ML19319B475
| ML19319B475 | |
| Person / Time | |
|---|---|
| Site: | Davis Besse  |
| Issue date: | 08/29/1977 |
| From: | Office of Nuclear Reactor Regulation |
| To: | |
| Shared Package | |
| ML19319B474 | List: |
| References | |
| NUDOCS 8001220885 | |
| Download: ML19319B475 (21) | |
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NUCLEAR PLANT FIRE PROTECTION FUNCTIONAL RESPCNSIBILITIES, ACMINISTRATIVE CONTROLS AND QUALITY ASSURANCE '
The functional responsibili ties, adminis trative controls, and quality assurance related to nuclear power plant fire protection programs have a significant role in preventing and fignting fires.
Because these controls represent a significant portion of the licensee's fire protection program and are subject to periodic reviews by NRC inspectors, it is necessary to have a common understanding cetween applicant / licensees, NRC reviewers, and NRC inspectors as to what constitutes adequate delineation of respon-sibilities, acministrative controls and quality assurance and how :nese responsibilities and activities snould be conducted. Therefore, succle-mentary guidance on tnese controls is desiracle.
Appendix A to Branch Technical Position 9.5-1 and Regulatory cuide 1.120 provide overall guidance related to functional rescor. ibilities, admin-istrative cintrols, and quality assurance. The di.cussion in tne Attacn-ments provides sucplemental guidance on specific functional resconsibilities, administrative controls, and quality assurance necessary to assure an effective fire protection program. The table below correlates each subject for wnicn supplemental guidance is provided with tne respective section(s) of Appendix A anc Regulatory Guide 1.120.
REGULATORY
' SUBJECT APPENDIX A GUIDE 1.120 1.
Fire Protection A.1, B, C C.1, C.2, C.3 Organization 2.
Fire Brigade A.l(d),B.5 C.l(4),C.2e Training 3.
Control of B.2,B.3(c)
C.2.b,C.2.c(3)
Comous ticles 4
Control of Ignition B.3(a)
C.2.c(1)
Sources 5.
Fire Fighting A.l(d),B.1,4,5 C.la(4),(5),
Procedures C.2.a. d, e.
6.
Quality Assurance C.
C.3 8001220 [
. This supplementary guidance is to bc given to utilities and is being distributed to NRC fire protection program reviewers and NRC Office of Inspection and Enforcement.
The licensee should provide the description of fire protection functional responsibilities and administrative controls in a fire protection plan which describes his organization and its qualifications, fire brigade training, the controls over combustibles and ignition sources, nethods for assuring the availability of the fire protection systems and equip-ment; procedures for fighting fires, fire watch, and quality assurance provisions for the fire protection program.
The plan should also identify the plant procedures that implement the plan.
The plan will be filed with the Nuclear Regulatory Commission and the plant procedures should be available to NRC Inspectors and at the plant site.
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1 Attacnment No. 1 FIRE PROTECTION GRGANIZATION 1.0 The organizational responsibilities and lines of communication per-taining to fire protection should be defined between :ne various positions through the use of organizational charts and functional descriptions of each position's responsibilities. As a minimum the positiors/ organizations responsible for the following should be designa ted:
a.
The upper level offsite management position which has management responsibility for the formulation, imolementation, and assess-ment of the effectiveness of the nuclear plant fire protection program.
b.
The offsite nanagement position (s) directly responsible 'for (1) formulating, implemer.cing, and periodically assessing the effectiveness of the fire protection program for tne licensee's nuclear power plant including fire drills and training con-ducted by the fire brigade and plant personnel.
The results of tnese assessments should be recorted to tne uoper level management position resconsible for fire protection with recommendations for improvements or corrective. actions as deemed necessary.
(2) Using the following NFPA Publications for guidance to dev-elop the fire protection program:
" Organization for Fire Services" No. 4 No. 4A
" Organization of a Fire Department" No. 6
" Industrial Fire Loss Prevention"
" Management of Fire Emergencies" No. 7
" Management Resconsibilities for Effects of No. 8 Fire on Operations" No. 27
" Private Fire Brigades" c.
