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{{#Wiki_filter:IndianaMichiganPowerCompany500CircleDriveBuchanan,
{{#Wiki_filter:Indiana Michigan Power Company 500 Circle Drive Buchanan, Ml 491071395 INblANA MICHIGAN POWER June 5, 1997 Docket Nos.: 50-315 50-316 U.S.Nuclear Regulatory
Ml491071395
INblANAMICHIGANPOWERJune5,1997DocketNos.:50-31550-316U.S.NuclearRegulatory
Commission
Commission
ATTN:DocumentControlDeskWashington,-D.-C.
ATTN: Document Control Desk Washington,-D.-C.
-20555Gentlemen:
-20555 Gentlemen:
AEP:NRC:1260C
AEP:NRC:1260C
10CFR2.201DonaldC.CookNuclearPlantUnits1and2NRCZNSPECTZON
10 CFR 2.201 Donald C.Cook Nuclear Plant Units 1 and 2 NRC ZNSPECTZON
REPORTSNO.50-315/97004
REPORTS NO.50-315/97004 (DRP)AND 50-316/97004 (DRP)REPLY TO NOTZCE OF VZOLATZON This letter is in response to a letter from J.L.Caldwell, dated May 6, 1997, that transmitted
(DRP)AND50-316/97004
a notice of violation and a notice of deviation to Indiana Michigan Power Company.The notice of violation contained a total of eight violations
(DRP)REPLYTONOTZCEOFVZOLATZON
of NRC requirements
ThisletterisinresponsetoaletterfromJ.L.Caldwell,
datedMay6,1997,thattransmitted
anoticeofviolation
andanoticeofdeviation
toIndianaMichiganPowerCompany.Thenoticeofviolation
contained
atotalofeightviolations
ofNRCrequirements
identified
identified
duringanNRCinspection
during an NRC inspection
conducted
conducted from February 16, 1997, through March 29, 1997.The violations
fromFebruary16,1997,throughMarch29,1997.Theviolations
pertain to procedures, corrective
pertaintoprocedures,
actions, reportability
corrective
requirements, and 10 CFR 50.59.issues.Our response to these violations
actions,reportability
is provided in attachment
requirements,
1.The notice of deviation involves inoperability
and10CFR50.59.issues.Ourresponsetotheseviolations
of control room power range pen recorders.
isprovidedinattachment
Our response to this item is provided in attachment
1.Thenoticeofdeviation
2.EE+pW E.E.Fitzpatrick
involvesinoperability
'1ice President SWORN TO AND SUBSCRZBED
ofcontrolroompowerrangepenrecorders.
BEFORE ME~=-" TEZS.~g DAY OF 1997 Notary Public vlb UNDA L BOIlCKE Norory Public, Berrlen Coonly, Ml Attachments
Ourresponsetothisitemisprovidedinattachment
My Commr&on Iorpires jonoory 21, 200I 9'706090357
2.EE+pWE.E.Fitzpatrick
970605 PDR ADOGK 050003i5
'1icePresident
SWORNTOANDSUBSCRZBED
BEFOREME~=-"TEZS.~gDAYOF1997NotaryPublicvlbUNDALBOIlCKENororyPublic,BerrlenCoonly,MlAttachments
MyCommr&onIorpiresjonoory21,200I9'706090357
970605PDRADOGK050003i5
   
   
1ndianaMichiganPowerCompany500CircleDriveBvchanan,
1ndiana Michigan Power Company 500 Circle Drive Bvchanan, Ml 491071395 INDIANA NICHIGAH POWER May 5, 1997 Docket Nos.: 56-315 50-316 U.S.Nuclear Regulatory
Ml491071395
INDIANANICHIGAHPOWERMay5,1997DocketNos.:56-31550-316U.S.NuclearRegulatory
Commission
Commission
ATTN:33ocument
ATTN: 33ocument Control Desk-Washington,--D.--C;-20555
ControlDesk-Washington,
--D.--C;-20555
Gentlemen:
Gentlemen:
AEP:NRC:3.260C
AEP:NRC:3.260C
3.0CFR2.201DonaldC.CookNuclearPlantUnits1and2NRCINSPECTION
3.0 CFR 2.201 Donald C.Cook Nuclear Plant Units 1 and 2 NRC INSPECTION
REPORTS--NO.
REPORTS--NO.
50.-3/5/97004
50.-3/5/97004
-(DRP)AND50"316/97004
-(DRP)AND 50"316/97004 (DRP)REPLY TO NOTICE.OF VIOLATION This letter is in'response
(DRP)REPLYTONOTICE.OFVIOLATION
to a letter from J.L.Caldwell, dated May 6, 1997, that transmitted
Thisletterisin'response
a notice of violation and a notice of deviation to 1ndiana Michigan Power Company.The notice of violation contained a total of eight violations
toaletterfromJ.L.Caldwell,
of NRC requirements
datedMay6,1997,thattransmitted
anoticeofviolation
andanoticeofdeviation
to1ndianaMichiganPowerCompany.Thenoticeofviolation
contained
atotalofeightviolations
ofNRCrequirements
identified
identified
duringanNRCinspection
during an NRC inspection
conducted
conducted from February 16, 1997, through March 29, 1997.The violations
fromFebruary16,1997,throughMarch29,1997.Theviolations
pertain to procedures, corrective
pertaintoprocedures,
actions, reportability
corrective
requirements, and 10 CFR 50.59 issues.Our response to these violations
actions,reportability
is provided in attachment
requirements,
1.The notice of deviation involves inoperability
and10CFR50.59issues.Ourresponsetotheseviolations
of control room power range pen recorders.
isprovidedinattachment
Our response to this item is provided in attachment
1.Thenoticeofdeviation
involvesinoperability
ofcontrolroompowerrangepenrecorders.
Ourresponsetothisitemisprovidedinattachment
2.E.E.Fitzpatrick
2.E.E.Fitzpatrick
'1icePresident
'1ice President SWORN TO AND SUBSCRIBED
SWORNTOANDSUBSCRIBED
BEFORE ME THIS DAY OF 3.997 Notary Public vlb UNDA l SOEt,CKE No&y Pubhc, Bergson Cooniy, Ml Attachmentsg
BEFOREMETHISDAYOF3.997NotaryPublicvlbUNDAlSOEt,CKENo&yPubhc,BergsonCooniy,MlAttachmentsg
QyCpzmi+~~fQ$
QyCpzmi+~~fQ$
PDRADQCK050003i58',,PDR;,n'j>QQ5Illlmllll!
PDR ADQCK 050003i5 8',, PDR;, n'j>QQ5 Illlmllll!
Iillllllllllljlll(lllllll  
Iillllllllllljlll(lllllll  
   
   
U.S.NuclearRegulatory
U.S.Nuclear Regulatory
Commission
Commission
Page2AEP:NRC:1260Cc:A.A;BlindA.B.BeachMDEQ-DW&RPDNRCResidentInspector
Page 2 AEP: NRC: 1260C c: A.A;Blind A.B.Beach MDEQ-DW&RPD NRC Resident Inspector J.R.Padgett~~l><l  
J.R.Padgett~~l><l  
   
   
ATTACHMENT
ATTACHMENT
1TOAEP:NRC:1260C
1 TO AEP:NRC:1260C
RESPONSETONOTICEOFVIOLATIONS
RESPONSE TO NOTICE OF VIOLATIONS
~~  
~~  
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page1DuringanNRCinspection
Page 1 During an NRC inspection
conducted
conducted from February 17, 1997, to March 29, 1997, four violations
fromFebruary17,1997,toMarch29,1997,fourviolations
of NRC requirements
ofNRCrequirements
'ere identified.
'ereidentified.
In accordance
Inaccordance
with the'."General
withthe'."General
Statement of Policy and Procedure for NRC Enforcement
Statement
Actions", NUREG-1600, the violations
ofPolicyandProcedure
are listed below.NRC Violation 1a"10 CFR 50 Appendix B, Criteria V, Inspections, Procedures, and Drawings, requires in part, that activities
forNRCEnforcement
affecting quality shall be prescribed
Actions",
by procedures
NUREG-1600,
of a'type appropriate
theviolations
to the circumstances
arelistedbelow.NRCViolation
and shall be accomplished
1a"10CFR50AppendixB,CriteriaV,Inspections,
in accordance
Procedures,
with these---=---=--procedures;--
andDrawings,
Contrary to-the above, The inspectors
requiresinpart,thatactivities
affecting
qualityshallbeprescribed
byprocedures
ofa'typeappropriate
tothecircumstances
andshallbeaccomplished
inaccordance
withthese---=---=--procedures;--
Contraryto-theabove,Theinspectors
identified
identified
thatProcedure
that Procedure 02-OHP 4023.ES-01"Reactor Trip.Response", revision 11, dated 11/21/96, was not appropriate
02-OHP4023.ES-01
to the circumstances
"ReactorTrip.Response",
because it did not contain guidance for adequately
revision11,dated11/21/96,
wasnotappropriate
tothecircumstances
becauseitdidnotcontainguidanceforadequately
controlling
controlling
steamgenerator
steam generator (SG)levels while actions were being taken to minimize the reactor coolant system cooldown rate.As a result, on March 11, 1997, a Unit operator reset a turbine driven auxiliary feed pump (TDAFP)too close to the low-low SG level setpoint which resulted in an inadvertent
(SG)levelswhileactionswerebeingtakentominimizethereactorcoolantsystemcooldownrate.Asaresult,onMarch11,1997,aUnitoperatorresetaturbinedrivenauxiliary
feedpump(TDAFP)tooclosetothelow-lowSGlevelsetpointwhichresultedinaninadvertent
Engineering
Engineering
Safeguard
Safeguard Feature actuation.
Featureactuation.
This is a Severity Level IV violation (Supplement
ThisisaSeverityLevelIVviolation
I)." Res onse to Violation 1a 1.dmission or Denial of the Alle ed Violation Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.
(Supplement
2.Reason for Violation This violation resulted from incomplete
I)."ResonsetoViolation
guidance in procedure 02-OHP 4023.ES-O.l,"Reactor Tri'p or Safety Injection", that allowed the restoration
1a1.dmissionorDenialoftheAlleedViolation
of the TDAFP prior to the unit being in a stable condition.
IndianaMichiganPowerCompanyadmitstotheviolation
During the performance
ascitedintheNRCnoticeofviolation.
of 02-OHP 4023.ES-0.1, the control room team is allowed to remove the TDAFP from service if sufficient
2.ReasonforViolation
feedwater is being supplied to the SGs from the two motor driven auxiliary feedpumps.
Thisviolation
This flexibility
resultedfromincomplete
to remove the TDAFP from service provides the operators with additional
guidanceinprocedure
reactor coolant system (RCS)temperature
02-OHP4023.ES-O.l,
control.Technical specifications (T/Ss)3.7.1.2 and 3.3.2.1 require the TDAFP be operable and capable of automatically
"ReactorTri'porSafetyInjection",
starting in mode 3.To comply with these requirements, ES-0..1 directs the TDAFP governor to be reset and the valve alignment to meet the standby readiness requirements.
thatallowedtherestoration
The auto start function is enabled af ter all standing automatic start signals have cleared.During the post-trip scenario the standing automatic start signals are the low-low SG level on.two ef.four SGs,~and,the.mticipated.t
oftheTDAFPpriortotheunitbeinginastablecondition.
ransient without" scram mitigatien'ystem
Duringtheperformance
actuation circuitry (AMSAC)signal.The  
of02-OHP4023.ES-0.1,
thecontrolroomteamisallowedtoremovetheTDAFPfromserviceifsufficient
feedwater
isbeingsuppliedtotheSGsfromthetwomotordrivenauxiliary
feedpumps.
Thisflexibility
toremovetheTDAFPfromserviceprovidestheoperators
withadditional
reactorcoolantsystem(RCS)temperature
control.Technical
specifications
(T/Ss)3.7.1.2and3.3.2.1requiretheTDAFPbeoperableandcapableofautomatically
startinginmode3.Tocomplywiththeserequirements,
ES-0..1directstheTDAFPgovernortoberesetandthevalvealignment
tomeetthestandbyreadiness
requirements.
Theautostartfunctionisenabledafterallstandingautomatic
startsignalshavecleared.Duringthepost-trip
scenariothestandingautomatic
startsignalsarethelow-lowSGlevelon.twoef.fourSGs,~and,the.mticipated.t
ransientwithout"scrammitigatien'ystem
actuation
circuitry
(AMSAC)signal.The  
   
