ML19291C327

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IE Insp Rept 50-334/79-18 on 790820-24.Noncompliance Noted: Failure to Store Records Properly,Document Evaluations Properly,Maintain as-built Drawings in Station Files & Update Tech Specs Subsequent to Mod
ML19291C327
Person / Time
Site: Beaver Valley
Issue date: 10/15/1979
From: Kehoe D, Kister H, Napuda G
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML19291C324 List:
References
50-334-79-18, NUDOCS 8001240206
Download: ML19291C327 (13)


See also: IR 05000334/1979018

Text

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U. S. NUCLEAR REGULATORY COMMISSION

OFFICE OF INSPECTION AND ENFORCEMENT

REGION I

Report No.

50-334/79-18

Docket No.

50-334

License No.

DPR-66

Priority

Category

C

--

Licensee:

Duquesne Light Company

435 Sixth Street

Pittsburgh. Pennsylvania 15219

Facility Name:

Beaver Valley Power Station - Unit 1

Inspection At:

Shippingport, Pa. and Corporate Offices, Pittsburgh, Pa.

Inspection Conducted:

Augpst 20-24, 1979

Inspectors:

\\/ f.

W W

D. V. Kehoe, Reactor Inspector

date '

JW

l0

9

G.4Napuda, Reactor Inspector

'dat6

C. Sweinhart, Reactor Inspector Co-op

date

,

,

Approved by:

[

(Lt.wt

v-

/f/79

H.B.Aister,ChiefNuclearSupport

/ date

Section No. 2, RO&NS Branch

Inspection Summary:

Inspection on August 20-24, 1979 (Report No. 50-334/79-18)

Areas Inspected:

Routine unannounced inspection by regional based inspectors of

the Quality Assurance Program (QAP) implementation including:

QA/QC administra-

tion; design changes / modification program; design changes / modifications; records

management; offsite support staff; and, followup on previously identified items.

The inspection involved 54 inspector-nours onsite and 26 inspector-hours at the

corporate offices by two NRC regional based inspectors.

Results:

Of the five areas inspected, no items of noncompliance were identified

in three areas; one item of noncompliance was identified in one area (Deficiency -

failsre to store records per ANSI N45.2.9 requirements

paragraph 6); and, four

items of noncompliance and one deviation were identified in one area (Infraction -

failure to document 10 CFR 50.59 evaluations

paragraph 4.C(1); Infraction -

failure to maintain "As Built" drawings in station files

paragraph 4.C(2);

Infraction - failure to update Technical Specifications and procedure subsequent

to a modification

paragraph 4.C(3'; Infraction - Station Engineering perform-

ing Category 1 engineering

paragraph 4.C(4); Deviation - failure to comply

with commitments

paragraph 4.C(5)).

Region I Form 167-

1795 028

(August 1979)

800124 0

26C

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DETAILS

1.

Persons Contacted

  • F. A. Arnold, Construction Specialist
  • R. F. Balcerec, Maintenance Supervisor
  • G. L. Beatty, QA Engineer
  • J. J. Carey, Technical Assistant
  • R. E. Conrad, Senior Engineer
  • G. E. Ewing, QA Supervisor

H. G. Frus, Electrical Engineering Department Head

  • R. L. Hansen, Q.C. Engineer
  • L. K. Hutchinson, Station QA engineer
  • F. J. Lipchick, Station QA Engineer

N. M. Logan, Acting Structural Department Head

  • R. M. Mafrice, Supervisor On-Site Engineering
  • A. C. Mazuckna, Q.C. Supervisor
  • G. W. Moore, General Superintendent, Power Stations Department

'

  • R. Prokovovich, Reactor Engineer

F. Salmna, Mechanical Engineering Department Head

  • L. G. Schad, Operations Supervisor
  • J. E. Starr, Station Engineer
  • H. A. VanWassen, Project Manager

R. Washabaugh, Manager QA Department

  • D. H. Williams, Results Coordinator
  • H. P. William <, Chief Engineer
  • E. J. Woolever, Vice President-Engineering & Construction

Other Accompanying NRC Personnel

D. Beckman, Reactor Inspector

The inspectors also held discussions with and interviewed other members

of the Power Station and Duquesne Light Company technical and administra-

tive staff.

