ML17305A759

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Insp Repts 50-528/90-02,50-529/90-02 & 50-530/90-02 on 900108-0412.Violations Noted.Major Areas Inspected:Licensee Performance on Closing Out NRC Open Items & Routine Fire Protection Program Implementation
ML17305A759
Person / Time
Site: Palo Verde  
Issue date: 04/23/1990
From: Huey F
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML17305A758 List:
References
50-528-90-02, 50-528-90-2, 50-529-90-02, 50-529-90-2, 50-530-90-02, 50-530-90-2, NUDOCS 9005160015
Download: ML17305A759 (59)


See also: IR 05000528/1990002

Text

U. S.

NUCLEAR REGULATORY COMMISSION

REGION

V

Report Nos. 50-528/90-02,

50-529/90-02,

50-530/90-02

Docket Nos. 50-528,

50-529,

50-530

License

Nos.

NPF-41,

NPF-51,

NPF-74

Licensee:

Arizona Public Service

Company

Facility Name:

Palo Verde Nuclear Generating Station

(PVNGS)

Units 1,

2 and

3

Inspection at:

Palo Verde Site, Wintersburg, Arizona

Inspection

Conducted:

January

8 - April 12,

1990

Inspectors:

C. A. Clark, Reactor

Inspector

C. B. Ramsey,

Reactor Inspector

F. S.

Gee,

Reactor Inspector

D. P. Notley,

NRR/SPLB

Approved by:

uey,

ie

Engineering Section

< "A.

ate

>gne

Ins ection

Summar

Ins ection Durin

the Period Januar

8 - March 23,

1990

Re ort Nos.

9-,

0-

/

Areas

Ins ected:

A routine unannounced

inspection

by regional

and

NRR

)nspectors

of the licensee

performance

on closing out

NRC open items,

Inservice Testing (IST) activities,

and routine Fire Protection

program

implementation.

Inspection

Procedure

Nos. 30703,

62705,

64704,

73756,

92701

and

92702 were

used

as guidance for the inspection.

Results:

General

Conclusions

and

S ecific Findin s:

Licensee

personnel 'still appear reluctant to initiate a

HNCR or

EER

immediately within their shift, upon identification of a deficiency,

nonconforming condition, etc.

It appears

that licensee training in

this area requires additional

management

attention to ensure that all

licensee

personnel

completely understand their responsibilities.

900516001..i

900424

PDR

ADOCK 0 000 28

Ig

PDC

Licensee

performance

in issuing the new revised

Emergency Operating

Procedures

(EOPs)

has

been slow.

Durino this inspection the

licensee identified that these

new

EOPs will not be effective until

approximately July 1991,

a year later than that initially identified

to the

NRC.

Additional management

attention in this area is

needed.

Additional management

attention is needed

in the fire protection

area,

to ensure

adequate

training for personnel

performing fire

protection inspections.

Si nificant Safet

Matters:

None

Summar

of Violations:

One non-cited violation.

Paragraph 2.E(5)-

Inadequate

10 CFR 50.59 Review.

0 en Items

Summar

Twelve open

items were closed, five open

items were left

open, five new unresolved

items were opened.

l

I

0

DETAILS

1.

Persons

Contacted

    • R. Badsgard,

Supervisor,

Nuclear Engineering

Department,

    • J. Bailey, Vice President

Nuclear Safety

& Licensing

R. Adney, Plant Manager,

Unit 3

  • T. Barsuk, Site Lead,

Emergency

Planning

    • R. Bernier,

Lead Engineer,

Licensing

  • H. Bieling, Manager,

Emergency Planning/Fire Protection

¹* T. Bradish, Manager,

Compliance

R. Bouquot, Senior

gA Auditor, gA8H

  • J. Cole,

Lead Metrologist, Measurement

and Test Equipment

  • D. Crozier, Supervisor,

Fire Protection

C.

Emmet, Sr. Information Coordinator

    • Z. Elenor, Sr. Nuclear Safety Engineer

J. Flomerfelt,

Document Control

R. Flood, Assistant Plant Manager, Unit 2

R. Fountain,

Deficiency Coordinator,

(ASM

  • R. Fullmer, Manager,

gASH

¹* F. Garrett, Fire Protection

Engineer,

Risk Management

R. Guron,

NED Electrical Engineer

M. Halpin, Senior Operations

Advisor

¹* R. Henry, Site Representative,

SRR

    • H. Hodge, Mechanical

Engineering Supervisor

¹

H. Hypse,

Lead, NED/Electrical

W. Ide, Plant Manager, Unit I

¹* S. Johnson,

Site Representative,

SCE/LADWP/SCPPA

¹* D. Kanitz, Engineer,

Compliance

K. LeRoy, Unit 3 Electrical Maintenance

Super visor

    • J. Levine, Vice President,

Nuclear Production

  • W. Marsh, Plant Director, Nuclear Production

J.

McGath, Supervisor,

QA

J. Minnicks, Maintenance

Manager, Unit 3

R. Hyers, Senior Advisor, Operation

Standards

C. Nuss, Operations

Advisor

  • R. Page,

Support Supervisor,

Measurement

and Test Equipment

M. Powell, Unit I Electrical Maintenance

Supervisor

¹* R. Rouse,

Engineer,

Compliance

J.

Samuels,

EED Electrical Engineer

J.

Schmadeke,

OCS Manager.,

SSTs

  • B. Simpson,

Vice President,

Engineering

and Construction

M. Stewart, Unit 2 Electrical Maintenance

Supervisor

G. Sowers,

Manager,

EED

T. Thompson,

Senior Engineer,

Nuclear Engineering

Department

Denotes

those

personnel

in attendance

at the exit meeting

on January

26,

1990.

Denotes

those

personnel

in attendance

at the exit meeting

on February 9,

1990.

    • Denotes

those

personnel

in attendance

at the exit meeting

on March 23,

1990.

The inspectors

also held discussions

with other licensee

and contractor

personnel

during the course of the inspection.

2.

Fire

A.

B..

Protection/Prevention

Program

Im lementation

64704,

62705

Personnel

Staffin /Or anization

Recent reorganization

and personnel

changes

have created

optimism

among the licensee's

staff.

Management

has apparently

demonstrated

acknowledgement

of long-standing

problems in this area

and

made

a

commitment to the fire protection staff to allocate the necessary

resources

to resolve existing problems

and deficiencies.

The licensee's

engineering staff has

been strengthened

by the

addition of a site fire protection engineer within the mechanical

engineering

section.

In addition, the licensee

has allocated

resources

to add

a fire barrier systems

engineer in the Engineering

Evaluation Department.

Trainin

ualifications

Electrical maintenance,

mechanical

maintenance

and

18C Technicians

are assigned fire protection

system maintenance

tasks.

I&C Technicians

receive initial 40 hour4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> troubleshooting

and

refresher training on fire protection

and detection

systems

in

accordance

with Sections 3.6.1.9, 3.6.2.5, 3.7.2.5

and 3.7.4.15 of

Procedure

No.

15DP-OTR39 ("ISC Technician gualification Requirements

and Training Program Description" ).

Other than

on the job training and mandatory training on station

batteries

and battery chargers,

required

by Sections

3.5.11.1

and

3.6.2.12 of Procedure

No.

15DP-OTR40 ("Plant Electrician

gualification Requirements

and Training Program Description" ),

electrical

maintenance

technicians

do not receive

any training on

fire protection systems.

Mechanical

maintenance

technicians

are not

required to receive training on fire protection systems

by Procedure

No.

15DP-OTR41.

The licensee

acknowledged that certain fire

protection

systems

were unique,

and personnel

assigned

maintenance

tasks

on such equipment

should

be provided with the specialized

training required to complete the tasks.

The licensee

indicated

that consideration

would be given to expanding

the training and

qualification requirements

of electrical

and mechanical

maintenance

personnel

to include knowledge of unique fire protection systems.

The onsite Fire Team receives

a 40 hour4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> Nuclear Safety Training

Course,

and firefighter certifications are being upgraded to meet

NFPA Standard

No.1001,

Level II qualifications.

Fire Team Advisors were not receiving training in fire protection

or

firefighting to qualify as

a Fire Team Advisor.

Operations

Procedure

No. 40AC-90P02

{Conduct of Shift Operations),

requires

that the fire team advisor

on each shift be

a licensed

Reactor

Operator.

The inspector's

review of Control

Room Shift Logs for the

months of November

and December

1989 indicated that licensed

Reactor

Operators

have

been assigned

duties

as Fire Team Advisor.

However,

according to the logs, it appears

that

an Auxiliary Operator,

or

a

Reactor Operator,

can also be assigned

the duties of Fire Team

Advisor.

This is not consistent with Section 2.5 of Procedure

No.

40AC-90P02,

which requires that

a licensed

Reactor Operator

be

assigned

Fire Team Advisor on each shift.

In response

to this concern,

the licensee

indicated that

a fire team

advisor firefighting program was being developed,

and additional

clarification of Fire Team Advisor qualifications would be made to

Operations shift crews

by February

15,

1990.

Inspection findings in coordinated offsite fire department training

and drills are discussed

in paragraph

4.F of this report.

Fire Protection Interface With Other Plant Or anizations

Previous fire protection interface with operations

and other plant

activities,

such

as maintenance,

work. planning and work control,

appears

to have

been weak.

The licensee is in the pi ocess of

addressing

this weakness

through the formation of a Fire Protection

Review Board which will be chartered

to review and evaluate all

aspects

of the fire protection program to ensure

various regulatory

requirements

and industry standards

are being implemented

by all

affected disciplines.

