IR 05000263/2016007

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Monticello Nuclear Generating Plant-NRC Biennial Problem Identification and Resolution Inspection Report 05000263/2016007
ML16323A283
Person / Time
Site: Monticello Xcel Energy icon.png
Issue date: 11/18/2016
From: Kenneth Riemer
NRC/RGN-III
To: Gardner P A
Northern States Power Co
References
IR 2016007
Download: ML16323A283 (23)


Text

November 18, 2016

Mr. Peter Site Vice President Monticello Nuclear Generating Plant Northern States Power Company, Minnesota 2807 West County Road 75 Monticello, MN 55362-9637

SUBJECT: MONTICELLO NUCLEAR GENERATING PLANT-NRC BIENNIAL PROBLEM IDENTIFICATION AND RESOLUTION INSPECTION REPORT 05000263/2016007

Dear Mr. Gardner:

On October 7, 2016, the U.S. Nuclear Regulatory Commission (NRC) completed a Problem Identification and Resolution biennial inspection at your Monticello Nuclear Generating Plant. The enclosed inspection report documents the inspection results which were discussed

on October 7, 2016, with you and other members of your staff.

This inspection was an examination of activities conducted under your license as they relate to problem identification and resolution and compliance with the Commission's rules and regulations and the conditions of your license. The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel.

Based on the inspection samples, the inspection team determined that your staff's implementation of the corrective action program (CAP) supported nuclear safety. Specifically, the station had a low threshold for identifying problems and entering them into the CAP. Items entered into the CAP were generally screened and prioritized in a timely manner using established criteria; were generally evaluated commensurate with their safety significance; and in most cases, corrective actions were implemen ted in a timely manner, commensurate with the safety significance.

The team also evaluated other processes your staff used to identify issues for resolution. These included your use of audits and self-assessments to identify latent problems and your incorporation of lessons-learned from industry operating experience into station programs, processes, and procedures. The team determined that your station's performance in each of these areas supported nuclear safety. However, the team was unable to make a complete assessment of your Department Action Request process, as this program was only recently implemented.

Finally, the team determined that your station's management maintains a safety-conscious work environment adequate to support nuclear safety. Based on the team's observations, your employees are willing to raise concerns related to nuclear safety. One NRC-identified finding of very low safety significance (Green) was identified which involved a violation of NRC requirements. However, because of the very low safety significance, and because the issue was entered into your corrective action program, the NRC is treating this issue as a non-cited violation (NCV) in accordance with Section 2.3.2 of the NRC Enforcement Policy.

If you contest the subject or severity of this NCV, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001, with a copy to the Regional Administrator, U.S. Nuclear Regulatory Commission - Region III, 2443 Warrenville Road, Suite 210, Lisle, IL 60532-4352; the Director, Office of Enforcement, U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001; and the Resident Inspector Office at the Monticello Nuclear Generating Plant. In addition, if you disagree with the cross-cutting aspect assigned to the findings in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the Regional Administrator, Region III, and the NRC Resident Inspector at the Monticello Nuclear

Generating Plant.

In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's Agency wide Documents Access and Management System (ADAMS), accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,/RA/

Kenneth Riemer, Chief Branch 2 Division of Reactor Projects Docket No. 50-263 License No. DPR-22

Enclosure:

Inspection Report 05000263/2016007

cc: Distribution via LISTSERV

Enclosure U.S. NUCLEAR REGULATORY COMMISSION REGION III Docket No: 50-263 License No: DPR-22 Report No: 05000263/2016007 Licensee: Northern States Power Company, Minnesota Facility: Monticello Nuclear Generating Plant Location: Monticello, MN Dates: September 19 through October 7, 2016 Inspectors: N. Shah, Project Engineer (Team Lead) A. Dahbur, Senior Reactor Inspector D. Krause, Resident Inspector J. Park, Reactor Inspector

Approved by: K. Riemer, Chief Branch 2 Division of Reactor Projects

2

SUMMARY OF FINDINGS

Inspection Report 05000263/2016007, 09/19/2016-10/7/2016; Monticello Nuclear Generating Plant; Problem Identification and Resolution.

This inspection was performed by a resident inspector and three NRC regional inspectors. One Green finding was identified by the inspectors. The finding was considered a non-cited violation of NRC regulations. The significance of inspection findings is indicated by their color (i.e., greater than Green, or Green, White, Yellow, Red) and determined using Inspection Manual Chapter (IMC) 0609, "Significance Determination Process," dated April 29, 2015. Cross-cutting aspects are determined using IMC 0310, "Aspects within the Cross-Cutting Areas," dated December 4, 2014. All violations of NRC requirements are dispositioned in accordance with the NRC's Enforcement Policy, dated February 4, 2015. The NRC's program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, "Reactor Oversight Process," Revision 5, dated February 2014.

Problem Identification and Resolution On the basis of the samples selected for review, the team concluded that implementation of the corrective action program (CAP) at the Monticello Nuclear Generating Plant was effective. The licensee had a low threshold for identifying problems and entering them into the CAP. Items entered into the CAP were screened and prioritized in a timely manner using established criteria; were properly evaluated commensurate wi th their safety significance; and corrective actions were implemented in a timely manner, commensurate with the safety significance. Operating experience was integrated into daily activities and entered into the CAP and evaluated for applicability to station activities and equipment. Audits and self-assessments were performed at appropriate frequencies and at an appropriate level to identify issues. The assessments reviewed were thorough and effective in identifying site performance deficiencies, programmatic concerns, and improvement opportunities. Based on several interviews conducted by the inspectors, workers at the site expressed freedom to enter safety concerns into the CAP. The inspectors did not identify any impediments to the establishment of a safety conscious work environment at the Monticello Nuclear Generating Plant.

