ML17311A576

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Insp Repts 50-528/94-35,50-529/94-35 & 50-530/94-35 on 941115-1216.Violations Noted.Major Areas Inspected:Licensee Event Rept & Two Suppl
ML17311A576
Person / Time
Site: Palo Verde  Arizona Public Service icon.png
Issue date: 01/09/1995
From: Gwynn T
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML17311A574 List:
References
50-528-94-35, 50-529-94-35, 50-530-94-35, NUDOCS 9501180121
Download: ML17311A576 (54)


See also: IR 05000528/1994035

Text

APPENDIX 8

U.S.

NUCLEAR REGULATORY COMMISSION

REGION IV

Inspection Report:

50-528/94-35

50-529/94-35

50-530/94-35

Licenses:

NPF-41

NPF-51

NPF-74

Licensee:

Arizona Public Service

Company

P.O.

Box 53999

Phoenix,

Arizona

Facility Name:

Palo Verde Nuclear Generating Station,

Units

1

~ 2,

and 3

Inspection At:

Wintersberg,

Arizona

Inspection

Conducted:

November 15-17,

November

29 through

December

2,

and

inoffice review until December

16,

1994

Inspectors:

Dr. Dale A. Powers,

Chief, Maintenance

Branch

Division of Reactor Safety

John

E. Whittemore,

Reactor

Inspector,

Maintenance

Branch

Division of Reactor Safety

Accompanying

Personnel:

Margaret

S. Chatterton,

Nuclear Engineer,

Reactor

Systems

Branch, Office of Nuclear Reactor Regulation

Brian E. Holian, Senior Project Manager,

Project

Directorate

IV-2, Office of Nuclear

Reactor Regulation

Approved:

I5fs-

omas

.

wynn,

erect r.

ivy ion o

eactor

a e y

t

Ins ection

Summar

Areas

Ins ected

Units

1

2

and

3

Routine,

announced,

followup inspection

of Licensee

Event Report 528;

529: 530/94-002-00

and its two supplements,

which discussed

Technical Specification limiting conditions for operation that

were not supported

by safety analysis.

9501180121

950111

PDR

ADOCK 05000528

9

PDR

'I

'l

I

i

'

,~

Results

Units

1

2

and

3

Plant

0 erations

-2-

Not applicable during this inspection.

Maintenance

Not applicable during this inspection.

~f

Although generally untimely. engineering

decisions

related to revised

core physics limits were technically appropriate.

There were no

technical

inadequacies

found in the licensee's

revised administrative

limits that had supplanted

Technical Specification limits (Section 1.2).

There were missed opportunities to identify and correct deficiencies.

The issue of subcritical control element

assembly

bank withdrawal

reanalysis internally reported

on March 17.

1994.

was originally

recognized

by the licensee's staff in November

1993.

The issue of

moderator temperature coefficient discrepancy

could have

been identified

during the development of previous core reload analyses

and

10 CFR 50.59

reviews

by the fuel vendor

and the licensee staffs.

This issue of

Mode 6 boron concentration

had the potential to be discovered

at each of

14 reloads

before it was found (Section 1.2. 1, 1.2.2

~ and 1.2.5).

The licensee's staff did not consider analytical

inputs

and reload

analyses

assumptions

for matters

such

as core azimuthal tilt accident

analyses,

which had led to plant operational limits such

as

3 percent

core azimuthal tilt. to constitute design

bases

(Section 1.2.3).

The licensee's

staff inappropriately derived

an

NRC staff viewpoint from

reviewing other

licensee

correspondence,

rather than pursuing its own

Technical Specification

change.

The licensee's

practice of abandoning

Technical Specification limits for the use of more restrictive

administrative limits to control safety analysis

assumptions

as

a

prolonged or routine practice instead of requesting

NRC review and

revision of Technical Specification limits was not prudent.

The

licensee's

implementation of its reportabi lity process

and its frequent

requests

to the

NRC for time extensions

related to licensee

correspondence,

was

an area in need of significant improvement

(Section 1.2.4).

The licensee's

program for evaluating

vendor technical

information

inappropriately

exempted fuel vendor information (Section 1.3. 1).

1

,

-3-

The licensee's staff had recognized

and was working toward resolving

a

weakness

that there

was not

a governing procedure to ensure that

low-tier procedures,

plant changes,

and concerns

about reload safety

analyses

were captured

for subsequent

considerations

in unit cycle bases

documents

(Section 1.4. 1).

Analytical inputs

and analyses

for the Unit 2 Cycle 5 fuel thermal

performance

were reasonable

and acceptable

(Section 1.4.2).

10 CFR 50.59 safety evaluations

for recent fuel design

changes

were

brief with an almost complete reliance

on the fuel vendor's analytical

results

(Section 1.4.3).

Certain training records

had been lost.

A new training procedure

eliminated reload analysis continuing training.

One group had personnel

qualification cards;

however,

the cards

had not been

used.

There was no

system for tracking or evaluating training.

The present continuing

training program for reload analysis

was not viable (Section 1.4.4).

Plant

Su

ort

The corrective action tracking process

was weak in that it allowed

unnecessary

vulnerability to the failure to track and implement

necessary

corrective actions

(Section 1.3. 1).

There were programmatic

requirements

in place to assure that commitments

implemented within procedures

would not be eliminated

by procedure

revision.

However, there were no safeguards

to assure that database

searches

were actually performed

and correctly interpreted;

therefore,

there

was

a vulnerability to the inadvertent eliminatation of

commitments

(Section 1.3.2).

~

Hang ement Overview

The long-term outstanding

issues

discussed

in Licensee

Event Report 528;

529: 530/94-002-00

and its supplements

revealed historical

management

difficulties in ensuring priority consideration to resolving with NRC

technical

issues potentially impacting safe plant operation

(Section 1.1).

Upon identification of a recent issue involving the exercising of

control element assemblies

in Nodes 3. 4.

and

5 that could violate the

assumptions

in the safety analysis,

a special

plant review board

met in

a timely manner (the

same day) to discuss

the issue.

Since

a proposed

solution had not been finalized, the board took positive action to

require prereview by the board of future control element

assembly

withdrawals (Section 1.2. 1).

J

0

Summar

of Ins ection Findin s:

~

Violation 528;

529; 530/9435-01

was opened

(Section 1.2.1).

~

Licensee

Event Report 528;

529; 530/94-002

and its Supplements

01 and

02

were closed

(Section 1.2.6).

~

Inspection

Followup Item 528;

529; 530/9435-02

was opened

(Section 1.4.4).

Attachment:

~

Attachment

- Persons

Contacted

and Exit meeting

E

I

0,

-5-

DETAILS

1

ENGINEERING FOLLOMUP

(92903)

1. 1

Backcaround

~

.

Technical Specification 3.3.1.

required three of four core protection

calculators to be operable in Modes

1 and 2.

However, the safety

analysis

and plant operating procedures

required that the core

protection calculator bypass

be operable during any subcritical

operation with the reactor trip breakers

closed.

Technical Specification 3.9. 1. required either

a K-effective of less

than or equal to 0.95 or a boron concentration of greater

than or equal

to 2150

ppm, whichever was more restrictive,

when in Mode 6.

However,

the safety analysis

assumed

an initial boron concentration of 4000

ppm

and the plant procedures

did not limit the source of makeup water to a

source of such boron concentration.

The licensee's

investigation into these

issues

was discussed

in its Condition

Report/Disposition

Request

9-4-0171,

dated

March 17,

1994.

Condition

Report/Disposition

Request

9-4-0171 also discussed

two other reactor

physics

issues of concern that involved the following:

Technical Specification

3. 1. 1.3. restricted

moderator temperature

coefficient to be within the area of acceptable

operation

as specified

in the core operating limits report.