When this review board process

is

implemented, all fire protection engineering

work between

engineering

groups,

work control, work planning,

procurement

engineering, etc., will be processed

through the fire protection

engineering organization.

An acceptable

action plan to correct this

condition is provided in the licensee's

March 16, 1990, submittal to

Region V.

Preventive

and Corrective Maintenance

The licensee

acknowledged that there is an unacceptable

backlog of

preventive maintenance

tasks

on fire protection

and detection

equipment,

dating back to 1986.

Licensee

CAR No. 88-0076

documented

this concern.

An acceptable

action plan to correct this condition is

provided in the licensee's

March 16,

1990, submittal to Region

V.

Essential

and

Emer enc

Li htin

S stems

FSAR Sections 9.5.3.2.2.2

and 9.5.3.2.2.3

describe the essential

and

emergency lighting systems.

The emergency lighting system in each

unit consists of the following:

{I) eight Johnson

Controls,

Model

6VHC-96, lead-acid

and gel-cel batteries

supplying power to

3

fluorescent

emergency lights in the Auxiliary Building and Control

Building; (2) ten Exide Electronics,

Model 3CC5, lead-calcium

batteries

supplying power to Control

Room emergency lighting; (3)

sixteen Saft America Inc., Model Nicad 406601,

Type F, batteries

supplying

power, to the Main Steam Support Structure

(MSSS)

and in

access

and egress

pathways thereto;

and (4) approximately four

hundred-fifty Dual Lite Model, EDE-30, wet cell nickel cadmium,

batteries

supplying power to 8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> and 1.5 hour5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> emergency lighting

in the remainder of the plant.

(1)

Desi

n and

Re viator

Re uirements

License

No. NPF-41, Condition 2.C(7) for Palo Verde Uni+ 1,

License

No. NPF-51, Condition 2.C(6) for Palo Verde Unit 2 and

License

No. NPF-74, Condition No. 1.F for Palo Verde Unit 3,

reads in part,

"APS shall

implement

and maintain in effect all

provisions of the approved fire protection

program

as described

in the Final Safety Analysis Report

(FSAR) for the facility, as

supplemented

and

amended,

and

as

approved in the

SER through

Supplement ll, subject to the following provision:

APS may

make changes

to the approved fire protection

program without

prior approval of the Commission only if those

changes

would

not adversely affect the ability to achieve

and maintain safe

shutdown in the event of fire."

SER Supplement

No.

7 documents

the

NRC staff's review of the

licensee's

spurious actuation studies.

Item No.

15 of the

licensee's

November 6, 1984, "Outside Control

Room Fire

Spurious Actuation Study" (Studies

01-NS-110,

02-NS-110

and

03-NS-110)

reads

"Postulated fires in each

FSAR Table

9B fire

zone of the Auxiliary Building, Control Building and Main Steam

Support- Structure will be evaluated for their impact on the

ability to achieve

SSD."

Regarding

emergency lighting, Section

9.5.1.4 of SER Supplement

No. 8 reads

in part,

"The

SER stated

that 8-hour battery-powered

emergency lights are provided in

all areas of the plant necessary for safe

shutdown.

By letter

dated April 15', 1985, the applicant confirmed that this design

concept includes the access

and egress

routes to these areas".

FSAR Table 9B.3-1(C.3) requires

implementation of a quality

assurance

program to ensure that purchased materials,

equipment

and services

conform to Code Compliance

Documents,

Performance

Test Verification Reports,

Pressure

Test Verification Reports,

Certificates of Compliance for'hipment and Material

Certificates of Compliance.

Arizona Public Service

(APS)

Operations guality Assurance

Manual, Revision 5, Criterion 3,

implements

the provisions of FSAR Table 9B.3-1(C.3).

FSAR Table 9B.3-1(D.5) requires fixed emergency lighting with 8

hour minimum battery power supplies

be provided for safe

shutdown

equipment

and in access

and egress

routes thereto.

FSAR Section 9.5.3. 1.3 reads,

"Design and installation of the

plant lighting systems

use the guidance

provided

by the

National Electrical

Code

(NFPA No. 70-1975/ANSI Cl-75) and the

Handbook of the Illuminating Engineering Society".

The results of the inspector's

examination of the licensee's

implementation of these

requirements

are

as follows:

(a)

Control.Buildin , Auxiliar Buildin , Diesel

Generator

Bus

in

an

Main Steam

Su

ort Structure

mer enc

tsn

essan

an

m

ementatsnn

The National Electrical

Code

(NFPA 70-1975/ANSI Cl-75),

Article 400-4, requires that emergency lighting fixtures

and equipment

be designed,

tested

and accepted for a

specific purpose or application

by a nationally recognized

testing laboratory.

The various types of battery

powered

emergency lighting units installed to support operator

actions to achieve

safe

shutdown in the event of a fire at

Palo Verde were tested

and accepted

by Underwriters

Laboratories

Inc., for use in environments

with ambient

temperatures

of 77 degrees

F, as specified in APS Material

Requisition

No. 13-EM-041B, referencing

Underwriters

Laboratory

(UL) Standard

No. 924.

The various battery manufacturer's

literature state that

the manufacturer's

warranty is invalidated if the

batteries

are operated

in ambient temperatures

above

110

degrees

F., or if the batteries

are not maintained in

accordance

with the National Electrical

Code.

FSAR Table 9.4.2 specified the maximum operating

space

temperatures

for certain areas

requiring operator actions

in support of safe

shutdown

as follows:

Auxiliary

Building, 104 degrees

F;

ESF

Pump

Room,

120 degrees

F;

Diesel Generator

Room,

140 degrees

F; Diesel Generator

Control

Room,

122 degrees

F and Essential

Spray

Pond

Pump

House,

120 degrees

F.

The battery powered

emergency

lighting units installed to support operator actions to

achieve safe

shutdown in these

areas

apparently

were not

tested

and accepted for operation in the maximum space

temperatures

experienced

in these areas.

Additionally, the emergency lighting units that were

installed in June

1989 in the

MSSS,

and in access

and

egress

routes thereto,

apparently

have not been tested

and approved for use in outdoor wet locations, or the high

ambient outdoor temperature

environments

experienced

at

Palo Verde during summet

months.

Regarding

Johnson

Controls Model 6VHC-96, Dynasty

GC

12V-100 and

12UPS-300 lead-acid

and gel-cel batteries

supplying

power to fluorescent

emergency lighting fixtures

in the Auxiliary Building, the battery capacity ratings

do

not appear to'rovide the power

needed to sustain

8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />

emergency lighting for loads in Units

1 and 3.

According

to the licensee's

Procurement Specification

No.

13-EYi-041B, the battery cells a'e required to be of the

proper ratino to meet

125 percent of the battery load

profile requirements

at

a minimum battery temperature

without the battery voltage dropping below 1.75 volts per

cell, to ensure

adequate

capacity at the end of the

battery's

useful life in accordance

with U.L. Standard

No.

924.

The end of the battery's

useful life is defined in

the specification

as the point where the battery

has

reached

80 percent of its 8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> discharge rating.

Article 700-6 of NFPA 70-1975

and Section

37.1 of U.L.

Standard

No. 924 requires that the batteries

have

a

capacity rating to supply and maintain not less

than 87.5

percent of the nominal battery voltage for the total load

of the circuit supplying emergency lighting.

The load

profile for lighting fixtures supplied

by Battery Nos.

gBN001 and

gBN003 in Units

1 and

3 requires

86 amp/hours.

However, all of the these existing batteries

in Unit

1 and

two of the batteries

in Unit 3, are only rated for 73

amp/hours

(GC12V-100)

and

88 amp/hours

(12UPS-300).

These

batteries

were replacements

for the original batteries

(6VHC-96), which had

a

96 amp/hour ratino.

According to the battery vendor, the optimum temperature

for maximum battery efficiency is 77 degrees

F.

At higher

and lower temperatures,

the battery capacity is decreased.

The original batteries

(6VHC-96) were designed

to operate

in an optimum temperature

range of 60 degrees

F to 85

degrees

F.

Furthermore,

according to the licensee's

EER No.

89-gD-034, regarding Saft America Inc.'mergency lighting

batteries

installed in the NSSS, which are also designed

to operate in accordance

with U.S. Standard

No. 924, the

batteries

are provided with a disconnect

switch, which

will disconnect

the lighting circuit at 87.5 percent of

the nominal battery voltage.

Based

on the total emergency lighting load profiles (86

amp/hours) for Battery Nos.

gBN001 and

gBN003 in Units

1

and 3, it does

not appear that the original batteries

(6VHC-96), or existing batteries

(12 UPS-300)

are capable

of providing 125 percent of the battery load profile

requirements

at the optimum temperature for maximum battery

efficiency, or at higher and lower temperatures,

where the

battery efficiency is lower.

(2)

There

does

not appear to be sufficient margin in the

GC 12-100 battery capacity to supply power to the lighting

fixtures for 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />.

Further, it appears

that two of the

batteries

installed in Unit 2 with the lower load profiles

have

never

been tested,

and

one other failed the 8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />

discharge test

on March 6, 1990.

The above issues

constitute

an Unresolved"Item (528/90-02-01).

Corrective Actions for Emer enc

Li htin

Batter

Failures

FSAR Table 98.3-1(C.8)

provides that measures

be established

to

assure

that conditions adverse to fire protection

such

as

,failures, malfunctions, deficiencies,

deviations,

defective

components,

uncontrolled combustible material

and

nonconformances

are promptly identified, reported

and

corrected.

