IR 05000346/1986002

Insp Rept 50-346/86-02 on 860107-10 & 27-31.No Violation or Deviation Noted.Major Areas Inspected:Licensee Actions on Previous Insp Findings

ML20153B959
Person / Time
Site:	Davis Besse
Issue date:	02/14/1986
From:	Choules N, Hawkins F NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20153B953	List: IR 05000346/1986002 ML20153B951
References
50-346-86-02, 50-346-86-2, NUDOCS 8602180210
Download: ML20153B959 (7)

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U.S.' NUCLEAR REGULATORY COMMISSION REGION III'

Report No. 50-346/86002(DRS)

Docket No. 50-346 License No. NPF-3 Licensee: Toledo Edison Company Edison, Plaza, 300 Madison Avenue

. Toledo, OH 43652 Facility Name: Davis-Besse 1 Inspection At: Oak Harbor, OH Inspection Coaducted: January 7-10 and 27-31,1986 Inspector:

\ ...h N[C.lhoules 2./I 4 / 8(,

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Date

Approved By: F.I C. Hawkins, Chief 2 /14 / 86, Quality Assurance Programs Section Date '

Inspection Summary Inspection on January 7-10 and 27-31, 1986 (Report No. 50-346/86002(DRS))

-Areas Inspected: Routine, announced-inspection by one regional inspector of licensee actions on previous inspection findings. The inspection involved

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64 inspector-hours 'onsit Results: Of the 32 findings reviewed, 16 were closed. .No new violations or deviations were identifie ,

8602180210 860214 PDR ADOCK 05000346 G PDR

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DETAILS-

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1. Persons Contacted Toledo Edison Company L.? Storz, Plant Manager .

• S. Smith, Assistant Plant Manager, Maintenance

• J. Helle, Director, Nuclear Facility Engineering

• M. Stewart, Nuclear Training Director

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L*L. Ramsett, Quality Assurance (QA) Director

• J. Moyer, Operation QA' Supervisor (Audits)

• R. Cook Acting Compliance Supervisor

• J. Lietzow, Nuclear Licensing Specialist C._ Daft, Operations QA Manager USNRC

• W.. Rogers, Senior Resident Inspector D. Kosloff, Resident Inspector Other personnel were_ contacted as a matter of routine during the inspectio * Denotes those attending the exit interview on January 31, 198 . Licensee _ Action on Previ_o_u_s Inspection Findings (Closed) Open Item (346/84009-03): The equipment out of service tagging procedure required revision. The licensee had revised tagging procedure No. AD 183.00, " Safety Tagging Procedure," to make it easier to understand and to require identification of the equipment position on the tag and tagout lo (0 pen) Open Item (346/84009-04): Lack of equipment failure history and trending program. The licensee is utilizing the Davis-Besse Maintenance Managewent System (DBMMS) computer to store completed Maintenance Work Orders (MWO). This system provides a history of equipment failures, but a trending program utilizing the information has not been implemented. This item will remain open pending implementation of a trending progra (0 pen) Open Item (346/84009-05): Excessive backlog of MW0s. A large number of MW0s have been initiated as a result of the June 9, 1985, event and a significant number have been closed. At the time of this inspection, because the backlog was in a state of flux, it-was difficult to make an assessment of its actual size. This item will remain open pending further review during a subsequent inspectio . .

d. (Closed) Open Item 346/84009-06: Procedures lacked hold points to perform visual inspection of the reactor vessel for foreign debris prior to installing the upper reactor internals and the reactor head. Procedures No. SP 1504.01, " Reactor Vessel Closure Head Removal and Replacement," and No. SP 1504-01~, " Reactor Internals Removal and Replacement" had been revised to include hold points for foreign debris inspection e. (Closed) Open Item (346/84009-11): Markup of control room drawings to reflect facility changes pending issuance of revised drawings. The licensee had implemented a program requiring that control room drawings, changed by a facility change, are revised to incorporate the as-built changes within 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br /> of the completion of a facility chang f. (0 pen) Open Item (346/84009-13): Backlog of facility change requests (FCRs) and drawing change notices (DCN's) and a large number of installed junpers. There are currently 226 FCRs in closecut, 339 are being implemented and 544 are either in development by engineering or being evaluated for future work. This represents an increase from the backlog reported in Inspection Report 50-346/85007. The increase is primarily attributed to the June 9, 1985, loss of feedwater even Only four DCNs associated with three FCRs and four drawings had been l cutstanding for more than 90 days. This represents a substantial improvement in updating drawings. Regarding the jumpers, there were

