ML20080C673

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Responds to NRC Ltr Re Violations Noted in Insp Rept 50-346/94-11.Corrective Actions:Foreign Matl Exclusion (FME) Boundry More Clearly Defined,Matl Accountability Log Reconciled & Individual Assigned to Maintain Log full-time
ML20080C673
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 12/12/1994
From: Stetz J
CENTERIOR ENERGY
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
1-1054, NUDOCS 9412190172
Download: ML20080C673 (4)


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John P, Stet Toledo OH 43652-0001

^ Vlos Pmsident Nuclear 419-249-2300 Dovk-Besse Docket Number 50-346 License Number NPF-3 Serial Number 1-1054-December 12, 1994 United States Nuclear Regulatory Commission

. Document Control Desk Washington, D. C.

20555 Subj ect : Response to Inspection Report 50-346/94011 (DRP)

Gentlemen:

Toledo Edison has received Inspection Report 94011 (Log Number 1-3104) and the enclosed Notice of Violati.on; the response to which is provided below.

Violation:

10 CFR Part 50, Appendix B, Criterion V, " Instructions, Procedures, and Drawings," states, in part, that

" Activities affecting quality shall be prescribed by documented instructions, procedures,'or drawings.... and shall be accomplished in necordance with these instructions, procedures, or drawings."

Administrative procedure DB-MN-00005, Foreign Material Exclusion (FME), defines an exclusion zone 3 as an area requiring access control over personnel and materials.

Controls to do this include ropes / tape barriers, and signs around the work area.

Material accountability (log), and personnel accountability (log) are required. The licensee specified the reactor cavity / refuel canal area as an exclusion zone 3 area.

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t Contrary:.t'o;the above,.on October l11',01994,' FME controllfor, L

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'the' reactor. cavity / refuel canal' area vas'not-adequately:

implemented.y The" established; exclusion area ~ boundary was; J

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f' not properly. adhered.to in that: unaccounted materials;were

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,.noted laying part way into.the; exclusion l area.o In:

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' addition,'the material accountability log:vas'notc

adequatelyLmaintained in that several' items had.not;been<

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W Lproperly'. logged"in/out of the' exclusion' area.,

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(346/94011-01(DRP))

.ThislisaSeverity'LevelIV: Violation (Supplement /I).

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,. Responses.

Acceptance or Denial of the Alleged Violation

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Toledo? Edison accepts-the alleged violation'.=

P' Reason for the Violation ce r

In addition to this violation, other instances-of-I inadequate.FME control forithe spent fuel poolLand refueling canal have~been'recently identified.

Inspection Report 94006 dated August 2,.1994,:identifie'd

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inadequate.FME control for.the spent fuel pool, area as part:

of a violation regarding'several proceduralLadherenceL issues. A portion'of the FME access barrier had been.

removed and the material accountability log was not' l

accurately maintained. Toledo Edison l responded.to this. '

i violation by letter dated September'1, 1994 (Serial Number, 1-1050)._

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On November 9, 1994, Potenti'al Condition Adverse to Quality Report (PCA0R).94-1176 was initiated,to document two

' discrepancies' identified during the review:of.,the Ninth Refueling Outage refueling canal material accountability-Li log. The log was not accurately' maintained.in'that two items logged into the FME area 1 vere not logged out; The j

material accountability log was subsequently reconciled for thase specific items as part of the initial assessment of.

PC40R 94-1176.

o The apparent cause of this violation and the additional.

instances of inadequate FME control discussed above is j!

insufficient overall ownership'andLindividual accountability for:FME' control in the spent fuel pool and refueling canal areas. The importance of FME control, overall responsibility for its implementation, and program i

expectations were not adequately emphasized by management

.l and accepted by responsible organizations and individuals.

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"A contributingifactorLtofindividu d accept'ance.of the O l

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. program'isfthe administrativeiburden associated with:its.

' implementation.1 Further, procedural guidance may not have-

'been;sufficiently, detailed to. ensure that.FME' control'was:

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' adequately maintained.

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Corrective Actions'TakenJand'Results-Achieved

~0n 0ctobe'r ll', 1994,-folloving identification'of'the s

' refueling' canal FME controluissuef appropriate actions were-f completed.to re-establish' adequate FME^ control in"the area.-

The FME boundary was:moreTclearly~ defined,'.the material-

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4 aecountability log was reconciled..'and'an individual was?

assigned. full-time;1og keeping.and' access control'

. responsibilities,for the refueling canal FME area.

In addition, management clearly defined theforganizations; fi with overall responsibility for FME control; ;0verall:

responsibility.for-FME control'was assigned:to Radiation ~,

Protection inside containment and to,0perations outsiden containment.

Corrective Actions to Prevent Recurrence?

Frocedure DB-MN-00005 vill be revised as'follovss; 1

  • Overall responsibility.for FME control will;be ass'igned to Radiation' Protection-inside containment,and to.

Operations outside containment.

  • An individual vill be required full. time to maintain;the b

material. accountability log and access. control to the o

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refueling canal FME area'.'

In addition, DB-MN-00005 and DB-OP-06904, Shutdown..

Operations, vill be revised to require a-review of the j

refueling canal material accountability log' prior to key-events in:the refueling process such as reactor. head

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installation and fill / drain of the refueling canal.

The procedure changes' described above vill be completed by-9 March 31, 1995. Additional program enhancements >may be made if'varranted to' simplify implementation of the FME.-

,i program,.thereby improving its acceptance.'

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Dock $tNumber'50-346 l License Number NPF-3 s

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1.Pagepc Date'When~ Full Compliance' Vill Be Achieved' Full, compliance was' achieved on.0ctober.11,.1994,'following the actions completed to more clearly' define the FMg boundary and to reconcile.the materia 1' accountability log.1 N

.Should you have'any questions'or require additional'information,.please contact Mr. Villiam T. O'Connor, Manager - Regulatory-Affairs,' at (419) 249-2366.

.Very truly yours, n

AVA/ eld cc. L. L. Gundrum, NRC Project Manager

- J. B. Martin, Regional Administrator, NRC Region III S. Stasek, DB-1 NRC Senior. Resident Inspector.

Utility Radiological Safety Board t

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