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- t December 29, 1983 NLL #83-013 424.00
~ W. S. Little Engineering Inspection Branch Division of Engineering & Technical Programs United States Nuclear Regulatory Commission Region III 799 Roosevelt Road Glen Ellyn, Illinois 60137 Dear Mr. Little Per your telephone conversation of December 23, 1983, with Messrs. R. P. Crouse and R. F. Peters, Toledo Edison is forwarding information to supplement the December 16, 1983 submittal. This information (attached) includes: 1. Purchase Order dated July 11, 1983, authorizing Ge.eral Physics Corporation to perform 1983 Fire Protection and Loss Prevention Program Inspection and Audit. 1-1 Scope of July 12-14, 1983 Fire Protection Audit. 1-2 July 12-14, 1983 Fire Protection Audit Report. 2. Purchase Order for July 20-22, 1981 Professional' Loss Control Inc. (PLC) audit to assess the overall effectiveness of the plant's fire protection program. 2.1 Proposal on Annual Fire Protection Audit Approach received from PLC. 2.2 Pages 3, 4, and 7 from the PLC Quality Assurance Manual used by TED to assess extent of proposed audit. 2.3 Cover letter and Audit Report for July, 1981 PLC Audit identi-fied no Appendix R non-compliances. 3. R. P. Crouse memo to J. H. Shorte December 3, 1980, " Nuclear Plant Fire Protection Program, 10 CFR Part 50, Appendix R". Concerning the Component Cooling Water Room Exemption Request, a search is ongoing to ascertain those specific maintenance and/or testing activities which may have led to the wrapping deficiencies. You will be informed of the results of that search. 0510070106 50717 PDR C CC CORRESP E PDR ) ---,._-,,.e~ .m .. m m .,~,
_. ~ _. '3 m s* NLL #83-013 December 29, 1983 Page 2 j Please inform me if I can be of any further assistance to you. Yours truly, C LV J. S. Haverly Toledo Edison k-RFP:JSH:nif:lrh encl. 1 'I 4 1 4 4 i e 1
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JO6 0%EA 13630 DD 093 053-Q-76181A-DD l N SmONNO A E CUiSITIO N E M -,sT OR OATE 8tEC O CCNFI AMING l TOT AL CCST I 632-210767 CHOVDHARY 3070 5/9/83 O da 'mmes 632 1382 l PCRCHASE CACEA NUMBER MUST BE ON ALL TotEOo PACx4GES. PAPERS. invoices. AND COAAESPONCENCE PURCHASE 053-Q-76181A-DD ED! SON ^ v'55 "" "" 'o'J"V t"o ""5 ~ 5 5o5o oRoEn ^ ( DATE 5/1V/83 E D 2'9-8 g SMi,' O ATE OUOTE NO CASM TERMS FRE:GHT TERM 3 FC8 VIA l7/11/83 90230700DD N-30 NA NA v s f GENERAL PHYSICS CORPORATION 7 I.THE TOLEDO EDISON COMPANY l H E 1000 CENTURY PLAZA 300 MADISON AVENUE N i COLUISIA, MD 21044 TOLEDO, OH 43652 D p ATTN: C. DAFT, f 3070 OL J TL J R O THiS PUACHASE C AOE A IS SUBJECT TO ALL INSTAUCTIONS. TE AMS AND CONDITICNS SET FORTH CN THE FACE AND AEVERSE S;CE MEREOF TMtS OTCEA ExPAESSLY UMITS ACCEPTANCE TO THE TE AMS STATED HEAEIN. AND ANY ADO & TION AL OR DiFFE AENT TERMS PACPCSED BY THE SELLEA ATE REJECTED UNLESS ASSENTED TO IN WAITING ^ COST ITEM OUANTITY DESCRIPTION DE i SERVICES FOR TEE 1983 ANNUAL FIRE PROTECTION AND i uuALu.uyAAA t XXI]OOOOLALuAu LOSS PREVENTION PROGRAM INSPECTION AND AUDIT. uxALuA.uxu u I REFERENCE ATTACHED PAGES FOR DESCRIPTION OF AUDIT l ^^^^AAAAAAVAAA 1 AAAAAAAAALyAXI SCOPE, AUDIT TEAM QUALIFICATIONS, AND QA REQUIRE-MENTS. m 20000000t l AAn.ul.OZOQQOCC THE TOTAL COST OF THIS PURCFJISE ORDER SHALL BE l uAAAAuAA.yAu L A FIXED PRICE OF 6 AAAALuAALuAg, f l x x 1_ x x x ungAu ALL WORK TO BE PERFORMED TO TOLEDO EDISON l uAAALuxu,uu CONSULTING TERMS AND CONDITIONS (COPY ATTACHED). i AuxLuAAAAuAA l uxu.aAuAuu 8 uAAAnux7JDOOt 1 I AAAAAAAAAAAAAAA j AAAAAAAAAAJAAAA i uuuuuuuA f.._._ l uuuuuuuA l Au x x-uAuu l 1xxxxx__ m l uuuuuuuA .#. M. s _r u.n..u ""^"'"^"" Auuuuuuu uAuuuuuu AUG12 ISB3 unuuuV^u l P"""A"' PUR ia $ING iAAAAAAA'uMAM OEPA Te.'!EN J /VLAMAAAAA4uu l I""^""""" ^^^'Y^^^ I^^^^^^^ P s l^""^~ ANY OUESTIONS REGARDING THIS ORDER REFER TO BUYER: DOUGLAS J. DITIHAN (419) 259-5460 T E AN UAI.#f.T."*d L.P. INSP. & AUDIT l FAEIGHT BILLING VERIFICATIONS BILL NO. AECEIVED DATE C A,,RI Ed G il.6% DATE WEIGHT AMOUNT AUDITED O A C CRED e O PAEPAlo O COLLECT Og l PURCHASING COPY V