The onsite management position responsible for the overall administration of the plant operations and emergency plans which include the fire protection and prevention program and which provides a single point of control and contacc for all contingencies.
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2 d.
The onsite position (s) which:
(1) implements periodic inspections to: minimi:e the amount of combustibles in safety related areas; detennine the i
effectiveness of housekeeping practices; assure the avail-ability and acceptable condition of all fire protection i
i systems / equipment, emergency breathing apparatus, emergency lignting, comunication equipment, fire stops, penetration seals and fire retardant coatings; and assures promot and effective corrective actions are taken to correct conditions adverse to fire protection and preclude their recurrence.
(2) is responsible for the fire fignting training for operating plant personnel and the plant's fire brigade; design and selecticn of equipment; periodic inspection and testing of fire protection systems and equipment in accordance with i
established procedures and evaluate test results and deter-
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mine the acceptability of the systems under test.
(3) assists in the critique of all fire drills to determine how well the training objectives have been met, i
(4) reviews and evaluates proposed work activities to identify potential transient fire loads.
(5) implements a program for indoctrination of all clant contractor personnel in appropriate administrative oro-cedures which im:>lement the fire protection program,,
and the emergency procedures relative to fire protection.
(6) implements a program for instruction of cersonnel on :ne procer handling of accidental events such as leaks or spills of flammable materials that are related to fire crotection.
e.
The onsite position responsible for fire protection quality assurance.
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This position should be responsible for assuring tne effective implementation of the fire protection program by planned in-spections and scheduled audits. He should assure and verify tnat results of these insoections or audits are promotly re-ported to cognizant management persennel.
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The positions whien are part of the plan: fire brigade (1) The plant fire brigade positions snoulc be responsible for fignting fires. The autnority and resconsioility of eacn fire brigade position relative to fire protection snould be clearly defined.
(2) The responsibilities of each fire brigade position should correscend with the actions required oy the fire fignting procedures.
(3) The res;onsioilities of the fire brigade memcers uncer normal plant concitions, shoulc not conflict witn tneir respansioilities curing a fire emergency.
(4) The minimum nummer of trained fire brigade memcers avail-able onsite for each r;erating snif shculd be consisten witn the activities required to comoat ne most significant fi re. The size of '.ne fire brigade snoulc be based upon the functions required to fign: fires wi:n adequate allow-ance for injuries.
(5) The recommendations for organizatien, training, and equip-
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ment 'of " PRIVATE FIRE BRIGACE5" as specified in NFPA No. 27-1975, including the acclicable NFPA publications listed in the Appendix to NF?A No. 27, are considered appropriate criteria for organi:ing, training, and coerating a plant fire brigade.
2.0 Qualifications a.
The position resconsible for formulation anc imolementation of the Fire Protection Program snould have, within his organ-i:stion, or as a consultant, a Fire Protection Engineer wno is a graduate of an engineering curriculum of accected standing and wnc shall have comoleted not-less tnan six years of engineering attainment indicative of grcwtn in engineering competency and i
achievement, three of which shall have been in responsible cnarge of fire protection engineering work. These requirements are the eligibility requirements as a Memoer in the Society of Fire Protection Engineers.
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b.
The fire brigade members qualifications should include satis-factory completion of a pnysical examination for performing strenuous activity, and of the fire brigade trainingdescribed in Attachment No. 2.
c.
The personnel responsible for the maintenance and testing of the Fire Protection Systems should be qualified by training and experience for such work.
d.
The personnel responsible for the training of the fire brigade should be qualified by training and experience for such work.
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At:acnment No. 2 FIRE BRIGADt TRAINING The training program should assure that the ca; ability to fignt potential fires is establisned and maintained.
The program snould consist of an initial classroce instruction program followec by periodic classroom retraining, practice in fire fignting and fire drills:
1.0 Classrocm Instruction a.
The initial classroom instructicn snould include:
(1)
Identification of the fire hazards and associated types of fires that could occur i- :ne plant, and an identi-fication of the location of sucn hazards.
