IR 05000346/1988032

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Forwards Safety Insp Rept 50-346/88-32 on 880912-1103.No Violations Noted
ML20206K266
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 11/21/1988
From: Knop R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Shelton D
TOLEDO EDISON CO.
Shared Package
ML20206K271 List:
References
NUDOCS 8811290342
Download: ML20206K266 (2)


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NOV 211988 Docket No. 50-346 Toledo Edison Company ATTN: Mr. Donald Shelton Vice President Nuclear Edison Plaza I

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300 Madison Avenue

Toledo, OH 43652

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This refers to the special safety inspection conducted by Mr. J. McCormick-Barger

of this office from September 12 through November 3,1988, of activities at the

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Davis-Besse Nuclear Power Station authorized by Facility Operating License No. NPF-3 and to the dis:ussion of our findings with you and others of your i

staff at the conclusion of the inspection.

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l The enclosed copy of our inspection report identifies areas examined during

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the Inspection. Within these areas, the inspection consisted of a selective

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i examination of procedures and representative records, observations, and

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interviews with personnel.

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No violations of NRC requirements were identified during the course of this l'

inspection.

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In accordance with 10 CFR 2.790 of the Commission's ragulations, a copy of

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this letter and the enclosed inspection report will be placed in the NRC

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Public Document Room.

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The responses directed by this letter and the accompanying Notice are not I

subject to the clearance procedures of the Office of Management and Budget i

as required by the Paperwork Reduction Act of 1980, PL 96-511.

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We will gladly discuss any questions you have concerning this inspection, f

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Sincerely,

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Richard C. Knop, Chief i

Reactor Projects Branch 3 i

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Enclosure:

Inspection Report

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No. 50-346/88032(ORP)

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Toledo Edison Company

NOV 21 1988

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Distribution:

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Report No. 50-346/88032(DRP)

Docket No. 50-346

License No, NPF-3

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Licensee:

Toledo Edison Company

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Edison Plaza, 300 Madison Avenue

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Toledo, OH 43652

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Facility Name: Davis-Besse Nuclear Power Station Unit 1

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Inspection At: Davis-Besse Site, Oak Harbor, Ohio

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Inspection Conducted:

September 12 through November 3,1988

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Inspector:

J. W. McCormick-Barger

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Approvad By: Robert W.

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Reactor Projects, Section 3A

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Inspection Summary

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Inspection on Sestember 12 through November 3, 1988 (Report

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No.50-346/88032()RP))

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Areas Inspected:

Special, unannounced safety inspection with regard to

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licensee actions on previous inspection findings; and review of a series of

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allegations related to the operation of the Davis-Besse facility.

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Results:

No violations or deviations were identified.

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DETAILS

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1.

Persons Cor tacted

Toledo Edison Company

  • L. Storz, Plant Manager
  • P. Hildeb"andt, Engineering General Director

"E. Salowitz, Planning and Support Director

  • R. Schrauder, Nuclear Licensing Manager
  • L. Ramsett, Director, Quality Assurance
  • B. Shingleton, Licensing Engineer

Other pla it personnel were contacted during the inspection.

NRC

  • P. M. Byron, Senior Resident Inspector
  • D. C. Kosloff, Resident Inspector
  • J. W. McCormick-Barger, Reactor Engineer, Branch 3, DRP

2.

Licensee Action on Previous Inspection Findings (92701)

a.

(Closed) Violation (346/87012-01A(DRp)):

Failure to follow

procedures requiring plant workers to only perform activities as

directed bv approved Maintenance Work Orders (MW0s).

Plant staff

unsuccessfully attempted to perform a functional check of the timing

sequence of the oil failure safety control switch, PSL-2807, and

associated timer for the control room emergency ventilation system

condensing unit per MWO 3-87-1174-01, subsequently they obtained an

uncontrolled manufacturer's instruction for testing the time delay

and conducted this test prior to incorporating it into the work

package.

The inspector reviewed the licensee's response to this violation

dated October 25, 1988.