   
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page23~AMSACsignaloccursafterallhighpowertripsandisonlyrequiredabove40%power.TheAMSACsignalisthenclearedmanuallyduringtheperformance
Page 2 3~AMSAC signal occurs after all high power trips and is only required above 40%power.The AMSAC signal is then cleared manually during the performance
ofES-0.1.TheSGlow-lowlevelactuation
of ES-0.1.The SG low-low level actuation signals are cleared by recovery of SG levels, utilizing the AFW pumps.During the post trip recovery on March 11,'997, the AMSAC signal was reset prior to the complete recovery of all SG levels to above the low-low automatic actuation setpoint.The&#xb9;21 SG level lagged the others, as, the loss of main feedwater to that SG was the initiating
signalsareclearedbyrecoveryofSGlevels,utilizing
event which resulted in the reactor trip, and continuous
theAFWpumps.DuringtheposttriprecoveryonMarch11,'997,theAMSACsignalwasresetpriortothecompleterecoveryofallSGlevelstoabovethelow-lowautomatic
feeding of.the SGs was in progress-to-recover=secondary
actuation
side inventory levels.While filling the SGs, small.oscillations
setpoint.
normally occur in the sensed level.With the&#xb9;21 SG level still below the low-low setpoint,,a.small oscillation
The&#xb9;21SGlevellaggedtheothers,as,thelossofmainfeedwater
occurred in&#xb9;23 SG that caused the TDAFP auto start signal to clear at its high point, followed by.the engineered
tothatSGwastheinitiating
safety feature (ESF)actuation when it subsequently
eventwhichresultedinthereactortrip,andcontinuous
dropped and went below the ESF setpoint.Because the setpoint has a 1%reset deadband, it is'extremely
feedingof.theSGswasinprogress-to-recover=secondary
sensitive to minor oscillations.
sideinventory
Due to the incomplete
levels.WhilefillingtheSGs,small.oscillations
guidance provided..:in
normallyoccurinthesensedlevel.Withthe&#xb9;21SGlevelstillbelowthelow-lowsetpoint,,a
the emergency.procedure,-emphasis was placed on the restoration
.smalloscillation
of.the TDAFP to standby readiness, rather than on stabilizing
occurredin&#xb9;23SGthatcausedtheTDAFPautostartsignaltoclearatitshighpoint,followedby.theengineered
SG levels above the ESF actuation setpoint prior to securing the TDAFP and placing it in standby readiness.
safetyfeature(ESF)actuation
whenitsubsequently
droppedandwentbelowtheESFsetpoint.
Becausethesetpointhasa1%resetdeadband,
itis'extremely
sensitive
tominoroscillations.
Duetotheincomplete
guidanceprovided..:in
theemergency
.procedure,
-emphasis
wasplacedontherestoration
of.theTDAFPtostandbyreadiness,
ratherthanonstabilizing
SGlevelsabovetheESFactuation
setpointpriortosecuringtheTDAFPandplacingitinstandbyreadiness.
Corrective
Corrective
ActionTakenandResultsAchieved4~TheTDAFPstartedasdesignedandperformed
Action Taken and Results Achieved 4~The TDAFP started as designed and performed its desired function.Manual control of th'e SG levels during the post trip recovery continued.
itsdesiredfunction.
No immediate corrective
Manualcontrolofth'eSGlevelsduringtheposttriprecoverycontinued.
actions were required.Corrective
Noimmediate
Actions to Avoid Further Uiolations
corrective
The post-trip recovery procedures
actionswererequired.
will be revised regarding placement of the TDAFP in standby readiness.
Corrective
These revisions will allow operators flexibility
ActionstoAvoidFurtherUiolations
in equipment management
Thepost-trip
during post trip responses, so that the operator may focus attention on the plant response as post-trip stabilization
recoveryprocedures
occurs, while continuing
willberevisedregarding
to meet the requirements
placement
of the T/Ss for auxiliary feedwater and ESF actuations.
oftheTDAFPinstandbyreadiness.
An engineering
Theserevisions
review of the SG low-low level instrument
willallowoperators
deadband is being performed.
flexibility
The purpose of the review is to determine the appropriateness
inequipment
of the 1\reset deadband.This review will be completed prior to the next scheduled calibration
management
duringposttripresponses,
sothattheoperatormayfocusattention
ontheplantresponseaspost-trip
stabilization
occurs,whilecontinuing
tomeettherequirements
oftheT/Ssforauxiliary
feedwater
andESFactuations.
Anengineering
reviewoftheSGlow-lowlevelinstrument
deadbandisbeingperformed.
Thepurposeofthereviewistodetermine
theappropriateness
ofthe1\resetdeadband.
Thisreviewwillbecompleted
priortothenextscheduled
calibration
surveillance
surveillance
oftheassociated
of the associated
instruments.
instruments.
5.DateWhenFullColianceWillBeAchievedFullcompliance
5.Date When Full Co liance Will Be Achieved Full compliance
willbeachievedbySeptember
will be achieved by September 1,, 1997, with.the completion
1,,1997,with.thecompletion
of the engineering
oftheengineering
review of the reset deadband, and the revision of the appropriate
reviewoftheresetdeadband,
post trip recovery procedures.
andtherevisionoftheappropriate
F we'll 4 d
posttriprecoveryprocedures.
Fwe'll4d
   
   
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page3NRCViolati.on
Page 3 NRC Violati.on
1b"OnMarch23,1997,theinspectors
1b"On March 23, 1997, the inspectors
identified
identified
thatthelicenseefailedtofollow,instructions
that the licensee failed to follow, instructions
whenpersonnel
when personnel woxking adjacent to the refueling cavity in a foreign material exclusion zone, failed to secure light hand tools to themselves
woxkingadjacenttotherefueling
by way of a lanyard or tagline, and failed to restrain tools in, the FMEZ when they set the'ools down.These actions were required by Plant Manager's Instruction (PMI)2220,"Foreign Material Exclusion", revision 9, dated 3/26/96.This is a Severity Level IV violation (Supplement
cavityinaforeignmaterialexclusion
I)." Res onse to NRC Violation 1b 1~A Admission-or
zone,failedtosecurelighthandtoolstothemselves
'Denial of the Alle ed Violation Indiana Michigan Power Company, admits to the violation as ci.ted in the NRC notice of violation.
bywayofalanyardortagline,andfailedtorestraintoolsin,theFMEZwhentheysetthe'oolsdown.TheseactionswererequiredbyPlantManager's
2.Reason for the Violation 3.Contract technicians, under I&M supervision, were, making repairs to a dual view camera fixture in a foreign material exclusion zone (FNEZ)when they were observed using hand tools with lanyarda attached to the.tools, but not secured to a person or fixed object.This condition resulted from a misi.nterpretation
Instruction
of the requirements
(PMI)2220,"ForeignMaterialExclusion",
of plant procedure 12 PMP 2220.001.001,"Foreign Material Exclusion" (FNE).Section 5.2.7 of this procedure states, in part,"Light hand tools shall be secured'to
revision9,dated3/26/96.ThisisaSeverityLevelIVviolation
the person using them by way of a lanyard or tagline.".However, fuxther on in the same procedure under a section entitled"Securing Tools" (attachment
(Supplement
2, part 6a)it is stated"Tools or equipment which could fall into openings beyond the reach of personnel MUST be secured with a lanyard or tag line, where practical."'he lanyards were felt to be.impractical
I)."ResonsetoNRCViolation
by the workers~involved in the job.Because attachment
1b1~AAdmission-or
2 did not require lanyards where impractical, the workers did not use them.Additionally, these same contract technicians
'DenialoftheAlleedViolation
were observed leaving tools lying loose within an FMEZ.The~persons involved had incorrectly
IndianaMichiganPowerCompany,admitstotheviolation
assumed that the"intent" of the FNE procedure was being followed by the compensatory
asci.tedintheNRCnoticeofviolation.
actions they had taken prior to beginning the equipment repair.These actions included: 1)establishing
2.ReasonfortheViolation
a laydown area within the FMEZ for the specific purpose of repairing this equipment;
3.Contracttechnicians,
and 2)assigning an individual
underI&Msupervision,
to specifi.cally
were,makingrepairstoadualviewcamerafixtureinaforeignmaterialexclusion
monitor and control loose parts and tools during the repair evolution.
zone(FNEZ)whentheywereobservedusinghandtoolswithlanyardaattachedtothe.tools,butnotsecuredtoapersonorfixedobject.Thiscondition
Similar FME practicea had been employed at other nuclear sites.However, the Cook Nuclear Plant procedure that governs activities
resultedfromamisi.nterpretation
within an FNEZ (12 PMP 2220~001.001)specif ically mandates the use of lanyards, and does not-.recognize other methods of material control.Corx'ective
oftherequirements
Actions Taken and Results Achieved Upon notification
ofplantprocedure
of the NRC inspectors'oncerns, the project management
12PMP2220.001.001,
a installation
"ForeignMaterialExclusion"
services (PMRIS)production
(FNE).Section5.2.7ofthisprocedure
states,inpart,"Lighthandtoolsshallbesecured'to
thepersonusingthembywayofalanyardortagline."
.However,fuxtheroninthesameprocedure
underasectionentitled"Securing
Tools"(attachment
2,part6a)itisstated"Toolsorequipment
whichcouldfallintoopeningsbeyondthereachofpersonnel
MUSTbesecuredwithalanyardortagline,wherepractical."
'helanyardswerefelttobe.impractical
bytheworkers~involvedinthejob.Becauseattachment
2didnotrequirelanyardswhereimpractical,
theworkersdidnotusethem.Additionally,
thesesamecontracttechnicians
wereobservedleavingtoolslyingloosewithinanFMEZ.The~personsinvolvedhadincorrectly
assumedthatthe"intent"oftheFNEprocedure
wasbeingfollowedbythecompensatory
actionstheyhadtakenpriortobeginning
theequipment
repair.Theseactionsincluded:
1)establishing
alaydownareawithintheFMEZforthespecificpurposeofrepairing
thisequipment;
and2)assigning
anindividual
tospecifi.cally
monitorandcontrolloosepartsandtoolsduringtherepairevolution.
SimilarFMEpracticea
hadbeenemployedatothernuclearsites.However,theCookNuclearPlantprocedure
thatgovernsactivities
withinanFNEZ(12PMP2220~001.001)specificallymandatestheuseoflanyards,
anddoesnot-.recognize
othermethodsofmaterialcontrol.Corx'ective
ActionsTakenandResultsAchievedUponnotification
oftheNRCinspectors'oncerns,
theprojectmanagement
ainstallation
services(PMRIS)production
supervisor
supervisor
contacted.
contacted.
thecontractor's
the contractor's
sitecoordinator,
site coordinator,-who reins tructed the te'chnicians
-whoreinstructedthete'chnicians
on Cook Nuclear Plant FNE
onCookNuclearPlantFNE
   
   
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page44,requirements.
Page 4 4, requirements.
Noadditional
No additional
problemsrelatingtohandtoolusagewererecordedduringtheremainder
problems relating to hand tool usage were recorded during the remainder of the project.Corrective
oftheproject.Corrective
Actions To Avoid Further Violations
ActionsToAvoidFurtherViolations
Proce'dure
Proce'dure
12PMP2220.001willberevisedpriortothefall1997unit2outage.ThisrevisionwilIeliminate
12 PMP 2220.001 will be revised prior to the fall 1997 unit 2 outage.This revision wilI eliminate th" d screpancies
th"dscrepancies
noted within the procedure, and provide the i e" flexibility
notedwithintheprocedure,
for using other methods of material control.On May 27, 1997, a plant-wide'-
andprovidetheie"flexibility
>>time-out" was held to highlight management'.s
forusingothermethodsofmaterialcontrol.OnMay27,1997,aplant-wide'-
>>time-out"
washeldtohighlight
management'.s
expectations
expectations
intheareaofprocedure
in the area of procedure c mpliance.-During this-period, plant and contract employees (including
cmpliance.
-Duringthis-period,
plantandcontractemployees
(including
supervision)
supervision)
werebroughttogethertofocusontheusageofplantprocedures.
were brought together to focus on the usage of plant procedures.
PMZ-2011,
PMZ-2011,"Procedure
"Procedure
'se and Adherence", was reviewed.Emphasized
'seandAdherence",
topics included the various.levels of procedure usage (continuous
wasreviewed.
use, information
Emphasized
'use, referende use)and the company policy of strict procedural
topicsincludedthevarious.levelsofprocedure
usage(continuous
use,information
'use,referende
use)andthecompanypolicyofstrictprocedural
compliance.
compliance.
Additionally,
Additionally, PM&IS will hold another procedural
PM&ISwillholdanotherprocedural
compliance
compliance
>>time-out"
>>time-out" prior to the fall 1997 unit 2 outage.Procedural
priortothefall1997unit2outage.Procedural
adherence issues will be re-emphasized
adherence
to both ZaM and contract personnel (including
issueswillbere-emphasized
supervision), as well as to individuals
tobothZaMandcontractpersonnel
brought in specifically
(including
for outage support.Within thirty days of the end of the outage, PM&IS will also perform a self-assessment
supervision),
in the area of procedure adherence to determine the effectiveness
aswellastoindividuals
of our procedural
broughtinspecifically
foroutagesupport.Withinthirtydaysoftheendoftheoutage,PM&ISwillalsoperformaself-assessment
intheareaofprocedure
adherence
todetermine
theeffectiveness
ofourprocedural
compliance
compliance
efforts.DateWhenFullComlianceWillBe.Achieved
efforts.Date When Full Com liance Will Be.Achieved Full compliance
Fullcompliance
was achieved on March 23, 1997, after all p ysical work had been stopped and the workers'were reschooled
wasachievedonMarch23,1997,afterallpysicalworkhadbeenstoppedandtheworkers'werereschooled
on'Cook Nuclear Plant FME requirements (PMZ-2220)
on'CookNuclearPlantFMErequirements
and our policy regarding strict procedural
(PMZ-2220)
andourpolicyregarding
strictprocedural
compliance.
compliance.
NRCViolations
NRC Violations
1cand1d"OnMarch11,1997,thelicenseeidentified
1c and 1d"On March 11, 1997, the licensee identified
thatduringrefurbishment
that during refurbishment
of1-QRV-114,
of 1-QRV-114, the reactor coolant'xcess letdown to excess letdown heat exchanger shutoff valve, in 1994, the valve was reassembled
thereactorcoolant'xcessletdowntoexcessletdownheatexchanger
without a cage spacer that was required by maintenance
shutoffvalve,in1994,thevalvewasreassembled
procedure 12 MHP-5021.001.057,"Copes-Vulcan
withoutacagespacerthatwasrequiredbymaintenance
Isolation Valve Maintenance>>'evision
procedure
1, dated 3/14/97'his is a Severity Level IV violation (Supplement
12MHP-5021.001.057,
I).1d.On March 16, 1997, the licensee identified
"Copes-Vulcan
that during the 1995 refurbishment
Isolation
of 1-NRV-163, the pressurizer
ValveMaintenance>>'evision
spray control valve, the valve was reassembled
1,dated3/14/97'hisisaSeverityLevelIVviolation
without a cage spacer that was required by maintenance
(Supplement
procedure 12 MHP-5021.001;126,"Copes-Vulcan
I).1d.OnMarch16,1997,thelicenseeidentified
Bellows Seal Control Valve Maintenance", revision 1, dated 3/13/97.This is a Severity Level IV violation (Supplement
thatduringthe1995refurbishment
of1-NRV-163,
thepressurizer
spraycontrolvalve,thevalvewasreassembled
withoutacagespacerthatwasrequiredbymaintenance
procedure
12MHP-5021.001;126,
"Copes-Vulcan
BellowsSealControlValveMaintenance",
revision1,dated3/13/97.ThisisaSeverityLevelIVviolation
(Supplement
I)."  
I)."  
   
