ML20149J238
| ML20149J238 | |
| Person / Time | |
|---|---|
| Site: | 07100102 |
| Issue date: | 07/21/1997 |
| From: | Frizell M, Moran G, Weber P SOURCE PRODUCTION & EQUIPMENT CO., INC. |
| To: | |
| Shared Package | |
| ML20149J226 | List: |
| References | |
| 97-01, 97-1, NUDOCS 9707280127 | |
| Download: ML20149J238 (4) | |
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l MATRIX OF ASSIGNMENTS AND CORRECTIVE ACTIONS Revisi :n (5), July 21,1997 l
l Corrective Action Implementation Plan - Phase I SPEC QA Procedure 97-01, Rev (0)
Phrse I l
QA Procedure 97-01, Phase I of Reference Assign Date Corrective Action Implementation Plan.
To Completed 01A Establish an Implementation Plan Oversight Team (Team) consisting of QA 97-01, Dicharry 7/14/97 the President, Team L.eader, Vice President, General Manager, QA 4.1.1 Manager, Production Manager, Engineering Manager, and Special Projects Manager.
02A Conduct Team daily meetings during Phase I with written agendas &
QA 97-01, Dicharry In-Progress minutes. Per; 7/21' discussion w/NRCy FAX, meeting slautes.
4.1.2 Weber 03A Transfer all non-QA activities and functions to other departments.
QA 97-01,4.2 Weber 7/15/97 04A Employ Dr. Roy A. Parker to prepare for a versight of fabrication related QA 97-01 Dicharry 7/15-QA activities during Phase II per QA 97-01. Per; 7/21'disenssion No. 4.3 w/NRC-Review;of fabrication records to, include.veriflestion,ths.t SPEC-150 D,U shleid Certifieste of Conformance has_beespeceived from vendor (part.icularly, forthe 90+ fabricated;150s lellteek)?f 05A Implement Corrective Actions per Attachment A to the Plan.
QA 97-01 Team 7/18 i
See list of completed corrective actions below.
No. 4.4 06A Develop retraining schedule, syllabas, handouts and written exam QA 97-01, Dicharry 7/15 questions for NRC Part 21 & 71 Regs. QA Program, QA Procedures,18 4.5; Moran 7/15 Chapters. Conduct retraining and examination of all personnel with QA Training Plan, Frizell 7/16 related functions. Evaluate and document results. Place documentation in Rev (0).
appropriate personnel files.2 Per. 7/21 dis.c.ussion w/NRC3SPECto FAX ersms, exam report and attendance record.
07A Resume limited fabrication upon NRC authorization.
QA 97-01 Dicharry Pending No. 4.6 NRC Auth 08A Report compi'. tion of Phase I to NRC. Request authority to resume QA 97-01 Dicharry 7/l8 fabricatica and distribution activities.
No. 4.7 j;)
V I
7!d//77 Reviewed By:
(S du -h ///
Date:
Mike Friiell,1f5 Manager d
/
7/2//37 Reviewed By: / bd&
Date:
Pete Weber, General Manager Date: 7f11 b Reviewed By:
(
\\
l' G
r' Vichesident Approved By:
Date:
8 R. D. (Donny) Dichja, President 9707200127 970721
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PDR Assignments & Corrective Action Matrix Page I of 3 Filenanw: CA-List.(5)
Revision (5), July 21.1997
Phrsa I Correctiva Actions to SPEC Audit Firdings Riftrenca Assign D:te and NRC Inspection Observations.
To Completed ISA Revise the drawing control procedure to make each traveler part of the Audit Report, Frier 7/18/97 assembly instructions for a specific drawing. Mandate that whenever a Me drawing or traveler is revised the complementary document be revised at 20.b the same time. Subject travelers to the same change authorization procedures as drawings. Control the distribution of travelers in the same manner as drawings.
16A Review all existing travelers by production and engineering to verify they Audit Report, Joslyn 7/18 construct the current revision level for that item.