APS Operations guality Assurance

Manual, Criterion

16, Revision

No. 5, Section 16.2.1.7 "Corrective Action",

implements

FSAR Table 98.3-1(C.8),

and requires

appropriate

evaluation to determine

the cause

and prevent recurrence of

failures that have

an effect on, or influence safe operation of

the plant in an adverse

manner.

Any decision to permit the use

of installed equipment that is nonconforming is required to be

supported

by a documented

evaluation.

At the time of the inspection, it appeared

that appropriate

corrective actions

had not implemented to preclude

emergency

lighting battery failures

and recurrences

as evidenced

by

emergency lighting battery failure data

shown in a February 20,

1990 Failure Data Trending computer printout for the period

1988 through

1989,

and

a high volume of new battery usage

as

shown in a March 20,

1990 Procurement Materials

Management

Information System computer printout for the period

1986

through

1990.

Du'ring the period of May 1987 to October

1989,

70 of approximately

480 emergency lighting unit batteries

had

failed.

Approximately fiftyof the failed batteries

were

required to support

safe shutdown.

However, appropriate

evaluation of the failures to determine

cause

and prevent

recurrence

apparently

had not been initiated or documented.

Additional deficiencies

associated

with battery

powered

emergency lighting units installed to support operator actions

to achieve safe

shutdown in the event of a fire were identified

and reported,

but apparently not appropriately corrected,

in

that:

(a)

Engineering Evaluation Report

(EER)

No. 87-QD-004, dated

January

28, 1987, identified and documented

problems

associated

with batteries for the emergency lighting units

as follows:

"High temperatures

inside Containment during

operation

cause

loss of electrolyte in'all fixtures; total

loss in many, varying amounts in the rest.

Salt

accumulate

on battery posts

and vent. caps

and is discarded

during

PH cleaning.

Continual repeated electrolyte loss

with demin water replacement will cause

premature battery

failure".

The

same batteries

(Dual-Lite Model EDE-30)

used for Containment

emergency lighting are

used for safe

shutdown

emergency lighting in the Auxiliary Building,

Control Building and Diesel

Generator Building.

The disposition of EER No. 87-gD-004 regarding the boiling

and evaporation of Containment

emergency lighting battery

electrolyte apparently

provided for float voltage adjustment,

to

a reduced battery float voltage, to an unspecified

value.

The modification to allow adjustment of the float

voltage

was apparently

made to Appendix

R emergency

lighting units installed outside of the containment.

It

appears

that the modification was

made to the lighting

units without using the appropriate

design

change

and

maintenance

work order processes.

It further appears

that

the

EER disposition

was not provided with the appropriate

engineering

evaluation of the effects of reduced float

voltage

on the battery discharge

capacity during emergency

use.

The disposition to

EER No. 87-gD-004 also provided for

replacement of the electrolyte in the batteries

with

distilled water,

topped with mineral oil; again apparently

without appropriate

engineering evaluation of the effects

of this disposition.

It appears

that mineral oil had,

also,

been

added to lead-acid batteries

installed in

Appendix

R applications,

in addition to Nickel-Cadmium

batteries.

NRC discussions

with battery vendors

have

indicated that the deposits of mineral oil on the plates

of lead-acid batteries,

and all battery cells, adversely

affects battery capacity

and performance,

and is not

approved.

Given the temperature

extremes

in certain

locations, there appears

to be

a high probability that

mineral oil would be deposited

on plates.

Certain batteries

have demonstrated

a continuing

failure history (Failure Data Trending).

For example,

15 percent

(70 failures of approximately

480 Appendix

R

emergency lights installed in all

3 units) failed over

a 30 month period (tlay 1987 to October 1989).

The

NRC is concerned that Appendix

R emergency lighting

preventive maintenance

tasks

have not been

designed

to optimally assure

a continued capability of Appendix

R

lighting units to operate for the required eight hours.

Furthermore,

apparently,

timely preventive maintenance

completion

has not been aggressively

pursued

because,

in

about 84 instances,

the required

annual

capacity test

and quarterly electrolyte level checks

were overdue in

Unit 3 as of March 23,

1990.

(e)

The licensee's

EER No. 89-gD-034

documents

excessive

failures of NSSS installed

emergency lighting when the

battery input voltage

was found to be greater

than the

rated

21VDC.

The batteries

are required to operate at

rated voltage.

However, the

EER disposition

was apprently

based

on the erroneous

reference

to a time versus voltage

profile which indicated that the excessive

voltage

had

no adverse effect on the batteries,

when, in fact, the

excessive

charging voltage is

a direct contributor to

electrolyte evaporation.

(f)

During restart testing,

MSSS emergency lighting 8

hour discharge test failures occurred

as follows:

In Unit I, 7 lighting units failed once.

Five

lighting units failed twice,

and

3 lighting

units failed three times.

In Unit 2,

4 lighting units failed once,

and

2

lighting .units failed twice.

In Unit 3,

3 lighting units failed twice,

2

lighting units failed three times.

The failure rate for the total of 48 emergency

lighting units installed in all three units

was

approximately

40 percent prior to restart of all

units.

Although high failures continued to occur, the

licensee

stated that the root cause of the

failures

was determined to be incompatible parts

and fixtures supplied

by the manufacturer prior

to restart of Units 2/3.

The cor rect parts

were

supplied

by the manufacturer

and installed

by

the licensee prior to restart of the Units 2 and

3.

However, the lighting units continued to

experience

a high failure rate, apparently without

additional evaluation

and corrective actions

being

implemented

by the licensee.

All work orders

reviewed for repair/replacement

of the

MSSS emergency lighting units subsequent

to Unit 2/3 restart

were characterized

as

a work

pr iority 3, which is the lowest priority assigned

to maintenance

work during operations.

It appears

that prompt and technically sufficient

evaluations

and corrective actions of the considerable,

observed

emergency lighting deficiencies

were not

implemented.

The above issues constitute

an unresolved

item.

(528/90-02-02).

(3)

(4)

Post-Fire

Safe

Shutdown

Procedure

Ade uac

Technical Specification 6.8.2 requires that programs

and

procedures

of Specification 6.8. 1 be reviewed periodically as

set forth in administrative procedures.

Specification 6.8.1

requires that written procedures

be implemented

governing the

Fire Protection

Program.

APS Administrative Procedure

No.

01AC-OAP02 implementing Technical Specification 6.8.2, requires

that the Pre-Fire Strategies

Manual

be reviewed at least

once

every

12 months to determine whether any changes

are necessary.

At the time of the inspection, it appeared

that the Pre-Fire

Strategies

Manual

had not been

reviewed since the original

licensing of Unit

1 in Oecember

1984 to determine the adequacy

of operator actions specified to achieve 'post-fire safe

shutdown for fires occurring outside of the Control

Room.

Furthermore,

the Pre-Fire Strategies

Manual operator actions

appeared

to be inconsistent with the Outside Control

Room Fire

Spurious Actuation Study (Studies

01-NS-110,

02-NS-110

and

03-NS-110) for Fire Zones

47A, 47B, 72, 73,

74A and

74B,

regarding operator actions to interchange

instrument air header

pressure

transmitters.

This is an unresolved

item.

(528/90-02-03)

0 erator Trainin

in Post-Fire

Safe

Shutdown

Technical Specification 6.4 requires that

a training program

be

established

and maintained which meets or exceeds

the

requirements

of ANS 3.1-1978

and Appendix

A of 10 CFR Part 55.

ANS 3. 1-1978, Sections 5.3, requires

establishment

of a

training program for licensed

and non-licensed

operators

to

properly prepare

them for their assignments.

At the time of the inspection, it appeared

that licensed

and

non-licensed

operators

were directed to perform manipulation of

equipment,

by the Pre-Fire Strategies

Manual, to achieve

post-fire safe

shutdown.

It was not apparent that the

personnel

had

been trained to perform the required actions.

1

Regarding Fire Zones

47A, 47B, 72, 73,

74A and 74B, the

Pre-Fire Strategies

Manual directed operators

to locally

operate

switches

and valves in areas

which may not be

accessible

to the operators

in the event of a fire. It was not

clear whether operators

were required to enter these

areas

during the fire to accomplish

manual

actions or to wait until

the fire had

been extinguished.

In either case, it was not

apparent that the appropriate

personnel

had been trained in

safety

and protective measures

necessary

to accomplish

such

actions.

~

~

4

0

~

~

10

For a fire inside the Control

Room, the licensee's

Spurious

Actuation Study 13-NS-109 requires

operators

to provide makeup

to the Essential

Chilled Water System,'ssential

Cooling Water

System

and Emergency Diesel Generator

Surge

Tanks by providing

water from the Fire Water System.

It was not apparent that

operators

had been trained to perform these actions.

This is an unresolved

item.

(528/90-02-04)

(5)

Inade uate

10 CFR 50.59 Review of Fire Barrier Deficiencies

Pursuant to 10 CFR 50.59,

by letter, dated

June

27,

1988, the

licensee

submitted its annual report to the

NRC staff for

review.

10 CFR 50.59(a)(2)

requires

licensee's

to submit

proposed

changes

to the facility to the

NRC staff for review

prior to implementation of the change, if the margin of safety

as defined in the basis of any technical specification is

reduced.

Change

No.

58 submitted with the licensee's

June

27,

1988

annual

10 CFR 50.59 report

was not submitted to the

NRC for

prior review.

This change

should have

been submitted to the

NRC for prior review because it revised

FSAR Sections

98.2.12

and 98.2.15 to add deviations for fire zones

73, 37B, 37D, 39B,

74A and

74B to reflect

a significantly reduced

margin of safety

(reduction in fire barrier rating) than originally specified in

the basis of Technical Specification 3/4.7.12.

