Examination, Revision 6
- 12-QHP-5050-NDE-010, Radiographic Examination of Welds, Revision 6
- 1-EHP-4030-102-001, Steam Generator Primary Side Surveillance, Revision 10
- AR 2012-12105, Water Pooling Around U2 CST
- AR 2013-0534, 12-CS-185 has a Body to Bonnet Leak
- AR 2013-4317, 1-QRV-114, Body to Bonnet Leak
- AR 2013-4625, 1-CS-448-1 has a BA Leak
- AR 2013-5096, No. 14 SG Cold Leg Nozzle Dam Leakage
- AR 2013-5279, 12-QLA-420-IDH BA Leak from Swedgelock Fitting
- AR 2013-6540, 1-SF-160 Leaking at Diaphragm
- AR 2013-6839, U1C25 Refueling Cavity Leakage
- AR 2013-7061, 1-RH-147W has Boric Acic on Body to Bonnet
- AR 2013-7067, 1-RH-107W Leaks by at 0.095 ml/min
- AR 2013-7220, Reactor Head and Pressurizer Vent Piping Areas
- AR 2013-7354, Evidence of Previous Small Boric Acid Leak from 1-NFP-211
- AR 2013-7355, 1-NFP-240 has Evidence of Prior Test Fitting Leakage
- AR 2013-8587, U1 Seal Table Thimble Leakage Identified
- AR 2013-9459, 12-CS-185 has a Ruptured Diaphragm
- AR 2014-8869, 1-QRV-200, Active Boric Acid Leak on Packing
- AR 2014-11337, Wall Loss Identified in NESW Containment Penetration Piping
- AR 2014-11339, Piping Wall Loss Near 1-WCR-942
- AR 2014-11413, Six Data Points In Piping Found Below Manufact Tolerance
- AR 2014-11518, Six Data Points In Piping Found Below Design Minimum
- AR 2014-11519, Two Data Points In Piping Found Below Design Minimum
- AR 2014-11664, NESW Pipe Wall Below Manufacturers Tolerance
- AR 2014-12108, NRC Observation: Boric Acid not Included in GE I-8000
- AR 2014-12160, Technician Understanding of Range of Coverage Questioned
- AR 2014-12162, NRC Inservice Inspection Observation
- AR 2014-1218, AR for Boric Acid Leak Not Properly Screened
- AR 2014-12384, NRC Observation During U1 Inservice Inspection
- AR 2014-3762, Previously Identified BA Leak on 1-SI-128
- DIT-B-03569-01, AEP Design Information Transmittal, October 7, 2014
- ETSS No. 1, Bobbin Coil, Revision 0
- ETSS No. 2, 3 Coil MRPC, Revision 0
- LMT-04-UT-012, Manual Phased Array Ultrasonic Examination of Weld Overlaid Similar and
  Dissimilar Metal Welds, Revision 0
- LMT-04-UT-113, Ultrasonic Examination of Nozzle Inner Radius Areas, Revision 7
- LMT-10-PAUT-002, Manual Phased Array Ultrasonic Examination of Austenitic and Ferritic
  Piping Welds, Revision 0
- PDI-UT-11, Generic Procedure for the Ultrasonic Detection and Sizing of Reactor Pressure
  Vessel Nozzle-to-Shell Welds and Nozzle Inner Radius, Revision C
- PMI-5070, Inservice Inspection, Revision 21
- PMP-5030-001-001, Boric Acid Corrosion Control, Revision 17
- PQR 136, ASME Procedure Qualification Record, Revision 1
- PQR 219, ASME Procedure Qualification Record, Revision 1
- PQR 256, ASME Procedure Qualification Record, Revision 1
                                              4
 
- PQR 258, ASME Procedure Qualification Record, Revision 1
- QA-46, Qualification and Certification NDE and Visual Examination Personnel, Revision 3
- S000126-AST-000001, Steam Generator Degradation Assessment, Revision 0
- S000126-WKI-000020, D.C. Cook Unit 1 Steam Generator Eddy Current Testing Site
  Technique Validation, Revision 0
- U1-MT-14-001, Magnetic Particle Examination, October 4, 2014
- U1-PT-14-004, Liquid Penetrant Examination, October 2, 2014
- U1-PT-14-005, Liquid Penetrant Examination, October 2, 2014
- U1-VE-14-003, Ultrasonic Examination, October 2, 2014
- U1-VE-14-004, Ultrasonic Examination, October 2, 2014
- U1-VE-14-014, Ultrasonic Examination, October 8, 2014
- UT-110, Ultrasonic Examination of Vessel Welds and Adjacent Base Metal >2.0 in Thickness,
  Revision 2
- WO 55390312-01, Replacement of 1-NLI-112-V1, October 7, 2014
- WO 55392571-01, Replacement of 1-NRV-102, March 12, 2013
- WO 55404504-06, EC 52036, Install New Snubber Pipe Support 1-ARC-S-4012,