21.b 17A Revise the drawing control procedure to make each traveler part of the Audit Report, Frier 7/18 i
assembly instructions for a specific drawing. Mandate that whenever a 21.b drawing or traveler is revised the complementary document be revised at the same time. Subject travelers to the same change authorization procedures as drawings. Control the distribution of travelers in the same manner as drawings (see 21a).
18A Initiate travelers only when actual work on the particulur items begins.
Audit Report, Weber 7/18 Remove all existing travelers from the shop floor. Mandate the 28.d production manager is the only individual to initiate travelers and only after QA approval. See 20 b.
19A Production department representatives will review and revise each NRC Joslyn 7/18 traveler as needed to ensure each traveler is relevant and up to date.
7/17/a7l'y Travelers will be checked by Engineering and QA.
7/10/97,#4 20A Compare all existing sketches against the drawings that control the Audit Report, Frier 7/18 configuntion. Revise the drawings if necessary. Remove the reference E
to the sketch on the traveler and reference the drawing. Sketches will be 20.d eliminated from SPEC. Controlled drawings will replace sketches.
21A Rename form ICL-149 to QA 7.8. Revise the form to correct problems.
Audit Report, Frizell 7/18 20.e 22A Retrain the QA instructors to forward the in process survey report (QA Audit Report, Frizell 7/17 form 11.3) to the QA manager after conducting the survey. The survey is 20.f not complete until the survey is approved. This step may be added to traveler 150008 to insure compliance.
23A No apparent process whereby " preliminary" status is removed from NRC Frier 7/17 drawings? Complete the in-progress revisions to the Engineeting Change 6/19/97 Revised Request and Engindng Change Nc: ice procedures. [7/17 QA 1.10].
- 6 24A The caliper calibration procedure will be reviewed and revised as needed.
NRC Mike F 7/15 All calipers will be removed from service until proven that they are in 7/17/?7, "3 Templet proper calibration and marked accordingly. Fixtures and jigs will be re-7/10/97,#3 calibrated. QA personnel will be retrained.
25A Surveys / survey instrument - No calibration procedure. The procedure NRC Weber 7/18 has been revised and will be reviewed further prior to the next survey of 6/19/97 Type B Packages. SPEC employees will be re-trained in the purpose and
- 1 scope of procedures.
Assignments & Corrective Action Matrix Page 2 of 3 Filename: CA-List.(5)
Revision (5), July 21,1997
Cerrective Actio s to SPEC Atdit Findi:gs Refer:nc2 Assign D:te end NRC Inspectio2 Observ:tioIs.
To Compl:ted 26A Revise the original drawing. Collect and destroy all existing redline Audit Report, Weber 7/17 change drawings 150008-2. Reevaluate the drawing control procedure to 20.g Frier determine its adequacy in controlling red line changes. Rewrite the l
procedure as necessary. Investigate the possibility of eliminating red ime changes.
27A Search all files to locate the certificates of compliance. Either create a file Audit Report, Guess 7/18 specifically for certificates of compliance or make copies of each 20.h Joslyn applicabic certificate of compliance and file it with each package's master file. Revise traveler 150008 to include a step specifying what is to be done with the certificate of compliance.
28A Inspection of all controlled drawing books to verify that the current Audit Report, Templet 7/18 drawing is present. Create a document distribution procedure.
21.a Frizell 29A Audit all existing drawing books against the originals on file for similar Audit Report, Templet 7/18 occurrences. Investigate and implem nt a new drawing distribution 27.a Frizell procedure. See 21 A.
30A SPEC will institute a stand-down for the purpose of retraining all QA, NRC Dicharry 7/16 fabrication, and fabrication-related employees.
6/19/97 Moran 7/17
- 2 Frizell 3IA A control will be placed on orders for parts manufactured in-house NRC Frizell 7/18 requiring a signature by a Quality Assurance Inspector prior to 6/19/97 fabrication. By signing, the Quality Assurance inspector certifies that the
- 3 drawing is approved and current.
32A Inspect existing parts with engraving against the drawing for parts prior to Audit Report, Thompson 7/18 engraving.