With respect to

Change

No. 58,

we note that you have obtained

NRC approval of

the as-built configuration pursuant to your request

subsequent

to your initial assessment

of the situation.

Since

1987,

when Change

No. 58 was performed,

several

corrective actions to preclude recurrence of this and similar

deficiencies

have

been

implemented for the licensee's

10

CFP.

50.59 review process.

For example:

(a)

Fire Protection

Engineering

has

been centralized within

the various engineering organizations.

Corporate

Nuclear

Engineering

has established

a Fire Protection

Engineer

position within the Mechanical

Engineering Section,

and

a

Fire Barr ier Systems

Engineer position has

been

established

within the site Engineering Evaluation

Department.

The actions

appear to have significantly

enhanced

Fire Protection technical capability within the

engineering

organizations

and established

a focal point

for fire protection problem resolution.

(b)

In addition to personnel

and organizational

structure

changes,

revisions to the

10 CFR 50.59 review and

evaluation

process

are currently in progress.

These

revisions

appear to be substantial

and include specific

qualifications

and certifications for. personnel

performing

10 CFR 50.59 reviews;

a revised philosophy

and approach

to

10 CFR 50.59 regulatory interpretations

is expected

to

yield more conservative

review and evaluation results;

implementation of a Screening

and Evaluation process

to

'

11

ensure

appropriate

answers

are provided to applicable

10

CFP, 50.59 questions;

and the recent

Nuclear Safety

Analysis Center

(NSAC) guidelines

are

used for developing

compliance with 10 CFR 50.59 requirements.

This is an apparent violation of 10 CFR 50.59

(528/90-02-05).

Based

on corrective actions

discussed

above that were verified during the inspection,

no

response

is required

and this is considered

a non-cited

violation.

(6)

Emet

enc

Li htin

Illumination Levels

(a)

The licensee's

October 29,

1984 submittal to the

NRC

indicated that

NUREG 0700 was

used

as the design

basis for

the control

room and the remote

shutdown

panel

emergency

.

lighting illumination levels.

NUREG 0700 requires

a

minimum of 10 foot candles

in these

areas.

However, the

licensee's

acceptance

criteria for the control

room and

the remote

shutdown

panel

emergency lighting illumination

levels is

6 foot candles

in peripheral

areas

and

3 foot

candles at control board instruments.

(b)

Thirteen lighting level readings

were taken at various

locations outside the control

room in Unit 3 with a

photometer

(Spectra

Photometer

Nodel

FC-200, Serial

Number

476,

NRC Equipment

Number 000393, with the next

calibration

due date of 7/26/90).

The locations

were the

stairwell outside the control room, the essential

chiller

surge

tank level

and valves,

the chiller room stairwell

exit, and the Emergency Diesel

Generator

rooms.

The

photometer

readings

ranged

from 0.03 to 0.75 foot-candles

with an exception of 1.3,foot-candles

at the emergency

diesel control panel.

In addition, the orientation of the

lamps

on

a lighting unit in the stairwell outside the

control

room were found to be not directed

toward the

access/egress

pathway.

This is an unresolved

item (528/90-02-06)

(7)

Control of Fire Barrier Boundaries

The

FSAR requires periodic inspection/test

of all fire barriers

and Technical Specification 3/4.7.12

implements

those

requirements.

LER No.84-001

documents

the licensee's

omission

of safety related/safe

shutdown fire barriers

from the

inspection

and test program.

Corrective Action Report

(CAR)

No. 87-0095

was issued in 1987 for these conditions.

Since the

issuance

of the

CAR, there

have

been

seven requests,

some of

which were escalated

to the Executive Vice President

level of

management,

to extend corrective action

due dates.

Furthermore,

CAR No. 87-0095

was expanded

in scope

and

identified similar deficiencies with flood, security,

pressure

and radiological barrier seals

which resulted in the generation

of other

CARS.

12

The licensee's staff correctly acknowledged

the broad scope of

these deficiencies

and their potential

adverse

impact

on safe

plant operations.

However, corrective actions to close

CAR

87-0095 still have not been

implemented.

An acceptable

action

.

plan to correct these conditions

was provided in the licensee's

March 16, 1990 submittal to Region

V.

Control of Fire Protection

S stem

Im airments

The inspector

was concerned that, apparently, fire protection

deficiencies

have not been resolved in a timely manner

as

required

by the Operations

gA Manual, Criteria, Revision

No. 5.

For example,

as of 8/24/89,

120 EER's were open more than

30

days.

Fourteen

EER's were open greater

than

1100 days

and

90

(70 percent) of the total

number of open

EER's

had been

open

greater

than

180 days for various reasons (i.e.

EED and

NED

interface

problems,

parts problems,

Work Planning/Control

interface problems, etc).

This- has created

a large backlog in

corrective maintenance.

To address

this concern,

the licensee

has recently revised Appendix

A to

EER

(MNCR) (Nonconformance)

control Procedure

No. 73AC-9EE31.

An acceptable

action plan to

correct this condition is provided in the licensee's

March 16,

1990 submittal to Region

V.

Performance

Durin

Extin uishment of Fires

Plant Security, Operations

and Fire Protection interface

problems

have continued to occur since the July 1988 Unit 1

Transformer Fire, during

a Unit 2 unannounced drill on August

2, 1988,

and during

a December 30, 1989, Unit 3 Transformer

Fire.

These past plant responses

to fire emergencies

have

illustrated the

need to establish

and proceduralize fire

emergency policy and instructions in more detail in accordance

with the

FSAR, Appendix R, and Technical Specification 6.8.1.

For example:

V

(a)

An Operations

Manager

was at the scene of the December 30,

1989, Unit 3 Transformers

Fire and determined that the fire

was under control or had been extinguished

and that it was

not appropriate

to declare

an Unusual

Event.

However, the

fire had not been extinguished

and burned for over 10

hours.

This was apparently contrary to Sections

3.2.1

and

3.2.6,

and Appendix B, TAB 4 of Emergency Classification

Procedure

No. EPIP-02.

This is further discussed

in

NRC

Inspection

Report

No. 528/90-07;

529/90-07

and 530/90-07.

(b)

Offsite fire department

assistance

or standby alert was

not requested

during the Unit 3 transformer fire.

However,

had the transformer

exploded

and ignited the

150

foot radius oil spill, the potential

would have

been

introduced for a fire occurrence of proportions

beyond the

capability of the fire team.

Delayed action in alerting

the offsite fire department

could have increased

the

potential for more severe

consequences.

13

In response

to this event,

Fire Team Conduct 'of Operations

Procedure

No.

14DPOFP09

and draft Incident

Command

System

Procedure

No.

14AC-OFP10 are being revised to include

a

process for the earliest possible notification of offsite

fire department

assistance.

I

(c)

The December

30,

1989, Unit 3 Control

Room Log and the

Fire Team Report provided inconsistent descriptions of the

transformer fire event.

The Control

Room Log indicated

that the fire occurred at 1630 and was extinguished at

1632.

The Fire Team Fire Report indicated that the fire

lasted for over 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br />, during which time substantial

communications

were

made with the Control

Room and

Operations,

but none of this was entered in the Control

Room Log.

The specifics

about the fire documented

in the

Control

Room Log and the Operations

Incident Investigation

Report did not accurately

represent

a pattern of

consistency with the Fire Team Fire Reports.

This is

further discussed

in

NRC Inspection Report No. 528/90-07;

529/90-07

and 530/90-07.

According to the licensee,

procedural

methods to improve

consistency

between

these

documents

during fire events

will be implemented.

(d)

Other than the 'Bell Telephone

system, alternate

methods of

communicating with the offsite fire department

are not

proceduralized.

In the event of failure of normal

telephone

systems,

Emergency

Procedure

Nos.

EPIP

03

(Notification of Unusual

Event Implementing Actions),

14AC-OFP10 (Fire Department Incident

Command

System

and

llGB-OCZ02

Onsite Radio Communications)

specify that

backup communications

is via portable radio.

Procedure

No. llGB-OCZ02 directs Operations,

Security, Medical

and

the Fire Team to use portable radios.

However, the

capability to communicate with the offsite fire department

via portable

radios

has not been provided for and assured.

(10) ~1i

A

The gA/gC audits, surveillances

and monitoring reports

reviewed

by the inspector

appeared

to be satisfactory.

However, the

qualifications of Monitoring Supervisors,

Auditors and

gC

Inspectors

performing fire protection monitoring, surveillance,

and inspections

do not include training on the fire protection

activities they are expected

to monitor.

According to the licensee,

the current proposed

gA monitoring

training program will address

this problem by providing

specialized training in all required areas,

including fire

protection.

Additionally, consideration will be given to the

development of a code compliance matrix (ANSI, IEEE,

ASME,

NFPA, etc) for gA/gC activities.

An acceptable

action plan to

strengthen

the qualifications of gA/gC personnel

is provided in

the licensee's

March 16,

1990 submittal to Region

V.

14

3.

Inservice Testin

of Pum

s and Valves

73756

During the week of January 8-12,

1990 the licensee

was notified that the

NRC would like to observe available

ASIDE Code,Section XI Inservice

Testing (IST) of pumps

and valves performed that week.

An inspector

observed

the following surveillance testing:

A January

9, 1990 test of the Train A Essential

Spray

Pond

Pump per

Procedure

No. 42 ST-2SP02,

Revision 2, "Essential

Spray

Pond

Pump

Operability 4.0.5."

