ML20149F414

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Ack Receipt of Util Informing NRC of Steps Taken to Correct Violations Noted in Insp Rept 50-285/87-25. Corrective Actions to Be Examined During Future Insp
ML20149F414
Person / Time
Site: Fort Calhoun 
Issue date: 02/11/1988
From: Callan L
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To: Andrews R
OMAHA PUBLIC POWER DISTRICT
References
NUDOCS 8802170143
Download: ML20149F414 (2)


See also: IR 05000285/1987025

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FEB l i 1988

In Reply Refer To:

Docket: 50-285/87-25

Omaha Public Power District

ATTN:

R. L. Andrews, Division Manager-

Nuclear Production

1623 Harney Street

Omaha, Nebraska 68102

Gentlemen:

Thank you for your letter of January 11, 1988, in response to our

letter and Notice of Violation dated December 4,1987. We have reviewed your

reply and find it responsive to the concerns raised in our Notice of

Violation. We will review the implementation of your corrective actions

during a future inspection to determine that full compliance has been

achieved and will be maintained.

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Sincerely,

Original Pe.ned By

A 3. li.u h

L. J. Callan, Director

Division of Reactor Projects

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W. G. Gates, Manager

Fort Calhoun Station

P. O. Box 399

Fort Calhoun, Nebraska 68023

Harry H. Voigt, Esq.

LeBoeuf, Lamb, Leiby & MacRae

1333 New Hampshire Avenue, NW

Washington, DC 20036

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Kansas Radiation Control Program Director

Nebraska Radiation Control Program Director

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January 11, 1988

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U. S. Nuclear Regulatory Commission

Attn: Document Control Desk

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Washington, DC 20555

References:

1.

Docket No. 50-285

2.

Letter from NRC (L. J. Callan) to OPPD (R. L. Andrews) dated

December 4, 1987.

Gentlemen:

SUBJECT:

Reply to a Notice of Violation - Inspection Report 50-285/87-25

The subject inspection report identified one violation involving the failure to

properly correct deficiencies involving the ability of fire doors to function

as designed.

Pursuant to the provisions of 10 CFR Part 2.201, please find

attached the Omaha Public Power District's response to this violation.

A one

week extension to the submittal date was discussed with Mr. T. Westerman of

Region IV and Mr. J. Fisicaro of my staff.

If you have any questions, please

contact us.

Sincerely,

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R. L. Andrews

Division Manager

Nuclear Production

RLA/me

cc: LeBoeuf, Lamb, Leiby & MacRae

1333 New Hampshire Ave., N.W.

Washington, DC 20036

R. D. Martin, NRC Regional Administrator

A. Bournia, NRC Project Manager

P. H. Harrell, NRC Senior Resident Inspector

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ATTACHMENT

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Response to Notice of Violation 285/8725-01

During an NRC inspection conducted on October 1 through October 31, 1987, a

violation of NRC requirements was identified. The violation involved the

failure of licensee management to implement a corrective action program for

correction of deficiencies related to nonfunctional fire doors.

In accordance

with the "General Statement of Policy and Procedure for NRC Enforcement

Actions," 10 CFR Part 2, Appendix C (1987), the violation is listed below.

Criterion XVI of Appendix B to 10 CFR Part 50 states, in part, thn

measures shall be established to assure that conditions adverse to quality,

such as deficiencies, are promptly corrected.

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Paragraph 4.1.1 of Section 10.4 of the licensee's Quality Assurance Plan

states, in part, that conditions adverse to quality, such as deficiencies,

shall be corrected as soon as practicable.

4

Contrary to the above, the NRC inspector identified 12 deficiencies

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involving seven fire doors that did not properly latch, thus making the

Technical Specification fire barrier non-functional, during inspections

performed from March 1 througl October 31, 1987.

Licensee management

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failed to properly correct deficiencies identified with fire doors in that

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the deficiencies continued to occur over an 8-month period of time and

resulted in the identification of an additional deficiency with Fire Door

989-9 on October 20, 1987.

This is a Severity level IV violation.

(Supplement I) (285/8725-01)

OpPD'S RESPONSE

THE REASON FOR THE VIOLATION IF ADMITTED

The violation is admitted as stated.

ELSCUSSION

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A review of the existing maintenance and surveillance records for the period in

question was conducted, and it was noted that the deficiencies discovered

during the monthly surveillance test ST-FP-1 were repaired as required.

The

deficiencies identified by the NRC inspector were investigated, and maintenance

orders were written if appropriate.

In some instances, the deficiency reported

by the NRC Inspector was not "repeatable", (i.e., maintenance craftspeople

investigating the concern often could not make the door repeat the condition

cited by the NRC inspector.)

If incorrect operation of the door was found, the

door was repaired.

It was found that certain door designs are more prone to failure from misalign-

ment than others.

It was believed that the best way to prevent these recur-

rences and to provide a long term solution was to initiate a door replacement

program, standardize door hardware to minimize delays associated with spare

parts inventory and the lead time associated with parts procurement, and

dedicato personnel to perform a preventative inspection and maintenance

program.

It was, however, decidd to postpone the door changeout program until

the necessary manpower resources could be made available.

In the interim, the

existing corrective maintenance program on the doors was continued, but did not

adequately ansure fire barrier integrity.

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OPPD'S RESPONSE (Continued)

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CORRECTIVE STEPS WHICH HAVE BEEN TAKEN AND THE RESULTS ACHIEVED

A program for the replacement of doors and standardization of hardware has been

initiated.

Vendors have been contacted for quotations on the cost and the

scope of this work has been finalized.

Interim corrective actions to provide

increased compliance during the procurement, delivery, and installation have

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been taken as follows:

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1.

