ML20141E487

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Rev 2 to PI-MP3-04, Programmatic Reviews
ML20141E487
Person / Time
Site: Millstone Dominion icon.png
Issue date: 05/16/1997
From: Neri A, Schopfer D
SARGENT & LUNDY, INC.
To:
Shared Package
ML20141E462 List:
References
PI-MP3-04, PI-MP3-4, NUDOCS 9705210018
Download: ML20141E487 (10)


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PROJECT

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INSTRUCTION PI-MP3-04 INSTRUCTION REV. 2 2

Client: Northeast Utilities Station: Millstone Unit 3

Title:

PROGRAMMATIC REVIEWS s

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[ Safety-Related Non Safety Related L

Reviewed By:

Approved By:

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1 System Lead Progsommatic O&M Lead Accident QA Engineer Intemal Review Verification Team Lead Mitigatico Committee Manager S*N' h

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2 Description

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Rev.2 Ailai a technical review (in addition to process implementation resiew) for current changes outside the ICAVP systems.

Changed the sample size for past changes to a " suitable" sample Added past change reviews for MEPL, Commercial Grade Dedication and NCRs/EWRs Clarified types of procedures covered by past change resiews e

i 9705210018 970516 PDR ADOCK 05000423 P

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Page 1 of 9

d' PROJECT-Y INSTRUCTION Pl-MP3-04 INSTRUCTION

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REV. 2 0

i 1.0 Purpose This project instruction (PI) establishes the Ecrgent & Lundy procedure for performing programmatic reviews as a part of the ICAVP. These programmatic reviews are j

performed in addition to the ICAVP system design and licensing basis, O&M and testing, accident mitigation system reviews, and physical configuration reviews. The

- programmatic reviews are conducted on a horizontal basis (across systems) for the purpose of determining if the actions taken by Northeast Utilities (NU) to correct previously identified problems have been effective and if the NU change processes are i

effective.

The scope of the programmatic reviews willinclude:

Licensee initiated Corrective Actions As past of its Configuration Management Program (CMP), NU has performed a vertical slice re' dew of safety-significant and risk significant systems and has identified degraded or non-conforming conditions. For the degraded or non-conforming i

conditions NU is initiating corrective actions. The programmatic review will assess the adequacy of these corrective actions. This review will be conducted for all corrective actions associated with the ICAVP sample systems, and for a representative sample of corrective actions associated with the other NU completed CMP vertical slice systems.

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a Chance Processes NU's current plant change processes will be reviewed for both their adequacy with respect to industry standards and for the effectiveness by which they are being implemented. Both design change processes and procedure change processes will be included in this review. For changes made in the past, selected changes will be reviewed for technical adequacy to assure that the plant licensing basis er design basis was not compromised.

2.0 References 2.1 -

NRC Confirmatory Order Establishing independent Corrective Action Verification Program - Millstone Nuclear Power Station, Units 1,2 and 3 l

2.2 Millstone ICAVP Oversight Inspection Plan, approved 12/19/96 2.3 PI-MP3-09, Preparation and Approval of Checklists 2.4 PI-MP3-11, Discrepancy Report Submittal and Closure 2.5 NUMARC 90-12, Design Basis Program Guidelines Paos 2 of 9 l

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INSTRUCTION PI-MP3-04 l

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PROJECT INSTRUCTION REV. 2

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l I-2.6 PI-MP3-12, Project File Index 2.7.

CK-MP3-04, Series checklists as follows:

f CK-MP3-04-01 Corrective Actions-i i

CK-MP3-04-02 Change Process Review CK-MP3-04-03 Change Procedure implementation CK-MP3-04-04 Setpoint Change Review 1

CK-MP3-04 05 MEPL Determination Review CK-MP3-04-06 Commercial Grade Dedication Review CK-MP3-04-07 NCR/EWR Review

.N_ git. Checklists used in the performance of this Pl are not included as i-attachments to the Pl. Checklists are prepared and controlled as separate documents per PI-MP3-09.

