ML17312A938

Corrective Action Program

ML17312A938
Person / Time
Site:	Palo Verde
Issue date:	02/03/1995
From:	Rouse R ARIZONA PUBLIC SERVICE CO. (FORMERLY ARIZONA NUCLEAR
To:
Shared Package
ML17312A937	List: ML17312A936 ML17312A938 ML17312A945
References
60PR-0QQ01, 60PR-QQ1, NUDOCS 9609100086
Download: ML17312A938 (11)

Text

CONTROLLED DOCUMENT NUCLEAR ADMINISTRATIVEAND TECHNICALMANUAL Page 1 of 9 Revision CORRECTIVE ACTION PROGRAM 60PR-0QQ01 PROCEDURE INTENT This procedure describes the PVNGS Corrective Action Program implemented to meet the requirements of 10CFR50, Appendix 3, Criteria 15 and 16, ANSI N18.7-1976 and PVNGS Updated FSAR, Section 17.2.

EFFECTIVE DATE 02-03-95 qb0'Pi0008b 9b0823 iPDR ADOCK 05000528<

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of 9 CORRECTIVE ACTIONPROGRAM 60PR-0QQOI Revision 0

NUCLEAR ADMINISTRATIVEAND TECHNICALMANUAL TABLEOF CONTENTS SECTION 1.0 PURPOSE AND SCOPE...

1.1 Purpose 1.2 Scope 2.0 RESPONSIBILITIES 2.1 Executive Vice President............................................

2.2 Vice Presidents and Directors 2.3 Director, Nuclear Assurance 2.4 Strategic Analysis Department Leader 2.5 Maintenance Support Department Leader 2.6 Material and Contract Services Department Leader 2.7 Engineering Assurance Department Leader 2.8 Nuclear Regulatory Affairs Department Leader 2.9 AllPVNGS Employees 3.0 POLICY.

3.1 Requirements 4.0 DEFINITIONSANDABBREVLCTIONS 4.1 Adverse Condition.

4.2 Condition Reporting 4.3 Corrective Action 4.4 Deficiency.

4.5 Failure 4.6 Nonconformance (Hardware Related) 4.7 Significant Adverse Condition

5.0 REFERENCES

5.1 Implementing References.

5.2 Developmental References 6.0 APPENDICES PAGE 3

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APPENDIX Appendix A - Corrective Action Program........

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CONTROLLED DOCUMENT NUCI FAR ADMINISTRATIVEAND TECHNICALMANUAL Page 3 of 9 Revision CORRECTIVE ACTION PROGRAM 60PR-Op@01 1.0 PURPOSE AND SCOPE 1.1 Purpose This program establishes measures to ensure that conditions which adversely ail'ect the safe, reliable, and economic production ofelectricity (referred to as Adverse Conditions), such as failures, malfunctions, deficiencies, deviations, defective material and equipment, and nonconformances are promptly identified, documented, controlled, corrected, verified and closed.

This program also establishes measures to ensure that conditions which significantly affect the safe, reliable, and economic production ofelectricity (referred to as Significant Adverse Conditions) are investigated to determine and document cause and appropriate corrective action(s) to prevent recurrence and are reported to the appropriate level ofmanagement.

1.2 Scope This program applies to all personnel working at PVNGS and to any structure, system, component, process or program that is used in the production ofelectricity or to ensure the health and safety ofon-site personnel and the public.

The processes used at PVNGS to implement the Corrective Action program include the following:

Control ofWork (Hardware Conditions)

Control of Purchased Material, Equipment, and Services (warehouse and vendor)

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Condition Reporting (Non-hardware and significant adverse conditions)

The relationship ofthe Regulatory Requirements and the Program Documents and the Administrative Control Procedures are shown in Appendix A.

2.0 RESPONSIBILITIES 2.1 Executive Vice President The Executive Vice President, Nuclear, is responsible for the establishment of programs for the reporting and correction of adverse conditions.

