ML20203P369

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Insp Repts 50-327/86-12 & 50-328/86-12 on 860210-14. Violation noted:19 Preoperational Test Record Packages Being Kept by Preoperational Test Unit Did Not Meet ANSI N45.2.9, Section 5 Requirements for Proper Record Storage
ML20203P369
Person / Time
Site: Sequoyah  Tennessee Valley Authority icon.png
Issue date: 04/21/1986
From: Belisle G, Julian C, Mcneil S, Runyan M, Walenga C
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20203P355 List:
References
50-327-86-12, 50-328-86-12, NUDOCS 8605070072
Download: ML20203P369 (26)


See also: IR 05000327/1986012

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UNITED STATES y

/jn3 Kf 44'o NUCLEAR REGULATORY COMMISSION

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g' ,j ' 101 MARIETTA STREET, N.W,'_

  • ~t ATLANT A, GEORGI A 30323
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Report Nos.: 150-327/86-12.and 50-328/86-12'

Licensee: Tennessee Valley Authority -

6N 38A' Lookout Place

-1101-Market Street

Chattanooga, TN 37402-2801

Docket Nos.: 50-327 and 50-328 License Nos.: DPR-77 and DPR-79

racility Name: Sequoyah 1 and 2

Inspection Conducted: February 10-14, 1986

Inspectors: /'

G. A. Belisle'si

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Date Signed

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S. A."McNeil ' t Date Signed

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M. F. Runyan [ Date Signed

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C. G. Walenga s

Date Signed

Approved by: Ch 4/Z //d/>

Date Sfgned

-C. A. .:uliart/ 8 ranch Chief

Divisian of Reactor Safety

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SUMMARY

- Scope: This spet tal, unannounced inspection entailed 133 inspector-hours at

corporate officer and on site in the area of quality assurance related

consnitments and ,oals delineated in the Corporate Nuclear Performance Plan,

the Sequoyah Nuciear Performance Plan, and Division of Quality Assurance (DQA)

personnel performance.

- Results: One violation was identified - Inadequate Record Controls.

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REPORT DETAILS

1. Persons Contacted

Licensee Employees

Corporate Offices in Chattanooga

W. Andrews, Operations Quality Assurance (QA) Branch Manager

P. Border, Head, Browns Ferry Plant Evaluation Group

C. Chmielewski, Nuclear. Engineer, Nuclear Safety Staff

  • J. Huston, Deputy Director, Division of Quality Assurance (DQA)
  • R. Kelly, Director, DQA

. G. Killian -Branch Chief, Quality Audit Branch

R. Large, Quality Analysts (Training)

D. McCloud, Supervisor, Licensing Support Group

L. McCloud, Head, Watts Bar Plant Evaluation Group

R. Moore, Head, Sequoyah Plant' Evaluation Group

  • R. Mullin, DQA

B. Roberts, Nuclear Engineer, Nuclear Safety Staff

C. Stinson, Supervisor, Quality Programs Training Unit

Sequoyah and Sequoyah Training Center

  • H. Abercrombie, Sequoyah Site Director
  • L. Alexander, Mechanical Supervisor, Modifications

J. Anderson, Quality Control (QC) Supervisor

W. Baker, Fire Protection Engineer

  • R. Birchell, Compliance
  • C. ' Brimer, Site Services Manager

D. Cowart, Supervisor, Quality Surveillance

M. Crane, Supervisor, Materials Unit

D. Craven, Supervisor, QA Staff

T. Frizzell, Supervisor, QA Training Section

M. Hall, Acting Support Services Supervisor

  • J. Hamilton, Supervisor, Quality Engineering and Control Group
  • G. Kirk, Compliance Supervisor
  • S. Littrell, Environmental Qualification (EQ) Coordinator

R. Manley, Acting Supervisor, Planning and Scheduling

R. Merring, Acting Section Supervisor, Engineering Training

  • R. Mooney, Supervisor, Systems Engineering Section

J. Naik, Supplemental Resources Manager, Modifications

  • R. Olson, Modifications Manager

J. Owenby, Supervisor, Office of Engineering (OE)

  • B. Patterson, Supervisor, Instrument Maintenance Section

M. Rinehart, Maintenance Planner

R. Rudman, Project Control Supervisor

L. Sain, Assistant Branch Chief, Training Branch

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  • M. Sedlacik, Modifications Supervisor

J. Staley, Power Stores Supervisor

C.' Stutz,-Quality Engineer, QA

J. Traffanstedt, General Foreman

J. Walker, Modifications Scheduling Supervisor, Planning and Scheduling

  • P. Wallace, Plant Manager

-J. Wheeler, Supervisor, Maintenance Scheduling

D. Widner, Modifications

A. Varner, Engineer, Quality Engineering and Control Group

J. Vineyard, Project Manager, OE

Other licensee employees contacted included technicians and office

personnel.

NRC Resident Inspectors

K. Jenison, Senior Resident Inspector

-L. Watson,-Resident Inspector

P. Harmon, Resident Inspector

  • Attended exit interview

2. Exit Interview

The inspection scope and findings were suumarized on February 14, 1986, at

the corporate- offices and on site with those perst:ns indicated in the

paragraphs above. The inspector described the areas inspected and discussed

in detail the inspection findings listed below. No dissenting coments were

received from the licensee.

Violation - Inadequate Record Controls, paragraph 8.

The licensee did not. identify as proprietary any of the materials provided

to or reviewed by the inspectors during this inspection.

.3. Licensee Action on Previous Enforcement Matters

This subject was not addressed in the inspection.

4. Unresolved Items.

Unresolved items were not identified during the inspection.

5. -Quality Assurance Review (General Background)

In correspondence dated September 17, 1985, the Executive Director of

Operations for the NRC notified the Chairman of the Board of Directors of

TVA that previous Systematic Assessment of Licensee Performance (SALP)

indicated significant and continuing weaknesses in TVA performance. General

areas of concern were also identified for which specific actions were

required to be addressed by TVA in their response to this letter.

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In correspondence dated December 1,1985, TVA responded to the September 17,

1985, request. This information was submitted as two volumes, the Corporate

Nuclear Performance Plan (Volume 1) and the Sequoyah Nuclear Performance

Plan (Volume 2).

In correspondence dated December 23, 1985, TVA stated that Volume 1 and 2

would be revised to reflect TVA's decision not to decentralize the QA

organization. TVA further stated that Volume 3, related to Browns Ferry,

would be submitted by February 17, 1986, and a Watts Bar Volume was under

consideration but a submittal date had not been established.

In correspondence dated February 4,1986, TVA stated that Volume 1 was being

reevaluated and based on this reevaluation Volume 1 was being rewritten . A

newly revised Volume 1 would be submitted at a later date.