5 3.0 Definitions l

3.1 Programmatic Review Group (PRG)- The subgroup of the ICAVP Verification Team responsible for performing the reviews of corrective actions and change processes.

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3.2 Current Licensing Basis (CLB)- The set of NRC requirements applicable to a specific plant, and a licensee's written commitments for assuring compliance with and operation within applicable NRC requirements and the plant-specific '

1 design basis (including all modifications and additions to such commitments over the life of the license) that are docketed and are in effect. The CLB 4

4 includes the NRC regulations contained in 10 CFR Parts 2,19,20,21, 30,40, 1

50, 51, 55, 72, 73,100 and appendices thereto; orders; license conditions; 4

exemptions, and Technical Specifications (TS). It also includes the plant-r specific design basis information defined in 10 CFR 50.2 as documented in the 4

most recent Final Safety Analysis Report (FSAR) as required by 10 CFR 50.71 and the licensee's commitments remaining in effect that were made in docketed licensing correspondence such as licensee responses to NRC bulletins, generic l

letters, and enforcement actions, as well as licensee commitments documented in NRC safety evaluations or licensee event reports.

3.3 System Review Group (SRG)- The subgroup of the ICAVP Verification Team responsible for performing an in-depth review of the design of the systems in the scope of the ICAVP.

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i 3.4 Operations & Maintenance and Testing Review Group (ORG)- The subgroup j

of the ICAVP Verification Team responsible for the review of the operating, l'

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INSTRUCTION Pl-MP3-04 PROJECT l

REV. 2 INSTRUCTION maintenance and testing procedures, and training manuals for the systems within the scope of the ICAVP.

3.5 Design Bases - The information which identifies the specific functions to be performed by a structure, system or component of a facility, and the specific values or ranges of values chosen for controlling parameters as reference bounds for design. These values may be (1) restraints derived from generally accepted " state of the art" practices for achieving functional goals or (2) requirements derived from analysis of the effects of a postulated accident for which a structure, system or component must meet its functional goals.

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3.6 Verifier - The individual assigned to review engineering attributes within his area of responsibility.

3.7 Discrepancy Report (DR)- The mechanism for documenting the discrepant conditions identified by the ICAVP and reporting an apparent error, inconsistency, or procedural violation with regard to licensing commitments, specifications, procedures, codes or regulations.

i 4.0 Responsibilities 4.1 The Programmatic Review Group Lead shall be responsible for assigning the verifier for each programmatic review and for overall coordination of the Programmatic Review effort. He shall also approve checklists that are prepared for each program review, and he shall provide concurrence after the review is performed that the checklist is complete.

4.2 The Verifier shall be responsible for performing the programmatic review and completing the appropriate checklist The Verifier or any other appropriate PRG Member shall prepare checklista prior to a program review.

5.0 Procedure 5.1 Corrective Actions 5.1.1 General All NU identified corrective actions for the ICAVP sample systems shall be included in the programmatic review. This willinclude corrective actions associated with the CMP and for all previously identified design-related deficiencies identified by the architect / engineer before initial operation. For the remaining systems in the CMP vertical slice which have been completed by NU, T

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INSTRUCTION PI-MP3 PROJECT INSTRUCTION.

J REV.2 a random sample'of NU corrective actions shall be reviewed. It is not the intent of the ICAVP to verify completion of the corrective action, but only to assess the acceptability of the proposed corrective action. Therefore, it is only necessary that the corrective action determination be completed by NU to be included in this sample.

5.1.2 Review Process i

The NU CMP findings / corrective action documents shall be obtained from the SRG for the ICAVP sample systems. The other CMP completed findings / corrective action documents (for systems outside the ICAVP) shall be 4

obtained from NU.