The response acknowledged the violation and

stated that the existing procedure (if followed) is an effective

mechanism for controlling work and post maintenance / modification

testing. The licensee also stated that personnel involved in the

maintenance activity were made aware of the specific procedural

violation and the procedural requirements for performing the

post maintenance testing. The inspector reviewed memoranda

dated November 2, 1988, from the Assistant Plant Manager,

Maintenance, and the Director, Quality Assurance, to their staffs

informing them of the violation and that "a contributing cause of

the violation was the apparent agreement by individuals involved in

performing the functional check that testing outside the scope of

the MWO was acceptable for this special situation".

The managers

reminded their staffs that this is an unacceptable practice. This

item is considered closed.

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b.

(Closed) Violation 346/87012-01BJ:

Failure of the Quality Control

(QC) department to comply with Quality Assurance Division Procedure

(QADP) No. 2.2 (QA-QC-07002.02)), "Qualification and Certification

of Personnel Performing Quality Control Activities". Although the

subject procedure required all QC inspectors to have completed

qualification cards, several inspectors were found to have not

completed the qualification cards.

The licensee had identified

this problem during a QA audit but did not adequately resolve the

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audit finding. QC inspectors who had been at the site prior to

the issuance of QADP No. 2.2 had been previously qualified under

the requirements of Quality Control Instruction (QCI) 3020. This

procedure did not require qualification cards.

In response to the

audit finding, the licensee wrote a memorandum dated January 7,

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1988, to the QA audit group stating that incumbent inspectors would

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nnply with the new QA certification requirement when they were

recertified.

The QC inspectors found not to be in compliance with

the new procedure were not due for recertification.

Although the

proposed "grandfather clause" is generally an acceptable solution

to update incumbent inspectors when qualification procedures are

changed, the licensee should have incorporated the grandfather

clause into the procedure rather than rely on a memorandum.

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The inspector reviewed the licensee's resoonse to this violation

dated October 25, 1988.

To correct this deficiency, the licensee

revised the qualification procedure to allow incumbent inspectors

not to have completed qualification cards until they recertify in

their inspection discipline.

The inspector reviewed the revised

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procedure and found it to adequately respond to the violaticn.

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This item is considered closed.

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c.

(Closed) Violation (346/87012-01C):

Failure to process Potential

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Conditions Adverse to Quality Reports (PCAQRs).

Twu PCAQR were

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identified that were initiated but not processed (not sent) to

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the shift supervisor and PCAQR review board) as required by

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Procedure NMP-QA-702, "Potential Condition Adverse to Quality

Reporting," Revision 1, dated May 25, 1986.

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The inspector reviewed the licensee's response to this violation

dated October 25, 1988.

In this response the lirensee acknowledges

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that in both cases personnel failed to follow procedures.

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licensee stated that the failure to process the PCAQR was not a

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deliberate attempt to suppress the identification or correction of a

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problem.

The inspector concluded from his review of the events

leading to this violation, as identified in Inspection Report

Nc. 346/88012(DRP), that the discrepancies identified in the

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PCAQRs were addressed in a technically adequate manner.

However,

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as the licensee stated in '.s response, the improper handling of

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the PCAQRs undermined the LCAQR process.

To resolve this concern,

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the licensee revised its ?CAQR procedure to better define the role

supervisors have when rr. viewing and signing PCAQRs being prepared

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by the supervisors' nbordinates.

Training was also conducted for

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all supervisory prsonnel emphasizing that once a PCAQR is initiated,

it must be pr..essed per the requirements of the PCAQk procedure.

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The licensee alto issued new PCAQRs to formally address the

discrepancies identified in the PCAQRs that were not processed.

The inspector reviewed these reports and found them to adequately

address the original concerns. This item is considered closed.

d.

(Closed) Unresolved Item (346/88012-03:

The review and disposition

of PCAQR No. 88-0078 was not thorough, in that the licensee should

have concluded that the MWO originator should have originated the

RFA requesting the painting deviation prior to implementing the

MWO and that the supports were installed prior to the Request for

Assistance (RFA) being issued.