This inspection reviewed 13 QA related items from Volume 1, DQA personnel

performance, and 24 QA related items fron Volume 2. The inspection results L

are discussed in the following paragraphs.

6. Inspection Items from Volume 1, Corporate Nuclear Performance Plan

a. Licensee and QA Functions were Elevated to a Direct Reporting

Relationship to the Office of Manager, Power and Engineering (P&E),

Paragraph 2.2.2.1(9)(1).

The licensee organization charts contained in the TVA Topical Report

(TVA-TR75-1A), Quality Assurance Program Description for Design,

Construction, and Operation of TVA Nuclear Power Plants, Revision 8,

identifies that DQA reports to the Office of Nuclear Power (NUC-PR)

which reports to the Manager of Power and Engineering. Revision 8 was

submitted to the NRC on September 7, 1984, and approved after certain

clarifications, on April 9,1985. Since April 1985, several changes

have occurred within DQA and NUC-PR. In correspondence dated

December 9, 1985, TVA requested a delay in submitting TVA-TR75-1A,

Revision 9, until May 1, 1986. This request was approved by the NRC on

January 13, 1986. Since January 1986, additional organizational

changes have been made within TVA. The inspectors reviewed draft

organizational charts which delineated that the Director of Nuclear

Quality Assurance reports to the Manager, Office of Nuclear Power. As

previously stated, Volume 1 is undergoing revision and Revision 9 to

TVA-TR75-1A has been delayed. Consequently, until these documents .can

be reviewed and TVA's organizational structure stabilizes, an

assessment could not be made in this specific area.

b. Manager QA Will Provide Corporate Oversight of QA Functions,

Decentralize to the Sites, and Strengthen Corporate Management in

Assurance of Quality, Paragraph 2.2.2.1.(9)(b).

Due to organizational changes, Volume I resubmittal, and TVA-TR75-1A,

Revision 9, transmittal delays, an assessment could not be made in this

area.

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c.- Corporate Team Headed by Manager, P&E, Whose First Priority Will be to

Establish Clear Duties, -Responsibilities, and Authority for Each

Organization. QA Manager is a Member of this Team, Paragraph

2.2.2.1(10).

In a memorandum (A02 860130 047) dated January 30, 1986, the Manager of

Nuclear Power directed the Office of Nuclear Power Managers to prepare

Responsibility and Accountability Profiles (RAPS). This is intended to

establish and maintain clear lines of responsibility, authority, and

accountability within TVA's nuclear organization. The RAPS are to be

used as the basis for realizing the functions and reorganization,

upgrading the job description system, and ultimately for evaluating the

performance of employees assigned to these positions. These RAPS are

scheduled to be completed for all management positions (M-1 to M-12) no

later than February 27, 1986. The inspectors interviewed selected DQA

as well as Office of Nuclear Power personnel and were informed that

RAPS were being written as required by the memorandum,

d. QA Training for Managers and Other Employees, Paragraph

2.2.2.2.(13)(g).

The Quality Training Group is comprised of the QC Training Section and

the QA Training Section. The QC Training Section has been functioning

for several years. The QA Training Section consists of a Quality

Programs- Training Unit (QPTU), an Audit and Surveillance Training Unit

(ASTU), and a Codes and Standards Training Unit (CSTU). The QA

Training Section Supervisor position was filled on February 3,1986.

The QPTU and CSTU supervisors had been previously filled. Recruiting

was underway for the ASTU Supervisor.

The inspector conducted discussions with the Supervisor, QA Training

Section and the Quality Analyst (training). During these discussions,

the inspector was informed that QA training had been incorporated into

ongoing training for managers. This training involved a one week

course in the following topics: plant specific codes and standards

(for Watts Bar and Sequoyah), Nuclear Plant Reliability Data System

(NPRDS), functions of the NRC, NRC regulations, identification and use

of regulatory guides, and QA/QC. This course was conducted in

November 1985, for four Sequoyah management personnel and was being

integrated into the Managers and Engineers Certification training.

Personnel previously undergoing manager training are also required to

participate in annual requalification. This is a two week course and

is scheduled to begin in March 1986. Two days are scheduled for

refresher courses in regulatory requirements. A total of ten Sequoyah

personnel and four Watts Bar personnel are scheduled for this

requalification training.

Additional QA training is being formulated to be included in General

Employee Training and specific discipline training.

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e. Indicators to Monitor Plant Performance. Quality Problem Isolation

Timeliness. Each Plant's Performance Will be Monitored at Monthly Top

Management (HTM) Meetings, Paragraph 2.2.2.5.

The inspectors reviewed MTM meeting agendas dated August 28, 1985;

September 9, 1985; October 25, 1985; November 15, 1985; January 3,

1986; and January 24, 1986. Typical personnel attending these meetings

included the DQA Director, Nuclear Unit Site Directors, Watts Bar

Project Manager, Office of Construction and Engineering Managers, and

the Nuclear Services Director. Each person was allotted time to

present key performance indicator charts and top priority potentially

significant safety issues. An attachment to the August 28 meeting

agenda presents guidelines for performance indicator charts. These

guidelines also state that presentations should include charts and

focus on data related to Licensee Event Reports / 10 CFR 50.55(e)

Reports, Corrective Action Reports (CARS), Conditions Adverse to

Quality (CAQs), personnel errors, unplanned scrams, audit findings,

NSRS recommendations, INP0 recommendations, and NRC violations.

Additional time was also allotted for special reports. The inspectors

concluded that these meetings appear to be more information status

oriented than performance oriented. During discussions with the Chief,

Nuclear Safety Staff, the inspectors were informed that MTM meetings

had been temporarily suspended by the Manager of Nuclear Power.

f. Integrated Comitment Tracking System, Escalation of QA Findings,

Paragraph 3.1 (page 3-3).

The Verification and Improvement Administration System (VIAS), a

computerized data base, will eventually provide TVA with an excellent

tool to manage the tracking and closure of identified conditions

adverse to quality. Currently, the information concerning QA

deficiencies in VIAS is incomplete in that the VIAS data base could not

be relied upon to provide all information relevant to deficiencies

that were found in the deficiency document packages. Some coments were

inserted without associated dates for the inputs. The use of internal

coments, which would have been useful in maintaining a complete

picture of closure activities, was very limited. All of the above

resulted in a system that presently leaves the reviewer without an

adequate picture of the chronological events leading up to the deficiency

closure for many of the deficiencies.

g. Sequoyah Will Have Full Implementation of Tracking NRC Commitments,

Paragraph 3.1 (page 3-5 and 3-6).

