ML18152A483

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Insp Repts 50-280/89-09 & 50-281/89-09 on 890403-07. Violations Noted.Major Areas Inspected:Emergency Preparedness Program,Review of Training,Changes to Emergency Organization & Staff Augmentation
ML18152A483
Person / Time
Site: Surry  Dominion icon.png
Issue date: 05/04/1989
From: Gooden A, Rankin W
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML18152A484 List:
References
50-280-89-09, 50-280-89-9, 50-281-89-09, 50-281-89-9, NUDOCS 8905220044
Download: ML18152A483 (11)


See also: IR 05000280/1989009

Text

Report Nos. :

UNITED STATES

NUCLEAR REGULATORY COMMISSION

REGION II

101 MARIETTA STREET, N.W.

ATLANTA, GEORGIA 30323

MAY i 2 1989

50-280/89-09 and 50-281/89-09

Licensee:

Virginia Electric and Power Company

  • Glen Allen, VA

23060

Docket Nos.:

50-280 and 50-281

License Nos.: DPR-32 and DPR-37

Facility Name:

Surry 1 and 2

Inspection Conducted:

April 3-7, 1989

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'

Inspector:

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A. Gooden* .*

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A.ppl-oved by* _./,A:f.--:._* /_,/ * /,:?/: *'.

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W. Rankin, GJ:l'(ef

Scope

Emergency Preparedness Section

Emergency Preparedness and Radiation Protection

Branch

Division of Radiation Safety and Safeguards

SUMMARY

Date Signed

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Date Signed

This routine, unannounced inspection was conducted in the area of emergency

preparedness.

Several aspects of the emergency preparedness program were

inspected to determine if the program was being maintained in a state of

operational readiness for responding to emergencies.

This included a review of

training, changes to the emergency organization, distribution of changes to the

Emergency Plan and Emergency Plan Implementing Procedures (EPIPs), audit

reports, staff augmentation, and the maintenance of key facilities and selected

emergency kits or equipment.

Results

Within the areas inspected, one violation was identified for failure to meet

the augmentation staffing requirements within the time periods specified in

Table 5.1 of the Surry Emergency Plan (Paragraph 7).

Noted program strengths

were as follows:

(1) the utilization of a co~puterized tracking system with

periodic status summaries appeared effective in ensuring that emergency

response personnel training was current and up-to-date; (2) testing,

maintenance, and recent upgrades to the early warning siren (EWS) system; and

(3) the knowledge and familic.rity with classification procedures and the

responsibilities as interim Station Emergency Manager exemplified by an

interviewee during a postulated accident review .

=:90512.

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FDC

REPORT DETAILS

1.

Licensee Employees Contacted

R. Beckwith, Coordinator, Corporate Emergency Planning

W. Benthall, Supervisor Licensing *

H. Collar, Supervisor - Quality, Corporate Support

J. Cormier, Manager - Quality, Corporate Support

  • J. Costello, Coordinator, Surry Emergency Planning
  • F. Cox, Supervisor, Corporate Emergency Planning

H. Finch, Supervisor Telecommunications

M. Gabriele, Assistant Shift Supervisor

  • E. Grecheck, Assistant Station Manager

D. Hart, Supervisor - Quality

  • M. Holdsworth, Supervisor Security Operations

R. Macmanus, Supervisor Configuration Management

  • A. Meekins, Supervisor Administrative Services

B. Morgan, Staff Quality Specialist

  • A. Royal, Supervisor, Power Station Support/Radiation Protection

Other 1 icensee employees contacted during this inspection included

engineers, operators, security force members,

technicians, and

administrative personnel.

Nuclear Regulatory Commission

  • W. Holland
  • L. Nicholson
  • J. York
  • Attended exit interview.

2.

Emergency Plan and Implementing Procedures (82701)

Pursuant to 10 CFR 50.47(b)(l6), 10 CFR 50.54(q), and 10 CFR 50, Appendix

E, this area was reviewed to determine whether changes were made to the

program since the last routine inspection (June 1988), and to assess the

impact of these changes on the overall state of emergency preparedness.