Previously, all issues were handled through the CAP, allowing for a consistent process for screening, prioritizing, and cross-referencing of issues for resolution. However, the licensee recently implemented a non-CAP Action Request process to resolve issues or track work items that do not correct potential conditions adverse to quality. This was done to reduce the CAP burden and allow for more efficient focus on actionable items. The inspectors noted that some of these items may include issues that while not being conditions adverse to quality, may be significant in part, due to their potential impact on plant operation. Additionally, the inspectors noted that this process did not have controls over screening, prioritization and cross-referencing of items similar to the CAP. For example, non-CAP items were not required to be screened by a multi-disciplinary group (as required for CAP items) for disposition; instead, they went directly to the appropriate department(s). There were also no metrics or clear instructions in the audits and self-assessment programs to appropriately evaluate whether non-CAP items were being properly addressed. This introduced a vulnerability in that potentially significant items could be inappropriately handled.

Given the recent implementation, the inspectors could not fully evaluate the effectiveness of the non-CAP process; however, during a selective review of non-CAP issues identified since implementation the inspectors did not find any examples which were inappropriately handled.

3

Cornerstone: Mitigating Systems

Green.

The inspectors identified a finding of very low safety significance and non-cited violation of Title 10 CFR 50, Appendix B, Criterion V, "Instructions, Procedures and Drawings," for the licensee's failure to prescribe a procedure appropriate to the circumstances with respect to the identification of a significant condition adverse to quality (SCAQ). Specifically, FP-PA-ARP-01, "CAP Action Request Process," provided an overly restrictive definition of what constituted a SCAQ. Consequently, the failure to provide an adequate definition of a SCAQ could result in a failure to identify a SCAQ and therefore, failure to implement corrective actions that preclude repetitive failures of safety-related equipment. The licensee entered this issue into the CAP as action request (AR) 1536735.

The inspectors determined that the licensee's failure to prescribe a procedure appropriate to the circumstances under FP-PA-ARP-01 was a performance deficiency. The performance deficiency was determined to be more than minor in accordance with IMC 0612, "Power Reactor Inspection Reports," Appendix B, "Issue Screening," because, if left uncorrected the performance deficiency would have the potential to lead to a more significant safety concern. Although, this issue could potentially affect each of the Reactor Safety Cornerstones, the inspectors elected to evaluate this issue under the Mitigating Systems Cornerstone because inspectors concluded it impacted the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage) more than the attributes of the other Cornerstones. The inspectors utilized IMC 0609, "Significance Determination Process," Attachment 0609.04, "Initial Characterization of Findings," and IMC 0609, Appendix A, "The Significance Determination Process for Findings At-Power," and determined that the finding screened as very low safety significance (Green) since the inspectors answered "No" to each of the questions in Exhibit 2, Section A, "Mitigating Systems Screening Questions." The inspectors determined that the performance characteristic of the finding that was the most significant causal factor of the performance deficiency was associated with the cross-cutting aspect of Problem Identification and Resolution, Self-Assessment, and involving the organization routinely conducting self-critical and objective assessments of its programs and practices. Specifically, the failure to identify the overly restrictive definition of SCAQ during previous audits of the CAP was caused by an insufficiently self-critical audit focus. [P.6] (Section 4OA2.1.b(2))

=

Licensee-Identified Violations===

No violations of significance were identified.

4

REPORT DETAILS

OTHER ACTIVITIES

4OA2 Problem Identification and Resolution

The activities documented in Sections

.1 through .4 constituted one biennial sample of problem identification and resolution as defined in Inspection Procedure 71152. .1 Assessment of the Corrective Action Program Effectiveness

a. Inspection Scope

The inspectors reviewed the licensee's corrective action program (CAP) implementing procedures and attended CAP meetings to assess the implementation of the CAP by site personnel. The inspectors reviewed risk and safety significant issues in the licensee's CAP since the last U.S. Nuclear Regulatory Commission (NRC) problem identification and resolution inspection in May 2014. The selection of issues ensured an adequate review

of issues across NRC cornerstones. The ins pectors used issues identified through NRC generic communications, department self-assessments, licensee audits, operating experience reports, and NRC documented findings as sources to select issues. Additionally, the inspectors reviewed issue reports (IRs) generated as a result of facility personnel's performance in daily plant activities. In addition, the inspectors reviewed IRs and a selection of completed investigations from the licensee's various investigation methods, which included root cause evaluations, apparent cause evaluations (ACEs),