From discussion with Davis-Besse Facility Maintenancs Department

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(FMD) supervisory personnel, the inspector learned Caat the decision

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to install the pipe supports identified in the PCAQR with the

bottoms of the base plates painted with primer paint only, was made

based on the belief that primer paint met the requirements of the

applicable procedure.

The inspector reviewed Maintenance Procedure MP 1701.48,

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"Application of Protective Coatings Outside Con'ainment,"

Revision 01, dated August 25, 1987.

Section 8.2.8 of this

procedure requires that "surfaces which require paint protection

and will be inaccessible after installation shall be painted before

installations". This procedure does not define the activity paint

or painted.

Section 5.1.6 of this procedure states that "surface

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preparation, color selection, painting system to be used, and

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coating application shall be in accordance with the requirements

of this procedure.

This procedure again did not define painting

system, however, it did list, as Enclosure 1, painting systems

for various physical and/or environmental conditions.

However,

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Enclosure 1 is not referred to in the body of the procedure.

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the above, the inspector concluded that FMD's interpretation of the

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activity "painted" to allow the bottoms of base plates to be painted

with primer only did not directly conflict with the procedure as

written.

To prevent further confusion concerning required painting,

the licensee stated that the procedure would be reviewed and changes,

as necessary, would be made.

Prior to writing the subject PCAQR, the QC inspector informed FMD

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supervision that its interpretation of the painting procedure to

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allow primer only paint was not conservative and may violate the

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intent of the procedure. To resolve the QC inspector's concern,

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FMD prepared Request for Assistance (RFA) Number 88-0237, requesting

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engineering to evaluate the acceptability of primer coat as

referenced in the s,'ecific.ition and procedure as an acceptable

coating for inaccessible areas.

Design engineering responded to

this RFA on the same day stating that primer coat is acceptable for

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base plates on the "grouted side or side to wall." FMD informed the

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QC inspector of Design Engineering's response.

The following day,

the PCAQR was written describing the QC inspector's original concern.

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This PCAQR was apparently written because the QC inspector did not

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understand that the RFA was a procedurally allowed method to deviate

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from the painting procedure or did not agree with the resolution of

the RFA.

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Based on review of the disposition of the PCAQR, and its acceptance

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of the primer only painted pipe support base plated as described in

Inspection Report 346/88012 Paragraph 2.b.(3), and the information

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identified above, the inspector determined that the licensee's

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actions were in accordance with NRC requirements. This unresolved

item is closed,

e.

(Close)UnresolvedItem(346/88027-0D: Davis-Besse engineering's

inappropriate use of an HWO continuat. ion sheet to specify design

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information. During review of the inappropriate invalidation

of a PCAQR prepared to document a Raychem insulation installation

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activity for K40-1-86-0991-04 documented in NRC Inspect *on Report

No. 346/88027, the NRC inspector identified an apparent

inappropriate use of the Md0 continuation sheet to specify design

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information in the form of engineering instructions prepared on

May 16, 1986. A review of the events and requirements at the tir.e

the engineering instruction was prepared revealed the following:

Prior to May 9, 1986, Raychem insulation installations were specified

by Rd0 planners based on field data and the Raychem installation

manual and a drawing depicting terminations for solenoid valves,

motor valves, and motors (drawing E302A sheet 39M).

Due to problems

associated with the termination drawing and methods used to install

the insulation, Davis-Besse determined that many of these installations

were not in accordance with Raychem's installation requirements. On

May 9,1986, Licensee Event Report (LER) No.86-021 was initiated to

identify the Raychem insulation problem, and all Raychem installation

field work was stopped. A task force was organized to inspect

TheNRCgRaycheminstallationsandreworkdiscrepantapplications.

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s review of the licensee's corrective actions was performed

as part of the closecut of LER 86-021. On May 16, 1986, engineering

began preparing engineering instructions to be attached to MW0s to

allow maintenance work involving Raychem installations to continue.

The engineering instructions consisted of specifying a Raychem

application kit and including installation instructions identical to

those instructions found in the applicable Raychem kit.

