ML20030C173

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IE Insp Rept 50-285/81-16 on 810706-10.Noncompliance Noted: Failure to Meet Record Retention Requirements & to Retain Records Required by Tech Specs
ML20030C173
Person / Time
Site: Fort Calhoun Omaha Public Power District icon.png
Issue date: 07/30/1981
From: Boardman J, Randy Hall
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML20030C164 List:
References
50-285-81-16, NUDOCS 8108250462
Download: ML20030C173 (8)


See also: IR 05000285/1981016

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U.S. NUCLEAR REGULATORY COMMISSION

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0FFICE OF INSPECTION AND ENFORCEMENT

REGION IV

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Report:

50-285/81-16

Docket: 50-285

License: DPR-40

Licensee:

Omaha Public Power District

1623 Harney Street

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Omaha, Nebraska 68102

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Facility Name:

Fort Calhoun Station, Unit 1

Inspection at:

Fort Calhoun Station, Blair, Nebraska

Inspection conducted: July 6-10, 1981

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Inspector: f

y.jR. Boardman,ReactorInspector,SystemsandTechnical

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Approved: M

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'R. E. Hall, Chief, Systems and Technical Section

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Inspection Summary

Inspection Conducted July 6-10,1981 (Report 50-285/81-16)

Areas Inspected:

Routine, unannounced inspection including licensee records

program, licensee on-site review conmittee, QA program annual review, and

follow up on licensee actions on previous inspection findings.

The inspection

involved 31 inspector-hours by one NRC inspector.

Results:

In the four areas inspected, two violations were. found in one area

(violation - failure to meet record retention requirements and violation -

failure to retain records required by Technical Specifications - paragraph 3).

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DETAILS

1.

Persons Contacted

Omaha Public Power District

  • R. L. Andrews, Sectit: runager, Operations

W. G. Gates, Supervisor, Gperations

  • J. M. Gloshen, QA Engineer
  • W. C. Jones, Division Manager, Production Operations
  • K. J. Morris, Section Manager, Administrative Services

G. R. Peterson, Supervisor, Maintenance

  • S. C. Stevens, Manager Fort Calhoun Station
  • P. M. Surber, Acting Section Manager, Generating Station Engineering
  • F. A. Thurtell, D"ision Manager, Environmental and Regulatory Affairs

The NRC inspector also contacted other plant personnel, including health

physics, clerical, and administrative personnel.

  • Denotes those attending the exit interview.

2.

Licensee Action on Previous Inspection Findings

(Closed) Unresolved Item (8111-03):

Reactor Coolant pump 3/4" spiral

wound (metal asbestA gaskets on licensee Purchase Order 47921 was not

ordered requiring, ano did not have, certification of acceptable low

limits of sulphur and chlorides.

Subsequently, the licensee has per-

fonr.ed chemical analysis of representative gaskets utilizing Regulatory

Guide 1.36, dated February 23,1973, " Nonmetallic Therral Insulation

for Austenitic Stainless Steel," as a guideline. The results of the

chemical analysis of chloride, 81 ppm; silicate, 800 ppm; and sodium,

34,200 ppm is considered nondeleterious as is the possible maximuc

sulphur content of <300 ppm for the 304 stainless gasket material aad

<200 ppm sulphur for the asbestos portion of the gaskets.

(See OPPD

interoffice memorandum File: TS-FC-81-36, dated May 21, 1981, Subject:

Use of Spiral Wound Flexitallic Gaskets (CG-15C) for RC Pumps at Fort

Calhoun.

This item is closed.

(0 pen) Violation (8107-01):

Failure to Maintain Sufficient Records

to Furnish Evidence of Activities Affecting Quality.

Example 1 was

the licensee's failere to mcintain records of supplier performance

used by the licensee as the basis of initial supplier approval at

the inception of thc licensee's supplier approval program.

Licensee

response to this violation included requalificatior:, or deletion, of

all iritial suppliers. As a result of this requalification program,

32 initial suppliers were deleted for various reasons. Two reasons

appear to have significant quality implications as follows: (1) "no

auditable QA program" and (2) "no authorized distributor documenta-

tion."