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} 4 1983 ANNUAL FIRE PROTECTION AND I ~ LOSS PREVENTION PROGRAM INSPECITON AND AUDIT l To perform a Fire Protection and Loss Prevention Program Inspection and Audit of the Davis-Besse Nuclear Power Station Unic #1 prior to July 18, 1983, as required by the Davis-Besse Unic #1 Technical Specifications, Paragraph 6.5.2.8.1, and which meets the intent of NRC Generic Letter 82-21 in regards to audit team qualifications. QA and audit scope requirements for an annual protection audit: 1. Audit team (minimum) qualifications: a. Lead auditor shall be qualified and certified per ANSI N45.2.23-1978 as endorsed by Regulatory Guide 1.146. Provide certification. documentation and resume. b. Systems engineer shall be knowledgeable in the following areas of a PWR operating plant: safety systems, operating procedures, and emergency procedures. Provide resume. c. Fire protection engineer shall be qualified at the grade of member in the Society of Fire Protection Engineers. Provide resume. 2. Quality Assurance requirements: a. Provide audit procedure (s) which meet ANSI N45.2.12-1978. b. Comply with Toledo Edison QA Program requirements as applicable. c. Provide an audit report within 30 days of completion of the
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7-s 19'83 ANNUAL FP ARD LP PROGRAM INSPECTION AUDIT PAGE 3 t 4 3. Annual Fire Protection Audit scope: . The audit scope as a minimum shall consist of verification that the commitments of BTP 9.5-1 Appendix A. Revision 1, and applicable Procions of 10CFR50, Appendix R. Fire Hazard Analysis Report (FHAR)' and the requirements of the Technical Specifications and License conditions relative to Fire Protection have been met and that modifica-tions to Fire Protection systems and structures or changes in Fire Protection operating procedures have not decreased the level of safety within the plant as identified within the TED THAR. The audit shall include a review of all plant areas for which fire protection is provided including: examination of all aspects of fire barriers, fire detection systems, and fire suppression systems provided which provide for achieving safe plant shutdown. The audit should verify that: A. The installed fire protection systems and barriers are appropriate for the objects protected by comparing them to BTP 9.5-1, Appendix A. Revision 1, applicable portions of 10CFR50, Appendix R and the FRAR approved alternatives and 2 noting any deviations. B. The fire loading in each fire area has not increased above that which was specified in the FRAR. C. Regularly scheduled maintenance is performed on plant fire protection systems. D. Identified deficiencies have been promptly and adequately corrected. 0
19'83 ANNUAL FP AND LP PROGRAM INSPECTION AUDIT PAGED 4 I 1 E. Special permit procedures (i.e., welding, access) are being i
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~ s F. Plant personnel are receiving appropriate training in fire 't prevention.and firefighting procedures and that the trianing program is consistent with the FHAR. (The audit team may witness a typical training session.) G. Administrative controls are limiting transient combustibles in safety-related areas. ~ H. Problem areas identified in previous audits have been corrected. 4. The audit will also verify the items stated in Section 3 of your proposal. a i ll 1