  • Denotes those present at the exit interview.

2.

Followup cn Previously Identified Inspection Findings

(Closed) Unresolved (334/78-26-01) Revision of Power Station Engineering

Procedures to delete provisions for performance of category I modifica-

tions.

This item is closed out for records purposes as a Deviation has

been issued against this connitment (Paragraph 4.C(5) of this report).

(Closed) Unresolved (334/78-26-07) Revision of Station Engineering Pro-

cedures to conform with ANSI N45.2.11.

This item is closed out for

1795 029

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records purposes as a Deviation has been issued against this commitment

(Paragraph 4.C(5) of this report).

(Closed) Unresolved (334/78-26-03) Transmittal of backlogged completed

Design Change Packages from site to Project Team.

This item is closed

out for records purposes as a Deviation has been issued against this

commitment (Paragraph 4.C(5) of this report).

(Closed) Unresolved (334/78-26-05) Review corrective action for QA audit

BV-1-78-2, Finding #8.

This item has been incorporated into an item of

noncompliance which is discussed further in paragraph 6.

(0 pen) Unresolved (334/78-26-06) Verify that QA/QC requirements with res-

pect to equipment calibration services procurement are commensurate with

intended use of said equipment.

Discussions were held with the licensee

representative who stated that the suppliers of calibration services

were evaluated and placed on the approved vendors list.

Further, Main-

tenance Manual Chapter 1, Section G requires all purchase requisitions

to be reviewed by QA.

This item remains open pending further review by

NRC:RI of this area with respect to the utilization of vendors for

calibration services.

3.

QA/QC Administration

The inspector reviewed the approved FSAR, Appendix A, Quality Assurance,

the Operational Quality Assurance Plan (0P's) and the Quality Assurance

Instructions (QAI's) to verify that:

The scope and applicability of the QA Program was defined.

--

Appropriate Controls were established to prepare, review and approve

--

QA Program procedures, including changes thereto.

A mechanism has been established to review and evaluate the QA

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Program

No items of noncompliance were identified.

4.

Design Change / Modification Control

a.

References

EMP 2.6, Classification of Safety Related Structures, Systems

--

and Components, Revision 2

EMP 2.7, Requests for Station Modification, Revision 0

--

EMP 2.8, Handling of Design Change Packages, Revision 2

--

1795 030

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4

EMP 2.11, Constre ,cion and Installation Specifications,

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Revision 2

EMP 2.17, Design Analysis, Revision 0

--

EMP 2.18, Design Verification Control, Revision 1

--

EMP 2.19, Design Review Verification, Revision 1

--

EMP 2.21, Qualification Testing, Revision 1

--

EMP 2.22, Engineering Memoranda, Revision 0

--

EMP 2.23, Engineering Change Notice, Revision 1

--

EMP 5.2, Correspondence Control, Revision 2

--

EMP 9.1, Records Processing, Revision 2

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Maintenance Manual, Chapter 1, Conduct of Maintenance, Section P,

--

Control of Design Changes, Revision 1

Maintenance Manual, Chapter 1, Conduct of Maintenance, Section G,

--

Material Procurement

b.

Program Review

-

The documents listed above were reviewed to determine whether admin-

istrative controls for design cnanges/ modifications have incorporated

the requirements as described in the Beaver Valley Quality Assurance

Program.

This review determined that administrative controls have been esta-

blished which verify the following:

procedures for control of design changes / modifications have

--

been developed

design document control has been established

--

channels of communications between the design organization and

--

the individual responsible for implementation exist

design change / modification packages are being converted into

--

plant records

methods exist for identifying and reporting those design changes /

--

modifications which are within the scope of 10 CFR 50.59

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1795 031

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procedural controls exist for temporary modifications, lifted

--

leads and jumpers

responsibilities have been delineated in writing to assure the

--

implementation of the above.

No item of noncompliance were identified, however, three unresolved

items are discussed below.

(1) The inspector discussed the involvement of the quality control

organization with respect to design changes / modification with

the Quality Control (QC) Supervisor at the site, the engineer

in charge of the Project team and several of the engineering dis-

cipline engineers at the Pittsburgh office.

