IR 05000315/1985026

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Insp Repts 50-315/85-26 & 50-316/85-26 on 850904-20. Violations Noted:Failure to Properly Store Special Process Records,To Provide Proper Corrective Action & to Provide Adequate Control Over Design Changes & Mods
ML17321A918
Person / Time
Site: Cook  
Issue date: 10/16/1985
From: Hawkins F, Walker H
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML17321A916 List:
References
50-315-85-26, 50-316-85-26, NUDOCS 8510210186
Download: ML17321A918 (16)


Text

U.S.

NUCLEAR REGULATORY COMMISSION

REGION III

Reports No. 50-315/85026(DRS);

No. 50-316/85026(DRS)

Docket Nos. 50-315; 50-316 Licenses No. DPR-58; DPR-74 Licensee:

American Electric Power Service Corporation Indiana 8 Michigan Power Company 1 Riverside Plaza Columbus, OH 43216 Facility Name:

D.

C.

Cook Nuclear Plant, Units 1 and

Inspection At:

American Electric Power Service Corporation, Columbus, OH and D.

C.

Cook Site, Bridgman, MI Inspection Conducted:

September 4-20, 1985 ouPd a

e Approved By:

F.

C. Hawkins, Chief equality Assurance Programs Section lo IC Da e

Ins ection Summar Ins ection on Se tember 4-20 1985 Re orts No. 50-315/85026 DRS

No.

-316 DRS

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p 111 act>on on previous inspection findings, design changes and modifications, quality assurance records, office support activities, and the audit program.

The inspection involved a total of 52 inspector-hours onsite and 38 inspector-hours at the corporate headquarters in Columbus, Ohio.

Results:

Of the five areas inspected, no violations or deviations were identified in three areas.

Three violations were identified in the remaining two areas (failure to properly store special process records - Paragraph 2.d.;

failure to provide proper corrective action - Paragr'aph 2. i.; and failure to provide adequate control over design changes and modifications - Paragraph 3.a.).

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Persons Contacted DETAILS American Electric Power Service Cor oration AEPSC

    • M P
    • T O
    • P A

M.

W.

M. L.

    • J A
    • R F
    • V A
    • J J

D.

W.

  • J. A.
    • S
    • J R
    • K. J.
    • F Alexich, Vice President Nuclear Operations Argonta, Manager, Generation Division Barrett, Senior Licensing Engineer Evarts, Licensing Specialist Horvath, Plant guality Assurance Supervisor Kobyra, Project Engineer, Mechanical Engineering Kroeger, Manager of guality Assurance Lepore, Manager, Design Division Markowity, Manager, Mechanical Engineering Division McAlhany, guality Assurance Engineer McElligott, Senior guality Assurance Auditor Steinhart, Assistant Division Manager, Mechanical Engineering Stroyk, Vice President Engineering Administration Toth, Nuclear Safety and Licensing Van Pelt, Manager, Nuclear Operations Support Indiana and Michi an Electric Com an ISMEC
  • E. A. Abshagen, Staff Engineer, Planning Department
  • T. P. Beilman, Planning Superintendent

"A. A. Blind, Assistant Plant Manager

  • G. H. Caple, gC/ACC Senior L. S. Gibson, Technical Engineering Superintendent
  • W. G. Smith, Jr., Plant Manager
  • J. F. Stietzel, guality Control Superintendent
  • B. A. Svensson, Assistant Plant Manager, Operations'an Yourt, Accounting Superintendent USNRC
    • F. C. Hawkins, Chief, guality Assurance Programs Section J.

K. Heller, Resident Inspector

  • B. L. Jorgensen, Senior Resident Inspector
  • Indicates those attending the exit meeting at D. C.

Cook on September 12, 1985.

    • Indicates those attending the exit meeting at AEPSC offices in Columbus, Ohio, on September 20, 198 p wlb )

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2.

