ML20205J700

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Insp Rept 50-346/88-34 on 880912-16 & 1003-05.No Violations or Deviations Noted.Major Areas Inspected:Allegations Made by Former Employee Re Certain Quality & Safeguards Requirements Violated During Installation of Fire Dampers
ML20205J700
Person / Time
Site: Davis Besse 
Issue date: 10/24/1988
From: Danielson D, Kniceley J, Schapker J, Ulie J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20205J669 List:
References
50-346-88-34, NUDOCS 8810310461
Download: ML20205J700 (9)


See also: IR 05000346/1988034

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U. S. NUCLEAR REGULATORY COMMISSION

REGION III

Report No. 50-346/88034(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 Nuclear Power Station

Inspection At:

Davis-Besse Site, Oak Harbor, OH

Inspection Conducted: September 12-16, and October 3-5, 1988

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Inspectors /M.F.Schapker

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. M. Ulie

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J. R. Kniceley'

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Approved By:

D.

. Danielson, Chief

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Materials and Processes Section

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Inspection Sunnary

Inspection on September 12-16, and October 3-5, 1988 (Report No. 50-346/88034(DRS)

' Areas Inspected:

Special safety inspection into allegations made by a former

employee of a Toledo Edison Company contractor, who was employed in the

installation of fire dampers and other related duct work and who indicated

that certain quality and safeguards requirements were violated during

installation.

Results: No violations or deviations were identified.

The inspection concluded that the licensee and its contractors

(General Electrical and Mechanical (GEM) and subcontractor VM

Systems (VMS))actedinaccordancewiththeapplicablequality

program requirements.

Visual examination of the alleged deficiencies and review of

quality and installation records did not substantiate the

allegations.

The licensee was informed of the same or similar concerns

expressed by the alleger and others through the Ombudsman

Program.

The licensee's action taken in response to these

concerns was not sufficient to resolve the specific issues

dddressed.

G810310461 8e1026

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DETAILS

1.

Persons Contacted

Toledo Edison Company (TED)_

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  • L. Ramsett, Quality Assurance Director
  • E. Salowir, Planning and Support Director
  • G. Honma. Supervisor, Nuclear Licensing

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  • B. Shingleton, Licensing Engineer
  • D. Lightfoot, Facility Modification Manager
  • C. Fosnaugh, Senior Planner and Scheduler, FMD

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  • A. Pryor, Modification Coordinator, FMB

S. Zunk, Ombudsman

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J. Sturdarant, Licensing Engineer

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R. Schrauder, Nuclear Licensing Manager

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C. Miller, Licensir.g Engineer.

J. Moyer, Quality Verification' Manager

G. Stoner, Quality Auditor

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C. Ashworth, Quality Auditor

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Nuclear Regulatory Commission (NRC)

P. Byron, Senior Resident Inspector

The NRC inspectors also contacted other licensee and contractor personnel.

  • Denotes those attending the ft al exit meeting on October 5,1988.

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2.

Allegation Followup

RIII-88-A-0057: On May 3,1988, a contractor employee, fonne.aly

employed at the Davis-Besse plant, contacted the NRC with conce. ens involving

tne improper installation of fire dampers and stainless steel duct work in

the containment; violations of security barriers; and fire watch po+rol

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activities.

In addition, on November 25, 1987, the licensee provideo the

NRC with three concerns which had been brought to their attention through

the Ombudsman Program which were either identical or related to the concerns

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addressed to the NRC. These concerns were reviewed by Region III inspectors

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onsite with the following results:

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a.

Concern No. 1

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During fire dam >er installation work in the Boric Acid Room, two

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sheet metal worcers were instructed by a contractor supervisor to

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cut into the wrong sheet metal duct.

The alieger si.ated that the

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two sheet metal workers were later directed to leave the area at

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which time a contractor supervisor and other workers made repairs to

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the incorrectly cut sheet metal duct without informing TED personnel.