The Nuclear Licensing Staff (NLS) is tasked with the implementation of

the Corporate Commitment Tracking System (CCTS). According to a NLS

engineer in charge of the implementation of the CCTS, Sequoyah and

Watts Bar have completed a review of all NRC commitments and have had

the open commitments added to the CCTS. However, a procedure had not

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been drafted for the implementation of the CCTS and the use of TVA's QA

organization to conduct independent closure verification has not been

finalized. According to a NLS engineer, any closure of an NRC

comitment requires the NLS to receive written confirmation from the

NRC of its closure before the CCTS will be changed to indicate the

closure. Due to the planned revision to the TVA Corporate Performance

Plan, plans to finalize the whole CCTS program are being delayed,

h. Escalation of .QA Audit Findings, DQAI-104 Will Control Escalation

Policy, Paragraph 3.3 (page 3-8).

A review was conducted of TVA's QA corporate program to escalate the

closure of QA audit deviations in accordance with DQAI-104, Escalation

of Responsibility for Deviation Corrective Action, Revision 0, dated

9/25/85. Procedure DQAl-104 appears administratively adequate and is

being implemented. The effectiveness of the escalation program based

on the audit deviations reviewed appears to be weak for the following

reasons:

(1) QA verification followup, after scheduled comitment dates are

reached, is not timely in some instances, thus allowing further

delays before the failure to complete the corrective action is

identified.

Examples for 1:

QBF-A-84-0013-02 Comitment Date 12/31/85; Verification 1/28/86

QBF-A-84-0014-02 Commitment Date 12/31/85; Verification 1/24/86

QSQ-A-85-0001-01 Comitment Date 12/27/85; Verification 1/22/86

(2) The Director, DQA, does not have to act immediately to obtain

appropriate corrective action to escalated deviations if, in his

consideration, the deviation is not severe or important to the QA

program, licensee commitments, or safe operation. (Reference:

Section 6.5 of DQAI-104). The Director is permitted to delay

discussion on the item with line management until the next

scheduled quarterly meeting. Based on the items reviewed, Section 6.5 of

DQAI-104 produces another delay factor in obtaining corrective

action resolution from line management.

Examples for 2:

QBF-A-85-0015-01 Escalated 12/13/85; no further action noted.

QBL-A-85-0002-01 Escalated 11/22/85; no further action noted.

QBF-A-85-0008-01 Escalated 11/22/85; no further action noted.

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QBF-A-83-0207-04 Draft memo written on 6/11/85 but as of 1/9/86

memo never sent. Finally 2/6/86 an escalation

memo released.

QSQ-A-84-0014-02 Issued 11/2/84, escalated 10/9/85, finally on

1/29/86 a commitment date of 4/15/86 was

accepted through escalation process.

By allowing these delays, it implies that commitment dates are not

important. The last deficiency has been delayed to the point

that allowing two or three additional months appears

inappropriate.

(3) The use of the terms immediately, timely, and promptly are not

well defined and, as such, add confusion in reaching the

resolution of deficiencies by allowing individual interpretation

of the terms.

Examples for 3:

QBF-A-84-0013-2 Section 6.6 of DQAI-104 apparently applies as

of 1/29/86 but no memo to the Manager of

Nuclear Power has been found to have been

drafted.

QBF-A-85-0004-02, Section 6.6 of DQAI-104 apparently applies due

-03, -06 -07 to the changing of scheduled completion dates

since the Director, QA can only accept one

completion date due to an escalation. No memo

to Manager of Nuclear Power has been

considered though apparently required as late

as 12/31/85.

QBF-A-85-0009-01 Escalation memo issued 1/21/86 but QA engineer

initiated the escalation process on 12/18/85.

QSS-A-84-0018-01 Per VIAS, a second escalation to the Director,

QA had been done, the first, 8/21/85 and, the

second, 11/1/85. The second escalation

apparently should have been to the Manager of

Nuclear Power.

QSS-A-84-0016-03 Escalation memo issued on 2/7/86, yet on

1/17/86 escalation action was initiated.

QSS-A-84-0020-01 Records show that an undated memo to escalate

the deviation to the Manager of Nuclear Power

was drafted but never issued. However, there

now exists another escalation to the Director,

QA. New escalation memo dated 2/11/86 but

1/14/86 was date when verification was

completed.

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Conclusion

DQAI-104 appears adequate if DA management and line management would

require and take prompt action on item resolution. Prompt action

should imply that action is completed within a short period of time

such as within one week of initiation. When entering the escalation

phase, the Director, DQA needs to ensure that actions required by

DQA are completed in a timely manner.

List of QA Deviations Reviewed

Deviation No. Date Escalation Date(s)

OSS-A-81-0006-01 1/28/82 2/21/85

QBF-A-84-0013-02 7/13/84 6/6/85

QBF-A-84-0014-02 8/24/84 2/11/86

QBF-A-85-0004-02 4/5/85 5/31/85

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QBF-A-85-0009-01 7/3/85 1/21/86-

QBF-A-85-0014-04 8/15/85 1/16/86

QBF-A-85-0015-01 8/23/85 12/13/85

QSS-A-84-0018-01 10/5/84 11/1/85

QBL-A-85-0002-01 5/22/85 11/22/85

QBF-A-85-0008-01 4/1/85 11/22/85

QSS-A-85-0015-07 9/13/85 10/31/85

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QBF-A-85-0016-02 10/18/85 2/11/86

QSS-A-84-0016-03 8/24/84 11/26/85

QSS-A-84-0020-01 10/16/84 2/11/86

QBF-A-83-0207-04 6/23/84 2/6/86

QSS-A-85-0003-16 11/23/84 1/21/86

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Deviation No. Date Escalation Date(s)

QSQ-A-84-0014-02 11/2/84 10/9/85

QSQ-A-84-0014-03 11/2/84 10/9/85

QSQ-A-85-0001-01 1/16/85 9/11/85

QSQ-A-85-0008-01 6/27/85 1/29/86

QSS-A-84-0011-02 8/9/84 2/11/86

QSS-A-85-0006-03 3/22/85 1/17/86

QWB-A-85-0014-05 6/27/85 2/11/86

1. Office of Engineering (0E) and Office of Construction (0C) Procedures

to Formalize Escalation Process, Paragraph 3.3 (page 3-9) and Uniform

and Cohesive Method Needed throughout P&E for Escalating Unresolved QA

Problems. Policy Directive By December 31, 1985, Paragraph 3.3 (page

3-11).

In a memorandum (L20 851224 986) dated December 27, 1985, from the

Manager of Power and Engineering to those listed, a policy regarding

escalation of responsibility for resolving Conditions Adverse to

Quality (CAQs) was discussed. Basically this memorandum requires the

Nuclear Safety Board, OE, OC, all sites, and DQA to submit implementing

procedures for resolving CAQs to DQA for review by January 31, 1986.