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DB Fire Protection Commitseet Z I I .it I 3. DE Fire Iazard Analysis Raport 4. DE Fire Protection Administrative Controla X Z Z 9 5. DS QA Frogras, relative to Fire Frotection Z Z ? 6. DS Serve 111ance Test and n Maintenance Procedures relative IS to Fire Protactice Z Z 9 7. D5 previosa Fire Protection I X X 4 Frogram Audit 8. DE Fire Brigade Training and I I Operations Racorda 9. D8 Fire Emergency Plan I Z
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'C.* J.'Greer;' Operations'qa Superviser.* Ne h,[f G %.P -- u.a.%;m ::: :.as y:n y vi r - : *.;- . [ All itame' audited were isued tie',be. 2 AUDIT FIEDIBC3: acceptable and so audit. Finding Bayerts e, it y s, ors issued.'., 7 t'.t.f.W % M. *
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...?E,.*q:q ':f.? '.. * '. s. ~ J}\\, . -:,.;:.,w.., e REFotT: The pre-endit conference was held es " % q.3 T July 12. 1983 to discuss the sedit plan. The itene incinded the .,y' s.g e following: 5: 1. Planned use of Toledo Edison Quality Assurance Audit Checklist. 3 2. Identification of key Davis-Besse perscanal to be contacted. '6, .g(j 3. Types of documents to be reviewed. 4 Preparation of prelf=inary Audit Finding taports (if needed). 5. Scheduling of post-sudit ecoference. The pre-sudit conference attendance list is attached. ,-f .1 A sery of itene is provided in subsequent parsgraphs. These items and
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the specific results were discussed at the post-sudit conference held on July 14, 1933. The post-sudit conference attendsnee list is attached. 'gf c 3. Compliance with 10C7150, Appendix R. (I.ialted Review) 1 '. .v asc A limited review of the Davis-lesse Fire Protectico Program was d coedmeted to assess compliance with the genersi requirements of j Appendia 1 and specific requirements identified in Faragraph IIIC. t Comp 11asco with the general requirements was considerve satisfsetary / and was assessed by interviewing key plant perscamel and by ruviewing
- j the applicable documents as described is Item 2 of this report.
Compliance with specific requirements of Faragraph IIIC. Fire Protec-tima of Safe $butdove Capability, was saaessed as fo11 erst .4 3 iM
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~ JUI.T 12-14, 1983 [ ' s, iire protection capabilitisa ' f the' plant' systems importsat-for g.h[hk c o ff , safe shutdown were reviewed againat. the criteria listed in Appendix /
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.%g L shutdown systems" was requested for use in performing this phase of 1, the audit, but was,not available. c.The apparent equivalent informa-M <t J' k. tion.is proirided in 'the hvis-Besse' Fire Pre-Pla'asi which were .e ~ A '6 Wreviewed.'y.Thejirehe-Flass'.wors;found.lt' '.coatsia/ comprehensive $$N.T.. 5
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[ a tabulations'of most systema normally identified aa safe shutdows V systema". These systems are listed in the Fire Pre-Flans by location ' 9 I (aras), however, rather than by individual system name. ,y g p .c Based on a review of,these systems as. identified.in the Fire Pre-Flass. ...T. it. appears that. Davis-lesse complies.vich the requirements of Appen-7} .y..h dix 1.-41t should be acted, however..that the specific;1astrumenta- - M tion rystems sormally needed to conduct a safe shutdown were not listed in the Fire Pre-Plans. The instruments which would be needed enring a safe shutdown activity have r" -At trains and apparently f.I o conform to the separation criteria.,1t would be beneficial.to Toledo 6,.>u,w,,d Edison to include this information in the Fire Pre-Plass or d====at 'd M