Checklist CK-MP3-04-01, " Corrective Actions" shall be prepared by an appropriate team member for the review of corrective actions. Using the checklist, the PRG Verifier shall assess the corrective actions for adequacy of l

the following:

a.

Root cause determination - what is the fundamental cause, which, if corrected, will prevent recurrence of the condition? Are plant processes or procedures affected?-

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Extent of condition determination - the extent to which other systems, structures, components, or activities are affected.

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Plant restart - is the corrective action required prior to restart?

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Content - is the corrective action adequate in resolving the issue?

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After reviewing the checklist for completeness, the PRG Lead shall file the checklist in accordance with PI-MP3-12.

5.1.3 Discrepancies The Verifier shall prepare a Discrepancy Report in accordance with PI-MP3-11 for any discrepancies identified during the corrective action review.

i 5.2 Chance Processes i

5.2,1 General i

As part of the ICAVP system reviews, the SRG and the ORG will assess the 1

plant modifications made on the systems sampled in the ICAVP. This review will evaluate the effectiveness of the change processes involved in these modifications (i.e. if the resulting modification is found to be acceptable, it can be inferred that the process used in perforrning the modification is acceptable).

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INSTRUCTION PI-MP3-04 PROJECT REV. 2 INSTRUCTION In addition to this system review, specific process related reviews will also be performed as controlled by this Pl. The various change processes reviewed shallinclude the following:

4 Process Correspondina MP3 Procedure drawings NUC DCM Chapter 7 specifications NUC DCM Chapter 6 calculations NUC DCM Chapter 5 procedures DC1,DC2,DC3,DC4 temporary alterations NGP 8.05 minor modifications NUC DCM Chapter 3

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modifications NUC DCM Chapter 3 NGP-4.03 licensing documents vendor manuals NUC DCM Chapter 8 like for like replacements NUC DCM Chapter 1 setpeJnts NGP 3.16 5.2.2 Review Process A.

Assess Adequacy of Current Process The current MP3 procedure for the processes listed in Section 5.2.1 will be evaluated for content and completeness. This evaluation will determine if the procedure exercises adequate controls on the change process and invokes appropriate interface reviews to assure the plant design basis and configuration is taaintained consistent with the licensing basis. The evaluation will be based on guidance provided in the following:

Reg. Guide 1.33 Quality Assurance Program Requirements (Operation)

NRC Inspection Manual INPO guidelines

'INPO 87-006 Repon on Configuration Management in the Nuclear Industry NEl guidelines Pace 6 of 9 l

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i PROJECT INSTRUCTION PI-MP3-04 INSTRUCTION REV.2 INPO 87-006 Report on Configuration Management in the Nuclear Industry NEl guidelines 1

Checklist CK-MP3-04-02, " Change Process Review" shall be prepared by an appropriate team member for the evaluation of the current MP3 procedures according to the above. Using the checklist, the PRG Verifier -

shall assess the adequacy of each procedure. After reviewing the i

checklist for completeness, the PRG Lead shall file the checklist in accordance with PI-MP3-12.

B.

Assess Implementation of Procedures s

The adequacy of NU's implementation of the change process procedure will be evaluated by reviewing actual plant change documentation. The evaluation will determine if the procedure is being followed, that the required checklists are being accurately and completely filled in, and that all other documentation is complete and procedurally adequate. This evaluation shall be performed for the plant changes to the selected

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ICAVP systems that were made under the current change process procedures noted in Section 5.2.1. If a suitable sample of these changes for a particularprocess is not captured in the system reviews, a j

suitable sample outside the selected ICAVP systems will be reviewed.

Since the system review will assess the technical adequacy of the change, the programmatic review will evaluate only the procedural adequacy of the change. For samples outside the ICAVP systems, procedural and technical adequacy will be evaluated.