   
Attachment
Attachment
1toAEP:NRC:126QC
1 to AEP:NRC:126QC
Page5ResonsetoCViolation
Page 5 Res onse to C Violation 1c and Zd Admission or Denial of the Viol'ations
1candZdAdmission
Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.
orDenialoftheViol'ations
Reasons for the Violation This violation was caused by standards and expectations
IndianaMichiganPowerCompanyadmitstotheviolation
for contract valve technician
ascitedintheNRCnoticeofviolation.
ReasonsfortheViolation
Thisviolation
wascausedbystandards
andexpectations
forcontractvalvetechnician
performance
performance
ofworktoanin-handprocedure
of work to an in-hand procedure being too low.Proper implementation
beingtoolow.Properimplementation
of, the-procedures-by-the-technicians
of,the-procedures-by-the-technicians
was not verified and reinforced
wasnotverifiedandreinforced
by the first line supervisors.
bythefirstlinesupervisors.
An additional
Anadditional
factor included the valve technician's
factorincludedthevalvetechnician's
lack of familiarity
lackoffamiliarity
with the specific configuration
withthespecificconfiguration
of this style of valve.'U Normal maintenance
ofthisstyleofvalve.'UNormalmaintenance
'ractice for Copes-Vulcan
'racticeforCopes-Vulcan
valve disassembly
valvedisassembly
is to remove the bonnet with the stem intact.This also includes removal of the plug, cage assembly, and cage spacer.During a normal refurbishment
istoremovethebonnetwiththestemintact.Thisalsoincludesremovaloftheplug,cageassembly,
the plug and cage assembly are replaced.In these cases, the easiest way to disassemble
andcagespacer.Duringanormalrefurbishment
the internal parts is to cut the stem and let the plug and cage assembly fall into a radwaste container.
theplugandcageassemblyarereplaced.
This usually means that the cage spacer also falls into the waste container.
Inthesecases,theeasiestwaytodisassemble
The replacement
theinternalpartsistocutthestemandlettheplugandcageassemblyfallintoaradwastecontainer.
cage, disc, and stem are normally provided together as a"trim assembly".
Thisusuallymeansthatthecagespaceralsofallsintothewastecontainer.
Because the cage spacer does not see the wear that the plug and cage assembly see, it does not normaLLy need to be replaced during a refurbishment.
Thereplacement
Therefore, th'e cage spacer is not included with these parts in a trim assembly.The existing cage spacer must generaLLy be reused when.the valve is reassembled.
cage,disc,andstemarenormallyprovidedtogetherasa"trimassembly".
Copes Vulcan valves have a unique cage.spacer
Becausethecagespacerdoesnotseethewearthattheplugandcageassemblysee,itdoesnotnormaLLyneedtobereplacedduringarefurbishment.
configuration, which the technicians
Therefore,
~did not commonly work with.Nonetheless, the procedure does specifically
th'ecagespacerisnotincludedwiththesepartsinatrimassembly.
call for reinstallation
TheexistingcagespacermustgeneraLLy
of the cage spacer as part of reassembly
bereusedwhen.thevalveisreassembled.
of the valve internals.
CopesVulcanvalveshaveauniquecage.spacer
configuration,
whichthetechnicians
~didnotcommonlyworkwith.Nonetheless,
theprocedure
doesspecifically
callforreinstallation
ofthecagespaceraspartofreassembly
ofthevalveinternals.
3.Corrective
3.Corrective
ActionTakenandResultsAchieved4~1-QRV-114
Action Taken and Results Achieved 4~1-QRV-114 was properly reassembled, with new internals, under JOA R36179-02.
wasproperlyreassembled,
This was completed on March 18, 1997.1-NRV-163 was propeily reassembled, with new internals, under JOA C34692-02.
withnewinternals,
This was completed on March 27, 1997.Corrective
underJOAR36179-02.
Actions Taken to Avoid Further Violations
Thiswascompleted
Two Copes-Vulcan
onMarch18,1997.1-NRV-163
valves have been purchased for training purposes.One valve is configured
waspropeilyreassembled,
as a"typical" Copes-Vulcan control valve.The other valve is a duplicate configuration
withnewinternals,
of the pressurizer
underJOAC34692-02.
spray valves.Designation
Thiswascompleted
of the cage spacer will be in bold in the reassembly
onMarch27,1997.Corrective
step in Maintenance
ActionsTakentoAvoidFurtherViolations
TwoCopes-Vulcan
valveshavebeenpurchased
fortrainingpurposes.
Onevalveisconfigured
asa"typical"
Copes-Vulcancontrolvalve.Theothervalveisaduplicate
configuration
ofthepressurizer
sprayvalves.Designation
ofthecagespacerwillbeinboldinthereassembly
stepinMaintenance
procedures
procedures
forCopes-Vulcan
for Copes-Vulcan
valves.Areview'f.themaintenance'procedures
valves.A review'f.the maintenance'procedures
forCopes-Vulcan
for Copes-Vulcan
valveswillbeconducted.
valves will be conducted.
EmphasiswilLbeonconsolidation
Emphasis wilL be on consolidation
   
   
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page65.ofthepiocedures
Page 6 5.of the piocedures
andimplementation
and implementation
ofengineering,
of engineering, plannihg, or supervisory
plannihg,
orsupervisory
identification
identification
ofapplicable
of applicable
procedure
procedure information
information
based on the internal conf iguration and application
basedontheinternalconfiguration
of the valve.This.will be completed b September 1, 1997.e e y Maintenance
andapplication
personnel have been reminded of the need to'roperly
ofthevalve.This.willbecompleted
implement in-hand procedures.
bSeptember
This means they must read the step, perform the step, document completion
1,1997.eeyMaintenance
of the step, then proceed to the next step.At the time of the original valve work in 1994, contract supervisors..performed-
personnel
hands-on work=as well's serving as supervisors.
havebeenremindedoftheneedto'roperly
Since 1994, this has been changed and contract supervisors
implement
no longer perform hands-on work, but function re l solely in an oversight role.This is reinforced
in-handprocedures.
thr h oug 8 gu ar meetings held during the outage.The contr ct n rac bri upervisors
Thismeanstheymustreadthestep,performthestep,documentcompletion
are now more involved in preparation
ofthestep,thenproceedtothenextstep.Atthetimeoftheoriginalvalveworkin1994,contractsupervisors..performed-
and p-'re-jo er'efings, and general expectations
hands-onwork=aswell'sservingassupervisors.
for contract p formance, especially
Since1994,thishasbeenchangedandcontractsupervisors
regarding procedural
nolongerperformhands-onwork,butfunctionrelsolelyinanoversight
role.Thisisreinforced
thrhoug8guarmeetingsheldduringtheoutage.Thecontrctnracbriupervisors
arenowmoreinvolvedinpreparation
andp-'re-joer'efings,andgeneralexpectations
forcontractpformance,
especially
regarding
procedural
adherence,,is
adherence,,is
ordiscussed.
or discussed.
withcontractmanagement
with contract management
priortothestartoftheoutage.DatewhenFullComliancewillbeAchievedFullcompliance
prior to the start of the outage.Date when Full Com liance will be Achieved Full compliance
wasachievedonMarch27,1997.Atthattime,bothvalveswereproperlyreassembled.
was achieved on March 27, 1997.At that time, both valves were properly reassembled.
NRCViolation
NRC Violation 2a"10 CFR 50 Appendix B, Criteria XVZ, Corrective
2a"10CFR50AppendixB,CriteriaXVZ,Corrective
Actions, requires in part, that"Measures shall be established
Actions,requiresinpart,that"Measures
to assur that Zn the case of signifidant
shallbeestablished
toassurthatZnthecaseofsignifidant
conditions
conditions
adversetoqu1'tth(cor(rective)measuresshallassurethatthecauseofthecondition
adverse to qu 1't th (cor (rective)measures shall assure that the cause of the condition is determined
isdetermined
and corrective
andcorrective
action taken to preclude repetition." II Contrary to the above, a.On March 11, 1997, in Unit 2, the previous corrective
actiontakentoprecluderepetition."
actions to preclude the buildup of electrostatic
IIContrarytotheabove,a.OnMarch11,1997,inUnit2,thepreviouscorrective
discharge.from affecting Taylor Mod 30 controllers
actionstoprecludethebuildupofelectrostatic
were ineffective
discharge
in preventing
.fromaffecting
the failure of the controller
TaylorMod30controllers
for feedwater regulating
wereineffective
valve 1-FRV-210.
inpreventing
This controller
thefailureofthecontroller
failure caused the closure of 1-FRV-210 and a subsequent
forfeedwater
reactor trip." This is a Severity Level ZV.violation (Supplement
regulating
Z)." Res onse to NRC Violation 2a Admission or Denial of the Alle ed Violation Zndiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.
valve1-FRV-210.
Reason for the Violation The cause of this violation'is an inadequate
Thiscontroller
root cause determination
failurecausedtheclosureof1-FRV-210andasubsequent
for the previous controller.
reactortrip."ThisisaSeverityLevelZV.violation
failures ca The iroot cause determin'ation
(Supplement
Z)."ResonsetoNRCViolation
2aAdmission
orDenialoftheAlleedViolation
ZndianaMichiganPowerCompanyadmitstotheviolation
ascitedintheNRCnoticeofviolation.
ReasonfortheViolation
Thecauseofthisviolation
'isaninadequate
rootcausedetermination
forthepreviouscontroller.
failurescaTheirootcausedetermin'ation
had'identified
had'identified
thestaticelectricity
the static electricity
but  
but  
   
   
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page7~03.failed.to
Page 7~0 3.failed.to identify the severity of the problem.Steps had been implemented
identifytheseverityoftheproblem.Stepshadbeenimplemented
to reduce the occurrence
toreducetheoccurrence
of static electricity.'owever, not.all", processes that could cause static were identified.
ofstaticelectricity.'owever,
Although measures had been taken to reduce static buildup and to provide a means to safely discharge the static, some day-'o-day
not.all",processes
practices that could generate static were not identified, nor was it identified
thatcouldcausestaticwereidentified.
that the methods provided to discharge the static were not always effective.
Althoughmeasureshadbeentakentoreducestaticbuildupandtoprovideameanstosafelydischarge
Zt had been verified that the carpet installed in-the control rooms was a static dissipative
thestatic,someday-'o-day
carpet, humidity levels in the control~corns
practices
-were being maintained
thatcouldgeneratestaticwerenotidentified,
above 40%, and electrostatic
norwasitidentified
discharge (ESD)mats had-been.placed in front of the control panels.However, after the unit trip, it was discovered
thatthemethodsprovidedtodischarge
the controls of the steam generator'level ,controllers
thestaticwerenotalwayseffective.
were located at a convenient
Zthadbeenverifiedthatthecarpetinstalled
height to make it common practice.for operators to roll.over to the controllers
in-thecontrolroomswasastaticdissipative
in'-wheeled office chair and adjust the controls.This rendered the static dissipative
carpet,humiditylevelsinthecontrol~corns
carpet and ESD mats installed in front of the control panel ineffective
-werebeingmaintained
at dissipating
above40%,andelectrostatic
static electricity.'ngineering
discharge
had also instructed
(ESD)matshad-been.
the operators to discharge their static charge on the control panel prior to.contacting
placedinfrontofthecontrolpanels.However,aftertheunittrip,itwasdiscovered
thecontrolsofthesteamgenerator
'level,controllers
werelocatedataconvenient
heighttomakeitcommonpractice.
foroperators
toroll.overtothecontrollers
in'-wheeledofficechairandadjustthecontrols.
Thisrenderedthestaticdissipative
carpetandESDmatsinstalled
infrontofthecontrolpanelineffective
atdissipating
staticelectricity.'ngineering
hadalsoinstructed
theoperators
todischarge
theirstaticchargeonthecontrolpanelpriorto.contacting
controllers
controllers
butfailedtonotethepaintedsurfacesonthecontrolpanel-didnotprovideforpropergrounding;
but failed to note the painted surfaces on the control panel-did not provide for proper grounding;
Additional
Additional
grounding
grounding methods for the controllers
methodsforthecontrollers
had been developed to reduce the vulnerability
hadbeendeveloped
of, the controllers
toreducethevulnerability
to failure during ESD.An'implementation
of,thecontrollers
schedule was developed, based on the need to remove a controller
tofailureduringESD.An'implementation
from service to perform grounding.
schedulewasdeveloped,
Because of this, a number of controllers
basedontheneedtoremoveacontroller
could not be done with the unit operating.
fromservicetoperformgrounding.
This was judged to be acceptable
Becauseofthis,anumberofcontrollers
in view of the actions taken to reduce static buildup and providing a means to di.scharge
couldnotbedonewiththeunitoperating.
the static prior to an operator interfacing
Thiswasjudgedtobeacceptable
with the controller.
inviewoftheactionstakentoreducestaticbuildupandproviding
The controller
ameanstodi.scharge
that failed and caused the March 11, 1997, unit trip was scheduled for the grounding enhancement
thestaticpriortoanoperatorinterfacing
during the next refueling outage.Corrective
withthecontroller.
Ste s Taken and Results Achieved The enhanced grounding methods were installed in unit 2 during the forced, outage from the'ontroller
Thecontroller
failure and on unit 1 during the refueling outage.Additional
thatfailedandcausedtheMarch11,1997,unittripwasscheduled
in-house testing of the controller
forthegrounding
confirmed the manufacturer's
enhancement
duringthenextrefueling
outage.Corrective
StesTakenandResultsAchievedTheenhancedgrounding
methodswereinstalled
inunit2duringtheforced,outagefromthe'ontroller
failureandonunit1duringtherefueling
outage.Additional
in-housetestingofthecontroller
confirmed
themanufacturer's
identification
identification
ofESDsensitivity
of ESD sensitivity
attherightedgeofthefaceplate.
at the right edge of the faceplate.
Testingalsoshowedthatsealingtheedgeofthefaceplate
Testing also showed that sealing the edge of the faceplate prevented static intrusion and doubled the immunity to static discharge.
prevented
All panel mounted controller
staticintrusion
anddoubledtheimmunitytostaticdischarge.
Allpanelmountedcontroller
faceplates
faceplates
forbothuni.tsweresealedtopreventstaticintrusion.
for both uni.ts were sealed to prevent static intrusion.
Additional'SD
Additional'SD
readingsweretakeninthecontrolroomswhileoperators
readings were taken in the control rooms while operators were performing
wereperforming
routine activities, to more thoroughly
routineactivities,
quantify the static problem.Testing showed an operator could generate 3KV with a simple act of standing up from a chair.Static electricity
tomorethoroughly
also failed to,immediately
quantifythestaticproblem.Testingshowedanoperatorcouldgenerate3KVwithasimpleactofstandingupfromachair.Staticelectricity
~drain,while standing;on:>, the anti-static-.-carp'et;-'.and
alsofailedto,immediately
'took-several=seconds to.drain while standing on the ESD grounding
~drain,whilestanding;
on:>,theanti-static-.-carp'et;-'.and
'took-several=secondsto.drainwhilestandingontheESDgrounding
0  
0  
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page8matsduetotheinsulated
Page 8 mats due to the insulated shoes worn by most operators.
shoeswornbymostoperators.
Following testing, ESD-proof chairs were installed in the control room and operators were'.required to wear commercial
Following
shoe grounding straps.Follow-up checks indicated that while operators are wearing the grounding strap, static charge buildup would dissipate immediately
testing,ESD-proof
on contact with the ESD mats and there was no charge buildup while using the ESD'hair.As a point of information, a design change is being finalized to incorporate
chairswereinstalled
a.failover control system design to prevent single point controller
inthecontrolroomandoperators
failure in critical instrument, loops from=shutting-down-the
were'.requiredtowearcommercial
control loop.Failed controllers
shoegrounding
will be bypassed with-operator notification
straps.Follow-up
and, depending on which controller
checksindicated
failed, continue in auto or revert to manual for operator control.4.Corrective
thatwhileoperators
Actions To Avoid Further Violations
arewearingthegrounding
The cause of this violation was failure to properly identify and fully characterize
strap,staticchargebuildupwoulddissipate
root causes of the failure.A review and revision of Cook Nuclear Plant PMI-7030,"Corrective
immediately
Action Program," was recently completed and additional
oncontactwiththeESDmatsandtherewasnochargebuildupwhileusingtheESD'hair.
training of personnel in proper root cause analysis is being performed.
Asapointofinformation,
5.Date When Full Co liance Will Be Achieved Full compliance
adesignchangeisbeingfinalized
was achieved on May 9, 1997, with the completion
toincorporate
of the grounding modifications
a.failovercontrolsystemdesigntopreventsinglepointcontroller
during the unit 2 forced outage, and on unit 1 during the refueling outage.PMI-7030, revision 23,"Corrective
failureincriticalinstrument,
Action Program", was effective May 19, 1997, and personnel training is ongoing.NRC Violation 2b"10 CFR 50 Appendix B, Criteria XVI, Corrective
loopsfrom=shutting-down-the
Actions, requires in part, that"Measures shall be established
controlloop.Failedcontrollers
to assure that In the case of significant
willbebypassedwith-operator
notification
and,depending
onwhichcontroller
failed,continueinautoorreverttomanualforoperatorcontrol.4.Corrective
ActionsToAvoidFurtherViolations
Thecauseofthisviolation
wasfailuretoproperlyidentifyandfullycharacterize
rootcausesofthefailure.AreviewandrevisionofCookNuclearPlantPMI-7030,
"Corrective
ActionProgram,"wasrecentlycompleted
andadditional
trainingofpersonnel
inproperrootcauseanalysisisbeingperformed.
5.DateWhenFullColianceWillBeAchievedFullcompliance
wasachievedonMay9,1997,withthecompletion
ofthegrounding
modifications
duringtheunit2forcedoutage,andonunit1duringtherefueling
outage.PMI-7030,
revision23,"Corrective
ActionProgram",
waseffective
May19,1997,andpersonnel
trainingisongoing.NRCViolation
2b"10CFR50AppendixB,CriteriaXVI,Corrective
Actions,requiresinpart,that"Measures
shallbeestablished
toassurethatInthecaseofsignificant
conditions
conditions
adversetoquality,the(corrective)
adverse to quality, the (corrective)
measuresshallassurethatthecauseofthecondition
measures shall assure that the cause of the condition is determined
isdetermined
and corrective
andcorrective
action taken to preclude repetition." Contrary to the above, On March 12, 1997, the inspectors
actiontakentoprecluderepetition."
Contrarytotheabove,OnMarch12,1997,theinspectors
identified
thatthecorrective
actionsfollowing
arepeatgasketfailureonl-IRV-311,
identified
identified
onJanuary31,1996,wereinadequate
that the corrective
toprecluderepetition
actions following a repeat gasket failure on l-IRV-311, identified
ofspiralwoundgasketmaterialenteringthereactorcoolantsystem,asignificant
on January 31, 1996, were inadequate
condition
to preclude repetition
'adversetoquality.Specifically,
of spiral wound gasket material entering the reactor coolant system, a significant
thelicenseeperformed
condition'adverse to quality.Specifically, the licensee performed an evaluation
anevaluation
to-determine the ef fect of spiral wound gasket material in the residual heat removal system;however, no action was taken to remove this material which resulted in the.re-introduction
to-determine
of spiral wound gasket material in the reactor coolant system on March 12, 1997." This is a Severity Level IV violation (Supplement
theeffectofspiralwoundgasketmaterialintheresidualheatremovalsystem;however,noactionwastakentoremovethismaterialwhichresultedinthe.re-introduction
ofspiralwoundgasketmaterialinthereactorcoolantsystemonMarch12,1997."ThisisaSeverityLevelIVviolation
(Supplement
I)."  
I)."  
   