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present Davis-Besse positico regarding these reqsirements, difficalty' .j 'T any be encountered by the plant when challenged by regulatory inapec-1 tors or auditors. ,,3,,. .,;. con u 4 e.: '.k 4 .i. s s1 *. W < : ' - ' m e.~ ve. t-- e , (j 2. Overall Implementation of the Fire Protectice Progran s + [ The auditors addressed each of the itees on the checklist to deter-y sine compliance in the various areas identified within the scope of h r the audit. References to administrative procedures, records, and f '-~ ~ ~ ~ other documents reviewed, observatinas, and other data sources are f, F listed under "Ranarks" beside the itens audited on the checklist. The documents and items, reviewed during the audit included: ~- i ~ Fire Brigade and Operations records F QA Audit Raport #920 (July 27-29, 1982): follow-up on findings Fire Bazard Analysis Esport and changes Fire Protection 5arve111ance Test Procedures and test reports ~ Fire Protection Administrative Procedures Fire Emergency Plans conducted plant inspection tour to verify program compliance in various areas Facility Change Raquests (FCRs): e n =fned records packages, both open and closed Velding and burning permits and associated records [ Fersonnel training (fire protection) records h Maintenance Work Orders (MW0s): esamined couplete records packages Quality Control Surveillance inspection Esports; Nonconformance Reports (NCRs); Corrective Action Raquests (CAla) Furchase Orders (for quality requirements Receiving Inspection Reports; Cartification of Conformance and required documents; Ceneral Material Inspection Checklists Computerized Maintenance Management Systes m A ms~ wwwurzymyww,w gg.g-g.f
T d -l : rj;,d iq d [.>.. (- N;'; v TED AUDIT RZPotT 10$9 FACI 4 S. JU1.T 12-14, 1943 fh.ky,$ f ' " N ' k k N ), k M.:.t ) ' p..kE >$iI M.; e 4. h l5., f No areas of acoccupliance were observed or identified, and. no Aedit ,3, Finding Reports were issued. t; r; 7,7,- [ .[ *,. trylanation of Disposition
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% M * - ~ is based on an open audit finding from Aadit No. 920 that was per-formed in July 1982. The eight (8) audit fi W aga free Andit No. 920 were reviewed to . g.- . g,2.] : < determine if appropriate corrective actise had been initiated and ",f[,h y, b-2' 2 completed.- Asdit Findinp Reports (Arts) #920-1, 3, 4, 5, 6 and 8 have been corrected and are considered closed. AFE #920-7 bas bees >l -m, ? properly addressed sad is in the final stages of corrective action ,,.m implementation. -m . 5
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'q' f_ amounts of specific transient combustibles that are permitted in any given area without exceeding the capabilities of fixed fire suppres-f ( sion systems. This procedure will be implemented on a trial basis on 3 l August 1, 1983. If the procadere proves to be satisfactory, it will %we be approved and issued on a permanent basis. This action is expected d' to resolve and close this remaining open audit finding. M 2 4. Ceneral Assessment of the Fire Protection Program i g The results of this audit indicate that a comprehensive and effective h fire protection program has been developed and implemented at Davis-Basse 'y/.- It was evident, through many personnel contacts and observa-i Unit 1. tions during the audit, that the fire protection program has evolved through the dedicated leadership of key individuals, cooperative ,.7 ( workar attitudes, and the support of plant management.
