ML20202J344
| ML20202J344 | |
| Person / Time | |
|---|---|
| Site: | Comanche Peak  |
| Issue date: | 01/27/1986 |
| From: | Dubois Q TEXAS UTILITIES ELECTRIC CO. (TU ELECTRIC) |
| To: | |
| Shared Package | |
| ML20202J051 | List:
|
| References | |
| DAP-17, NUDOCS 8607170063 | |
| Download: ML20202J344 (15) | |
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TITLE CORRECTIVE ACTIONS NUMBER DAP-17 L
Revision _ Prepared Date Reviewed Date Approved Date f I*h c illilg 2yk -
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f TABLE OF CONTENTS i
Section Pooe -
Cove r Shee t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Tab le of Conten t s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I.I I.0 P URP OSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l i
2.0 SCOPE..................................................... I 3.0 DEFINITIONS AND RESPONSIBILITIES . . . . . . . . . . . . . . . . . . . . . . . . . I 4.0 INSTR UC TI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5.0 DOCUMENTATI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 ATTACHMENTS A CORRE CTIVE ACTION REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-l i
B CAR LOG ................................................ B-1 '
C OBSERVATION .............................................
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, COMANCFE PEAK RESPONSE TEAM - DESIGN ADEQUACY PROCEDURE Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I I
O V) l.0 PURPOSE This procedure establishes the requirements for the correction of failures to comply with CPRT requirements os expressed in the Program Plan and SRT policy directives and DAP requirements os expressed in the Design Adequocy Plon, associated Action Plans, and the DAP procedures. In addition, this procedure provides a mechanism for documenting Observations of Conditions which do not represent a violation of program or procedure requirements, but which if corrected would enhance the overall efficiency or effectiveness of ongoing activities.
2.0 SCOPE This procedure opplies to all failures to comply with CPRT/DAP requirements .
and to observations for improved effectiveness.
I 3.0 DEFINITIONS AND RESPONSIBILITIES D
3.1 Definitions 3.1.1 Corrective Action Report l
The Corrective Action Report (CAR) is the document used to record information concerning any discrepont condition requiring corrective action. The CAR form l Is Attochment A to this procedure.
3.1.2 Nonconformance A nonconformance is on isolated discrepont condition.
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i COMANCE PEAK RESPONSE TEAM - DESIGN ADEQUACY PROCEDURE !
l Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I V 3.1.3 Systematic Deficiencies Systematic deficiencies are non-isolated discrepont conditions and may include unsatisfoetory trends in the quality of DAP work, deficiencies in the written DAP procedures, and failures involving multiple related nonconformances.
3.l.4 Observation A condition which does not represent a violation of program or procedure requirements, but which, if corrected, would enhance the overall effectiveness '
g and efficiency of ongoing octivities. Observations are documented using Attochment C to this procedure.
3.2 Responsibilities -
3.2.1 Auditor O Personnel conducting audits of the DAP in occordance with DAP-16 are responsible for documenting discrepont conditions on CARS and Observations on Observation Forms. The DAP Quality Assurance Monoger may function as on ouditor.
b 3.2.2 DAP Quality Assurance Monoger The DAP Quality Assurance Monoger reviews CARS and Observations and issues them for action. He maintains the CAR Log. The DAP Quality Assurance.
Monoger may delegate the distribution of CARS and Observations or the maintenance of the CAR Log to others.
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. COMANCFE PEAK RESPONSE TEAM - DESIGN ADEQUACY PROCEDURE Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I b 3.2.3 Discipline Coordinators Discipline Coordinators are responsible for responding to CARS and Observations that are sent to them.
4.0 INSTRUCTION The need for corrective action may result from on evoluotion of procedural deficiencies, and defects discovered in DAP deliverables, or ongoing DAP work.
Needs for corrective action may also arise from the results of oudit findings and -
reviews of nonconformance or quality trends. When the need for corrective action is identified, the adverse condition shall be documented on a Corrective Action Report (CAR), Attochment A. In general this will be done by a DAP ouditor, but may be done by others who find or are notified of discrepont .
conditions, in general Observations will result from DAP oudit octivities, although they may be issued whenever it is appropriate. Observations shall be d p, documented on the Observation Form, Attochment C.
U 4.1 issuonee The originator of the CAR shall designate the discrepont condition as either o "Nonconformance" or os a " Systematic Deficiency." Observations shall be originated as such on the Observation Form.