(2)
Identification of tne location of fire fignting ecuio-ment for each fire area, and familiari:ation with layout of the plant including access and egress routes to each area.
(3)
The proper use of available fire fignting equipment, and the correct method of fighting each type of fire. The types of fires covered should include electrical fires, fires in cables and cable trays, hydrogen fires, flam-mable liquid, waste /decris fires, and record file fi-es.
(4)
Indoctrination of the plant # ire fignting plan with specific coverage of each individual's responsibilities.
(5) The proper use of communication, lighting, ventilation and emergency breatning equipment.
(6) The direction and coordination of tne fire fignting activities (fire brigade leaders only).
(7) The toxic cnaracteristics of expectec procucts of combus tion.
(3) The proper metnod for fignting fires insice buildings i
and tunnels.
(9)
Detailed review of fire fighting procedures and procedure cnanges.
(10)
Review of latest clant modifications and changes in fire fignting plans.
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b.
The instruction should be provided by qualified individuals knowledgeable, experienced, and suitably trained in fignting the types of fires that could occur in the plant and in using the types of equipment available in the nuclear power plant.
Memoers of the " Fire Protection Staff" and Fire Brigade Leaders may conduct tnis training.
c.
Instruction should be provided to all fire brigade members and fire brigade leaders.
d.
Regular planned meetings held every 3 months should repeat the classroom instruction program over a two year period.
2.0 Practice Practice sessions should be held for fire brigade memoers on the proper method of fighting various types of fires of similar mag-nitude, complexity, and difficulty as tnase which could occur in a nuclear power plant. These session, should provide origade members with experience in actual fire extinguishment and the use of em-ergency breathing apoaratus under strenuous conditions.
These practice sessions should be provided at regular intervais but not to exceed 1 year for each fire brigade memet:r.
3.0 Drills Fire brigade drills should be performed in the plant so that the fire brigade can practice as a team.
Drills should include tne following:
a.
Assessment of fire alarm effectiveness, time required to notify and assembly fire brigace, ar.d selection, placement and use of equipment.
b.
Assess each brigade memoet's knowledge of his role in the fire fignting strategy for the area assumed to contain the fire.
Assess one brigade members confomance with establisned plant fire fighting procedures and use of fire fighting equipment, including self-contained emergency breathing apparatus, comuni-cation equipment, and ventilation equipment, to ne extent practicable.
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3 c.
The simulated use of fire fighting equipment required to co;e with the situation and type of fire selected for tne drill.
The area and type of fire chosen for the drill should be varied sucn that brigade me:r.bers are trained in fignting fires in all safety related areas containing significant fire ha:ards. The situation selected should simulate the size and arrangement of a fire which could reasonably occur in the area selected, t
allowing for fire development due to tne time required to re-spond, to obtain equipment, and organize for the fire, assuming loss of automatic suppression capability.
d.
Assessment of brigade leader's direction of the fire fignting effort, as to tnorougnness, accuracy, anc effectiveness.
e.
The drills should be performed at regular intervals but not' to exceed 3 months for each fire brigade, At least one drili per year should be performed on a "back shift" for eacr. fire brigade. A sufficient numcer of these drills, not less tnan one for each fire brigace per year, shall be unannounced, to de-termine the fire readiness of the plant fire brigade leader, brigade, fire protection systems and equiertent.
f.
The drills shoul.d be pre-planned to establisn the training objectives of the drill. The drills snould be critiquec to determine how wel! the training objectives have been met.
Unannounced drills should have tneir critiques perfor.ec by members of the management staff resconsible for plant sa'ety and security. At three year intervals, drills sncula be criticued by qualified individuals independent of the utility's staff.
4.0 Records Recorcs of training proviced to each fire brigade memoer inclucing drill criticues snould be maintainec to assure tnat eacn memoer receives training in all carts of tne training program. These records of training shoulc be availacle for review.
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Attacnment No. 3 CCNTP.0L OF C". :BUSTIBLES Acministrative controls rnould be established to minimi:e tne amount of comoustibles that a safety related area may be exposed 0.