equipment apparent cause evaluations, causal evaluations, and human performance investigations. In addition, the inspectors performed a 5-y ear review to assess the licensee staff's efforts in monitoring for system degradation due to aging aspects. During the reviews, the inspectors determined whether the licensee staff's actions were in compliance with the facility's CAP and 10 CFR Part 50, Appendix B requirements. Specifically, the inspectors determined if licensee personnel were identifying plant issues at the proper threshold, entering the plant issues into the station's CAP in a timely manner, and assigning the appropriate prioritization for resolution of the issues. The inspectors also determined whether the licensee staff assigned the appropriate investigation method to ensure the proper determination of root, apparent, and contributing causes. The inspectors also evaluated the timeliness and effectiveness of corrective actions for selected IRs. This included completed investigations and NRC findings, including non-cited violations (NCVs). b. Assessment (1) Effectiveness of Problem Identification Based on the results of the inspection, the inspectors concluded that problem identification was generally effective. Based on the information reviewed, the inspectors determined that licensee personnel had a low threshold for initiating CAP items; station personnel appropriately screened issues from both the NRC and industry operating experience at an appropriate level and entered them into the CAP when applicable; and identified problems were generally entered into the CAP in a complete, accurate, and timely manner. The inspectors determined that the station was generally effective at trending low level issues to prevent larger issues from developing. The licensee also used the CAP to document instances where previous correct ive actions were ineffective or were inappropriately closed. The licensee recently implemented a non-CAP Action Request process to resolve issues or track work items that do not correct potential Conditions Adverse to Quality. This was done to reduce the CAP burden and allow for more efficient focus on actionable items.

While most of these issues were low level items (such as procedural change requests or

other administrative actions), the inspectors noted that other, potentially more significant items could be included in this process. Some of these items could involve issues affecting plant operation even if not specifically defined as Conditions Adverse to Quality. Because the non-CAP process was less rigorous than the CAP in that it did not have similar controls for screening, prioritizing and cross-referencing, it was possible for these more significant issues to be inappropriately handled. Additionally, the inspectors noted that there were no clear metrics or instructions in the licensee audit or self-assessment programs to evaluate the implementation of the non-CAP process.

Because of its recent implementation, the inspectors could not fully evaluate the effectiveness of the non-CAP process; however, a selective review of recent non-CAP issues did not identify any examples which were inappropriately handled. The licensee documented the inspectors' observations as CAP items 1535376 and1535381.

The inspectors identified two examples where potential operability/design issues were identified during cause evaluations, but there was no corresponding CAP item to address them. One of the examples concerned a potential design deficiency in which both trains of residual heat removal could be lost if suction valve indication power was lost; the other concern was the failure to evaluate the effect of temperature rise on the rating for the thermal overload for the emergency diesel generator fuel transfer pumps, after identifying errors in the calculations for maximum room temperatures. The licensee subsequently determined that there was no immediate operability concerns and documented these issues as CAP items 1537040 and 1537019 for further evaluation. Findings No findings were identified. (2) Effectiveness of Prioritization and Evaluation of Issues Based on the results of the inspection, the inspectors concluded that identified problems were generally prioritized and evaluated commensurate with their safety significance, including an appropriate consideration of risk. Higher level evaluations, such as root cause evaluations and ACEs were generally technically accurate; of sufficient depth to effectively identify the cause(s); and adequately considered extent of condition, generic implications, and previous occurrences.

The inspectors determined that the CAP screening meetings were generally thorough, that issues were accurately prioritized issues, and that meeting participants were actively engaged and well-prepared. The inspectors also determined that licensee personnel evaluated equipment operability and functionality requirements adequately after a degraded or non-conforming condition was identified, and that appropriate actions were assigned to correct the degraded or non-conforming condition. Findings Inadequate Procedure for Identification of Significant Conditions Adverse to Quality

Introduction:

The inspectors identified a Green finding and NCV of Title 10 CFR 50, Appendix B, Criterion V, "Instructions, Procedures and Drawings," for the licensee's failure to prescribe a procedure appropriate to the circumstances with respect to the identification of a SCAQ. Specifically, FP-PA-ARP-01, "CAP Action Request Process,"

provided an overly restrictive definition of what constituted a SCAQ. Consequently, the failure to provide an adequate definition of a SCAQ could result in a failure to identify a

SCAQ and therefore, failure to implement corrective actions that preclude repetitive failures of safety-related equipment.

Description:

On October 3, 2016, the inspectors identified that licensee procedure FP-PA-ARP-01, "CAP Action Request Process," provided an overly restrictive definition of SCAQ as compared to the definition identified in ASME NQA-1, "Quality Assurance Requirements for Nuclear Facility Applications." The inspectors were concerned that failure to provide a procedure, appropriate to the circumstances with respect to identification of a SCAQ could result in the failure to implement corrective actions that preclude repetitive failures of safety-related components.

In the licensee's QATR (NSPM-1), Section B.13 "Corrective Action," the licensee committed to compliance with the 1994 Edition of NQA-1, "Quality Assurance Requirements for Nuclear Facility Applications," in establishing provisions for corrective actions and control of non-conforming items. In NQA-1, a SCAQ was defined as "one which, if uncorrected, could have a serious effect on safety or operability." However, in Step 4.31 of FP-PA-ARP-01, the licensee defined a SCAQ as "a condition (CAQ) that, if uncorrected, could have a serious effect on safety or operability. That is, the CAQ could reasonably prevent the assurance of the following:

  • Capability to shut down the reactor and maintain it in a safe shutdown condition; and
  • Capability to prevent or mitigate the consequences of accidents which could result in potential offsite exposures comparable to the guideline exposures of 10 CFR Part 100 or 10 CFR50.67, as applicable."