However. the safety analysis

assumed that the, moderator temperature coefficient for single

uncontrolled control element

assembly

bank withdrawal within the

deadband with control element

assembly calculators

inoperable

was more

conservative.

By letter dated

June

3

~

1994, the licensee

submitted Licensee

Event

Report

(LER) 528;

529: 530/94-002-00.

The

LER reported

an April 22,

1994,

identification that three Technical Specification limiting conditions for

operation that would not ensure plant operation within the safety analysis

assumptions

as required

by 10 CFR 50.36.

The licensee's

letter indicated that

it had received

an extension to the original

LER report due date to

June 3,

1994.

The limiting conditions f'r operation in question

involved the

following:

~

Technical Specification 3. 1. 1. 1. requi red

a

1 percent

shutdown margin in

Modes 3, 4,

and

5 with all full-length control element

assemblies

fully

inserted.

However. the saf'ety analysis

and plant operating

procedures

required that the boron concentration

be maintained greater than the

boron concentration for hot full power with all rods out and equi librium

xenon with the reactor trip breakers

closed.

1,

i

h

-6-

Technical Specification 3.2.3. restricted

core azimuthal tilt to less

than

10 percent with core operating limit supervisory

system out of

service.

Howevers

the safety analysis

assumed that the tilt was less

than, or equal to,

3 percent with the core operating limit supervisory

system out of service.

The licensee's

investigation into core azimuthal tilt was also discussed

in

Condition Report/Disposition

Request

9-2-0326.

which was issued

on May 29,

1992.

On August 8.

1994. the licensee's

submitted

Supplement

01 to the

LER.

The

supplement

reported

a June

7,

1994, identification that

a fourth Technical

Specification limiting condition for operation that was also inadequate.

This

limiting condition of operation involved the following:

Technical Specification Table 4.3-1 required adjustments

to linear power

level, core protection calculator delta

power,

and core protection

calculator nuclear

power signals if they differed from the calorimetric

by an absolute difference of greater than

2 percent

when greater than

15 percent rated thermal

power.

However, the fuel vendor supplied core

protection calculator addressable

constants

that required the

calibration tolerance to be administratively restricted

below 30 percent

power.

The licensee's

investigation into these

issues

was discussed

in its Condition

Report/Disposition

Request

9-4-0338,

dated

May 20 '994.

On October

28 '994, the licensee

submitted

Supplement

02 to the

LER.

The

supplement

reported

a September

6,

1994, identification of the following:

The plant operating

procedures

for exercising control element

assemblies

in Modes 3, 4.

and

5 could allow conditions that violate assumptions

used in the subcritical control element

assembly

bank withdrawal

analysis.

The supplement

also discussed

a June

1991, discovery

by the fuel vendor of:

Two non-conservative

errors in the subcritical

neutron source strength.

Additionally. the supplement

stated that the licensee

had determined that the

previously reported

issues

involving Mode 6 boron dilution and the core

protection calculator power calculations

were not reportable.

The licensee's

investigation into these

issues

was discussed

in its Condition

Report/Disposition

Request

9-4-0641,

dated

September

6,

1994.

Following a review of the

LER and its supplements,

NRC decided to initiate a

t

followup inspection.

The primary inspection objectives for this inspection

were:

I

i

l

0

-7-

To understand

the specific problems discussed

in the

LER as they related

to the safe operation of the plants

and, in particular, the licensee's

ractice of abandoning certain non-conservative

Technical Specification

imits and establishing

more conservative administrative limits that

were not been submitted for NRC staff review;

and

To gain

a general

overview of how well the licensee's

reload safety

analysis

process

was working.

The

NRC inspection of these

licensee

and fuel vendor identified issues

and the

licensee's

experience with reload safety analyses

is given below.

1.2

LER Issues

The issues

described

in the

LER and its supplements

were complex, often

inter-related,

and difficult to understand,

given thei r long-term histories.

The inspection of these

long-term outstanding

issues

revealed historical

management difficulties in ensuring priority consideration to resolving with

NRC technical

issues potentially impacting safe plant operation.

Although

generally untimely, engineering

decisions

related to revised core physics

limits were technically appropriate.

There were no technical

inadequacies

found in the licensee's

revised administrative limits that had supplanted

Technical Specification limits.

The

NRC inspectors'eview

of the

LER issues is separated

below into five

categories:

shutdown control element

assembly

bank withdrawal

and source

strength,

moderator temperature coefficient, core azimuthal tilt, core

protection calculator calibration,

and

Mode 6 boron concentration.

1.2. 1

Shutdown Control Element Assembly

Bank Withdrawal

and Source Strength

Inadvertent control element

assembly

bank withdrawal from a subcritical

condition is an anticipated operational

occurrence that can occur

as

a result

of operator error or hardware failure.

The event is analyzed in Chapter 15.4

of the updated final safety analysis report.

During subcritical conditions,

neutronic

feedback

mechanisms

are not significant because

the power generation

in the core in not large enough to cause

appreciable

changes

in fuel and

moderator

temperatures.

Consequently,

the event must

be terminated

by

a core

protection calculator trip or

a high logarithmic power level trip.

Acceptance

criteria for this event includes limitations on fuel temperature

and cladding

strain (controlled by fuel centerline temperature

limitation) and heat flux

(controlled by minimum departure

from nucleate

boi ling ratio).

In the original final safety analysis

report. the subcritical control element

assembly

bank withdrawal analysis with four reactor coolant

pumps running

assumed

the initial conditions to be those permitted

by the Technical

Specification limiting conditions of operation.

Automatic protection

was to

be provided by the high logarithmic power level trip at 0.8 percent

rated

thermal

power.

Core protection calculators

were designed to provide

a reactor

trip when required for anticipated operational

occurrences

and postulated

I

-8-

accidents

when initiated from a power level greater

than the core protection

calculator operating

bypass setpoint.

For conditions with less than four

reactor coolant

pumps in operation,

the analysis

took credit f'r the core

protection calculator trip bypass

removal

upon attaining

a

1 percent

rated

thermal

power as providing

a trip.

Both analyses

concluded that the results

were acceptable.

the specified acceptable

fuel design limits were not

exceeded.

and General

Design Criteria 20 and

25 (protection system functions

and protection system requirements

for reactivity control malfunctions,

respectively)

were satisfied.

On October 9.

1987.

NRC approved the licensee's

January

23,

1987,

request for

Technical Specification

changes

involving shutdown margin and. in particular,

the high logarithmic power level trip and core protection calculator

bypass

setpoints

~ which were changed

from 0.8 and 1.0 percent of rated thermal

power,

respectively,

to 0.01

and 0.0001 percent of rated thermal

power, respectively.

The revised analysis for the subcritical control element

assembly withdrawal

with four reactor coolant

pumps

was incorporated into the updated final safety

analysis report,

but the subcritical control element

assembly

bank withdrawal

with less

than four reactor coolant

pump operation

was not.

The updated final

safety analysis

report did not address

core protection calculator operability.

Core protection calculators

are required to be operable in Modes

1 and 2,

only.

The lack of Technical Specification operability criteria for the core

protection calculators

in Modes 3, 4,

and

5 was not recognized.

As given in

Condition Report/Disposition

Request

9-4-0171,

Item 2, credit for core

protection calculator trips was beyond the design basis of the core protection

calculators.

The licensee's

fuel vendor

informed the licensee of an error in the analysis

of subcritical neutron source strength

on May 24.

1991.

The fuel vendor

had

determined that the actual subcritical

neutron source strength

was smaller

than previously predicted.

(For the subcritical control element

assembly

bank

withdrawal event,

a smaller neutron source strength will increase the amount

of neutron multiplication prior to reaching the trip setpoint, therefore,

resulting in a higher

power spike than would have occurred with a higher

neutron source strength.)