1 The originator shall complete the "To" space with the name of the person to whom the CAR or Observation is to be issued. He shall describe the discrepont l
condition, or observation noting the opplicable requirements, os oppropriate, and l may provide guidance or o recommended course of oction for correcting the deficiency. After completing the required information, the originator shall sign l
the CAR or Observation and forward it to the DAP Quality Assurance Monoger. lb l
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COMANCFE PEAK RESPONSE TEAM - DESIGN ADEQUACY PROCEDURE Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I O The DAP Quality Assurance Monoger shall review the CAR or Observation to ensure that the condition is correctly designated as a Nonconformance, o Systematic Deficiency or on Observation and that the recommended oction is sufficient. He (or his designee) shall assign a control number, per Section 4.5.1, dating the CAR or Observation with the current date os date of issue, and entering the CAR or Observation on the CAR Log (Attochment B). He shall g
ossign a date (usually no more than 30 days in the future) by which response to CARS is due. The assignment of a response date shall indicate the DAP Quality Assurance Monoger's concurrence with the report. The CAR or Observation will then be issued and released for distribution. "
4.2 Distribution The CAR or Observation shall be issued to the Discipline Coordinator responsible
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for specifying and implementing corrective action as given in the "To" space of the form. A copy of all CARS and Observations shall also be distributed to the originator, DAP Monoger and the Review Team Leoder.
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The Discipline Coordinator to whom the CAR or Observation is issued shall respond by the date indicated. b 4.3.1 Cause of Deficiency (Systematic Deficiencies only)
For all CARS designated as a " Systematic Deficiency," the condition shall be investigated and the cause of its occurrence shall be described. The stated cause shall be sufficient to have produced the condition.
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. COMANCFE PEAK RESPONSE TEAM - DESIC4 ADEQUACY PROCEDURE Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I 4.3.2 Action to Correct Deficiency The Discipline Coordinator shall indicate those measures to be taken to correct ,
the observed condition. If he believes the discrepont condition should be i accepted as-is, he shall present the reasons for this resolution in this section.
t For Systematic Deficiencies involving a trend of nonconformances or a break-down in the system likely to produce multiple nonconformances, consideration should be given to the impact on the quality of products if instances similar to those already detected were left uncorrected. If appropriate, measures shall be <
set forth in this section of the CAR for locating and correcting those items.
4.3.3 Action to Prevent Recurrence (Systematic Deficiencies only)
For all CARS designated as a " Systematic Deficiency," the Discipline Coord-
! inator shall indicate the measures to be taken to prevent similar conditions from occurring in the future. This usually involves oddressing and erodicating the cause of the initial condition.
4.3.4 Scheduled Completion Date f The Discipline Coordinator shall indicate the date by which the corrective action discussed above will be completed (CARS only). He shall then sign and date his l response and return the CAR or Observation to the DAP Quality Assurance ld j Monoger with copies sent to the DAP Monager and the Review Team Leader.
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COMANCPE PEAK RESPONSE TEAM - DESIGN ADEQUACY PROCEDURE Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I
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4.4 Follow-up
- 4.4.1 Review of Proposed Action i
Once a response is received, the proposed corrective action shall be carefully considered by the DAP Quality Assurance Manager or his designee. The review shall ensure that the proposed corrective oction is timely and odequate.
For a Systematic Deficiency, the cause shall be reviewed to ensure that the generic cause hos been identified and that the stated cause is sufficient to have
- produced the condition. The proposed corrective action shall further be reviewed to assure that it precludes recurrence of similar conditions adverse to i quality.
The DAP Quality Assurance Manager shall indicate his concurrence by signing 4
and dating the CAR in the " Concurrence with Proposed Action" space provided.
Any concerns about the adequacy of the response shall be resolved with the Discipline Coordinator prior to sign-off.
j Responses to Observations shall be occepted by the Originator.
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1 4.4.2 Audit Verification (CARS only) t The DAP Quality Assurance Monoger shall determine what follow-up oction is I necessary for verification that the corrective action has been completed. Audit l verification shall be mode within two months from the date of CAR issue. Upon l
i verification that the corrective action is accomplished, the auditor will sign and date the " Closed By" space and describe how implementation was verified including the evidence reviewed. Where two m.nths is not sufficient to close the
( Item, a new CAR is issued that includes the reasons for the delay in the close out.