  March 8, 2013
- WO 55421212-10/13, Replacement of 1-NFP-222-V2, March 6, 2013
- WO 55440759-05, Install Valve Assembly 1-CS-314, October 7, 2014z
- WPS 8.12T, Welding Procedure Specification, Revision 1
- WPS 8.1TS, Welding Procedure Specification, Revision 4
1R11 Licensed Operator Requilification Program
- 1-OHP-4021-002-013, Reactor Coolant System Vacuum Fill, Revision 25
- November 19, 2014, Training Exercise Guide and Drill Guide
- PMP-4100-SDR-002, Outage Risk Assessment and Management, Revision 4
1R12 Maintenance Effectiveness
- 1-IHP-6030-IMP-002, NARPI System Operational Test and Linearization, Revision 11
- 1-IHP-6030-IMP-003, Adjustment of Analog RPI System, Revision 11
- 2012-2013 AMSAC, Unavailability Hours Reports
- AR 2010-10345, U2 Letdown Isolation after Shutdown Due to RCS Cooldown
- AR 2012-14344, 2-URV-125 Failed To Stroke Fully Open
- AR 2012-14364-1, 1-NRI-16 Found Out of Spec
- AR 2012-16048, 1-URV-125 Failed Drop Test
- AR 2012-4275, Steam Dump System Operation
- AR 2013-10252, 1-URV-136 Failed Drop Test
- AR 2013-1157, 1-NRI-50 Lower Section Power Supply Out of Tolerance
- AR 2013-1164, 2-MRV-212 Failed Stroke Time
- AR 2013-11973, Unit 2 MS-02 has Exceeded its Unavailability Limit
- AR 2013-3420, Flux Differential Indicators Found Out of Tolerance
- AR 2013-4315, 1-MRV-231 Fail to Close Upon Return to Neutral
- AR 2013-4320, 1-URV-110 Failing to Open
- AR 2013-4349, 1-URV-112 Failed to Open When Required
- AR 2013-4373-1, U-1 Scaler/Timer did Not Have Audible Counts Following S/D
- AR 2013-5060, 1-URV-111 Would not Stroke During Testing
- AR 2013-6243, 2-MRV-212 Failed IST Stroke Times
- AR 2013-8216, 2-NRI-44B +25V Power Supply Degraded
- AR 2014-0045, 2-URV-120 Failed Drop Test
                                                5
 
- AR 2014-11324, Steam Dumps Did Not Operate Per Procedure
- AR 2014-11739, Critical Parameter Found Out of Tolerance
- AR 2014-12621, 1-URV-112 Drop Test Failed
- AR 2014-13085, 1-URV-112 Has Been Failed for a Complete Cycle
- AR 2014-13088, Failure to Perform MRE on 1-URV-112 in U1C25
- AR 2014-13277, Unit 1 Main Steam Function MS-09 (a)(1) Process
- AR 2014-14971, Unit 2 Main Steam Function MS-05 (a)(1) Process
- AR 2014-15004, As Found Data Out of Tolerance
- AR 2014-15113, ACE and MRE in AR 2013-6243 Are Not In Agreement
- AR 2014-2686, 1-MRV-232 Exceeded Max Stroke Time Limit During PMT
- AR 2014-2719, 1-MRV-232 SG #3 Stop Valve Dump Valve
- AR-2013-10084, B6 Rod IRPI Lost During Maintenance, July 13, 2013
- AR-2013-12121, RPI Failure Rod D8, August 19, 2013
- AR-2013-19212, Unit 1 RPI for B6 Inoperable, December 17, 2013
- AR-2013-7039, 1-RPIS-M8-SC New Module Faulty, May 10, 2013
- AR-2013-7366, During Test Rod C7 Stayed at 0, May 17, 2013
- AR-2013-768, Control Bank D F-14 Rod Outside and, May 25, 2013
- AR-2014-13297, Lessons-learned Perform NAPRI Adjustments After Low Power,
  October 23, 2014
- ATWS Mitigation Actuation System (AMSAC) Maintenance Rule Scoping Document,
  Revision 1
- GT 2013-11467, U2 MS Maintenance Rule Action Tracking
- GT 2013-11615, 2013 Main Steam System Vulnerability Review
- Maintenance Rule Scoping Document, AMSAC System, Revision 1
- Maintenance Rule Scoping Document, Control Rod Drive, Revision 3
- Maintenance Rule Scoping Document, Main Steam System, Revision 3
- Plant Health Committee Top Ten Equipment Issues, November 19, 2014
- System Health Report, Main Steam, Unit 1 and Unit 2, 3rd Quarter 2014
- Topical Report WCAP-7571, Rod Position Monitoring
- Two Year Unavailability Report, Main Steam System, Unit 1 and Unit 2, December 2, 2014
- Various 2012-2013 AMSAC System Health Reports
- Various Operator Logs, October-November 2014
- Various System Health Reports, AMSAC