A January

11,

1990 test of Charging

Pump No.

3 (CHE-POl) per

Procedure

No. 41ST-lCH06, Revision 4, "Charging

Pumps Operability

Test 4.1.2.3

and 4.1.2.4."

The performance of these tests

appeared

to be satisfactory,

and the

inspector did not identify any concerns.

No violations or deviations of NRC requirements

were identified.

4.

Followu

of 0 en Items

92701)

a

~

Closed

50-528/88-01-04:

Followu -H dro en Generation

in

Batter

Room

This item was

opened during

a Safety System Functional

Inspection

(SSFI),

when it was identified that hydrogen

gas concentration

in

the class

1E battery

rooms

was not monitored.

The concern

was that

hydrogen

gases

generated

during recharging of the batteries

could

accumulate

in areas of the battery rooms, in areas of low or no air

flow, to unsafe levels

(above

2 percent

hydrogen

by volume).

The

areas

postulated

in the battery

room where hydrogen

gas

could be

trapped,

wer e areas

formed by the structural

steel

system,

above the

ventilation system exhaust

fan inlet vents.

In an initial attempt to address

this concern,

the licensee

issued

work request

(WR) No. 221481'to monitor the possible

buildup of

hydrogen

gas in the Unit 2 battery room, after float and equalizer

charging.

The results

obtained

from performing

WR No. 221481

were

determined to be invalid, based

on placement of meter used to

measure

hydrogen,

and

a question

on the accuracy of the meter used

to measure

hydrogen.

The licensee

then issued

two new work requests

(No's 317401

and 317402) to conduct additional testing in Units

1

and 3.

During this inspection it was identified that Engineering Evaluation

Request

(EER)

No. 89-PK-078 was issued

November 3,

1989 to documert

the latest information on this concern.

The information is

identified below:

A dead

space

area

was selected

in the ceiling area of the

battery

rooms for station Battery A, in both units

1 and 3, for

the measurement

of hydrogen

gas concentration/"pocketing"

during

a discharge/charge

cycle.

~

~

A Gastech

Protechter II was utilized for measurement

of

hydrogen,

every four hours during the entire test cycle in each

unit.

The Unit I test cycle duration was five days;

and Unit 3

test cycle was

10 days.

This instrument provided

a readout in lower explosive limit

(LEL).

A reading of 100 percent

LEL is equal to 4.0 percent

hydrogen concentration.

No LEL reading greater

than 0.0 percent

was recorded

during

testing in units I and 3.

Based

on the results of these tests,

the license

had determined

that gas "pocketing" in the Class

1E battery

rooms is not

a

problem.

The inspector

reviewed

a sample of licensee

procedures

for energizing

the

125

VDC Class

lE electrical

systems

and

60 month surveillance of

Class

1E batteries.

These

had prerequisites/instructions

to ensure

power was available to essential

exhaust

fans

and that normal exhaust

fans were in operation prior to energizing,

discharging

and charging

the Class

1E batteries.

Based

on the above information, it appears

that the licensee

has

taken appropriate

action for this concern.

This item is closed.

Closed

0 en Item 528/88-06-02:

Cable Tra

Cover Interference

it

utomatic

rin

er

ectiveness

0

This item identified the

NRC concern that automatic sprinkler system

actuation

may be delayed

due to the cable tray covers

channeling

away the fire generated

heat and, if actuated,

individual sprinklers

fire suppression

water would not reach the source of a fire inside

cable trays.

The

NRC staff position

on this issue

was transmitted to Region

V via

NRC internal

memorandum

(G. Knighton to 0. Kirsch) dated August 15,

1988.

The staff position is that, although the cable tray covers

have

an adverse

impact on the performance of automatic sprinkler

systems,

where the spatial

separation criteria of Regulatory Guide 1.75 cannot

be maintained,

the potential degradation of the

performance of automatic sprinkler systems is offset by the benefit

achieved with the installation of noncombustible

cable tray covers.

On this basis, this item is considered

closed.

(0 en

50-528/89-02-01:

Followu -Potential

Overflow of the

Transformer

Oi

Retention

Sum

Pits

The original inspection identified that the licensee

did not have

a

maintenance/surveillance

program established

for the transformer oil

retention

sump pits at the time of the transformer fire.

This was

identified as

an example of the licensee's

inattention to detail ir;

the fire protection area.

At the time of the July 6, 1988

transformer fire, burning oil flowed outside the controlled area

and

spread

the fire.

The concern

was that the oil retention

sump pits

were improperly maintained

and they were filled with water at the

time of the fire, so there

was not enough free volume remaining to

receive the design capacity of transformer oil and water from the

deluge water spray sprinkler system.

This report also identified

that the licensee

indicated that

a maintenance/surveillance

program

would be established

for the oil retention

sump pits.

During this inspection

the licensee identified that site procedure

14FT-9FP01,

"Fire Protection

Equipment Testing for the Power Block",

Revision 1, established its maintenance/surveillance

program for the

transformer oil retention

sump pits.

The inspector

reviewed the

procedure,

available information and records,

and identified the

following:

0

The main intent of a maintenance/surveillance

program for the

sump pits, .was to maintain

a large

enough free volume/capacity

in the

sump pits, to receive its design capacity of transformer

oil and water from the deluge water spray sprinkler systems,

in

case of a accident/fire.

To maintain this intended free

volume/capacity of the

sump pits, this area

has to be free of

water,

sand and/or other foreign material.

It appears

that the

licensee

had determined that if the

sump pits were free of

water, etc.

down to the

sump pit flange/flap/check

valves (at

the

92 foot and

91 foot-5inch elevations),

there would be

satisfactory available free capacity in the

sump pits.

The inspector

reviewed procedure

14 FT-9FPOl, Revision 1, and

identified the following problems:

(1)

The procedure

did not identify the applicable

drawings for

the

sump pits,

or provide

a sketch, to aid in

identification of the free volume/capacity required to be

maintained clear.

,(2)

Section 8.9 "Transformer

Sump, Appendix H" did not

identify an effective acceptance

criteria, to ensure

the

required free volume/capacity

was maintained.

This

procedure

also did not provide formal or documented

instructions for removal of unacceptable

amounts of water,

sand,

and/or foreign material,

found in a

sump pit during

an inspection.

Subsection

8.9.1 stated in pat t:

"Monthly-Visually Inspect Transformer Sump...

.

Both the

upper

and lower inspection pit check valves must be

visible to meet acceptance criteria."

Subsection 8.9.2

stated:

"After rain storm-visually inspect transformer

sump using criteria list in 8.9.1."

(3)

Appendix

H did not effectively identify an acceptance

criteria or instructions for removal of unacceptable

amounts of water,

sand,

and/or foreign material

found in

the

sump pits.

17

The identified procedure

problems

and weaknesses

were identified

to the licensee,

and they agre'ed to review and revise the procedure

as required to correct these

items.

A sample review of the completed

Appendix

H inspection records,

for inspection procedure

14

FT-9FP01

'identified inconsistencies

in the way data/verifications

were recorded;

and reinforce the

continuing concern with the adequacy of:

(1)

the inspection procedure,

(2)

training for inspectors

performing these inspections,

(3)

the completeness

engineering

and technical

work performed

in the Fire Protection

Program,

and

(4)

management

involvement in the Fire Protection

Program.

The observed

inconsistencies

in the way inspection data/verifications

were recorded in Appendix H, identified that the licensee's

inspectors

appeared

to have problems,

i,n some cases,

with identifying applicable

acceptance

criteria for

some inspections.

It appears

that once

an

inspector identified

a

sump .that had to be pumped,

and placed

an

informal telephone call to building maintenance

to

pump the sump, it

was

pumped within approximately

seven to ten days.

Per discussions

with maintenance

personnel,

they would pump out all the water they

could;

and in some

cases

record the amount

removed in their shift logs.

A major concern identified during this inspection, is the fact that

the inspection

procedure identified "both the upper

and lower

inspection pit check valves must be visible..."

The monthly inspections

were signed off and the inspectors

did not identify that there

was

only one check valve installed in the

sump pits for Units

1 and 2.

This item will remain open.

d.

0 en

LER 528/529/530/89-02

LO and Ll:

Evaluation of Desi

n

C an

es

ac

a es

P

ssocsate

1t

tmos

enc

um

a ves

92702

.

The

icensee

reported in t is

LER that unqualified

pressure

gauges

were installed

on Atmospheric

Dump Valves,

and

guality Assurance

would perform an independent

review of selected

design

change

packages

closed during startup testing to provide

additional

assurance

that wor k was performed

as required.

At the time of the inspection,

the licensee

had completed

Atmospheric

Dump Valve (ADV) modifications

on Units 2/3, The

associated

l}uality Assurance

review of selected

design

change

packages

was also complete.

Of fifteen DCP's reviewed,

one

DCP was

found to be signed,off

as complete, with no objective evidence to

support its implementation.

In addition to the incomplete

DCP, the

review identified that the updating of a supplier drawing was

delinquent in both Units

2 and.3.

Corrective Action Report

(CAR)

90-0002

was issued

documenting=these

deficiencies.

The Unit'I ADV

modifications were incomplete,

but were in progress

at the

conclusion of the inspection.

This item will remain

open pending further licensee

action

and

RV

review.

0 en

Unresolved- Item (528 89-02-02

ualification of Fire

rotectson

ta

to

er orm

asntenance

e

ecame

concerne

t at t e

licensee

s

>re protect>on staff was not qualified

through training and experience

to perform assigned

I8C maintenance

tasks.

