ML20055D469
| ML20055D469 | |
| Person / Time | |
|---|---|
| Site: | Maine Yankee |
| Issue date: | 08/15/1989 |
| From: | Boulette E Maine Yankee |
| To: | |
| Shared Package | |
| ML20055D462 | List: |
| References | |
| -15-1, 0-15-1, NUDOCS 9007060336 | |
| Download: ML20055D469 (15) | |
Text
ATTACHMENT 2 Pr cedure
Title:
Proc. No. 0-15-1 Class A
i r
NONCONFORMANCE REPORTS (NCR)
Rev. No.
4 (Includes QC Hold Tags)
Issue Date 8-15-89 Review Date 7/91 OM<-9 ace.1 of 14 C.@-<4th b MQP:p:Datp 9 7//f Dept. Mgr.: F
/
1it.. d.,hlt President:
rd Date:
b Plt. Mgr.:
Date:
., l t r) f 9 Date:
1.0 OBJECTIVE 1.1 To identify, document and provide corrective action for items, services or activities which do not conform to the required codes, specifications, standards, regulations, or approved procedures, instructions and drawings.
t 2.0 DISCUSSION 2.1 When conditions are found that do not conform to requirements, the cause(s) must be identified and appropriate corrective action taken to remedy the problem and, if necessary, provide assurance that similar problems will not occur.
The appropriate corrective action may range from a simple change to significant changes in controls or procedures.
Independent follow-up assures that identified corrective actions are carried out to completion.
2.2 DEFINITIONS 2.2.1 Nonconformance - A deficiency in characteristic, documentation or procedure wnich renders the quality of an item unacceptable or indeterminate.
Examples of nonconformance include: physical defects, test failures, incorrect or inadequate documentation or deviations from prescribed processing, inspection or test procedures.
2.2.2 Significant Nonconformance - A condition adverse to quality that violates applicable regulations, codes, standards or specifications and which renders the quality of an item unacceptable or indeterminate.
Stanificant Nonconformances also include conditions which are deemed potentially reportable under 10CFD.*i, conditions where nonconforming items are requested to be pe+. In service and conditions that affect an operating system.
2.2.3 Minor Nonconformance - A condition adverse to quality that violates approved procedures, instructions or drawings and which renders the quality of an item unacceptable or indeterminate but in itself is not a violation of applicable codes, standards, regulations, or specifications.
89-050*
7/27/89 9007060336 9006?;
POR ADOCK 05o00309 N
3069r-
,o Proc. No. 0-15-1 Rev. No. 4 Page 2 of 14 1
3.0 PROCEDURE 1
3.1 GENERAL 3.1.l_ Any condition adverse to quality witnessed by any person should be i
reported to QPD for evaluation for a Nonconformance Report (NCR).
3.1.2 A NCR shall be generated when a condition adverse to quality occurs. There are two (2) types of NCRs that may be 1::t.:ert:
a significant NCR or a minor NCR.
Only QPD can initiate a NCR.
3.1.3 NCRs may be resolved in one of the following ways:
a.
Accept as is - items may be accepted as is provided the basis for acceptance is documented on the NCR.
b.
Reject - items may be returned to the vendor, scrapped, or declassified provided the disposition is documented on the NCR.
c.
Repair or rework - items may be repaired or reworked in accordance with approved procedures.
Items must be reinspected to original or equivalent acceptance criteria, 3.2 SIGNIFICANT NONCONFORMANCE REPORTS 3.2.1 for conditions adverse to quality that meet the criteria of Section 2.2,2, QPD shall initiate a significant Nonconformance Report.
Attachment A shall be utilized (completion instructions are located on the reverse side of the NCR).
3.2.2 QPD shall include a complete description of the nonconformance including references to regulations, codes, standards or specifications violated.
The base document shall be referenced I
when applicable.
(e.g., ANSI Standards, 10CFR50, Tech. Specs.,
I etc.)
l NOTE A nonconformance affects an operating system if:
o The system cannot operate or; o
The operating system cannot achieve the desired result or; o
The operation of the system is physically impaired or; o
Continued operation could cause damage to the system or the plant or pose a hazard to plant personnel or the general public.