21.c 33A QA signoffs, missing signatures. The QA manual will be revised to NRC Weber 7/18 require the QA manager's approval signature to assure completeness of 6/19/97 all package fabrication and inspection records prior to filing. Create a
- 5 hold area for records pending approval signature. Periodically audit tu verify compliance.
34A Non conforming material will be separated in a QA controlled, locked NRC Weber 7/l7 area. All in-process work will be reviewed and tagged properly.
7/10 "7, !! 6 7/10/97,# 6 35A All implementation Team members will audit individual QA functions on NRC Dicharry 7/17 a random basis throughout the nonnal course of business. The audit 7/10,"7,p3
[ audits to observations will be recorded. A procedure will be established and 7/10/97,# 8 start in pocket audit record pads used for" walk through" spot audits.
Phase 11]
36A Revise the QA Manual to specify that prototype package drawings will be NRC Weber 7/17 End created in accordance with the same procedures that apply to production 6/19/97 drawings.
- 4 Assignments & Corrective Action Matrix Page 3 of 3 Filename: CA-List.(5)
Revision (5), July 21,1997
l
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QUALITY ASSURANCE SPOT AUDIT PROCEDURE QA 18.1 i
i Revision (0) i 1
l PURPOSE The Spot Audit procedure is a method to conduct unplanned, unscheduled audits'ofir dividual QA function an on-going basis. The specific goal of spot audits is to identify weaknesses in the QA gstem on a continuo basis. The main goal of the spot audit program is to elevate the a'wareness and appreciation ora quali j.
at alllevels in the organization.
SCOPE t
i Spot Audits are conducted by the President, Vice President, General Manager, QA Manager, and al i
managers and supervisors. The audits apply to all QA controlled functions and all QA related personnel. The audits are intended to be limited to a single function unless an observation is significant enough to warran further investigation at that time. There is no specific frequency of audits required. They are intended to b informal and quick. The auditor has the responsibility to be objective and impartial.
e PROCEDURE i
1.
He auditor selects an auditee to observe an individual QA controlled function on a first-hand basis (i.e., fabricatie QA inspection, etc). De selection may be random and unplanned (i.e., during a routine walk through) yet should f work activities and chronic weaknesses. Audits should take a little as seconds, and only a few minutes at most, to con i
i 2.
Record the audit observations on audit report form QA 18.2. Auditors are encouraged, butnot required, to ca j
audit forms on a regular basis. The observations should include verification ofconformani:c, suspected non-con L
(violations of QA requirements) and other information that might be useful to improve the QA system.
i 3.
Auditors shall submit audit reports to the QA Manager on a weekly basis unless an observation is significant or p j
significant to safety. Significant observations must be reported to the QA Manager, or other Senior Managemen j
immediately, if the QA Manager and all Senior Management personnel are unavailable the auditor shall consider and determine whether or not to issue a STOP WORK order for the specific observation in question.
1 4.
The QA Manager shall review all potentially significant observations immediately. De QA Manager shall review observations at least monthly. The QA Manager must determine if an observation is a " finding"(a non-conformance current QA requirements). This may include interviews with the auditor or auditee. The QA Manager should inform the auditee of the results as soon as reasonable.
S.
If an observation is determined to be a finding, the QA Manager must conduct an analysis to address the followingI happened? (b) What was the cause? (c) What should be done to fix the immediate problem? and (d) What should be to prevent recurrence?
6.
De QA Manager shall initiate corrective action, as needed, to address 5.c and 5.d (above). The schedule for the corrective action should be commensurate with the nature and degree of significance of the finding.
7.
He QA Manager shall maintain a log of all findings and approved corrective actions, hcluding the open and close-out da 8.
' The QA Manager shall submit a summary report of the findings and corrective actions to the Genera! Manager and Pre{
in January and July each year. The summary reports will be used to develop the plans for internal and independent a QA Procedure 18.1 -
Revision (0) spot Audit Procedure July 17,1997 -
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