Licensee Action on Previous Ins ection Findin s a ~

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0 en Unresolved Itern 315/83001-01; 316/83001-01:

Independence of auditors.

Review o se ecte au its performed by corporate quality assurance personnel revealed that the auditors were function-ing independently.

This item will remain open pending review of audit practices at the D. C.

Cook facility.

Closed Violation 315/83018-04; 316/83019-04:

Inadequate NSDRC au its o tec naca specs ication comp iance.

he inspector reviewed records of three NSDRC audits of technical specification compliance which were performed during the past year.

Each audit adequately addressed technical specification requirements.

Closed Violation 315/83018-09A; 316/83019-09A:

Design control proce ures o not incorporate essgn vers

>cation requirements.

This failure to perform independent design verifications and inadequate design verification procedures was included as a part of a Confirma-tory Action Letter (CAL) issued in November 1983.

In the response,to the CAL, dated January 20, 1984, the licensee committed to (1) revise General Procedure No.

25 to incorporate ANSI N45.2.11-1974 design verification requirements, (2) perform a review, on a random sampling basis, of design changes utilizing the design verification criteria set forth in the revised General Procedure No.

25 and (3) prepare a

description of the original design activities with the objective of assessing the documented design verification effectiveness and design adequacy.

The inspector reviewed action taken on these three commitments and made the following observations:

(1)

The inspector reviewed Revision 4 of AEPSC General Procedure No. 25, "Design Changes."

Section 9.0 of this procedure adequately addressed design verification requirements.

(2)

The sampling review of previous design changes to GP-25 design verification requirements has now been completed.

The inspector reviewed the reports on this activity, dated June 21, 1985, and August 19, 1985.

Design verification was performed by the licensee on 52 design changes selected at random from a total of 421 changes.

No significant problems were noted.

(3)

The description of the original design activities for D. C.

Cook has been included as a part of the D. C.

Cook Regulatory Performance Improvement Program (RPIP).

A description of these verification activities and a schedule for completion, was provided to theNRC on August 20, 1984, as an update to the RPIP.

Based on these actions the inspector considers this item close,.gs h

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Closed Unresolved Item 315/85003-02; 316/85003-02

No policy or gui e

>nes or storage o

ra iograp s

an ot er i

m type records.

Paragraph 3.20 of PMI 2040, Revision 5 ("Information Management" )

requires that special process records, such as radiographs and microfilm, be packaged and stored as recommended by the manufacturer of these materials.

Licensee personnel were unable to identify the applicable manufacturer's storage recommendations, and as a result they were not cognizant of the proper storage to be afforded the special process records.

Inspection of the records storage facility identified that some radiographs were being stored in stacks, contrary to standard industry practice.

This failure to provide appropriate protection of special process records so as to ensure that evidence of the activity is maintained is in violation of 10 CFR 50, Appendix B, Criterion XVII (315/85026-01; 316/85026-01).

Closed Violation 315/85007-04D; 316/85007-04D

Items listed on the action item tracking system not completed as scheduled.

The inspector reviewed the overdue items list, dated September 18, 1985, for the open items tracking system.

It contained 31 overdue items, and only one item was overdue for more than one month.

A noncompliance report had been issued by the licensee on this overdue item.

Control in this area is adequate.

Closed Violation 315/85007-05B; 316/85007-05B

Failure to store NSDRC records at t e D.

C.

Coo faci ity.

he inspector selected a

number of NSDRC documents, required to be located at D.

C.

Cook from the file index.

All records were promptly retrieved.

NSDRC records were included in a records index as required, and record storage practices met requirements.

Closed 0 en Item 315/85007-07; 316/85007-07:

Inconsistencies in o

site review c arters an proce ures.

e )nspector reviewed the NSDRC charters and procedures.

The documents had been revised to correct the inconsistencies.

0 en 0 en Item 315/85007-08; 316/85007-08:

Submittal of proposed tec naca specs scat>on c anges prior to N

RC approval.