The development of

QC inspection plans and QC hold points in specifications is

the responsibility of the respective discipline engineer.

It is,

however, common practice for the discipline engineer to consult

with the QC Supervisor concerning QC requirements in design

change packages (DCP's).

Further the QC organization is review-

ing DCP's and either developing inspection plans or contacting

the discipline engineer for incorporation of applicable QC

requirements into specification and/or procedures.

The inspec-

tor identified that there is no procedural control for the above

process.

The licensee acknowledged the inspector's comment and

stated that a procedure would be prepared to identify the above

process, and that this would be complete by February 15, 1980.

This item is unresolved pending review by NRC:RI of the above

stated procedure (334/79-18-01).

(2) During discussion, the QC Supervisor stated that during the

upcoming outage on Unit #1 it is expected that all QC work with

respect to DCP's will be performed by a contracted QC organiza-

tion.

Further, the onsite QC' organization shall perform a sur-

veillance of the contractor QC organization.

The licensee also

stated that the procedure governing the surveillance of con-

tractor QC is now under development and would be issued prior

to the upcoming outage.

This item is unresulved pending review

of the new procedure by NRC:RI during a subsequent inspection

(334/79-18-02).

(3) The inspector noted during his review of the Engineering Manage-

ment Procedures (EMP's) that the requirement of ANSI 18.7-1972

for a periodic review of procedures was not delineated in the

EMP's.

The licensee acknowledged the inspector's comments and

stated that the EMP's would be revised by February 24, 1980 to

include this requirement.

This item is unresolved pending review

by NRC:RI of the subject procedure revision (334/79-18-03).

1795 032

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c.

Implementation Review

The inspector reviewed the following design change packages (DCP's):

DCP 109

Drain Orifice Installed on Recirculation Spray Lines

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DCP 223

Manual Field Flashing of Diesel Generators

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DCP 233

Installation of Hydraulic Snubbers on Safety Injection

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Piping

DCP 251

Pressurizer Pressure 2 out of 3 Logic in Lieu of

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Coincident with Level

DCP 270

Replacement of IA Charging Pump with a Unit No. 2

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Charging Pump

The modifications listed above were reviewed to verify that the

following requirements have been implemented.

10 CFR 50.59 reviews were performed and documented.

--

design :hanges/ modifications were reviewed in accordance with

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the requirements of the technical specifications and the QA

Program

design changes / modifications were accomplished in accordance

--

with written procedures

acceptance testing was accomplished and deemed satisfactory

--

--

procedures and drawings required to be changed or generated as

a result of the design change / modification were updated or

generated

the design change / modification package has been transmitted to

--

the records retrieval department for incorporation as a plant

record

Four items of noncompliance and one deviation were identified and

are discussed below:

(1) The inspector reviewed the safety evaluations which were per-

formed by the Onsite Safety Committee (OSC), pursuant to 10 CFR 50.59, and documented in their meeting minutes.

The inspector

noted during this review that the safety evaluations for DCP-223

and DCP-233 were simply statements of conclusion which.did not

address the basis for the conclusions.

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1795 033.

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An acceptable means of complying with the requirements of

10 CFR 50.59 is as follows:

Any proposed change to a system or procedure as described in

the SAR either by text or drawings is to be reviewed by the

licensee to determine whether it involves an unreviewed safety

question.

This review must be a written safety evaluation.

In

all cases requiring a written safety evaluation, the safety

evaluation must provide the basis for the determination that

the proposed change does or does not involve an unreviewed

safety question.

A simple statement of conclusion in itself

is not sufficient.

10 CFR 50.59 states that records of facility changes shall be

maintained and that these records shall include a safety evalua-

tion and the basis for the determination that the proposed

change does or does not constitute an unreviewed safety question.

The Station Maintenance Manual, Chapter 1, Section P, Control of

Design Changes, revision 1, states that the OSC shall perform

the safety evaluation and shall provide the basis for the deter-

mination that the proposed change does or does not constitute

an unreviewed safety question in the OSC meeting minutes.

The failure of the OSC to provide the basis for the conclusions

of their safety evaluations on DCP-223 and DCP-233 in the meet-

ing minutes constitutes en item of noncompliance at the infrac-

tion level (334/79-18-04).