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Based on discussions with licensee personnel, the NRC inspector deter-

mined on July 8,1981, that no review of hardware documentation had

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been accomplished for hardware provided by suppliers deleted for the

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two above listed reasons.

Licensee personnel when questioned indicated

that such a review would be performed to assure that quality assurance

documentation provided by deleted suppliers was in fact adequate and

satisfactory in those cases where the supplier was deleted for not

having an auditable QA program cr where there was no authorized distrib-

utor documentation.

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This itea will remain open pending completion of this review by the

licensee.

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3.

Licensee Records Program

The NRC inspector reviewed the licensee's program and implementing

procedures for records for compliance with Appendix B to Part 50 of

Title 10, N de of Federal Regulations; ANSI N45.2.9-1974; and licensee

Technical Sp'cifications Section 5.10.

a.

10 CFR Part 50, Appendix B, Criterion XVII states that records

shall be ider.tifiable and retrievable, and that, consistent with

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applicable regulatory requirements, the applicant shall establish

requirements concerning record retention such as duration,

location, and assigned rf.sponsibility.

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The licensee Quality Assurance Manual, Section 1.2 states that the

Omaha Public Power District commits itself to and complies with

the mandatory Quality Assurance program guidelines contained in

WASH-1283, Revisic

1, " Guidance on Quality Assurance Requirements

During Design and Procurement Phase of Nuclear Power Plants";

WASH-1309, " Guidance on Quality Assurance Requirements During the

Construction Phases of Nuclear Power Plants"; and WASH-1284,

" Guidance on Quality Assurance Requirements During the Operation

Phases of Nuclear Power Plants."

WASH-1284 in Section B invokes ANSI N45.2.9-1974, " Requirements

for Collection, Storage, and Maintenance of Quality Assurance

Records for Nuclear Power Plants."

The followiig are examples of an apparent violation of the records

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requirements of 10 CFR Part 50, Appendix B, Criterion XVII and

ANSI N45.2.9-1974:

(1) 10 CFR Part 50, Appendix B, Criterion XVII requires records

to be retrievable. ANSI N45.2.9-1974, Section 6.2 requires

" accurate retrieval of infe mation without undue delay."

ANSI N45.2.9-1974, Appendix A delineates records to be

retained.

Licensee Quality Assurance Procedure No. 7 (QAP

No. 7), Revision 1, approved August 9, 1978, " Storage and

Retention of QA Records," contains in Appendix A the tabula-

tion of Quality Assurance (QA) records included in the

licensee's QA records retention program.

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On July 7 and 8, 1981, licensee personnel were unable to

retrieve the following categories of permanent records

listed in QAP No. 7, Appendix A:

Fonn FC-261, RM057 Monthly Tech. Spec. Calc. Sheet-GE-LI

for the year 1973

Form FC-263, RM062 Quarterly Tech. Spec. Calc. Sheet GE-LI

for years 1973, 1974, and 1978

(2) ANSI N45.2.9-1974, Section 5.6 sets forth design criteria for

pennanent record storage vaults for protection of records from

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destruction by such causes as fire, and from deterioration.

Basically, the requirements are that the facility be a 4-hour

fire rated facility equivalent to National Fire Protection

Association Class A.

NRC will accept a 2-hour fire rating.

On July 7 and 8,1981, the licensee's Quality Assurance records

vault did not meet the design criteria of ANSI N45.2.9-1974,

Section 5.6 or the optional criteria of National Fire Protection

Association Code 232-1975 permitted by ANSI N45.2.9-1974 (e.g. ,

the roof of the vault was not concrete, the vault door appeared

to be a joiner door and not fire rated, and a self-contained

air conditioning unit penetrated the wall).

The failure of the licensee's Quality Assurance records vault

to meet design requirements was first identified as a deviation

in NRC Inspection Report 75-09. This topic was discussed in

the NRC management meeting reported in NRC Report 7S.03..--

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Licensee Internal Audit Report No. 4-80, dated Janaury 30, 1980,

" Handling and Storage of QA Records Fort Calhoun Station Unit

No.1," Section 5.1.1 states, "The condition of the vault has

not changed.