The inspector reviewed Section 8.2 of the licensee

1s Emergency Plan and

Station Admi ni strati ve Procedure No. SUADM-ADM-18 (entitled Document

Control) regarding the development, review, approval, and distribution of

changes to the Plan and EPIPS.

Randomly selected procedural changes since

the June 1988 inspection were reviev,ed for verification that licensee

management approvals were in accordance with the procedural requirements

of Station Administrative Procedure No. SUADM-SDM-21.

Controlled copies

of the Station Emergency Plan and EPIPs were audited in the Control Room,

2

Technical Support Center (TSC), Operational Support Center (OSC), Local

Emergency Operations Facility (LEOF), Security Control Room, and select

emergency kits.

With one exception, the selected copies that were

examined, were found to be current revisions.

The one exception involved

a controlled distribution package for* the Radiological Assessment

Director.

The inspector noted during the audit that, EPIP 4.19 (entitled

Radio Operations for Health Physics Monitoring) was not included in the

referenced controlled distribution package as indicated on the master file

distribution index.

The licensee took immediate action to correct this

finding by requesting Document Control personnel be dispatched immediately

with a copy of the current revision for inclusion into the controlled

package.

This finding was not considered significant in that the missing

procedure was an isolated case, and the TSC library, found at the same

location, maintains controlled copies of the Surry Emergency Plan (SEP)

and EPIPs.

The inspector verified that current copies of the SEP and

EPIPs were available in the TSC Library.

The inspector informed the

licensee that the current practices of auditing the controlled packages on

an annual basis and/or for drills and exercises was inadequate and needed

upgrading to include more frequent audits.

Licensee representatives

agreed with this finding and committed to conducting more frequent audits

of the contra 11 ed di stri buti ons to the Emergency Response Faci 1 i ty' s

packages.

The inspector informed licensee representatives that this

matter was considered an Inspector Follow-up Item (IFI) for review during

a subse~uent inspection .

I FI 50-280, 281/89-09-01:

Conduct more frequent audits of the EPI Ps

controlled distributions.

The inspector reviewed documentation for randomly se 1 ected Pl an and

prqcedure changes to verify that submit ta 1 s were made to NRC within

30 days of the approval date.

It was noted that all submittals were

within 30 days after the changes were made, and signatures on concurrence

sheets were consistent with those required for concurrence.

The inspector conducted a review of. randomly selected plant emergency

action levels (EALs) in preparation for conducting a walkthrough with a

key member of the licensee's emergency response organization (see

Paragraph 5).

Within the scope of the review, the licensee's emergency

classification and action level scheme was generally consistent with

guidance contained in NUREG-0654, Revision 1.

However, it was noted

that an EAL for the Notification of Unusual Event (NOUE) involving the

loss of plant communication capability had been changed.from the

initially established EAL, which included failure of all onsite

communication capability including the Station Private Branch Telephone

Exchange (PBX).

The PBX system provides switched local and trunked

telephone service.

The current EAL as*written, only includes the station

Gai-tronics system and station UHF radio.

Absent was the loss of offsite

communications.

The licensee was informed that the current EAL involving

loss of plant communications capability does not meet the intent of

NUREG-0654 involving the loss of significant communication capability.

The licensee agreed to review and revise the EAL to meet the intent of

3

NUREG-0654.

Subsequent to the inspection, the inspector was contacted

telephonically by the Supervisor Emergency Planning and informed that a

detailed review had been conducted.

Based on the review, the licensee is

committed to revise the referenced EAL to reinstate the PBX system.

Regarding the loss of offsite commu*nications, notification requirements

are addressed in a Station Administrative Procedure governing 10 CFR 50.72

reporting.

The licensee representative was informed that this item will

be reviewed during a subsequent inspection.

IFI 50-280, 281/89-09-02:

Revise the NOUE EAL involving the loss of plant

communications capability to include the PBX system.

No violations or deviations were identified.

3.

Emergency Facilities, Equipment, Instrumentation, and Supplies (82701)

Discussions were held with a licensee representative concerning

modifications to facilities, equipment, and instrumentation since the last

inspection.