In response

to this concern,

the licensee

indicated that procedures

were being revised to delete all

ISC tasks

assigned

to the fire

protection staff.

At the time of the inspection, this action

was

not completed.

This item will remain

open pending further licensee

action

and

NRC review.

0 en

Violation (528/89-02-03

Interface with Phoenix Fire

De artment

9 702

.

e

NRC

ecame

concerned that t e

licensee's

require

fsrefig ting interface with the Phoenix Fire Department

had

not been

implemented.

While some interaction with the offsite fire department,

such

as

Hazardous llaterial Team familiarization tours, production of an

offsite fire department training video tape

and

a group table top

discussion

have occurred.

However, since initial Unit I startup,

required

FSAR annual offsite fire department training, drills,

pre-fire planning and,incident

command strategies

had not been

implemented.

In response

to this previous

NRC Violation, the

licensee

conducted

a drill with the offsite fire department

on

February 4, 1990, during the inspection.

While the results of the

February 4,

1990 drill with the offsite fire department

were

apparently successful,

the following additional

concerns

need to be

evaluated

by the licensee:

(I)

A schedule for future drills, training and pre-fire planning,

established

by the licensee

and coordinated with the offsite

fire department,

would be helpful.

(2)

A site specific radiological training program for the offsite

fire department,

established

and implemented

by the licensee

with auditable

documentation of offsite fire department

personnel

participation,

should

be considered.

This item will remain open pending further licensee action

and

NRC

review.

(0 en

LER 528/529/530/89-05

LO and Ll:

Atmos heric

Dum

Valve

e 1csencies

9z

.

e

licensee

reporte

in t ss

t at

manufacturer i entified Atmospheric

Dump Valve (ADV) deficiencies

could result in the inability to remotely or manually operate

the

ADV's.

I

1

I

19

The licensee's

corrective actions

included redesign of th'e

ADV

'nternals,

initiation logic and dedicated

nitrogen accumulators

were

verified complete

by the

NRC prior to restart of Units

2 and 3.

The

Unit I modifications were incomplete,

but were in progress at the

time of the inspection.

This item will remain

open pending further licensee action and

Region

V review.

0 en) 50-528/529/530/89-08-01:

Followu -EOP

U arades

- see

APS

L

R 8 -

-

,

ate

6-6-

This item identified that while a special

NRC Emergency Operation

Procedure

(EOP)

team inspection

concluded that the licensee's

EOPs

could be utilized by the licensee

operating staff, they do present

significant usage

problems for the operating staff.

Principally

those

problems

were identified as

human factors related

and

included:

inconsistencies

in structure

and format

an overly complex structure

ill defined, excessive,

and buried transitions within the

optimum and functional recovery procedures,

after exiting the

diagnostics

heavy reliance

on operator

judgement

and discretion

the lack of a defined philosophy of use.

These

problems

were recognized

by the operators,

who voiced their

dissatisfaction with the quality and useability of the

EOPs.

The

licensee's

procedure

development

program appeared

to be the chief

cause of the procedural

problems.

The problems with procedural

development

appeared

to be equally applicable to the Abnormal

and

Normal Operating Procedures.

In response

to the original team inspection report, the licensee

issued letter 102-01290-WFC/TDS/JJN of June 6, 1989, subiect

"Emergency Operating

Procedures"

(File:

89-002-493).

Attachment I

of this letter identified completion dates for portions of the

EOP

upgrade project and 'an expected

implementation

date for new

EOPs of

July 1990.

During this inspection the inspector

requested

the licensee

to

identify the current status of the milestones identified in

Attachment I of the identified letter.

The licensee identified they

had missed the July 27,

1989 date for revising

EOP Technical

Guidelines,

the October 27,

1909 date for revising

EOPs,

and were

still working on these

items.

It now appears

that because

of

scheduling

problems for access

to the simulator, the revised

EOP

procedures will not be implemented until at least July,

1991 instead

of July 1990,

a year later.

20

In response

to the 'inspector's

question

on the number of human

factors

(HF) specialists

the licensee

had working on this project,

the licensee

stated that Battelle

Human Affairs Research

Centers of

Seattle,

Washington

had provided one onsite

HF specialist in 1989,

and that

a five man

HF team in Seattle

was

now reviewing the

documents

generated

in 1989.

The licensee identified that

a total

of approximate1y

eleven personnel

were

now working on this project.

The failure to complete the project tasks

by the dates identified to

the

NRC in the June 6, )989 letter and to have identified at least

a

one year delay prior to implementation of new EOPs, without

notifying the

NRC of these delays,

demonstrates

poor licensee

performance

in this area.

Aggressive

management

attention is

required in this area, to ensure

an expeditious

issuance

of these

revised

EOPs.

On February

17,

1990 the licensee identified that

a draft letter to

the

NRC, to identify the current status of the

EOP upgrade project,

had

been prepared

and was under review.

This item will ~emain

open

until the above letter has

been received

by the

NRC, reviewed

and

the

new schedule for issue of the revised

EOP's evaluated.

Closed

50-528/89-09-01:

Followu -IST - Licensee

Procedures

o

ot

ents

at

orrectsve

ct>ons

re

e uvre

or

Unacce ta

e Data

A review of Inservice Testing (IST) procedures

identified these

procedures

did not appear to identify what corrective actions the

licensee

was going to take once trended

dated indicated corrective

action was required,

and who would identify the corrective action.

During the initial inspection

the licensee identified that they were

in the process

of issuing

new IST and System Engineer procedures,

and that this concern

should be addressed

in the

new procedures

and

program improvements.

During this inspection the licensee identified that Revision

2 to

Procedure

73AC-OX102, "Inservice Testing of Safety Related

Pumps

and

Valves",

had

been

issued to address

this concern.

The inspector

reviewed this procedure

and noted that it required the following:

If a 'pump or valve was found unacceptable,

per the criteria of

Procedure

60AC-Op(01, "Control of Nonconforming Items",

a

Material Nonconformance

Report

(MNCR) would be issued to

address

corrective action.

If a valve is placed

on an increased

frequency for testing,

an

Engineering Evaluation Request

(EER) would be issued to address

corrective action.

This initial licensee

action appears

to address

this concern.

The

implementation of this action will be the subject of future

inspections.

This item is closed.

21

(0 en

LER 528/89-12

LO and Ll:

Emer enc

Li htin

S stem

e sc~encies

e

)censee

reporte

sn t ss

that the

emergency

sg tsng

sn all three units did not meet the design basis

or 10 CFR 50, Appendix

R requirements.

Based

on the discussion

provided previously in this report,

and

the licensee's

completion of required modifications for Unit 1

startup, this item will remain

open pending further licensee

action

and

NRC review.

0 en

0 en Item 528/89-12-01:

EE-580

Com uter Pro

ram

Deficiencies

92701

.

This item concerned

deficiencies

in the

licensee

s

e ectrscal distribution system configuration management

computer data

base.

The licensee

acknowledged

the potential significance of these

deficiencies

to configuration management

of the electrical

distribution system.

In parallel with evaluation of the

deficiencies,

the licensee

has hired

a contractor to review work

orders

and design

change

packages

to determine

the validity of

information on cable routing cards.

Plant walkdowns are scheduled

to be performed during each unit's extended refueling outage.

The

Unit 3 plant walkdown is scheduled

to be performed in January

1991.

Unit

1 is scheduled

in April 1991,

and Unit 2 in the Fall of 1991.

This item will remain

open pending further licensee

action and

Region

Y review.

Closed

0 en Item 528/89-28-05:

Control Element Assembl

(CEA

ee

Sw>tc

osstion

em orar

o

s scat

on

1S item

s entsfied t e

NRC s concern for t e

icensee

s removal of Unit 2

CEA P9 from service via Temporary Modification No. 2-89-SB-027.

This item is closed

based

on inspector verification of licensee

corrective actions

which included restoration of Unit 2

CEA 89 to

service

by the removal of Temporary Modification No. 2-89-SB-027.

The Control

Rod position indication circuitry was provided with

proper resistors

to obtain the correct voltage division and

satisfactorily functionally tested.

This work was authorized

by

Work Order No. 00381382.

The work order was completed

on September

20, 1989.

On this basis, this item is considered

closed.

Closed

50-528/89-28-11:

Unresolved-Measurement

and Test

E ui ment

M TE

Procedure

Contro

s Ina

e uate

In August of 1989, the original inspection identified the following:

The

MSTE organization's

practice of having sixty-one custodial

points for issuance

and return of MATE by craft personnel,

did

not appear to adequately

control

MSTE.

Since

MSTE could

be "informally" checked out for use,

accountability for that piece of MSTE was lost.

4

C

4

~

~

22

0

The practice of declaring

any piece of M&TE lost or stolen if

not returned to the

M&TE department within 30 days of its due

date (i.e. overdue

M&TE and issuance

of an "Out of Tolerance

Notice (OTN)), did not promote accountability.

For work that was performed utilizing a piece of M&TE that is

subsequently

declared .lost or stolen,

the existing

M&TE

procedure

(34AC-OME01) required

performance of an "evaluation"

to determine

the need for rework or retest.

It was determined

that this procedure

inadequately controlled the quality and

consistency of such evaluations,

since specific review

requirements,

level of detail

and criteria were not specified.

Furthermore,

although the procedure

required the evaluator's

approval of the

OTN evaluation,

no criteria was provided for

the supervisor to judge the adequacy

or acceptability of the

evaluation.

During this inspection the licensee

provided

a copy of an internal

letter

064-01467-PLB,

dated

November 20,

1989, subject:

response

to

NRC Inspection

Report

Nos. 50-528; 529; 530;/89-28,

unresolved

item

528/89-28/11,

M&TE.

