ML19208A876

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IE Insp Rept 50-346/79-15 on 790619-22.Noncompliance Noted: Failure to Review & Approve Fire Protection Program Implementation Procedures & Failure to Implement & Maintain Adequate Fire Protection Program
ML19208A876
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 07/16/1979
From: Little W, Riden M
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML19208A874 List:
References
50-346-79-15, NUDOCS 7909180115
Download: ML19208A876 (10)


See also: IR 05000346/1979015

Text

.

U.S. NUCLEAR REGULATORY COMMISSION

OFFICE OF INSPECTION AND ENFORCEMENT

,

REGION III

Report No.:

50-346/79-15

~_

Docket No.:

50-346

License No.: NPF-3

Licensee:

Toledo Edison Company

Edison Plaza

300 Madison Avenue

Toledo, OH 43652

Facility Name: Davis-Besse 1

Inspection At: Oak Harbor, OH

Inspection Conducted: June 19-22, 1979

7///*/77

Inspector:

M.

.

.

,

/7

Date

Approved By:

W. S.

ittle, Chief

7 #

Nuclear Support Section 2

/

bate

Inspection Summary

Inspection on June 19-22, 1979

(Report No. 50-346/79-15)

Areas Inspected: Special, unannounced inspection of fire protection

commitments and acceptability of alternate hot shutdown procedures in

the event of a single fire, procedures which would provide a backup to

the service water system for fire protection, and administrative controls

established to follow the supplemental staff guidelines (Vassallo letter

dated August 29, 1977).

The inspection involved 27 inspector-hours

onsite by one NRC inspector.

Results: Of the three areas inspected, no apparent items of noncompliance

or deviations were identified in one area; one item of noncompitance was

identified in each of the remaining two areas (infraction-failure to

review and approve fire protection program implementation procedures,

Paragraph 3; and deficiency-failure to establish, implement and maintain

adequate procedures covering fire protection program implementation,

Paragraph 5).

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DETAILS

.

1.

Persons Contacted

  • T.

Murray, Station Superintendent

-

B. Beyer, Assistant Station Superintendent

-

G. Wells, Administrative Coordinator

R. Chesko, Operations Support Engineer (Station Fire Marshall)

  • W. Nissen, Reactor Operator (Station Fire Chief)

L. Haige, Plant Process System Engineer

D. Briden, Chemist and Health Physicist

B. Geddes, Health Physics Supervisor

J. Hickey, Training Supervisor

C. Daft, QA Manager

  • J.

Byrne, QA Engineer

  • Denotes licensee representatives attending the management interview.

2.

Licensee Action on Previous Inspection Findings

(Closed)

Noncompliance (346/79-02-01 and 346/79-02-02): The

inspector verified that the licensee had implemented corrective

action for two previously identified deficiencies, failure to

conduct fire brigade drills quarterly and lack of control for

required reading lists.

There are no further concerns.

3.

Alternate Hot Shutdown Procedures in the Event of a Single Fire

In responsc to commitments made by letter dated November 25, 1978

as a result of a fire protection review meeting held on October 25,

1978, the licensee established a program of fire pre-plans, administrative

procedure AD 1810.03, approved on February 27, 1979.

In order to

minimize the mitigating circumstances of a fire in the safe operation

and shutdown of the plant, the pre-plans describe the actions

required to minimize the effects of a fire in the event that hot

and/or cold shutdown safety related equipment or wiring is involved

in the fire (i.e., bypass available, uneffected redundant safety

related equipment available, non-safety related equipment availabic,

fire suppression capabilities, etc.).

A method of individual room

or area fire pre-plans is being utilized, as exemplified by:

Shutdown panel room 324, " Auxiliary Shutdown Panel and CD

a.

Switchgear Room", written February 26, 1979 and

b.

Cable Spreading Room 422A, " Cable Spreading Room", written

February 28, 1979.