   
Attachment
Attachment
1toAEPsNRC:1260C
1 to AEPsNRC:1260C
Page9onsetoVh.olation
Page 9 onse to Vh.olation
2bAdmission
2b Admission or Denial of the Alle ed Violation\Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.
orDenialoftheAlleedViolation
2.Reason for Violation This violation is the result of an inaccurate
\IndianaMichiganPowerCompanyadmitstotheviolation
root cause determination
ascitedintheNRCnoticeofviolation.
for the initial failure of the gasket, which occurred in August 1995.The root cause determination
2.ReasonforViolation
was not accurateMecause
Thisviolation
=information--necessary"to make an accurate determination
istheresultofaninaccurate
was not available at the time of the initial investigation., A design.change previously
rootcausedetermination
installed to improve residual heat removal (RHR).flow control replaced the.original butterfly valves with a V-notched ball valve, model V100-Sin-300lb, manufactured
fortheinitialfailureofthegasket,whichoccurredinAugust1995.Therootcausedetermination
by Fisher Controls.When this design change w l was engineered, it was not known that excessive turbulen ou d develop at the valve's downstream
wasnotaccurateMecause
flange when the valve was throttled to an intermediate
=information--necessary
position.This turbulence
"tomakeanaccuratedetermination
can result in hydraulic forces capable of damaging the metallic winding of the spiral wound gasket used to seal-this.bolted connection.
wasnotavailable
atthetimeoftheinitialinvestigation.,
Adesign.changepreviously
installed
toimproveresidualheatremoval(RHR).flowcontrolreplacedthe.original
butterfly
valveswithaV-notched
ballvalve,modelV100-Sin-300lb,
manufactured
byFisherControls.
Whenthisdesignchangewlwasengineered,
itwasnotknownthatexcessive
turbulenouddevelopatthevalve'sdownstream
flangewhenthevalvewasthrottled
toanintermediate
position.
Thisturbulence
canresultinhydraulic
forcescapableofdamagingthemetallicwindingofthespiralwoundgasketusedtoseal-this.boltedconnection.
Subsequent
Subsequent
failuresofthegasket.providedinformation
f ailures of the gasket.provided information
notavailable't
not available't
thetimeoftheinitialinvestigation.
the time of the initial investigation.
Thisinformation
This information
ledustotheconclusion
led us to the conclusion
thatthevalveandflangegasketareincompatible,
that the valve and flange gasket are incompatible, and the incompatible
andtheincompatible
design resulted in the gasket failures.fl On August 11, 1995, the unit 1 RHR heat exchanger (Hx)bypas ow control valve, 1-IRV-311, downstream
designresultedinthegasketfailures.
flange gasket ass failed with RHR in service during normal cooldown at the end of cycle 14.When 1-IRV-311 was disassembled
flOnAugust11,1995,theunit1RHRheatexchanger
for repair, it was discovered
(Hx)bypasowcontrolvalve,1-IRV-311,
that the inside diameter of its gasket was smaller than the inside diameter of the corresponding
downstream
slip-an flange.This.resulted in approximately
flangegasketassfailedwithRHRinserviceduringnormalcooldownattheendofcycle14.When1-IRV-311
0.155 inches of the gasket's metallic spiral windings being exposed to the flow stream, and resulted in gasket failure.The root cause of the initial failure was therefore determined
wasdisassembled
to be an incorrectly
forrepair,itwasdiscovered
sized gasket.~Neither of the other two RHR Hx outlet flow control valves, 1-IRV-310 and 1-IRV-320, have this type of slip-on bolted.flange connection
thattheinsidediameterofitsgasketwassmallerthantheinsidediameterofthecorresponding
or evidenced a flange leak.Therefore, they were not.inspected at this time.1-IRV-311 was returned to service with new spiral wound gaskets of the correct size.The emergency core cooling system (ECCS)and RHR were flushed of debris, and unit 1 began operation for fuel cycle 15.Shortly after the completion
slip-anflange.This.resultedinapproximately
of the unit 1 1995 refueling outage, with the ECCS and RHR.in standby readiness, leakage from the downstream
0.155inchesofthegasket'smetallicspiralwindingsbeingexposedtotheflowstream,andresultedingasketfailure.Therootcauseoftheinitialfailurewastherefore
joint of 1-IRV-311 again occurred.When the valve.was removed for repair on January 31,.1996, its downstream
determined
flange gasket was found to have experienced
tobeanincorrectly
damage similar to the previous failure, with a portion of the spiral windings missing.The root, cause of this failure was determined
sizedgasket.~NeitheroftheothertwoRHRHxoutletflowcontrolvalves,1-IRV-310
to be incompatibility
and1-IRV-320,
of the spiral wound gasket with=the V-ball, type:of.control valve.A non>>metallic
havethistypeofslip-onbolted.flangeconnection
fibrous gasket was installed in place of the spiral wound
orevidenced
aflangeleak.Therefore,
theywerenot.inspected
atthistime.1-IRV-311
wasreturnedtoservicewithnewspiralwoundgasketsofthecorrectsize.Theemergency
corecoolingsystem(ECCS)andRHRwereflushedofdebris,andunit1beganoperation
forfuelcycle15.Shortlyafterthecompletion
oftheunit11995refueling
outage,withtheECCSandRHR.instandbyreadiness,
leakagefromthedownstream
jointof1-IRV-311
againoccurred.
Whenthevalve.wasremovedforrepaironJanuary31,.1996,itsdownstream
flangegasketwasfoundtohaveexperienced
damagesimilartothepreviousfailure,withaportionofthespiralwindingsmissing.Theroot,causeofthisfailurewasdetermined
tobeincompatibility
ofthespiralwoundgasketwith=theV-ball,type:of.controlvalve.Anon>>metallic
fibrousgasketwasinstalled
inplaceofthespiralwound
   
   
Attachment
Attachment
1toAEP:NRC:126QC
1 to AEP:NRC:126QC
Page10gasket.Onceagain,1-IRV-310
Page 10 gasket.Once again, 1-IRV-310 and 1-IRV-320 were not opened because they were not exhibiting
and1-IRV-320
any evidence of leakage, nor were they suspected of susceptibility
werenotopenedbecausetheywerenotexhibiting
to this type of failure as their throttling
anyevidenceofleakage,norweretheysuspected
ofsusceptibility
tothistypeoffailureastheirthrottling
characteristics.
characteristics.
differfrom1-XRV-311.
differ from 1-XRV-311.
Asaprecautionary
As a precautionary
measure.inMarchof1996,2-XRV-311,
measure.in March of 1996, 2-XRV-311, the unit 2 RHR Hx bypass flow control valve, was'opened for had n inspection
theunit2RHRHxbypassflowcontrolvalve,was'openedforhadninspection
prior to the unit 2 refueling outage.This al ot evidenced leakage at the downstream
priortotheunit2refueling
joint;however, its spiral wound gasket was found to be damaged upon valve disassembly.
outage.Thisalotevidenced
This provided.thefirst evidence that the flange gasket could become damaged without manif esting-.external
leakageatthedownstream
leakage;--.A-fibrous
joint;however,itsspiralwoundgasketwasfoundtobedamageduponvalvedisassembly.
gasket was installed in place of the spiral, wound gasket.During the refueling outage, the spiral wound gaskets were-removed" from,2-IRV-310
Thisprovided.thefirstevidencethattheflangegasketcouldbecomedamagedwithoutmanifesting-.external
and 2-IRV-320 and replaced with fibrous gaskets.The spiral wound gaskets removed from 2-XRV-310 and 2-IRV-320 were intact, reinforcing, the conclusion
leakage;-
that the 1-IRV-310 and 1-IRV-320 were not at risk for this type of failure.During the recent unit 1 refueling outage, a visual inspection
-.A-fibrous
of the reactor's lower core plate revealed more spiral wound gasket debris than would have been expected from the failure of 1-IRV-311 discovered
gasketwasinstalled
in January of 1996.Up to this point, all failures of-the spiral wound gasket were'believed to be isolated to the RHR Hx bypass flow control valve used in the normal cooldown circuit.Although 1-1'RV-310 and 1-IRU-320 had no evidence of leakage, they became suspect as another potential source of debris.When each valve was disassembled
inplaceofthespiral,woundgasket.Duringtherefueling
for an internal inspection, their downstream
outage,thespiralwoundgasketswere-removed"
spiral wound gaskets were found partially unwound."'.On March 3, 1997, during the unit 1 RCS/ECCS as found pressure isolation valve (PIV)leak test, it was determined
from,2-IRV-310
that two PIV check valves had failed their leak test du e presence of gasket fragments.
and2-IRV-320andreplacedwithfibrousgaskets.Thespiralwoundgasketsremovedfrom2-XRV-310
This debris was subsequently
and2-IRV-320
removed and an as-left leak test for all PIVS was performed in April 1997 to demonstrate
wereintact,reinforcing,
the class I pressure boundary was intact prior to the beginnin of cycle 16.ing o Corrective
theconclusion
Action Taken and Results Achieved 4.The spiral wound gaskets were removed from all RHR flow control valves in both units.Corresponding
thatthe1-IRV-310
bolted connections
and1-IRV-320
are now sealed with fibrous gaskets which are not susceptible
werenotatriskforthistypeoffailure.Duringtherecentunit1refueling
to this form of erosion induced by localized turbulent flow.The RHR piping network branches.and ECCS branches in both units 1 and 2 have been flushed to remove foreign material debris, including gasket fragments.
outage,avisualinspection
ofthereactor's
lowercoreplaterevealedmorespiralwoundgasketdebristhanwouldhavebeenexpectedfromthefailureof1-IRV-311
discovered
inJanuaryof1996.Uptothispoint,allfailuresof-thespiralwoundgasketwere'believed
tobeisolatedtotheRHRHxbypassflowcontrolvalveusedinthenormalcooldowncircuit.Although1-1'RV-310and1-IRU-320
hadnoevidenceofleakage,theybecamesuspectasanotherpotential
sourceofdebris.Wheneachvalvewasdisassembled
foraninternalinspection,
theirdownstream
spiralwoundgasketswerefoundpartially
unwound."'.OnMarch3,1997,duringtheunit1RCS/ECCSasfoundpressureisolation
valve(PIV)leaktest,itwasdetermined
thattwoPIVcheckvalveshadfailedtheirleaktestduepresenceofgasketfragments.
Thisdebriswassubsequently
removedandanas-leftleaktestforallPIVSwasperformed
inApril1997todemonstrate
theclassIpressureboundarywasintactpriortothebeginninofcycle16.ingoCorrective
ActionTakenandResultsAchieved4.ThespiralwoundgasketswereremovedfromallRHRflowcontrolvalvesinbothunits.Corresponding
boltedconnections
arenowsealedwithfibrousgasketswhicharenotsusceptible
tothisformoferosioninducedbylocalized
turbulent
flow.TheRHRpipingnetworkbranches.
andECCSbranchesinbothunits1and2havebeenflushedtoremoveforeignmaterialdebris,including
gasketfragments.
Corrective
Corrective
ActionsToAvoidPurtherUiolations
Actions To Avoid Purther Uiolations ,Xt was confirmed that no other incompatible
,Xtwasconfirmed
gasket design of this nature was installed in a system relied upon to achieve safe shutdown or mitigate the consequences
thatnootherincompatible
of an accident.  
gasketdesignofthisnaturewasinstalled
inasystemreliedupontoachievesafeshutdownormitigatetheconsequences
ofanaccident.  
   