The inspector reviewed the information in this

letter,

a new Revision

3 to licensee

procedure

34AC-OMEOl,

"Measuring

and Test Equipment

(M&TE) Users Administrative

Requirements,"

a sample of available

completed

OTN's,

and other

associated

documents.

Based

on the information reviewed

and

discussions

with the licensee,

the licensee

has:

Changed

the

MSTE program to require all

M&TE to be issued

from

a central tool room (Central Depot), to only individuals that

have

been

approved

by management.

Identified that the transfers of M&TE to an individual in

another organization

must

be through the Central

Depot.

Identified that the assigned

individuals and their supervisors

will be held responsible for each

item of M&TE.

,.Additional guidance

has

been provided to the

OTN Evaluators.

Based

on the information reviewed

and discussions

held with licensee

personnel, it appears

the licensee

has

taken actions to address

this

concern.

n.

This item is closed.

Closed

50-528/89-28-13:

Unresolved - ALARA Tt ainin

For

Maintenance

Personne

A review of training programs for workers involved in reactor

coolant

pump

(RCP) repairs in Units I and 3, identified that the

magnitude

of radiation, contamination levels

and potential

dose

rates

these workers were exposed to, were similar to those that

a

worker assigned

to inspect

and repair

steam generators

might

23

experience.

Although no mock-ups were available for training

RCP

workers, the licensee

had developed training lesson

plans

and

a

review of training records

disclosed that six licensee

employees

had

received training during the period of 1987 to 1988.

There were

forty-six contractors

performing unit I PCP work and sixteen

contractors

performing Unit 3

RCP work, and none of these contractor

employees

were provided with RCP training by the licensee.

Discussions

with the licensee's

staff disclosed that .it was decided

not to provide the

RCP workers with any specialized training since

only workers with prior RCP work experience

had been selected for

this work.

In response

to the initial team's

concern

over the number of RCP

workers not receiving

RCP training, the licensee's

ALARA staff

informed the team that consideration

would be given to the need for

providing

RCP training to workers for any future

RCP work.

During this inspection the inspector

reviewed

a licensee letter (ID

No. 218-00795-PWH/JBS)

dated October 31, 1989, entitled 'Unit 2 1990

Refueling Outage

Job Specific Training Requirements'.

This letter

identified:

That the licensee

was currently pursuing the procurement of a

mock-up assembly for future

RCP Training.

Recommended

that at least

one individual on each

RCP crew has

had prior experience

or has attended

formal training dealing

with the particular evolution being performed.

Many other, training methods

(video tape, incidental

mock-up

training, pre-job briefing, etc.) will be utilized during the

outage,

and pre-planning

phases.

Management

was requested

to make every attempt to facilitate

these

recommendations

as

an ongoing effort to improve work

practices

as well as minimizing personnel

radiation exposures.

Based

on the above information and discussions

with licensee

personnel, it appears

the licensee

is addressing

this

NRC concern.

This item is closed.

0 ~

(Closed

0 en Item 528/89-28-14:

Im ro er Desi nation of Level

A

are

ouse

tora

e

ss

stem

s ent)

se

t e

licensee

s

apparent

improper storage of computer

hardware items.

This item is closed

based

on inspector verification of licensee

corrective actions

which included vendor confirmation of Level

A and

Level

B storage

requirements

and establishment

of additional

personnel

training and administrative procedural

instructions

(12DP-OMCOB and

12DP-OMC09) for Inventory Control

and Procurement

Engineering to appropriately classify levels of storage protection.

24

The fourteen safety related

computer

hardware

items designated

as

requiring Level

A storage,

but found in the

Leve'1

8 storage

area

during the inspection,

were verified through vendors to require

Level

B storage

in accordance

with ANSI N45.2.2.

The Level

A

storage

designation

was incorrect for these all fourteen items.

The results of the licensee's

review of all warehouse

material

storage classifications identified that additional

Level

A materials

and approximately

5000 Level

C warehouse

materials

were incorrectly

classified.

All of the materials

were reclassified

and

have

been

stored

under conditions which meet the appropriate

requirements

of

ANSI N45.2.2.

This item is considered

closed.

(Closed

0 en Item 528/89-28-15:

Incom lete Warehouse

Inventor

ontro

roce ures

1s

1tem

s entl

1e t e

ac

o

esta

ss

e

proce ures

or controlling required levels of protection

for warehouse

material storage.

This item is closed

based

on inspector verification of licensee

corrective actions which included vendor confirmation of material

storage

requirements;

deletion

and consolidation of seventeen

separate

procedures

into one procedure

(12AC-OMC01) for material

control,

and implementation of proper instructions in Material

Control Procedure

No.

12AC-OMCOl for warehouse

material

storage

protection

based

on environmental

considerations

and important

physical characteristics

rather than material safety function.

The

procedure

provides instructions to assure

that the requisite quality

of all warehouse

storage materials is preserved

from the time they

are fabricated until they are installed in the plant.

This item is

considered

closed.

(Closed

Unresolved

Item 528/89-28-07:

Incorrect As-built Drawin

s

92701

.

T 1s item

s entifie

apparent

iscrepancles

)n

sometrsc

Drawing No. 13-P-SPF-701/Revision

14 and 13-P-DGF-701/Revision

14,

regarding as-built pipe supports for the Unit I Emergency Diesel

Generator

Essential

Spray

Pond

and Starting Air Systems.

This item is closed

based

on inspector verification of licensee

corrective actions

which included investigating the Isometric

Drawing deficiencies.

The determination

was that the as-built and

drawing configuration was not correct because

Piping Isometric

Drawings were not intended to be consistent with pipe support

calculations

and as-built installations.

Instead,

Hangar Detail

Drawings are

used

as design output documents relating the design

calculations to the actual

pipe support installation for

configuration control.

Configuration Management

Program

Procedure

No.

81PR-OCC01,

Revision I, Appendix C, lists Isometric Drawings and

Pipe Hangar Detail Drawings as configuration management

design

output documents.

During the inspection,

Pipe Hangar Detail

drawings

were not provided to the inspectors for the as-built pipe

support verification of the Unit I Emergency

Diesel

Generator

Essential

Spray

Pond

and Starting Air Systems.

25

Although the Hangar Detail Drawings are maintained consistent with

the actual

pipe support installations,

the licensee's

Engineering

Excellence

Program currently underway is revising Piping Isometric

Drawings to show general

pipe support locations, for information

only, as unit specific information on certain safety related

drawings.

This item is considered

closed.

Closed

0 en Item 528/89-36-02:

Inade uate

A ueous

Film

ormsn

oam

u

is stem

~ ents

se

the

concern t at the

icensee

s reserve

supply of firefighting foam

extinguishing agent

(AFFF) was inadequate.

As

a result of a September I, 1989 electrical/oil fire in Phase

B on

Devers line in the Switchyard, the licensee

performed

an evaluation

to determine

the minimum quantity of alcohol

based

foam (AFFF)

inventory that should

be available for extinguishment of the worst

case electrical/oil fire at the site.

EER No. 89-FP-102

was

initiated for this concern

and was dispositioned

by establishing

a

minimum quantity of AFFF to be stored

on site and ensuring that

measures

were taken to replenish

the supply as necessary.

The

minimum quantity was determined to be

180 gallons.

During tours of

Procurement

Engineering

and Warehouse Material Storage,

the

inspectors verified that the supply is replenished

when the minimum

quantity reaches

300 gallons.

On this basis, this item is

considered

closed.

s ~

Closed

- Unresolved

50-530/89-18-01:

ISI-Licensee

Procedures

ow

se of

or

ontro

Documents for Non- on ormance

Items In

ace

o

ER

This item identified that various Inservice Inspection (ISI)

procedures

contained sections

which stated

"An EER per procedure

73

AC-OEE01 (or another

approved

nonconformance

document) shall

be

initiated for all items reflecting an unacceptable

condition."

Taken alone, this reference to the

EER process

appeared

to implement

the, intent of 10 CFR Part 50, Appendix B, Criterion XVI, which

states

in part,

"Measures shall

be established

to assure that

conditions adverse

to quality, such as...

Nonconformances

are

promptly identified and corrected...

cause of condition is

determined

and corrected action taken to preclude repetition. ..."

The item of concern identified with these

ISI procedures

was that

a

subsection of these

procedures

stated,

"This

EER process

is not

required to be initiated when the unacceptable

condition can

be

readily corrected in accordance

with procedure

30AC-9ZZOl, Work

Control", without defining how or when this substitution could be

made.

Procedure

30AC-9ZZ01, Revision 4,

"Work Control" was reviewed

by the inspector.

This procedure did not appear to implement the

intent of 10 CFR Part 50, Appendix B, Criterion XVI for

nonconformances,

identified during ISI examinations.

The licensee

agreed that this could be interpreted

as

a questionable

area,

but

that they use procedure

430 P-9ZZll, Revision 2,

"Mode Change

Checklists," in conjunction with the

EER and work control processes,

to ensure

the implementation of 10 CFR Part 50, Appendix B,

Criterion XVI requirements.

1~

g

~ ~

26

To resolve this concern,

the licensee identified that they would:

Review the controlling ASME Section

XI ISI Administrative

Control

(AC) Document,

73AC-OXI01, Revision '0,

"ASIDE Section

XI

Inservice Inspection," to evaluate

what changes

might be

required to ensure

any significant nonconforming condition

identified during an ISI examination

was evaluated

per the

EER

process

(or any other approved

nonconformance

document).

