ML090570036

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(OCNGS) - Audit of the Exelons Management of Regulatory Commitments
ML090570036
Person / Time
Site: Oyster Creek
Issue date: 02/27/2009
From: Geoffrey Miller
Plant Licensing Branch 1
To: Pardee C
Exelon Generation Co
Miller, G. Edward, 415-2481
References
RIS-00-017, TAC ME0362
Download: ML090570036 (10)


See also: RIS 2000-17

Text

UNITED STATES

NUCLEAR REGULATORY COMMISSION

WASHINGTON, D.C. 20555-0001

February 27, 2009

Mr. Charles G. Pardee

President and Chief Nuclear Officer

Exelon Generation Company

4300 Winfield Road

Warrenville, IL 60555

SUB..IECT

OYSTER CREEK NUCLEAR GENERATING STATION (OCNGS) - AUDIT OF

EXELON'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO.

ME0362)

Dear Mr. Pardee:

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power

Reactor Licensees to the NRC Staff," dated September 21,2000, the U. S. Nuclear Regulatory

Commission (NRC) informed licensees that the Nuclear Energy Institute document NEI 99-04,

"Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for

controlling regulatory commitments and encouraged licensees to use the NEI guidance or

similar administrative controls to ensure that regulatory commitments are implemented and that

changes to the regulatory commitments are evaluated and, when appropriate, reported to the

NRC.

The NRC Office of Nuclear Reactor Requtation has instructed its staff to perform an audit of

licensees' commitment management programs once every 3 years to determine whether the

licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory

commitments are being effectively implemented.

An audit of OCNGS's commitment management program was performed during January and

February 2009, including activities at Exelon's office in Kennett Square, PA on February 24,

2009. The NRC staff concludes, based on the audit, that OCNGS has implemented an

acceptable program for implementing and managing NRC commitments. Details of the audit

are set forth in the enclosed audit report.

G. dward Miller, Project Man ger

Plant Licensing Branch 1-2

Division of Operating Reactor Licensing

Office of Nuclear Reactor Regulation

Docket No. 50-219

Enclosure: Audit Report

cc w/encl: Distribution via ListServ

UNITED STATES

NUCLEAR REGULATORY COMMISSION

WASHINGTON, D.C. 20555-0001

AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULATION

LICENSEE MANAGEMENT OF REGULATORY COMMITMENTS

OYSTER CREEK NUCLEAR GENERATING STATION

DOCKET NO. 50-219

1.0

INTRODUCTION AND BACKGROUND

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power

Reactor Licensees to the NRC Staff," dated September 21,2000, the U. S. Nuclear Regulatory

Commission (NRC) informed licensees that the Nuclear Energy Institute document NEI 99-04,

"Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for

controlling regulatory commitments and encouraged licensees to use the NEI guidance or

similar administrative controls to ensure that regulatory commitments are implemented and that

changes to the regulatory commitments are evaluated and, when appropriate, reported to the

NRC.

The NRC Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit

of licensees' commitment management programs once every 3 years to determine whether the

licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory

commitments are being effectively implemented.

NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action

agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC.

NRR guidelines direct the NRR Project Manager to audit the licensee's commitment

management program by assessing the adequacy of the licensee's implementation of a sample

of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions,

etc.) and activities (bulletins, generic letters, etc.). The audit is to be performed every 3 years.

2.0

AUDIT PROCEDURE AND RESULTS

An audit of the Oyster Creek Nuclear Generating Station (OCNGS) commitment management

program was performed at the NRC Headquarters using documentation provided by the

licensee and at the licensee's Kennett Square office during the period of January and February

2009. The audit reviewed commitments made since the previous audit in January 2004. The

audit consisted of two major parts: (1) verification of the licensee's implementation of NRC

commitments that have been completed, and (2) verification of the licensee's program for

managing changes to NRC commitments.

Enclosure

- 2

2.1

Verification of Licensee's Implementation of NRC Commitments

The primary focus of this part of the audit is to confirm that the licensee has implemented

commitments made to the NRC as part of past licensing actions/activities. For commitments not

yet implemented, the NRC staff determines whether they have been captured in an effective

program for future implementation.