3.2.3 If a significant NCR affects an operating system, then the priority line shall be marked "yes".
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Proc. No. 0-15-1 Rev. No. 4 Page 3 of 14 3.2.4 QPD shall determine if the NCR is potentially reportable per the i
requirements of 10CFR21.
The Material Purchase Request (MPR)/ Purchase Order (PO) shall a.
be the primary source of determining potential 10CFR21 reportability, b.
QPD may determine that potential 10CFR21 reportability exists j
regardless of the MPR/PO requirements.
If the NCR is determined to be potentially reportable under c.
10CFR21, then QPD shall notify the Nuclear Safety Section (NSS) for evaluation.
i 3.2.5 QPD shall send the significant NCR to the responsible Department Manager who shall:
Document a recommended disposition / corrective action and a.
I.
provide a scheduled completion date, if applicable.
(This shall address immediate action to remedy the nonconformance).
b.
Document cause/ action taken to prevent recurrence and provide 1
a scheduled completion date, if applicable.
(This shall address the root cause of the nonconformance and actions that 1
provide reasonable assurance that the nonconformance shall not recu.r),
Sign and date the " Approval of Proposed Corrective Action".
c.
3.2.6 If the nonconforming item (s) cannot be corrected by vendor action, then the responsible department shall forward the significant NCR to PED supervision for review.
3.2.7 PED supervision shall review the recommended disposition / corrective action for technical acceptability and sign accordingly.
PED supervision shall return the significant NCR to the responsible department.
3.2.8 The responsible department shall return the significant NCR to QPD by the " Response Due Date" specified on the NCR.
3.2.9 QPD shall forward the significant NCR to tne Plant Manager for review after a QPD preliminary review for compliance to applicable regulations, codes, standards, procedures, instructions or drawings. The Plant Manager should sign and return the significant NCR to QPD within three (3) working days.
3.2.10 Upon completion of the Plant Manager's review of the significant NCR, QPD Supervision shall perform a final review of the recommended disposition / corrective action and cause/ action taken to prevent recurrence for acceptability.
(
3.
Proc. No. 0-15-1 Rev. No. 4 Page 4 of 14 3.2.11 Upon QPD Supervision concurrence / signature, a copy of the significant NCR shall be sent to the President, Vice President of Operations (VPO), responsible Vice President, Manager of Quality Programs (HQP), and the Department Manager responsible for implementation.
NOTE Commitment dates for NCRs will not be extended unless warranted by extenuating circumstances and justified in writing by the applicable Department Manager.
3.2.12 Completion of the recommended disposition / corrective action and action taken to prevent recurrence, if applicable, shall be implemented by the responsible department and then reported to QPD.
3.2.13 The implementation shall be followed up and documented by QPD.
Follow-up shall include, but is not limited to, the following:
a.
Any actions taken, including the dates the actions were completed.
b.
Reference to documents that will be/were used to control implementation actions (e.g., Material Purchase Requests, Discrepancy Reports / Repair Orders, Return Material Requests, etc.).
c.
Reference to any evaluations (for example, 10CFR21 reportability),
d.
Signature or initials of the QPD person (s) performing the follow-up.
3.2.14 When follow-up actions are complete, QPD Supervision shall review the NCR.
QPD Supervision's signature in Section 8 of Attachment A shall signify close-out of the significant NCR.
3.2.15 All pages of the completed NCR should be consecutively numbered.
3.2.16 The original NCR shall be kept by QPD.
Copies of completed t
significant NCRs shall be sent to the President, VPO, responsible
[
VP, MQP, PM, the responsible Department Manager and placed with the affected document (e.g., PO, EDCR, RO). A copy shall also be I
sent to YNSD-00A if it involves a vendor.
3.3 MINOR NONCONFORMANCE REPORTS 3.3.1 For conditions adverse to quality that meet the criteria of section 2.2.3, a minor Nonconformance ?.eport shall be initiated by QPD. Attachment A shall be utilized (completion instructions are located on the reverse side of the NCR).
i 1
E
-.t Proc. No. 0-15-1 Rev. No. 4 Page 5 of 14 3.3.2 The minor NCR shall be sent to the responsible department for a recommended disposition / corrective action.
No cause/ action taken to prevent recurrence is necessary.