The inspectors noted that the FP-PA-ARP-01 SCAQ definition added three specific bulleted criteria to the NQA-1 definition which further defined the SCAQ. With these changes, the inspectors concluded that the licensee had created an overly restrictive definition of what constituted a SCAQ at the station. The inspectors did not identify an example where an item was not identified as a SCAQ, if appropriate. The licensee subsequently entered this issue into the CAP as AR 1536735.

Analysis:

The inspectors determined that the licensee's failure to prescribe a procedure appropriate to the circumstances with respect to identification of a SCAQ was a performance deficiency. The performance deficiency was determined to be more than minor in accordance with IMC 0612, "Power Reactor Inspection Reports," Appendix B, "Issue Screening," because, if left uncorrected the performance deficiency would have the potential to lead to a more significant safety concern. Specifically, the failure to provide an adequate definition of a SCAQ could result in a failure to identify a SCAQ and

therefore, failure to implement corrective actions that preclude repetitive failures of safety-related equipment. Although, this issue could potentially affect each of the Reactor Safety Cornerstones, the inspectors elected to evaluate this issue under the Mitigating Systems Cornerstone because inspectors concluded it impacted the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage) more than the attributes of the other Cornerstones.

Using the Initiating Events Cornerstone, Exhibit 2 of IMC 0609, Appendix A, "The SDP for Findings At-Power," Mitigating Systems Screening Questions; the inspectors concluded the finding to have very low safety significance (Green) because all the screening questions were answered "No." Specifically, the inspectors did not identify an example where the failure to provide a procedure appropriate to the circumstances with respect to identification of a SCAQ had resulted in repetitive failures of safety-related equipment. The finding was determined to have a cross-cutting aspect in the area of problem identification and resolution, self-assessment component, because the licensee failed to perform sufficiently self-critical assessments of the CAP process. Specifically, the failure to identify the overly restrictive definition of a SCAQ during previous audits of the CAP was caused by an insufficiently self-critical audit focus. [P.6]

Enforcement:

Title 10 CFR 50, Appendix B, Criterion V, "Instructions, Procedures and Drawings," requires in part, that activiti es affecting quality shall be prescribed by documented procedures of a type appropriate to the circumstances.

Contrary to this requirement, prior to October 3, 2016, the licensee had not prescribed a procedure appropriate to the circumstances for identification of a SCAQ. Specifically, the procedure FP-PA-ARP-01, "CAP Action Request Process," definition of a SCAQ was not appropriate for the circumstances. Because this violation is of very low safety significance was entered into the corrective action program, this violation is being treated as a non-cited violation consistent with Section 2.3.2 of the NRC Enforcement Policy. (NCV 05000263/2016007-01; Inadequate Procedure for Identification of Significant Conditions Adverse to Quality)

(3) Effectiveness of Corrective Actions Based on the results of the inspection, overall, the corrective actions reviewed were found to be appropriately focused to correct the identified problem and were generally implemented in a timely manner commensurate with the issues' safety significance. Problems identified through root or apparent cause evaluations were generally resolved in accordance with the CAP procedures and regulatory requirements. Corrective actions intended to prevent recurrence were generally comprehensive, thorough, and timely.

The corrective actions associated with selected NRC documented findings and violations, as well as licensee-identified violations, were generally appropriate to correct the problem and were implemented in a timely manner. The inspectors identified several examples where items were inappropriately documented in the CAP making it difficult to determine whether issues were being properly addressed. The examples included, but were not limited to, incorrect cross-referencing of CAPs, failure to assign action items and inaccurate/incorrect info.

In most cases, the inspectors eventually determined that the respective issues were properly resolved. However, the inspectors noted one example, involving a condition adverse to quality associated with a potential unanalyzed high energy line break on the reactor core isolation cooling system (AR 1185959), where it was unclear if the issue had been resolved. Although the inspectors eventually concluded that the issue was addressed, the incomplete documentation was partially responsible for the issue remaining open in the CAP since June 2009. The licensee documented the overall concerns as CAP items 1536953 and 1536960. Additionally, separate CAP items were also generated for the individual examples identified by the inspectors. These CAP items are listed in the attached "List of Documents Reviewed" to this report. The inspectors also noted that several examples where numerous due date extensions were often granted, often unnecessarily delaying the timely resolution of issues. Although the extensions were granted in accordance with the CAP procedures, the inspectors questioned whether the extensions were rigorously challenged by the station.

One example concerned CAP 1351259, regarding whether the licensee's initial

operating licensing training program complied with the Technical Specifications. The inspectors noted that although the licensee determined that the program was compliant, a recommended corrective action to clarify the program requirements remained unimplemented for 4 years due to various extensions. As part of a self-assessment

conducted prior to the NRC inspection, the lic ensee identified the delay and was able to promptly correct the issue within 10 days. The licensee documented the overall issue regarding the adequacy of due date extensions as CAP item 1538798.

Findings No findings were identified.

