1 2013 cmbg modification technical risk assessment presenter: bobbi jo halvorson
TRANSCRIPT
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2013 CMBG Modification Technical Risk
Assessment
2013 CMBG Modification Technical Risk
Assessment
Presenter: Bobbi Jo Halvorson
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Modification Technical Risk
Nuclear technology is recognized as special and unique….
INPO AFI:
Insufficient technical reviews of a few vendor-supplied modifications resulted in the removal of a main turbine protective trip feature, a loss of a qualified off-site power source and a failed preoperational test, which required engineering reword during an outage. Contributing is an assessment of technical risk was not performed to determine the appropriate level of technical review required to identify error in the modification.
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Modification Technical Risk
On May 2011, a vendor-supplied design error identified
Modification to install a Bently Nevada vibration and thrust bearing wear monitoring system
Main turbine trip design function unintentionally removed during 2009 modification
Removal of the thrust bearing wear detector along with its pressure switches
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Modification Technical Risk
On May 2011, a vendor-supplied design error identified Impact –
Main turbine low lube oil trip removed Increased station risk and insurance
deductableResolution –
Performed a modification to install turbine bearing lube oil header low pressure trip function
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Modification Technical Risk
On March 2011, a vendor-supplied design error identified
Modification to replace 1AR transformer
Aux Xfmr supplies operating power/control logic incorrectly wired
Impact-
Unavailability of 1AR (loss of 1 of 3 qualified offsite sources)
Resolution –
Correct the wiring
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Modification Technical Risk
On May 2011, a vendor-supplied design error identified
Modification stator cooling system improvements
Incorrect calculated setpoints, instrument design and parts failures
Impact-
Delays with testing/plant startup
Flow indicating switch error caused circuit board failure
Resolution –
Corrected various deficiences
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Modification Technical Risk
On May 2009, a vendor-supplied design error identified
Modification installation of iso-phase bus duct cooler
Numerous equipment failures – cooling coil leaks, fan drive, train swap sequence and expansion joints
Impact-
Potential of load reduction to approx. 60% power
Various unplanned maintenance activities and Tmods
Resolution –
Corrected various deficiences and a study to improve equipment reliability
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Modification Technical Risk
Benchmarking/OE:
Consequence risk factors
Human performance and process risk factors
INPO SER 04-05 Errors in the preparation and implementation of modifications
INPO AFI and Strengths
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Modification Technical Risk
Analysis:Fleet modification process does not adequately
drive the identification of critical design information
Suitability review does not require a risk review of the critical attributes and design vulnerabilities
Fleet modification does not require a risk review for design vulnerabilities and critical attributes in EDO performed modifications
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Modification Technical Risk
Determined cause of the deficiency:
The modification process lacks specific process and procedure guidance for performing a risk assessment for vendor supplied modifications to determine what critical attributes require additional technical validation and oversight.
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Modification Technical Risk
Actions taken:
Fleet design peer group developed a process for performing a documented risk assessment for modifications
Risk assessment is to be used for both vendor and in-house modifications
Perform the risk assessment on all modifications that are awaiting installation
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Modification Technical Risk Update to FP-E-DES-01 (Contractor Control and Stakeholder
Involvement) 5.4 DEVELOPING THE REVIEW PLAN / DETERMINING RISK 5.4.1 The Responsible Engineer (RE) should document the overall
risk and mitigation actions to be taken on a QF0557, “EC Technical Risk Assessment.” 1. Use Attachment 2, “Risk Management”, to assist in determining the
overall risk. 2. Use the result of the risk assessment to identify risk factors and the
mitigation actions that will be integrated into the design process. 3. Document Engineering Supervisor concurrence and Design
Engineering Manager approval via signature on the form.
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Modification Technical Risk
Overview: This attachment provides a risk management tool for managing design change product quality based on evaluation / assessment of the risk. Risk assessment may consider many elements, including: Safety consequences:
Does the design change include evolutions or design elements that are vital to nuclear
safety, industrial safety, compliance, or safety system performance?