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a _f(( Prop:sional Loss Control. Inc. ANNUAL FIRE PROTECTION AUDIT APPROACH ~ Professional Loss Control, Inc., (PLC) will be conducting an audit of the Davis-Besse Nuclear Power Station Unit 1 in accordance with section 6.5.2.8-i of their Technical Saecifications. The audit will be completed in accordance with appli-cable portions of PLC's QA Program (Rev. 3 - June 1,1981). A pre-audit meeting will be held on July 20, 1981, at thq plant. The close-out meeting will be con-ducted on July 22, 1981, and a draft of the report will be issued by August 14, 1981, for technical review by Toledo Edison. The methodology for conducting the audit is outlined below: Inscection of Plant Facilities An inspection of the plant safety-related areas will be con-ducted. The emonasis of this inspection is the assessment of the overall effectiveness of the plant's fire protection pro-gram to control fire hazards and maintain fire protection equipment in these areas as committed to the NRC and in accor-dance with the recent requirements of Appendix R 10 CFR 50. Review of Fire Protection Related Procedures Surveillance, Test, Administrative, and Emergency Procedures related to tne plant fire protection programs will be reviewec with respect to the administrative requirements for an effec-tive fire protection program and implementation of Technical Specification surveillance requirements. Fire Bricade An evaluation of the adecuacy of the Plant Fire Brigace will be performed. Organization of the Fire Brigade, training for Brigade members, frequency and content of fire drills, and availability of manual fire fighting ecuipment will be sur-veyed. As guidelines for this review, NFPA d27, " Private Fire Brigades,' and NRC requirements of Appendix R to 10 CFR 50, APCS BTP 9.5.1, Appendix A Reg. Guide 1.120, and NRC Sucplementary Guicance on Nuclear Plant Fire Protecticn Func-tianal Responsibilities. Administrative Controls and Quality Assurance, Attacnments 1, 2, and 5 will be applied. In conjunction with the review of the Fire Brigade, a review will be conducted of the fire emergency planning for plant facilities. The evaluation of the Fire Brigade and fire emergency planning provide an assessment of the plant's pre-caredness to hancle fire emergencies. If possible, a " surprise" fire drill will be observed and critiqued. P n. 20x 44G
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t f(( l%o/Issional f.oss Control. Inc. Verification of Procedures A review will be perfonned to verify that fire-related pro-cedures are being properly implemented. This review shall consist of an inspection of documentation and spot checking i of physical facilities to verify documented surveillance and follow-up corrective actions. Previous Recomendations Follow-up on the recomendations made during the PLC Triennial I. Fire Protection Audit submitted on September 9,1980, will be a central portion of this audit. l Audit Personnel The audit will be performed by Mr. M. E. Howrer, P. E., and Mr. C. A. Ksobiech (their resumes are attached). Mr. Howrer will serve as team leader since he exceeds the requirements established by the NRC in R'eg. Guide 1.120. Submitted by: '1 f. we Michael E. Mcwrer, P. E. Vice President Date: July 20, 1981 1 i P. O. Box 44G e Oak Ridge. Tentsac 37S30 * (6151482 354I n .,, + +,,,, -, - - - ,,,s-c-y,, ,-r-,--~,--,,,,,e---,. ,r,-,-
i B. QUALIFICATIONS C? PR0 JECT MANAGER 1. The Project Manager shall, as a minimum, be a registereIl Professional Engineer with appropriate education and specific experience in fire protection engineering to assure compliance with the technical re-quirements of all work activities. t C. RESPONSIBILITIES 4 1. All personnel are responsible for remaining familiar with the provisions of this QA Pmgram as well as its implementation. 2. The Project Manager shall be responsible for the organization and maintenane) of all project related files. These files shall be arranged in accordance with the requirements of the client and shall be readily retrievable. The Project Manager shall~ orient all involved personnel in the applicable provisions of the QA plan for the particular project after reviewing the requirements of the purchase order. Documentation shall be provided on Attachment B. 3. The company President is responsible for the performance of periodic internal audits of all applicable provisions of the QA Program for a specific project to assure that quality requirements have been properly implemented. No fomal program of written audits is con-ducted because of the size of the organization. The company President has the freedom and authority to identify quality problems, insti-tute solutions, stop work until necessary actior.s are taken and verify implementation of the changes. The President takes positive corrective action in the resolution of problems identified to prevent recurrence. Corrective action will be documented and the appropriate client notified whenever the quality of the product provided is adversely affected. a 0. DESIGN CONTROL 1. Measures have been established to assure that the applicable guidelines of the NRC Regulatory Guide 1.120 Revision 1 (Nov.1977), 3 Rev. 3: 6/1/81 ( = _ _