The fuel vendor indicated that the error

was not

a

safety concern

because

the event analysis

contained

enough conservatism

in the

assumed initial conditions to demonstrate

results within the licensing basis

when the corrected initial subcritical

power level was used.

In addition, the

fuel vendor determined that the error was not reportable

by the requirements

of 10 CFR Part 21.

The letter stated that while a reanalysis

was being

performed'aintaining

boron at or above hot full power, all rods out,

equi librium xenon concentration

would resolve the issue.

The licensee

issued

a night order on May 29,

1991, to ensure this measure.

I ~

f

I

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After the fuel vendor letter of May 24.

1991, it was determined

by the

licensee that the error was reportable

under

10 CFR 50.73,

but further

investigation

was necessary.

Interim corrective action was being developed to

ensure that plant operation

was maintained in an analyzed configuration.

Actions to be taken were listed in Condition Report/Disposition

Request

3-1-0007,

issued

June

6

~

1991.

On June

17.

1991, the licensee's

fuel vendor informed the licensee of the

final results of the subcritical

source strength analysis.

The fuel vendor

had determined there were actually two errors in the generic calculation

used

to calculate the source term.

The erroneous

subcritical neutron source term

was non-conservatively

high by

a factor of about

5000.

The fuel vendor wrote

that. the licensee's

boron dilution restriction or the core protection

'calculator trip would provide adequate

protection to account for the errors.

On June

24.

1991, it was determined

by the licensee that the source term error

was not reportable despite the earlier statement

in Condition

Report/Disposition

Request

3-1-007.

The reasoning

was that it was not

a

condition that would significantly compromise plant safety.

The licensee

received

a reanalysis of the subcritical control element

assembly

bank withdrawal event dated October

8,

1991;

however,

inasmuch

as the licensee

was relying on its fuel vendor for complete reload safety analyses

at that

time no licensee detailed

review of this document took place.

Yet, there

clearly was

a plant condition for which the fuel vendor gave credit to

operating restrictions that the licensee

was free to change without

consultation with the fuel vendor.

In 1992,

a groundrule

change

was initiated that split the subcritical control

element

assembly

bank withdrawal analysis into a shutdown

bank and

a

regulating

bank analysis.

The shutdown

bank analysis

used the boron

concentration greater than hot full power, all rods out,

equi librium xenon

concentration

and the regulating

bank analysis

used the high logarithmic power

level trip as automatic protection.

Core protection calculators

continued to

be used for generating

the trip when less than four reactor coolant

pumps were

running.

On May 18.

1994.

changes

to the Technical Specification were proposed to make

the limiting condition for operation for shutdown margin more restrictive by

requi ring the boron concentration to be greater than hot full power, all rods

out.

equi librium xenon concentration.

On September

6,

1994 'ondition Report/Disposition

Request

9-4-0641

was

written identifying that control element

assembly

exercising in Modes 3, 4,

and

5 could violate the assumptions

in the subcritical control element

assembly

bank withdrawal analysis.

The inspectors

noted that

a special plant

review board met in a timely manner (the

same

day as the Condition

Report/Disposition

Request

9-4-0641

was initiated) to discuss

the latest

information on the control element

assembly

issue.

Since the licensee's staff

1

~

i

-10-

had not finalized

a proposed solution, the board took positive action to

require any future control element

assembly withdrawal to be reviewed

by the

board prior to its occurrence.

In LER 528;

529; 530/94-020-404 it is stated

that Technical Specification

changes

on this subject were expected to be

submitted to the

NRC by December

30,

1994.

On December

16,

1994,

licensee

representatives

notified the inspectors that they had informed the Office of

Nuclear Reactor Regulation Project

Manager that this date

was slipped to

January

30 '995.

There were missed opportunities to identify and correct deficiencies.

The

issue of subcritical control element

assembly

bank withdrawal identified in

the March

17 '994.

Condition Report/Disposition

Request

9-4-0171

was

originally recognized

by the licensee's

reactor engineering staff in November

1993.

In November

1993. during the review of a

new operating procedure.

a

discrepancy

was identified that the fuel vendor's

guidance to maintain boron

restrictions or core protection calculator operable

was insufficient.

The

licensee's staff questioned that both the boron restriction

and the core

protection calculators

were necessary.

The issue

was telephonically referred

to nuclear fuel management

personnel,

without initiating a condition

report/disposition

request.

Procedure

90AC-01P04,

Revision 2. effective

November 2.

1992.

was the effective procedure describing the condition

reporting process.

The procedure

described

a process

for the identification,

documentation'nd

evaluation of conditions that

may adversely effect the safe

operation of the plants.

Section

1. 1.3 of the procedure identified that

conditions which may adversely effect the safe operation of the plant were

human errors;

procedure deficiencies

and technical

inadequacies;

use or

generation of incorrect

and inadequate

documents

such

as specifications,

procedures'r

instructions;

and conditions that could result in reports to

external

agencies.

Section 3. 1.2 of the procedure

required that if the

condition described

required

immediate action

or

may have adverse

or immediate

impact on the operation of plant systems

or equipment.

then the originator

shall initiate any requi red immediate actions

and complete the condition

report/disposition

request

in accordance

with the condition report/disposition

request instructions to complete the applicable sections of the form as soon

as practical.

By an internal

memorandum

dated February

21,

1994, nuclear fuel

management

personnel

formally specified that both the boron restriction

and

core protection calculators

were necessary.

A condition report/disposition

request

was not initiated at that time, contrary to the effective version of

Procedure

90AC-01P04

~ Revision 3, issued

on January

3

~

1994.

A condition

report/disposition

request

was finally initiated on March 17.

1994.

Subsequently.

the mode change checklists in Procedure

400P-92211,

"Nuclear

Administrative and. Technical

Manual." were changed to put in place the new

requi rements

on March 19,

1994.

A request for a Technical Specification

change

was not initiated at this time, but according to Condition

Report/Disposition

Request

9-4-0171.

a change will be proposed.

This issue of

not initiating a condition report/disposition

request

in a timely manner

and

in accordance

with the appropriate categorization

is

a violation (528:

529;

530/9435-01).

l

e

On November 29.

1994. the licensee's

representatives

presented

to the

inspectors

a partially drafted condition report/disposition

request

which

requested

raising the sensitivity to the need to initiate a condition

report/disposition

request expeditiously,

investigate the time allowable

between discovery

and initiation of a condition report/disposition

requests

determine whether training is required.

and determine whether the issue is

applicable to organizations

outside nuclear

fuel management.

1.2.2

Moderator Temperature Coefficient

The fuel vendor notified the licensee that analysis for a single uncontrolled

control element

assembly withdrawal within the control element

assembly

motion

inhibit/prohibit deadband of the control element

assembly calculators,

with

the calculators

inoperable,

assumed

a moderator temperature coefficient value

that was more conservative

than the Technical Specification value.

The reload

groundrules

assumed

the most positive value of moderator temperature

coefficient to be 0.0 pcm/'F at 60 percent of rated thermal

power, while the

Technical Specification limit, as reflected in the core operating limits

report.

allowed

a more positive value of + 2.0 pcm/'F.

The Technical

Specification basis stated that the limitation on moderator temperature

coefficient was provided to ensure that the assumptions

remained valid through

the each fuel cycle.

The inspectors

confirmed that the licensee

had implemented

changes

to the Palo

Verde Nuclear Generating Station core operating limit report for moderator

temperature coefficients.

The current Technical Specifications for all units

refer operators

to the core operating limit reports that

now provide more

restrictive limits that agree with the event analysis

assumptions.

The

inspectors

noted that the licensee's

corrective action system indicated these

changes.