The inspector noted that a discussion of a DCP by the OSC with

documentation thereof in the meeting minutes is being used as

the 10 CFR 50.59 safety evaluation.

The acceptability of an OSC discussion of a DCP as documented

in their meeting minutes as a written safety evaluation will be

addressed during a subsequent inspection.

(2) The inspector reviewed the drawings referenced in the respective

design change packages to verify that they reflected the "As

Built" condition of that system or component with respect to

the changes made by that design change.

The drawings reviewed

were as follows:

DCP No.

Drawing No.

0251

8700-RE-21PQ

8700-RE-21SD

8700-RE-4AM

1795ON

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DCP No.

Drawing No.

0223

8700-RE-3BF

8700-RE-3BD

8700-RE-14A

8700-RE-148

0071

8700-RE-25W

-

8700-RE-3FS

8700-RE-3CW

8700-RE-3CX

The inspector noted that there were no "As Built" drawings in

the station files which depicted the above referenced design

changes.

10 CFR 50, Appendix B, Crition II states that the QA Program

shall be documented by written policies, procedures and instruc-

tions and the program shall be carried out in accordance with

these policies, procedures and instructions.

The approved FSAR establishes a commitment to ANSI N45.2.8,

Supplmentary Quality Assurance Requirements for Installation,

Inspection and Testing for the Construction Phase of Nuclear

Power Plants.

ANSI N45.2.8 states that a system of controls

be established to assure that "As Built" information is being

processed.

Station procedure OP-4, Station Design Control,

states that the station superintendent shall update the station

file with "As Builts" as socn as preoperational testing is com-

plete and the test results are approved.

The failure to maintain "As Built" drawings in the station files

which reflect the above design changes is an item of noncompli-

ance at the infraction level (334/79-18-05).

(3) The inspector noted during his review of DCP-233 that procedure

ISI 5.0, Reactor Coolant System Hydraulic Pipe Support Examina-

tion, and Technical Specifications table 3.7.4 had not been

updated to reflect the installation of safety related snubber

SI-HSS-529.

10 CFR 50, Appendix B, Criterion V, Instructions, Procedures and

Drawings, states that activities affecting quality shall be pre-

scribed by documented instruction of a type appropriate to the

circumstance.

Maintenance Manual, Chapter 1, section P, Control

of Design changes, states that the senior engineer shall update

the station files and procedures subsequent to a design change.

The failure to update the station procedure and the applicable

technical specification section is an item of noncompliance at

the infraction level (334/79-18-06).

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1795 035

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(4) The inspector noted during his review of the documentation asso-

ciated with the replacement of charging pump IA, that Engineering

memo No. 60076 was responded to by the Power Station Engineering

Group (PSEG).

The subject memo requested engineering support in

the mounting of the gear box and motor units as these items could

not be aligned properly with the existing mounting holes.

The

PSEG authorized the slotting of the mounting holes and the use

of oversized washers, which was a modification to the charging

pump.

The corporate engineering group was not made aware of the

modification and as a result the seismic analysis of the charging

pump replacement was not properly completed and the plant was

permitted to retern to an operational status without the required

review.

The f.mpector expressed concern that although, in this

case, it was determined that the loads applied at the mounting

bolts were negligible and therefore, had no significant effect

on the results of the seismic analysis, adequate controls were

lacking which would ensure that field change information is for-

warded to the responsible design organization for proper review.

Inadequacies in the station design change program administrative

controls had been discussed during previous Region I inspections

(IE Inspection Reports 334/78-09 and 78-26).

10 CFR 50, Appendix B, Criterion V, states that actiu ties affect-

ing quality shall be documented by procedures appropriate to

the circumstances.

The BVPS FSAR establishes a commitment to

ANSI N45.2.11 via Regulatory Guide 1.64.

ANSI N45.2.11 states

that design changes and field changes shall be transmitted to

the affected persons and organizations.

QA Procedure OP-1 states

that each organization shall ident*fy those quality affecting

activities performed by that organization and to adequately define

those activities in documented procedures.

The failure of the PSEG to have procedural controls that insure

all field change information be transmitted to the responsible

design organization for proper review is an item of noncompliance

at the infraction level (324/79-18-07).