The Department Sectio 9 Head i
shall sign and date the " Approval of Proposed Corrective 'iction" and provide a scheduled completion date, if applicable.
]
3.3.3 If the nonconforming item (s) cannot be corrected by vendor action, then the responsible department shall forward the minor NCR to PED supervision for review.
3.3.4 PED supervision shall review the recommended disposition / corrective
+
action for technical acceptability and $1gn accordingly.
PED supervision shall return the minor NCR to the responsible department.
3.3.5 The responsible department shall return the minor NCR to QPD by the " Response Duc Date" specified on the NCR.
3.3.6 The recommended disposition / corrective action shall be reviewed by QPD Supervision for acceptability. Upon concurrence / signature, a copy of the minor NCR shall be sent to the department responsible for implementation.
NOTE Commitment dates for.NCRs will not be extended unless warranted by extenuating circumstances and justified in writing by the applicable Department Manager.
3.3.7 Completion of the recommended disposition shall be carried out by the responsible department and then reported to QPD.
3.3.8 The implementation shall be followed up and documented by QPD.
Follow-up shall include, but is not limited to, the following:
a.
Any actions taken, including the dates the actions were completed, b.
Reference to documents that will be/were used to control implementation actions (e.g., Material Purchase Requests, Discrepancy Reports / Repair Orders, Return Material Requests, etc.).
t c.
Reference to any evaluations performed (for example, 10CTR21 reportability).
d.
Signatures or initials of the QPD person (s) performing the follow-up.
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o.y.z Proc. No. 0-15-1 i
Rev. No. 4 Page 6 of 14 3.3.9 When follow-up actions are complete, QPD Supervision shall review the NCR.
The QPD Supervision's signature in Section 8 of Attachment A shall signify close-out of the minor NCR.
3.3.10 All pages of the completed NCR should be consecutively numbered.
3.3.11 The original copy of the minor NCR shall be kept by QPD.
Copies of completed minor NCRs shall be sent to the responsible Department Manager and Section Head and placed with.the affected document (e.g., PO, EDCR, RO). A copy shall also be sent to YNSD-00A if it involves a vendor.
i 3.4 QC HOLD TAGS 3.4.1 QC Hold Tags (Attachment B) shall be used to identify a nonconforming, or potentially nonconforming item whenever necessary to assure that the item will not be issued or operated without the proper controls as established in this procedure.
3.4.2 QC Hold Tags may be issued for potentially nonconforming items without issuing a NCR, a.
If the item is subsequently found to be nonconforming, then a significant or minor NCR shall be written in accordance with this procedure, b.
If no nonconformance can be documented, then the hold tag shall be removed.
The Hold Tag Log (Attachment C) entry should include the reason for release (annotate in the " Comments" section), the date the hold was removed and the initials of the responsible QPD representative.
The item (s) may then be restored to their normal status.
L 3.4.3 A QC Hold Tag Log (Attachment C) shall be maintained by QPD in the QC Receipt Inspection Area.
3.4.4 Complete the QC Hold Tag and Hold Tag Log as follows:
('
a.
Hold Tag Number (e.g., 84H-001).
l' b.
Number of tags should be written in the form, tag of l
(e.g., tag 1 of 3),
c.
Date issued.
d.
Nonconformance Report number and indicate if I
minor /significant.
(If no NCR has been written, leave blank 1
for future use),
e.
Description of item.
~
6, 4, Proc. No. 0-15-1 l
e.
Rev. No. 4 Page 7 of 14 f.
The reason for hold.
g.
The Purchase Order, OR/RO, and/or Job Order numbers, as
~
applicable.
h.
The location of the hold tag.
1.
Indicate the White Tagging Order number if a hold has been placed on a White Tagging Order.
If no hold as been placed on a White Tagging Order, leave the column blank for future use if
]
needed.
j.
Pertinent comments (see Steps 3.4.2.b and 3.5.2).
3.4.5 QC Hold Tags shall be attached to nonconforming items or, if impractical, to the item's container, controlling work document, etc.
Nonconforming items shall be segregated as practical.
3.4.6 QC Hold Tag numbers shall be referenced on the NCR (provided a NCR is generated).
3.4.7 Nonconforming items shall remain in a hold status until the NCR 1s resolved.
3.4.8 Upon acceptable completion of the NCR, QPO shall remove the QC Hold
-Tags, QPD shall complete Attachment C, including the date the hold a.
was removed and the initials of the responsible QPD representative.
b.