( 10 CFR' 56~ Appendix R,or'Uhreved HRC alternatives, such as - ~ - ~ { Supplementary Guidance on Nuclear Plants, Fire Protection Fu Responsibilities, Administrative Controls, and Quality Assurance (June 14,1977) are included in appropriate design documents and that any deviations are controlled. Significant de.riations are con-trolled and documented. ......,r.,. The preceding measures assure that: All fire hazards analyses, design work, and calculations a. will be perfomed by a registered Professional Engineer familiar by education and specific experience with fire protection systems and equipment, appropriate codes and standards, and their interrelationship with nuclear power plants. Assistance will be provided, as required, by qualified engineering graduates. All design activities will be documented in sufficient detail to permit eval-uation and review by a qualified individual other than the one perfoming the original design. These documents shall be re-tained as quality records when specifically required by the client. b. All design work will be reviewed for completeness and accuracy by a Senior Engineer other than the individual who perfomed the original design and who also meets the requirements outlined in "a" above. All design reviews will be appropriately documented. The Project Manager shall specify the method of review sign-off in acccrdance with the requirements of the specific client. All design changes, including field changes, within the c. jurisdiction of PLC, Inc. are subject to the same level of approval as the original documents. 4 Rev. 2: 6/1/31
o ~ b. The review will include verification and appropriate i classifications, technical requirements and code appli-cation, and a record of the review, concurrence with,and approval will be maintained. Changes to procurement documents (except pricing) require c. the same reviews, concurrences, and approvals as the original documents. G. PURCHASED MATERIAL 1. Because PLC is often involved in third party work, PLC accepts no responsibility for in-plant inspections of vendors' premises or audit of internal QA programs. PLC accepts no responsibility for QA programs covering equipment in transit or inspection upon delivery to site. PLC procures no material or hardware and, therefore, has no need to maintain an approved vendors list. H. TEST EQUIPMENT CONTROL 1. 'All test equipment requiring calibration will be supplied by the client under the established control of the client's quality assurance program. l 1. FiEPROTECTIONPROGRAMAUDITS 1. The Project Manager shall be a full member of the Society of Fire Protection Engineers in addition to satisfying the requirements of Section B of this program. Members of the work team need not be qualified to ANSI 45.2.12 for auditors since these activities are limited only to fire protection programs. N 2. The following documents will be utilized as minimum guidelines for conducting the audit: BTp ApCSB 9.5-1 and its Appendix A a. b. Appendix R to 10 CFR Part 50 l 7 Rev. 2: 6/1/81
P paceae.esang ucea caninou suc fj. an,ys e oah Rese. Tennessee 2,1s3a.1sisi tsusts October 14, 1981 ~ r -- d ~. ; [ ! L. A.', CUAUlY AI.CUCANCE ()f J p, l:nA. E LECO CISON s:cym r g n..,.,, ;.. C.,. /g J lg;;; ,G.'.>e [ 'l T Y-G Tl C L9LJ r :.le 7 g j Mr. C.T. Daft 0^/9 C-UFO I i QA Director M3,3Y~7 j g; Davis-Besse Nuclear Power Station DLa ,u_t: T [i; ? " 7-Toledo Edison Co. 30011adison Avenue SAL
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~ Toledo, Ohio 43652 yW P f f- ) re: Annual Fire Protection Audit per Technical Specification-Section 6.5.2.8.1
Dear Mr. Daft:
Enclosed are two copies of the fi[al draft of our audit report. We have reviewed and revised the report to include the appropriate cements noted in your letter dated October 8,1981. please note that we have rearranged the report to distinguish between new and unresolved recomendations. The item conceming manual fire suppression needs for the new site buildings ~ (outside the protected area) was deleted from the audit report because it does not yet directly conflict with any previous plant comitments to the NRC. We have decided to include it in this cover letter because of the potential problems forseen by an anticipated fire in this area. The method and criteria for notification of outside fire departments are now clearly defined. However, it has not yet been determined how manual suppression needs will be met for these new site buildings. If the fire brigade is expected to respond, two problems exist: ~ 1. The fire brigade has no capability to transport needed equipment to these distant locations (such as the new warehouse or administrative buildings). 2. The fire brigade may have problems meeting NRC brigade manpower comitments while fighting a fire outside the protected area. A policy should be developed to determine the fire brigade response to buildings on the plant site which are outside the protected area. This policy should outline the number of personnel to respond as well as how both they and their necessary equipment will be transported. j ... - ~
} \\ fir. Daft October 14, 1981 Page 2 If there are any further corrections or coments regarding this submittal 7 of the audit report, please contact us. We appreciate the time and cooperation we were given on this project. We look forward to working with your group in the futurg. Sincerely, Wlsuk. r Christopher A. Xsobiech Fire Protection Engineer CAK/jks Enclosure l l l 3 I h 2,- m ..}}