.2 Assessment of the Use of Operating Experience

a. Inspection Scope

The inspectors reviewed the licensee's implementation of the facility's Operating Experience (OE) program. Specifically, the inspectors reviewed implementing OE program procedures, attended CAP meetings to observe the use of OE information, completed evaluations of OE issues and events, and selected monthly assessments of the OE composite performance indicators. The inspectors' review was performed to determine whether the licensee was effectively integrating OE experience into the performance of daily activities, whether evaluations of issues were proper and conducted by qualified personnel, whether the licensee's program was sufficient to prevent future occurrences of previous industry events, and whether the licensee effectively used the information in developing departmental assessments and facility audits. The inspectors also assessed if corrective actions, as a result of OE experience, were identified and effectively and timely implemented. b. Assessment In general, OE was appropriately used at the station. The inspectors observed that OE was discussed as part of the daily station and pre-job briefings. Industry OE was disseminated across the various plant departments. No issues were identified during the inspectors' review of licensee OE evaluations. The inspectors also verified that the use of OE in formal CAP products such as root cause evaluations and equipment apparent cause evaluations was appropriate and adequately considered. Generally, OE that was applicable to Monticello was thoroughly evaluated and actions were implemented in a timely manner to address any issues that resulted from the evaluations. Findings No findings were identified.

.3 Assessment of Self-Assessments and Audits

a. Inspection Scope

The inspectors assessed the licensee staff's ability to identify and enter issues into the CAP program, prioritize and evaluate issues, and implement effective corrective actions, through efforts from departmental assessments and audits. b. Assessment Based on the results of the inspection, the inspectors did not identify any issues of concern regarding the licensee's ability to conduct self-assessments and audits.

Assessments were conducted in accordance with plant procedures, were generally thorough and intrusive, adequately covered the subject area, and were effective at identifying issues and enhancement opportunities at an appropriate threshold. Identified issues were entered into the CAP with an appropriate significance characterization and corrective actions were completed and/or scheduled to be completed in a timely manner commensurate with their safety significance. Findings No findings were identified.

.4 Assessment of Safety Conscious Work Environment

a. Inspection Scope

The inspectors assessed the licensee's safety conscious work environment through the reviews of the facility's employee concern program implementing procedures, discussions with coordinators of the employee concern program, interviews with personnel from various departments, and reviews of issue reports. In order to assess Monticello safety culture, interviews were conducted with a representative group of station employees over the course of the first and third weeks of the inspection. Additionally, the site's most recent safety culture assessment was reviewed and the Employee Concerns Program coordinators were interviewed. b. Assessment Based on the results of the inspection, the inspectors did not identify any issues that suggested conditions were not conducive to the establishment and existence of a safety conscious work environment at Monticello. Information obtained during the interviews indicated that an environment was established where licensee employees felt free to raise nuclear safety issues without fear of retaliation; were aware of and generally familiar with the CAP and other processes, including the Employee Concerns Program and the NRC, through which concerns could be raised; and safety significant issues could be freely communicated to supervision. The inspectors performed a selective review of issues identified through the Employee Concerns Program since 2014, and did not identify any significant trends or issues.

Findings No findings were identified.

4OA6 Management Meeting Exit Meeting Summary On October 7, 2016, the inspectors presented the inspection results to Mr. P. Gardner and other members of the licensee staff.

The licensee acknowledged the issues presented. The inspectors confirmed that none of the potential report input discussed was considered proprietary. ATTACHMENT:

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee Don Bosnic, Business Support Director Dan Crofoot, Corporate Functional Area Manager

Gene Foote, Performance Improvement Manager

Peter Gardner, Site Vice-President

Harlan Hanson, Plant Manager

Michelle Kelly, Human Performance and Organizational Effectiveness Manager

Mark Lingenfelter, Director of Engineering

Kevin Nyberg, Security Manager

Kent Scott, Director of Site Operations

Rick Stadtlander, System Engineering Manager

Anne Ward, Regulatory Affairs Manager

U.S. Nuclear Regulatory Commission P. Zurawski, Senior Resident Inspector, Monticello
K. Riemer, Branch Chief

LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

05000263/2016007-01; NCV Inadequate Procedure for Identification of Significant Conditions Adverse to Quality (Section 4OA2.1.b (2))

Closed

05000263/2016007-01; NCV Inadequate Procedure for Identification of Significant Conditions Adverse to Quality (Section 4OA2.1.b (2))

LIST OF DOCUMENTS REVIEWED

The following is a list of documents reviewed during the inspection.

Inclusion on this list does not imply that the NRC inspectors reviewed the documents in their entirety, but rather, that selected sections of portions of the documents were evaluated as part of the overall inspection effort.
Inclusion of a document on this list does not imply NRC acceptance of the document or any part of it, unless this is stated in the body of the inspection report.

Procedures

Number Description or Title Revision4066-PM D10 Battery Charger Preventive Maintenance 03 ACAD 10-001 Guidelines for Initial Training and Qualification of Licensed Operators
FL-ILT Initial License Training Program 14
FP-NO-AS-03 Selection and Scheduling of Independent Assessments 05
FP-NO-IA-12 Nuclear Oversight Issue Characterization and Tracking 06
FP-OP-PEQ-01 Protected Equipment Program 14
FP-PA-ACE-01 Apparent Cause Evaluation Manual 03
FP-PA-ARP-01 CAP Action Request Process 46
FP-PA-ARP-01 CAP Action Request Process 45
FP-PA-HU-02 Human Performance Tools 10
FP-PA-OE-01 Operating Experience Program 24
FP-T-SAT-74 NRC Operator License Application and Renewal Requirements
FP-T-SAT-80 Simulator Configuration Management 08
NSPM-1 Quality Assurance Topical Report 09 QF107402 Licensed Operator Exam Review Checklist 03
9506
Dry Shielded Canister Sealing
09
FP-NO-SAS-08
Project Oversight
02
FP-PA-HU-01
Human Performance Program
16
FP-OP-OL-01
Operability/Functionality Determination
17
CD 2.1
Nuclear Oversight
11
FP-PA-DRUM-01
Department/Functional Area Roll-up Meeting (DRUM) &
Fleet Analysis Manual
7
FP-EC-ERB-01
Employee Concerns Program
7
FP-PA-ARP-03
Non-CAP Action Request Process
10
FP-PA-OE-01