If a hold was placed on the White Tagging Order, QPD shall remove the hold.
3.5 CONDITIONAL RELEASE OF MATERIAL ON HOLO 3.5.1 Items that have been placed on hold may be released as follows:
[
a.
On-Site Receipt Inspection Testing (Not for Installation)
[
1)
A QC hold tag shall be affixed to the controlling document
[
and to the item (if practical).
The aontrolling work
[
document shall be annotated with a statement and a
[
sign-off similar to the following:
[
"(Department) shall return the item (s) to QC.
[.
QC shall:
[
Complete a receipt inspection in accordance with
[
Procedure 0-07-1, MATERIAL RECEIPT, if the test
[
results are acceptable.
E 9.R 3069r
~
4 6 Prcc. No. 0-15-1 c
Rev.,No. 4 Page 8 of 14
'~
Issue a Minor NCR if the item (s) tested is (are)
[
[
unacceptable and return the item (s) to QC hold area
~
[
pending resolutions of the nonconformance.
[
NCR No.
QC Hold Tag No.
[
Returned by Received by C
Maintenance QC j
b.
Prefabrication / Staging (Not for Installation)
[
- 1) A minor NCR shall be written and a QC Hold Tag affixed to the controlling work document and to the item, if practical.
The controlling work document shall be annotated with a statement and sign-off similar to the following:
" Notify QPD prior to installation to verify nonconformances t
have been resolved or adequate controls have been established
[
in accordance with Procedure 0-15-1, NONCONFORMANCE REPORTS.
QC Hold
Reference:
NCR c.
Repair and/or Testing (Not for Installatioh)
- 1) A minor NCR shall be written and a QC Hold Tag affixed to the controlling work document and to the item (if
)
/
practical).
The controlling work document shall be annotated 1
with a statement and a sign-off similar to the following:
" (Dept.)
shall return the item (s) to QC, QC shall:
1.
Verify all nonconformances have been resolved.
[
2.
Complete a receipt inspection in accordance with Procedure 0-07-1, MATERIAL RECEIPT.
If I and/or 2 above cannot be accomplished, then QC shall assure that proper controls have been established in accordance i
l
[
with Procedure 0-15-1, NONCCAFORMANCE REPORTS.
L
Reference:
L d.
Installation (Not for Operation) l
- 1) A minor NCR shall be written and a QC Hold Tag af'ixed to the controlling work document and to tre itrin (if practical).
The minor NCR shall address technical justification, if applicable. A hold shall be l
placed on the White Tagging Order, the NCR No. shall be referenced on the Whlte Tagging Order, and the White Tagging Order shall be referenced on the NCR.
If no White Tagging Order exists, then the NCR shall be upgraded to significant per step 3.5.1.e.
i l
3069r l
.. o ;, ;
Proc. No. 0-15-1 Rev. No. 4 8
Page 9 of 14
-NOTE The Plant Shift Superintendent may sign for the Plant Manager during off-hours.
The Plant Manager shall countersign the SIgnificant NCR during his next working day, e.
Operation
- ' Items that have been installed on hold may be made 1) operational provided the original NC&. Written has been
[
upgraded to a significant.
The significant NCR.shall
, (:
A Mress technical justification, if applicable. The s Qnificant NCR shall have the recommended disposition / corrective action and the cause/ action taken to prevent recurrence reviewed and signed by the Plant Manager and QPD.-
Hold tags shall be removed from the item (or controlling document) and the hold shall be removed from the White Tagging Order prior to making the item operational, o
3.5.2 When material is to be conditionally released, regardless of the circumstance, QPD should annotate in the " Comments" section of Attachment C the reason for the conditional release and the new controlling document (i.e., DR/RO, White Tagging Order, Significant NCR, etc.).
3.6 RESOLUTION OF DISAGREEMENTS ON NONCONFORMANCE CORRECTIVE ACTION 3.6.1 If a-disagreement on the recommended disposition / corrective action, cause and/or the corrective action to prevent recurrence cannot be resolved by the QPD Section Head. then the MQP shall be notified.