The inspectors

reviewed the surveillance

requirements

of the Technical

Specifications

and verified that surveillance testing

was requi red to be

performed three times during each fuel cycle to ensure that assumptions

used

in accident

and transient analysis

remained valid through the cycle.

According to statements

in the corrective

action document,

Condition

Report/Disposition

Request

9-4-0171. startup physics testing

was used to

verify core operation within the assumption of the safety analysis.

The

inspectors

reviewed

one startup physics testing record provided by the

licensee

(Unit 2 Cycle 5) and verified the data

was acceptable.

The inspectors

believed that this issue of moderator temperature coefficient

discrepancy

could have

been identified and resolved

much earlier than it was.

There were several

opportunities for identification during the development of

previous core reload analyses

and

10 CFR 50.59 reviews of the analyses

by the

fuel vendor

and the licensee that should have identified this discrepancy.

I

l

J

-12-

1.2.3

Core Azimuthal Tilt

Prior to late 1992. the core accident

analyses

design basis limit for core

azimuthal tilt. which was consistent with the groundrules,

was inconsistent

with the Technical Specification limit. Specifically, the analyses

assumed

that with the core operating limit supervisory

system out-of-service there

would be

a 3 percent tilt (rather than the

10 percent

allowed by Technical

Specification).

In response

to this discrepant

findings the licensee

issued

Condition Report/Disposition

Request

9-2-0326

on Hay 29,

1992.

The March 17,

1994. Condition Report/Disposition

Request

9-4-0171 relied on

the

1992 reportability determination that this issue

was not reportable.

In

reaching that

1992 determination.

the licensee's

logic had been

(1) the

problem would only occur for

a limited time in a cycle or (2) administrative

procedural

controls were in place for the problem.

The licensee's

staff

committed

a large amount of time in reaching its determination that the issue

was not reportable.

According to Condition Report/Disposition

Request

9-2-0326, its staff reviewed hundreds of records in reaching its decision.

The licensee's

fuel vendor was requested

to provide input to the licensee's

decision

making on how to resolve the issue.

A July 1.

1992,

response letter

from the fuel vendor

stated:

The downside risk to the Technical Specification

change

approach

would be

NRC review and questions

on the cause for the current

measured tilt and generic implications for other

C-E plants with

digital protection systems.

This guidance

from the fuel vendor was unquestionably

inappropriate.

It

minimized the significance of a potentially generic issue

and contributed to

the licensee's

uncertainty in how to enact

a satisfactory resolution to its

azimuthal tilt quandry.

Ultimately. the licensee

decided to resolve this issue

by submitting

a

Technical Specification

amendment

request

on January

4,

1994.

The request,

approved

by

NRC on November

3

~

1994,

lowered the Technical Specification limit

to 3 percent.

Additionally, the

licensee

changed the appropriate

procedures

to require that for instances

when the core operating limit supervisory

system

is in service but both of the control element

assembly calculators

are

inoperable that require

a power reduction to less than

50 percent of rated

thermal

power if core azimuthal tilt exceeds

3 percent.'lthough

the

licensee's

decision

was appropriate,

this issue,

a potential generic issue,

should

have

been corrected in a more timely manner.

The inspectors

discussed

with the licensee's

representatives

plant operation

prior to late November

1992 when core azimuthal tilt had been limited to

10 percent.

The licensee's staff identified historical occurrences

where

plant tilt had exceeded

the 3 percent

design basis.

The inspectors

questioned

the logic of the licensee's

reportabi lity determination.

inasmuch

as the issue

of operation outside the design basis

needed to be quantified for the

significance of those occurrences.

For these

occurrences.

the licensee's

t

l

0

-13-

staff explained that the occurrences

were of short duration,

thereby the

probability of asymmetric conditions that could have perturbed

core azimuthal

tilt was small.

The summary information reviewed

by the inspectors

showed

that for those occurrences,

the Technical Specification action statements

had

not been violated (which if they had would have necessitated

a separate

reporting to NRC).

After returning to the Regional office, the inspectors

continued the

inspection of this issue of outside-design-bases

occurrences

with the

Office for Analysis

and Evaluation of Operational

Data to determine whether

the occurrences

should

be considered

reportable

pursuant to

10 CFR 50.72(b)(1)(ii)(B) or 50.73(a)(2)(ii)(B).

Both specified regulations

refer to reporting requi rements for a condition that is/was outside the design

basis of the plant.

It was subsequently

determined

from discussions

and

review of related written guidance (including examples) that the licensee's

occurrences

were not reportable

under the specified reporting requirements.

It was concluded that these

two specific reporting requi rements

were

associated

with higher-tier design basis associated

with fuel protection.

For

the Palo Verde Nuclear Generating Station,

the minimum departure

from nucleate

boil'ing safety limit of 1.24 or fuel rod heat generation

rate safety limit of

21 kW/ft that had not been violated were subject to these reporting

requirements.

This finding was provided to licensee

representatives

on

December

16.

1994, in a telephone

conference.

During the review of this issue,

the inspectors

were informed by the

licensee's staff that they did not consider matters

such

as core azimuthal

tilt accident analyses,

which had led to plant operational limits such

as

3 percent core azimuthal tilt, to constitute design

bases.

The inspectors

expressed

disagreement

with that viewpoint, which contradicted their

understanding

of reactor

safety analyses

requirements,

as set forth in staff

documents

such

as the standard

review plan.

1.2.4

Core Protection Calculator Calibration

In 1988 'he licensee's

fuel vendor identified the need for more restrictive

requirements

for adjustments

to linear power level, core protection calculator

delta

T power,

and core protection calculator nuclear

power when differing

from calorimetric calculation

by more than +/- 2 percent.

The licensee

put

administrative controls in place at that time, but did not request

a Technical

Specification

change.

The administrative controls included changes

in the

core protection calculator

setpoint analysis

and power calibration procedures

to eliminate the potential for non-conservatism

in core protection calculator

calculations of departure

from nucleate

boi ling and linear heat rate.

The inspectors

asked to review the

10 CFR 50.59 evaluations

performed for

these administrative controls

and the associated

reportabi lity determination

for this issue.

but these

documents

were not available.

I

S

-14-

In Harch 1989. the licensee's

fuel vendor, 'in reviewing the licensee's

administrative controls.

recommended that the appropriate

Technical

Specification revision should

be submitted to "eliminate the need for this

complex interim approach."

In making

a decision whether to request

an

amendment.

the licensee's staff evaluated other similar vintage Combustion

Engineering nuclear

steam supply system licensee

correspondence

to change

related Technical Specification limits.

For

a variety of reasons,

several

of

those submittals

were unacceptable

to the

NRC staff,

and the licensee's staff

inappropriately derived

an

NRC staff viewpoint from those transactions

rather

than pursuing its own Technical Specification

change.

The use of administrative controls that are more restrictive than Technical

Specification limits is

a

common practice to protect against violating the

Technical Specification limits.

However, the abandonment of Technical

Specification limits for the use of more restrictive administrative limits to

control safety analysis

assumptions

as

a prolonged or routine practice instead

of requesting

NRC review and revision of Technical Specification limits in

accordance

with 10 CFR 50.36 was not prudent.

As stated in Section

1. 1 of this report, the licensee

had recently determined

on June

7,

1994, that this issue

was reportable.

That determination of

reportability had been initiated as early as

May 24,

1994, during

a revision

to Condition Report/Disposition

Request

9-4-0338.

The reportabi lity

determination

was again confi rmed in an internal

memorandum

dated

June 9.

1994 'herein it was stated that the report was to be made in

Supplement

1 to LER 528:

529; 530/94-002-00.

Supplement

1 to LER 528;

529;

530/94-002-00.

though.

was not issued until August 8,

1994.