These

engineering instructions were based on field data obtained by the

engineering department and the controlled Raychem installation

manual.

In order to provide a long term record of Raychem work activities,

on June 9,1986, engineering issued Nuclear Facility Engineering

Instructions, NEl-031,1, "Processing Raychem Installation Instruction

Sketches," and revised NEP-031, "Engineering Sketches " to allow

engineering sketches to be incorporated into Md0s. After establishing

the above program, engineering began issuing engineering sketches

similar to the engineering instructions issued during the previous

3 weeks, except that each unique installation had its own controlled

sketch depicting the Raychem kit and instructions used to install

the insulation. On August 5, 1986, engineering reportably

retrofitted Raychem engineering instructions provided with Md0s

between May 16, 1986, and June 9,1986, to comply with NEI-031.1

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and NEP-031. On November 14, 1987, engineering incorporated Raychem

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approved sketches into drawing E-1037A "Instruction Manual for

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Preparation and Installation of Raychem Kits." This manual includes

a matrix of all Raychem applications listed by device number.

From review of the above information the inspector concluded that

the program used to specify Raychem insulation applications during

the May 16, 1986 through June 9, 1986 timeframe was acceptable

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per existing Davis-Besse procedures since engineering was not

specifying design requirements, but rather interpreting requirements

already provided in the controlled Raychem installation manual.

This was done to preclude the possibility of erroneous installations

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similar to those that had occurred prior to May 9, 1986.

In addition,

the licensee developed a program to enhance its control and

documentation of Raychem applications and retroactively included the

engineering instructions provided at the beginning of the Raychem

improvement program.

The NRC inspector verified that the Raychem

application specified in MWO-1-80-0991-04 (the MWO in question) had

been retroactively included in the new Raychem installation manual

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(drawing E-1037A).

This unresolved item is closed.

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No violations or deviations were identified.

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3.

Allegation Reviews (92701)

a.

Allegation RIII-88-A-0012 (Closed)

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Concern No. 1: A contract employee was assigned a task of trimming

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fire barrier sealing material.

The employee used a hacksaw for the

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task and accidentally cut the insulation of an electrical cable,

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causing an electrical short.

The matter was reviewed by licensee

personnel to determine the cause of the electrical short, but the

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employee did not mention his use of the hacksaw.

Because of this,

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the investigation of the electrical short concluded that the cable

insulation was brittle and the cable had been bent too sharply.

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was also alleged that metal tools are by procedure not allowed to

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be used to trim sealing material (only plastic tools, which do not

work). However, as of January 1988, metal tools were often used to

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perform this type of work,

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NRC Review:

This concern was initially transmitted to the licensee

Tor its review and action on June 14, 1988 (Attachment 1). On

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July 22,1988, the licensee provided the NRC with written results

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of its review and disposition of the matter (Attachment 2).

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The inspector reviewed the licensee's written response, Maintenance

Procedure (MP) 1405.03, "Installation of Silicone Foam / Caulk

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Penetration Sealing Systems," and Potential Condition Adverse to

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Quality Report (PCAQR) Number 87-589 generated for the electrical

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cable short event.

From this review the inspector determined that

the use of metal tools to trim sealing material from fire barrier

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penetrations was a procedurally allowed activity during the tirne of

the event.

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The licensee concluded that the event. described in the PCAQR was due

to cable damage attributed to craft personnel attempting to push

cable back into a condnit fitting with sharp edges while performing

work on a penetration.

However, to preclude the possibility that

using metal tools might cause such an event in the future, the

licensee generated conduit sealing requirements in a memorandum

dated October 30,1987 (FM-87-860).

These requirements included

instructions to use hands rather than a knife or hacksaw blade to

remove excess foam from the face of conduits.

Training to these

requirements was reported in the PCAQR as being provided to contract

employees on November 2, 1987.

The licensee issued a change to the

maintenance procedure on February 24, 1988, that also disallowed the

use of a knife or hacksaw blade to remove excess foam.