The licensee identified a total of sixty-five pre-plans necessary

for hot and/or cold shutdown; of which six are for cold shutdown

only, five for hot shutdown only, and fifty-four for hot and cold

shutdown. A review of fifty-nine for hot and cold shutdown, and

hot shutdown only indicated that as of June 20, 1979 thirty-nine

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had been distributed for use (4 in February, 33 in March, and

2 in April) and twenty written.

.

Summary of Shutdown Pre-Plans

Hot And/Or Cold

Type

Cold Only

Written

Distributed

Total

5

5-

Hot

---

---

20

34

54

Hot & Cold

---

Subtotal

20

39

59

Cold

6

6

Grand Total

65

A review of pre-plan procedure content indicated some instructions

that are contrary to the intent of Appendix A to BTP 9.5-1.

The

guidelines for fire attack for room number 208, #1 mechanical

penetration room, gives instruction to "Deenergize Electrical

Equipment Prior To Attempting To Extinguish An Electrical' Fire".

The licensee identified nine pre-plans which contained unsatisf actory

instructions on how to override the radiation monitoring syLtem

connected to the exhaust ductwork upstream of the exhaust prefilter

which was designed to shutdown the purge exhaust fan and close the

fan isolation damper if the equipment sensed that smoke from a fire

was contaminated due to high airborne activity.

The only emergency procedure changed in the event of a fire was EP

1202.33, " Emergency Operation Of The NSS", prepared on June 5,1979

to reduce the possibility of the make-up tank going solid, to

provide a reliable means of maintaining RCP seal flow, and to delay

tripping of the main feedpumps until the auxiliary shutdown panel

was manned.

The inspector examined the licensee's procedures and records to

verify that administrative controls and approvals are being performed

within established commitments and technical specifications.

In

order to implement the fire protection program for fighting fires

in all safety-related areas and areas presenting a hazard to safety-

related equipment, the licensee established fire pre-plan procedures.

Paragraph 1.L.4 of AD 1810.03 states in part that fire pre-plans

will be approved by the station fire marshall and the assistant

station superintendent. Included in the fire pre-plans are operation

instructions in the event that hot and/or cold shutdown safety-

related equipment or wiring is involved in a fire and auxiliary

building ventilation system release controls.

Fire emergency

procedure EP 1202.35 needs to be changed to guide control room

personnel to the fire pre-plans in event of fire (346/79-15-03) .

It is the inspector's position that fire pre-plans should be properly

reviewed and approved prior to implementation.

This finding represents

noncompliance with the requirement that fire protection program

implementation procedures be reviewed by the SRB and approved

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by the station superintendent under technical specifications 6.8.1.a and 6.8.2

(346/79-15-01).

4.

Procedures Which Would Provide A Backup To The Service Water

System For Fire Protection.

In response to commitments made by letter dated January 10, 1979,

as a result of a fire protection review meeting held on October 25,

1978, the licensee revised emergency procedure EP 1202.19. " Service

Water", on April 25, 1979. Paragraph 5.5 of the aforementioned

procedure descriptively outlines how the condenser circulating

water system can be lined up to supply primary loads. A review of

the procedure content identified.that the instructions did not

include a valve line-up check sheet or return to normal

(346/79-

15-04).

The inspector reviewed the P&ID showing system intertie from the

circulating water pump discharge to the service water heater and

vital heat loads and return to the circulating pump suction.

The

licensee did not provide documentation of eagineering calculations

that would verify minimum flow and head capabilities or load requirements

showing that the necessary circulating water pump and/or valves can

be operated with only onsite power during hot shutdown.

Also, a

functional test to verify that the circulating water system can

supply minimum flow and head to vital service water heat loads has

never been performed nor does the licensee plan to test the system.

This matter is being referred to headquarters for further review

and is considered unresolved (346/79-15-05) .

An inspection was conducted to determine whether both channels of

redundant equipment or wiring used to accomplish hot shutdown would

be damaged in the event of a single fire.

The two service water

(SW) isolation valves to circulating water, MV 1399 (Loop 1) and MV

1395 (Loep 2), are located in the same area ten feet apart.

Electrical

control wiring of each travels in opposite direction to their

respective MCC cabinets (E12C and F12C) located thirty feet apart

in separate rooms.