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COMANCE PEAK RESPONSE TEAM - DESIGN ADEQUACY PROCEDURE Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I s
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\'} 4.4.3 DAP Quality Assurance Monoger Review The DAP Quality Assurance Manager shall indicate his concurrence with the closing of the CAR by signing and dating of the bottom of the CAR. All comments on the contents and execution of the CAR shall be resolved prior to sign-off.
4.4.4 Observation Originator Review The Originator of Observations shall indicate his acceptance of the response to the Observation Form. The Originator shall then forward the Observation to the k
DAP Quality Assurance Monoger.
4.5 Nonresponsive CARS '
in the case of problems involving lock of responsiveness or inability to obtain O' odequate and timely corrective action, the DAP Quality Assurance Monoger shall refer the problem to the Review Team Leoder for resolution. The DAP Quality Assurance Manager shall be informed in writing of the resolution that is reached.
5.0 DOCUMENTATION 5.1 Distribution The DAP Quality Assurance Monoger shall distribute copies of the completed CAR or Observation to the individuals indicated in the "To" ond " Distribution" spaces, os oppropriate. He shall file the original in the CAR file or Observation file and update the CAR Log with the date closed and any comments, as applicable. The CAR file, Observation file and CAR log shall be molntained within the DAP files assembled in occordance with DAP 14.
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, C7MANCE PEAK RESPONSE TEAM - DESIGN ADEQUACY PROCEDURE Number: DAP-17
Title:
CORRECTIVE ACTIONS Revision: I i
5.2 CAR Loa in order to ensure the timely execution of Corrective Action Reports, the DAP Guality Assurance Monoger shall maintain a CAR Log (Attachment B) of all CARS generated within the DAP. Observations shall otso be trocked via the CAR Log (Attochment B). b 5.3 CAR Number Eoch CAR shall be assigned a unique control number from the CAR Log consisting using the following format: -
l DAP-CA-GA-XXX Sequential Numbers Each Observation shall be assigned a unique number from the CAR Log consisting of the following format:
DAP-OB-QA-XXX b i
Sequential Numbers 5.4 Loa Maintenance The DAP Quality Assurance Monoger is responsible for maintaining the log up-to-date by routine entry of the required information. He reviews the log at least monthly to assure that the CARS are being executed on schedule and brings to the ottention of the responsible parties ony CARS that are overdue, or otherwise takes appropriate action.
5.5 Loa Distribution The DAP Quality Assurance Manager shall distribute the CAR Log, on a quarterly basis, to the Review Team Leoder for his review and signature.
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ATTACHMENT A
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CORRECTIVE ACTION REPORT Titly D AP.C A-Q A. l J
D NONCOPFORMANCE Projoc, CPSES Design Adeavoey Progrom
' DISCIPLIFE D 5YSTEMATec DEFICIENCY l
t O i RESPONSC DJL:
e The following condition is brought to your ettention for corrective action.
o Ploose complete the applicable sections of the ae:ond block below. I usTR:
o Return to the DAP Quality Assurance Manager by the dote specified
% Due".
(SIERVATION APO REOVlREMENT5:
RECommE*OED ACTION (OpTIONAth RIPORTED BY: DATE:
CAU5E OF DEriCIENCY (COMPLETE F "5YSTEMATsc DEriCIENCY*)
t0N TO CORRECT DEriCIENCY:
l ACTION T0 PREVENT RECURRENCE (COMPLETE F "5YSTEMATIC DEFICIENCY *)
I SC*EDULED Com*LET10N DATE: PROPOSED BY: DATE:
CC>dCURRENCE wtTM PROP 05ED ACTION NAME TITLE DaTE FOLL0wuPs CLOSED BY DA T1 004Lffy ASSURANCE MANAGER:
DaTE DAP.17, Rev. I A-l TENT.RA h CORPORGON TN-85-6262/17
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, ATTACHMENT C OBSERVATION NO. DAP-OB-QA-Audit Report No.
To:
Title:
Project: CPSES Design Adequacy Program During the course of the above audit, o condition was observed which does not represent a violation of program or procedure requirements, but which if corrected would enhance the overall efficiency or effectiveness of ongoing octivities. Please evoluste this observation, respond with a description of the actions token (or to be token), if any. -
. Description of Condition:
Recommendation:
Issued by: Date:
Response (including oction token or to be token, if any):
l Respondee: Date:
Closed by: Date:
DAP-17, Rev. I t
TN-85-6262/17 C-l
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