2.1.1 Audit Scope

The audit addressed a sample of commitments made during the review period. The audit

focused on regulatory commitments (as defined above) made in writing to the NRC as a result

of past licensing actions (amendments, exemptions, etc.) or licensing activities (bulletins,

generic letters, etc.). Commitments made in Licensee Event Reports or in response to Notices

of Violation may be included in the sample, but the review will be limited to verification of

restoration of compliance, not the specific methods used. Before the audit, the NRC staff

searched the Agencywide Documents Access and Management System (ADAMS) for the

licensee's submittals since the last audit and selected a representative sample for verification.

The audit excluded the following types of commitments that are internal to licensee processes:

(1)

Commitments made on the licensee's own initiative among internal organizational

components. (Note: the internal self-assessment and subsequent transition to the

Exelon Passport program was audited as an indicator of the commitment to the

process.)

(2)

Commitments that pertain to milestones of licensing actions/activities (e.g., respond to

an NRC request for additional information by a certain date). Fulfillment of these

commitments was indicated by the fact that the subject licensing action/activity was

completed.

(3)

Commitments made as an internal reminder to take actions to comply with existing

regulatory requirements such as regulations, technical specifications, and updated final

safety analysis reports. Fulfillment of these commitments was indicated by the licensee

having taken timely action in accordance with the subject requirements.

2.1.2

Audit Results

Table 1 contains a list of those documents that were selected for additional review during this

audit.

The NRC staff found that the licensee's commitment tracking program had captured all the

regulatory commitments that were identified by the NRC staff before the audit. The NRC staff

also reviewed plant procedures, assessment recommendations, work orders, corrective actions,

training, qualification certifications and action requests that had been initiated or revised as a

result of commitments made by the licensee to NRC.

The program has a requirement that the licensee perform an annual review and assessment of

site and corporate commitments. The most recent OCNGS annual review was reviewed by the

- 3

NRC staff. The annual review appeared thorough, addressing over 300 items. It identified

isolated concerns with procedure annotation. Further, the NRC staff found that appropriate

corrective actions were initiated.

2.2

Verification of the Licensee's Program for Managing NRC Commitment Changes

The primary focus of this part of the audit is to verify that the licensee has established

administrative controls for modifying or deleting commitments made to the NRC. The NRC staff

compared the licensee's process for controlling regulatory commitments to the guidelines in

NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for

managing and changing commitments. The process used at OCNGS is contained in LS-AA

110 - Revision 6, "Commitment Management." The audit reviewed a sample of commitment

changes that included changes that were or will be reported to the NRC, and changes that were

not or will not be reported to the NRC. The audit also verifies that the licensee's commitment

management system includes a mechanism to ensure traceability of commitments following

initial implementation. This ensures that licensee personnel are able to recognize that future

proposed changes to the affected design features or operating practices require evaluation in

accordance with the commitment change control process.

2.2.1

Audit Results

Table 1 contains a list of those documents that were selected for additional review during this

audit.

The NRC staff reviewed the licensee's procedure LS-AA-110, Revision 6,. Section 6.1 of the

procedure lists NEI 99-04 as a reference. The NRC staff found that LS-AA-11 0 generally

follows the guidance of NEI 99-04 and provides detailed instructions for making regulatory

commitments, tracking regulatory commitments, annotating documents to provide traceability of

commitments, and for making changes to commitments. Therefore, the NRC staff concludes

that the procedure used by the licensee to manage commitments provides the necessary

attributes for an acceptable commitment management program.

The NRC Staff noted that a self-assessment had been performed since the last NRC audit and

the potential concern identified in the previous NRC audit about the use of multiple commitment

tracking systems was addressed. Three recommendations from the self-assessment were

entered into the commitment tracking program and acted upon. One of the recommendations

that OCNGS transition to the Passport tracking program (Exelon fleet-wide system) from the

use of multiple programs addressed the previous potential concern. Another recommendation

addressed verification of proper annotation after the transfer. Related procedure

LS-AA-110-1001, Revision 4, "Commitment Tracking Program T&RM for Use with Passport,"

was also reviewed.

