ML20137A122

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Insp Rept 50-267/85-29 on 850923-27.Violations Noted: Failure to Provide Adequate Emergency Training & Perform Adequate Emergency Program Audit
ML20137A122
Person / Time
Site: Fort Saint Vrain Xcel Energy icon.png
Issue date: 01/08/1986
From: Terc N, Yandell L
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML20137A097 List:
References
50-267-85-29, NUDOCS 8601140177
Download: ML20137A122 (7)


See also: IR 05000267/1985029

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APPENDIX B

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

NRC Inspection Report:

50-267/85-29

Docket:

50-267

License: DPR-34

Licensee:

Public Service Company of Colorado

P. O. Box 840

Denver, Colorado 802C1-0840

Facility Name:

Fort St. Vrain Nuclear Generating Station

--Inspection At:

Fort St. Vrain, Colorado

' Inspection Conducted:

September 23-27, 1985

Inspector:

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NemenM.Terc,-EmergencyPrepar/dness

Date

Analyst,EmergencyPreparedn(ss.and

Safeguards Programs Section

Accompanying' Personnel:

W. Hansen, PNL, Comex

Approved:

7O

L. A. Yandell, Chief, Emergency Preparedness-

Date

~and Safeguards Programs Section

Inspection Summary

Inspection Conducted:

September 23-27, 1985 (Report 50-267/85-29)

' Areas Inspected:

Routine,' unannounced inspection of the licensee's-emergency

preparedness program including followup of previously identified items,

personnel proficiency, training, and audits. The inspection ~_ involved 90 hours0.00104 days <br />0.025 hours <br />1.488095e-4 weeks <br />3.4245e-5 months <br />

by one NRC inspector and one NRC contractor.

Results: Within the three areas inspected, two violations were identified

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(failtre to provide adequate training

paragraph 3; failure to perform

Ladequate emergency program audit

paragraph 4).

Eleven ~open items from

previous inspections'were closed.

8601140177 860

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DETAILS

1.

Persons Contacted

Public Service Company of Colorado

  • F'. Borst, Support Services Manager

P. Burck, Supervisor, Quality Assurance Auditing

  • 0. Clayton, Technical Services Engineer
  • M. Deniston, Acting Supervisor of Operations

D. Evans, Operations Supervisor

  • C

Fuller, Station Manager

  • J. Gahm, Manager, Nuclear Production Division
  • M. Holmes, Nuclear Licensing Manager

R. Moller, Instructor

  • F. Novachek, Technical / Administrative Services Manager

-R. Rivera, Training Supervisor

  • J. Sills, Technical Services Supervisor
  • L. Singleton, Manager Quality Assurance

J. Switzer, Supervisor Training Support

S. Wilford, Technical Support Supervisor - Training

R. Wadas, Fossil-Quality Assurance Manager

During the inspection, the NRC inspectors also contacted other licensee

personnel such as:

shift supervisors, technical advisors, senior reactor

operators, shift health physics technicians, and reactor operators.

  • Denotes -those present during the exit interview.

' 2.

Followup of Previously Identified Items

(Closed) Open Item (267/8313-10): The NRC inspectors noted-that the

status boards used during emergencies at the Forward Command Post had been

enlarged.

In addition, a Data Logger display was added.

(Closed) Open Item (267/8314-05): The NRC inspectors agreed with the

-licensee that reporting thyroid dose rates as zero instead of 0.0001 rem /hr.

would constitute no grounds for confusion.

(Closed) Open-Item (267/8419-01): The NRC inspectors noted that pro-

cedures RERP-CR and RERP-PCC had been revised to prompt emergency response

center supervisors so that they keep personnel informed of chances in

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plant status.

In addition, new status boards were provided.

(Closed) Open Item (267/8419-02): The NRC inspectors noted that relevant

. procedures such as RERP-TSC, RERP-CP, and RERP-PCC were revised to direct

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supervisory personnel to delegate certain administrative tasks during

emergency conditions.

(Closed) Open Item (267/8419-03): The NRC inspectors noted that relevant

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procedures had been revised to incorporate checklists and that retraining

was conducted to increase the certainty that emergency procedures will be

followed.

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(Closed) Open Item (267/8419-04): The NRC inspectors determined that

RERP-TSC had been revised to include instructions for assigning personnel

to updating status boards in the Technical Support Center.

In addition,

retraining of selected engineers and technicians for this task was

accomplished.

(Closed) Open Item (267/8419-05): The NRC inspectors noted that

procedure RERP-PCC was revised to instruct the Personnel Control Center

director to delegate responsibilities for accountability of emergency

workers and exposure control.