~32 that remained in place at the time of this inspection that were installed prior to the June 9 event. Of these, 15 are planned to be removed prior to startup. This open item will remain open pending further revie (0 pen) Violation (346/84009-17): Significant backlog of noncon-formance reports (NCRs). In January 1985, there were 28 open NCRs written prior to 1984. As of January 8, 1986,.16 of these NCRs remained open. The licensee indicated that they are attempting to close these out prior to startup. This item will remain open pending resolution of the backlo (Closed) Open Item (346/84009-24): A procedure for the coordinated use of record identifiers had not been developed. The licensee had prepared and successfully implemented procedure No. NTD-Oll,

" Training Records," for the control of record . (0 pen) Open Item (346/84009-25): A formal training program for engineers had not been developed. A Tech / Staff / Engineering Initial Orientation Proposal Program is being formulated. This program is scheduled for INP0 accreditation by December 1986. This item will remain open pending formulation and accreditation of the progra (Closed) Open Item (346/84009-26): A QA awareness training program had not been developed. The licensee has developed and implemented a QA awareness trair.ing progra _

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k. (0 pen) Unresolved Item (346/84019-05): Procurement and Purchasing department procedures were weak. The licensee is in the process of writing generic- procedures which are applicable to all department The procedures are referred to as " Nuclear Mission Wide Procedures."

This item will remain open pending review of these procedures when they are complete . (Closed) Violation (346/85001-01): Failure of the Safety Review Board (SRB) to review temporary procedure modifications. Review of the temporary procedure modification log indicates that the SRB is reviewing temporary procedure modifications as required by the Technical Specification '

m. (0 pen) Violation (346/85001-02): Procedures were not provided for the calibration of instrumentation to verify compliance with the Technical Specifications and for the calibration of measuring and test equipment (M&TE). The licensee has identified approximately 600 instrumentation calibration procedures that are required to be written which will be used to verify compliance with the Technical Specifications. Also, the need for approximately 125 additional calibration procedures for M&TE has been identified. The licensee is in the process of preparing these procedures and expects to complete their effort by the end of 1986. This item will remain open pending completion of the procedure (Closed) Violation (346/85001-03): Use of an unapproved maintenance instruction (MI-71) to perfom maintenance. MI-71 has been converted to an approved maintenance instruction. Other mis have either been voided or converted to approved procedure (Closed) Violation (346/85001-04): Inadequate work instructions on maintenance work orders (MW0s). The inspector verified that proce-dures No. AD 1844.00, " Conduct of Maintenance" and No. AD 1844.02,

" Control of Work (MW0)," had been revised to provide improved guidance. Also, review of several recently completed MW0s showed improvement in the instructions provided on MW0 . (Closed) Violation (346/85005-01): Failure to followup on overdue vendor audit finding report (AFRs) responses. Interviews indicated that auditors had been trained on.their responsibilities to followup when vendor AFR responses are overdue. Review of AFR records indicated that auditors were following up on AFR responses when they were overdu (Closed) Violation (346/85005-02): Failure to take timely corrective action on deviation reports (DVR's). In January 1985 there were 43 open DVRs which had been identified prior to 1984. In January 1986 there were 22 open DVRs which had been identified prior to 198 This reduction in number represents improvement. Following the l closeout of DVRs has recently been assigned to the Technical Support Group, reporting to the Plant Manager. The inspector noted that the group has aggressive plans and attitudes for the closecut of DVR b

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. .. (Closed) Open Item (346/85007-01): Lack of controls to ensure procurement quality requirements are updated on the-computer and in procedures when they are changed. Further review of this item indicated that Procurement Quality Assurance Instruction Section 2,

" Procurement Document Control," contained appropriate instructions for the control of procurement quality requirement (0 pen) Open Item (346/85007-02): Material upgrade packages did not contain the basis for conclusions reached on upgrades of material from nonsafety-related to safety-related. The inspector reviewed eight material upgrades. Improvements can be made in providing

'the basis for conclusions. This item will be reviewed again after more updates have been completed, (Closed) Open Item (346/85007-03):- Resolution of observations related to procurement in the 1984 annual assessment of the licensee's QA program. The licensee response to'the observations and corrective actions were reviewed. The observations were adequately addresse (Closed) Open Item (346/85007-04): Procedure QCI 3070 required revision to be consistent with the Nuclear Quality Assurance Manual