The NRC staff also reviewed documents that had been created or revised as a result of

commitments made by the licensee to the NRC. The staff noted that, except as noted below,

the revised documents have annotations referring to commitments as part of the commitment

change control process. These annotations serve to prevent the commitments from

inadvertently being deleted or altered without having gone through the commitment change

process. The NRC observed that in response to one commitment (Item 1 in Table 1)

- 4

emergency procedures were revised, an operations briefing developed and the training program

augmented. It was further observed that one of the revised procedures, 2000-GLN-3200.01

(Plant Specific Technical Guidelines for the Symptom Based Emergency Operating Procedures)

was annotated consistent with the procedural requirements. However, the "EOP Support

Procedure 7" referenced in the commitment (and referenced by 2000-GLN-3200.01) was not

annotated. As a result of discussions during this audit, an entry was made into the corrective

action program to evaluate the annotation requirements and determine if there are any

extended implications.

3.0

CONCLUSION

As discussed above, the licensee's procedure used to implement and manage commitments

provides the necessary attributes for an acceptable commitment management program.

4.0

LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT

Richard Gropp

Calvin Taylor

John Hufnagel

Pam Cowan

Principal Contributor: D. Egan

- 5

Item

Source

Commitment

Timeframe

Comments

1

Source: 1/24/07

letter 2130-07

20448,

Summary of

Commitments.

Second item.

(ML07031 01010)

Oyster Creek [emergency operations procedure] EOP

Support Procedure 7 will be revised to direct the

Operator to inject the entire contents of the Liquid Poison

tank in the event that a [loss of coolant accident] LOCA is

in progress. Include these EOP changes and their basis

in Licensed Operator Training, and update the EOP

User's Guide to include the use of sodium pentaborate

for pH control of the suppression pool under LOCA

conditions.

Upon

implementation

of approved

amendment.

Procedure

EMG-SP7 - not annotated

(revised parent document

annotated)

RCMT 189765-48

2

Source: 7/3/08

letter RA-08

060, Attachment

2. First item on

page 9 and last

item on page 10.

(ML0819308020)

First item on page 9: Oyster Creek will follow the

guidelines in Section 11.3.6.5 of NUMARC 93-01, Rev. 3

during refueling within containment. Plant procedures

will be revised, as appropriate, to implement these

guidelines.

Last item on oaae 10: The following secondary

containment potential openings will remain closed during

refueling activities under administrative controls:

Ventilation ductwork below siding structure on

west side of Reactor Building (north end of west

wall)

Ventilation ductwork below siding structure on

west side of Reactor Building (south end of west

wall)

Trunion Room Doors to Turbine Building

Reactor Building Commodities (flanged)

penetration on north RB wall

MAC Facility Doors

Upon

implementation

of approved

amendment.

Note: This

License

Amendment

Request has

not been

approved.

The commitments associated

with License Amendment

Request are being tracked

under Passport Action

Requests 642132 and

828005.

This issue is still under review

by the NRC. The

commitments associated with

this License Amendment

Request will be implemented

as approved by the NRC.

Table 1

- 6

Item Source

Commitment

Timeframe

Comments

3

Source; 2/2/07

letter 2130-07

20450, Page 4.

Corrective

action planned

item.

(ML0703803170)

The new pressure switch performance will be monitored

for a year to determine if periodic replacement of the

pressure switches is warranted.

One year after

[license event

report] LER

submittal.

IR 567038 - Actions initiated

by the corrective action

program have resulted in

identifying adverse trends on

[electromagnetic relief valve]

EMRV instruments. Actions

initiated by the [corrective

actions] have resulted in

implementing replacement of

the pressure switches and

control relays and

establishing routine

replacement [preventative

maintenance] tasks.

4

Source: 3/28/05

letter 2130-05

20040, Page 1

of attachment.