Consequently,

the

licensee's

report was technically more than

a month overdue.

However,

Supplement

2 to LER 528:

529: 530/94-002-00,

issued

on October 28,

1994,

stated that this issue involving the core protection calculator

power

calculations

had

now been determined

not to be reportable.

During discussions

with the inspectors,

the licensee's

representatives

explained that their best recollection

was that they had received telephonic

approval

from the Walnut Creek Field Office for an extension to the reporting

timeliness for Supplement

1 to LER 528;

529: 530/94-002-00;

however,

the

licensee

and

NRC personnel

could not identify a record of the extension

approval.

This reportabi lity review was also confusing to the

NRC inspectors

because

on November 15,

1994, the licensee's staff made

a presentation

to the

inspectors,

during which a handout indicated that this issue

was reportable

and did not acknowledge the prior October 28,

1994, determination.

The inspectors

believed that the licensee's

implementation of its

reportabi lity process's

indicated

by this example

and its frequent

requests

to the

NRC for time extensions

related to licensee

correspondence,

was in need

of significant improvement.

I

'i

0

1.2.5

Mode 6 Boron Concentration

-15-

The initial reactivity analysis

done by the licensee's

fuel vendor

assumed

that the boron concentration for the

Mode 6 boron dilution analysis

was

4000

ppm.

based

on the Technical Speci.fication requirement for the refueling

water tank stored water.

This assumption

was less conservative

than the

2150

ppm or K-effective less than 0.95 requi red by Technical Specifications

for refueling.

This error was not discovered until the Unit 3, Cycle 5 analysis

was being

performed.

After discovery of the error,

a reanalysis of Unit 3, Cycle 5 was

performed

and it verified that the source

range monitoring setpoint ratio

of 2.2 was valid, but the core operating limits report requi red revision to

Table 5.

A reanalysis

of Units

1 and 2, Cycle 5 analyses

revealed similar

results.

The licensee's

review of plant operations identified two situations in which

the assumptions

of greater

than or equal to 4000

ppm was violated for an

extended

time.

The first situation

was in 1988,

where for approximately

17 days boron was allowed to decrease

to 2275

ppm.

The second

case

was

between April

1 and

May 13,

1988,

when the boron concentration

was

as

low as

3700

ppm.

These situations.

however,

met the 2150

ppm limit in Technical Specification 3.9. 1, although they did not meet the safety analysis

assumption

of 4000

ppm.

Apparently, the licensee's

fuel vendor never incorporated the assumption into

the reload design groundrules for the licensee's

review.

The licensee

deferred to its fuel vendor's

experience,

and apparently did n'ot question the

assumptions.

This discrepancy

existed for a long time.

It had the potential

to be discovered at each of 14 reloads

before it was found.

1.2.6

Conclusion

Closed

LER 528

529

530/94-002

and its Su

lements

01 and 02:

Technical

S ecification Limitin Conditions for o eration that would not ensure

lant

o eration within the safet

anal sis

assum tions

as re uired

b

10 CFR 50.36

According to the discussion

above, this

LER is closed.

1.3

Use of Site-Wide Administrative Processes

During the licensee

evaluation of issues

leading

up to the issuance

of

LER 528;

529: 530/94-002-00,

licensee

personnel

utilized site-wide

administrative processes

to evaluate

and disposition discrepancies.

The

inspectors

followed up and assessed

the use of the site-wide administrative

processes

for corrective action tracking and procedure revision.

l

-16-

1.3. 1

Corrective Action Tracking Process

The inspectors

determined that

LER 528;

529: 530/94-002-00

resulted

from

licensee

and fuel vendor identified findings that were reported in three

different corrective action documents.

Condition Report/Disposition

Requests

9-4-0171,

9-4-0338,

and 9-4-0641 were initiated in response

to the

findings.

Additional condition report/disposition

requests

were reviewed,

but

the inspection

focussed

on the effectiveness

of these three primary condition

report/disposition

requests.

The inspectors

reviewed the licensee's

guidance for the corrective action

system,

contained in Procedure

90AC-OIP04,

"Condition Reporting," Revision 4.

The procedure

contained all the administrative information necessary

to

identify a problem,

perform assessment

or evaluate,

classify (for

significance),

determine corrective action,

and track corrective action.

The

inspectors

referenced

the three previous revisions of this procedure to

determine if the licensee's staff had handled the corrective action process

properly in light of many recent significant process

changes.

Condition Report/Disposition

Request

9-4-0171

was issued

when the licensee

determined that

some Technical Specification limiting conditions for operation

did not ensure that plant operation

was conducted within analyzed conditions.

The specific limiting conditions for operation were related to shutdown

margin, core protection calculator operability, moderator temperature

coefficient, refueling boron concentration,

and core azimuthal tilt.

The inspectors

experienced difficulty in following corrective actions

because

of specific unique practices

associated

with tracking.

For example,

the most

current version of Condition Report/Disposition

Request

9-4-0171 contained

a

list of five corrective actions that had already

been completed.

Howevers

these five items did not appear in the database.

so the inspectors

asked for

the closure references

stated

in the Condition Report/Disposition

Request

9-4-0171.

Likewise, Corrective Action Items

9 and

10 to be completed

were not in the database.

The inspectors

noted this to a licensee

representative

who stated that corrective actions

completed before

a condition

report/disposition

request

was placed into the database

were not entered into

the database.

Additionally, corrective actions initiated after

a condition

report/disposition

request

was placed in the database

were often issued

as

separate

action items.

Searches

for documents to substantiate

closure of some

corrective actions that were not in the database

proved to be long and

exhaustive.

The inspectors

opted not to challenge the licensee's

resources

and did not insist on seeing all documentation.

When Condition Report/Disposition

Request

9-4-0171

was written. Revision

2 of

Procedure

90AC-OI04 was in effect.

The inspectors

noted that Condition

Report/Disposition

Request

9-4-071

had been classified

as Category

4 with a

root cause analysis

requested.

The inspectors

reviewed the classification

guidance of Revision

2 and noted that the guidance contained

a set of

questions

to determine if a condition report/disposition

request

was to be

Category

3.

Question

Number

4 read,

"Does the condition involve

k

~

I

I

-17-

administrative,

procedural

~ or operational

errors that demonstrate

a

fundamental

misunderstanding of'r noncompliance with operational,

regulatory,

or nuclear safety requirements.

Lsic ?]"

Based

on this guidance.

the

inspectors

determined that the condition report/disposition

request

had been

misclassified.

However. after further discussion with quality assurance

management

and review of the procedure,

the inspectors

were not sure that

an

apparent misclassification would significantly affect final corrective action.

Additionally, further review of the current procedure revision revealed that

a

condition report/disposition

request classification of Category

1 (potentially

significant) required

some type of followup assessment

or evaluation,

such

as

root cause determination

or team investigation.

Unlike previous revisions,

management

had more flexibilityin determining the type of followup evaluation

to be performed.

Condition report/disposition

requests

classified

as

Category

2 (nonsignificant) did not requi re the performance of formal followup

assessment

or evaluation.

The inspectors

believed that the safety issues

related to Condition Report/Disposition

Request

9-4-0171

had been adequately

addressed.

Condition Report/Disposition

Request

9-4-0338 was issued

when the licensee

identified that adjustments

to nuclear

power instruments

and signals

were

required

when the absolute difference from calorimetric calculation

was

greater

than

2 percent,

but analysis

assumed

a lesser

difference

(+2 percent,

-0.5 percent)

below 30 percent

power.

The inspectors

reviewed the current disposition of Condition Report/

Disposition Request

9-4-0338 'hich remained

an open corrective action

document.

The inspectors

experienced difficulty in determining

how the

licensee

applied immediate.

short-term corrective action.