The inspector toured the onsite emergency response facilities

(ERFs) and noted that facilities were in accordance with the description

in Section 7.0 of the SEP.

Since the June 1988 inspection, the following

changes had been made to key facilities and equipment:

0

0

During September 1988, the Corporate Emergency Response Center (CERC)

was relocated from the Corporate Headquarters Building at James River

Plaza (Richmond, VA) to the Innsbrook Technical Center in Richmond,

VA.

This facility was activated during the 1988 annual exercise, and

no problems were noted as a result of the relocation.

Consequently,

this facility was not inspected.

Regarding equipment changes, upgrades were made to the EWS.

During

January 1989, the EWS was upgraded with a Whelan, computerized,

control and feedback system.

According to licensee representatives,

this system should reduce spurious activations, provide quick

assurance of test results, and simplification of siren activation

procedure.

In -assessing the operational status of the emergency facilities, the

inspector verified that protective ~quipment,

and supplies were

operational and inventoried on a periodic basis.

Emergency kits and/or

cabinets from the TSC, Control Room, OSC, LEOF, and Maintenance Service

Complex were inventoried and randomly selected equipment was *checked for

operability.

The selected- equipment displayed current calibration

sticker, and successful battery checks were obtained.

Equipment

operability status, or response to a source check could not be immediately

determined.

The licensee's current practice is to determine equipment

operability by conducting a monthly source check.

The inspector informed

a licensee representative that, a mechanism for determining the

operability status of portable survey equipment by survey teams prior to

deployment,

would provide assurance regarding the reported detectable or

non-detectable levels of radiation following an accident.

The inspector

4

indicated there was no regulatory requirement for such device; however,

without assurance that equipment is operational, erroneous data could be

provided by field monitoring personnel.

This matter was discussed with

licensee representatives for consideration as a program improvement item.

The licensee agreed to review and evaluate, providing the capability in

the emergency kits for ensuring the operability of radiation survey

instruments prior to placing equipment in service.

The inspector informed

licensee management that this item will be tracked as an IFI for review

during a subsequent visit.

IFI 50-280, 281/89-09-03:

Review and evaluate, providing a capability in

the emergency kits for ensuring the operability status of portable survey

instruments.

By review of applicable procedures and check-list documentation covering

the period of May 1988 to March 1989, the inspector determined that

emergency equipment (e.g. communication equipment and emergency kits) were

being checked in accordance with the procedures governing such tests

(PT-55.3 and PT-55.4).

Records reviewed indicated that all discrepancies

or problems identified during inventories and communications checks were

corre~ted in a timely man~er.

The licensee's management control program for the EWS was reviewed.

According to discussion with a licensee representative, the current system

consists of 60 sirens.

The licensee provided siren test records for the

period May 1988 to March 1989.

The records showed that test were being

conducted at the frequency specified in Appendix 3 of

NUREG-0654 and

licensee's Periodic Test Procedure Nos. PT-55.5 and 55.6.

Documentation

was also provided to show that monthly maintenance was performed on the

EWS in accordance with Procedure No. SMS-EWS-02.

Further, documentation

was available in the form of deviation reports to show that corrective

action taken in response to failed sirens were well documented.

In the

event failures involved 25 percent ( or more) of the sirens, Procedure

No. SUADM-0-12 requires that notification be made to the NRC via the

Emergency Notification System (ENS).

No such notification was required

during the period for which records were audited (May 1988 to March 1989).

As part of the emergency communication equipment the inspector discussed

with a licensee contact the_ periodic testing of the plant emergency

warning system for high noise areas.

According to discussions with the

licensee contact, the emergency evacuation system consists of red beacon

lights and an evacuation alarm sounded over the plant public address

system.

According to the 1 i ce'nsee contact and documentation entitled

Operations PT/Work Schedule, the emergency alarms are tested weekly; and

the rotating lights are tested monthly.

A detailed review of this area

(testing, maintenance, and documentation) will be conducted during a

future inspection.

No violations or deviations were identified .