   
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page115.'DateWhenFullComlianceWillBeAchievedFull'ompliance
Page 11 5.'Date When Full Com liance Will Be Achieved Full'ompliance
wasachievedonMarch21,1997,whenthelastspiralwoundgasketswerereplacedfor1-IRV-310
was achieved on March 21, 1997, when the last spiral wound gaskets were replaced for 1-IRV-310 and 1-IRV-320.NRC Violation 3"10 CFR Part 50.72, paragraph (b)(2)(i), requires that any event, found while the reactor is shut down, that, had it been found while he reactor was in operation, would hav'e resulted in the nuclear power plant, including its principal safety barriers beings an analyzed-condition
and1-IRV-320.NRCViolation
that signi.fi.cantly
3"10CFRPart50.72,paragraph
(b)(2)(i),
requiresthatanyevent,foundwhilethereactorisshutdown,that,haditbeenfoundwhilehereactorwasinoperation,
wouldhav'eresultedinthenuclearpowerplant,including
itsprincipal
safetybarriersbeingsananalyzed-condition
thatsigni.fi.cantly
compromises
compromises
plantsafety,bereportedtotheNRCwithinfourhoursofoccurrence.
plant safety, be reported to the NRC within four hours of occurrence.
Contrarytotheabove,thelicenseefailedtomakeatimelyreportinaccordance
Contrary to the above, the licensee failed to make a timely report in accordance
with10CFR50.72(b)(2)(i)whenonMarch21,1997,inspection
with 10 CFR 50.72(b)(2)(i)when on March 21, 1997, inspection
offlood-uptubesinUnit1identified
of flood-up tubes in Unit 1 identified
cracksinninetubesandtheequipment
cracks in nine tubes and the equipment associated
associated
with these flood-up tubes was declared inoperable.
withtheseflood-uptubeswasdeclaredinoperable.
This is a Severity Level IV violation (Supplement
ThisisaSeverityLevelIVviolation
I)." Res onse to NRC Violation 3 Admission or Denial of the Violation Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.
(Supplement
2.Reasons for the Violation The.primary reason for the violation was the low emphasis placed on resolution
I)."ResonsetoNRCViolation
of an indeterminate
3Admission
orDenialoftheViolation
IndianaMichiganPowerCompanyadmitstotheviolation
ascitedintheNRCnoticeofviolation.
2.ReasonsfortheViolation
The.primaryreasonfortheviolation
wasthelowemphasisplacedonresolution
ofanindeterminate
reportability
reportability
condition.
condition.
Environmental
Environmental
qualification
qualification (EQ)issues are complex.The personnel who made the initial reportability
(EQ)issuesarecomplex.Thepersonnel
decision when the degraded condition was identified
whomadetheinitialreportability
on unit 1 were unfamiliar
decisionwhenthedegradedcondition
with EQ issues as they relate to system and component operability.
wasidentified
It was decided to submit the condition for further reportability
onunit1wereunfamiliar
withEQissuesastheyrelatetosystemandcomponent
operability.
Itwasdecidedtosubmitthecondition
forfurtherreportability
evaluation
evaluation
viatheprocessembeddedinourcorrective
via the process embedded in our corrective
actionprogram.Theresulting
action program.The resulting timetable did not appropriately
timetable
reflect NRC expectations
didnotappropriately
for promptly evaluating
reflectNRCexpectations
and reporting degraded conditions.
forpromptlyevaluating
The parallel work to inspect, evaluate, and repair tubes in the operating unit 2, took priority over further evaluation
andreporting
of the unit 1 conditions.
degradedconditions.
This prioritization
Theparallelworktoinspect,evaluate,
of resources was appropriate
andrepairtubesintheoperating
based on the safety significance
unit2,tookpriorityoverfurtherevaluation
of the condition in the operating unit versus the shutdown unit;however, it extended an already unacceptable
oftheunit1conditions.
delay in the reporting of the unit 1 condition.
Thisprioritization
A contributor
ofresources
to the length of the delay in reporting was the completion
wasappropriate
of the evaluation
basedonthesafetysignificance
to confirm all inoperable
ofthecondition
intheoperating
unitversustheshutdownunit;however,itextendedanalreadyunacceptable
delayinthereporting
oftheunit1condition.
Acontributor
tothelengthofthedelayinreporting
wasthecompletion
oftheevaluation
toconfirmallinoperable
equipment.'his
equipment.'his
providedfordetermination
provided for determination
ofthecompletesafetysignificance
of the complete safety significance
priortomakingafinalreportability
prior to making a final reportability
determination.
determination.
Oftheoriginalninecrackedtubes,onlysevenresultedindeclaring
Of the original nine cracked tubes, only seven resulted in declaring equipment inoperable.
equipment
Twenty-three devices were serviced by the conduit in the seven floodup tubes, and of these, only thirteen devices were.confirmed
inoperable.
to be inoperable.  
Twenty-threedeviceswereservicedbytheconduitinthesevenflooduptubes,andofthese,onlythirteendeviceswere.confirmed
tobeinoperable.  
   
   
   
   
   
   
~~oiAttachment
~~oi Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page13determination
Page 13 determination
thatthechangedoesnotinvolveanunreviewed
that the change does not involve an unreviewed
safetquestion.
safet question.we sa e y Contrary to the above, on March 6, 1997~, the licensee identified
wesaeyContrarytotheabove,onMarch6,1997~,thelicenseeidentified
that a plexiglass
thataplexiglass
cover was installed below the return air duct to the unit 2 control room without a proper 50'9 safety evaluation.
coverwasinstalled
o e his plexiglass
belowthereturnairducttotheunit2controlroomwithoutaproper50'9safetyevaluation.
cover had the potential of affect'n th'CREVS).p rability of the unit 2 control room emergency ventilation
oehisplexiglass
t sys em This isa Severity Level IV violation (Supplement
coverhadthepotential
I)." I Res onse..to-NRC
ofaffect'nth'CREVS).prabilityoftheunit2controlroomemergency
ventilation
tsysemThisisaSeverityLevelIVviolation
(Supplement
I)."IResonse..to-NRC
Violation--4'.
Violation--4'.
Admission
Admission or Denial of the'Alle ed Violation i yiqpsr Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.
orDenialofthe'AlleedViolation
2.Reason for the Violation The cause of this violation's inadequate
iyiqpsrIndianaMichiganPowerCompanyadmitstotheviolation
ascitedintheNRCnoticeofviolation.
2.ReasonfortheViolation
Thecauseofthisviolation
'sinadequate
procedural
procedural
guidance.
guidance.Specifically, the procedure regarding the adminis trat'ion'f"Temporary
Specifically,
Modif ications",.1'2 PMP 5040.MOD.001,, revision..5, defined a temporary modification (TM)as follows: 3.Any configuration
theprocedure
change that exists on plant systems, components, or structures, (hereafter
regarding
referred to as equipment)
theadministrat'ion'f
which does not conform to approved plant drawings, approved vendor drawings, or other design documents (i.e., ECPs, EDSs, PDSs)and is being used to maintain operation of the plant.A modification
"Temporary
on any equipment being returned to service, though not.being used in support of plant operations, where the modification
Modifications",.1'2PMP5040.MOD.001,,
has the potential to adversely affect plant equipment or personriel
revision..5,definedatemporary
safety, shall be considered
modification
a temporary modification.
(TM)asfollows:3.Anyconfiguration
At the time of the event, installation
changethatexistsonplantsystems,components,
of the drip catch basins on the panels near the control room emergency ventilation
orstructures,
system (CREVS)intake ducts was not considered
(hereafter
a TM per the procedure because it, was not to be installed on an operating system, and the, basins were not required to maintain operation of the plant.Corrective
referredtoasequipment)
Actions Taken and Results Achieved The drip catch basins were removed from both control rooms on March 6, 1997, eliminating
whichdoesnotconformtoapprovedplantdrawings,
potential impact on the CREVS.*Testing of the~CREVS was conducted in unit 1 on March 13, 1997, to determine system performance
approvedvendordrawings,
with the drip*,catch basin installed below the return air intake grille.The pan was placed in a configuration
orotherdesigndocuments
which mimicked the intermittent
(i.e.,ECPs,EDSs,PDSs)andisbeingusedtomaintainoperation
position of the unit 2 intake pan during operation of the system for blackout testing.The tests performed verified compliance
oftheplant.Amodification
with T/S 4.7.5.1 and habitability
onanyequipment
dose calculations.  
beingreturnedtoservice,thoughnot.beingusedinsupportofplantoperations,
wherethemodification
hasthepotential
toadversely
affectplantequipment
orpersonriel
safety,shallbeconsidered
atemporary
modification.
Atthetimeoftheevent,installation
ofthedripcatchbasinsonthepanelsnearthecontrolroomemergency
ventilation
system(CREVS)intakeductswasnotconsidered
aTMpertheprocedure
becauseit,wasnottobeinstalled
onanoperating
system,andthe,basinswerenotrequiredtomaintainoperation
oftheplant.Corrective
ActionsTakenandResultsAchievedThedripcatchbasinswereremovedfrombothcontrolroomsonMarch6,1997,eliminating
potential
impactontheCREVS.*Testingofthe~CREVSwasconducted
inunit1onMarch13,1997,todetermine
systemperformance
withthedrip*,catchbasininstalled
belowthereturnairintakegrille.Thepanwasplacedinaconfiguration
whichmimickedtheintermittent
positionoftheunit2intakepanduringoperation
ofthesystemforblackouttesting.Thetestsperformed
verifiedcompliance
withT/S4.7.5.1andhabitability
dosecalculations.  
J  
J  
Attachment
Attachment
1toAEP:NRC:1260C
1 to AEP:NRC:1260C
Page14Theimpactontheunit1systemwasusedtoanalyzethestatusoftheunit2system,basedondataobtainedduringthelastsurveillance
Page 14 The impact on the unit 1 system was used to analyze the status of the unit 2 system, based on data obtained during the last surveillance
testforunit2.Theresultfellwellwithintheacceptable
test for unit 2.The result fell well within the acceptable
rangerequiredforoperability.
range required for operability.
Basedonthetestfindingsandcapability
Based on the test findings and capability
oftheunit2pressurization
of the unit 2 pressurization
system,theun'it2controlroomventilation
system, the un'it 2 control room ventilation
systemremainedoperable:with
system remained operable:with
thecatchbasinpartially'bstructing
the catch basin partially'bstructing
theflow.4~5.Corrective
the flow.4~5.Corrective
ActionstoAvoidFurtherViolations
Actions to Avoid Further Violations
TheTMprocedure,
The TM procedure,'12-PMP 5040.NOD.001, will be revised'to stress-that-any-installation;-regardless
'12-PMP5040.NOD.001,
of whether installed on can operating system or,not, should be considered
willberevised'tostress-that-any-installation;-regardless
a TM if there is reasonable
ofwhetherinstalled
oncanoperating
systemor,not,shouldbeconsidered
aTMifthereisreasonable
expectation
expectation
thatthepotential
that the potential exists to" adversely impact~the
existsto"adversely
operation of an adjacent system.The pxocedure revision will be completed by June 30, 1997.I As an interim measure until the procedure change can be made, management
impact~the
will communicate
operation
this event and their expectations
ofanadjacentsystem.Thepxocedure
regarding the implementation
revisionwillbecompleted
of the TM process to those-employees
byJune30,1997.IAsaninterimmeasureuntiltheprocedure
that may,be involved in making the decision to invoke the TM process.This will be done by June.10, 1997.Date When Full Com liance Will Be.Achieved Full compliance
changecanbemade,management
was achieved on March 6, 1997, whenthe basins were removed.  
willcommunicate
thiseventandtheirexpectations
regarding
theimplementation
oftheTMprocesstothose-employees
thatmay,beinvolvedinmakingthedecisiontoinvoketheTMprocess.ThiswillbedonebyJune.10,1997.DateWhenFullComlianceWillBe.AchievedFullcompliance
wasachievedonMarch6,1997,whenthebasinswereremoved.  
   