Eventually, it was

determined that the short-term corrective

action was to continue

administratively controlling instrument calibration to the stricter allowed

difference.

This decision

was

made prior to entering the condition

report/disposition

request into the database

and the action needed to do this

was not evident in the database.

To accomplish this, it was necessary

to

maintain requirements

found in two procedures.

Subsequently,

according to

a

licensee

representative.

the licensee's

procedure

revision process

used in

conjunction with the corrective action tracking system would prevent

inadvertent elimination of the corrective action by freezing certain

requirements

in:

Procedure

40ST-9N101.

"Adjustable Power Signal Calibration," Revision 3;

and

~

Procedure

72PA-9RX01,

"Power Calibration," Revision 3.

Because of time constraints,

the inspectors

did not verify the licensee

representative's

assertion

regarding the preservation of corrective action.

Additionally. according to tracking system information. all required

corrective actions

had been completed

and closure

was pending final review.

'

0

-18-

These tracked actions

included

a 10-day draft evaluation.

a complete

evaluation,

a reportability review,

and

a nuclear

assurance

review.

The

inspectors

believed that the licensee

was adequately

addressing

safety issues

developed

by Condition Report/Disposition

Request

9-4-0338.

Condition Report/Disposition

Request

9-4-0641

was initiated to address

a

condition where exercising control element

assemblies

while shutdown would

exceed the assumed

conditions for analysis of subcritical control element

assembly

bank withdrawal.

The inspectors

reviewed the current disposition

and

corrective action tracking of Condition Report/Disposition

Request

9-4-0641.

The following corrective action was proposed:

Draft Evaluation.

Root Cause

Evaluations

Nuclear Assurance

Review for Corrective Action Adequacy,

Reportabi lity Review,

Regulatory Affairs Complete

LER.

and

Nuclear Assurance Verification of Corrective Action'ompletion.

According to the tracking system,

only the root cause evaluation

and

verification of corrective action completion remained

open.

The inspectors

found it a poor practice that the various corrective actions could be

determined

and apparently finalized, with the root cause evaluation

determination

not final.

To assure that the safety concern

had been addressed,

the inspectors verified

the completion of the specific corrective action to address this concern.

This corrective action was implemented in Procedure

430P-3SF06,

"CEA

Exercising in Modes 3, 4,

and 5." Revision 1.

The procedure

contained

precautions

and limitations to assure

adequate

shutdown margin would exist by

requi ring one control element

assembly calculator

and three core protection

calculators to be operable prior to exercising the control element

assemblies.

In additions

the reactor coolant system

was required to contain

a boron

concentration to provide shutdown margin for conditions of hot full power, all

rods out,

and equi librium xenon for current core burnup.

The inspectors

agreed with the licensee

conclusion that these

cor rective actions

adequately

addressed

the safety issue.

The inspectors

followed up on the licensee's

handling of the issue associated

with the fuel vendor's discovery of errors in the calculation of subcritical

neutron source strength.

The inspectors

inquired if, at the

May 24,

1991,

report time. there

was

a site-wide process

for handling vendor technical

information arriving at the site.

Licensee

personnel

stated that in May 1991,

a program was in place to assure

the correct handling of this type of

information.

and the program was ongoing.

However, fuel vendor information

had always

been

exempted

from the requirements of the program.

Therefore,

this letter had been sent directly to the Manager,

Nuclear Fuel

Management,

and never entered into the site-wide administrative information processing

system.

I

I

I

I

-19-

The inspectors

asked representatives

of nuclear fuel management

how this

correspondence

had been treated within that organization.

According to

documentation

provided.

Problem Resolution

Sheet

0001478

was initiated on

May 29 '991.

The problem resolution sheet

was the licensee's

primary

corrective action document prior to the origination of the condition

report/disposition

request.

The problem resolution sheet indicated that the

shift technical

advisor

and the assistant shift supervisor

required

a

reportabi lity determination.

The plant manager

assigned

an investigation

director on May 30.

1991.

and the issue

was assigned

an investigation

Category 4.

There was

no further apparent

actions related to the problem

resolution sheet

issues.

Howevers

the inspectors

were provided

a copy of

Condition Report/Disposition

Request

3-1-0007 which had been initiated on June

6,

1991.

According to the condition report/disposition

requests

the concerns

originally stated in the problem resolution sheet

were transferred to and

addressed

in the condition report/disposition

request.

After the events

described

above,

the licensee

received the second letter

related to subcritical

source neutron strength

on June

17,

1991.

The letter

further reported the results of the fuel vendor 's review of the current

analysis

and the licensee's

exitant procedures

indicated sufficient

conservatism with current operating practices.

The inspectors

asked licensee

representatives

how conditions

and procedures

were identified and controlled

to provide the needed

conservatism.

Licensee

personnel

referred the

inspectors to Condition Report/Disposition

Request

3-1-0007,

which indicated

that one of the actions to fix the problem was to allow the plant to continue

to operate

by taking credit for current operating procedures.

This action was

stated to be complete.

According to the documentation

reviewed,

Condition

Report/Disposition

Request

3-1-0007

had been closed.

The inspectors

again

asked what procedures

were identified and

how were they controlled.

Just

prior to the end of the inspection,

the inspectors

were provided with a

tracking system report

and licensee Letter 261-00243-MAH regarding the closure

of Problem Resolution

Sheet

1478.

The letter stated that

13 procedures

had

been

changed to address

the problem of the error in the calculation of the

subcritical

source term.

The tracking system report indicated that the

procedures

referenced

in the letter were indeed disposition documents for the

problem resolution sheet.

There was insufficient time during the remainder of

the inspection to assess

the role in each procedure

toward satisfying the

corrective actions.

The inspectors

considered

the licensee's

corrective action tracking process

to

be weak in that it allowed unnecessary

vulnerability to missing necessary

correction actions.

1.3.2

Procedure

Change

Process

The inspectors

noted that procedure

steps to meet commitments

were not

identified within the text of the procedures.

The inspectors

discussed

with

licensee

personnel

the subject of preservation of commitments that were

'I

I

-20-

implemented through procedure revision.

During these discussions.

inspectors

gained

an impression that

some Nuclear Fuel

Hanagement

personnel,

including

supervision.

were not aware of the need to have this element in the procedure

revision process,

or

how the element

was satisfied.

The inspectors

reviewed licensee

Procedure

01AC-OAP02,

"Review and Approval of

Nuclear Administrative and Technical

Procedures,"

Revision 5, which provided

the guidance for revising safety-related

procedures.

Procedure

Step 3.2.2

requi red the performance of a corrective action tracking system database

search.

Appendix A to this procedure

provided the procedure action cover

sheet which contained

a statement that

a corrective action tracking system

database

search

was required for all procedure actions.

Procedure

Appendix

H

provided the instructions for

a database

search

and report printing.

The

inspectors

concluded there were programmatic

requirements

in place to assure

that commitments

implemented within procedures

would not be eliminated

by

procedure revision.

However, there did not appear to be any safeguards

to

assure that the database

search

was actually performed

and correctly

interpreted.

The inspectors

believed there to be

a vulnerability to eliminate

commitments

implemented in licensee

procedures

inadvertently.

1.4

Reload Safet

Anal sis

Ex erience

1.4. 1

Reload Safety Analysis History

The licensee

received

NRC approval

on June

14,

1994, to conduct portions of

its own reload safety analyses

using Combustion Engineering

computer codes.

The specific computer

codes that were approved for licensee

use included codes

for the analysis of physics.

thermal-hydraulics,

fuel performance,

and certain

transients

and accidents.

Subsequent

to this approval,

the licensee

has

maintained

a partnership

agreement with its fuel vendor

as

a joint continuing

effort to provide reload safety analyses.