At

the time of the initial inspection there

was

no other approved

nonconformance

document,

although

one was being evaluated

by

the licensee for issue in the future.

During this inspection

the inspector

reviewed the following:

Licensee

Response

Letter 102-01289-h'FC/TDS/JJN,

dated

June 5,

1989.

Procedure

73AC-OXIOl, "ASME Section

XI Inservice Inspection,"

Revision Ol,

PCN No. Ol, dated

October 6, 1989.

Procedure

60AC-OQQ01, "Control of Nonconforming Items,"

Revision 1, dated October 2, 1989.

Licensee Letter 102-01289-MFC/TDS/JJN identified the following:

'Procedure

73 AC-OXI01 would be revised to specify conditions

which could be corrected

using the work control process

and

those that require

an engineering evaluation.

As an interim measure

to restrict elevation of a plant

operating

mode,

procedure

73AC-OXI01 would be revised to

reference

procedure

430P-9ZZll (Node Change Checklist) to

ensure that all code respectable,indications

would be

dispositioned prior to entry into a mode where the indications

would adversely affect safety.

As long term corrective action,

a Nonconformance

Report

(NCR)

program is being developed

and will include

a mode restraint

designation.

Based

on discussions

with licensee

personnel

and review of applicable

documents, it appears

the licensee is adeouately

addressing

this

concern.

This item is closed.

5.

Licensee

Performance

in Handlin

Emer enc

Diesel Generators

Noncon ormsn

Con

>talons

During an inspection of the licensee activities for the Unit 2 Emergency

Diesel Generator,

Train A inspection,

per procedure

31ST-9DG01,

"Diesel

Engine

18 month Inspection", Revision

No. 5,

PCN No. 02, the following

concern

was identified:

27

A January

9, 1990 inspection of the Unit 2, Train and Diesel

Engine

identified that cast

aluminum valve covers

showed evidence of

contact

between the top of the valve covers

and the bottom edge of

the sheet

metal jerk pump shrouds/shields

installed

over the

associated

fuel oil line and injector jerk pump associated

with the

applicable cylinder.

The evidence of contact

ranged

from paint

removal, to gouges

approximately

3 inches

long by 3/16 inch wide to

depths of 1/8 to 1/4 inch.

Some of the gouges

appeared

to be

recent.

On January

9,

1990 the inspector questioned

the licensee

personnel

performing the

18 month inspectio'n about the nonconforming

conditions/gouges.

a.

The inspection

group had

no information on the gouges,

no

repair instructions

and did not plan on taking any actions at

that time.

b.

When asked if the

same

sheet

metal shield removed

from a

cylinder/valve cover was reinstalled

on the

same cylinder, the

inspection

crew stated "if possible,

but it was not an

inspection

procedure

requirement."

Later an

NRC tour of all

Emergency Diesel

Engines in Units 1,

2 and 3, identified that

some sheet

metal shields

had cylinder numbers identified with

temporary markings

on them.

c ~

The tour of all emergency diesel

engines

in Units 1,

2 and 3,

identified that they all had

some evidence of contact

between

the sheet

metal shields

and valve covers for some cylinders.

It appeared

that

on the average,

the Unit 1, Train

8 Engine

appeared

to have the largest

average

clearances

between

the

sheet

metal shields

and valve covers.

On January

23,

1990 the inspector

asked the Emergency

Diesel

Engines

System Engineer if the eighteen

month inspection of the Unit 2,

Train A diesel

engine

had documented

the nonconforming

gouges in the

engine cylinder valve covers,

in either

a Material

Nonconformance

Report

(MNCR) or an Engineering Evaluation Request

(EER).

The

System Engineer identified that no

MNCR or EER had

been

issued

on

the gouges,

but he had

been notified that an

NRC inspector

had

questioned

the inspection

group about the existing gouges.

The

System Engineer identified that

he believed there

was

an old work

order that had

been

issued

on the gouges in the Unit 2 engines,

and

that the e'xisting gouges

did not present

a safety concern,

since:

The valve covers

were just

a dust cover.

The licensee

had already authorized

the reduction of the valve

cover wall thickness

in some areas,

by removing metal

from the

inside of some of the valve covers, to provide additional

clearance

between the valve cover and the cylinder rocker arm

assembly.

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28

When asked if the licensee

had performed

and documented

an

engineering

analysis of the valve cover gouges

found in Units I, 2

and 3, or issued

r epair work orders for Units

2 and 3, the licensee

identified that they could not find any documentation that any of

these actions

had been performed.

Since

an engineering

analysis

was

not performed for the identified problem in Unit 2, it appeared

the

license took no actions to correct the similar problems in Units I

and 3.

On January.25,

1990 the licensee

issued

EER No. 90-DG-005

on the

Unit 2 Emergency Diesel

Generator 'A', identified the following:

Work Order No. 00380337,

was issued

September

15, 1987, to trim

metal

from the fuel oil "jerk pump" shields.

An engineering

evaluation of this action

was not performed,

either

on the shields or on the gouging of the valve covers.

A walkdown of all diesel

engines,

in all units, by the system

engineer,

showed that, without exception,

every engine

has

one

or more shields that were or had

been in contact with the valve

covers.

During this licensee

walkdown, it was also noted that

some shields

were in contact with the high pressure

fuel lines,

and/or fuel supply lines.

The valve covers

are intended to be an oil containment

and dust

cover, these

covers

are not intended to be

a pressure

retaining

device.

Engineering

recommended

that the jerk pump shields

be "trimmed"

on the bottom to provide

a clearance

of approximately I/2 inch

between the shield

and the valve cover,

and high pressure

fuel

lines.

While the shield is removed for "trimning", the valve cover

shall

be inspected

by maintenance

to ensure

the "rubbing" has

not created

a hole through the valve cover. If a hole is

..identified, or there is an excessive

"gouge", in the opinion of

maintenance,

a work request is to be submitted.

New work requests

were identified for both engines

in all three

units.

This

EER disposition is deemed to be Design Equivalent

Rework

to return the equipment to original design.

During discussions

with licensee

management,

the inspector

identified that:

L

This was another

example of the work control group issuing

a

work order, instead of requesting

an engineering evaluation.

The licensee

stated that in 1987 they coul.d issue

a work order,

today in 1990, they would have to issue

a

MNCR or EER.

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Three years

appeared

to be an excessive

amount of time to correct

an identified nonconforming condition, that increased

the amount

of valve cover damage

each additional

hour the Unit 2 engines

were operated with contact

between the two items.

The licensee

stated that this work was low priority work, and the schedule

would not allow performance until the next schedule

outage.

The licensee

performance

and followup on identifying similar

nonconforming conditions in the Units I and

3 engines

appeared

to be inadequate,

once this condition was identified in Unit 2

in 1987.

The licensee

agree that they could have

been more

aggressive

in following up on this item in 1987, but the

procedures

in effect at the site today, should ensure that

either

an

EER or NNCR is issued

and Engineering

Evaluation/Followup would be required for all units involved.

Based

on the above information, the fact that the nonconforming

gouges for all three units are

now documented

in an

EER and the

licensee

implementation of the

new NNCR program,

and additional

training of licensee

personnel

in documenting all identified

nonconforming conditions, etc., the licensee

appears

to be

addressing

this concern.

No violations or deviations

were identified.

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6.

Followu

on Items of Noncom liance

and Deviations

92702

a.

Closed

50-528/89-28-09:

Enforcement - Failure to Record

Com

et>on

o

roce ure

te

s

This item identified that

a technician

had not signed off four steps

of an Operational

Computer Systems

Troubleshooting

Work Order No.

00372377.

While it was identified that this was

an isolated

occurrence, it was

an example of the licensee's

failure to follow

established

procedures.

In response

to this violation the licensee

issued letter

102-01530-WFC/TDS/TRB,

dated

November 30,

1989 to the

NRC.

This

letter identified:

That the affected technician

was counseled

on attention to

,detail

and previous

work was evaluated for missed

steps

or

other violations.

No discrepancies

were identified.

All Operational

Computer System

(OCS) maintenance

personnel

were counseled

on "Attention to Detail" and the importance of

documenting work as it is performed.

To address

the overall issue of procedural

compliance,

the

licensee is currently evaluating additional actions to ensure

there

can

be

no misunderstanding

by employees with regard to

management

expectations

in this area.

The details

and schedule

of the evaluation

were contained in a letter

102-01525-JNB/TDS/GEC,

dated

November

17, 1989,

issued to the

NRC (Region V).

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After reviewing the above information, it appears

that the licensee

has

taken appropriate

action for this item.

This item is closed.

7.

~D

Open items are matters that have

been discussed

with the licensee,

that

will be reviewed further by the inspector,

and that involve some action

on the part of the

NRC, the licensee,

or both.

8.

Unresolved

Items

Unresolved

items are matters

about which more information is required in

order to ascertain

whether

they are acceptable

items,

items of

noncompliance,

or deviations.

Unresolved

items disclosed

during the

inspection

are discussed

in paragraph 2.E(1)(a), 2.E(2), 2.E(3), 2.E(4),

2.E(6)

9.

Exit Interview

An exit meeting held with the licensee's staff on March 23,

1990 at the

site,

and in the Region

V office on March 30,

1990 in the Region

V

offices.

The items of concern in this report were discussed

at that

time.

The licensee-acknowledge

the scope

and content of the inspection

findings.

The licensee

was further advised of the major

NRC concerns

in

the emergency lighting area during

a teleconference

on April 16,

1990.

The licensee

acknowledged

an understanding

of those issues.

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