These con-trols snould be established to govern:
a.
tne handling of and limitation on tne use of comoustibles, flammable and explosive hazarcs sucn as flammacle gases and liquids. HEPt and charcoal filters, cry unused ion excnange resins or other combustible supplies in safety related areas, and to assure that tnese items are not s tored in safety related 3reas.
b.
the transient fire loads during maintenance and modi fications such as comoustible and flammable liquics, wooc and plastic products, soilled oil, oil drums, and otner ccmcustioTe mater-ials in buildings containing safety relatec systems or equio-ment. This centrol snould require an in-plant review of pro-posed work activities to identify potential transient fire loads. The onsite staff memcer designa:ec :ne res:ensibility for reviewing work activities for potential transient fire loads should s:ecify the requirec acditional fire protection in the work activity procecure.
When the transient fire load causes the total fire load to exceed the cacacilities of existing suppression systems and equipment, additional portaole sucaression equipment should ce brought into the area.
c.
the removal of all waste, debris, scrac, rags, oil spills, or other ccm:ustibles resulting from the work activity, in :ne area following comoietion of the activity, or at the end of eacn work shift, wnichever is scener.
d.
periodic inspection for accumulation of comoustibles.
e.
all wood used in sa/ety related areas to assure that it is treatec witn flame retarcant.
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Attownment No. 4 l
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CCNTROL OF IGNITION SCURCE5 1.0 Acministrative Controls Acministrative controls should be instituted to protect safety-related equiement from fire damage or loss resulting from worx involving ignition scurens, such as welding, cutting, grinding, or open flame work; acministrative controls should prohibit tne use of ocen flame or comoustion smoke for leak testing and controls should prohibit smo<ing anc otner ignition sources in certain areas.
2.0 Control of Welcinc. Cuttino, Grindinc. anc Coen Flare Work' All cutting, welding, ' grinding or c:en-flame work should a.
ce authorized by tne rest.onsible foreman or su ervisor through a work permi c.
The resconsible foreman or sucervisor should have received a basic industrial fire ficnting and fire prevention course covering antici:sted fires, sucn as elec-trical fires, fires in cables and cable trays, hydrogen fires, hydrocarbon fires, solvent fires, waste /cecris fires, and re-Cord file fires.
Before issuing the permit, the res:ensible foreman or sucer-b.
visor shoule ;nysically survey the area where tne work is to be performed and estaolish that the following precautions nave been accomolisnec:
(1) All moveable comcustible material below and witnin a 35 foot radius of tne cutting, welcing, grincir.g, or coen flame work nas been removec.
(See NF?A 513)
(2) All immova:1e combustible material below anc witnin a 35 foot radius <tas been thorougnly protectac :y ascestos curtains, metal guarcs, or flamecroof covers, anc fire extinguishers, nose, or other firefignting equi ment are proviced at ne work sita.
(See NF?A 513)
(3) A fire waten trained and equi ced to prevent and comoat fires is present throughout any coerations in which there is potential for fire that mignt damAce safety relatec eculement.
A fire watcn snouit be proViced where cutting, welding, grincing or open flame is performec scove or witnin a radius of 35 feet of any c:en ca:les, flamma:1e liquics, scaffold boards, paper, rags, or other objects on the same elevation of the work or if comoustible saterials are below the work area where openings exist. A fire waten should be provicec for all 7--
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cutting, welding, grinding, and open flame work in the Control Room, Cable Spreading Room, Diesel Generator Rooms, and other safety related areas that contain sig-nificant amount of cable or flammable liouids.
(See NFPA SlB)
The fire watch sculd remain on the work site wnile work is performed and remain in the area for at least 30 min-utes after the work is completed to check for smoldering fi res.
(4) All equipment to be used is in a safe, working condition.
Oxyacetylene equipment is enecked for leaks before being moved to the work area, c.
The signature concurrence of a member of the plant's management or a quality control inspector certified to make this concurrence should be obtained whenever the supervisor or foreman dgtermicas that a fire watch is not required.
3.0 Leak Testing Administrative procedures should be establisned to prohibit the use of open flame or'comoustion smoke for leak testing. Work orders for leak testing should require the concurrence of the shift engineer to verify that the leak test method is acceptable and would not present a potential ignition source.