The MQP shall resolve the-disagreement with the manager of the responsible department or responsible Vice President, as applicable.
3.7. PERIODIC REPORTS 3.7.1 QPD shall periodically indicate the status of open Nonconformance Reports via the Corrective Action Status Report.
4.0 REFERENCES
4.1 SOURCES
-4.1.1 Code of Federal Regulations, 10CFR50, Appendix B, Criteria XV, Nonconforming Materials, Parts or Components.
4.1.2 Operational Quality Assurance Program,Section XV, Nonconforming Materials, Parts and Components.
4.1.3 ANSI N18.7-1976, Administrative Controls and Quality Assurance for the Operational Phase of Nuclear Power Plants, as modified by Regulatory Guide 1.33. Rev. 2.
lf l 6 - e Prcc.-No.'0-15-1 Rev. No. 4 f
s Page 10 of 14
-i n
4.1.4 ANSI N45.2.2-1972, Packaging,-Shipping, Receiving.. Storage'and4 Handling of Items for Nuclear Power Plants-(During the Construction Phase), as modified by Regulatory Guide.l.38. Rev. 2.
4.1.5 ANSI N45.2.10-1973, Quality Assurance Terms and Definitions, as, i
modified by Regulatory-Guide 1.74.
4.1.6 ANSI N45.2.13-1976, Quality Assurance Requirements for the Control of Procurement of Items and Services for Nuclear Power Plants, as modified by Regulatory Guide 1.123 Rev. 1.
4.1.7-Code of Federal Regulations,10CFR21, Reporting of Defects and Noncompilance.
i
~4.1.8 Procedure 0-04-1, MATERIAL, EQUIPMENT, AND SERVICE REQUISITIONING.
4.1.9' Procedure 0-16-1 CORRECTIVE ACTION PROCEDURE.
g r
4.1.10 Procedure 0-14-1, WHITE TAGGING PROCEDURE.
4.2 CITATIONS e
c
~C 4.2.1 Procedure 0-07-1, MATERIAL RECEIPT.
4.3 COMMITMENTS i
None a
/
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4 (Refer To Instructions on Reverse $1de),
b NCR N0'1 5
R88P0N81R1.8 DEPT. Not. -
Deft INITIAT8Dt.,
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l',"_~,,1 510NIFICAlrf NONCONFORA&NCE '
-l l RINOR NONCONFORNANCE-INITIATED RT:
. INSPECTION TYP81 1[l RBCEIPT -
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l[lINDEPENDENT-l[lOfMER-No.
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DOCUNINT VIOLATED l',,".~.l P. O.
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- PRIORITT -TBS NO SAFITY CLASS POTENTIAL 30CFR21 kEPORTAR!!.!TT TBS N0,,,,,,.
I N0LD TAG NO.
NOLD ON T/0 itD.
TREND C008t.,
2.
gpserlotloa of Noacenfermente Response Due Datet 1
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gg.sgBP,nded Digoosition/ Corrective A d att 3theduled Completten Date -
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T gagtt.At.'d.on I.tht_ To Prevent tourrenc,: ttf significent) scheduled Completten Date:
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5.-
. Approval,9f,Jroposed Corrective Action:
The proposed corrective action (s).aad scheduled completten date(s) are adeguate to address the Noaconforinence.
s' If Sigetricants,,,,
e Reep. Dept. Manager
/ Date If Niners,,,,,,
- 8 Resp. Dept. Sectiva Need
/
Date
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6.
PM Reviewi '
'Dato
. PID supervision Reviews.,
Date Copy to Pres., VPO. Resp. VP, MQP, Resp. Dept,. Mgr. (if significact)
QPD Supervisten Concurrence:
Dets l
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. Follow.Ups, t
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i I=
r Follow up Byt,_,
QPD
/ Date
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Close.Out Ry QPT$upe6[~ sten / Oate
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Coples to (Pres.)(VPC)(Resp. VP)(MQP)(PM)(DM)(EDCR/J0)(DR/RO)(PO)(TN30), as appilcable
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,e INSTRUCTIONS FOR COMPLETING A NONCOMP04 NANCE REPORT (NCR) a I QLIEPARTI E
]
i 1.= Assign a salgue Noacentermente Report (NCR) No, to the form. The report number will be identified as' EIN.fff, where "It* le the year, *N' le the Noaconformance designetten, and "fYT* is e sequential les -
.aumber (e.g., R7N-001). List to when the NCR le directed for response, the date the NCR mes lailleted end your asse. = trelsete the nonconfermance end deteralee if it is sinalticent or stoor. Llst laspection type and document violated, es appilcable. Determine pelocity (if an operating system is effected, merk j
priority yes), safety classificettoa and potential 10CFR21 reportability (refer to settlen 3.2.s h List
- hcid tog number, tesglas order number and trend codes, as appilceblo.