It is still not an acceptable single record storac

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facility under the requirements established in ANSI N45.2.9."

Licensee Internal Audit Report No. 4-81, dated February 9,1981,

" Handling and Storage of QA Records Fort Calhoun Station,"

Section 5.1.1 states, " Lack of records microfilming since

mid-1979 makes those records stored since that time fall under

the requirements for a single storage facility.

It is question-

able whether or not the vault meets all the requirements of

ANSI N45.2.9, Paragraph 5.6.1 for a single storage facility.

For some documents, such as the radiographs, a single storage

facility is the only solution, but they should not be stored

in cardboard or wooden boxes which contribute to the fire

hazard in the vault."

(No known work was done to upgrade the vault between the

1980 and 1981 licensee audits.)

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(3) As an alternative to records storage in a fire rated vault,

ANSI N45.2.9-1974 permits equivalent protection such as a

fire rated file container. NRC accepts a 2-hour rated fire

container meeting NFPA No. 232 (Class B) without additional

NFPA provisions.

QAP No. 7, however, requires essentially

all permanent records to be stored in the QA records vault.

On July 7 and 8, licensee permanent records " Fuel Inventory

Reports" and " Records of Transient or Operational Cycling

for Those Plant Components That Have Been Designated to

Operate Safely for a Limited Number of Cycles" were found

not to be permanently stored in the Quality Assurance records

vault.

The latter record is known at Fort Calhoun as the

Plant Useage Data Book and was kept in the Control Room.

The " Fuel Inventory Reports" were permanently stored in the

corporate Quality Assurance offices.

Not only were these

records not permanently stored as required by QAP No. 7,

but the " Fuel Inventory Reports" were stored in a standard

nonfire rated file cabinet and the Plant Useage Data Book

was located on a desk top in the Control Room.

(4) Another alternative record storage method permitted by ANSI

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N45.2.9-1974 is the maintenance of duplicate records stored

in separate remote locations. The licensee committed to

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this method in response to NRC Inspection Report 77-05 as

documented in licensee letter dated May 24, 1977, as modified

by licensee letter dated October 7, 1977. The licensee stated,

"The system for transferring records to the vault, inspecting

them, and indexing them has been performing satisfactorily for

more recent records; however, it is unknown if all the early

plant records are available in the vault. The records storage

will soon be reorganized, with microfilming to start in July

1977. When completed, January 1,1978, the records should

meet all raquirements and be much more accessible, and that

full compliance would be achieved by January 1,1978."

On July 7, 8, and 9,1981, NRC discussions with licensee per-

sonnel, review of vault inventory and the records program,

and review of Internal Audit Reports 4-80 and 4-81 covering

handling and storage of QA Records Fort Calhoun Station

showed that microfilming was not complete. On factor may be

the licensee's apparent failure to enforce the requirement

of QAP No. 7 and Standing Orders C-2, Revision 6, dated

September 30,1980, " Fort Calhoun Station Quality Assurance

(QA) Records," and C-3, Revision 6, dated March 2, 1978,

" Fort Calhoun Station Quality Assurance (QA) Records (Chemistry

and Radiation Protection ONLY)," that permanent storage will

be in the vault and that records will be transferred to the

vault in a timely manner. Another factor may be that the

specific person, organization or function responsible for

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transferring records to permanent storage is not designated.

In some cases, such as the monthly TLD data processing status,

there are apparently multiple copies of records.

For the years

since 1974, the monthly TLD data processing status has not been

sent to the vault.

The 1974 monthly TLD records were sent to

the health physics organization, but when questioned, health

physics personnel stated that their record was actually only a

copy and the original was retained by another organization.

It is noted that licensee Procedure QAP No. 7 does not discuss

or authorize the use of the duplicate records and microfilming

in lieu of permanent storage in the Quality Assurant a records

vault.

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(5) ANSI N45.2.9-1974, Appendix A identifies records to be retained

and included in the licensee's Quality Assurance Records Program

including records for design, procurement, manufacturing,

installation-construction, preoperational and startup testing

and cperation phase.

On July 9,1981, licensee Procedure QAP No. 7 ir cluded in its

record retention program, as delineated in its Appendix A, only

operation phase records.