The breckers for MV 1399 and MV 1395 are BE

1277 and BF 1277 respectively.

The two circulating water pump

discharge valve breakers and wiring for number 3 and 4 pumps are

located in the same area with a minimum of ten feet of separation.

(The breakers are MCC cabinets E31B and F31B respectively.)

The

two circulating water pumps involved (#3 and #4) are located in the

same area and fed by breaker HA 12 of "A" bus from Room 325 and

breaker HB 12 of "B" bus from Room 323 respectively.

Electrical

wiring to the two subject circulating water pumps from the "A" and

"B" bus travel under the turbine building 585 elevation floor and

are embedded in concrete.

Both cables penetrate the turbine building

floor wall of the circulating water pump room at the same point in

the area of Column HR-7.

In the event of a single fire in the

aforementioned area, both charnels of wiring used to accomplish hot

shutdown by the subject backup system would be damsged.

This

matter is being referred to headquarters for further review and is

considered unresolved (346/79-15-06).

No items of noncompliance or deviations were identified.

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5.

Administrative Controls Established To Follow The Supplemental

Staff Guidelines.

The administrative controls for nuclear plant fire protection

consist of the fire protection organization and its qualifications,

fire brigade training, the controls over combustibles and ignition

sources, methods for assuring the availability of the fire protection

systems and equipment, procedures for fighting fires, fire watch,

and quality assurance provisions for the fire protection program.

The inspector conducted a comprehensive review of the licensee's

administrative controls for fire protection, as detailed in the

following sections. The following sourcer were used as references:

Reference (1)--NRC Guidelines entitled, " Nuclear Plant Fire Protection

Functional Responsibilities, Administrative Controis,

and Quality Assurance".

Refer: ed to by the licensee

as the Vassallo letter dated August 29, 1977.

Reference (2)--NRC Memorandum of January 29, 1979, entitled, " Fire

Protection Administrative Controls Review-Fire

Brigade Size".

Reference (3)--NRC temporary instruction TI 2515/16 entitled, "IE Fire

Protection Reviews, Program Plan".

Reference (4)--Davis-Besse Nuclear Power Station Fire Hazard Analysis

Report dated January 11, 1979.

Reference (5)--Licensee response dated November 25, 1978 to a meeting

held on October 25, 1978 on the Davis-Besse fire

protection program.

Reference (6)--Licensee operating license number NPF-3 dated April 22,

1977, Paragraph 2.c(3)h.

The inspection revealed that, subject to implementation of the

following described changes, the control of nuclear plant fire

protection functional responsibilities and administrative controls

conforms to the provisions of supplemental guidance of Appendix A

to BTP 9.5-1 and is, therefore, acceptable.

a.

Fire Protection Organization

The licensee's fire protection organization contains the

organizational responsibilities and lines of communication

between the various positions through the use of functional

descriptions of each position's responsibiities. Upper level

offsite management positions (i.e., the Vice Presidents,

facilities development and energy supply) are designated which

have management responsibility for the formulation, implementation,

and assessment of the effectiveness of the nuclear plant fire

protection program.

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.

The results of these assessments are reported to the upper

level management position responsibility for fire protection

'

with recommendations for improvements or corrective atrions as

deemed necessary. The organizational responsibilities are

delineated through onsite management positions for testing,

maintenance, review of fire protection systems and for fire

brigade training. Qualification requirements have not been

established for fire brigade members and the fire protection

engineer.

It was determined that only one individual of the

station operations organization, which presently supplies all

fire brigade members, was qualified in respiratory training

(346/79-15-07).

In order to be properly qualified in respiratory

training, each fire brigade member must satisfactorily complete

a physical examination including periodic screening (spirometry

pulmonary function test) for performing strenuous activity as

required by reference (1), Attachment (1), Paragraph 2.0(b),

which was not included in the licensee's fire protection

program (346/79-15-08) . Administrative controls for a tire

protection engineer (licensee employee or consultant) as

outlined in reference (1), Attachment (1), Faragraph 2.0(a),

are not included as a part of the licensee's fire protection

functional responsibilities.