Does the design change involve a reactivity management issue?
Does the design change adversely affect design margin? Does the design change satisfy a commitment?
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Modification Technical Risk
Performance Consequences:
Is a specification (or change to an existing specification) required?
Does the design change include any evolutions or design elements that are vital to plant
reliability or performance. ?
Does the design change have a significant plant impact?
Does the design change affect the grid interface operating limits or performance
characteristics?
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Modification Technical Risk
Business Consequences: Is the design change outsourced (i.e., design by a
contractor)? Does the design change involve significant cost, resources
or dose? Does the design change represent a first in the industry? IF the design change is implemented on the operating unit,
THEN are there any compensatory measures required during implementation? Does the design change rely heavily on vendors
(equipment, design, or installation support)? Is an expedited design change due to late scope addition
for outages?
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Modification Technical Risk Complexity
1 – Simple The product is simple in nature. It is small in scope and does not involve multiple interfaces. The approach or activity has been done before with acceptable results under similar circumstances, so adverse consequences are unlikely. There are few (if any) technical concerns.
2 – Moderately Complex The activity is complex. The planned approach has identifiable shortcomings that may result in adverse consequences, but they are avoidable using due care. The activity is being prepared under some time pressure. Multiple engineering disciplines are involved.
3 – Very Complex The activity or product is very complex or is a first time evolution. The planned approach has led to adverse consequences in the past under similar circumstances. Extreme care is needed to avoid adverse consequences. There is considerable time pressure. There are many design or technical issues to resolve. Multiple design organizations are involved.
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Modification Technical Risk Consequence
1 – Low The product has no potential to cause a condition adverse to quality. Typically the product would be classified as non-safety related. Priority Grading / Ranking score per FG-E-EWM-01, “Engineering Work Management”, Attachment 2, is less than 30. Total project cost is < $250K.
2 – Moderate The product has a potential to cause a condition adverse to quality but not a significant condition adverse to quality. The modification would typically be classified as reliability related or lower. Priority Grading / Ranking per FG-E-EWM-01, Attachment 2, will typically be between 30 and 60. Total project cost is > $250K
3 - Significant The engineering change could have the potential to cause a significant condition adverse to quality. The product would typically be classified as Augmented Quality or Safety Related. Priority Grading / Ranking per FG-E-EWM-01, Attachment 2, will typically be > 60. Total project cost is > $1M.
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Modification Technical Risk
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Modification Technical Risk
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Modification Technical Risk
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Modification Technical Risk
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Modification Technical Risk
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Modification Technical Risk
Risk Tool Effectiveness “Back-fit” technical risk reviews of the prepared EPU
modifications as new process was being developed
Technical Risk Assessment - Risk Identified: Upcoming construction phase - Site changed
construction organizations after design phase Performed new Constructability Reviews
Various potential issues were identified during the meetings
Resolved before they became field issues or problems that would not be found until testing or after mod implementation
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Modification Technical Risk
Risk Tool Effectiveness Alternate Spent Fuel Pool Cooling Mod
Fast track, complicated, $4 Million project with multiple vendors involved.
Technical Risk Assessment - Risks Identified: Electrical (rented electrical equipment from non-nuclear
vendor) Independent review of electrical design by EDO In-house SME’s reviewed design also, and checked
ETAP calcs Found electrical panels not rated for the application Found errors in short circuit and arch flash calcs
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Modification Technical Risk Risk Tool Effectiveness
Reactivity (injecting cold water into the pool) Reactivity Management Review Board review (at
Supervisor/Manager discretion) Board asked for additional temperature monitoring Added a hierarchy of valves to operate in order to reduce
temp change Ops procedure revised to address the concern
Complex construction (flying heavy equipment over SR duct bank, pipe routing on outside of Reactor bldg and on roof, lifting pipe over a 3-story bldg)
Contracted external SME’s Bogart-Pederson (heavy hauls and layout over UG utilities) Structural Integrity (load drop analysis) VICs (crane vendor – meeting/challenge board)
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Questions?Questions?