The inspector reviewed the revised wording of Paragraph 5, Enclosure IV-1 of the NSDRC Manual which addresses the submittal of proposed technical specification changes.

The revised wording of the manual permits submittal of the proposed change to the NRC prior to NSDRC approval, but it also requires NSDRC approval prior to issuance of the change for use.

Licensee personnel stated that in practice, it is the intent of the NSDRC to review the proposed changes either prior to NRC submittal or at the next scheduled NSDRC meeting.

Pending verification of the licensee's actual practice, this matter remains open.

Closed 0 en Item 315/85007-09; 316/85007-09:

gues tionabl e con ition report isposstsons.

rev~ous y, t e NRC inspector had identified concerns regarding the disposition of Condition Reports No. 12-12-83-1342 (January 19, 1984)

and No. 2-04-84-493 (April 6, 1984).

Both reports dealt with the installation of incorrect check valves, and the inspector was concerned that they had been closed without benefit

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of appropriate corrective action.

The Nuclear Safety and Design Review Committee (NSDRC), during their routine review of closed condition reports, had also noted the inadequate corrective action and was taking steps to correct it.

The NSDRC's actions to address the issue were completed in March 1985, when the engineering department began action to revise the valve numbering system to provide different identification numbers for both types of check valves.

The inspector was informed that this action was expected to be completed during December 1985.

Although the NSDRC's actions were essentially complete, they did not address interim action to be taken to ensure proper control of check valve installations during the inter'vening period before the proposed valve numbering system was fully implemented.

This failure to ensure that conditions adverse to quality are promptly identified and corrected is in violation of 10 CFR 50, Appendix B, Criterion XVI (315/85026-02; 316/85026-02).

3.

ualit Assurance Pro ram Review This report documents the second in a series of augmented inspections to assess the SALP quality assurance functional area which was assigned a

Category 3 rating during the last SALP reporting period.

During this inspection, activities were reviewed to verify compliance with regulatory requirements and quality assurance program commitments.

Specifically, the programs and their implementation for design changes and modifications, quality assurance records, offsite support activities, and audits were reviewed.

Special emphasis was given to areas which had been identified during previous NRC inspections in order to verify that effective action had been taken to resolve known problems.

The inspection was performed by observing and reviewing work activities, conducting personnel interviews, and reviewing applicable procedures and records.

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Desi n Chan es and Modifications (1)

Ins ection Results The inspector reviewed the two procedures used to control design changes and modifications at D. C.

Cook and AEPSC in Columbus:

PMI 5040, Revision 6 ("Design Change Control Program" ) and GP-25, Revision 4 ("Design Changes" ).

The

"Open Request for Change Status Report" and the

"RDR/RFC Index" were also reviewed.

During that review the inspector identified numerous inprocess design changes in varying stages of completion which appeared to not be properly controlled to ensure timely completion of the required reviews, evaluations and other related activities.

Specific observations included design change packages for which the (1) as-built drawings had not been reviewed to verify compatibility with design requirements, (2) as-built drawings had not been permanently updated, (3) documentation of verbal emergency design changes was not forwarded to AEPSC from D. C. Cook for extended periods of time, and (4) final review of the packages to verify their completeness had not been accomplished.

Examples of the deficient design packages and the dates associated with their installation status are as follows:

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RFC No.

Status Date (2)

12-1971 Complete

"March 31, 1984 12-2166 Complete July 22, 1980 02-2685 Complete June 23, 1984 01-1982 Complete June 22, 1984 12-1917 Complete April 25, 1984 02-1918 Complete July 6, 1984 12-2598 Complete May 18, 1984 12-2128 Change Approved January 3,

1978 12-2393 Change Approved May 3, 1979 12-2427 Change Approved December 17, 1981 12-2462 Change Approved May 29, 1980 12-2465 Change Approved September 16, 1981 These failures to provide appropriate control of activities associated with design changes and modifications is in violation of 10 CFR 50, Appendix B, Criterion II (315/85026-03; 316/85026-03).