1R13 Maintenance Risk Assessments and Emergent Work Control
- 12-OHP-4022-057-001, Screen House Forebay Degraded Condition, Revision 7
- 12-OHP-5030-057-001, Screen House Vulnerability Determination, Revision 22
- 2-OHP-4030-219-022FV, ESW Flow Verification, Revision 18
- AR-2014-14921, 2-HV-AFP-EAC, ESW Leak
- AR-2014-14921, 2-HV-AFP-EAC, Middle Contactor Welded Shut
- AR-2014-14956, U2 West ESW Train INOP Due to Clearance Restoration
- Drawing 2-OP-5113-83, Essential Service Water
- I&C Information Change Package, ICP-00677, ESW Temperature Switches for AFW Room
  Coolers, October 23, 2000
- Operating Logs, Week of November 30, 2014
- Part 1 Risk Assessments, Week of November 30, 2014
- PMP-2291-OLR-001, Online Risk Management, Revision 30
- Temporary Modification 2-TM-14-81, AFW Room Coolers
- WO 55457007-07, Install 2-TM-14-81
- WO 55457007-08, 2-HV-AFP-EAC, Perform Leak Inspection
                                              6
 
1R15 Operability Determinations
- 12-EHP-5074-MOV-001, Motor Operated Valve Program, Revision 13
- 1-DCP-4894, Design Change Package for Standby Readiness Position of TDAFW Valves,
  November 13, 2000- Branch Technical Position ASB 10-1, Design Guidelines for AFW System
  Pump Drive and Power Supply Diversity for PWR Plants, July 1981, Revision 2
- AR 2014-13700, Unit 1 Main Steam Safety Lifted During Plant Shutdown
- AR-2014-13672, U2 Main Generator Motored, Emergency Trip Button Pushed
- AR-2014-14065, 2-FMO-222 leaks by 1%/hr, November 8, 2014
- AR-2014-7259, Question from NRC Sr. Resident still not Resolved
- AR-2014-9877 Root Cause, AB Fuel Storage Tank Alarms
- DB-12-AFWS, Auxiliary Feedwater System, Revision 5
- Draft Safety Evaluation for ICUG-001 Revision 0, NRC, May 6, 2003
- Drawing E-8708, 765kV Schematic, Revision 5
- Drawing OP-2-98007-1, Load Tap Changer Elementary Diagram
- Drawing OP-2-98021-35, Generator and Transformer Differential Elementary Diagram
- Drawing OP-2-98101-34, Turbine Control Elementary Diagram
- EC-53931, Revise Unit 1 Ice Basket Weight Acceptance Criteria for Unit 1 Cycle 26
- FSAR Section 7.2.3.8.14, Turbine Generator Trip, Revision 25
- FSAR Section 8.0, Electrical Systems, Revision 25
- FSAR Section 8.3, Station Service Systems, Revision 25
- Ice Condenser Utility Group Topical Report ICUG-001, Revision 3, October 23, 2003
- NRC Letter to all Operating Plants, Discussion of TMI Lessons-Learned, October 30, 1979
1R18 Plant Modifications
- AR 2014-13016, Accident Shield Requirements
- Calculation Number RS-C-0046, Doses and Dose Rates from Post LOCA Airborne Sources,
  Revision 06
- Calculation Number RS-C-0171, Time Dependent Post LOCA Area by Dose Rates,
  Revision 03
- Calculation Number RS-C-0232, Equipment Hatch Dose Rates - Gap Release, Revision 01
- D.C. Cook, Updated Final Safety Analysis Report (UFSAR), Several Revisions Including
  Revision 23
- Engineering Calculation EC-0000049191, Units 1 and 2 Auxiliary Missile Block Removal
  Project, Revision 00
- NUREG/CR-6545, Probabilistic Accident Consequences Uncertainty Analysis, Volume 2
- PMI-601, Radiation Protection Plan, Revision 20
- PNNL-14424, Health Impacts from Acute Radiation Exposure, September 2003
- PRA-DOSE-CSSEAH, Radiation Protection for Concrete Shadow Shield for Equipment
  Access Hatch, Revision 00
1R19 Post-Maintenance Testing
- 12-IHP-6030-032-001, EDG Voltage Regulator Tuning and Adjustment, Revision 7
- 12-IHP-6030-IMP-063, CRID Static Inverter Transfer and Auto Retransfer Tests, Revision 8
- 12-IHP-6030-IMP-355, Check of CRID Power Supplies, Revision 9
- 12-MHP-5021-056-008, TDAFW Pump Governor Valve Maintenance, Revision 11
- 12-MHP-5021-056-011, Auxiliary Feedwater Pump Turbine Governor Maintenance, Revision 8