(DQA's procedure, DQAI-104 was issued September 25, 1985). The DQA

review of these procedures was scheduled to be completed by

February 14, 1986. The inspectors reviewed these draft procedures and

noted that DQA had made some substantive coments.

All groups were scheduled to implement these procedures by March 15,

1986, and they were to be fully implemented (effective) by April 1,

1986.

TVA has not yet implemented improved escalation programs for most

organizations within TVA. However, draft procedures have been written

and reviewed. The finalization and subsequent implementation has been

scheduled for March 15 and April 1,1985, respectively. Administra-

tively the procedures appear adequate. The effectiver.ess of implemen-

tation cannot be determined at this time.

Documents reviewed:

QMS-P 65.07, OE Procedure for Escalation of QA Program Deficiencies

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, OC QABP 3.2, Deviation Reports, Management Requests, and Stop Work ,

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Orders, Revision 1

! OESP 7.6, Reporting and Disposition of Deviations, Revision 0

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Memo R. J. Mullin to K. W. Whitt, February 4, 1986, Subject:

Applicability of the Office of Nuclear Power (0P) Policy on the

Escalation'of Conditions Adverse to Quality.

Policy Statement of H. G. Parris, Manager of P&E, dated December 27,

1985, Policy Regarding Escalation of Responsibility for Resolving

Conditions Adverse to Quality

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TVA Nuclear Performance Plan Volume 1 Corporate (November 1,1985)

j. Revision of Topical Report, Revision 9 Will Define QA Program

This revision is not scheduled to be submitted for NRC review and

approval until May 1, 1986. Discussions with DQA personnel identified

that TVA may request an extension to this date.

k. Managers, P&E Will Issue Directions and Monitor (Through DQA) the Site

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Program Through Overview Audits of OE and OC, Paragraph 3.3 (page

3-10).

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The DQA reorganization and overview of the site program through

overview audits of OE and OC was cancelled.

i 1. Assign QA Site Representatives to Site Director and Submit  %

Organizational Changes to the NRC, Paragraph 5 (page 5-2 Items 12 & 14)

This reorganization of QA to put audit personnel on site has been

cancelled. ,

m. Readiness Review of QA Will be Conducted Prior to Restart and Quarterly

Meetings Between Site Director and QA Manager, Paragraph 6.1 (page 6.1

, - 38).

i A memorandum (A02 851113 016) from the Site Director, Watts Bar, to the

, Manager of Power and Engineering (Nuclear) dated November 14, 1985,

states the results of an operational readiness review conducted at

Sequoyah Nuclear Plant during the week of October 28, 1985. As stated

in the memorandum, the object was to perform an independent assessment

of the self-evaluation and the resulting efforts initiated by Sequoyah

. site management in preparation for returning the units to service. The

review concentrated on the following six primary areas; management

goals and objectives, management structure, quality assurance and

management control, radiological emergency planning, regulatory

performance operation activities, and maintenance. This review

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identified areas requiring improvement, areas having significant

strengths, and two items requiring correction prior to restart. These

two . items involved training for the Shif t Technical Advisor in the

Safety Parameter Display System and review of outstanding

preoperational test open items and a determination made that their

status does not constitute an unreviewed safety question.

Quarterly meetings between the Site Director and the QA Manager have

been ongoing. This was determined by direct questioning of QA

personnel.

7 .- DQA Personnel Performance

The inspector conducted interviews with Seqas <>a QA personnel and corporate

DQA personnel relative to problem identificac on and closure. All personnel

interviewed stated that once an item has been identified by the various

established mechanisms (site personnel identify items by Discrepancy Reports

(DRs) or Corrective Action Reports (CARS) and audit persnnnel identify items

by audit findings), then the item can only be closed by verification of

corrective action. All personnel interviewed stated that they could not

recollect where items were closed without verification of corrective

actions. Corporate DQA personnel perform audits of corrective actions as

required by DQA procedures. Audit findings have been identified where site

QA personnel misclassified findings as DRs when by procedure they should

have been CARS. One example was identified at Browns Ferry. Examples of

misclassification were not identified at Watts Bar. Corrective actions have

been taken by site personnel to prevent recurrence of this problem.

. Site management has set goals to reduce the number of findings identified by

site QA personnel and DQA personnel. These goals indicate that site

management hopes to improve site operations; however, neither site QA

personnel nor DQA personnel feel restricted by these goals and categorically

stated that problems, if found, would be identified.

8. Inspector Items From Volume 2, Sequoyah Nuclear Performance Plan (SNPP)

a. Five Goals: Management Controls /QA, Introduction (page 4) >

The five goals delineated in the introduction pertaining to management

controls and quality assurance are general statements which encompass

all of the remaining items inspected and, as such, were not ,

individually verified. These goals remain as long term objectives

toward which, based on the specific inspection items described below,

some progress has been made, but for which, additional work remains to

be completed.

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b. EQ Binders Subjected to Management or QC Review, Section 1 (page 3)

The quality review of EQ binders was conducted at TVA-Knoxville as a

combined effort of TVA and its EQ consultant, Westec, prior to delivery

of the binders to Sequoyah. A member of the TVA QA staff participated

in the review. No further assessment could be made in this area.

c. Timely Responses for Deficiencies, Section 3-1.1.5 (page 4)

The goal of assigning responsibility to a specific supervisor for

responses to deficiencies has not yet been realized, though some

progress has been made. A January 30, 1986, letter (LP 6N 38A-C) from

S. A. White, Manager of Nuclear Power, to the Office of Nuclear

Managers delineated a formal system for generating responsibility and

accountability profiles for each manager. This general action may be

perceived as a first step to solving a long term problem at TVA of a

lack of accountability for internal deficiencies.

d. Additional Staffing, Section 3-2.4.2(a) (page 12)

The licensee states in section 3-2.4.2(a), 3-4.11.1, and 3-4.11.2(c)

that the root cause of poor performance of modifications and the outstanding

nadifications backlog was due to use of too many craftsmen of limited

experience in the performance of the modifications. This overload of

craftsmen constrained the ability of personnel to properly and

cohesively perform modifications, especially in the constricted work

areas found in the plant. The licensee decided that the quality and

control of modification work being performed could be significantly

improved by reducing the total number of craftsmen working on a

modification, by improving the ratio of supervisors to craftsmen, and

by closing, consolidating, or cancelling over 30 percent of the proposed

workplans (those apparently lacking any safety significance).

The inspector identified that the licensee had indeed reduced the

number of craftsmen from a total of 1150 to less than 250 permanent

employees during nonoutage periods and had made provisions to augment

the staff to approximately 400 craftsmen during outages. The

additional personnel were generally hired for the duration of the

outage. Also, the inspector verified that the licensee had reduced the

total number of work plans by over 30 percent.