The

inspector attempted to contact the worker alleged to be responsible

for cutting the conduit, but was informed by the contract

organization that he no longer works for the contractor. The

inspector also attempted to witness trimming activities but was

informed by the licensee that most conduit trimming activities have

been completed and no current trimming activities were in progress.

Conclusion:

The inspector was not able to substantiate that metal

tools have caused electrical cable shorts or that metal tools are

currently being used to trim conduit sealant. The licensee's

corrective actions for the event in question appeared to be adequate

in addressing the use of metal tools. Documented trainig was

conducted and procedures were revised.

In addition, the licensee

conducted an audit of the penetration seal repair project due to

similar allegations received by the licensee's Ombudsman. This

audit revealed several procedural problems but found no evidence

that would question the quality of the seal repairs being performed

under the controlled program.

This concern is considered closed.

Concern do. 2: During $eptember 1987, a contract employee overheard

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a conversation in which a contract foreman assigned an employee to

a task for which the employee was not qualified.

The employee told

the foreman that he was not qualified to perform the task, the

foreman replied that another worker, who was qualified, wayld be

working within fifteen feet of the job and the qualified worker

would sign for the work performed by the unqualified worker.

NRC Review:

The inspector reviewed Davis-Besse Nuclear Training

Division Procedure NT-MT-7021 "lraining and Qualification of

Maintenance Personnel", Revision 0, dated July 10, 1987. The

procedure specifies the training requirements for all maintenance

personnel at the Davis-Besse site.

Section 6.1 of this procedure

requires that all personnel performing maintenance activities within

a specific qualification area at the site shall either be qualified

(via qualification cards) or "perform assignments in that area only

under the close supervision of a qualified individual."

The inspector contacted the individual alleged to have been directed

to perform the work. The individual, who is no longer a Davis-Besse

worker, stated that he did not recall the incident, nor did he

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believe that the foreman would have had him do work that he was not

qualified to do. The inspector also questioned about one-half of the

remaining craft workers currently qualified to perform penetration

sealing work about work qualification irregularities.

These craft

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workers stated that they were unaware of anyone performing work for

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which they were not qualified.

The licensee also reviewed an allegation similar to this and after

reviewing a sample of completed work packages and performing a QA

audit of the penetration sealing program, was unable to substantiate

its allegation.

The licensee performed documented training with the

contractor organization, expressing among other things the need to

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follow Davis-Besse procedures.

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Conclusion: The inspector was unable to substantiate this concern.

This concern is considered closed.

Concern No. 3: A worker cleaned a fire barrier penetration.

Prior to the installation of the fire seal a quality control (QC)

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inspector determined that the penetration was not sufficiently

clean.

The worker cleaned the penetration again, but the inspector

refused to reinspect the penetration and just told the worker to go

ahead and install the fire seal material.

In another incident a

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quality control inspector refused to inspect an installed fire

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barrier penetration seal due to the difficulty of reaching the

penetration.

NRC Review: The NRC inspector contacted the alleger in an attempt

to obtain aaditional information concerning this allegation.

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NRC inspector obtained the name of the QC inspector that was alleged

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to be involved with the incidents. The NRC inspector determined

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that the QC inspector in question no longer worked at the site.

The NRC inspector was informed that a similar concern was provided

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to the Davis-Besse Ombudsman.

The NRC inspector reviewed the

Ombudsman report including the investigation of the concern.

The

licensee's investigation included interviewing several QC inspectors

(including the QC inspector in question). The licensee also selected

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25 sealant activity work packages that were inspected by the

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QC inspector in question, and verified through security access

records that the QC inspector was in the area at the time of the

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QC signoff. Based on the above, the Ombudsman report concluded that

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the concern could not be substantiated.

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The NRC inspector questioned about one-half of the QC inspectors at

Davis-Sesse concerning whether they knew of any inspectors that did

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not perform all inspections that were required.

In no case did the

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QC inspectors know of a case where a QC inspector did not perform

the required inspections.

The NRC inspector also questioned about

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one-half of the remaining contractor employees that were responsible

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for penetration sealant work.

These employees also knew of no

case where QC inspeetors had not performed required inspections,

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Conclusion: The NRC inspector was unable to substantiate this

concern.