- 1CD EDG Aftercooler Test, 12-MHP-5021-032-015, Revision 9
- 1-OHP-4021-056-002, Auxiliary Feed Pump Operation, Revision 32
                                                7
 
- 1-OHP-4021-082-008, Operation of CRID Power Supplies, Revision 24
- 1-OHP-4021-082-008, Operation of CRID Power Supplies, Revision 24
- 1-OHP-4024-119, Drop 29 Alarm, CRID 3 Inverter Abnormal Actions, Revision 34
- 1-OHP-4030-156-017R, AFW Pump Response Time, Revision 3
- 1-OHP-4030-156-017T, TDAFW System Test, Revision 16
- 2-EHP-6040-256-126, U2 FMO Intermediate Position High Flow Signal Test, Revision 1
- AR-2014-13672, U2 Main Generator Motored, Emergency Trip Button Pushed
- AR-2014-13724, 2-FMO-242 Went Full Open During Unit 2 Trip
- AR-2014-13730, U1 TDAFW Sentinel Valve Lifted
- AR-2014-14188, Failure in Synch Circuit for 2A7
- DB-12-AFWS, Auxiliary Feedwater System, Revision 5
- Drawing 1-OP-5106A-61, Auxiliary Feedwater
- Drawing E-8708, 765kV Schematic, Revision 5
- Drawing OP-2-5106A-55, Auxiliary Feedwater
- Drawing OP-2-98007-1, Load Tap Changer Elementary Diagram
- Drawing OP-2-98021-35, Generator and Transformer Differential Elementary Diagram
- Drawing OP-2-98101-34, Turbine Control Elementary Diagram
- EPRI Technical Report, Guidelines for Technical Evaluation of Replacement Items in Nuclear
  Power Plants (NCIG-11)
- FSAR Section 7.2.3.8.14, Turbine Generator Trip, Revision 25
- FSAR Section 8.0, Electrical Systems, Revision 25
- FSAR Section 8.3, Station Service Systems, Revision 25
- Gasket Technical Data Sheets for 1CD EDG Aftercooler
- IN-86-14, PWR Auxiliary Feedwater Pump Control Problems
- IN-93-51, Repetitive Overspeed Tripping of TDAFW pumps
- Plant Computer Printouts, AFW system, November 1, 2014
- PMP-2291-PMT-001, Work Management Post-Maintenance Testing Matrices, Revision 25
- Scheduled Work, 1AB EDG, Unit 1 Fall 2014 Refueling Outage
- Terry Turbine Vendor Manual
- WO 55425039-15, Investigate Governor Valve
- WO 55432038-01, Replace 1-CRID-3-INV diodes
- WO 55455101, 2-33X-SVC-CL, Remove, Install, and PMT Relay
1R20 Outage Activities
- 12-EHP-4030-002-356, Low Power Physics Tests with Dynamic Rod Worth Measurement,
  Revision 11
- 12-OHP-4021-018-002, Placing In-service the Spent Fuel Pit Cooling and Cleanup System,
  Revision 27
- 12-OHP-4050-FHP-023, Reactor Vessel Head Removal with Fuel in the Vessel, Revision 11
- 1-IHP-6030-IMP-003, Adjustment of Analog RPI System, Revision 11
- 1-OHP-4021-001-002, Reactor Startup, Revision 52
- 1-OHP-4021-001-003, Power Reduction, Revision 55
- 1-OHP-4021-001-004, Plant Cooldown from Hot Standby to Cold Shutdown, Revision 72
- 1-OHP-4021-002-013, Reactor Coolant System Vacuum Fill, Revision 25
- 1-OHP-4021-017-002, Placing Inservice the RHR System, Revision 28
- 1-OHP-4021-082-008, Operation of CRID Power Supplies, Revision 24
- 1-OHP-4030-127-037, Refueling Surveillance, Revision 20
- 1-OHP-4030-127-041, Refueling Integrity, Revision 25
- 1-OHP-4030-132-217B, DG1AB Load Sequencing and ESF Testing, Revision 35
- 1-OHP-5030-001-002, Outage Risk and Technical Specification Monitoring, Revision 20
                                              8
 
- 2-OHP-4021-001-002, Reactor Startup, Revision 51
- 2-OHP-4021-001-004, Plant Cooldown from Hot Standby to Cold Shutdown, Revision 60
- 2-OHP-4021-017-002, Placing Inservice the RHR System, Revision 24
- AR-2014-12738, 1-NLI-132 Reading Erroneously High, October 16, 2014
- AR-2014-13297, Lessons-learned Perform NAPRI Adjustments After Low Power,
  October 23, 2014
- DIT-B-03590-00, Hot Leg Vent Size Required to Prevent RCS Pressurization During Loss of
  Shutdown Cooling
- Drawing OP-1-12003-33, 250VDC One Line Diagram, Engineered Safety System
- Forced Outage Schedule, November 4, 2014