The licensee's minimum eligibility

requirements of a fire protection engineer position should be

specified (346/79-15-09).

The inspection revealed that, subject to implementation of the

above-described changes, the fire protection organization

conforms to the provisions of supplemental guidance of Appendix A

to BTP 9.5-1 and is, therefore, acceptable.

b.

Fire Brigade Training

The fire brigade training program consists of an initial

classroom instruction program followed by periodic classroom

instruction, practice in fire fighting and fire drills.

Administrative controls do not provide for the classroom

instruction program to be repeated over a two year period as

required by Reference (1), Attachment (2), Paragraph 1.0(d)

(346/79-15-10).

Although practice sessions are held for fire

brigade members as outlined in Reference (1), Attachment (2),

Paragraph 2.0, the licensee's administrative controls do not

require practice sessions under strenuous conditions (346/79-

15-11).

Contrary to Reference (1), Attachment (2), Paragraph

-

3.0(e), the licensee does not perform at least one drill aer

year on a "back shift" for each fire brigade (346/79-15-12);

nor is a sufficient number of drills, not less than one f>r

each fire brigade per year, unannounced (346/79-15-13).

Thus,

the fire readiness of the plant fire brigade leader, brigade,

fire protection system and equipment has not been determined.

The licensee's administrative controls for fire brigade training

should require that the classroom instruction program be

repeated over a two year period, practice sessions be held

under strenuous conditions, at least one drill per year be

performed on "back shift" for each fire brigade, and a sufficient

number of drills for each fire brigade per year be unannounced.

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The inspection revealed that, subj ect to implementation of the

above-described changes, the fire brigade training conforms to

the provisions of supplemental guidance of Appendix A to BTP

9.5-1 and is, therefore, acceptable.

c.

Control of Combustibles

~

_

Administrative controls have been established to minimize the

amount of combustibles that a safety-related area may be

exposed to and to assure that these items are not stored in

safety-related areas.

Station procedures have been established

to ensure that fire retardant lumber of good abrasion resistance

is used inside buildings containing safety-related systems.

Administrative controls should provide for additional portable

suppression equipment to be brought into the area when a

transient fire load causes the total fire load to exceed

existing capabilities as described in Reference (1), Attachment

(3), Paragraph (b) (346/79-15-14).

The inspection revealed that, subject to implementation of the

above-described changes, the control of combustibles conforms

to the provisions of supplemental guidance of Appendix A to

BIP 9.5-1 and is, therefore, acceptable.

d.

Control of Ignition Sources

The control of ignition sources instituted are to protect

safety-related equipment from fire damage or loss resulting

from work involving ignition sources, such as welding, cutting,

grinding, or open flame work. Administrative controls established

require review and approval by a responsible supervisor prior

to performing cutting, welding, grinding, or open flame work;

proper removal or covering of combustible material; use of

trained and equipped fire watches; signature concurrence; and

acceptable methods of leak testing.

Dow Corning RTV 3-6548

silicone foam (Parts A and B) with 732 and 793 sealant is used

as fire stop material.

The licensee has provided a description

of proposed administrative controls for AD 184'. 00 which by

July 31, 1979 will require the fire watch to remain In the

area for at least 30 minutes after the work is completed to

check for smoldering fires. Contrary to Reference (1), Attachment

(4), Paragraph 4.0, there are no procedure restrictions prohibiting

smoking in safety-related areas.

Administrative controls

should be established to prohibit smoking in safety-related

areas and identify these areas with "No Smoking" signs (346/79-

15-15).

The inspection revealed that, subj ect to implementation of the

above-described changes, the control of ignition sources

conforms to the provisions of supplemental guidance of Appendix A

to BTP 9.5-1 and is, therefore, acceptable.

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,

e.

Fire Fighting Procedures

The licensee has provided an adequate description of its

current fire fighting procedures, those under development and

those planned to be developed in the near future.

Fire fighting

proce.ures/ pre-plans are established to cover such items as

notification of a fire, fire emergency procedures, coordination

of fire fighting activities with offsite fire department,

strategies for fighting fires in all safety-related areas and

areas presenting a hazard to safety-related equipment.