4.'O Smokino and Ignition Source Restriction Smoking should be prohibited in safety related areas, except where
" smoking permitted" areas have been specifically designated by a responsible member of plant management and in areas containing flammable or potentially explosive materials or atmospneres that present a ha:ard to safety related ecuipment. These areas should be identi-fied with "No Smoking" signs.
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.Attacnment No. 5 FIRE FIGHTING PROCEDURES Fire fignting prececures should be established to cover sucn items as notification of a fire, fire emergency precedures, and coercination of fire fighting activities witn offsite fire departments.
The fire fignt-ing procedures snculd identify:
Actions to be taken by indivicual ciscovering tne fire, sucn a.
as, notification o' control recm, attempt to extingaish fire, and actuation of local fire su;pression systems.
b.
Actions to be taken by the centrol reem operato and the need for trigace assistance ucen recort of a fire or receipt of alarm en centrcl reem annunciator panel, sucn as:
announcing location of fire over PA system, scunding fire alarms anc notifying tne shift supervisce anc tne fire brigace leacer of the type, si:e, and location of the fire.
Actions to be taken by the fire brigace af ter notification cy c.
the control recm cperator of a fire, including:
location to assemcle; diyections given by fire brigace leacer; and respcnsi-bilities of brigace memoers sucn as selection of fire fignting equipment anc transecr ation to fire location, selection of protective equipment, use of fire succression systems ccerating instructions, and use of preplanned strategies for fignting fires in specific areas.
d.
The strategies established for fignting fires in all safety-related areas and areas presenting a na:ard to safety-related equicment.
As a minimum the following sucjects snculc be CcVerec:
'l)
Identification of ccmcustibles in eacn plant :ene coverec by tne specific fire fignting ;rececures.
(2) Fire extinguisnants best suitee for centr:11ing tne fires associated witn :ne ecmeustible leadings in :nat zene anc tne nearest location of these extinguisnants.
(3) Most favoracle direction fecm wnica to attacx a fire in eacn area, in view of the ventilatien ci ection, access hallways, stairs and decrs wr.icn are mos-likely to ce fire-free, and the best station or elevatica for fignting the fire. A specific identification systam snail cesignate all hallways, stairs, decrs, fire ecuipment and system centrol locations, and other items cescritec in tne fire fignting procacures. This identif cation snould be used 9
2 in tne pre ecures anc :ne ::rras:en:ing :lant items snculd ce prominently marrec so na: :ney can :e r:cegni:ec in cim lignt.
All ac:ess anc egress rectes taa: involve lecked coces sncule be s:ecifically icentifiec in :ne prececure witn :ne a:Or:;riate precautions anc metn::s for ac:ess specifiec.
(4) Designatien of plant systems that sneule :e managed ta reduce the camage ;ctential curing a local fire; location of local anc rem e ::ntrels f:r suen management (e.g.,
any hycraulic cr electrical systems in :ne ene c:vered by tne specific fire fignting procecure trat ::w'c increase One ha:ards in the area cecause Of ever:res-suri:atica er electrical na: arcs)
(5) Designation of vital nea:-sensitive system ::m:enents that should be kept ::cl wnile figr:ing a 1::31 fire.
Critical ecuipment wnien are : art :alarly na:arcous c:mcustible scur:es sneule ce casignatec :: re:Eive c cling.
(5) Organization of fire fighting Origa:es an: inc assignment of special duties ac::rcing :: jc: title s :nat all fire fighting functions are coverec ey any c:colete sn1f t cer-sonnel complement.
These cuties sncule incluce ::mmand control of the brigace, fire hose laying, a;:1ying the extinguisnant to tne fire, acvancing su;:crt su; lies to the fire scene, communication witn the centrol r:cm, coordination wita outsice fire ce:artments.
(7) Identification radiological anc toxic ha: arcs in fire
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(S) Ventilation system ::eration :nat assures cesicec iant pressure ci:tribution wnen tne ventilati:n ficw is accified for fi:e ::ntair.mant or smoke clearing cceratiens.