- PMP-2060-WHL-001, Work Hour Limitation and Fatigue Management, Revision 4
- PMP-4100-SDR-002, Outage Risk Assessment and Management, Revision 4
- SRP 15.7.4, Radiological Consequences of Fuel Handling Accidents, NUREG-0800
- Tagout R-4KVAC-XFM1-0184, Clearing of Unit 1 and 2 Reserve Feed
- Tagout R-CRID-CRD4-0069, 120VAC Control Room
- UFSAR Section 14.2.1.6, Radiological Consequence Analysis, Revision 25
- Unit 1 Post Trip Review Report, November 1, 2014 Trip
- Various Working Hour Records, Mechanical Maintenance, Operations, and Electrical
  Maintenance Departments
1R22 Surveillance Testing
- 12-MHP-4030-010-004, Ice Condenser Intermediate Deck Door Surveillance, Revision 8
- 1-EHP-4030-128-229, Unit 1 Control Room Emergency Ventilation Surveillance,
  Revision 17-18
- 1-EHP-4030-134-203, Unit 1 LLRT, Revision 16
- 1-OHP-4030-108-008R, ECCS Check Valve Test, Revision 19
- 1-OHP-4030-132-217B, DG1AB Load Sequencing and ESF Testing, Revision 35
- 50.59 Screen 2014-0469-00 for Revision 18 to 1-EHP-4030-128-229, Unit 1 Control Room
  Emergency Ventilation Surveillance
- AR 2014-12787, U1 Ice Condenser Intermediate Deck Doors Exceed Opening Force
- AR-2014-11475, 1-IMO-221 Start to Open Time >2 sec
- AR-2014-11476, 1-FRV-240 Stroked too Slow for ESF test
- AR-2014-12067, Control Room Emergency Vent Outside Makeup Air Flows Low
- AR-2014-12633, N SI Pump Calculated dP high
- AR-2014-12652, South SI Pump dP High Above Action Limit
- DIT-S-06286-00, Acceptance of Normal Make Up Air Flow for Unit 1 and Unit 2 Control Room
  Air Conditioning System
- Drawing OP-1-5149-48, Control Room Ventilation Unit 1
- PMP-4030-TRT-001, Time Response and Verification of Engineered Safety Features,
  Revision 15
- Pump and Valve Inservice Test Program for D.C. Cook Nuclear Plant, Fourth Ten Year
  Interval, Revision 1
- WO 55428831, Ice Condenser Intermediate Deck Door Surveillance, October 16, 2014
- WO 55442013-02, Perform MOV Preventive Maintenance, October 7, 2014
- WO 55453695, Ice Condenser Intermediate Deck Door Surveillance, October 18, 2014
1EP4 Emergency Action Level and Emergency Plan Changes
- AR 2014-10545, RP to Evaluate Adequacy of ERO Staffing
- AR 2014-15685, Potential EP Finding
                                              9
 
- Emergency Plan, Revision 18, 19, 32, 33, 34, and 35
- PMI-2080, Emergency Plan and Implementing Procedures, Revision 18
- Safety Evaluation of Indiana Michigan Power Company Proposed Emergency Plan Changes,
  March 5, 2003
2RS1 Radiological Hazard Assessment and Exposure Controls
- 12-THP-6010- RPP-104, Personnel Dosimetry Use in Varying Radiation, Revision 15
- 12-THP-6010- RPP-407, Special Radiological Evolutions, Revision 28
- 12-THP-6010-RPP-006, Radiation Work Permit Processing, Revision 34
- 12-THP-6010-RPP-314, Pressure Washing of Plant Components and Structures, Revision 8
- 12-THP-6010-RPP-401, Performance of Radiation and Contamination Surveys, Revision 36
- 12-THP-6010-RPP-405, Analysis of Airborne Radioactivity, Revision 19
- 12-THP-6010-RPP-420, Radiological Controls for Radiography, Revision 6
- 12-THP-6010-RPP-421, Radiological Controls for Steam Generator Maintenance, Revision 7
- 55399455-88, Radiography Shot Plan of Unit 1 West Containment Spray Heat Exchanger
  Room and Shot Plan of Elevation 609 E/W Hallway, October 10, 2014
- AR 2013-13969, Electronic Dosimeter Setpoints Often Set Considerably Higher Than Actual or
  Expected Radiological Conditions
- AR 2013-5450, Dose and Dose Rate Alarm Setpoints are Potentially too High
- AR 2014-11295, An Untrained Worker Entered the Restricted Area on the Wrong RWP
- AR 2014-11975, Dose Alarm
- AR 2014-8964, Rad Worker Deficiency
- AR 2014-9001, New Supplemental Locked High Radiation Area Ladder Cover Not Engrained
  in Process
