ML17290A942

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Insp Rept 50-397/93-51 on 931208-10.No Violations Noted. Major Areas Inspected:Licensee Employee Concerns Program
ML17290A942
Person / Time
Site: Columbia 
Issue date: 01/10/1994
From: Johnson P
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML17290A941 List:
References
50-397-93-51, NUDOCS 9402020026
Download: ML17290A942 (11)


See also: IR 05000397/1993051

Text

U.S.

NUCLEAR REGULATORY COMMISSION

REGION V

Report No:

Docket No:

License

No:

Licensee:

Facility Name:

Inspection'at:

Inspection

Conducted:

Inspectors:

50-397/93-51

50-397

NPF-21

Washington Public Power Supply System

P. 0.

Box 968

Richland,

MA 99352

Washington Nuclear Project

No.

2 (WNP-2)

MNP-2 site near Richland,

Mashington

December

8-10,

1993

F.

R.

Huey

Enfor ement Officer

Approved .by:

~Summa':

-P.

H. Johnso

,

ief

Reactor Project

Section

1

il(

z

Date Signed

Ins ection

on December

8 throu

h

10

1993

Re ort No. 50-397 93-51

Areas

Ins ected:

Special,

announced,

inspection of the licensee's

employee

concerns

program.

Inspection

Procedure

92720 was used

as

gui,dance during this

inspection.

Safet

Issues

Mana ement

S stem

SIMS

Items:

None.

Results:

General

Conclusions

and

S ecific Findin s:

Meaknesses:

E

The inspection identified a number of weaknesses

in the licensee's

employee

concerns

program which indicate the need to establish

procedures

which more clearly define specific requirements

for hoP Concerns

are to

be evaluated,

tracked

and resolved.

The inspection also identified that the licensee

had performed

a poor

evaluation

and resolution of a recent

employee

concern involving

procedure

compliance, training, inadequate

technical

review of potential

fire seal deficiencies;

and potential discrimination for-,raising safety

concerns

to licensee

management.

9402020026 940ii2

PDR

ADOCK 05000397

6

PDR

4

Summar

of Violations and Deviations:

None

Unresolved

and

0 en Items

Three unresolved

items were identified involving: (I) the failure to properly

document,

evaluate

and correct potential fire seal deficiencies,

(2) the

failure to provide an adequate fire seal

inspection

procedure,

and (3)

possible discrimination against

an employee

who raised safety concerns to

licensee

management.

0

DETAILS

Persons

Contacted

J. Parrish, Assistant

Managing Director for Operations

D. Coleman, Acting Manager,

Regulatory

Programs

J. Gearhart,

Director, guality Assurance

M. Hatcher, Staff Attorney

R. Steiner,

Manager,

Project

Human Resources

W. Kiel, Licensing Engineer

Em lo ee Concerns

Pro ram

ECP

Or anization

and Structure

92720

,Appendix

B of 10 CFR 50 requires that licensees

implement measures

to

ensure that conditions

adverse to quality are promptly i'dentified,

documented,

and corrected.

Although such

programs

are not specifically

required

by NRC regulations,

many licensees

have elected

to. implement

employee

concerns

progr ams

(ECPs)

as

one means of identifying and

evaluating potential quality concerns

at licensed reactor plants.

The

ECP at WNP-2 is defined

by General

Information Handbook-Administrative

Procedures

Manua'l procedures

GIH 3.4.6,

"Nuclear Safety Issues

Policy,"

and

GIH 9.5. 1,

"Open Door Policy/Direct Line," which are approved

by the

Managing Director for Operations.

The Direct Line program is supervised

and maintained

by two individuals,

the Assistant

Managing Director for Operations

(AMDO) and his secretary.

A'

Direct Line concerns

are initially evaluated

by. the

AMDO, who

typically refers the concern to the cognizant line organization for

evaluation

and correction.

The

AMDO may also refer the concern to an

independent

party for evaluation, if he deems

such action appropriate.

The Direct Line program is publicized by inclusion in site training and

numerous

signs located at various locations

on site.