This concern is considered closed.

Concern No. 4: The spent fuel pool was inadequately protected

Because it was easily accessible to people walking by and someone

could easily drop or throw something into it.

NRC Review:

The inspector examined the fuel pool for gross

cleanliness and found it to be acceptable. The licensee's access

control the fuel pool was found to be acceptable in that access is

limited to trained or escorted plant personnel / visitors and

appropriate radiological and cleanliness controls were in place.

Conclusion:

This concern was not substantiated. This concern

is considered closed.

b.

Allegation RIII-88-A-0036 (Closed)

Concern:

Before or during early March,1988, contractors who were going to

be working on safety-related snubbers failed a qualification test.

The tests were evaluated and when "plant specific" questions were

deleted, the contractors were deemed to have passed the tests.

NRC Review: On May 4, 1988, this allegation was sent to the

licensee for its review and action (Attachment No. 3).

The

licensee provided its findings to this allegation in a response

to NRC Pegion III on June 1, 1988 (Attachment No. 4). The

inspector reviewed the licensee's response to the allegation and

reviewed the licensee's training procedures and selected training

records. A review of some tests administered for snubber work

activities during early March 1988, revealed that some test scores

were revised, resulting in at least one worker's score being raised

from a failing score to a passing score.

The reason for the revised

scores wcs due to the after-the-fact deletion of a test question

that was inapprop*iate to the objectives of the test being adminis-

tered.

The inspector agreed with the licensee's decision to delete

the question from the test, and found no irregularities with the

testing program.

Conclusion:

This allegation was not substantiated in that the

inspector was not able to find instances where test scores were

changed due to the removal of "plant specific" questions (only

inappropriate questions),

This allegation is considered closed,

c.

Allegation No. RIII-88-A-0070 (Closed)

Concern No. 2: The Potential Condition Adverse to Quality Report

(PCAQR) program is not effective.

The PCAQR review board is quick

to either invalidate or disposition PCAQRs with little or no

rework. Justification for these actions are not based on the

plant's procedures or other requirements. Some PCAQR dispositions

are based on simple majority rule, rather than technical validity.

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As an example of an inappropriately dispositioned PCAQR, PCAQR

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Number 88-0015 was identified as being inappropriately dispositioned

in that it was invalidated even though a software deficiency existed

in the field (safety-related conduit support missing support number

identification.)

NRC Review: The inspector reviewed Nuclear Group Procedure

NG-QA-00702, "Potential Condition Adverse to Quality Reporting,"

Revision 0, dated August 1, 1988.

This procedure provided the

instructions for initiating, processing, and closing PCAQRs. The

inspector also observed the conduct of a review board and reviewed

several PCAQRs being processed by the board.

From the above reviews

and observations the inspector determined that PCAQRs are generally

processed in a controlled and organized matter. The NRC Davis-Besse

residents receive copies and perform cursory reviews of nearly all

PCAQRs when initially issued and perfom detailed reviews of

selected PCAQRs during and/or after they have been processed by

the PCAQR review board and are either closed or ready for closure.

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The number reviewed in detail is only a small percentage of the

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number processed yearly by the PCAQR review board which can total a

thousand or more.

The residents have concluded that generally the

dispositions of PCAQRs are adequate and conservative.

However, the

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residents have identified isolated examples of PCAQRs that had

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dispositions that were less than conservative.

These examples have

not represented a significant weakness in the program, and were

subsequently corrected.

The inspector reviewed PCAQR No. 68-0015, which w3s identified

as an example of a PCAQR that was inappropriately dispositioned

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(invalidated). This PCAQR identified that several Class IE

electrical supports had been installed without permanent identift-

cation numbers as required by FCR 87-087 Supplement Number 74.

This FCR specified a new raceway support identification system to

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be used on all new seismic raceway supports for Class 1E and II/I

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raceway supports.

Frem discussions with plant engineering, the

supports identified by the PCAQR, were installed under the old

support identification program.

Under this old program QC had been

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providing and installing raceway support identification numbers.