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(1) NRC Review:

In evaluating this concern, the NRC inspector reviewed the

Technical Specification for Heating and Ventilating and Air

Conditioning, 12501-M-420-N, Revision 2; Technical Specification

for Operational Phar.e for Heating and Air Conditioning,

12501-M-410-Q, Revision 4; TED Quality Assurance Manual

Section 3 Revision 2, "Design and Modification Control";

Quality Control inspection Procedure (QCIP) -048, Revision 1;

"Fire Damper Installation Inspection", Modification Package;

Maintenarte Werk Order (MWO) 2-84-094, Supplements 00, 01,

and 02; fire damper installation FD1192; and fire damper

installation drawing 12501-M-413, Revision 0.

Review of the above documents concluded that the fire damper's

assemblies are safety-related "Q" but the attaching HVAC duct

work was nonsafety-related. The NRC inspector did not perform

a visual inspection of the duct work specific to the allegation

as it is not important to safety and the duct work is not readily

accessible and would require scaffolding to inspect thoroughly.

A visual inspection of the accessible duct work was made with

no obvious defects observed. The above concern was turned over

to the licensee for their information since this concern involved

a nonsafety system.

(2) Conclusion

Although the above concern may have occurred as described by

the elleger, the sheet metal ducts referenced are not

safety-related and therefore, were not fabricated and installed

under the nuclear "Q" program. However, the above concern was

turned over to the licensee for their review and evaluation.

b.

Concern No. 2

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VM Systems was perfonning shoddy work on stainless steel duct

work in the can.

No other information was provided.

(1) NRC Review

The NRC inspector reviewed the Maintenance Work Order (MWO)

2-85-0207-2,

-4, and -5; and drawings 12501-M-435A and B and

verified this installation by VM Systems in the containment was

also nonsafety-related.

The duct work was fabricated and

installed in accordance with the licensee's Quality Assurance

Program. The NRC inspector visually examined approximately 50%

of the referenced duct work. The duct work observed appeared

to be in compliance with applicable drawing and visual inspection

requirements.

The overall quality of the welding appeared tu be

excellent.

The duct work inspected was the ducting and fan

installation for the Control Rod Drive Mechanism Service Structure

Ventilation System.

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(2) Conclusion

This allegation was not substantiated. -The NRC inspector observed

the duct work installation and quality documentation which

appeared to meet the applicable requirements. The stainless

steel duct work does not oerform a safety function and therefore,

would not be safety significant.

In a followup conversation

with the alleger, he stated he had no first hand knowledge of

the shoddy work but had heard this from other sources which he

declined to identify.

c.

Concern No. 3

Fire Damper Assembly No.1066 was hammered into place (af ter being

QC inspected and signed off as acceptable) which caused the welds to

break and was subsequently rewelded without being QC inspected.

(1) NRC Review

In addition to the previously referenced Technical Specifications,

the NRC inspector reviewed MWO 2-86-0206-03; Field Change

Notices No. 6242, 6358, 6693, 6426; Field Change Request 86-206;

Bill of Materials 642 512850; WM d Trt/elers; Weld Material

Issue Tickets; Fire Damper Installation Inspection 87-M-782;

Davis-Besse Nuclear Power Station Drawing M474, Sheet 85,

Revision 0; Pullman Construction Industries (PCI) drawing

178102-3, Revision A; PCI drawing 178102-1066 Revision 1;

PCI drawing 178102-FD-6, Revision 0; and PCI drawing

178102-FO-1NS, Revision 2.

The installation of the fire

dampers were installed to Q-class 01, which is a safety-related

classification.

Review of applicable drawings and specifications

concluded that the fire damper installation is safety-related.

Review of maintenance work order packages conc 1'Jded that the

installation of Fire Damper 1066 was in accordance with the

applicable quality assurance requirements for safety-related

installation.

The NRC !nspector visually examined the Fire Damper No. FD-1066

for evihnce of damage due to improper installation (hannering,

damaged welds, weld repairs, etc.).

Visual examination of the

fabrication and installation welds identified that the installation

was in accordance with the referenced drawings and the applicable

procedure requirements.

(2) Conclusion

The NRC inspector's visual examination did not reveal any

evidence of improper installation practices.