(5) Letter B. H. Grier to C. N. Dunn dated November 3,1978, requested

a detailed schedule with identifiable milestones for the imple-

mentation of corrective action associated with unresolved items

334/78-26-01, -02 and -03.

Letter C. N. Dunn to B. H. Grier dated

November 28, 1978, states in part, "in response to your request

for a schedule for corrective action on unresolved items 78-26-01,

-02, and -03 the following is proposed . . . Immediate Action:

The Power Station Engineering Group (PSEG) has been directed that

design perfcrmance of all category I modifications shall be assigned

to the Duquesne Light Company Engineering Deiartment.

This shall

include any changes to design deemed necessary during installation

,

1795.036

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. . . . January 31, 1979 - Complete revision of Station Engineer-

ing Procedures . . . February 28, 1979 - Completion of transmit-

ting all completed Category I design change records to the Beaver

Valley Project Team for records update .

Inspection 334/79-06

"

..

conducted on February 27 - March 2, 1979 identified that the Power

Station Engineering Procedures had not been revised and the design

change records associated with completed Category I modifications

had not been transmitted to the Beaver Valley Project Team for

records update.

Consequently, a revised schedule of May 1, 1979

and March 15, 1979, respectively was proposed for these items.

During this inspection it was identified that the policy statement

with respect to the PSEG not performing Category I work had not

been established or implemented at the station, the PSEG procedures

had still not been updated and the design change package associated

with completed Category I modifications had not been forwarded

in their entirety to the Beaver Valley Project Team.

The inspec-

tors noted that internal audit BV-1-79-7 also identified this

condition.

This item is considered to be a deviation (334/79-18-08).

(6) During a telephone conversation on August 29, 1979 between Mr. D. A.

Beckman of NRC:RI and Mr. J. A. Werling of the licensee's staff,

Mr. Werling stated that the records missing from the design change

-

packages are a result of the station's design change program ini-

tially not conforming to the requirements of ANSI N45.2.11.

This

failure to conform with ANSI N45.2.11 was identified during 1978

by the DLC Quality Assurance Deoartment and subsequently verified

by NRC:RI.

As a result of these findings, the station took action

to achieve compliance with ANSI N45.2.11 but determined that no

need existed to backfit the ANSI requirements to previously com-

plated design changes, thus resulting in the absence of some record

information required by ANSI N45.2.11.

Mr. Beckman informed Mr. Werling that, notwithstanding the licensee's

previous positions on ANSI N45.2.11, those design change packages

having incomplete documentation require evaluation to ensure that

the applicable requirements of ANSI N45.2.11 have been addressed

and that the omission of the documantation has no impact on the

quality of the design change or safety of operation.

Mr. Werling

acknowledged these comments and stated that it was the intention

of Duquesne Light to ensure adequate resolution of the NRC:RI

concerns.

Further, it is acknowledged that some of the records missing from

the design change packages are records which were not being gene-

rated under the old program, however, there are record types miss-

ing which were required under the old program.

These are the

records to which the deviation discussed in paragraph-(5).above

is addressed.

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(7) The ins *

..i axpressed concerns to the licensee about the

licenses. . QA F Sgram and Management controls in the area of

'Lign%odfication based on the following experience history.

.E Inspection Report 334/77-24 (July 1977) noted that a

--

licensee internal audit identified inadequacies in established

design / modification control procedures, the required corrective

action was in progress and RI intended to review (unresolved

item) the completed corrective action.

IE Inspection Report 334/78-09 (March 1978) addressed in

--

part the design / modification control area, noted that recent

licensee internal audits had identified a number of additional

problems in the subject area and expressed further inspector

concerns.

IE Inspection Report 334/78-26 (October 1978) noted that the

--

corrective action associated with design / modification control

was still in process but inconsistently implemented and

therefore the licensee was requested to address the inspectors'

concerns (unresolved items) in a written reply.

In the requested written reply (November 1978) to the RI

--

Director, the licensee's Vice President outlined actions

that would be taken to correct the design / modification

control problems and specified completion dates.

--

IE Inspection Report 334/79-06 (March 1979) addressed the

noncompletion of these corrective actions by the specified

dates and cautioned the licensee that these actions and

dates were commitments to the NRC.