Operating Experience

Program
23

Action Requests

Number Description or Title
01351259 Discrepancy Between Fleet Process and Tech Spec
01414164 2014 Operator Burden Tracking
GAR 01437742
MO-2373 MSLD has Packing Leak
01447881 Improper Closing of Assignment in EPU HELB
ACE 01131913
01448769 C&D Tech Identified Issue with Battery Separator Plates
01476012 Enforcement Guidance Memo Invoked for OPDRV
01477253 Complete an LER for OPDEV Activity Implementing
EGM 11-003
01479284 NRC RI OPDRV Comment
01481621
MO-2003; 12 RHR Hx Bypass Won't Open with Handswitch
01483971
SVOS-4 Failed during 0009 Stop Valve Test
01486730 Potential Trend in Violations in Program Engineering Functional Area
01505696 V-AC-8A, HPCI Room Cooler, Has a Cooling Coil Leak
01506875
RC-8 Water Leakage has Increased
01507516 2016 Operator Burden Tracking
GAR 01518988 Hot Spot - 2RS XFMR Secondary B-Phase Bushing 34.5KV
01457891
Tubing Support for 12 EDG FO Pressure Indicator Is Broken
01456958
Vehicle Allowed Access Past OCA Checkpoint Without Search
01472302
Potential Adverse Trend In Partial IMUX Failures
01485847
Improperly Stored Flammable Liquid in the SAF
01476400
RFO27 IVVI: Shroud Welds Need Addtl Analysis for Acceptance
01243258
PIR FSA - Level B
CAP 1131704 w/o CA to Track WO Completion
01248071
PI&R FSA Common Issue: Timeliness of Actions
01447383
OE:
SOE 14-079 X-Ray Search Equipment PM
01453744
Potential Gap Identified in X-Ray Calibration Procedure
01457375
OE: NRC
LER 2472013004 Pin Hole Leaks in Code Class 3 SW Pipe
01462542
Ineffective Tracking of Recommended Corrective Actions
01462405
Service Water RAD Monitor Piping is Nearing Minimum Wall Thickness
01505552
OE: NRC Preliminary White Finding at Dresden - EDG Maintenance
01459910
V-MZ-1 Has a Heating Coil Leak
01524516
Door-142 Has Hole Between Frame and Wall
01474434
Missed QC Hold Points in
WO 505386-23
01477412
Anchor Bolts Not Installed According to MWI
01447016
Insulation Inappropriately Applied to RHRSW Pipe
01474993
ESW-1-2, Disc Stud Found with Fracture
01500353
Configuration of the T-44 Diesel Tank Vent Line is Incorrect
01446727
Loss of Power to Security UPS
01455831
Inadequate Thread Engagement
01483250
Safeguards Information (SGI) Control Issue
01471070
Security T-Wall Barrier Obstructed
01185959
RCIC HELB at
MO-2078 and its Effect on
MCC-311
01496761
Potential Non-Conservative TS for EDG Voltage
01351819
11 Critical Relays Installed by EPU With No PMs
01477810
Preliminary Draft of
CA 94-017 Increases TS SR 3.5.1.3.b
01478074
Ineffective Corrective Action for NRC Identified Issue
01505395
NOS Finding:
MRs for NSR Parts for SR Applications
01512859
NOS Finding:
No Causal Evaluation for an LER Event
01474070
Tygon Tubing Burst During LLRT Test
01490492
EP Exercise-Incomplete OSC Staffing
01485963
Error in CALC 10-016 for Support
HDH-93
01446075
CAPR Not Implemented as Written
01507333
NRC Question Regarding Pipe Class on Core Spray Piping
01474155
RBCC-108-1, Drippage of RBCCW from Valve Bonnet
01519574
CW-4-1Valve Tag Broken
01467445
Drawing Does Not Reflect Changes Made Under SRI/MRE
01484294
Several Problems Noted with
RV-6096
01517399
Unidentified Valve Installed on PS21-8-HB Near CDR Conn #41
01525486
Excessive Work Caused by Repetitive CAPs
01525826
Control Valves not Properly Labeled
01526003
HPCI P&ID and Line Designation Table Conflict
01523429
MSR Action:
Review A&B CAP Causal Evaluation Downgrading
01502621
Molded Case Circuit Breaker Left Off PM Equip List
01462092
Additional ODCM Revisions Not Reviewed IAW TS 5.5.1
01496114
NRC Identified Severity Level
IV 50.9 Violation
01445165
OE:
ICES
308074 Group 1 Isolation Received During Bypass Valve
Verification
01467721
OE:
Monticello OE Screening Results for the Week of 2/23/15
01445505
OE:
Byron Green
NCV 2011005-05 Offsite Dose Calculation Root Cause Reports Number Description or Title
01460675 # 11 EDG Governor Control Switch Inadvertently Lowered
01477351
RFO 27 Loss of Shutdown Cooling
01487368 Past Operability Review of Turbine Stop Valve
01503122 Reactor Scram # 134
01402246
NRC Question on DSC PT Examination Times
01446848
MFLCPR Exceeded During Start of 12 Reactor Recirculation Pump Apparent Cause Evaluations Number Description or Title
01427529 60-day LER Required for PTLR Violation
01446598 Lockout of 12 Recirc Pump