Previously in 1992, the licensee

took control over the groundrules

development.

The groundrules

document

provides

a reload design interface with the fuel vendor

and establishes

design

assumptions

used in reload analyses.

The licensee

was using

a team composed of fuel vendor

and licensee

personnel

(2/4, respectively) to perform reload safety analyses,

except for Unit 1,

Cycle 5 for which the licensee did not have resources

to support the reload

safety analyses

and utilized all fuel vendor

personnel

to develop the reload

safety analysis report.

From the brief overview. the licensee's

reload safety

analysis

reports

were found to be similar or somewhat greater in content

and

scope of detail to that provided by the licensee's

fuel vendor to other

licensees.

As part of the recent reengineering

process,

the licensee

recognized

a

weakness

in that they did not have

a high-level tier procedure that governed

the various involved procedures

to ensure that all plant changes

and concerns

about reload safety analyses

were captured for subsequent

considerations

for

)

I

( I

-21-

unit cycle bases

documents (i.e.. Technical Specifications,

updated final

safety analysis report,

and groundrules).

The license representative

stated

that they were working toward the development of this master

procedure

issuance

next year.

The licensee's

representative

stated that it intended to begin using the

NRC-approved

methodology for conducting reload safety analysis in the fall of

1995.

Until that time. they planned to continue to rely on assistance

from

its fuel vendor under the partnership

agreement.

It appeared

that reload safety analysis

process

was working well.

The

licensee's

intention of improving the controls over groundrules

was

a positive

idea.

The ongoing partnership

arrangement

with the fuel vendor

had increased

the licensee's staff's fuel engineering analytical capabilities

and had

brought both the fuel vendor

and the licensee's

attention

on specific

analytical

issues.

In short.

a better technical

coverage of issues

has

occur red.

Some examples of this better coverage

was evident in the discovery

of problems

as documented

in certain condition report/disposition

requests.

It was understood that it was the licensee's

goal to become

independent of

your fuel vendor for certain reload safety analysis'ut

the inspectors

had

the strong impression that the licensee did not have

an adequate

resource

base

in nuclear fuel management

to sustain three unit reload safety analysis

demands.

Whether or not that transition is made is the licensee's

prerogative,

but for the interim, the joint effort appears

to be an

improvement over the pre-1993 practices for conducting reload safety analysis.

1.4.2

Fuel

Thermal

Performance

Analysis

The inspectors

performed

a brief review of certain inputs to the Unit 2,

Cycle 5, fuel thermal

performance

analysis

(Analysis No. A-PV2-FE-0008,

dated

December

14.

1992).

The analysis

was performed using the FATES-3A version of

the C-E fuel evaluation

model.

The inputs were used to generate

information

necessary

to support the reload safety analysis that specified acceptable

fuel

design limits were satisfied,

such

as

peak fuel rod internal pressure

less

than normal reactor coolant system operating pressure

and fuel rod power less

than

21 kW/ft.

The analytical results

were generated

for the hot and average

rods for design parameter for Batches

B,

E,

F,

and

G and incorporated the

highest radial

peak over the entire Cycle 5 burnup range.

The analysis

established

that acceptable

results

were obtained.

The inspectors

considered

the analytical

analyses

to have been reasonable

and identified no problems.

1.4.3

10 CFR 50.59 Evaluations of Fuel

Design

Changes

The inspectors

reviewed the

10 CFR 50.59 safety evaluations for fuel design

changes

that were implemented during the most recent refueling outage for each

of the units.

The licensee's

representative

identified and provided three

such evaluations:

one for Unit 2

~ Cycle 5, operation

dated June

23,

1993:

one

for Unit 1. Cycle 5. operation dated

November

19 '993:

and one for Unit 3,

Cycle 5

~ operation

dated

March 9.

1994.

The design

changes that were

evaluated for each unit were not identical'ut included changes

such

as

a new

'

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"value added fuel pellet."

a new burnable poison absorber pellets

a

new low

volume fuel rod plenum

springer

the elimination of the fuel rod upper alumina

spacer

disks

an upgrade to the Inconel spacer grid assembly to improve debris

entrapment,

and the use of laser welding instead of tungsten inert gas welding

to produce smaller weld nuggets.

thereby,

reducing pressure

drop coefficients.

The inspectors

considered

the evaluations of the changes to be brief,~with an

almost complete reliance

on the fuel vendor's analytical results that were

obtained with computer

codes previously approved

by the

NRC and referenced

in

the reload safety analysis.

This was surprising

because

the licensee

was

making efforts to become

independent

in its capability to perform reload

safety analyses.

Nevertheless'he

inspectors

did not identify any specific

problem with the design

changes that could have

been considered

as

an

unreviewed safety question.

The inspectors

also reviewed the March 18,

1994,

and October

13.

1994.

10 CFR 50.59 reload safety analyses

for the Unit 2, Cycle 5

~ steam generator

tube plugging mini-outages.

A necessary

change

from the assumed

number of

plugged

steam generators

tubes

was that the peak linear heat generation

rate

needed to be restricted to 13.2 kW/ft, rather than 13.5 kW/ft previously used.

The licensee

implemented this reduction

by changing the core oper ating limit

supervisory

system addressable

constant

and the core operating limits report

value.

In addition, the licensee

requested

and received

a change to the

Technical Specifications to use the 1985 Evaluation

Model for the large break

loss-of-coolant

accident

for the generation of the core operating limits

report information.

The inspectors

inquired of the licensee's

representatives

as to whether the

licensee

had

made

any fuel assembly or control element

assembly

changes

for

any of the most recent unit refueling outages after the associated

reload

safety analyses

had been completed.

The licensee

representatives

stated there

was

one change

made to the Unit 1, Cycle 5, fuel loading scheme that occurred

as

a result of fuel vendor concerns

about fuel rod fretting in 8 specific fuel

assemblies

located

on the core periphery.

Subsequent

to the fuel vendor's

letter of concern

(August 4,

1993. Letter V-93-204), the licensee

decided to

replace the 8 fuel assemblies.

The licensee

response letter of August 4,

1993.

accepted

the fuel vendor recommendations.

Subsequently,

the fuel

vendor's letter of August 19,

1993. provided

a new fuel loading pattern.

The

licensee's

representatives

indicated that

a

10 CFR 50.59 review of this change

was not necessary

inasmuch

as the reload safety analysis

was not complete

and

approved at the time of notification of the

recommended

change.

The

inspectors

agreed with that viewpoint.

No discrepancies

were identified during the reviews.

O

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-23-

1.4.4

Reload Analysis Training

The

NRC approved

a topical report describing the transfer of reload analysis

technology

from the fuel vendor to the licensee.

Within this report was

a

description of training administered to licensee

personnel

for the assumption

of reload analysis responsibility.

The inspectors

assessed

the adequacy of

the continuing training provided for responsible

personnel.

According to licensee

managements

fuel reload analyses will eventually

be

assigned

to one of the disciplines within the Nuclear

Fuel

Management

Department.

The four engineering disciplines comprising nuclear fuel

management

were fuel cycle services,

nuclear analysis.

safety analysis,

and

reactor engineering.

The licensee

had acquired

a reload analysis training

ackage

from the fuel vendor.

This training contained

21 separate

classroom

essons

that were administered

by fuel vendor instructors.

According to the

submitted report,

the total package

took 83 classroom

days to administer.

According to licensee

representatives,

personnel

were not administered

the

, total classroom

package.

but select

groups of lessons within the total

package.

The inspectors

asked if personnel

had initially been task

qualified'ccording

to the specific training received

and were informed that this was

not the case.

The inspectors

asked to see available documentation

indicating

the specific lessons that individuals had received.

They were informed these

records

had been lost during

a recent office relocation of most personnel

within the Nuclear Fuel

Management

Department.