(Closed) Open Item (267/8419-06): The NRC inspectors verified that a

study was conducted by a contractor to identify the needs for determining

habitability conditions of the assembly areas for nonessential personnel.

As a consequence of this study, frisker alarms will be set at

100 disintegrations per second and a portable air sampler will verify

airborne concentrations.

(Closed) Open Item (267/8419-07): The NRC inspectors determined that the

licensee conducted an evaluation of the Personnel Control Building and

concluded that the present design was the only feasible one to adequately

. control ingress and egress of personnel while minimizing the spread of

radioactive contamination.

(Closed) Open Item (267/8427-01): The NRC inspectors noted that the shift

supervisor in question had been retrained.

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(Closed) Open Item (267/8427-03): The NRC inspectors determined that the

licensee had revised his retraining policy to minimize the use of

self-study lesson plans.

3.

Personnel Proficiency and Training

The NRC inspectors reviewed sections of the Radiological Emergency Response

Plan. (RERP) for Fort St. Vrain Nuclear Generating Station RERP Implementing

Procedures, Technical Specifications, the Training Procedures Administrative

-Manual (TPAM), and lesson plans.

In addittor., the NRC inspectors reviewed

training records, and conducted interviews and walkthroughs with on-shift

emergency response personnel such as:

shift supervisors, reactor operators,

technical advisors, health physics, and chemistry technicians.

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The NRC inspectors tested the performance of four of the five available

shift organizatior.s by means of individual emergency response scenario

walkthroughs corJucted in the control room.

Each walkthrough lasted about

2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />, end the same accident scenario was used for each shift. The

scenario ~ required. classification of emergency events, initial notifica-

tions, and dose projections.

In addition, the NRC inspectors interviewed

seven on-shift health physics technicians. These were presented with a

scenario designed to test their performance in determining the habitabil-

ity of the control room and the radioiodine content of a radioactive

plume.

Base'd on above activities, the NRC inspectors made the following findings:

a.

Initial notification to State and local authorities and to NRC

were made in an improper sequence.

In six out of eight notifications,

the NRC was notified prior to State and local authorities. With

regard to timeliness, the initial notifications were outside the

required time frame only once out of nine times.

The NRC inspectors

noted that the notifications procedure RERP-CR, issue 6, contained

checklists that instructed the user to notify NRC before the

Colorado State Department of Health. Other errors in the procedure

made it ambiguous and difficult to follow.

b.

Health physics technicians that have on-shift assignments were unable

to (1) determine the habitability of the control room and

(2) determine the radiciodine content of a radioactive plume.

Six out of seven health physics technicians examined by the NRC

inspectors failed to recognize existing procedural guidance

necessary to ascertain habitability conditions in the control

room and ignored whether a criterion of habitability existed.

Three of seven technicians failed to recognize or acknowledge

that one of their major responsibilities was the protection of

emergency workers.

Five out of seven indicated they did not

know what actions they would take or how they would prioritize

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the same. One out of seven technicians indicated that if the

shift supervisor was too busy to direct him, he would return to

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his routine work location and activities.

The NRC inspectors required some health physics technicians to

explain the techniques to determine whether a radioactive plume

contained radioiodine. All of six technicians tested were

unable to carry out this task and could not properly interpret

results. The NRC inspectors noted that the procedure offered no

guidance for determining whether the individual taking the

airborne sample in the field was immersed in a radioactive

plume.

Several technicians stated that they needed walkthroughs

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on back shifts and more in-depth training on tasks involving

their principal emergency duties.

c.

Training was not given to individuals according to their specific

functional role during emergencies, but rather training lessons were

structured to the various emergency response facilities as a whole.

In addition, the NRC inspectors determined that corporate personnel

having supervisory responsibilities in the emergency response

organization were ylven only a 90-minute lecture every 12 to 15 months.

Moreover, the licensee

training documents exempted corporate

personnel from any written or oral examination.

e.

PSC training program failed to establish emergency preparedness

training requirements for technical advisors and corporate personnel

commensurate with their duties and responsibilities.

The above examples of insufficient training and an inadequate training

program are an apparent violation against the requirements of

.10 CFR 50.47(b)(15), which states that " Radiological emergency response

training is provided to those who may be called on to assist in an

emergency." (267/8529-01).

The NRC' inspectors noted that the EPTM did not soecify the applicability

-of emergency training to specific emergency organization positions, and as

a consequence, a correlational matrix between emergency organization team

titles and required training was not available. The overall emergencyL

plan training program was discussed with the plant training staff and the

NRC inspectors suggested that_the licensee conduct a thorough review of

the program and its implementation.

No other violations or deviations were identified.

