ML20137J820

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Responds to NRC Ltr Re Violations Noted in Insp Repts 50-456/97-03 & 50-457/97-03.Corrective Actions:Review of All Laboratory Stds Was Done to Ensure Expiration Dates Listed Were Correct
ML20137J820
Person / Time
Site: Braidwood  Constellation icon.png
Issue date: 03/31/1997
From: Stanley H
COMMONWEALTH EDISON CO.
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
NUDOCS 9704040146
Download: ML20137J820 (12)


Text

Commonwealth 1.dimn Company firaidweix] Generating Station Houtc *l,ika Hi

. firateville. IL NH07%19 Tel H15-453 2Hol March 31,1997 Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C. 20555

Subject:

Reply to Notice of Violation NRC Inspection Report 50-456(457)/97003 Braidwood Nuclear Power Station Units 1 and 2 N_RC Docket Numbers 50-456 and 50-457

Reference:

G. F. Grant letter to H.G. Stanley dated March 4,1997, transmitting Notice of Violation from NRC Inspection Report 50-456(457)/97003 A Chemistry Inspection was conducted at Braidwood Station during the week of February 3,1997. During the inspection, two Severity Level IV violations were identified. These violations are described in t e Notice of Violation (NOV) which was transmitted with the h

Reference letter. Comed's response to these violations is included in the attachment to this letter.

Braidwood Station has been efTective P.: maintaining plant water chemistry parameters well within applicable guidelines, as recognized during the inspection. A solid Chemistiy program depends, in part, on an effective quality control (QC) program. Although quality control is being maintained properly at the Station, the inspection revealed that enhancements could be made to QC procedures and actions have been taken to make these improvements. In addition to these procedure changes, the Chemistry Department has been taking steps to improve the quality and oversight of analytical chemistry functions. These steps include assignment of additional management personnel, clarifying roles and responsibilities, and plans to conduct reviews of procedure adequacy.

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Dnqument Control Desk Page 2 The following commitments were made in the attached response:

The requirements of BwCP 510-2, " Control of Laboratory Standards, Standard Reagents, and Chemicals," will be reviewed with all technicians.

A review of Chemistry surveillance procedures will be done to ensure acceptance criteria are adequate.

Chemistry management personnel will be trained on regulatory documents that govern chemistry activities.

If your staff has any questions or comments concerning this letter, please refer them to Terrence Simpkin, Braidwood Regulatory Assurance Supervisor, at (815) 458-2801, extension 2980.

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11. Gen ~e Stanley /

Site Vice President Braidwood Nuclear Generating Station Attachment cc:

A.B. Beach, NRC Regional Administrator, Region III G.F. Dick, Jr., Project Manager, NRR C.J. Phillips, Senior Resident Inspector F. Niziolek, Division of Engineering, Office of Nuclear Safety, IDNS ohmfidaitespurresp 199797027. doc j

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ATTACHMENT 1 REPLY TO NOTICE OF VIOLATION VIOLATION (50-456(457)/97003-O l a-d 1.

Technical Specification 6.8.1.a requires that procedures be established, implemented, and maintained for activities covered in Appendix A of Regulatory Guide (RG) 1.33.

Appendix A of RG 1.33 recommends that procedures be implemented a.

which specify chemistnj instmetions and the calibration of laboratory instruments.

t BwCP 510-2, " Control of Laboratory Standards, Standard Reagents and Chemicals,"

Revision 13, dated April 15, 1994, which controls the standards used to perform chemistry instrument calibrations, requires that standards prepared at concentrations between 1001 parts per billion and 50 parts per million be labeled with expiration dates of six months from the date of preparation.

Contrary to the above, on August 13, 1996 and September 16, 1996, r

aluminum standards of 10 and 20 parts per million, respectively, were not labeled with expiration dates of six months from the date of preparation in accordance with BwCP 510-2. (50-456/97003-Ola and 50-457/97003-Ola)

REASON FOR THE VIOLATION BwCP 510-2, " Control of Laboratory Standards, Standard Reagents, and Chemicals,"

provides instmetions for determining the shelflife oflaboratory standards. Technicians j

prepare standards and use a computer to generate labels. The shelflife of most standards is predetermined in the procedure and this information is stored in the computer program.

As a result, when a technician prints labels for most standards using the program, the proper expiration date is specified based on the stored information. The 10 and 20 ppm aluminum standards did not have a shelf life stored in the computer because they are intermediate standards and technicians must reference the procedure to determine the shelf life for this standard type. The technician that made the aluminum standards prepared labels using the template for a higher concentration standard and due to habit, did not change the shelflife to the value required by procedure. Since most standards have the correct giration date stored in the computer program, technicians were not used to referencing the procedure, classified as Information Use, for unusual standards. As a result, the wrong expiration dates were listed for the two standards.