Item listed

(ML0509042340)

To ensure that the Standby Liquid Control system is

initiated in the event of a [large break] LOCA, the Oyster

Creek [EOPs] will be revised as required.

Within 90 days

of NRC

issuance of

license

amendment.

Procedures

EMG-SP7, 2000-GLN

3200.01

(refer also to Item 1)

RCMT 189765-48

Table 1

- 7

Item

Source

Commitment

Timeframe

Comments

5

Source: 3/31/05

letter 2130-05

20062,

Attachment 2.

Second item.

(ML0509600680)

Revise the administrative procedure for control of EOP

documents (CC-AA-309, Control of Design Analysis) to

include instructions to use the appropriate configuration

control process to revise the plant specific technical

guidelines (PSTG) Appendix C criteria.

CAP 02004

1986-12 was

completed on

12/02/2004

AD-OC-103, "EOP/SAM

[severe accident mitigation]

Program Control," includes

annotations associated with

the implementation of this

commitment.

Section 6.5.2 - CM-2,

LAR 05012.02, Nov EA

04-213 (Steps 4.1.3.13,

4.1.3.14).

Section 4.1.3.13 - Any

change to a design

input, setpoint, used in

Appendix C to the

PSTGs shall be

controlled in accordance

with CC-AA-102,

"Design Input and

Configuration Change

Impact Screening. (CM

2)

Section 4.1.3.14 - All

changes to the

calculations in Appendix

C to the PSTGs shall be

controlled in accordance

with Procedure CC-AA

309, "Control of Design

Analyses." (CM-2)

RCMT

620989-05

Table 1

- 8

Item Source

Commitment

Timeframe

Comments

6

Source:

Attachment 3 of

Self-

Assessment.

Page 7, second

and third DC

items and Page

10 - DC items.

Page 7

  • Verification of proper annotation of current

commitments using PassPort after data transfer.

(487012-10)

  • Transfer of data to PassPort and train site on proper

commitment management. (487012-10)

Page 10

  • Lotus Notes Database currently not site-wide

searchable and known commitments may be missed.

(IR 380386)

Actions

Completed

IR

487012-10

(references

IR 528865-48)

IR

380386 -01,02,03,04, and

05

Internal actions completed as

a result of self-assessment

7

Commitment

Change

Evaluation

Forms.

  • Commitment Tracking Numbers08-006, 08-004

R1,08-002

Procedural

requirements

completed

Attachment 1 from LS-AA

110

Commitment changes

requiring both the need to

inform and not inform NRC

Table 1

Mr. Charles G. Pardee

President and Chief Nuclear Officer

Exelon Generation Company

4300 Winfield Road

Warrenville, IL 60555

SUB~IECT

OYSTER CREEK NUCLEAR GENERATING STATION (OCNGS) - AUDIT OF

EXELON'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO.

ME0362)

Dear Mr. Pardee:

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power

Reactor Licensees to the NRC Staff," dated September 21,2000, the U. S. Nuclear Regulatory

Commission (NRC) informed licensees that the Nuclear Energy Institute document NEI 99-04,

"Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for

controlling regulatory commitments and encouraged licensees to use the NEI guidance or

similar administrative controls to ensure that regulatory commitments are implemented and that

changes to the regulatory commitments are evaluated and, when appropriate, reported to the

NRC.

The NRC Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of

licensees' commitment management programs once every 3 years to determine whether the

licensees' programs are consistent with the industry gUidance in NEI 99-04, and that regulatory

commitments are being effectively implemented.

An audit of OCNGS's commitment management program was performed during January and

February 2009, including activities at Exelon's office in Kennett Square, PA on February 24,

2009. The NRC staff concludes, based on the audit, that OCNGS has implemented an

acceptable program for implementing and managing NRC commitments. Details of the audit

are set forth in the enclosed audit report.

Sincerely,

G. Edward Miller, Project Manager

Plant Licensing Branch 1-2

Division of Operating Reactor Licensing

Office of Nuclear Reactor Regulation

Docket No. 50-219

Enclosure: Audit Report

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