ECP Pro ram Statistics

1991

1992

1993

Number of employee

concerns

submitted:

Number of anonymous

concerns:

Average.=length of time to close file (weeks):

Longest period file was

open

(weeks):

Number of concerns

substantiated:

Number of files remaining open:

5

4

3

9

2

0

3

10

1,4

3

2

3

5

0

0

0

0

General

Findin s

The inspector

reviewed licensee files associated

with the

18 employee

concerns

submitted since the beginning of 1991, with the following

findings:

a.

Licensee

procedures

do not define the expected

format or content of

employee

concern files, nor are requirements

specified for how files

are to be closed.

In this regard,

the inspector

noted that many of

the Direct Line files do not include

a formal signoff or clear

description of actions taken to closeout the concerns.

b.

Licensee

procedures

do not define specific measures

which should

be

taken to protect employee confidentiality.(e.g.

ensure that the

employee

agrees that his concern

can

be referred directly to his

management

for review).

C.

d.

One Direct Line concern received

on April 2,

1991, did not include

an indication that the results of the licensee's

evaluation

were

provided to the concerned

employee.

Many of the Direct Line concern files did not include information on

the results of the licensee evaluation of the concerns

or how the

files were closed.

Examples

included concerns

received

on

September

23,

1992,

May 21,

1992,

and March 6,

1991.

e.

The licensee

ECP procedures

did not provide for periodic independent

assessment

of Nuclear Safety Issues/Direct

Line program performance.

f.

The licensee's

Direct Line program is currently staffed

by only the

AMDO and his secretary.

The inspector

was concerned that these

programmatic

deficiencies limited

the effectiveness

of the

ECP.

During the exit meeting,

the inspector

indicated that the licensee

should evaluate

whether periodic assessment

is warranted to ensure that the program effectively performs its intended

functions.

In addition, the licensee

may want to consider whether

additional

resources

are appropriate to properly maintain -and oversee

the

program,

or whether the program should

be delegated

to an existing .audit

organization to implement.

The licensee

acknowledged

the inspector's

comments.

5.

S ecific Findin s:

a.

A Direct Line concern received

on September

30,

1993,

addressed

a

technical

concern

and also indicated that

a licensee

supervisor

had

made potentially threatening

remarks

about the use of the Direct

Line Program.

The file addressing

the technical

concern

was closed;

however,

the issue of discriminatory remarks

by a licensee

supervisor

did not appear to have

been evaluated.

b.

A Direct Line concern received

December

4,

1992, identified

a

specific source for information about

a technical

concern,

and also

identified a potential discrimination problem.

Thy .file was closed

without any indication that the identified sou'rce

heal been

contacted,

nor did it appear that the discrimination concern

had

been evaluated.

c.

A Direct Line concern received

September

1,

1993, identified several

concerns

involving:

(1) procedure

compliance,

(2) training,

(3)

inadequate

technical

review of potential fire seal material

deficiencies,

and (4) potential discrimination against

an employee

for raising safety concerns to his management.

The Direct Line

concern

was received

by the

ANDO and referred to the Plant Technical

Hanager for evaluation.

The inspector

was concerned that the concern

should

have

been

referred to an independent

party for a more objective evaluation,

because

the employee's

concerns largely reflected frustration with

the response

that he had already received

from his immediate

supervision.

Furthermore,

the licensee

did not appear to have

properly evaluated

the employee's

concerns.

In particular:

(1)

Em lo ee Concern:

Some fire seals

are inadequate

because

the

seals

have shrunk

and

do not make complete contact with the

walls or conduits they are intended to seal.

The licensee

has

not consistently

documented

these deficiencies

or documented

an

engineering

evaluation establishing their acceptability.

A

Request for Technical

Services

(RFTS) submitted

by the

employee,

concerning the adequacy of shrinking seals,

was

rejected

and not provided to engineering for evaluation.

Licensee

Evaluation:

The licensee

concluded that fire seal

shrinkage

was being properly documented

and evaluated,

noting

that seal .shrinkage of less that 1/2 inch depth or width was

acceptable

and need not be documented.

The licensee

also

determined that shrinkage in excess

of 1/2 inch may be

acceptable if evaluated

by Plant Technical

not to reduce the

minimum seal

depth required

by applicable

seal

drawings.

The licensee's

evaluation referenced

several

discussions

with

other utility and fire seal

vendor representatives.