[ECE]

01455581 D10 Division 1 125VDC Charger Undervoltage Alarm Received
01456839 TS SR 3.8.4.2 Non Conservative for the 125 VDC Charger
01462588 Outstanding USAR Changes not Incorporated Timely
01465736 Trace Anomalies during
MO-3502 Diagnostic Testing
01476157
PCV-7939 Failure

[ECE]

01479704 Circuit Protective Device Operation - Sustained Degraded Voltage
01479851 Ops. Dept. Recent Human Performance Shortfalls
01484243 Normally Closed Breaker Found Open/Tripped
01493218 "A" CS Discharge Pressure Low

[ECE]

01498917
CO 59275 Boundary not Properly Tagged
01517339 EDG Room and Cabinet Temperature Calculation Issues
01505696
V-AC-8A, HPCI Room Cooler, Has a Cooling Coil Leak
01475767
Welding Performed on EDG Support Didn't Check Interpass Temp.
01517089
Work Performed Without Signing Onto C/O
01484286
NOS Finding - Insufficient Control of M&TE
01458521
Adverse Trend in Security Human Performance
01131704
TREND CAP Breaker Racking or Alignment Issues
01456497
V-MZ-1 Has a Heating Coil Leak
01444120
High Radiation Area Improperly Posted
01449995
DW CAM Spiking
01518017
LERs Not Completed In Accordance With
FP-PA-ARP-01
01503123
Group 1 Isolation During Reactor Scram 134
01463920
Four EP Drill Objective Frequencies Not Met In 2014
Self-Assessments and Observation Reports Number Description or Title
01458147 Operating Experience Evaluation: 11 CWP Trip
01473123 Ops. Dept. Monthly HU Error Rate KPI March Turned Red
01476025 Response Report
IER-2; IER L2-15-16, Loss of Unit 3 Inst. Air -
01486261 EP Drill: Potential Trend in Communications/Notification
01511937 Potential Adverse Trend: CAP Evaluation Due Date Extensions A-INSP/TEST-MNGP-2015-1
2015 Nuclear Oversight MNGP Inspection/Testing Audit A-MAINT-MNGP-
2015-1
2015 Nuclear Oversight MNGP Maintenance Audit A-SEC-MNGP-
2015-1
2015 Nuclear Oversight Monticello Security Audit 2015-01-018
NOS Observation Report, Maintenance 2016-02-005
NOS Observation Report, PI&R Readiness Assessment
01517968-07
Department/Functional Area DRUM - Security (1

nd Quarter 2016)

01525196
Department/Functional Area DRUM - Security (2

nd Quarter 2016) A-CAP-MNGP-

2016-1
2016 Nuclear Oversight Monticello Nuclear Generating Plant
Corrective Action Program Audit 2015-01-014
NOS Observation Report:
Self-Assessment 2015-01-008
NOS Observation Report:

Operating Experience

2016-02-005
NOS Observation Report:
PI&R Readiness Assessment
SAR 01525196
DRUM:
Emergency Preparedness 2

nd Quarter 2016

SAR 01525196
DRUM:
Site Drum 2

nd Quarter 2016

01461134
SnapShot Report:
Performance Assessment/Operating Experience
01429722
SnapShot Report:
New ECP Governance Documents

Condition Reports

Generated During the Inspection Number Description or Title
01535190 Documentation Error on
01460675-32
01535783 No Velcro on Hose Covers [RB NLO Observation]
01535948 PI&R 2016: Incorrect ECE Revision Provided to
NRC 01536194 RO MUD Caustic Leak [TB NLO Observation]
01536294 PI&R Inspection Question Requires >24 hours to Answer
01536505 PI&R 2016:
Revised Response Required for NRC Question 84
01536797 PI&R Question 152 > 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> to Answer
01536798 PI&R 2016:
Possible Gap in Fleet & Site RP Procedures
01536809 PI&R 2016:
No Eval Assigned for Untimely Corrective Action
01536864 PI&R 2016:
Untimely Resolution of
AR 01185959, RCIC HELB
RM 01536905 Potential Need to Clarify
FP-OP-PEQ-01
01536960 2016 PI&R CAP Issue Resolution Difficult to Determine
01537014 PI&R D10 Charger Backplane Contacts not Inspected
01537019 PI&R 2016:
Potential Design Issue - Loss of
SDC 01537029 2016 PI&R Resolution of Needed RCIC HELB Analysis Untimely
01537040 EDG Overload Relay Omitted from Calculations05-111
01535268 PI&R 2016:
Record not Created for CAP
AR01457375
01535295 PI&R 2016:
Next Level Action Backlog Contains Error
01535376 PI&R 2016:
Needs Assessment Referenced Wrong Tracking Item
01535376 Improvements for
ARP-01, 03 (Cross-Ref non-CAP Definition)
01535381 Vulnerability with DARs Not Going To CAP Screen
01535431 PI&R 2016:
Action Completion Not Completed Timely
01535514 PI&R 2016:
QF0447 for
AR 01447383 Has Typo
01536031 RCE Table of Rev's Has Incorrect Date
01536735 PI&R SCAQ Definition Opportunity for Clarification
01536921 PI&R 2016:
OBN Action Detail is Not Specific
01536953 PI&R 2016:
X-refs and Closure Documentation Clarity Issues
01538798 PI&R 2016:
NRC Comment on Extensions