(9) Operations recuiring centrol recm anc snift engineer coordination or authorization.
(10)
Instructions for plant cperators and general plant per-sonnel curing fire.
e.
The validity of the precianning strategies snould be tested by a: recriate full-cress crills to eneck ne logic of the strategy, the acequacy cf the equi: ment, personnel under-stancing, anc to uncover unforeseen preelems.
f.
Actions to be taken by Plant Sumerintendent and his staff, and Security Guards after notification of a fire.
Actions to be taken that will coercinate fire fignting activities g.
with offsite fire departments, including:
icentification of indivicual responsible for assessing situation anc calling in outside fire department assistance when needed; icenti fication of individual who will direct fire fighting activities when aided by offsite fire fighting assistance; crovisions for including offsite fire fignting organizations in fire brigade drills at least once per year; and provisions for training offsite fire decartment personnel in basic radiation princicles, typical radiation hazards, and crecautions to be taken in a fire involving radioactive materials in the plant.
The pro-cedures should also describe the offsite fire decartment's resources and estimated resconse time by tne offsite fire department to provice assistance to the station.
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.m Attacnment No. 6 QUALITY ASSURANCE The cuality assurance (QA) program should assure that the recuirements for design, procurement, installation, testing, anc acministrative controls for tne fire protection program for safety relatec areas accroved by NRC are satisfied.
The Quality Assurance provisions for fire protection should acoly to activities performed after the effective date of the adoption of saic provisions. The QA program snculd be under the management control of the QA crganization.
This control c:nsists of (1) formulating anc/cr verifying tna; tne fire protection QA program incorporates suitacle recuirements and is acceptacle to tne management resconsible for fire Orctection and (2) verifying tne effectiveness of ne QA program for fire protection :nreugn review, surveillance, and audits.
Performance of ciner QA r: gram functicns f r meeting tne fire protection program recuirements may :e performed by personnel outsic; of the QA organization.
The QA crogram for fire protection sncule be. cart of the overall plant QA program. These QA criteria a::ly to tacse items witnin the sccce of tne fire protection program, such as fire Orctection systems, emergency lignting, communication and emergency breathing accaratus as well as One fire protaction recuirements of acclicaole safety related equipment.
Applicants / licensees can meet the' fire protection quality assurance (QA) program criteria of Acpendix A to BTP 9.5-1 or Regulatory Guide 1.120 by either:
1) implementing those fire protection GA criteria as part of their QA program under 10 CFR Part 50 Acpendix 3, where sucn a c:mmitment is made, it is not necessary to sucmit a detailed description of the fire protection QA program or its imclementation for NRC review; or
- 2) providing for NRC review a description of the fire protection QA program anc the measures for imolementing tne program. Su: lemental guidance is provided below on accaptacle measures for imolementing eacn of the fire protection ~QA program criteria of Acpendix A to BTP 9.5-1 or Regulatory Guide 1.120.
1.0 Design Control and Procurement Document Control
. Measures should be established to assure that the acplicable guidelines of tne Regulatory Guide 1.120 or accroved NRC alternatives are incluced in design and procurement documents and tnat ceviations therefrem are controlled. These measures should assure that:
a.
Design and procurement document enanges, including field cnanges and cesign deviations are subject to the same level of controls, reviews, and approvals tnat were applicable to the original document.
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c.
Quality standards are specified in, the design documents sucn as appropriate fire protection codes and standards, and deviations and changes from these quality standards are controlled.
c.
New designs and plant modifications, including fire protection systems, are rev;ewed by qualified personnel to assure inclusion of appropriate fire protection requirements. These reviews should include items such as:
(1) Design reviews to verify adequacy of wiring isolation and cable separation criteria.
(2) Design reviews to verify appropriate requirements for room isolation (sealing penetrations floors, and otner fire ba rriers).
d.
A review and concurrence of the adequacy of fire protection requirements and quality requirements stated in procurement documents are performed and documented by qualified personnel.