Because of this, the QC inspector should have obtained

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identification numbers and attached them to the supports prior to

final closure of the support installation packages as agreed to in

the resolution of. Request For Assistance (RFA) 87-0343-00. This

RFA was generated by QC for engineering to evaluate the need for a

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support numbering system and to identify who is responsible for the

numbering system, if required, since existing support numbering

procedures had been canceled.

Engineering responded to the RFA by

developing the numbering system identified in FCR 87-087 Supplement

Number 74

An agreement was made with QC and documented in

engineering's response to RFA 87-0343-00 for QC to continue to

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provide support numbers until such time that isometrics sketches

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began to reflect support numbers in a manner identified in the FCR.

From review of the above documents, it appears that invalidating

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the subject PCAQR was a proper disposition.

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Apparently QC had decided, subsequent to receiving the response to

the RFA, to discontinue maintaining the old support identification

log.

Because of this, the QC inspector who initiated the PCAQR,

was unable to assign permanent identification numbers to the

supports in question.

This information was not identified in the

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PCAQR and apparently not made known to the PCAQR review board.

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However, engineering was subsequently informed of this, and revised

its program to include providing support numbers to all recently

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installed or modified electrical supports upon request.

This

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program was incorporated into Maintenance Procedure DB-MM-01001,

"Installation Procedure for Essential Electrical Hangers and

Supports," Revision 00, dated June 23, 1988.

The inspector

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determined that the supports identified in the PCAQR were assigned

permanent support identification numbers prior to their final

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installation package closures.

Ouring the inspector's review of selected PCAQR, the inspector

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noted that several PCAQRs had identified corrective actions that

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were subsequently removed by the PCAQR review board, apparently to

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expedite the closure of the PCAQRs. A similar observations was

noted during a Davis-Besse Quality Assurance (QA) audit of the

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plant's corrective action program. Observation Number 7 of Audit

Number AR-88-CORAC-01 identified several corrective actions to

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prevent recurrence that were evaluated by the PCAQR review board as

not being necessary for closure.

The PCAQR review board chairman

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responded to the QA observation in a memorandum dated May 18, 1988.

]

In this response the chairman stated that the review board had

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instituted a new policy (reportably approved by the Vice President,

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Nuclear) to limit the proposed corrective actions to items directly

affecting the condition adverse to quality. The chairman stated

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that enhancements to existing programs should be accompitshed by

other management methods such as the Request for Assistance (RFA)

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program.

The chairman also stat +d that th+ board is very careful

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when they evaluate a proposed action as only an enhancement.

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The inspector reviewed several PCa.QRs that had currective actions

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removed from the activities required to be completed prior to

closure.

The inspector concluded that these activities were not

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necessary to correct the condition adverse to quality, and were

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enhancements that clearly went beyond regqlatory requirements.

Since most of these PCAQRs were several months to a year or more

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old, the inspector selected several enhancements that had been

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removed from the PCAQR and attempted to verified that they had been

accomplished even though they were not required by the applicable

PCAQRs. All but one of the enhancements bad been completed.

The

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one activity not performed concerned revising a stock crde for an

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0-ring used during hydrostatic testing (PCAQR No. 68-0163).

The

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intent of the revis'en was to delete the requirement to have the

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vendor provide a ce *tificate of conformance for the non-safety

material.

The inirector wes informed that the appropriate

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individuals ware rot infomed of the need to revise the stock code.

The result of not revising the stock code would be the initiation of

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another PLAQR upon the receipt of a new order of the subject 0-rings.

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Conclusion: This allegation was not substantiated.

Review of the

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PCAQR procedure, observations of the PCAQR review board activities,

and followup on selected PCAQRs including the example provided in

this allegation have not revealed significant weaknesses in the

PCAQR program.

This concern is considered closed.

No violations or deviations were identified.

4.

Exit Meeting

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The inspector met with site representatives (denoted in Persons Contacted

paragraph) at the conclusion of the inspection.

The inspector sunmarized

the scope and findings of the inspection noted in this report.