(6) ANSI N45.2.9-1974 requires single copy records to be protected

from destruction by such cause as fire when in permanent storage

with a storage method equivalent to a 4-hour fire rating. The

NRC will accept a 2-hour fire rating.

On July 7,1981, licensee radiographic film was stored in the

vac.. in wooden boxes and records were stored in cardboard

transfer files.

It is noted that the NRC position is that even

when a vault meets a 2-hour fire rating, records must be stored

in fully enclosed metal cabinets and that even open steel shelv-

ing is not permitted.

The problem of storage of radiographic film being a problem area

was identified in licensee Internal Audit Report 4-81, " Handling

and Storage of QA Records Fort Calhoun Station." This situation

was not made a deficiency and no corrective action was required

by this licensee audit report.

(7) ANSI N45.2.9-1974 requires tempcrary record storage facilities,

as well as permanent facilities, to provide protection from

possible destruction by causes such as fire and requires storage

to provide protection equivalent to a 4-hour fire rating, which

NRC will allow to be reduced to a 2-hour fire rating.

On July 7, 8, and 9,1981, licensee Quality Assurance and health

physics records were in temporary storage in file cabinets and

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metal drawers which were not fire rated.

Licensee Standing

Orders C-2 and C-3 do not require fire-rated protection for

records in temporary storage.

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Failure to have retrievable records and to meet the requirements of

ANSI N45.2.9-1974 constitute an apparent violation of 10 CFR Part 50,

Appendix B, Criterion XVII.

(8116-01)

b.

Licensee Technical Specifications, Section 5.10.2 lists records which

shall be retained for the duration of the Facilities Operating License.

Included are (1) records of radiation exposure for all individuals

entering radiation control areas and (2) records of gaseous radioactive

material released to the environs.

On July 7, 8, and 9, licensee personnel were unable to retrieve

(1) Forms FC-229 Pencil Dosimeter Logs for 1973, (2) Film Badge /TLD -

reports prior to December 1973, and (3) Form FC-252 Waste Gas Releases

Quarterly Technical Specifications requirements for 1974.

It was

verified that licensee personnel received exposure in 1973 by reviewing

the record of an employee who received exposure in October 1973.

Failure to retain records of individual exposure and records of gaseous

release to the environs is an apparent violation of Section 5.10.2 of

the licensee Technical Specifications.

(8116-02)

4.

Annual Review of QA Program

The NRC inspector reviewed the following procedure changes since the last

.nnual review to verify conformance with 10 CFR Part 50, Appendix B, and

the licensee's Quality Assurance Manual:

QAP 2, Revision 2, " Audit Plans," May 1,1981

QAP 4, Revision 1, " Approved Suppliers List," May 1,1981

QAP 5, Revision 2, " Supplier Surveillance," May 1,1981

QAP 6, Revision 1, "QA Surveillance," May 1,1981

QAP 9. Revision 1, " Surveillance of In-Service Inspection," January 25,

1980

QAP 10, Revision 1, "Non-Destructive Evaluation (NDE) Personnel

Administration," January 25, 1980

QAP 14, Revision 1, " Operational QA Mini-Audit Program," May 1,1981

QAP 15, Revision 2, " Adverse Condition Reporting and Correction,"

May 1,1981

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QAP 16, Revision 3, " Internal Audit Cycle for QA Program," May 1,

1981

QAP 19, Revision 1, " Indoctrination and Training of Quality Assurance

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Personnel," May 1,1981

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QAP 22, Revision 1, " Visual Examination Procedure," February 28, 1980

QAP 23, Revision 0, " Fire Protection," January 25, 1980

No violations or deviations were identified.

5.

On-Site Review Committee

The NRC inspector performed a review of the licensee's Plant Review

Committee (PRC) to ascertain whether the on-site review functions were

conducted in accordance with Section 5.5.1 of the licensee's Technical

Specifications. The PRC meeting of July 7,1981, was attended and

its minutes reviewed.

No violations or deviations were identified.

6.

Exit Interview

An exit interview was conducted on July 10, 1981, with those OPPD

personnel denoted in paragraph 1 of this report to summarize the scope

of the inspection and the findings.

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