5

4.

Organization and Management Control (82701)

The inspector's discussion with a licensee representative disclosed that

several admi ni strati ve changes had been made to both the normal and

emergency organization since the June 1988 inspection as a result of

reassignment or promotion.

Example of changes in this category at the

station included the reassignment of the person previously filling the

position of Maintenance Manager at North Ahna Station, to the position of

Station Manager at Surry.

The person previously assigned as Outage

Manager, was reassigned to the position of Assistant station Manager for

Operations; and the person previously designated as a Shift Supervisor was

reassigned to the position Superintendent of Operations.

There were other

examples of changes in this category; however, the aforementioned changes

had no significant impact on emergency preparedness.

Regarding changes at

the Corporate Office, the most s i gni fi cant change impacting emergency

preparedness involved the reporting chain for emergency planning.

The

reporting chain for emergency preparedness was reassigned from the Manager

Licensing to the Manager Programs.

An additional change considered

significant from an administrative standpoint, involved the reassignment

of the person previously filling the position of Senior Vice President Power

to the position Senior Vice President Nuclear.

As previously stated, the

changes had no impact on the operational readiness of emergency

preparedness.

When training and qualification records were reviewed for

individuals reassigned within the onsite emergency organization as key

asses~ment personnel -(eg. Station tmergency Managers and Accident

Assessment), no problems were noted.

Regarding the off site emergency

support organizations, the inspector was informed that an individual was

recently appointed as the Surry County Emergency Services Coordinator.

No

other changes had been made.

No violations or deviations were identified.

5.

Training (82701)

Pursuant to 10 CFR 50.47(b)(15) and 10 CFR Part 50, Appendix E, Section

IV.F, this area was inspected to determine whether emergency response

personnel understood their emergency response ro 1 es and could perform

their assigned functions.

The inspector reviewed Section 8.3 of the Emergency Plan for a description

of the training program and training procedures.

In addition, selected

lesson plans were reviewed, and personnel with the responsibility for

conducting the training were interviewed.

Based on these reviews and

interview, the inspector determined that the licensee had established and

now maintains a formal emergency training program.

As a method of ensuring

that emergency response personnel training is maintained current and

up-to-date, the licensee utilizes a computerized tracking system for

monitoring personnel training status.

This system identifies those

individuals whose qualification time is near expiration and/or expired~

This system also provides for notification to the individual's supervisor,

so that unless retraining is completed prior to the expiration date, those

6

persons wi 11 be removed from the emergency response personnel roster.

The inspector reviewed a Departmental Training Status Report dated

April 1, 1989, which listed persons by name, position in the emergency

organization, training due date, and the required class training.

The

inspector a 1 so randomly selected 14 names from the emergency response

personnel roster, to verify that their training was current and included

all the required classes, in accordance with specific position assignments

as discussed in section 8.3, Table 8.1 of the SEP.

No deficiencies were

identified.

The inspector conducted an interview in the LEOF with one Assistant Shift

Supervisor.

The interviewee was given sets of hypothetical emergency

conditions and data and asked to talk through his response (as the Interim

Station Emergency Manager) as if an emergency actually existed.

The

interviewee was prompt and technically sound in classifying the event, and

subsequent actions taken in response to the hypothesized accident.

The

individual demonstrated an excellent familiarity with the emergency

classification procedure (EPIP 1.01) and various other procedures which

implement the Station's Emergency Plan.

No problems were noted in the

area of emergency detection, classification, and protective action

recommendation.

The interviewee was very knowledgeable of duties and

responsibilities as Interim Station Emergency Manager.

Offsite support

agency training was reviewed for fire, rescue, and local law enforcement

agencies.

Training was conducted in accordance with Section 8.4 of the

Emergency Plan.

No violations or deviations were identified.

6.

Licensee Audits (82701)

Pursuant to 10 CFR 50.47(b)(14) and (16) and 10 CFR 50.54(t), this area

was inspected to determine whether the 1 i censee had performed an

independent review or audit of the emergency preparedness program.

Records of audits of the program were reviewed.