   
ATTACHMENT
ATTACHMENT
2TOAEP:NRC:1260C
2 TO AEP:NRC:1260C
RESPONSETONOTICEOFDEVIATION
RESPONSE TO NOTICE OF DEVIATION
Attachment
Attachment
2toAEP:NRC:1260C
2 to AEP:NRC:1260C
Page1NoticeofDeviation
Page 1 Notice of Deviation h"During an.NRC inspection
h"Duringan.NRCinspection
conducted February 16 through March 29, 1997, a deviation of your actions committed to in the updated Final the~~G Safety Analysis Report (UFSAR)was identified.
conducted
~In accordanc'th eneral Statement of Policy and Procedures
February16throughMarch29,1997,adeviation
for NRC Enforcement
ofyouractionscommitted
Actions, NUREG-1600,'he
tointheupdatedFinalthe~~GSafetyAnalysisReport(UFSAR)wasidentified.
deviation is listed below.UFSAR Section 7.4.1-stated, in part,"The power range channels are capable of recording overpower excursions
~Inaccordanc
up to 200 percent of full power."'ontrary-'-to-the--above,-on-February
'theneralStatement
25;1997, the NRC inspectors
ofPolicyandProcedures
forNRCEnforcement
Actions,NUREG-1600,'he
deviation
islistedbelow.UFSARSection7.4.1-stated,
inpart,"Thepowerrangechannelsarecapableofrecording
overpower
excursions
upto200percentoffullpower."'ontrary-'-to-the--above,-on-February
25;1997,theNRCinspectors
identified
identified
threeoffourrecorderpens":inoperable
three of four recorder pens":inoperable
forthepowerrangechannelsthatwerecapableofrecording
for the power range channels that were capable of recording overpower excursions
overpower
up to 200 percent of full power.Xn addition, licensee personnel stated that since June of 1991 the-pen's failure rate was such that the percent unavailability
excursions
average was 14.9 percent.The pens failure rate was such that they were not capable of recording, overpower--
upto200percentoffullpower.Xnaddition,
.=excursions." Res onse to NRC Notice af Deviation Reasons for the Deviation The deviation states that the resident inspector identifi d t hat the power range channels capable of recording excursions
licenseepersonnel
e up to 200 percent of fu11 power, as described in the UFSAR, were found with three'f the four channels incapable of performing
statedthatsinceJuneof1991the-pen'sfailureratewassuchthatthepercentunavailability
this function.An historical
averagewas14.9percent.Thepensfailureratewassuchthattheywerenotcapableofrecording,
review identified
overpower--
that this particular
.=excursions."
recording capability
ResonsetoNRCNoticeafDeviation
has been challenged
ReasonsfortheDeviation
in the.past including significant
Thedeviation
periods of recorder unavailability.
statesthattheresidentinspector
The cause for the excessive failures is the relative fragility of the servo-amplifier
identifidthatthepowerrangechannelscapableofrecording
excursions
eupto200percentoffu11power,asdescribed
intheUFSAR,werefoundwiththree'fthefourchannelsincapable
ofperforming
thisfunction.
Anhistorical
reviewidentified
thatthisparticular
recording
capability
hasbeenchallenged
inthe.pastincluding
significant
periodsofrecorderunavailability.
Thecausefortheexcessive
failuresistherelativefragility
oftheservo-amplifier
electronics
electronics
andoverallage.The"fragility"
and overall age.The"fragility" of'he electronics
of'heelectronics
is exacerbated
isexacerbated
by the original time response specification
bytheoriginaltimeresponsespecification
and by the need for speciali2:ed
andbytheneedforspeciali2:ed
analog components (state of the art in the late 1960s)to perform this function.The original design philosophy
analogcomponents
was to capture the span of the Westinghouse
(stateoftheartinthelate1960s)toperformthisfunction.
Nuclear Instrumentation
Theoriginaldesignphilosophy
Power Range channels, 0-200 percent power.In order to capture this range of power, a very fast recorder was believed to be required.The time response requirements
wastocapturethespanoftheWestinghouse
have led to a design that has been difficult and expensive to maintain.Very few replacement
NuclearInstrumentation
parts are available from the vendor and these recorders will not be able to be maintained
PowerRangechannels,
in the near future.The inoperability
0-200percentpower.Inordertocapturethisrangeofpower,averyfastrecorderwasbelievedtoberequired.
periods are influenced
Thetimeresponserequirements
by the fact these recorders are not qui'ckly corrected when identified
haveledtoadesignthathasbeendifficult
as requiring service.Long repair-by dates-are stipulated
andexpensive
by the work control process based on the recorders'egulatory
tomaintain.
Veryfewreplacement
partsareavailable
fromthevendorandtheserecorders
willnotbeabletobemaintained
inthenearfuture.Theinoperability
periodsareinfluenced
bythefacttheserecorders
arenotqui'cklycorrected
whenidentified
asrequiring
service.Longrepair-by
dates-arestipulated
bytheworkcontrolprocessbasedontherecorders'egulatory
significance
significance
andthelackofoperational
and the lack of operational
usefulness
usefulness
onadailybasis.Nosurveillance
on a daily basis.No surveillance
dataisrequiredbyoperators
data is required by operators~on these recorders and the normal power level is recorded on different instruments
~ontheserecorders
in the control room.This led to the.lack of attention'o
andthenormalpowerlevelisrecordedondifferent
these recorders by control room operations
instruments
inthecontrolroom.Thisledtothe.lackofattention'o
theserecorders
bycontrolroomoperations
personnel.  
personnel.  
   
   
a~~Attachment
a~~Attachment
2toAEP:NRC:1260C
2 to AEP:NRC:1260C
Page22.Corrective
Page 22.Corrective
ActionsTakenandResultsAchieved3.Coxrective
Actions Taken and Results Achieved 3.Coxrective
actionwastakenconcerning
action was taken concerning
thethreefailuresnotedinthisdeviation.
the three failures noted in this deviation.
Theunit2recorder2-SG-14wascalibrated
The unit 2 recorder 2-SG-14 was calibrated
andthefailedpenreturnedtoserviceonMarch13,1997.Unit1wasinarefueling
and the failed pen returned to service on March 13, 1997.Unit 1 was in a refueling outage and the concerns were addressed in section 3 of this response.Corrective
outageandtheconcernswereaddressed
Actions to Avoid Further Deviations
insection3ofthisresponse.
The corrective
Corrective
actions to avoid further deviations
ActionstoAvoidFurtherDeviations
include improving the control board monitoring
Thecorrective
to identify substandard=-equipment,--increase
actionstoavoidfurtherdeviations
includeimproving
thecontrolboardmonitoring
toidentifysubstandard=-equipment,--increase
importance
importance
ofallcontrolroominstrumentation/recorders
of all control room instrumentation/recorders
intheworkcontrolprocess,andupdatethespecificrecorders
in the work control process, and update the specific recorders mentioned in this deviation to allow ease in their maintenance.
mentioned
4, These actions were accomplished
inthisdeviation
by the following changes: The operations
toalloweaseintheirmaintenance.
4,Theseactionswereaccomplished
bythefollowing
changes:Theoperations
department
department
standardOPP-1,"ControlRoomControlBoardMonitox'ing
standard OPP-1,"Control Room Control Board Monitox'ing
DuringNon-emergency
During Non-emergency
Operation
Operation Conditions", was revised to stress the importance
Conditions",
of control room panel awareness during every day operation.
wasrevisedtostresstheimportance
This issue was discussed at the following shift manager's meeting and communicated
ofcontrolroompanelawareness
to the operator crews.The work control standard that placed time requirements
duringeverydayoperation.
on the repair of critical control room recorders'as revised to include all control room recorders.
Thisissuewasdiscussed
Control room recorders requiring maintenance
atthefollowing
shall be prioritized
shiftmanager's
to be woxked within f ive to f ourteen days as determined
meetingandcommunicated
by the operations
totheoperatorcrews.Theworkcontrolstandardthatplacedtimerequirements
ontherepairofcriticalcontrolroomrecorders
'asrevisedtoincludeallcontrolroomrecorders.
Controlroomrecorders
requiring
maintenance
shallbeprioritized
tobewoxkedwithinfivetofourteendaysasdetermined
bytheoperations
department
department
asperthe1997AEPNGGsiteoperating
as per the 1997 AEPNGG site operating and maintenance
andmaintenance
plan.The Tracor Westronics
plan.TheTracorWestronics
recorders were removed f rom unit 1 and their points placed on an existing Yokogawa recorder in the control room.Similar changes are planned for the unit 2 control room instrumentation.
recorders
These recorders will allow easier maintenance
wereremovedfromunit1andtheirpointsplacedonanexistingYokogawarecorderinthecontrolroom.Similarchangesareplannedfortheunit2controlroominstrumentation.
and thus reduce the unavailability.
Theserecorders
Date When Corrective
willalloweasiermaintenance
Action Will be Co leted The unit 1 corrective
andthusreducetheunavailability.
actions wexe completed prior to the restart aftex the refueling outage.Unit 2 corrective
DateWhenCorrective
actions will be completed during the next refueling outage scheduled for.the fall of 1997.
ActionWillbeColetedTheunit1corrective
actionswexecompleted
priortotherestartaftextherefueling
outage.Unit2corrective
actionswillbecompleted
duringthenextrefueling
outagescheduled
for.thefallof1997.
}}
}}

Revision as of 06:51, 6 July 2018

Forwards Response to Violations Noted in Insp Repts 50-315/97-04 & 50-316/97-04.Corrective actions:post-trip Recovery Procedures Will Be Revised Re Placement of TDAFP in Standby Readiness
ML17333A910
Person / Time
Site: Cook  American Electric Power icon.png
Issue date: 06/05/1997
From: FITZPATRICK E
AMERICAN ELECTRIC POWER CO., INC.
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
50-315-97-04, 50-315-97-4, 50-316-97-04, 50-316-97-4, AEP:NRC:1260C, NUDOCS 9706090357
Download: ML17333A910 (40)


See also: IR 05000315/1997004

Text

Indiana Michigan Power Company 500 Circle Drive Buchanan, Ml 491071395 INblANA MICHIGAN POWER June 5, 1997 Docket Nos.: 50-315 50-316 U.S.Nuclear Regulatory

Commission

ATTN: Document Control Desk Washington,-D.-C.

-20555 Gentlemen:

AEP:NRC:1260C

10 CFR 2.201 Donald C.Cook Nuclear Plant Units 1 and 2 NRC ZNSPECTZON

REPORTS NO.50-315/97004 (DRP)AND 50-316/97004 (DRP)REPLY TO NOTZCE OF VZOLATZON This letter is in response to a letter from J.L.Caldwell, dated May 6, 1997, that transmitted

a notice of violation and a notice of deviation to Indiana Michigan Power Company.The notice of violation contained a total of eight violations

of NRC requirements

identified

during an NRC inspection

conducted from February 16, 1997, through March 29, 1997.The violations

pertain to procedures, corrective

actions, reportability

requirements, and 10 CFR 50.59.issues.Our response to these violations

is provided in attachment

1.The notice of deviation involves inoperability

of control room power range pen recorders.

Our response to this item is provided in attachment

2.EE+pW E.E.Fitzpatrick

'1ice President SWORN TO AND SUBSCRZBED

BEFORE ME~=-" TEZS.~g DAY OF 1997 Notary Public vlb UNDA L BOIlCKE Norory Public, Berrlen Coonly, Ml Attachments

My Commr&on Iorpires jonoory 21, 200I 9'706090357

970605 PDR ADOGK 050003i5

1ndiana Michigan Power Company 500 Circle Drive Bvchanan, Ml 491071395 INDIANA NICHIGAH POWER May 5, 1997 Docket Nos.: 56-315 50-316 U.S.Nuclear Regulatory

Commission

ATTN: 33ocument Control Desk-Washington,--D.--C;-20555

Gentlemen:

AEP:NRC:3.260C

3.0 CFR 2.201 Donald C.Cook Nuclear Plant Units 1 and 2 NRC INSPECTION

REPORTS--NO.

50.-3/5/97004

-(DRP)AND 50"316/97004 (DRP)REPLY TO NOTICE.OF VIOLATION This letter is in'response

to a letter from J.L.Caldwell, dated May 6, 1997, that transmitted

a notice of violation and a notice of deviation to 1ndiana Michigan Power Company.The notice of violation contained a total of eight violations

of NRC requirements

identified

during an NRC inspection

conducted from February 16, 1997, through March 29, 1997.The violations

pertain to procedures, corrective

actions, reportability

requirements, and 10 CFR 50.59 issues.Our response to these violations

is provided in attachment

1.The notice of deviation involves inoperability

of control room power range pen recorders.

Our response to this item is provided in attachment

2.E.E.Fitzpatrick

'1ice President SWORN TO AND SUBSCRIBED

BEFORE ME THIS DAY OF 3.997 Notary Public vlb UNDA l SOEt,CKE No&y Pubhc, Bergson Cooniy, Ml Attachmentsg

QyCpzmi+~~fQ$

PDR ADQCK 050003i5 8',, PDR;, n'j>QQ5 Illlmllll!

Iillllllllllljlll(lllllll

U.S.Nuclear Regulatory

Commission

Page 2 AEP: NRC: 1260C c: A.A;Blind A.B.Beach MDEQ-DW&RPD NRC Resident Inspector J.R.Padgett~~l><l

ATTACHMENT

1 TO AEP:NRC:1260C

RESPONSE TO NOTICE OF VIOLATIONS

~~

Attachment

1 to AEP:NRC:1260C

Page 1 During an NRC inspection

conducted from February 17, 1997, to March 29, 1997, four violations

of NRC requirements

'ere identified.

In accordance

with the'."General

Statement of Policy and Procedure for NRC Enforcement

Actions", NUREG-1600, the violations

are listed below.NRC Violation 1a"10 CFR 50 Appendix B, Criteria V, Inspections, Procedures, and Drawings, requires in part, that activities

affecting quality shall be prescribed

by procedures

of a'type appropriate

to the circumstances

and shall be accomplished

in accordance

with these---=---=--procedures;--

Contrary to-the above, The inspectors

identified

that Procedure 02-OHP 4023.ES-01"Reactor Trip.Response", revision 11, dated 11/21/96, was not appropriate

to the circumstances

because it did not contain guidance for adequately

controlling

steam generator (SG)levels while actions were being taken to minimize the reactor coolant system cooldown rate.As a result, on March 11, 1997, a Unit operator reset a turbine driven auxiliary feed pump (TDAFP)too close to the low-low SG level setpoint which resulted in an inadvertent

Engineering

Safeguard Feature actuation.

This is a Severity Level IV violation (Supplement

I)." Res onse to Violation 1a 1.dmission or Denial of the Alle ed Violation Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.

2.Reason for Violation This violation resulted from incomplete

guidance in procedure 02-OHP 4023.ES-O.l,"Reactor Tri'p or Safety Injection", that allowed the restoration

of the TDAFP prior to the unit being in a stable condition.

During the performance

of 02-OHP 4023.ES-0.1, the control room team is allowed to remove the TDAFP from service if sufficient

feedwater is being supplied to the SGs from the two motor driven auxiliary feedpumps.

This flexibility

to remove the TDAFP from service provides the operators with additional

reactor coolant system (RCS)temperature

control.Technical specifications (T/Ss)3.7.1.2 and 3.3.2.1 require the TDAFP be operable and capable of automatically

starting in mode 3.To comply with these requirements, ES-0..1 directs the TDAFP governor to be reset and the valve alignment to meet the standby readiness requirements.

The auto start function is enabled af ter all standing automatic start signals have cleared.During the post-trip scenario the standing automatic start signals are the low-low SG level on.two ef.four SGs,~and,the.mticipated.t

ransient without" scram mitigatien'ystem

actuation circuitry (AMSAC)signal.The

Attachment

1 to AEP:NRC:1260C

Page 2 3~AMSAC signal occurs after all high power trips and is only required above 40%power.The AMSAC signal is then cleared manually during the performance

of ES-0.1.The SG low-low level actuation signals are cleared by recovery of SG levels, utilizing the AFW pumps.During the post trip recovery on March 11,'997, the AMSAC signal was reset prior to the complete recovery of all SG levels to above the low-low automatic actuation setpoint.The¹21 SG level lagged the others, as, the loss of main feedwater to that SG was the initiating

event which resulted in the reactor trip, and continuous

feeding of.the SGs was in progress-to-recover=secondary

side inventory levels.While filling the SGs, small.oscillations

normally occur in the sensed level.With the¹21 SG level still below the low-low setpoint,,a.small oscillation

occurred in¹23 SG that caused the TDAFP auto start signal to clear at its high point, followed by.the engineered

safety feature (ESF)actuation when it subsequently

dropped and went below the ESF setpoint.Because the setpoint has a 1%reset deadband, it is'extremely

sensitive to minor oscillations.