Miscellaneous

Number Description or Title Date or Revision
05-111 Evaluation to Determine if the Electrical Components in the Control Panel in the EDG Rooms will Perform their Function at a
Temperature of 131 May 12, 2015 98-051 EQ File - Reliance Motors Rev. 00
E-212 sheet 9
Schematic Diagram - Exhaust Fan V-EF-40B
Control
Rev. 05
EC 26904 Evaluation to Determine Maximum Temperature in Cabinets C91, C92, C93 and C94 Rev. 00
EGM 11-003 Dispositioning BWR Licensee Non-Compliance - Rev. 02 L-MT-15-033
LER 2015-002-00 6/29/2015 L-MT-15-034
LER 2015-001-00 6/16/2015 L-MT-15-052
LER 2015-003-01 9/11/2015 L-MT-15-054
LER 2015-003-00 7/13/2015 L-MT-15-079
LER 2015-005-00 10/2/2015
NF-36298-1 Electrical Load Flow - One Line Diagram Rev. 111
NH-36246 P&ID - Residual Heat Removal System Rev. 84 QF0429 NSPM CAP Screen Team Meeting Template Rev. 19
WO 00503174
MO 2373 - Workorder 4/25/2015 N/A
Nuclear Fuel Fabrication and Design Oversight Plan Rev. 6 N/A
Monticello Spent Fuel Project Oversight Plan Rev. 0
WO 513688-01
MECH - G-3B, Weld Bracket for High Pressure
Fuel Line
04/22/2015 SE0025
Conduct of Security Operations Rev. 13
WO 547119-01
Reseal Door Frame to Concrete on Door-142
06/13/2016
WO 490628-01
MECH -
ESW-1-2,
BS-2414, Perform Operability
Test and Inspection
04/14/2015
EC 25673
Extent of Condition Review for
ESW-1-2 Disc Stud
Failure Rev. 0
WO 501019-12
EC-23981-Missile Protection for T-44 Tank,
Arrestor Removal
11/13/2015
LER 2015-002
Loss of Shutdown Cooling Due to Improperly
Landed Jumper Wire Rev. 1 LER 2014-002-
Torus to Drywell Vacuum Breaker Did Not Indicate
Closed During Testing Rev. 1

LIST OF ACRONYMS

USED [[]]
ADAMS Agencywide Document Access Management System
CAP Corrective Action Program
CAQ Condition Adverse to Quality
CDF Core Damage Frequency
CFR Code of Federal Regulations
CLB Current Licensing Basis
DRP Division of Reactor Projects
IMC Inspection Manual Chapter
IP Inspection Procedure
NCV Non-Cited Violation
NRC [[]]
U.S. Nuclear Regulatory Commission
OE Operating Experience
OFR Operability/Functionality Determination
PIR Problem Identification and Resolution
POD Prompt Operability Determination
POR Past Operability Review
SCAQ Significant Condition Adverse to Quality
SDP Significance Determination Process
SRA Senior Reactor Analyst

TS Technical Specification USAR Updated Safety Analysis Report

P. Gardner - 2 -

One

NRC -identified finding of very low safety significance (Green) was identified which involved a violation of
NRC requirements. However, because of the very low safety significance, and because the issue was entered into your corrective action program, the

NRC is treating this

issue as a non-cited violation (NCV) in accordance with Section 2.3.2 of the NRC Enforcement

Policy.

If you contest the subject or severity of this

NCV , you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the
U.S. Nuclear Regulatory Commission,

ATTN: Document Control Desk, Washington, DC 20555-0001, with a

copy to the Regional Administrator,

U.S. Nuclear Regulatory Commission - Region

III,

2443 Warrenville Road, Suite 210, Lisle,

IL 60532-4352; the Director, Office of Enforcement,
U.S. Nuclear Regulatory Commission, Washington,

DC 20555-0001; and the Resident Inspector Office at the Monticello Nuclear Generating Plant. In addition, if you disagree with the cross-cutting aspect assigned to the findings in this report, you should provide a response within

days of the date of this inspection report, with the basis for your disagreement, to the

Regional Administrator, Region III, and the NRC Resident Inspector at the Monticello Nuclear

Generating Plant.

In accordance with

10 CFR 2.390 of the
NRC 's "Rules of Practice," a copy of this letter and its enclosure, and your response (if any) will be available electronically for public inspection in the
NRC Public Document Room or from the Publicly Available Records System (

PARS) component of NRC's Agency wide Documents Access and Management System (ADAMS), accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely, /RA/ Kenneth Riemer, Chief

Branch 2

Division of Reactor Projects

Docket No. 50-263 License No. DPR-22

Enclosure:

Inspection Report 05000263/2016007

cc: Distribution via

LISTSE RV