1 Checklist CK-MP3-04-03, " Change Procedure implementation" shall be prepared by a qualified team member for the evaluation of the implementation of MP3 procedures on current changes according to the e

above. Using the checklist, the PRG Verifier shall assess the adequacy j

of each change. After reviewing the checklist for completeness, the j

PRG Lead shall file the checklist in accordance with PI-MP3-12.

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Assess Adequacy of Past Changes

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Change processes have evolved over time, and the level of control of changes has also changed. In order to determine if changes may have been made that affected the plant design basis or licensing basis without proper control, a review of select past changes will be made. This review will be from systems covered in NU's CMP outside the selected 1

ICAVP systems.

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In the ICAVP system vertical slice reviews, all plant modifications will be reviewed for technical adequacy (Pl MP3-03). This review will include all Pace 7 of 9 I i

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INSTRUCTION PI-MP3 -

PROJECT INSTRUCTION

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REV. 2 changes associated with the modifications including numerous drawing, calculation, and specification changes. Therefore, the programmatic 6

review of past changes will focus on changes made in systems beyond the selected ICAVP systems for the following change items:

procedures (normal, abnormal, emergency operating; IST:-

e surveillance; maintenance) temporary alterations e

licensing documents e

vendor manuals e

. like forlike replacements setpoints l

e DCNs not associated w/ Mod's (drawings and specifications)

Material, Equipment and Parts List (MEPL)

Commercial Grade Dedication e

4 Non-Conformance Reports / Engineering Work Requests (dispositioned use-as-is)

For each of these processes, a suitable sample of changes during each l

five-year interval will be reviewed for their technical adequacy, to assure that they did not compromise the unit's design or licensing basis. This review will include, as applicable, the proper application of ASME Section XI requirements for repairs and replacements. The sample size J

will be determined with the NRC's concurrence after changes are

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identified. The changes will be selected from lists of the various i

f changes as related to the controlling / initiating procedure applicable at

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the time of the change. Controlling / initiating procedures may include processes such as Design Change Notices (DCN), Engineering Work Requests (EWR), Maintenance Support Engineering Evaluations (MSSE), Authorized Work Orders (AWO), etc. The " process specific questions"in checklist CK-MP3-04-02 shall be used to assess the j

adequacy of the change. Applicable checklists used in the SRG and the l l

ORG (e.g. CK-MP3-03-20 and CK-MP3-06-12) may be used to evaluate the technical adequacy of each change. In addition, the following PRG checklists shall be used, as applicable:

CK-MP3-04-04 Setpoint Change Review CK-MP3-04-05 MEPL Determination Review CK-MP3-04-06 Commercial Grade Dedicaiton Review CK-MP3-04-07 NCR/EWR Review Using the appropriate checklist (s), the PRG Venfier shall assess the adequacy of each past change. Attemately, SRG or ORG verifiers may j

i perform this review. After reviewing each checklist for completeness, the PRG Lead shall file the checklist in accordance with PI-MP3-12, i

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PROJECT INSTRUCTION PI-MP3-04 REV. 2 5.2.3 Discrepancies The Verifier shall prepare a Discrepancy Report in accordance with PI-MP3-11 for any discrepancies identified during the change process reviews, 6.0 Attachments 6.1 ICAVP Process Flowchart, " Programmatic Reviews" (1 page) om l

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7 PI-MP3-04.1 i

l Gather Programmatic j.

l Documents-7

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PRG l

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4 Prepare Checkhsts i

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PRG l

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s Obtain Change Documentation from Perform Change SRG,NU j

t Select Corrective Process Procedure Action Samples Review PRG I

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PRG PRG i

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l Perform Process i

Perform Past Change j

l implementabon Review i

l Review l

' Perform Corrective l

PRG PRG l

Acbon Review j

PRG

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Were e-c Discrepancies,;

No identified? /

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Y Process Discrepancy File Checkhst per Report per PI-MP1-11 PI-MP1-12 PRG.

PRG 1

ICAVP PROCESS FLOWCHART Programmatic Reviews l

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