Accardi ng to

documentation, an independent audit was conducted by the licensee

I s

Quality Assurance Department during the period January 12, 1989 through

March 2, 1989, and documented in Audit Report No. S89-01.

The

aforementioned audit satisfied the annual frequency requirement for such

audits.

Three findings were identified.

At the time of the inspection,

the initial responses to the audit findings were being drafted.

The

inspector was informed by members of the Corporate and Station Quality

Assurance Department that as a result of recommendations from a Virginia

Power Contractor's audit, modifications to the Quality Assurance Program

for emergency preparedness were planned.

According to licensee personnel

and a review of documentation, the modifications would result in a more

detailed inspection to ensure compliance with 10 CFR 50.54(t).

The inspector reviewed the 1988 Emergency Exercise Post-Exercise Critique

Report, dated December 22, 1988.

According to the Exercise Report,

20 items were assigned to various individuals for taking actions.

Items

7

identified during the exercise or audits, are tracked via the Commitment

Tracking System (CTS).

This system is used as a management tool in

following up on actions taken in deficient areas.

Station Commitment

Assignment/Response Forms (SCARF) were used for tracking items in the CTS

data base.

No violations or deviations were identified.

7.

Shift Staffing and Augmentation (82205)

Pursuant to 10 CFR 50.47(b)(2) and_ 10 CFR Part 50, Appendix E,

Sections IV.A and IV.C, this area was inspected to determine whether shift

staffing for emergencies was adequate both in numbers and in functional

capability, and whether administrative and physical means were available

and maintained to augment the emergency organization in a timely manner.

The inspector reviewed Table 5.1 of the SEP and discussed with a licensee

representative staff augmentation times as determined by studies, drills,

or call-in during actual events.

The licensee representative indicated

that staff augmentation times were reviewed during the annual exercise

conducted November 1988, and

an augmentation drill conducted in

January 1989.

In addition, the licensee's remedial exercise conducted

during February 1989, included as an objective the demonstration of the

ability to augment the on-shift emergency organizatiqn in a timely and

effective manner.

The results of the aforementioned drills were as

follows:

0

0

0

During the annual exercise, the licensee identified two positions for

the TSC staff (Reactor Engineer and Mechanical Engineer) that were

not staffed within the specified times in Table 5.1 of the SEP.

Specified times were exceeded by 30 minutes in one case and 28 minutes

in the other,

In,addition, arrival times for two members of the LEOF

organization

(Recovery

Manager

and

Radiological

Assessment

Coordinator) exceeded specified times by 8 and 36 minutes respectively.

During the quarterly call-out drill conducted in January 1989,

augmentation personnel were notified and asked to provide an

estimated time of arrival (ETA) from their current location to the

station.

According to discussion with a licensee representative and

review of documentation, disc,epancies were again noted between the

ETA and augmentation times in the SEP.

A licensee representative

stated that one of the discrepancies was due to the reorganization

of the Technical Services Department which resulted in the

Core-Technical Support and Electrical-Technical Support Team not

being contacted.

An NRC exercise Observation Team noted during the remedial exercise

(conducted in February 1989) that the TSC and LEOF activations were

not timely.

According to the report (50-280, 281/89-07), the TSC was

not activated until one hour and 54 minutes after the Alert declaration;

8

and the LEOF activation took two hours and 32 minutes.

As a result,

the inspector discussed with the Emergency Planning Coordinator

actions considered or planned to improve augmentation performance

(eg. procedurally, employee relocation, etc.).

According to the

1 icensee contact, the short-term corrective action procedurally

involved prioritizing the security notification list of contact~ for

augmentation staff.

In addition, the Technical Services Staff were

retrained regarding the notification procedures for the augmentation

staff, to prevent recurrence of the quarterly drill results (failure

to contact members of the Core and El ectri ca 1-Technical Support

Teams).

The inspector was informed that no further actions had been

takened or planned at this time, and further corrective actions would be

taken pending the NRC review of North Anna proposed corrective

actions for a similar finding.

The inspector informed the licensee

that failure to meet the Surry Power Sta ti on augmentation staff

requirements is considered an apparent violation.