Provisions

have been made for including offsite fire fighting organizations

in fire brigade drills and training as required. As described

in Section 3 of this report, some procedure changes will have

to be made to EP 1202.35, AD 1810.03 and the pre-plans due to

isolated incomplete instructions.

The inspection revealed that, subject to implementation of the

above-described changes, the fire fighting procedures conform

to the provisions of supplemental guidance of Appendix A to

BTP 9.5-1 and is, therefore, acceptable.

f.

Quality Assurance

The design, procurement, installation, testing and administrative

control activities for the fire prote ion quality assurance

program criteria of Appendix A to B7' 9.5-1 will be controlled

in accordance with an approved QA program under 10 CFR Part 50, Appendix B.

Audits are performed at least annually to

provide an overall assessment of conformance to fire protection

requirements. An inspection and audit of the fire protection

program will be performed by a qualified outside fire consultant

at least once per 36 months.

The inspection revealed that the control of quality assurance

for fire protection conforms to the provisions of supplemental

guidance of Appendix A to BTP 9.5-1 and is, therefore, acceptable.

g.

General

As discussed in the previous sections, based on Reference (3),

the licensee established inadequate written procedures in

implementing the fire protection program, which are classified

in the following categories:

(1) Those provisions which the licensee is required by Reference

(6) to implement prior to startup following the first

regularly-scheduled refueling outage, but has established

incomplete administrative controls for the fire protection

organization:

--

Physical examination for each fire brigade member

(346/79-15-08).

Fire Protection Engineer Qualifications (346/79-15-09)

--

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.

(2) Those provisions which the license actually meets, but

without administrative controls:

Practice sessions under strenuous conditions (346/79-

--

15-11).

_

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Restrictions prohibiting smoking in safety-related

--

areas (346/79-15-15) .

(3) Ths se provisions which the licensee is committed by

refcrences (4 and 5) to implement by February,1979, but

has not established administrative controls and is delinquent

in:

--

Performing at least one drill per year on a "back

shift" for each fire brigade (346/79-15-12).

--

Safficient number of unannounced drills (346/79-15-

13).

(4) Those provisions which the licensee is committed by

references (4 and 5) to implement by February,1979,

which is not controlled by administrative procedures but

is not yet delinquent in providing:

--

Classroom instruction program to be repeated over a

two year period (346/79-15-10).

--

Additional portable suppression equipment for transient

fire loads (346/79-15-14).

These findings represent an item of noncompliance with

the requirement of technical specification 3.8.1 which

requires in part that written procedures be established

covering the fire protection program implementation

(346/79-15-02).

6.

Unresolved Items

Unresolved items are matters about which more information is required

in order to ascertain whether they are acceptable items, items of

noncompliance, or deviations. Unresolved items disclosed during

the inspection are discussed in Paragraph 4.

7.

Exit Interview

The inspector met with licensee representatives (denoted in

Paragraph 1) at the conclusion of the inspection on June 22,

1979.

The inspector summarized the scope and findings of the

inspection and provided an explanation of Reference (2).

The

licensee showed good faith in wanting to take appropriate

corrective action immediately and promised to give implementation

dates of the near future on identified outstanding items by

phone. A licensee representative made the following commitments

in response to certain of the items discussed on June 28, 1979

and July 5, 1979:

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That previously distributed pre-plans will be reviewed by SRB

a.

and approved by the station superintendent by October 25, 1979

(Paragrcph 3).

.

b.

That EP 1202.35 will be changed to guide control room personnel

to the pre-plans by July 31, 1979 (Paragraph 3).

c.

That EP 1202.19 will be changed to include a valve line-up

check sheet and return to normal for using the circulating

water system as a backup to the service water by July 15, 1979

(Paragraph 4).

d.

That all fire brigade members will be qualified on respiratory

training by October 25, 1979 (Paragraph 5.AS.

e.

That the eight examples of noncompliance concerning procedure

changes te administrative controls will be completed by October 25,

1979 (Paragraph 5,G).

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