The inspectors

asked

about

individual training record documentation

and were told that there were

some

training certificates within these records'ut

they were probably not

complete.

The licensee's

topical report stated that continuing training of personnel

with reload analysis responsibility

would be accomplished

by on-the-job

training.

The inspectors

attempted to determine the specific training

requirements.

On-the-job training requi rements for engineering

personnel

were

addressed

in "Engineering Personnel

Qualification

8 Training Program

Description." Revision 6.00.

This document described

the industry accredited

training program for engineering

support personnel.

A review of this document

indicated that reload analysis

personnel

assigned to the different groups

within nuclear fuel management

were subject to different training

requi rements.

Fuel cycle services

engineering,

nuclear analysis

engineering,

a'nd safety analysis

engineering

were described

as "non-accredited participant

groups."

Reactor engineering

was classified

as

an "accredited participant

group."

The inspectors

observed that the program description for accredited

or

non-accredited

groups did not include specific initial or continuing training

requirements

for fuel reload analysis activities.

This was pointed out to

licensee

representatives

who referred the inspectors

to previous Revision 5.00

of the training program description.

This revision contained

appendixes

for

nuclear analysis

and safety analysis

engineers

that specified requirements

and

frequency for reload analysis continuing training.

Reload analysis continuing

training was not addressed

for fuel services

engineers

and reactor engineers.

l

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The inspectors identified that the requirements

of Revision 5.00 were no

longer in effect,

and that Revision 6.00 to the training program description

had eliminated reload analysis continuing training requirements

for nuclear

and

sa fety ana lysi s engineers.

The inspectors

reviewed

a sample of personnel

training records

being

maintained

by supervisors of the safety analysis

and nuclear analysis

groups.

It was noted that one group's

records contained only database

printouts of

courses

completed.

while the other group's

records additionally contained

graded examinations

and course completion certificates.

The review of these

records did not indicate to the inspectors

what training constituted initial

reload analysis training and what constituted continuing training.

During the inspection, it was not apparent that reload analysis

team members

from specific groups within nuclear fuel management

requi red any task specific

training.

During interviews, the inspectors

became

aware that the safety

analysis

group had developed

personnel

qualification cards that included

performance

measures

for determining proficiency in reload analysis tasks.

However, these cards

had never

been

used

and it was not clear if they were to

be used in initial training, continuing training, or both.

Also, the

inspectors

could not determine if the cards

were intended to be used

by all

groups or just safety analysis

personnel.

According to a licensee-provided list of reload technology transfer

program

milestones,

the initial training package

procured

from the fuel vendor

had

been completed in April 1990.

Additionally. licensee

personnel

stated that

a

reload analysis continuing training program consisting of on-the-job training

and,

based

on

a three-year cycle.

had been

implemented

on completion of

initial training.

Based

on this information, the first 3-year cycle of

continuing training for personnel

who had completed initial training, should

have

ended in April 1993.

No documentation

could be provided in response to

the inspectors'equest

for information that could be used to assess

the

viability of the continuing training program for reload analysis.

Also, the

licensee did not have

a system for tracking or evaluating the progress of

continuing training related to reload analyses.

, The inspectors

could not fully evaluate the effectiveness

of the initial

training program

as records

were not available to indicate the specific

classroom training received

by specific analyses

team personnel.

From a

review of the program subject matter available

as classroom training'he

program appeared

to address all elements of reload analyses

adequately.

The

inspectors

determined that the present continuing training program for reload

analysis

was not

a viable program for the following reasons:

~

Overall program training requirements

had not been determined;

~

Training requirements

for team personnel within specific groups

had not

been determined:

i

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~

There was

no apparent

integration of reload analyses initial or

continuing training among the different groups that make

up

a reload

analysis

team;

and

~

Continuing training for reload analyses

personnel

was not routinely

tracked or evaluated.

The adequacy of continuing training for reload analyses

personnel

is an

Inspection Followup Item (528; 529; 530/9435-02).

)

'

ATTACHMENT

1

Persons

Contacted

1. 1

Arizona Public Service

Com an

¹*J. Bailey. Vice President,

Nuclear Engineering

8 Projects

  • R. Bandera,

Supervisor,

Nuclear Analysis,

Nuclear

Fuel

Management

¹ S.

Bauer.

Section Leader,

Licensing.

Nuclear Regulatory Affairs

¹*P. Crawley, Directors'uclear

Fuel

Management

  • G. Duede

~ Senior

Engineers

Fuel Cycle Services,

Nuclear Fuel

Management

  • D. Garchow, Director, Systems

Engineering

  • B. Grabo,

Section

Leader,

Compliance,

Nuclear Regulatory Affairs

¹ J.

Gunn, Senior Engineer,

Reactor

Engineering,

Nuclear Fuel

Management

  • C. Kar lson,

Senior

Engineer,

Nuclear Analysis, Nuclear Fuel

Management

¹~A. Krainik, Department

Leader,

Nuclear Regulatory Affairs

¹*D. Hedek, Senior Engineer,

Nuclear Assurance

Engineering

G. Michael'enior Engineer, Licensing'uclear

Regulatory Affairs

¹ H. Reid. Supervisor,

Safety Analysis, Nuclear Fuel

Management

K. Roberson.

Senior Engineer,

Compliance.

Nuclear Regulatory Affairs

¹*R. Rogalshi

~ Licensing Engineer,

Licensing,

Nuclear

Regulatory Affairs

¹*G. Shanker,

Department

Leader,

Nuclear Assurance

Engineering

  • B. Thiele

~ Supervisor,

Reactor Engineering,

Nuclear Fuel

Management

S. Troisi

~ Manager.

Operations

Computer Systems

  • N. Turley, Senior Engineer,

Licensing,

Nuclear Regulatory Affairs

¹*J.

Webb, Senior Engineer,

Safety Analysis, Nuclear Fuel

Management

1.2

NRC Personnel

  • T. Gwynn, Director . Division of Reactor

Safety

  • K. Johnston'enior

Resident

Inspector

  • H. Wong. Chief. Reactor Projects

Branch

F

In addition to the personnel

listed above,

the inspector contacted

other

personnel

during this inspection period.

  • Denotes those persons that attended the preliminary exit meeting

on

November 17.

1994.

¹Oenotes

those persons that attended

the exit meeting

on December

2,

1994.

2

EXIT MEETING

Interim exit meetings

were conducted

on November

17 and December

2, followed

by

a final telephonic exit meeting

on December

16,

1994.

During the meetings,

the inspectors

reviewed the scope

and findings of the report.

The licensee's

senior official expressed

a position on one of the apparent violations

presented

at the December

2,

1994.

meeting that consideration

should

be given

to its corrective actions

taken in response

to a prior violation involving

emergency diesel

generator operability.

In response.

the inspectors

requested

that the specifics of the licensee's

corrective actions

be telephoned

or sent

to the Regional office on the following Monday.

December

5,

1994.

The

'\\

~

f

-2-

information was not sent.

but during the week of December

12,

1994.

a licensee

representative

contacted

the inspectors to inquire as to what information was

expected.

Subsequently,

on December

16.

1994, the licensee's

representatives

stated that this information would be sent to the Regional office for the

inspectors to review and that the information should reach the Regional office

on December

19 '994.

The information did not arrive,

and on

December

21,

1994 'he inspectors

informed the licensee's

representative

that

the inspectors'n

further reviewing this matter,

concluded that the apparent

violation that potentially related to the subject corrective action was

unwarranted.

During the inspections

the licensee's

representative

identified, in a general

manner, that various materials

reviewed by the inspectors

was proprietary.

The inspectors

stated that reasonable

judgement would be used to ensure that

no proprietary information was released

in the report.

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