The

inspector also discussed the likely informational content of the

inspection report. The licensee did not identify any information that

might be considered as proprietary,

f

Attachments:

1.

Letter from NRC to Licensee dated June 14, 1988, describing s..

'ted

concerns of allegation Rill-88-A-0010 and RIII-88-A-0012.

2.

Letter from Licensee to NRC dated July 22, 1988, responding to concerns

identified in attachment No. I above.

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3.

Letter from NRC to Licensee dated May 4, 1988, describing the concern of

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allegation RI!!-88-A-0036,

4.

Letter from Licensee to NRC dated June 1, 1988, responding to the concern

identified in attachment No. 3 above.

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Attachment No.1

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Occket No. 50-346

WN 141988

,

Toledo Edison Company

ATTN: Mr. Donald Shelton

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Vice President Nuclear

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Edison Plaza

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300 Madison Avenue

Toledo, CH 43652

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Gentlemen:

t

The NRC recently received several allegations concerning activities at the

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Davis-Besse Nuclear Power Plant. D(tails of these allegations are provided

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for your review and followup.

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The NkC requests that results of your reviews and dispositions of these

matters be submitted to Region III within 30 days of the date of this letter.

The enclosure to this letter is considered exempt from disclosure acccrding to

section 2.790 of the NRC's ' Rules of Practice", Part 2 Title 10. Code of

Federal Regulations, and will not be placed in the NRC Public Document Room.

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Therefore, the results of your review and the dispositions of these matters

should provide an equivalent degree of ptstection.

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Your cooperation with us is appreciated.

We will gladly discuss any questions

you have concerning this infonnation.

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Sincerely,

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"ob'rI [I treenman? I'*0* OICC O U'

k.$ IOU:

3I

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E wa

, Director

Division of Reactor Projects

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Enclosure: As Stated

cc w/o enclosure:

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L. Storz, Plant Manager

DCD/DCB (RIDS)

,

Licensing fee Management Branch

Resident inspector, R!!!

Harold W. Kohn. Ohio EPA

<

James W. Harris. State of Ohio

Robert M. Quillin, Ohio

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Department of Health

[

State of Ohio, Public

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Utilities Corr ission

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I IIIIIfl

III.IIII II I

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At

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Enclosure

Specific Details of Allegations

Allegation th.mber Rl!!-88-A-0010

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It has been alleged that some work that is being perfomed in the plant does

not confom to Davis-Besse painting / coating procedures, and that these

discrepancies have been identified in non-confomance documents and accepted

as-is without proper justification and/or revisions to applicable painting

procedures,

it is alleged that areas of the plant were not painted adequately

or wrong paint was used and some areas were not painted at all.

The bottom of

pipe support base plates were provided as examples of items that have been

installed without proper coatings (i.e., installed with prime coat only).

The NRC requests that you review previous and current painting practices

against your approved procedures and detemine if there exists a disagreement

between the two.

In addition, a walk down of modification activities

conducted since the beginning of the June 9,1986 outage, should be conducted

to detemine if appropriate painting applications have been perfomed.

.

If

accessible or inaccessible areas have not been properly painted per

Davis-Besse required procedures, provide your planned corrective actions or

justification for accepting the as-found conditions of the unpainted surfaces.

Allegation Number RIII-88-A-0012

It has been alleged that General Electrical and Mechanical (GEM) employees

use metal tools (e.g. hacksaws) to trim excessive fire barrier sealing

material.

In one case it was alleged that insulation on an electrical cable

was accidentally cut, causing an electrical short (Note: This may have been

the cause of the October 23, 1987 partial loss of EHC control power). The

matter was reviewed by the Operations Department to detemine the cause of

the electrical short, but the GEM employee did not mention the use of the

hacksaw.

It was also alleged that arecedures did not allow the use of metal

tools, only plastic or fiberglass; aowever, GEM employees have used and still

use metal tools because the allowed tools do not work.

The NPC requests that you review plant fire barrier sealant triming practices

to detemine if the above activities are cccurring, and if so, take appropriate

cor:'ective actions.

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