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CONTROLLED DOCU NilENT NUCI FAR ADMINISTRATIVEAND TECHNICALMANUAI Page 4 of 9 Revision CORRECTIVE ACTIONPROGRAM 60PR-0QQ01 2.2 Vice Presidents and Directors Vice Presidents and Directors are responsible for assuring that Adverse and Significant Adverse Conditions under their jurisdiction are promptly identified, documented, controlled, corrected, verified and closed in accordance with the appropriate corrective action process.

Vice Presidents and Directors are also responsible for assuring that the cause of Significant Adverse Conditions have been identified, that appropriate corrective actions have been taken to prevent recurrence, and that a verification process is implemented, prior to condition closure, to ensure that these actions have occurred and are documented.

2.3

~erector, Nuclear Assurance The Director, Nuclear Assurance, is responsible for the efficiency, quality, and effectiveness ofthe Corrective Action program including the following:

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Reviewing and concurring with all procedures for reporting, controlling, and correcting Adverse and Significant Adverse Conditions in accordance with this program.

Concurring with the dispositions to Significant Adverse Conditions.

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Trending Significant Adverse Conditions.

Reporting to management observed weaknesses.

2.4 Strategic Analysis Department Leader The Nuclear Assurance Strategic Analysis Department Leader is responsible for overall coordination and implementation ofthe Condition Reporting process as the "Process Owner".

2.5 Maintenance Support Department Leader The Maintenance Support Department Leader is responsible for overall coordination and implementation ofthe Work Control process as the "Process Owner."

2.6 Material and Contract Services Department Leader m

The Material and Contract Services Department Leader is responsible for the overall coordination and implementation ofthe Warehouse Discrepancy System as the "Process Owner."

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of 9 Revision 60PR-0QQ01 NUCLEAR ADMlNlSTRATlYEAND TECHNlCALMANUAl-CORRECTIVE ACTION PROGRAM 2.7 Engineering Assurance Department Leader The Nuclear Assurance Engineering Department Leader is responsible for overall coordination and implementation ofthe Vendor Corrective Action Program as the "Process Owner."

2.8 Nuclear Regulatory AffairsDepartment Leader The Nuclear Regulatory Affairs Department Leader is responsible for ensuring that problems identified as potentially reportable through the corrective action program are evaluated in a timely manner.

2.9 AllPVNGS Employees AllPVNGS Employees are responsible for promptly identifying and reporting safety and quality deficiencies to their supervisors and clearly documenting deficiencies in accordance with programs identified in this procedure.

3.0 POLICY 3.1 Requirements 3.1.1 Adverse Conditions Administrative controls and associated implementing procedures used in the corrective action process shall contain the followingrequirements for resolving Adverse Conditions:

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Prompt identification, documentation, control, correction and closure of the Adverse Condition.

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Verification to determine that the Adverse Condition has been corrected.

3.

Review for reportability to the NRC and, where determined that potential reportability exists, notification ofappropriate management personnel for the purposes ofsubsequent condition evaluation and reporting.

4.

Tagging and segregating (ifpractical) ofnonconforming items until disposition ofthe nonconformance has been implemented.

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Approval and justification from the authorized engineering organization for Use-As-Is and Repair dispositions ofnonconforming items.

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Retention ofcorrective action documentation in accordance with the Document Control Program.

CONTROLLED DOCU ViENT NUCLEAR ADMINISTRATIVEAND TECHNICALMANUAL Page 6 of 9

CORRECTIVE ACTION PROGRAM 60PR-OQQ01 Revision 7.

Data analysis, coding, and entry into an appropriate data base for subsequent identification ofexisting and/or emerging favorable and adverse trends.

3.1.2 Significant Adverse Conditions In addition to the requirements of section 3.1.1, the resolution ofSignificant Adverse Conditions shall require the followingadditional actions.

l. Identification ofthe cause ofthe condition and implementation of corrective actions to prevent recurrence.