Maintenance Order 874860 was written to repair the latch for fire door

989-9 and was completed on 10-26-87.

However, since the door it of a

misalignment-prone design, and has warped, it must be re9 laced .o

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ensure that it will consistently latch when it is closed'.

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2.

Changes to the security foot patrol procedure, SCP-14, were made an

10-1-87 to heighten guard awareness of fire door problems and to

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require that any deficiencies found be fromptly reported to the Sh;ft

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Supervisor so that corrective actions ca1 be taken.

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3.

Changes to Standing Order 0-38, Firewatches, were completed on

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December 14, 1987 to require that fire barrier deficiencies be

reported to the Shift Supervisor so that prompt corrective action can

be taken.

4.

Changes to the Fire Door Status Log, Form FC-37, were made on November

30, 1987 to require that the Shift Superviser be informed of any

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inoperable fire door within 30 minutes of discovery so that prompt

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corrective action can be taken.

5.

An interoffice memo FC-1878-87 was issued to plant operations person-

nel to inform them of their responsibilities in finding and reporting

inoperable fire doors so that prompt corrective action can be taken.

6.

Operations personnel have been informed that the appropriate cor-

rective action for fire protection deficiencies is to initiate a

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maintenance order.

Standing Order G-17, Maintenance Orders, states

that "maintenance orders on fire protection equipment should be com-

pleted within 7 days."

These corrective actions have increased personnel awareness concerning the

importance of fire door operability and the need to perform prompt corrective

action.

Additionally, interaction with the NRC resident inspetors was undertaken in a

full time manner in November 1986 when a licensing representative was assigned

full time to the site.

This move has helped facilitate communication with the

NRC Inspectors and has assisted in coordination of other inspection efforts at

Fort Calhoun Station.

CORRECTIVE STEPS WHICH Will BE TAKEN TO AVOIO FURTHER VIOLATIONS

Specific 1cng term corrective actions will consist of a fire door replacement

program aimed at eliminating the high maintenance door designs (HO 875822),a

door hardware standardization program to minimize delays associated with

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OPPD'S RESPONSE (Continued)

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CORRECTIVE STEPS WHICH Will BE TAKEN TO AVOID FURTHER VIOLATIO_NS (Continued)

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procurement and/or inventory problems associated with spare parts (M0 875823),

and a preventative testin5; and maintenance program to keep fire doors

operable.

The schedule for replacement is as follows:

1.

Procurement of doors and hardware is expected by February 1988.

2.

Issuance of a purchase order for outside labor support for door

installation is expected by May 1988.

3.

Doors and hardware are expected to be delivered 120 days after the pur-

chase order is issued, or approximately June 1988.

4.

Both of the maintenance orders should be completed for necessary doors

and hardware by September 1988 based upon meeting the milestones

established above.

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5.

In addition to those doors listed in Maintenance Order 875822, several

doors will be replaced under modification MR-FC-86-Il6C which remodels

existing plant areas for the Chemical and Radiation Protection build-

ing addition. Currently, six of these doors are fire doors.

This

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modification is scheduled for completion in October 1989.

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Additionally, in order to improve communications, each Nuclear Production

Division employee will participate in small group meetings with OPPD

management.

The purpose of the meetings is to detail the standards of

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performance expected of OPPD cmployees, and to elicit the employee's support of

these standards. The need for each employee's support in identifying,

reporting, and helping find solutions to recurring problems will be emphasized

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during these interviews.

This first series of meetings is scheduled to be

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completed by February 15, 1988.

This does not include shift personnel who will

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attend as their schedule allows.

After the first series of meetings, followup

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meetings will be held to allow for feedback from the employees.

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Furthermore, OPPD will continue to maintain a licensing person on site. A list

of requests made by the NRC Resident Inspectors will be compiled and

maintained.

This list will include Open Items, Unresolved Items, etc. in

addition to routine requests made by the Resident Inspectors. The list will

formalize the Resident requests, keep OPPD's management apprised of current

concerns, and will serve as a measure of OPPD's responsiveness to NRC

Concerns.

Additionally, the Supervisor - Nuclear Regulatory and Industry Affairs is estab-

lishing a periodic meeting (anticipated at this time to be monthly) with the

Senior Resident Inspector to improve communications in the realm of Licensing

activities. This independent meeting will preytde an additional forum for the

exchange of ideas between the NRC and OPPD. Additionally, feedback to assess

the effectiveness of OPPD's corrective actions, especially as perceived by the

NRC, can be gained.

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OPPD'S RESPONSE (Continued)

CORRECTIVE STEPS WHICH WILL BE TAKEN TO AVOID FURTHER VIOLATIONS (Continued)

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0 PPD is developing a plan and schedule for establishing a trending / root cause

program that will ensure that we appraoch future problems from a proactive

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rather than a reactive frame of reference.

OPPD is also developing a means to systematically prioritize day-to-day

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concerns. The Integrated Living Schedule is a useful concept, and will serve

to perform the necessary function for long term tasks.

A similar mechanism

more adaptable to small tasks will be established so that OPPD does not need to

rely primarily upon the judgment of individuals when establishing schedules.

Further contact with the NRC during the process will help keep the regulator

apprised of OPPD's criteria for prioritization.

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DATE WHEN FULL COMPLIANCE WILL BE ACHIEVED

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OPPD is currently in compliance with the Technical Specification requirements

in the area of fire protection.

OPPD recognizes the need for an improved corrective action program.

We believe

that the proposed initiatives in the areas of communication and interaction

with the NRC Resident Inspectors, will result in a significant improvement in

OPPD's corrective action program.

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