Due to the incomplete

guidance provided..:in

the emergency.procedure,-emphasis was placed on the restoration

of.the TDAFP to standby readiness, rather than on stabilizing

SG levels above the ESF actuation setpoint prior to securing the TDAFP and placing it in standby readiness.

Corrective

Action Taken and Results Achieved 4~The TDAFP started as designed and performed its desired function.Manual control of th'e SG levels during the post trip recovery continued.

No immediate corrective

actions were required.Corrective

Actions to Avoid Further Uiolations

The post-trip recovery procedures

will be revised regarding placement of the TDAFP in standby readiness.

These revisions will allow operators flexibility

in equipment management

during post trip responses, so that the operator may focus attention on the plant response as post-trip stabilization

occurs, while continuing

to meet the requirements

of the T/Ss for auxiliary feedwater and ESF actuations.

An engineering

review of the SG low-low level instrument

deadband is being performed.

The purpose of the review is to determine the appropriateness

of the 1\reset deadband.This review will be completed prior to the next scheduled calibration

surveillance

of the associated

instruments.

5.Date When Full Co liance Will Be Achieved Full compliance

will be achieved by September 1,, 1997, with.the completion

of the engineering

review of the reset deadband, and the revision of the appropriate

post trip recovery procedures.

F we'll 4 d

Attachment

1 to AEP:NRC:1260C

Page 3 NRC Violati.on

1b"On March 23, 1997, the inspectors

identified

that the licensee failed to follow, instructions

when personnel woxking adjacent to the refueling cavity in a foreign material exclusion zone, failed to secure light hand tools to themselves

by way of a lanyard or tagline, and failed to restrain tools in, the FMEZ when they set the'ools down.These actions were required by Plant Manager's Instruction (PMI)2220,"Foreign Material Exclusion", revision 9, dated 3/26/96.This is a Severity Level IV violation (Supplement

I)." Res onse to NRC Violation 1b 1~A Admission-or

'Denial of the Alle ed Violation Indiana Michigan Power Company, admits to the violation as ci.ted in the NRC notice of violation.

2.Reason for the Violation 3.Contract technicians, under I&M supervision, were, making repairs to a dual view camera fixture in a foreign material exclusion zone (FNEZ)when they were observed using hand tools with lanyarda attached to the.tools, but not secured to a person or fixed object.This condition resulted from a misi.nterpretation

of the requirements

of plant procedure 12 PMP 2220.001.001,"Foreign Material Exclusion" (FNE).Section 5.2.7 of this procedure states, in part,"Light hand tools shall be secured'to

the person using them by way of a lanyard or tagline.".However, fuxther on in the same procedure under a section entitled"Securing Tools" (attachment

2, part 6a)it is stated"Tools or equipment which could fall into openings beyond the reach of personnel MUST be secured with a lanyard or tag line, where practical."'he lanyards were felt to be.impractical

by the workers~involved in the job.Because attachment

2 did not require lanyards where impractical, the workers did not use them.Additionally, these same contract technicians

were observed leaving tools lying loose within an FMEZ.The~persons involved had incorrectly

assumed that the"intent" of the FNE procedure was being followed by the compensatory

actions they had taken prior to beginning the equipment repair.These actions included: 1)establishing

a laydown area within the FMEZ for the specific purpose of repairing this equipment;

and 2)assigning an individual

to specifi.cally

monitor and control loose parts and tools during the repair evolution.

Similar FME practicea had been employed at other nuclear sites.However, the Cook Nuclear Plant procedure that governs activities

within an FNEZ (12 PMP 2220~001.001)specif ically mandates the use of lanyards, and does not-.recognize other methods of material control.Corx'ective

Actions Taken and Results Achieved Upon notification

of the NRC inspectors'oncerns, the project management

a installation

services (PMRIS)production

supervisor

contacted.

the contractor's

site coordinator,-who reins tructed the te'chnicians

on Cook Nuclear Plant FNE

Attachment

1 to AEP:NRC:1260C

Page 4 4, requirements.

No additional

problems relating to hand tool usage were recorded during the remainder of the project.Corrective

Actions To Avoid Further Violations

Proce'dure

12 PMP 2220.001 will be revised prior to the fall 1997 unit 2 outage.This revision wilI eliminate th" d screpancies

noted within the procedure, and provide the i e" flexibility

for using other methods of material control.On May 27, 1997, a plant-wide'-

>>time-out" was held to highlight management'.s

expectations

in the area of procedure c mpliance.-During this-period, plant and contract employees (including

supervision)

were brought together to focus on the usage of plant procedures.

PMZ-2011,"Procedure

'se and Adherence", was reviewed.Emphasized

topics included the various.levels of procedure usage (continuous

use, information

'use, referende use)and the company policy of strict procedural

compliance.

Additionally, PM&IS will hold another procedural

compliance

>>time-out" prior to the fall 1997 unit 2 outage.Procedural

adherence issues will be re-emphasized

to both ZaM and contract personnel (including

supervision), as well as to individuals

brought in specifically

for outage support.Within thirty days of the end of the outage, PM&IS will also perform a self-assessment

in the area of procedure adherence to determine the effectiveness

of our procedural

compliance

efforts.Date When Full Com liance Will Be.Achieved Full compliance

was achieved on March 23, 1997, after all p ysical work had been stopped and the workers'were reschooled

on'Cook Nuclear Plant FME requirements (PMZ-2220)

and our policy regarding strict procedural

compliance.

NRC Violations

1c and 1d"On March 11, 1997, the licensee identified

that during refurbishment

of 1-QRV-114, the reactor coolant'xcess letdown to excess letdown heat exchanger shutoff valve, in 1994, the valve was reassembled

without a cage spacer that was required by maintenance

procedure 12 MHP-5021.001.057,"Copes-Vulcan

Isolation Valve Maintenance>>'evision

1, dated 3/14/97'his is a Severity Level IV violation (Supplement

I).1d.On March 16, 1997, the licensee identified

that during the 1995 refurbishment

of 1-NRV-163, the pressurizer

spray control valve, the valve was reassembled

without a cage spacer that was required by maintenance

procedure 12 MHP-5021.001;126,"Copes-Vulcan

Bellows Seal Control Valve Maintenance", revision 1, dated 3/13/97.This is a Severity Level IV violation (Supplement

I)."

Attachment

1 to AEP:NRC:126QC

Page 5 Res onse to C Violation 1c and Zd Admission or Denial of the Viol'ations

Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.

Reasons for the Violation This violation was caused by standards and expectations

for contract valve technician

performance

of work to an in-hand procedure being too low.Proper implementation

of, the-procedures-by-the-technicians

was not verified and reinforced

by the first line supervisors.

An additional

factor included the valve technician's

lack of familiarity

with the specific configuration

of this style of valve.'U Normal maintenance

'ractice for Copes-Vulcan

valve disassembly

is to remove the bonnet with the stem intact.This also includes removal of the plug, cage assembly, and cage spacer.During a normal refurbishment

the plug and cage assembly are replaced.In these cases, the easiest way to disassemble

the internal parts is to cut the stem and let the plug and cage assembly fall into a radwaste container.

This usually means that the cage spacer also falls into the waste container.

The replacement

cage, disc, and stem are normally provided together as a"trim assembly".

Because the cage spacer does not see the wear that the plug and cage assembly see, it does not normaLLy need to be replaced during a refurbishment.

Therefore, th'e cage spacer is not included with these parts in a trim assembly.The existing cage spacer must generaLLy be reused when.the valve is reassembled.

Copes Vulcan valves have a unique cage.spacer

configuration, which the technicians

~did not commonly work with.Nonetheless, the procedure does specifically

call for reinstallation

of the cage spacer as part of reassembly

of the valve internals.

3.Corrective

Action Taken and Results Achieved 4~1-QRV-114 was properly reassembled, with new internals, under JOA R36179-02.

This was completed on March 18, 1997.1-NRV-163 was propeily reassembled, with new internals, under JOA C34692-02.

This was completed on March 27, 1997.Corrective

Actions Taken to Avoid Further Violations

Two Copes-Vulcan

valves have been purchased for training purposes.One valve is configured

as a"typical" Copes-Vulcan control valve.The other valve is a duplicate configuration

of the pressurizer

spray valves.Designation

of the cage spacer will be in bold in the reassembly

step in Maintenance

procedures

for Copes-Vulcan

valves.A review'f.the maintenance'procedures

for Copes-Vulcan

valves will be conducted.

Emphasis wilL be on consolidation

Attachment

1 to AEP:NRC:1260C

Page 6 5.of the piocedures

and implementation

of engineering, plannihg, or supervisory

identification

of applicable

procedure information

based on the internal conf iguration and application

of the valve.This.will be completed b September 1, 1997.e e y Maintenance

personnel have been reminded of the need to'roperly

implement in-hand procedures.

This means they must read the step, perform the step, document completion

of the step, then proceed to the next step.At the time of the original valve work in 1994, contract supervisors..performed-

hands-on work=as well's serving as supervisors.

Since 1994, this has been changed and contract supervisors

no longer perform hands-on work, but function re l solely in an oversight role.This is reinforced

thr h oug 8 gu ar meetings held during the outage.The contr ct n rac bri upervisors

are now more involved in preparation

and p-'re-jo er'efings, and general expectations

for contract p formance, especially

regarding procedural

adherence,,is

or discussed.

with contract management

prior to the start of the outage.Date when Full Com liance will be Achieved Full compliance

was achieved on March 27, 1997.At that time, both valves were properly reassembled.

NRC Violation 2a"10 CFR 50 Appendix B, Criteria XVZ, Corrective

Actions, requires in part, that"Measures shall be established

to assur that Zn the case of signifidant

conditions

adverse to qu 1't th (cor (rective)measures shall assure that the cause of the condition is determined

and corrective

action taken to preclude repetition." II Contrary to the above, a.On March 11, 1997, in Unit 2, the previous corrective

actions to preclude the buildup of electrostatic

discharge.from affecting Taylor Mod 30 controllers

were ineffective

in preventing

the failure of the controller

for feedwater regulating

valve 1-FRV-210.

This controller

failure caused the closure of 1-FRV-210 and a subsequent

reactor trip." This is a Severity Level ZV.violation (Supplement

Z)." Res onse to NRC Violation 2a Admission or Denial of the Alle ed Violation Zndiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.

Reason for the Violation The cause of this violation'is an inadequate

root cause determination

for the previous controller.

failures ca The iroot cause determin'ation

had'identified

the static electricity

but

Attachment

1 to AEP:NRC:1260C

Page 7~0 3.failed.to identify the severity of the problem.Steps had been implemented

to reduce the occurrence

of static electricity.'owever, not.all", processes that could cause static were identified.

Although measures had been taken to reduce static buildup and to provide a means to safely discharge the static, some day-'o-day

practices that could generate static were not identified, nor was it identified

that the methods provided to discharge the static were not always effective.

Zt had been verified that the carpet installed in-the control rooms was a static dissipative

carpet, humidity levels in the control~corns

-were being maintained

above 40%, and electrostatic

discharge (ESD)mats had-been.placed in front of the control panels.However, after the unit trip, it was discovered

the controls of the steam generator'level ,controllers

were located at a convenient

height to make it common practice.for operators to roll.over to the controllers

in'-wheeled office chair and adjust the controls.This rendered the static dissipative

carpet and ESD mats installed in front of the control panel ineffective

at dissipating

static electricity.'ngineering

had also instructed

the operators to discharge their static charge on the control panel prior to.contacting

controllers

but failed to note the painted surfaces on the control panel-did not provide for proper grounding;

Additional

grounding methods for the controllers

had been developed to reduce the vulnerability

of, the controllers

to failure during ESD.An'implementation

schedule was developed, based on the need to remove a controller

from service to perform grounding.

Because of this, a number of controllers

could not be done with the unit operating.

This was judged to be acceptable

in view of the actions taken to reduce static buildup and providing a means to di.scharge

the static prior to an operator interfacing

with the controller.

The controller

that failed and caused the March 11, 1997, unit trip was scheduled for the grounding enhancement

during the next refueling outage.Corrective

Ste s Taken and Results Achieved The enhanced grounding methods were installed in unit 2 during the forced, outage from the'ontroller

failure and on unit 1 during the refueling outage.Additional

in-house testing of the controller

confirmed the manufacturer's

identification

of ESD sensitivity

at the right edge of the faceplate.

Testing also showed that sealing the edge of the faceplate prevented static intrusion and doubled the immunity to static discharge.

All panel mounted controller

faceplates

for both uni.ts were sealed to prevent static intrusion.

Additional'SD

readings were taken in the control rooms while operators were performing

routine activities, to more thoroughly

quantify the static problem.Testing showed an operator could generate 3KV with a simple act of standing up from a chair.Static electricity

also failed to,immediately

~drain,while standing;on:>, the anti-static-.-carp'et;-'.and

'took-several=seconds to.drain while standing on the ESD grounding

0

Attachment

1 to AEP:NRC:1260C

Page 8 mats due to the insulated shoes worn by most operators.

Following testing, ESD-proof chairs were installed in the control room and operators were'.required to wear commercial

shoe grounding straps.Follow-up checks indicated that while operators are wearing the grounding strap, static charge buildup would dissipate immediately

on contact with the ESD mats and there was no charge buildup while using the ESD'hair.As a point of information, a design change is being finalized to incorporate

a.failover control system design to prevent single point controller

failure in critical instrument, loops from=shutting-down-the

control loop.Failed controllers

will be bypassed with-operator notification

and, depending on which controller

failed, continue in auto or revert to manual for operator control.4.Corrective

Actions To Avoid Further Violations

The cause of this violation was failure to properly identify and fully characterize

root causes of the failure.A review and revision of Cook Nuclear Plant PMI-7030,"Corrective

Action Program," was recently completed and additional

training of personnel in proper root cause analysis is being performed.

5.Date When Full Co liance Will Be Achieved Full compliance

was achieved on May 9, 1997, with the completion

of the grounding modifications

during the unit 2 forced outage, and on unit 1 during the refueling outage.PMI-7030, revision 23,"Corrective

Action Program", was effective May 19, 1997, and personnel training is ongoing.NRC Violation 2b"10 CFR 50 Appendix B, Criteria XVI, Corrective

Actions, requires in part, that"Measures shall be established

to assure that In the case of significant

conditions

adverse to quality, the (corrective)

measures shall assure that the cause of the condition is determined

and corrective

action taken to preclude repetition." Contrary to the above, On March 12, 1997, the inspectors

identified

that the corrective

actions following a repeat gasket failure on l-IRV-311, identified

on January 31, 1996, were inadequate

to preclude repetition

of spiral wound gasket material entering the reactor coolant system, a significant

condition'adverse to quality.Specifically, the licensee performed an evaluation

to-determine the ef fect of spiral wound gasket material in the residual heat removal system;however, no action was taken to remove this material which resulted in the.re-introduction

of spiral wound gasket material in the reactor coolant system on March 12, 1997." This is a Severity Level IV violation (Supplement

I)."