CORRECTIVE ACTIONS TAKEN AND RESUL.TS ACHIEVED The standards were discovered before their expiration date and removed from use. In addition, a review of all laboratory standards was done to ensure the expiration dates listed were correct.

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- ATTACHMENT 1 REPLY TO NOTICE OF VIOLATION-

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VIOLATION (50-456(4571/97003-01 a-d j

' CORRECTIVE ACTIONS TO PREVENT RECURRENCE The computer database has been enhanced to include the shelf life of 10 and'20 ppm

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aluminum standards.

t The requirements of BwCP 510-2, " Control of Laboratory Standards, Standard Reagents, j

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and Chemicals," will be reviewed with all technicians.

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t DATE WHEN COMPLIANCE WAS ACHIEVED I

Full compliance was achieved when the 10 and 20 ppm standards were removed from the laboratory.

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ATTACllMENT I REPLY TO NOTICE OF VIOLATION VIOLATION (50-454457)/97003-Ola-d '

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Appendix A of RG 1.33 recommends that procedures be implemented which specify laboratory instructions and calibration of laboratory instruments.

BwAP 550-25, " Control of Chem Aids," Revision 2, dated February 14, 1994, requires the control and review of aids in the laboratory which are used to supplement chemistry procedures.

Contrary to the above, since February 7,1997, the licensee failed to control and review the aid used in performing procedure BwCP 510-10,

" Laboratory Instrumentation Performance Check Procedure," Revision 8, in accordance with BwAP 550-25. (50-456/97003-Olb and 50-457/97003-Olb)

REASON FOR THE VIOLATIO_N Quality control (QC) limit sheets which list the maximum and minimum values for performance check results were posted in the Chemistry laboratory in several locations.

Technicians referenced these sheets to determine if performance check data was within QC limits before analyzing their unknown samples.

Since technicians used this information to perform their job, the information should have been controlled in a more j

formal manner. The limit data sheets were not controlled as Chemistry Aids because the individual responsible for monitoring the QC limits did not interpret the limit sheets as Chemistry Aids and did not fully evaluate the effect of posting them. In addition, other department personnel did not question the use of these data sheets.

Although formal controls for the limit data sheets were not in place, the quality of laboratory analysis data was not affected. The QC limits are stored in a computer program which automatically rejects analysis results if performance check data results are outside of the established limits.

CORRECTIVE ACTIONS TAKEN AND RESULTS ACHIEVED The uncontrolled limit sheets were removed from the laboratory.

CORRECTIVE ACTIONS TO PREVENT RECURRENCE

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QC limit sheets are now being controlled as procedure attachment sheets (BwCP PD-7AIT4). Each sheet is reviewed and approved by the laboratory chemist prior to posting them in the laboratory.

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ATTACHMENT I REPLY TO NOTICE OF VIOLATION VIOLATION (50-454457)/97003-01 a-d r

DATE WHEN COMPLIANCE WAS ACHIEVED Full compliance was achieved when the QC limit data sheets were removed from the laboratory.

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ATTACHMENT 1 REPLY TO NOTICE OF VIOLATION VIOLATION (50-456(457)/97003-ol a.-d c.

Appendix A of RG 1.33 recommends that procedures be implemented to ensure that laboratory equipment are properly controlled, calibrated, and adjusted at specified periods to maintain accuracy.

BwCP PD-7Al, " Laboratory Analytical Instrumentation Quality Control Program," Revision 1, dated July 26,1994, requires that an interlaboratory program exist and be conducted semi-annually.

Contrary to the above, since July 26,1994, procedure BwCP PD-7Al did not contain acceptance criteria or instructions as to corrective actions for unacceptable results of the interlaboratory program to ensure that laboratory equipment is properly controlled and calibrated in accordance with Appendix A of RG 1.33. (50-456/97003-01e and 50-457/97003-01c)

REASON FOR THE VIOLATION BwCP PD-7Al. " Laboratory Analytical Instrumentation Quality Control Program," states that an interlaboratory program will exist at Braidwood. The reference section of this procedure specifies " NOD Recommended Practice i

concerning Nuclear Station's Chemistry Quality Control Program," which generally describes the program, and "INPO 88-012," which provides acceptance criteria for the comparisons. The procedure did not state whether these references were to be used to govern the program and as such did not provide adequate guidance for the conduct of the program. A factor contributing to this problem was that Chemistry management personnel were not fully aware of the regulatory requirements associated with this type of procedure, including the need to reference acceptance criteria.

CORRECTIVE ACTIONS TAKEN AND RESULTS ACIIIEVED The need for formal, timely reporting of it.alaboratory results was emphasized with Corporate Chemistry personnel.

BwCP PD-7Al has been revised to inform the user of where to find acceptance criteria and specific programmatic guidance for the interlaboratory program.

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REPLY TO NOTICE OF VIOLATION l

VIOLATION (50-456(457V97003-Ola4 CORRECTIVE ACTIONS TO PREVENT R'ECURRENCE i

A review'of other Chemistry surveillance procedures will be done to ensure acceptance criteria are adequate.