Due to the large scope and limited time provided for this inspection,

the safety significance of the cancelled workplans and the effects of

the staff reductions on the quality and control of plant modifications

could not be evaluated.

e. Plant Modifications, Section 3-2.4.2.(b) (page 13)

The licensee stated that to improve planning modifications, a goal

would be set to hire six implementation estimators by January 1986.

These estimators would be used to improve front-end decision making and

.

.

13

planning for major modifications. Additionally, the scheduling of

major modifications would be based on an improved estimate of

implementation requirements resulting in a more realistic modification

schedule.

The inspector determined that only three out of six of the

implementation estimator positions were filled (two permanent employees

and one contract employee). The other three positions were not

scheduled to be filled due to changes being made to the job selection

criteria. Additionally, the licensee had not issued the procedure for

performing modification estimates though it had been craf ted in

August 1985 and distributed for comment in September 1985.

The scheduling of modifications did not appear to be currently based on

these " improved estimates" as the licensee was undergoing severe

scheduling perturbations, generally subjugating all previously planned

modifications to upcoming environmental qualifications work.

f. SR0 Assigned to QC, Section 3-2.4.5(a) (page 16)

The licensee stated that an SR0 would be assigned to the QA Staff. The

inspector determined that an SR0 was assigned to the plant Quality

Surveillance Section on August 19, 1985. Additionally, adequate

provisions had been made to periodically rotate this SR0 into line

operations positions for short periods to permit the maintenance of an

active license. However, official plans have not been developed to

permit the continuation of this program past the initial one year

assignment.

g. QA Staff Hiring Expertise, Section 3-2.4.5(b) (page 16)

The inspector identified that the licensee's past QA surveillance staff

hiring practices were consistent with 3-2.4.5(b) in that they did place

some emphasis on previous experience and expertise in hiring personnel.

Additional personnel have not been hired for the surveillance section

since that time.

h. QA Training for QC, Attachment ES-1.3

A document entitled Quality Control and Nondestructive Examination

On-the-Job Training Manual was issued June 17, 1985, based on the

guidelines of INP0 TQ-501, Development and Implementation of On-the-Job

Training. The training manual divides QC inspectors into three groups

- electrical, and instrumentation and control; mechanical-

nondestructive examination; and mechanical-civil. The format of the

manual is question / answer and signoffs of performance factors.

Sequoyah has started this program informally but is awaiting

confirmation from the corporate staff prior to formal implementation.

l

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14 ,

,

1. Training Managers and Engineers, Attachment 2.3.2

'

The Managers and Engineers Pressurized Water Reactor (PWR)

Certification Training Program was started in 1981 and to date four

classes have been completed. A fifth class comprising eight students

'

is -in progress. The inspector reviewed the revised training manual

entitled Managers and Engineers Certification Training Program,

Revision 1, dated November 30, 1985, and interviewed several personnel

.

.who; had completed at least some portion of the training. All evidence

i suggested that this has been a high quality training program.

j. Training QA/QC Personnel, Attachment 2.4.3

This statement of the training status of selected key personnel is

t still accurate. Continued training will be provided on a priority and

availability basis. ,

'

i- k. Reduce Tiering of Procedures (QA/QC Procedures), Section 3-3.2.3 (page

22)

The inspector determined that the reduction of tiering in plant QA/QC i

procedures as described in 3- 3.2.3(c) has been negligible. The L

L licensee asserts that a large-scale revision project is being con-

sidered, though start or completion dates have not apparently been

established.

1. Management Appraisal System, Section 3-3.3.3 (page 25)

This statement that the rating and pay of managers will depend on [

performance against plant objectives beginning in 1986 is slightly

misleading in that this rating system had been in place prior to 1986, t

e However, it has been reemphasized and formalized for use this year.

i SQA-129, Objectives in Plant Operation, Revision 5, dated January 2,

1986, expands and upgrades the annual statement of goals for each

! management level position. The rating and pay of managers will now be

e

affected to a larger extent by performance against factors delineated

in SQA-129.

m. Plant.QA Goals - Monthly Report, Section 3-3.4.1 (page 27)

i

! The inspector verified that the Monthly Report is being developed and -

disseminated by the licensee in order to formally trend plant goals

against the performance of each plant organizational unit.

n.- Increased Surveillance Activity, Section 3-3.4.2 (page 27)

< In November 1984,-the QA staff employed three surveillance inspectors.

Since then two have left and five have been hired, making a total of

. six. Of the new hirees, three were selected from line organizations

(Operations, Chemistry, Instrument and Control) and two from QC.

l

. , . _ - . _ . . _ - , _ _ _ _ . . _ . _ _ . , _ _ , , _ . _ . _ _ . . . , _ . _ . _ . . , _ , . _ _ _ _ . _ . _ _ . . , , _ _ . _ . _ _ _ _ . . _ . . _ . _ . . _ . . _ _ _

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15

The inspector reviewed the training manual for the new observation

training program. Introduction to Observation Training, Revision 1,

issued October 24, 1985, was written by the corporate staff and

contains a twelve page lesson plan plus appendices. Training is

scheduled to begin in the near future.

Only one management review guideline has been written since the

issuance of the SNPP. The guideline for post maintenance testing was

issued December 26, 1985. Thirty-five guidelines have been developed

to date with fifty-one scheduled for future development.

o. Corrective Action, Section 3-3.5 (page 27)

Daily staff meetings are held each workday at 8:15 a.m. The Plant

Manager meets with key plant managers each Wednesday at 11:00 a.m. The

plant QA Supervisor meets with the Site Director on a monthly basis as

stated.

The Nuclear Safety Monthly Top Management (MTM) meetings for February

and March have been cancelled apparently due to the perception that

they have not been productive. This is also discussed in paragraph

6.e. A letter (LP 6N 37A-C) from C. C. Mason, Deputy Manager of

Nuclear Power, dated February 4,1986, states that further direction

regarding periodic reporting of performance indicators will be included

in the Policy and Directives Manual.

Quarterly corrective action meetings were held June 18, 1985,

September 19, 1985, and January 28, 1986, the latter meeting delayed

presumably due to the holiday vacation season. Minutes from these

meetings describe what appears to be a serious appraisal of the status

of Corrective Action Reports (CAR) and other tracking vehicles.

A new procedure was developed which requires the automatic escalation

of deviations to higher levels of management when timeliness is

inadequate. The inspector reviewed DQAl-104, Escalation of

Responsibility for Deviation Corrective Action, Revision 0, issued

September 25, 1985. This procedure is discussed in paragraph 6.h.