The

- --inspector noted that one utility had determined that seal

material

would expand significantly when exposed to fire,

noting that

a test

showed that

a 'seal with a one-half inch gap

expanded

to close the

gap "before vast. amounts of smoke or

flame passed

through the opening."

In addition,

a vendor

representative

had advised the licensee that fire test

information was available to show that defects

up to 1-3/4 inch

depth were acceptable.

The licensee

concluded that additional

engineering

review of seal

shrinkage

was not warranted

and that

the

RFTS submitted

by the employee

was appropriately rejected

in accordance

with licensee

procedures.

Fi di

ih

i

p t

1

d d

h

h'l

did

have

an appropriately

documented

basis for acceptance

of

observed fire seal

shrinkage conditions.

The licensee

was

unable to provide

a quantitative engineering

evaluation

supporting its conclusion that shrinkage of up to 1/2 inch was

acceptable

and

bounded

by the qualification tests for the fire

seals installed at WNP-2.

It appeared

to the inspector that

without such

a quantitative evaluation,

the employee's

Direct

Line concern

should not have

been closed,

and that the

employee's

RFTS submittal

was appropriate

and should

have

been

validated

and reviewed.

(2)

The inspector also noted that

a Problem Evaluation Request

(PER)

was initiated on October -21,

1993,

documenting

apparent

deficiencies

on Emergency Diesel

Generator

room fire seals.

The

PER was not validated

by the originator's supervisor

and

was returned to him without documenting the reason for

invalidation in the "Condition Description" block of the

PER

and without signing and dating the form, as required

by

procedure

PPM 1.3. 12,

"Problem Evaluation Request."

The

licensee

committed to document

an appropriate

engineering

evaluation establishing

the acceptability of existing fire seal

configurations

and seal

inspection criteria.

The failure to

properly document,

evaluate,

and correct potential fire seal

deficiencies is

a potential violation of the requirements

of

10CFR50,

Appendix B.

This item will remain unresolved

pending

completion of the. licensee

evaluation

(Unresolved

Item 93-51-

01).

Em lo ee Concern:

Licensee

procedure

PPN 15.4.6, "Fire Rated

Assembly/Inspection

and Operational Verification," required

that fire seals

be flush with the wall'n one side.

Host fire

seals

are not flush with the wall on either side.

The employee

raised

a procedure

compliance

concern

when his supervisor

refused to have the procedure revised, after determining that

seal

design criteria did not require the seal to be flush with

the wall.

Licensee

Evaluation:

The licensee

dete'rmined that the fire

seal

sketch referenced

by the procedure,

although showing the

seal

flush with one side of the wall, was not intended to

require that the seal actually

be flush with the wall.

The

licensee

maintained that the sketch configuration was only

intended to show the wall as

a reference line for establishing

the minimum-required,

seal

thickness.

The licensee

concluded

that the employee

should have accepted

the judgement of his

supervisor that non-flush seal

configurations

were acceptable

and that

a procedure

change

was not necessary.

N~R

Fi di

Th i

p t

i

d d th

L

h fi

inspection

procedure

was not violated; however, the procedure

was not clearly written. 'lthough, the sketch could reasonably

be interpreted

as requiring

a flush configuration, the

inspector

agreed with the licensee's

conclusion that the sketch

did not intend that the seal

be flush with the wall.

Nevertheless,

in view of the licensee's

recent senior

management

emphasis

on strict procedure

compliance,

the

inspector

concluded that the licensee

should

have

acknowledged

the employee's

concern

and clarified the procedure.

The

inspector also noted that the procedure

may be inadequate

in

that it did not clearly specify how unacceptable

or cosmetic

seal deficiencies

were to be determined

or dispositioned.

The

issue of procedure

adequacy will remain unresolved,

pending

receipt of .the licensee's

evaluation

(Unresolved

Item 93-51-

02).

Em lo ee Concern:

The, training of personnel

who inspected fire

seals

was not adequate.

The training did not adequately

cover

acceptance

criteria or the types of sealant

used at WNP-2.

Also, the training did not,include .field walkdowns of the seals

to provide examples of the types of fire seals

and sealants.