Violation 50-280, 281/89-09-04:

Failure to meet the Surry Power Station

augmentation staff requirements within the time periods specified* in

Table 5.1 of the SEP.

One violation and no deviations were identified.

8.

Action on Previous Inspection Findings (92701, 92702)

(Closed) IFI (50-280, 281/88-22-01):

Develop a system to ensure that the

most recent revision of local government Emergency Plans are placed in the

LEOF visual file.

By letter dated August 1988, the licensee requested the Virginia

Department of Emergency Services to include Virginia Power on the

distribution list for all future changes to the offsite response plans

(State/local) for Surry and North Anna Power Stations.

The inspector

further noted during a facility tour, that current versions of the State

and local government plans were available in the LEOF visual file.

(Closed) IFI (50-280, 281/88-22-02):

Review Procedure AP-37 titled

Seismic Event to make it user friendly.

The inspector reviewed a copy of Procedure AP-37 entitled Seismic Event,

Revision 00.01, dated February 7, 1989.

Minor changes were noted in the

ac~ions required in response to a seismic event.

A walkthrough using a

postulated seismic event was not conducted.

This item is closed solely on

the basis of the 1 i censee' s review and subsequent changes to the

referenced procedure.

(Closed) IFI (50-280, 281/88-22-03):

Demonstrate that augmentation

personnel identified in Table 5.1 can be made available in the times

specified by conducting periodic unannounced notification drills.

9

Augmentation times were documented during the 1988 annual exercise, and an

emergency response callout drill conducted January 19, J989.

During both

dri 11 s, the augmentation times were not met.

Consequently, the item

involving the conduct of periodic notification drills is closed, but a new

item is opened as a violation (see Paragraph 7), for failure to meet

augmentation times in Table 5.1 of the SEP.

(Closed) I FI ( 50-280, 281/88-22-04):

Ensure that Security emergency

notification call lists contain the most recent revision of the emergency

phone lists.

Sµbsequent to the inspection (IE Report No. 88-22), two procedures were

developed:

(1) Emergency Planning Office Guide-11 (EPOG-11) dated

March 29, 1989, and (2) Security Procedure Known as General Order Number

11 dated September 1, 1988.

Procedure EPOG-11 was developed to ensure

that the Emergency Telephone Directory was being maintained current and

up-to-date, and distributed to the appropriate locations following

revision.

The security procedure provides guidance and instructions for

ensuring that security personnel take the appropriate actions in response

to distributions for maintaining document as current and up-to-date.

9.

Exit Interview

The inspection scope and results were summarized on April 7, 1989, with

those persons indicated in Paragraph 1.

The inspector described the areas

inspected and discussed in detail the inspection results listed below.

Proprietary information is not contained in this report.

Dissenting

comments were received from the licensee regarding the potential violation

discussed in Paragraph 7 (failure to meet augmentation staffing

requirements in accordance with Emergency Plan).

Dissenting comments from

the licensee were based on corrective actions for this finding pending the

NRC review of proposed corrective actions for North Anna i nvo 1 vi ng a

s imi 1 ar finding.

There were no further dissenting comments.

_The

inspector informed the licensee that findings were preliminary and the

information provided regarding the similar finding at North Anna would be

reviewed by the Regional Office Staff.

Item Number

50-280, 281/89-09-01

50-280, 281/89-09-02

50-280, 281/89-09-03

Description/Reference

I FI: _ Conduct more frequent audits of the EPI Ps

controlled distributions (Paragraph 2).

IFI:

Revise the NOUE EAL involving the loss of

pl ant communications capabi_l ity to include the

PBX System (Paragraph 2).

IFI:

Review and evaluate, providing a capability

in the emergency kits for ensuring the

operability status of portable survey instruments

(Paragraph 3).

50-280, 281/89-09-04

10

Violation:

Failure to meet the augmentation

staff requirements within the time periods

specified in Table 5.1 of the Station Emergency

Plan (Paragraph 7).

Licensee Management was informed that four open items were reviewed and

closed.