Also during this review, the inspector noted that the plant system associated with RFC 12-2598 was designated ASME Class III on the engineering check sheet.

Conversely, the system was designated as ASME Class II on the hydrostatic test data sheets.

Further review and discussions with licensee personnel revealed that the system was Class II.

The inspector is concerned that this system's mis-classification may be indicative of a larger issue relative to the adequacy of similar technical reviews.

Pending further review this matter is unresolved (315/85026-04; 316/85026-04).

Observations/Recommendations (a)

The status of open RFCs is maintained at the D.

C.

Cook facility.

There does not appear to be a systematic follow-up on RFC's to ensure their timely completion.

Consideration should be given to establishing a system to status RFCs through all stages of their completion.

(b)

All the engineering departments do not presently have a

method by which they can track RFC packages within their organization.

Consideration should be given to establishing such a system to ensure timely completion of their responsibilities.

(c)

RFCs, for which work has been accomplished, appear to be generally regarded as low priority work by engineering.

As a result, post-installation engineering reviews and any resulting changes are not always accomplished in a timely fashion.

The relative importance of the engineering reviews should be recognized and appropriate action taken to ensure their timely completio II

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ualit Assurance Records The inspector reviewed PMI-2040, Revision 5 ("Information Management" )

which describes the methods used for control, storage and protection of quality assurance records.

Except for the storage of special process records (Paragraph 2.d.), the procedure and its implementation were found to be acceptable.

Offsite Su ort Staff Offsite support for D. C.

Cook is provided by AEPSC.

Offsite support activities include management engineering and design, offsite review, safety and licensing, and quality assurance.

With the exception of the design change and modification weaknesses noted in Paragraph 3.a.,

the offsite support function was adequately staffed and their activities were found to be acceptable.

Audit Pro ram The AEPSC quality assurance audit program was reviewed to verify adequate coverage of design change and modification activities, and surveillance testing required by the technical specification.

Audits of design changes and modifications are conducted by two separate quality assurance organizations.

The AEPSC site quality assurance organization at D. C. Cook is responsible for auditing the ISMEC organizations which perform design change and modification related activities.

The AEPSC corporate quality assurance organization is responsible for auditing AEPSC activities which support the design change and modification program at the corporate offices in Columbus, Ohio.

During the review of the audit program the inspector identified a

concern regarding audit by more than one organization of functional areas for which responsibility is shared by AEPSC and ISMEC.

Specifically, the inspector is concerned that potentially poor interfaces and coordination of multi-organizational audits could lead to substandard audit results.

Pending further review, this matter is considered unresolved (315/85026-05; 316/85026-05).

As a result of concerns identified during a previous NRC inspection of D.

C.

Cook surveillance activities, the inspector conducted a review of audit coverage of plant surveillance testing and calibration and noted that quality assurance and NSDRC audits of these activities are conducted at least twice yearly.

The inspector reviewed records of three audits in this area and found the audits to be thorough.

The audits are supplemented by gA surveillances which are conducted twice weekly on the surveillance testing and calibration program by D. C.

Cook gA personnel.

These surveillances are scheduled to cover approximately 15% of technical specification required surveillance testing and cali-brations each year.

Records of these surveillances indicate that they are thoroug 'J'<<

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4.

Unresolved Items Unresolved items are matters about which more information is required in order to ascertain whether they are acceptable items, violation or deviations.

Unresolved items disclosed during this inspection are identified in Paragraph 3.a.

and 3.d. of this report.

The inspector met with licensee representatives (denoted in Paragraph 1)

at D. C.

Cook on September 12, 1985, and at the AEPSC corporate offices in Columbus, Ohio on September 20, 1985.

The purpose, scope and findings of the inspection were summarized.

The inspector also discussed the likely informa-tional content of the inspection report with regard to documents or processes reviewed by the inspector.

The licensee did not identify any such documents or processes as proprietar Y

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