Licensee Ev'aluation:

The licensee

concluded that tra'ining was

adequate

and that training walkdowns were not necessary,

since

new inspectors

were paired with experienced

inspectors.

heidi:

Th

t

p

t dd htth

pt

training was minimally acceptable.

However, considering the

relatively complex nature of fire seal

inspection,

which

involved both quantitative measurement

and qualitative

judgement,

additional. training or use of more qualified

inspection

personnel

would have

been helpful.

The inspector

noted that the use of seal

mockups during classroom training,

as

had

been

used during previous

seal

inspector training

classes,

would also have.been

helpful in training this

employee.

Em lo ee Concern:

Workers performing fire seal

inspection

were

inadequately trained

on Radiation

Work Permit

(RWP)

requirements

and did not follow health physics requirements

specified in RWP's.

Licensee Evaluation:

The licensee

determined that

some doors

to high radiation areas

included "Contact

HP Prior to Entry"

signs which were potentially confusing in that radiation

workers entering the area

had previously contacted

HP,

and

recontacting

HP for each'ntry

was not necessary.

The

unnecessary

signs were removed to alleviate confusion.

Th

t

p

dt

d tt

t

h

h

employee

and involved

HP personnel,

and concluded that the

licensee failed to properly evaluate this concern.

In

particular, the inspector noted that the employee

had advised

his supervisor that

HP personnel

were "very concerned"

and

"cancelled the job" when advised

by the employee that,they were

going to enter the

RHR heat exchanger

room.

',The licensee

evaluation did not appear to properly followup on this

information.

When questioned

by an

NRC inspector,

the involved

HP technician confirmed the employee's

concern, stating that he

had instructed the two,involved fire seal

inspectors that

compliance with the "Contact

HP Prior to Entry" sign on the

RHR

heat exchanger

room door was required.

The

HP 6.chnician

advised the workers that required surveys of the room had not

been performed.

If the high radiation boundaries

inside the

room had changed,

the workers

may not have

been signed in on

the required

RWP,

and they may not have

been wearing the

required dosimetry..

The inspector

noted that, priot to inquiry by the

NRC, the

involved

HP technician

had not been contacted

by licensee

personnel

about this event.

In this regard,

the licensee

may

want to reconsider

whether

a "Contact -HP Prior to Entry" sign

is not appropriate for the

RHR heat exchanger

room door.

(5)

Em lo ee Concern:

Workers performing fire seal

inspection did

not have

a copy of the applicable inspection procedure

in hand

when performing inspections,

as required

by licensee quality

assur ance procedures.

Licensee Evaluation:

The licensee

confirmed the employee's

concern

and retrained the involved worker.

hali dl:

Th

I

p

g

d

lth

h

evaluation.

(6)

Em lo ee Concern:

Because

he had raised fire seal safety

concerns,

the licensee

discriminated against the employee

by

including negative

comments in his performance

appraisal

and

giving him a lesser

pay bonus than his co-workers.

Licensee

Evaluation:

The licensee

concluded that the

employee's

performance

appraisal

was appropriate

and that

he

had not been criticized because

he had raised safety concerns.

The licensee

maintained that critical comments

in the

employee's

appraisal

wei e the result of his reluctance to

accept technical direction from his supervisor

and problems

interfacing with his inspection partner.

II ldl:

Th

I

p

dl

d htth

ply

submitted

a discrimination claim to the Department of Labor.

The licensee

committed to perform an independent

assessment

of

the handling of this Direct Line concern.

The issue of

possible discrimination will remain unresolved,

pending receipt

of the licensee's

evaluation

and findings by the Department of

Labor (Unresolved

Item 93-51-03).

In summary,

the inspector

concluded that the licensee's

employee

concern

prog'ram was not effectively structured,

nor did program procedures

provide sufficiently specific requirements

to ensure that concerns

were

confidentially, independently

and thoroughly evaluated

and resolved.

In

particular, the inspector

noted that the licensee

had not properly

evaluated

or resolved

a recent

employee

concern

about potential fire seal

deficiencies.

6.

Exit Heetin

30703

/

On December

10,

1993, the inspector

met with licensee

representatives

(as

noted in Paragraph

1) to discuss

the inspection findings.

The licensee

did not identify as proprietai y any of the materials

discussed

with or

reviewed

by the inspectors

during this inspection.

I

'