Attachment

1 to AEPsNRC:1260C

Page 9 onse to Vh.olation

2b Admission or Denial of the Alle ed Violation\Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.

2.Reason for Violation This violation is the result of an inaccurate

root cause determination

for the initial failure of the gasket, which occurred in August 1995.The root cause determination

was not accurateMecause

=information--necessary"to make an accurate determination

was not available at the time of the initial investigation., A design.change previously

installed to improve residual heat removal (RHR).flow control replaced the.original butterfly valves with a V-notched ball valve, model V100-Sin-300lb, manufactured

by Fisher Controls.When this design change w l was engineered, it was not known that excessive turbulen ou d develop at the valve's downstream

flange when the valve was throttled to an intermediate

position.This turbulence

can result in hydraulic forces capable of damaging the metallic winding of the spiral wound gasket used to seal-this.bolted connection.

Subsequent

f ailures of the gasket.provided information

not available't

the time of the initial investigation.

This information

led us to the conclusion

that the valve and flange gasket are incompatible, and the incompatible

design resulted in the gasket failures.fl On August 11, 1995, the unit 1 RHR heat exchanger (Hx)bypas ow control valve, 1-IRV-311, downstream

flange gasket ass failed with RHR in service during normal cooldown at the end of cycle 14.When 1-IRV-311 was disassembled

for repair, it was discovered

that the inside diameter of its gasket was smaller than the inside diameter of the corresponding

slip-an flange.This.resulted in approximately

0.155 inches of the gasket's metallic spiral windings being exposed to the flow stream, and resulted in gasket failure.The root cause of the initial failure was therefore determined

to be an incorrectly

sized gasket.~Neither of the other two RHR Hx outlet flow control valves, 1-IRV-310 and 1-IRV-320, have this type of slip-on bolted.flange connection

or evidenced a flange leak.Therefore, they were not.inspected at this time.1-IRV-311 was returned to service with new spiral wound gaskets of the correct size.The emergency core cooling system (ECCS)and RHR were flushed of debris, and unit 1 began operation for fuel cycle 15.Shortly after the completion

of the unit 1 1995 refueling outage, with the ECCS and RHR.in standby readiness, leakage from the downstream

joint of 1-IRV-311 again occurred.When the valve.was removed for repair on January 31,.1996, its downstream

flange gasket was found to have experienced

damage similar to the previous failure, with a portion of the spiral windings missing.The root, cause of this failure was determined

to be incompatibility

of the spiral wound gasket with=the V-ball, type:of.control valve.A non>>metallic

fibrous gasket was installed in place of the spiral wound

Attachment

1 to AEP:NRC:126QC

Page 10 gasket.Once again, 1-IRV-310 and 1-IRV-320 were not opened because they were not exhibiting

any evidence of leakage, nor were they suspected of susceptibility

to this type of failure as their throttling

characteristics.

differ from 1-XRV-311.

As a precautionary

measure.in March of 1996, 2-XRV-311, the unit 2 RHR Hx bypass flow control valve, was'opened for had n inspection

prior to the unit 2 refueling outage.This al ot evidenced leakage at the downstream

joint;however, its spiral wound gasket was found to be damaged upon valve disassembly.

This provided.thefirst evidence that the flange gasket could become damaged without manif esting-.external

leakage;--.A-fibrous

gasket was installed in place of the spiral, wound gasket.During the refueling outage, the spiral wound gaskets were-removed" from,2-IRV-310

and 2-IRV-320 and replaced with fibrous gaskets.The spiral wound gaskets removed from 2-XRV-310 and 2-IRV-320 were intact, reinforcing, the conclusion

that the 1-IRV-310 and 1-IRV-320 were not at risk for this type of failure.During the recent unit 1 refueling outage, a visual inspection

of the reactor's lower core plate revealed more spiral wound gasket debris than would have been expected from the failure of 1-IRV-311 discovered

in January of 1996.Up to this point, all failures of-the spiral wound gasket were'believed to be isolated to the RHR Hx bypass flow control valve used in the normal cooldown circuit.Although 1-1'RV-310 and 1-IRU-320 had no evidence of leakage, they became suspect as another potential source of debris.When each valve was disassembled

for an internal inspection, their downstream

spiral wound gaskets were found partially unwound."'.On March 3, 1997, during the unit 1 RCS/ECCS as found pressure isolation valve (PIV)leak test, it was determined

that two PIV check valves had failed their leak test du e presence of gasket fragments.

This debris was subsequently

removed and an as-left leak test for all PIVS was performed in April 1997 to demonstrate

the class I pressure boundary was intact prior to the beginnin of cycle 16.ing o Corrective

Action Taken and Results Achieved 4.The spiral wound gaskets were removed from all RHR flow control valves in both units.Corresponding

bolted connections

are now sealed with fibrous gaskets which are not susceptible

to this form of erosion induced by localized turbulent flow.The RHR piping network branches.and ECCS branches in both units 1 and 2 have been flushed to remove foreign material debris, including gasket fragments.

Corrective

Actions To Avoid Purther Uiolations ,Xt was confirmed that no other incompatible

gasket design of this nature was installed in a system relied upon to achieve safe shutdown or mitigate the consequences

of an accident.

Attachment

1 to AEP:NRC:1260C

Page 11 5.'Date When Full Com liance Will Be Achieved Full'ompliance

was achieved on March 21, 1997, when the last spiral wound gaskets were replaced for 1-IRV-310 and 1-IRV-320.NRC Violation 3"10 CFR Part 50.72, paragraph (b)(2)(i), requires that any event, found while the reactor is shut down, that, had it been found while he reactor was in operation, would hav'e resulted in the nuclear power plant, including its principal safety barriers beings an analyzed-condition

that signi.fi.cantly

compromises

plant safety, be reported to the NRC within four hours of occurrence.

Contrary to the above, the licensee failed to make a timely report in accordance

with 10 CFR 50.72(b)(2)(i)when on March 21, 1997, inspection

of flood-up tubes in Unit 1 identified

cracks in nine tubes and the equipment associated

with these flood-up tubes was declared inoperable.

This is a Severity Level IV violation (Supplement

I)." Res onse to NRC Violation 3 Admission or Denial of the Violation Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.

2.Reasons for the Violation The.primary reason for the violation was the low emphasis placed on resolution

of an indeterminate

reportability

condition.

Environmental

qualification (EQ)issues are complex.The personnel who made the initial reportability

decision when the degraded condition was identified

on unit 1 were unfamiliar

with EQ issues as they relate to system and component operability.

It was decided to submit the condition for further reportability

evaluation

via the process embedded in our corrective

action program.The resulting timetable did not appropriately

reflect NRC expectations

for promptly evaluating

and reporting degraded conditions.

The parallel work to inspect, evaluate, and repair tubes in the operating unit 2, took priority over further evaluation

of the unit 1 conditions.

This prioritization

of resources was appropriate

based on the safety significance

of the condition in the operating unit versus the shutdown unit;however, it extended an already unacceptable

delay in the reporting of the unit 1 condition.

A contributor

to the length of the delay in reporting was the completion

of the evaluation

to confirm all inoperable

equipment.'his

provided for determination

of the complete safety significance

prior to making a final reportability

determination.

Of the original nine cracked tubes, only seven resulted in declaring equipment inoperable.

Twenty-three devices were serviced by the conduit in the seven floodup tubes, and of these, only thirteen devices were.confirmed

to be inoperable.

~~oi Attachment

1 to AEP:NRC:1260C

Page 13 determination

that the change does not involve an unreviewed

safet question.we sa e y Contrary to the above, on March 6, 1997~, the licensee identified

that a plexiglass

cover was installed below the return air duct to the unit 2 control room without a proper 50'9 safety evaluation.

o e his plexiglass

cover had the potential of affect'n th'CREVS).p rability of the unit 2 control room emergency ventilation

t sys em This isa Severity Level IV violation (Supplement

I)." I Res onse..to-NRC

Violation--4'.

Admission or Denial of the'Alle ed Violation i yiqpsr Indiana Michigan Power Company admits to the violation as cited in the NRC notice of violation.

2.Reason for the Violation The cause of this violation's inadequate

procedural

guidance.Specifically, the procedure regarding the adminis trat'ion'f"Temporary

Modif ications",.1'2 PMP 5040.MOD.001,, revision..5, defined a temporary modification (TM)as follows: 3.Any configuration

change that exists on plant systems, components, or structures, (hereafter

referred to as equipment)

which does not conform to approved plant drawings, approved vendor drawings, or other design documents (i.e., ECPs, EDSs, PDSs)and is being used to maintain operation of the plant.A modification

on any equipment being returned to service, though not.being used in support of plant operations, where the modification

has the potential to adversely affect plant equipment or personriel

safety, shall be considered

a temporary modification.

At the time of the event, installation

of the drip catch basins on the panels near the control room emergency ventilation

system (CREVS)intake ducts was not considered

a TM per the procedure because it, was not to be installed on an operating system, and the, basins were not required to maintain operation of the plant.Corrective

Actions Taken and Results Achieved The drip catch basins were removed from both control rooms on March 6, 1997, eliminating

potential impact on the CREVS.*Testing of the~CREVS was conducted in unit 1 on March 13, 1997, to determine system performance

with the drip*,catch basin installed below the return air intake grille.The pan was placed in a configuration

which mimicked the intermittent

position of the unit 2 intake pan during operation of the system for blackout testing.The tests performed verified compliance

with T/S 4.7.5.1 and habitability

dose calculations.

J

Attachment

1 to AEP:NRC:1260C

Page 14 The impact on the unit 1 system was used to analyze the status of the unit 2 system, based on data obtained during the last surveillance

test for unit 2.The result fell well within the acceptable

range required for operability.

Based on the test findings and capability

of the unit 2 pressurization

system, the un'it 2 control room ventilation

system remained operable:with

the catch basin partially'bstructing

the flow.4~5.Corrective

Actions to Avoid Further Violations

The TM procedure,'12-PMP 5040.NOD.001, will be revised'to stress-that-any-installation;-regardless

of whether installed on can operating system or,not, should be considered

a TM if there is reasonable

expectation

that the potential exists to" adversely impact~the

operation of an adjacent system.The pxocedure revision will be completed by June 30, 1997.I As an interim measure until the procedure change can be made, management

will communicate

this event and their expectations

regarding the implementation

of the TM process to those-employees

that may,be involved in making the decision to invoke the TM process.This will be done by June.10, 1997.Date When Full Com liance Will Be.Achieved Full compliance

was achieved on March 6, 1997, whenthe basins were removed.

ATTACHMENT

2 TO AEP:NRC:1260C

RESPONSE TO NOTICE OF DEVIATION

Attachment

2 to AEP:NRC:1260C

Page 1 Notice of Deviation h"During an.NRC inspection

conducted February 16 through March 29, 1997, a deviation of your actions committed to in the updated Final the~~G Safety Analysis Report (UFSAR)was identified.

~In accordanc'th eneral Statement of Policy and Procedures

for NRC Enforcement

Actions, NUREG-1600,'he

deviation is listed below.UFSAR Section 7.4.1-stated, in part,"The power range channels are capable of recording overpower excursions

up to 200 percent of full power."'ontrary-'-to-the--above,-on-February

25;1997, the NRC inspectors

identified

three of four recorder pens":inoperable

for the power range channels that were capable of recording overpower excursions

up to 200 percent of full power.Xn addition, licensee personnel stated that since June of 1991 the-pen's failure rate was such that the percent unavailability

average was 14.9 percent.The pens failure rate was such that they were not capable of recording, overpower--

.=excursions." Res onse to NRC Notice af Deviation Reasons for the Deviation The deviation states that the resident inspector identifi d t hat the power range channels capable of recording excursions

e up to 200 percent of fu11 power, as described in the UFSAR, were found with three'f the four channels incapable of performing

this function.An historical

review identified

that this particular

recording capability

has been challenged

in the.past including significant

periods of recorder unavailability.

The cause for the excessive failures is the relative fragility of the servo-amplifier

electronics

and overall age.The"fragility" of'he electronics

is exacerbated

by the original time response specification

and by the need for speciali2:ed

analog components (state of the art in the late 1960s)to perform this function.The original design philosophy

was to capture the span of the Westinghouse

Nuclear Instrumentation

Power Range channels, 0-200 percent power.In order to capture this range of power, a very fast recorder was believed to be required.The time response requirements

have led to a design that has been difficult and expensive to maintain.Very few replacement

parts are available from the vendor and these recorders will not be able to be maintained

in the near future.The inoperability

periods are influenced

by the fact these recorders are not qui'ckly corrected when identified

as requiring service.Long repair-by dates-are stipulated

by the work control process based on the recorders'egulatory

significance

and the lack of operational

usefulness

on a daily basis.No surveillance

data is required by operators~on these recorders and the normal power level is recorded on different instruments

in the control room.This led to the.lack of attention'o

these recorders by control room operations

personnel.

a~~Attachment

2 to AEP:NRC:1260C

Page 22.Corrective

Actions Taken and Results Achieved 3.Coxrective

action was taken concerning

the three failures noted in this deviation.

The unit 2 recorder 2-SG-14 was calibrated

and the failed pen returned to service on March 13, 1997.Unit 1 was in a refueling outage and the concerns were addressed in section 3 of this response.Corrective

Actions to Avoid Further Deviations

The corrective

actions to avoid further deviations

include improving the control board monitoring

to identify substandard=-equipment,--increase

importance

of all control room instrumentation/recorders

in the work control process, and update the specific recorders mentioned in this deviation to allow ease in their maintenance.

4, These actions were accomplished

by the following changes: The operations

department

standard OPP-1,"Control Room Control Board Monitox'ing

During Non-emergency

Operation Conditions", was revised to stress the importance

of control room panel awareness during every day operation.

This issue was discussed at the following shift manager's meeting and communicated

to the operator crews.The work control standard that placed time requirements

on the repair of critical control room recorders'as revised to include all control room recorders.

Control room recorders requiring maintenance

shall be prioritized

to be woxked within f ive to f ourteen days as determined

by the operations

department

as per the 1997 AEPNGG site operating and maintenance

plan.The Tracor Westronics

recorders were removed f rom unit 1 and their points placed on an existing Yokogawa recorder in the control room.Similar changes are planned for the unit 2 control room instrumentation.

These recorders will allow easier maintenance

and thus reduce the unavailability.

Date When Corrective

Action Will be Co leted The unit 1 corrective

actions wexe completed prior to the restart aftex the refueling outage.Unit 2 corrective

actions will be completed during the next refueling outage scheduled for.the fall of 1997.