Managers have been instructed on an informal basis to become more

involved in working level activities of their organization. Imple-

mentation of this goal was not assessed during this inspection. The

Site Manager's goals for management's corrective action performance

is delineated in procedure SQA-129 as discussed in paragraph 8.1. The

policy goal of arranging meetings between the Site Manager and/or the

Plant Manager with employees responsible for NRC violations is familiar

to the Compliance Supervisor but such a meeting has not as yet been

arranged.

As a result of the general actions described, TVA claimed that the

average age of CARS is trending downward. However, this can be a

misleading statistic. If several new CARS are opened in a short period

k

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16

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of time, the average age decreases without an accompanying effort to

close out old CARS. QA staff personnel indicated that a different

performance factor may be considered.

Sequoyah has encountered problems with the handling of nonconformance

reports (NCR) involving multiple organizations. SQA-118. Handling of

Nonconformance Reports or Conditions Adverse to Quality Received from

Office of Engineering, Revision 6, was issued October 7, 1985.

Attachment 1 to this procedure was revised to include an immediate

assessment of the safety significance of the deficiency to ensure that

it is properly prioritized. Another procedure change was made to OE

Procedure OEP-17, Corrective Action, Revision 2, to require interface

coordination between the OE and the site. Revisions were made to

OEP-17 as stated in the SNPP to require prompt notification of either

the Site Director or plant operations management for NCRs which involve

an immediate operability problem. Attachment 5 to OEP-17 was revised

to require a generic condition elicited by NRC to be translated into a

Problem Identification Report (PIR) or Significant Condition Report

(SCR) in two weeks. This effort should improve the timeliness of the f'

review of NCRs for applicability to other TVA nuclear plants. *

A recent site QA survey was conducted to assess compliance with the new.

NCR procedural controls. Survey 21-85-P-014, Compliance Visits, s

Audits, and Inspections, was issued October 7, 1985, and did not

identify deficiencies in this area. J

Training was conducted for OE personnel and others affected on the

proper disposition of SCRs. The inspector reviewed attendance. sheets

which indicated that three li hour training sessions were held

October 17, 1985, at Sequoyah. This date met the commitment made in

the SNPP to complete this training no later than November 27, 1985.

Likewise, training for OE personnel on the revised OEP-17 procedure was

concluded by November 1985 as committed.

The inspector verified that the OE Quality Management Staff has

increased the depth and frequency of verification activities to monitor

OE compliance with procedural requirements regarding Condition Adverse .

to Quality (CAQ) reports. 01

p. Plant QA Staff, Section 3-3.6 (page 32)

The inspector determined that the following statements from the SNPP

were representative of the facts:

3-3.6.2 Involvement

The plant QA Staff is integrally involved in all aspects of

nuclear safety-related operations. For example:

(a) The QA Supervisor is a member of the Plant Operations

, Review Committee (PORC).

.

17

.

(b) All safety-related instructions, modification work

plans, and MRs receive a prework Plant QA Staff Review.

(c) The Plant QA Staff has free access to all records and

participates in meetings relevant to its activities.

Further inspector review of plant QA staffing identified that the

licensee was employing the number of QA staff personnel as described

in section 3-3.6.3 of the SNPP. The staff appears to Dossess the

knowledge and experience to adequately conduct the performance of it's

functions. Though licensee asserts in this section that additional

inspectors may be borrowed from other plants during outages, evidence

was not provided by the licensee regarding the use of additional

inspectors from other TVA plants, though the licensee was in an

extended outage and was performing extensive environmental

qualifications modifications.

An inspection of the licensee was performed regarding tfie following QA/QC

qualification goals provided in the SNPP:

3-3.6.4 Qualifications

(a) The qualifications of the staff continue to be upgraded.

Whenever possible, highly qualified line personnel are

considered for positions with the QA Staff to take

advantage of their valuable technical expertise. For

example, over the last year, the Surveillance Section

has hired experienced maintenance and chemistry

personnel, and an SR0 has been assigned to the section

on long-term loan.

(b) QC inspectors are required to successfully complete a

rigorous and formal training program involving classroom

lectures, structured laboratory exercises, and

on-the-job (0JT) training. The CJT portion of this

training is being restructured to meet INP0

recommendations. TVA plans to seek accreditation for

the QC inspector training program if INP0 provides for

such accreditation.

(c) Consideration is being given to the rotation of key

managers into line positions during the refueling

outages to increase their knowledge of plant systems and

of plant maintenance / modification activities.

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18

,

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The inspector identified the folicwing:

(1) The QA , Staff qualification upgrade program through hiring

individJals with expertise was stagnant. Qualified line personnel

had,not been placed in QA positions since the issuance of the SNPP

though there have been 3 QA Staff positions that have been vacant

the entire time. Additionally, no program exists to improve or

maintain the qualifications of current QA Staff members for

exatr91e, through refresher training.

(2) The formal training program consists of coursework at the -

licensee's training center, followed by selected 0JT exercises.

The qualifying inspector is not normally. required to perform all

of the 0JT qualification factors as thlicensee usually gives the

inspector credit for previous work expedience. The 0JT training

program was issued on June 17, 1985, prior to the issuance of the

performance plan.

(3) INP0 accreditation for this training progran apparently has. not

been actively pursued as' the licensee is curfently unaware whether

INP0 can provide such accreditation.

(4) QA/QC managers have not been placed in line positions during

outages. The licensee stated that this was due to the additional

QA/QC work load imposed.

l The inspector ' identified that the licensee's description of the QA

organization in section 3-3.6.5 was accurate at the time of the inspection.

q. Missed Surveillance, Section 3-4.6.3 (page 42)

The inspector verified that special performance of surveillance

instructions (SI) are stamped as stated in the text. A computer

program is used to schedule future surveillance tests and to compute

the next required date independent of performance dates unless the

previous performance was early. Unit 2 SI folders are color coded

,

green; Unit 1, red. The inspector reviewed several checksheets

involved in the review of less frequent sis. All sis of periodicity

one year or greater were reviewed, The checksheets implied a

comprehensive review. -

r. Modification Program, Sectto -4 (page 50)

The licensee asserted in section 3-4.11.1(c) that the Superintendent of

Operations and Engineering and the Superintendent of Maintenance were

each reviewing, approving, and prioritizing every proposed plant

change. 'Rc inspector reviewed the licensee's procedure governino

modifications approval AI-19 (Part III), Plant Modifications:

Modification Requests, Revision 12. The procedure did not require the

approval of both superintendents but either one. Additionally, the

inspector determined that these superintendents were assigning blocks

A

\

f

8 7 9

M__-.-._-.--__--_.-.-.-_----..---

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19

of days during which they desired the modifications to be performed,

whereas the engineers of the Planning and Scheduling Section were

actually assigning the priority (i.e., priority 1 through 9) to the

modifications proposed for each block.