This review should determine that fire protection requirements and quality requirements are correctly stated, inspectable and controllable; there are adequate acceptance and rejection criteria; and-the pecurement document has been, prepared, re-viewed, ?nd approved in accordance with QA program requirements.
2.0 Instructions., Procedures, and Orawing - Inspections, tests, admin-istrative controls, fire drills, and trainir.g tnat govern the fire protection program should be prescribed by documented instructions, procedures or drawings and should ce accomplisned in accordance with these documents. The following provisions snould be included.
a.
Indoctrination and training programs for fire prevention and fire fighting are implemented in accordance with documented procedures.
b.
Activities such as design, installation, inspection, test, ruintenance, and modification of fire protection systems are prescribed and accomplished in accordance with cocumented in-structions, procedures, and drawings.
c.
Instructions and procedures for design installation, inspec-tion, test, maintenance, modification and administrative controls i
are reviewed to assure that proper inclusion of fire protection l
requirements, such as precautirns, control of ignition sources and combustibles, provisions fur backup fire protection of the activity recuires disabling a fire protection system, and re-striction on material substitution unless specifically pennitted by design and confinned by design review.
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d.
The installation or application of penetration seals and fire retardant coatings is performed by trained personnel using approved procedures.
3.0 Control of Purchased Material, Equipment, and Services - Measures s hall be established to assure that curchased material, equipment and services conform to the procurement documents. These measures should include:
a.
Provisions, as appropriate, for source evaluation and selection, objective evidence of quality furnished by tne contractor, inspections at suppliers, or receiving inspections, b.
Source or receiving inscection, as a minimum, for these items wnose quality cannot ce verified after installatien.
4.0 Inspection - A crogram for incependent inscection of activities affecting fire protection seculc be estaclisnec and executec Oy, or for, the organi:ation performing the activity to verify conformance io cocumented installation drawings anc test procecures for acc:mplishing activities.
This program should include:
a.
Inspections of (1) installation, maintenance and modificati:n of fire protection systems; and (2) emergency lignting anc communica-tion equicment to assure conformance to cesign anc installation requirements, b.
Inscection of penetration seals and fire retardant c:ating installations to verify tne activity is satisf actorily c:moietec.
c.
Inspections of ca:le routing t: verify c:nfermanca with design requirements.
d.
Inspections to verify tnat a::recriate recuirements f:r r: m isolation (sealing senetrati:ns, flocrs, and other fire barriers) are acccmplished curing construction.
e.
Measures to assure that inscection personnel are ince:encent frem the individuals perferming the activity being inscectec anc are knowledgeacle in the design and installatier requirements for fire p ro tecti on.
f.
Inspection crocecures, instructions, and check lists which provice for the fellcwing:
(1) Identification of characteristics and activities to be inspected (2) Identification of tne indivicuals or grou s rescensicle for performing the ins ection oceration (3) Acceptanceandrejehtiencriteria
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4 (4) A description of the metnod of inspection (5) Rec rding evidence of completing anc verifying a manu-facturing, ins ection or test operation (6)
Recording inspector or data recorder and the results of the inspection operation 9
Pericci: ins:ections of fire protection systems, emergency breathing and auxiliary equi: ment, emergency lighting, and communication ecuip-
. ment to assure the acceptacle c:ncition of these items.
h.
Pericci: ins;ection of materials subject to cegracation such as fire st::s, seals, anc fire retarcant coatings to assure tnese items have not deteriorated or been camaged.
5.0 Test anc Test Centrol - A test program shcule te estaclisnec and im:lementec :: ensure that testing is perfcrmee and verifiec by ins:ectic.i anc audit to cemonstrate ::nformance with c2 sign an:
system readiness recuirements. The tests snoule :e performec in ac:creance with written test precedures; test resuits snculc ce precerly evaluated and actec on.
The test program sncule incluce the,fellcwing:
Installation Testing - F licwing construction, macificatien, re: air a.
er replacement, sufficient testing is erformec to cemenstrate that fire protection systems, energency lignting anc c:mmunication equi:-
ment will perform satisf actorily in service anc tnat design criteria are met. Written test procecures fer installati:n tests inc:rperata the requirements and ac:e:tance limits c:ntainec in a:plicable cesign documents.
b.