Chemistry management personnel will be trained on regulatory documents that gcVern chemistry activities.

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Full ccmpliance was achieved when BwCP PD-7Al was revised.

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ATTACHMENTI c.

REPLY TO NOTICE OF VIOLATION VIOLATION (50-456(457V97003-Ol a-d t

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Appendix A of RG 1.33 recommends that procedures be implemented that specify laboratory instructions and calibration of laboratory equipment.

RG 1.43 states that extreme importance must be placed on laboratory 3

procedures used to determine concentration and species of radioactivity in liquids and gases prior to release, including the validity of calibration techniques used in these analyses.

f Contrary to the above, since Febmary 21,1996, Procedure BwCP 210-14,

" Geometry Efficiency Standardizatian ofIntrinsic Germanium Detectors on the ND 9900 Counting Room System," Revision 2, Febmary 21,1996, did not provide instructions to ensure the validity of the intrinsic germanium detector calibrations in accordance with Appendix A of RG 1.33. (50-456/97003-Old and 50-457/97003-Old)

L REASON FOR THE VIOLATION BwCP 210-14, " Geometry Efficiency Standardization of Intrinsic Germanium Detectors on the ND 9900 Counting Room System," and BwCP PD-7A3, "Radioanalytical Quality Control Program,"

provide instructions for standardization of HPGe detectors. These procedures included steps to ensure the standardization is performed properly, but did not contain formal acceptance criteria for validating the calibration. Chemistry managernent personnel were not aware of the regulatory requirement associated with including acceptance criteria in this type of procedure, which contributed to this procedure adequacy concern.

These calibrations had been carried out by the counting room chemist who used his training and experience to determine that the calibrations were adequate. The chemist was using sound technical criteria for accepting the calibrations, but these i

j criteria were not proceduralized.

CORRECTIVE ACTIONS TAKEN AND RESULTS ACHIEVED It was determined that the calibrations were adequate and the acceptance criteria used by the responsible chemist, although not proceduralized, was appropriate.

BwCP 210-14 and BwCP PD-7A3 were revised to include formal acceptance criteria.

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I REPLY TO NOTICE OF VIOLATION VIOLATION (50-456(4$7)/97003-01a-d E

CORRECTIVE ACTIONS TO PREVENT RECURRENCE

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- A review of other Chemistry surveillance procedures will be done to ensure acceptance criteria are adequate.

l Chemistry management personnel will be trained on regulatory documents that govern chemistry activities.

DATE WHEN COMPLIANCE WAS ACHIEVED j

Full compliance was achieved when BwCP 210-14 and BwCP PD-7A3 were revised.

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' A'ITACliMENT 1 REPLY TO NOTICE OF VIOLATION VIOLATION (50-456(457)/97003-02 2.

Technical Specification 6.8.4.d requires that a program be implemented which will ensure the capability exists to obtain and analyze reactor coolant samples, radioactive iodine and particulate samples in plant gaseous efiluents and containment atmosphere samples under accident conditions, which includes procedures for sarnpling and analysis.

BwCP 323-13, "High Radiation Sampling System Surveillance Procedure,"

Revision 7, dated January 21, 1997, requires that performance checks be

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performed on the post accident sampling system to ensure the capability of the system.

Contrary to the above, since January 1,1997, procedure BwCP 323-13 did not contain acceptance criteria for post accident sampling system surveillances to ensure the capability of the system to obtain post accident samples.

(50-456/97003-02 and 50-457/97003-02)

REASON FOR THE VIOLATION The BwCP 703-series procedures describe the operation of the post accident sampling system. These procedures are primarily designed to provide sampling guidance for post-accident conditions. In addition, these procedures were used to periodically obtain samples under normal conditions to demonstrate the capability of the system as required by the FSAR and NUREG 0737. Capability of the post accident sampling system was demonstrated by the ability to obtain and analyze a sample. The procedures did not contain any formal acceptance criteria because it j

was not recognized as a requirement by Chemistry personnel.

CORRECTIVE ACTIONS TAKEN AND RESULTS ACHIEVED Surveillances are performed on the post accident sampling system to ensure the system would be capable of obtaining post accident samples.

It was determined that the surveillances adequately demonstrated the functionality of the equipment.

Surveillance procedures for post accident sampling were created and contain acceptance criteria allowing comparison with actual conditions, when possible.

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l' ATTACHMENT I REPLY TO NOTICE OF VIOLATION VIOLATION (50-456(457)/97003-02 CORRECTIVE ACTIONS TO PREVENT RECURRENCE A review of other Chemistry surveillance procedures will be done to ensure acceptance criteria are adequate.~

-Chemistry management personnel will be trained on regulatory documents that govern chemistry activities.

DATE WHEN COMPLIANCE WAS ACHIEVED Compliance was achieved when the post accident sampling system surveillance procedures were created.

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