--

During the current inspection a number of apparent noncom-

pliances and apparent deviation were identified in the

design / modification control area.

The inspectors expressed further concern regarding the effectiveness

of the licensee's QA Program and Management controls in the

design / modification activities area during the planned lengthy

upcoming outage in view of the fact that approximately forty

major modifications are to be accomplished during this time.

The inspectors then stated that these current concerns would be

referred to NRC management for appropriate action.

The licensee acknowledged the inspectors' statements.

1795 038 -

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5.

Periodic Procedure Reviews

The inspector requested to see documentation of the annual procedure reviews

of the Office Administrative Procedures.

Procedure OAP 1.2, paragraph 6.9,

requires that the Station Office Manager perform annual reviews of the Office

Administrative procedures.

The responsible individual was not available

during the inspection and other personnel were unable to locate any documen-

tation that would indicate that the annual reviews were performed.

The

inspector stated that pending further review of this area during a subsequent

inspection this item is unresolved (334/79-18-09).

6.

Records Storage

The inspector toured the records storage room at the station and the QA

records storage room and noted the following:

Station Document Storage Room

--

Record containers not properly stored

Binders containing records not in containers

--

--

records stored loosely on top of shelves

Doors not Class A fire rated

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Structural items such as floor drainage, ventilation, fire protection

--

and sealant not provided

QA Records Room

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Door not Class A fire rated

Ventilation inadequate

--

10 CFR 50, Appendix B, Criterion XVII, states that the requirements for

records retention shall be specified.

The FSAR states that provisions

include a permanent on-site records storage facility complying with the

applicable requirements, records preservation, records protection and

facility accass control.

Further the FSAR commits to Regulatcry Guide 1.88

which endorses ANSI N45.2.9.

ANSI N45.2.9 states that records shall be

firmly attached in binders for storage on shelving in containers and spe-

cifies physical requirements for a permanent records storage facility.

Failure to comply with the records storage requirements as specified above

constitutes an item of noncompliance at the deficiency level (334/79-18-10).

7.

Offsite Support Staff

A review of the offsite support staff was conducted by the inspector which

included procedure reviews, reviews of personnel qualifications, personnel

interviews, procedure implementation and audit repnrt reviews to verify

the following:

..

1775 039

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Administrative controls which describe the responsibilities, autho-

--

rities and lines of communications have been developed and are

readily available

The applicable procedures referenced in subparagraphs a of other

--

paragraphs in this report are in conformance with the requirements

of 10 CFR 50, Appendix B, and the licensee's approved QA Program

The managers, group leaders and support staff members are aware of

--

their responsibilities and authorities as defined by the applicable

referenced procedo es

The personnel which comprise the offsite support staff are qualified

--

to execute the respcnsibilities defined by the applicable referenced

procedures

The offsite support staff activities are effective and any deficient

--

conditio.1, as identified by QA audits, are dispositioned in a timely

and effective manner

No items of nonctmpliance were observed, however, one unresolved item is

discussed below.

The inspector de' ermined, based upon interviews with Duquesne Light

Company (DLC) discipline engineers at the Pittsburgh offices, that the

engineers are rot fully aware of their responsibilities as delineated in

the Engineering Management Procedures (EMP's).

The inspector further

identified tnat there is an EMP training program in progress and the DLC

discipline engineers are attending...The program appears to be making the

engineers aware of their responsibilities delineated in the EMP's.

This

program is scheduled for completion on September 11, 1979.

This item is

unresolved pending review by NRC:RI of the completed training package and

further interviews of DLC discipline engineer subsequent to September 11,

1979 (334/79-18-11).

8.

Unresolved Items

Unresolved items are matters about which more information is required in

order to ascertain whether they are acceptable items, items of noncompli-

ance or deviations.

Unresolved items identified during this inspection

are discussed in paragraphs 4, 5, and 7.

9.

Exit Interview

The inspectors met with licensee representatives (denoted in paragraph 1)

at the conclusion of the inspection on August 24, 1979.

The scope and

findings of the inspection as stated in this report were presented and

the licensee verified the target dates for the unresolved items as dis-

cussed herein.

,

1795

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