The inspector determined that an engineering change notice (ECN) task

force (3-4.11.2(b)) was manned in August 1985 and assigned the function

of closing out the backlog of completed, but not closed ECNs. A

procedure MODL-A23 was issued on March 29, 1985 to provide guidance for

conducting t'ne closeout process. In October 1985 the task force was >

redirected to initially close only aspects of each ECN that were safety

related. This process is still continuing. Af ter all safety

significant aspects are complete, the task force is directed to

complete the closures of the backlogged ECNs.

Though the task force was assigned to close only the ECN backlog, all

ECNs that have been subsequently completed have also been assigned to

this group for closure rather than to the engineer responsible for the

ECN performing the closure. Consequently, the backlog of ECNs

requiring closure is increasing steadily, whereas very few ECNs have

been entirely closed by the task force as demonstrated below:

August 1985 December 1985 January 1986

Complete Modifications 785 834 886

Closed Modifications 206 224 224

The licensee asserts that the current backlog of ECNs should be

entirely closed out approximately 38 weeks to one year after unit

startup.

The inspector verified that the licensee's Project Engineering Group

was reviewing all major design changes and that the design engineers

had been relocated to the site to assist in correcting problems noted

with the pre-implementation review of design packages (5 4.11.3(a) and

(b)).

s. Post Modification Testing, Sections 3-4.12 and 3-4.14.3 (pages 51, 57)

The inspector reviewed the following licensee procedures to verify the

incorporation of planned improvements to the post modification

functional test program.

AI-7 Recorder Charts and Quality Assurance Records, Revision 37

AI-19 (Part IV), Plant Modifications: After Licensing,

Revision 13.

These procedures were found to have been appropriately revised to

clearly and succinctly reflect the desired guidance. However, these

procedures were revised to incorporate this guidance prior to the

issuance of the SNPP; AI-7 on April 19, 1985, and AI-9 on June 7, 1985.

__ ._, _ _ , _

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20

In 3-4.12 the licensee also took credit for self-appraised, significant

improvement in the adequacy of the post-modification functional tests

during the period of 1979 through 1985. The licensee especially noted

the improved adequacy of the functional test instructions for the

motor-operated valves (MOVs). But in inspection report 50-327/85-14

the NRC noted that "during the conduct of ... testing, the limitorque

motor tripped on overload as opposed to the torque switch as specified

in the procedure. Investigation ... determined that a jumper was

installed ... which prevented the torque switch from operating. This

jumper should have been removed during the performance of the work plan

... prior to turning the valve over ... for testing." This incident

necessitated the licensee's revision of the functional tests in order

to verify the correct wiring in the valves yet to be tested.

t. QC Training, Section 3-4.13.3(d) (page 55)

System orientation training was conducted for 21 QC inspectors between

June and August, 1985. This training is now part of the QC inspector

certification process. The inspector reviewed the course manual, Plant

Systems Training Module 1 SQN PWR Introduction, which appeared

adequate.

u. QA/QC Training, Section 3-4.13.6 (page 56)

A schedule had been generated describing a four week technical training

program for newly hired technical staff personnel. This training

program was scheduled to begin January 27, 1986, but was delayed when

the site could not release the scheduled personnel. The long term goal

is to hold ten classes within the next 18 months with approximately 20

students per class. The course is designed for personnel with a

college degree but will probably include non-degreed personnel from

time to time. A course manual has not been developed; however, the

inspector reviewed lesson plans which appeared adequate in scope.

v. Procurement, Section 3-4.20 (page 63)

With respect to the six specific statements made in the text, the

following was identified:

4.20.1 - A long range procurement training plan scheduled training

sessions from February through October 1985, covering the QA

procurement program, preparation of specifications, and Public Law

98-72. For various reasons, the schedule could not be met. To

date, two of the scheduled training sessions, for Modifications

and Plant Engineers have not been completed. The inspector

reviewed attendance records for various completed training

sessions.

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21

4.20.2 - Actions to streamline the procurement approval cycle have

included increasing the dollar amount certain supervisors can

approve without upper management concurrence and the elimination

of selected procurement document review requirements.

4.20.3 - Increasing the use of indefinite quantity term (IQT)

contracts has been an informal effort only; however, based on

lists of current IQT contracts provided to the inspector, it

appears that the use of IQT contracts is heavily emphasized.

4.20.4 - The most recent figures show that over the last six

months, emergency procurement requests comprised between 7 and 14

percent of the total procurement requests. A year ago, emergency

procurement requests comprised between 25 and 51 percent of the

total procurement requests.

'

4.20.5 - According to a Procurement Group Schedule and Plan,

various specific actions should take place by March 3,1986. The

,

first major step will be the transfer of OE procurement engineers

to the site, which is now scheduled to occur on February 17, 1986.

Other actions include various training sessions for the new

procurement engineers and the revision of affected procedures.

4.20.6 - The Central Office revised the Nuclear Quality Assurance

Manual (NQAM) Section 2.1, Procurement of Materials, Components,

Spare Parts, and Services, on December 23, 1985. Sequoyah is

therefore committed to implement this change by March 23, 1986,

and will do so by revising SQA-45, Quality Control of Materials

and Parts and Services, and AI-11, Receipt Inspection,

Nonconforming Items, QA Level / Description Changes and

Substitutions. These two revisions are currently in typing and

the connitment date should be met.

w. Measuring and Test Equipment (M&TE) Out of Tolerance, Section 3-6.1.1

(page 75)

The inspector reviewed the latest Monthly Progress Report on M&TE

Program letter dated January 16, 1986, which indicated that the average

time to complete evaluations of out-of-tolerance M&TE had decreased to

22.4 days. This letter and statistics provide positive evidence that

the licensee continued to address this problem after the initial

six-month reporting period expired in November 1985.