- AR 2014-9764, A Review of ED Setpoints
- CNP-1311-0001 Survey Unit 2 Upper Cavity, November 1, 2013
- CNP-1311-0012 Survey Unit 2 Upper Cavity, October 31, 2013
- PMP-6010-RPP-003, Data Sheet 4, Down Posting the Reactor Pit Area, October 16, 2014
- PMP-6010-RPP-003, High, Locked High, and Very-High Radiation Area Access, Revision 23
- PMP-6010-RPP-006, Data Sheet 2, Pre-Job ALARA Briefing Checklist, Down Post Survey of
  the Rx Pit, October 16, 2014
- PMP-6010-RPP-006, Radiation Work Permit Program, Revision 19
- RWP 1 41130, U1C26 - Perform Radiography in Auxiliary & Turbine Buildings & Plant
  Restricted Areas, Revision 0
- RWP 141100, U1C26 - Refuel Cavity Decontamination Activities, Revision 0
- RWP 141121, U1C26 - Auxiliary Building & Restricted Area Minor Engineering Change
  Modifications and Support Work, Revision 0
- RWP 141123, Install, Remove, Modify Temporary Shielding in Unit-1 Containment, Auxiliary
  Building and Plant Restricted Areas, and ALARA Plan, Revision 0
- RWP 141145, U1C26 - Valve Maintenance / Repair, Revision 2
- RWP 141148, U1C26 - Steam Generator Platform Activities, Revision 2
- RWP 141172, U1C26 - Reactor Pit VHRA Down-post Survey, Revision 0
- RWP 141187, U1C26 - Under Rx Vessel Inspections, Revision 0
- Survey SW VSDS-M-20144116-9, Critical Survey - Down Posting the Reactor Pit,
  October 16, 2014
- SW_VSDS-M-20140923-1, Unit 1 Containment Spray Heat Exchanger Rooms Survey
- THG-026, Locked High Radiation Area and Very-High Radiation Weekly Verification Process,
  Revision 14
- Work Order Package 55446099 01, RP Perform Semiannual Source Inventory,
  August 7, 2014
                                              10
 
2RS2 Occupational ALARA Planning and Controls
- ALARA Committee Meeting; A-14-33F; October 15, 2014
- D.C. Cook U1R26; ALARA Review Committee; RWP 141148 & 141149; October 15, 2014
- Full Self-Assessment Report; ALARA Program Implementation; 2014-0265; September 29, 2014
- PMP-6010-ALA-001; ALARA Program - Review of Plant Work Activities; Revision 27
2RS7 Radiological Environmental Monitoring Program
- 12 THP-6010 RPC-538, Calibration of the F&J DF-1 Low Volume Air Sampler, Revision 2
- 12 THP-6010-RPP-630, Collection of Surface Water Samples, 007
- 12 THP-6010-RPP-632, Collection of Environmental Air Samples, Revision 010
- 12 THP-6010-RPP-638, Collection of Grape and Broadleaf Samples, Revision 007
- 12 THP-6010-RPP-642, Collection of Drinking Water Samples, Revision 007
- 12-IHP-4030-036-001, Meteorological Instrumentation - Primary And Backup Towers Channel
  Calibration, Revision 0
- 12-IHP-6030-036-00, Shoreline Weather Tower Instrument Calibration, Revision 000
- 12-THP-6020-INS-525, Liquid Scintillation Counter, Revision 009
- 12-THP-6020-INS-526, Gamma Spectrometry Using Ortec Global Value and Gamma Vision
  Software, Revision 002
- 2013 Radiological Environmental Monitoring Program Land Use Census, September 24, 2013
- Annual Radiological Environmental Operating Report, Donald C. Cook Nuclear Plant
  Radiological Environmental Monitoring Program, January 1, 2013 - December 31, 2013
- AR 2013-10179, ONS-5 Air Station Was Out of Service for Approximately 37.5 Hours
- AR 2013-15116, MET Tower Data Recovery
- AR 2013-3738, Quarterly Radiological Environmental Monitoring Program (REMP) TLD
  Collection and Change Out, TLD T-11 Could Not Be Located
- AR 2013-6824, ONS-1 Air Station was Out of Service for Approximately 2.5 Hours
- AR 2013-7934, COL (Coloma) Air Station was Out of Service For Approximately 0.5 Hours
- AR 2014-10063, 12-ELR-400, East Bucket Heater Broken
- AR 2014-11607, Environmental Technician was Notified That the Control Farm Would No
  Longer Produce Milk
- AR 2014-13656, Trace Cesium-137 in Broadleaf Sample