Periodic ta: ting - The senecules and metacds f r :ericci testing are developec anc cccumentec.
Fire prote:-ion equi: cent, emergency lignting, anc c:mmunication ecui: ment are testec :ericcically ::
assure that ne ecui: ment will Orc:erly function anc ::n".inue to meet tne cesign :riteria.
Programs are established f:r QA/QC t: verify testing cf fire protection systems anc to verify that test persencel are effectively trained.
d.
Test resuits are documented, evaluatec, anc :neir acca acility determined by a qualified responsible incivicuai =r greu:.
6.0 Ins;ection, Test, and Operating Status - Measures snoulc be establishec to provide for the identification of items tnat have satisf actorily passed recuirec testa and inspecticns. These measures sncule incluce previsions fer:
a.
Identification by means Of tags, labels, or similar tem:crary markings to inlicate : moletion cf recuired inspections anc tests, and operating status.
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7.0 Nonconforming Items - Measures should be estaclishec to control items that do not conform to specified requirements to prevent inadvertent use of installation.
These measures snould include provisions to assure tnat:
a.
Nonconforming, incperative, or malfunctioning fire protection systems, emergency lignting, and communication ecuipment are appropriately tagged er labellec.
b.
The icentification, cecumentation, segregation, review dis-position, and notification to the affectec crqanization of nonconforming materials, parts, ccmconents, or services are precedurally controlled.
c.
Documentatien identifies tne ncnconforming item, describes the nonc:nformance and the ciscosition of the nonc:nf:rming item and incluces signature a;:roval of the discosition.
d.
Provisions are estaclishec icentifying those incividuals or groups delegatec the res:cnsibility and authority for the disposition and approval of nonconforming items.
8.0 Corrective Action - Measures shall be estaclisned to ensure that c:n-ditions adverse to fire protection such as f ailures, malfunctions, ceficiencies, deviations, defective ccmcenents, unc:ntrolled c:mous-tible material and noncenfermances are prcmotly icentifiec, recortec and corrected. These measures should assure:
a.
Procedures are established for evaluatien of concitions adverse to fire protection (such as nonc:nformance, failures, mal-functions, ceficiencies, deviations, and defective material and equipment) to determine the necessary corrective action.
b.
In the case of significant er repetitive c:nditions acverse
- fire protection, including fire incidents, the cause of tne conditions is cetermined and analy:ec, and promat c rrective actiens are taken to precluce recurrence.
The cause of the condition and the c:rrective action taken are premotly reportec to cognizant levels of management for review and assessment.
's.O Records - Rec:rcs should be precarec and maintained to furnish evicence that the criteria enumerated acove are peing met for i
activities affecting the fire protection program.
The following i
provisions shoulc be included:
~
a.
Recorcs are identifiable and retrievable and shculd demonstrate conformance : fire protection recuirements.
The recorcs snoulc O
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5 include results of inscections, tests, reviews, and audits; non-conformance and corrective action recorts; construction, maintanance anc mccification rec:rcs; anc certified manuf acturers' cata.
b.
Recorc retention recuirements are established.
l'.0 Audits - Audits sneule be conducted and documentec :: verify c:mpliance O
with the fire protection pr gram, including design and procurement documents, instructions, procecdres, and crawings, anc inscection and test activities.
The following provisiens snculc te included:
a.
Audits are periccically cerformec to verify ccmcliance with tne administrative controls and imolementation Of quality assurance criteria inclecing design and precurement, instructions, procecures and crawings and ins:ection anc test activities. These audits are perferred cy CA persennel in accercance witn creesta lisnec written procacures or check lists and c qcuctac by trainec perscnncl not having direct responsibilitie< in the areas ceing aucitac.
b.
Audit results are documented and then reviewec with management having resconsibility in tne area aucitad.
c.
Fellewu: action is taken by responsible management to correct the ceficiencies revealed by tne accit.
d.
Audits are annually performed to provice an overall assessment of c:nformance to fire protection recuirements.
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