Within the SNPP review, one violation was identified. During the modification and

post modification testing review, the inspector also selected the following

preoperational tests for review:

,

, Test Unit Title

W-6.1B 2 SIS Accumulators and Related System

Performance Test

_ . _ _ . . . , _ _ , _ , , . . , . , _ _ _ _ . . . _ , , , _ _

. .- .- .. -- - -

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W-6.1D 2 SIS Safety Injection Pump and Related

Injection System Performance Test

-

W-6.1A3 2 SIS Integrated Check Valve Flow and

Integrity

W-6.1F 2 Integrated Engineering Safeguards

Actuation

W-6.2 2 Upper Head Injection System

W-8.1B 2 Reactor Protection System Operational

Time Response Test

W-8.5 2 Reactor Plant System Setpoint Verifi-

cation

W-9.1 2 Control Rod Drive Mechanism Timing

. W-10.1 2 Automatic Reactor Control Systems ,

W-10.2 2 Automatic Steam Generator Level Control

System

'

W-10.4 2 Initial Turbine Roll

'

W-10.5 1 Dynamic Automatic Steam Pump Control

System

W-11.1 2 Nuclear Instrumentation System

W-11.3 2 Incore Thermocouples and RTO Cross

Calibration

W-11.7 2 Calibration of Steam and Feed Water Flow

Instrumentation at Power

W-11.10 2 Reactor Startup Adjustments

W-11.10 1 Reactor Startup Adjustmen'.s

W-10.1 1 Automatic Reactor Control Systems

W-10.1 1 Automatic Steam level Generator Level

Control System

During the onsite inspection and in telephone conversations conducted with

licensee personnel on February 25, 26, and 27,1986, the inspector was

informed that all preoperational tests had been signed by the test director,

- . - - - - .- - ,_ - -

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several had been signed off by the NSSS supplier, Westinghouse, most had

been signed off by OE, and none were signed by the plant superintendent.

The lack of preoperational test review completion was identified by the

licensee as described in paragraph 6.m. above. Completion of the review

and approval of all preoperational tests was identified by the licensee as

an item requiring resolution prior to restart. NRC will follow up this

item as Inspector Follow-up Item 327, 328/86-12-02. Results of the

inspection and subsequent conversations is tabulated in the following:

Test Dir. Westinghouse OE

Test Signoff Signoff Signoff

W-6.1B (2) 12/17/80 12/19/80* 09/03/81

W-6.1D (2) 10/30/80 11/11/80* 08/03/81

W-6.1A3(2) 05/08/81 05/08/81* 01/13/86

W-6.1F(2) 07/10/81 07/09/81* 09/21/81

W-6.2 (2) 10/31/80 10/31/80* 12/12/83

,

W-8.18 (2) 06/05/81 06/11/81* 08/24/81

,

W-8.5 (2) 04/22/82 08/10/83 01/09/86

W-9.1 (2) 09/14/81 09/17/81* 02/26/82

W-10.1(2) 03/02/82 03/09/82* 01/08/86

.

W-10.2 (2) 03/26/82 08/16/83 01/13/86

W-10.4 (2) 12/30/81 12/31/81* 10/24/83

W-10.5 (1) 10/31/80 12/08/80* 02/05/81

W-11.1 (2) 05/15/81 05/28/81* 07/27/81

W-11.3 (2) 05/08/81 05/11/81* 09/10/81

W-11.7(2) 07/08/82 08/16/83 01/24/86

W-11.10(2) 02/17/84

W-11.10(1) 09/22/81 09/16/82 01/22/86

W-10.1 (1) 11/12/80 01/07/81* 02/12/81

W-10.2 (1) 12/24/80 02/31/81* 01/22/86

  • Indicates that document was forwarded to Westinghouse for review and

approval. As of the date of this inspection, no response has been

received.

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24

10 CFR 50, Appendix B, Criterion XVII, requires that sufficient records

shall be maintained to furnish evidence of activities affecting quality,

including the results of reviews, inspections and tests. Additionally,

records shall be identifiable and retrievable. The licensee shall establish

requirements for record retention including location.

TVA Topical Report, Table 17D-3 states that the licensee comits to

maintaining and controlling quality assurance records in accordance with

Regulatory Guide 1.88, (Revision 2), October 1976, Collection, Storage and

Maintenance of Nuclear Power Plant Quality Assurance Records. One exception

is stated in that the licensee is permitted to follow the fire protection

guidance of NFPA 232-1975 for Class 1 records or ANSI N45.2.9. When NFPA

232 is used, he must perform an annual worst case fire load surveys to

confirm the validity of the licensee's initial fire load analysis.

The inspectors performed a review of the licensee procedure AI-7, Recorder

Charts and Quality Assurance Records, Revision 37, the Nuclear Operations

Quality Assurance Manual, the previous completed fire load survey, and an

examination of one storage area located outside of the vault in which

preoperational test records were stored. This evaluation resulted in the

following:

The inspectors identified that the preoperational test records used to

verify the operability of various Unit 1 and Unit 2 reactor safety

systems (including safety injection, rod control, reactor protection,

nuclear instrumentation, and engineered safety feature actuation

systems) were not being controlled or stored in accordance with the

commitments of the licensee's Topical Report or with 10 CFR 50,

Appendix B, Criterion XVII. The following were noted in the control of

these preoperational tests:

(1) The records were not being stored in an predetermined, approved

storage location as required by ANSI N45.2.9, Section 5.2.

(2) The records were not stored in accordance with the guidance

provided by Sections 5.3 or 5.5 of ANSI N45.2.9 as there was no

filing system for these records, no access control to the records

including any methods to prevent unauthorized personnel access to

guard against thef t or vandalism, no control of or accountability

for the records removed from the storage location, and no method

to verify that the records were the actual original records.

(3) The records did not meet the fire protection requirements of

either ANSI N45.2.9 or NFPA 232 as they were being stored in a

non-fireproof cabinet, there were no dual official record copies

kept at any other location, either on or off site, and no fire

load analysis of this storage location had ever been conducted.

(4) The licensee had not specified any predetermined storage locations

for quality assurance records.

The failure to adequately control quality assurance records is

identified as Violation 327, 328/86-12-01.

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Three additional problems were identified with the preoperational test

records previously referenced and are described below:

Results of the Unit 2 preoperational test W-11.7, Calibration of Steam

and Feedwater Flow Instrumentation at Power were out of the allowable

acceptance criteria and the zerc power portion of the test had been

performed utilizing test equipment that had not been properly

backfilled or calibrated. The licensee acknowledged in the test

summary that the results did not meet the acceptance criteria and even

could not be made to do so by manipulating the test data through time

averaging. The licensee did not repeat the test but rather accepted

the test results as did Westinghouse in their post-testing review. The

senior resident inspector is evaluating this problem.

The following tests had deficiencies noted in the interim review and

approval report that were required to be closed prior to unit startup

after the first refueling outage. These deficiencies are just now

being closed.

Units 1 and 2: W-10.1, Automatic Reactor Control System

Fifteen of these 19 preoperational test results have not as yet been

reviewed by Westinghouse as required by Section 14.2.1.2 of the

Sequoyah Final Safety Analysis Report (FSAR). Though four of these

test results had received Westinghouse review by 1983, they still had

not undergone review by the Sequoyah plant manager.

These last two preoperational test problems were discussed with the licensee

by NRC management during conversations conducted on February 20 and 21,

1986.