. (NQAM) regarding preparation of receiving inspection checklist QCI'3070 has been revised to require Nuclear Facility Engineering Department approval of checklists prepared by Quality Engineerin This is consistent with the NQAM. _ ~ (0 pen)UnresolvedItem(346/85007-05): No preventive maintenance program (PM) existed for non-stock equipment. This item was identified by -the licensee in a QA audit and an audit finding report (AFR)wasissued. During this inspection, the licensee was preparing a PM program. Two items remained to be accomplished to closeout the AFR: the identification of PMs by Maintenance of equipment on a list provided by the warehouse supervisor and the establishment of a system by NFED to have the vendor identify PMs on new equipmen This item will remain open pending completion of these items and closecut of the AF (0 pen) Unresolved Item (346/85007-06): Resolution of open audit findings 1327-2, 4, 5, and 6 regarding material traceability and control. Adequate corrective action on audit findings 1327-2, 4 and 5 had been completed. Audit finding 1327-6, on traceability of materials on maintenance work orders (MW0s), remained open. This item will remain open pending resolution of audit finding 1327- (0 pen) Open Item (346/85007-07): Lack of a design data base. Review of this item indicated the licensee had design data base information; however, it was not in a fann that was easy to use. A program is under way to develop system design basis documents and is planned for completion by December 31, 1986. This item will remain open until system design basis documents have been prepare ..,. (0 pen) Open item (346/85007-08): Operability test of MSIV solenoids did not ensure that each solenoid was functional. The licensee had developed procedure No. ST 5031.20, " Main Steam Isolation Valve Response Time Test," which tests each MSIV actuation train. This test requires all solenoids in the train to be functional to pass the test. This item will remain open pending observed implementation of the procedur (0 pen) Open Item (346/85007-09): Problems in capturing records in records management as identified in the licensee's Audit No. 1327 and the 1984 QA Program Assesstent. AFR 1327-4 dealt with the legibility *

of material issue tickets (MITs). This item has been resolve Improvement has been made in the quality of MITs and the MIT is routed to the Records Management Department where a copy is made to ensure the record is captured. Recentrendations from the QA Program Assessment are being addressed as part of the licensee's reorgani-zation of the records system. This item will remain open pending completion of this reorganizatio a (Closed) Open Item (346/85007-16): QA audits of core physics area had not been performed. The licensee performed Audit No. 1394 in the fuel management and core physics area in May 1985. No audit findings were issued. The licensee enlarged the audit matrix so that more areas would be looked at during the next audit when the reactor core had accumulated more operating histor b (Closed)OpenItem(346/85007-11): Adequacy of QA trending reports sent to the Corporate Nuclear Review Board (CNRB). The QA department was sending trending reports to the CNRB monthly until recently. They now submit them quarterly. Review of the reports indicated they provided adequate trend informatio c (0 pen) Open Item (346/85007-12): Lack of effective audit report overview by CNRB. The inspector reviewed August 30, 1985, and October 30, 1985, CNRB neeting minutes which indicated audit reports were being reviewed. To further enhance the review of audit reports, the CNRB plans to form an audit subconsittee. This item will remain open pending formation of the audit subconmittee and review of its activitie d (Closed) Violation (346/85012-01): Failure to follow procedures related to documenting completion of work activities and staying at a crane with a load suspended. Interviews indicated that maintenance foremen were aware of their responsibility to have wurk procedures at the jcbsite and steps signed off as they are completed. Interviews with crane operators indicated they had been trained on the requirement not to leave a crane when a load is suspended from i e (0 pen) Unresolved Item (346/85012-02): Meggaring procedure No. 1401.36 specified neither prerequisites before comencing work nor restoration of equipment requirenents after completion of wor e:

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Procedure 1401.36 had been revised; however, review-of the procedure indicated that it was not adequate. The licensee is reviewing the adequacy of.the procedure and will make revisions as-necessary. This item will remain open pending completion of the review and revision of the procedur ff. L(0 pen) Open Item (346/85012-03): A procedure for the control of lubricants was needed. The licensee' plans to prepare a procedure, but it has not been completed. This item will remain open pending preparation of the procedur . Exit Interview -

'The inspector met with licensee representatives (denoted in Paragraph 1)

on January 31, 1986, and summarized the purpose, scope and findings of the inspectio ~

On February 6, 1986, the inspector discussed with Mr. R. Cook by telephone the likely informational content of the inspection report with regard to. documents or processes reviewed by the inspector during the inspectio Mr. Cook did not identify any such documents or processes as-proprietar .

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