4.

Audits

The NRC inspectors reviewed-Technical S'pecifications, Amendment 36,

Administrative Procedure Q-18, " Quality Assurance and Audit Program,"

Procedure QAAP-1, " Guidelines ~for Quality Assurance and Nuclear Facility

Safety Committee Audits," and Nuclear Facility Safety Committee (NFSC)

Audits Reports and Audit Plans for the years 1983-85.

In addition, the

NRC inspectors held interviews with PSC Quality Assurance supervisory

personnel.

10 CFR 50.54(t) states that, as a condition of the license, all nuclear

reactor licensees provide for the development, revision, implementation,

and maintenance of their emergency preparedness program in order to

provide with reasonable assurance that adequate protective measures can

and will be taken in the event of a radiological emergency. To this end,

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10 CFR 50.54(t) states that the licensee provide for an independent review

of their emergency program every 12 months by persons who have no direct

responsibility for implementation of the program. This review shall

include an evaluation for adequacy of licensee drills, exercises,

capabilities, procedures, and interfaces with State and local governments.

The licensee is required to identify weak areas or deficiencies, to

document the same in a report, and to make relevant findings available to

State and local governments.

The NRC inspectors reviewed NFSC Audit Plans and Reports for the

years 1983-85 and determined that the purpose of NFSC audits was to

satisfy the requirements of Technical Specification AC 7.1.3,

Section 7.b(5), which directed the licensee to perform an independent

review of the_ Fort St. Vrain Emergency Plan and Implementing Procedures.

The NRC inspectors noted that none of the reviewed documentation addressed

the requirements of 10 CFR Part 50.

A review of the audit plans, reports, and associated documsstation by the

NRC inspectors indicated that independent reviews of emergerty preparedness

were limited to the observation of the annual exercise. The only exception

was a review of emergency response training in the 1983 audit.

The NRC

inspectors noted that the licensee's audit program was thus designed to

verify procedural adherence and not to evaluate procedural adequacy. The

audit group made no additional effort to perform a systematic in-depth

review of the various emergency areas and tasks associeted with these

areas.

Furthermore, the NRC inspectors noted that PSC audit reports for

the years 1983-1985 failed to identify deficiencies in personnel training

and proficiency such as those identified in paragretb 3 of this report.

As a result, the NRC inspectors concluded that the iicensee's audit

program lacked the necessary depth to ascertain weaknesses and deficiencies

that could result in a degraded emergency response.

The same conditions

were true of the licensee's audit program used to evaluate the adequacy of

interfaces with State and local governments-

The NRC inspectors noted that the NFSC Audit Report dated August 1984, had

identified that excessive time was taken to staff and activate the

emergency response centers.

The Technical Support Center, Forward Command

Post, and Executive Command Post were not fully manned and operational

until 148, 134, and 126 minutes, respectively, after the emergency was

-decla ed. This' situation failed to comply with procedure RERP-Plant,

Section 5.2.1, which required full activation and staffing of emergency

response centers within 90 minutes after classification of an Alert or

higher level emergency.

As a consequence the NFSC auditors concluded that PSC could'not effectively

respond to emergencies occurring during off-hours shifts. The auditors

issued Action Request CAR-080 on August 17, 1984, to address this matter.

'The licensee closed the item because a new call out procedure was used

successfully during the June 1985 exercise. This did not fully address

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the concern raised, because the June 1985 emergency exercise was conducted

during the day shift. NRC finding 267/8314-06, directed.the licensee to

conduct a staff augmentation drill .to' ensure that emergency response

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personnel could in fact activate emergency response centers on;a timely

basis. .The NRC inspectors determined in discussions with the licensee's

' quality assurance staff that the staff augmentation drill had not been

conducted.

These failures to perform adequate audits of the emergency preparedness

program and to resolve a deficiency and weakness identified in an audit

performed constitute an apparent violation against the requirements of

10 CFR 50.54(t) (267/8529-02).

No other violations or deviations were identified.

'5.

Exit Interview

The exit interview was held on September 27, 1985. The interview was

conducted by Mr.-Nemen M. Terc, Emergency Preparedness Analyst, with

Mr.

R.- Farrell, Senior NRC Resident Inspector at Fort St. Vrain Nuclear

Generating Station in attendance. The licensee was represented by

Mr. J. W. Gahm, Division Manager - Nuclear Production, and his staff. The

licensee was given an oral 1 summary of the NRC inspector's findings,

observations, and comments. The NRC inspectors identified two violations

described above (see paragraphs 3 and 4 of this report).

The NRC inspectors

stated that NRC Region IV management would review and determine the final

' status of the-findings.

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