- AR 2014-5725, First Quarter of 2014, With The Exception Of Two Days (March 23 And 24),
  Ice Build Up On Lake Michigan Prevented the Collection of Radiological Environmental
  Monitoring Program (REMP) Surface Water Samples,
- AR 2014-6725 Radiological Environmental Monitoring Program (REMP) Air Station ONS-1
  Lost Power for Approximately 39 minutes
- AR 2014-8378, Document Results Of The Weekly Review Of Radiological Environmental
  Monitoring Program (REMP) Data
- AR 2014-8622, Primary Met Tower Carriage Control Switch
- AR2013-12672, Evaluate Siting of ONS-2 and ONS-6
- D. C. Cook Nuclear Plant Updated Final Safety Analysis Report, Section 11.0, Waste Disposal
  and Radiation Protection System, Revision 25.0
- PA-13-01, Performance Assurance Audit, Radiological Environmental Monitoring Program and
  Offsite Dose Calculation Manual, March 1, 2013
- PMP-6010-OSD-001, Off-Site Dose Calculation Manual, Revision 24
- WO 554444469, Meteorological Instrumentation Calibration, October 11, 2014
                                              11
 
4OA1 Performance Indicator Verification
- Dose Calculations and Dose Projections Due to Liquid and Gaseous Effluents for D.C. Cook
  Plant, July, 2013 to September 14, 2014
- PMP-7110-PIP-001, Reactor Oversight Program Performance Indicators and Monthly
  Operation Report Data, Reactor Coolant System Specific Activity, Revision 15
- PMP-7110-PIP-001, Reactor Oversight Program Performance Indicators and Monthly
  Operating Report Data, Revision 15
4OA2 Identification and Resolution of Problems
- 12-OHP-4025-001-002, Fire Response Guidelines, Revision 6
- AR 2014-11148, Worker Bumped Detector 3-12 Sends Fire Alarm to U-1 Control Room
- AR 2014-9531, 1-152-CICE4-2A Out of Position
- AR-2012-8187, Adequacy of Past Operability Questioned
- AR-2013-8600, Fire Zone 79 EDG Corridor Fire with Simultaneous CO2 Actuation
- AR-2013-9251, Inadequate Calculations for ICP-0083 Revision 0 12-ZPS-411
- AR-2014-10600, Difference Between Fire Pump Performance in Hydraulic Calcs
- AR-2014-14920, Racking Interlocks Potential to not Properly Reset
- AR-2014-14951, Primary Coolant Filters Wrong Parts
- AR-2014-15040, Missing Sheet Metal Screws on Room Cooler Housing
- AR-2014-15059, Cable 2-8167G Low Megger Readings
- AR-2014-15087, Fire Pump Setpoint and New TRM Sprinkler Demand
- GT-2014-11170-3, Work Order Task Package Quality QHSA Report, October 30, 2014
- Performance Assurance Audit PA-14-07, Operations, August 25, 2014
- Performance Assurance Quarterly Report, April - June 2014
- Performance Assurance Quarterly Report, July - September 2014
- Performance Assurance Surveillance, PA-SA-14-001, U1C26 Refueling Outage,
  November 3, 2014
- Unit 1 and Unit 2 Contingency/Compensatory Actions, December 4, 2014
- Unit 1 and Unit 2 Operator Burden Report, November 18, 2014 and December 4, 2014
- Unit 1 and Unit 2 Supervisor Turnover Checklist, December 4, 2014
4OA3 Identification and Resolution of Problems
- 12-OHP-4022-057-001, Screen House Forebay Degraded Condition, Revision 7
- AR 2014-13669 Task 2, Unit 1 Post-trip Report
- AR 2014-13669 Task 3, Unit 2 Post-trip Report
- E-0, Reactor Trip or Safety Injection, Revision 38
- ES-0.1, Reactor Trip Response, Revision 28
- Ltr Lee Baun to Cook Leadership, Performance Assurance Semi-Monthly Roll-Up Report,
  December 22, 2014
                                                12
 
                          LIST OF ACRONYMS USED
ADAMS  Agencywide Document Access Management System
AFW    Auxiliary Feedwater
ALARA  As-Low-As-Reasonably-Achievable
AMB    Auxiliary Missile Blocks
AR    Action Request
ASME  American Society for Mechanical Engineers
BACC  Boric Acid Corrosion Control
CAP    Corrective Action Program
CAQ    Condition Adverse to Quality