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A review by the Off-Site Safety Review Committee ofthe results of investigations ofSignificant Adverse Conditions and any recommendations for preventing condition recurrence.

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Forms used to document Significant Adverse Conditions shall include (at a minimum) information pertaining to the date ofidentification, the requirement(s) violated, and the organizations notified.

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Review and concurrence by Nuclear Assurance ofthe corrective action disposition.

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Verification to determine that the cause ofthe Significant Adverse Condition has been identified and that corrective action has been taken to prevent recurrence.

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Analysis of unplanned reactor trips using an integrated investigation methodolo~. The investigation process shall include a determination of when the plant can be safely restarted.

4.0 DEFINITIONSAKDABBREVIATIONS 4.1 Adverse Condition An all-inclusive term used to reference any item or activity that does not conform to requirements. Adverse Condition is synonymous with terms such as failure, malfunction, deficiency, deviation, defective material and equipment, and nonconformances.

4.2 Condition Reporting A process used for the identification, documentation, evaluation and resolution of conditions which have the potential to affect/or have affected the ability ofPVNGS to provide electricity in a" safe, reliable and economic manner.'

CONTROLLED DOCUMENT NUCLEAR ADMINISTRATIYEAND TECHNICALMANUAL Page 7 of 9 CORRECTIVE< ACTION PROGRAM 60PR-0QQ01 Revision 4.3 Corrective Action Measures taken to rectify Adverse and Significant Adverse Conditions and, where necessary, prevent their recurrence.

4.4 Deficiency A general term covering any defect, discrepancy, omission, or lack ofconformance to requirements.

4.5 Failure 4.6 The inabilityof an item to perform within previously specified limits.

Nonconformance (Hardware Related)

A deficiency in characteristic, documentation, or procedure that renders the quality of an item unacceptable or indeterminate. Examples ofnonconformance include:

physical defects, test failures, incorrect or inadequate documentation, or deviation from prescribed processing, inspection or test procedure. (Specific criteria for nonconforming items are identified in 60AC-OQQ01, Control ofNonconforming Items.)

4,7 Significant Adverse Condition ASignificant Adverse Condition is one that, ifuncorrected, significantly aQ'ects the safe, reliable, and economic production ofelectricity. (Specific criteria for Significant Adverse Conditions are identified in 90AC-OIP04, Condition Reporting.)

5.0 REFERENCES

5.1 Implementing References 5.1.1 02PR-OQQOl, Control ofDowngraded and Nonconforming Material 5.1.2 12AC-OMC01 - Control ofPurchased Material, Equipment and Services 5.1.3 30AC-9WP05 - Control ofWork 5.1.4 60AC-OQQOl - Control ofNonconforming Items 5.1.5 73AC-ORAOl - Failure Data Trending and Nuclear Plant Reliability Data System b.l.6 90AC-OIP04 - Condition Reporting 5.1.7 90DP-OIP03 - Condition Report Screening and Processing 5.1.8 90DP-OIP06 - Reactor Trip Investigation Pal 6 NNItI 48)

CONTROLLED DOCUMENT NUCLEAR ADMINISTRATIVEAND TECHNICALMANUAL Page 8 of 9

CORRECTIVE ACTION PROGRAM 60PR-0QQ01 Revision

. 0 5.1.9 90DP-OIP07 - Significant Condition Investigation 5.1.10 90DP-OIP08 - Adverse Condition Evaluation 5,2 Developmental References 5.2.1 10 CFR 50 Appendix B Criteria XVand XVI-Code ofFederal Regulations 5.2.2 ANSI N18.7-1976 - Administrative Controls and Quality Assurance for the Operational Phase ofNuclear Power Plants.

5.2.3 PVNGS Updated FSAR Revision 6-March 1994 Updated Final Safety Analysis Report 6.0 APPENDICES 6.1 'ppendix A - Corrective Action Program

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