-l 2.
Describe the Nonconfetmence uslag a " bullet
- descr!Ptles on page 1.
Further descriptles and leformatten should be provided on the fellowing page(s). Quote or perephrase the require:ents statlas how the observed condition defleted, When the NCR !s writtoa etelast a voeder, faclode the i
vender name, address and whether or act the vendor la on the fatC Approved Tender List. List the response due date. The response due date shall be deteralsed based on the NCE 4
significence and plant needs/ urgency but should not escoed thirtyl30) workine days. Net) e copy for the OpD file. Forward the origlael NCR fore to the responalble deperuneet
~
for responen.
II RESPONSISLE DEPARTMENT RANAGER/$UPERVISOR 3.
$1SQllRG[PJR.,9,ISP0811IjM/CORRICTIVE ACTION:
. Spacify the immediate setton regulrod to remedy the Nonconformance.
. Speelfy the *$cheduled Completion Date* for implementation, if applicable.
(
= For conditional release of notorial for lootellation and/or operation oddress techaleal i
justificellon, f appilcoble.
. If the moscostornias Itents) cannot be corrected by vendvr action, forverd the NCR to PID supersistoa for c'eview.
. If alaor. -return the origine1 NCE to QPD by the
- Response Due Date" speelfled on the NCR.
4.
CAUSt/ ACTION TO PREVENT tlCUBAENCEt (This settloa must be completed for significant nontoaformances).
- Documet the feature of the esisting control systen. as leptemented, that peraltted the observed condition to occur (e.g., root cause).
y
- Spreify the action necessary to prevent sigalficant conditions from eccurring la the future.
- Specify the " Scheduled Completloa Dete* for implementation, if opp 1(cable.
- Returs the origloal NCR to QpD by the ' Response Due Dete* specified on the NCR.
5.
APPROVAL OF PROPOSH 90tRECTIVE ACTION:
The cognisant Department penager Lif significant) or Sective Head (if almor) shall' alga and date to ladicate approval that the recomunended disposition / corrective action. cause/actioG Laken to prevent recurrence (if wigallicant) and completion detels) are adequate to address the nonconfermance.
III' HANAGER8Nlg. fig,,j@,QfD ttVIEW AND APPR0fAL 6.
EkMf7 MANACIA: (if significaat)
Review, sign, and return the signit! cent NCR to QPD withis three(3) worklag days.
21D SUFERVISION REVIEW (If Appilcable)
For nonconforslag itects) which cannot be corrected by vendor actica. review recommended disposition / corrective er.tlon for techalcol acceptab!!!ty and elga *Ptb Supervision Review". Return the NCR to the respeasible department.
9fE ElIIY1IMD Review recommended disposttion/ corrective actica and cause/ action taken to prevent recurrence (if sigalficant) for acceptability and indicate concurrence by signiec "QPD supervision Concatrence.'
Seed a copy of the NCR to the department responsible for lapleewatetton and to Pres., Vpo, Resp. VP and-SQp (if elanificent).
i op espAttMENJ 7.
{pLLOW-UP:
Verify and document laplementation of the approved recomunended disposition / corrective actioc and action j-taken to prevent recurrence (if sigulficent).
l=
?he person (s) perforelns the follow-up shall sign sod date the ' Follow +up By* line.
l' 8.
QPD Supervision ohell review the NCR for adequacy and completeness and sign "Close-Out Sy*,
Qp0 Supervleton'shall determine to whom/what copies will be sent to la addition to the procedural 11 regelrements.
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i Proc.'No. 0-15-1 M
Rey, No. 4 Page 13 of 14 f
ATTACHMENT B i
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