CDF    Core Damage Frequency
CFR    Code of Federal Regulations
dpm    drops per minute
EAC    Environmental Assessment Coordinator
EDG    Emergency Diesel Generator
EPRI  Electric Power Research Institute
ET    Eddy Current
FME    Foreign Material Exclusion
FOST  Fuel Oil Storage Tank
ISI    Inservice Inspection
LBLOCA Large Break Loss-of-Coolant Accident
LHRA  Locked High Radiation Area
LOCA  Loss-of-Coolant Accident
IMC    Inspection Manual Chapter
IP    Inspection Procedure
IR    Inspection Report
LCO    Limiting Condition for Operation
MDAFW  Motor-Driven Auxiliary Feedwater
MSPI  Mitigating Systems Performance Index
NCV    Non- Violation
NDE    Non-destructive Examination
NEI    Nuclear Energy Institute
NRC    U.S. Nuclear Regulatory Commission
PARS  Publicly Available Records System
PI    Performance Indicator
RAC    Radiological Assessment Coordinator
RCS    Reactor Coolant System
RG    Regulatory Guide
RPT    Radiation Protection Technician
SDP    Significance Determination Process
SG    Steam Generator
SRA    Senior Reactor Analyst
SSC    Structure, System and Component
TDAFW  Turbine-Driven Auxiliary Feedwater
TS    Technical Specification
                                        13
 
TTV  Trip and Throttle Valve
UFSAR Updated Final Safety Analysis Report
URI  Unresolved Item
UT    Ultrasonic Test
WO    Work Order
                                    14
 
L. Weber                                                                  -2-
In accordance with Title 10 of the Code of Federal Regulations (10 CFR) 2.390, Public
Inspections, Exemptions, Requests for Withholding, 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 NRCs Public Document Room or from the Publicly Available Records (PARS)
component of the NRC's Agencywide Documents Access and Management System (ADAMS).
ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html
(the Public Electronic Reading Room).
                                                                          Sincerely,
                                                                          /RA/
                                                                          Kenneth Riemer, Chief
                                                                          Branch 2
                                                                          Division of Reactor Projects
Docket Nos. 50-315; 50-316
License Nos. DPR-58; DPR-74
Enclosure:
IR 05000315/2014005; 05000316/2014005
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Kimyata MorganButler                                                                  Carole Ariano
RidsNrrDorlLpl3-1 Resource                                                            Linda Linn
RidsNrrPMDCCook Resource                                                              DRPIII
RidsNrrDirsIrib Resource                                                              DRSIII
Cynthia Pederson                                                                      Jim Clay
Darrell Roberts                                                                        Carmen Olteanu
Eric Duncan                                                                            ROPreports.Resource@nrc.gov
Allan Barker
ADAMS Accession Number:
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OFFICE              RIII                                RIII-EICS                        RIII                              RIII
NAME                NS:rj                              PLougheed for                    KRiemer
                                                        EDuncan
DATE                02/09/15                            02/09/15                        02/10/15
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Revision as of 03:11, 21 November 2019