No denting of

material due to hammering was evident, and no weld repairs were

evident. The installation was re-inspected by TED engineering

and quality control at the time of the NRC inspector's

examination. This activity was documented on MWO 1-88-2379

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dated October 4, 1988. No deficiencies were identified; the

fire damper was installed in accordance with the referenced

drawings and procedures,

d.

Concern No. 4

A11eger refused to perform work activities during periods of time

when acting as a fire watch patrol in accordance with the alleger's

previous Toledo Edison training. The alleger alleged that a

contractor supervisor complainad about these periods of inactivity.

(1)

NRC Review

A review by the NRC inspector of the licensee's procedural

connitments and license requirements was conducted. The NRC

inspector was provided Administrative Procedure DB-MN-00007,

entitled "Station Open Flame Welding, Cutting and Grinding

Permit", Revision 00, dated February 5, 1988. A review of the

license requirements determined that Amendment No. 18 of the

Plant Operating License in Paragraph 2.C(4) requires the licensee

through Section B.14 of Table 1 of the Safety Evaluation to

comply with the fire protection administrative controls described

in the NRC document entitled "Nuclear Plant Fire Protection

Functional Responsibilities. Administrative Controls, and Quality

Assurance".

Paragraph 2.0(3) of Attachn:ent 4 of this NRC

document requires a fire watch to be provided where cutting,

welding, grinding or open flame is performed.

The NRC inspector interviewed a contractor employee who performs

the initial contractor procedure training and a licensee

instructor who teaches the Fire Watch Training Progru to both

contractor and licensee personnel. These individuals talked

through the instruction given to fire watch personnel. The

licensee instructor provided a copy of the Fire Wa:ch

QudlifiCation Training Lesson Plan. According to the Fire

Watch Qualification Training Lesson Plan, Number GEN-FIR-100.02,

Revision 2 dated April 8,1988, in Paragraph 2.0.D.5.c, a

qualified fire w tch may perform minor functions (i.e., passing

tools, work area cleanup, assisting workers, etc.) providing the

ability to contf r ually monitor for and combat fires with fire

extinguishers is not affected.

In addition, the licensee provided

other procedures having fire watch relevance including

Administrative Procedure No. AD18 28.19, Revision 3, dated

October 24, 1985; Training Procedure No. NT-ST-07043, Revision 0,

dated August 26, 1988; and Procedure No. NG-NE-0302, Revision 1,

dated June 8, 1988.

Based on the NRC inspector's review, the licensee's applicable

hot work procedures and training lesson plans were found to be

in accordance with the specified license requirements.

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The NRC inspector was informed by the Facility Modification and

Design (FMD) Department Modification Coordinator that the

particular contractor company had completed their required work

activities and were not presently onsite. Additionally, the

licensee's staff informed the NRC inspector that no hot work

activity was presently ongoing in the plant. Therefore, the

NRC inspector was unable to interview any fire watch personnel

assigned those duties while hot work activities were in

progress. The NRC inspector was able to interview a General

Electrical and Mechanical (GEM) Contractor Foreman and two

individuals employed by GEM who work as a team during welding

and grinding type activities. One of these individuals fulfills

the fire watch duties during these activities.

Each of the above

individuals' responses-to the NRC inspector's questioning was

consistent with Administrative Procedure DB-MN-00007 and the Fire

-Watch Training Lesson Plan, GEN-FIR-100.02.

(2) Conclusion

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This allegation did not specifically address the type of work

activities involved.

Further, the required work activities have

apparently been completed and the contractor has left the site.

Consequently, this portion of the allegation could not be

specifically reviewed,

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Concern No. 5

A contractor supervisor instructed workers to cross security

barriers without waiting for security to allow passage so as to

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cut waiting time.

(1) NRC Review

This concern was originally brought to the licensee's attention

through allegations made to the Ombudsman Program (the Davis-

Besse program which processes employees' concerns) during

employee exit interviews.

This allegation was reported

and resolved by the Ombudsman in the November 1987 time frame.

These investigations showed that the security area the alleger

was referring to was their assigned work area which was

enclosed by chain link fence and kept locked during non-working

hours. The craft foreman was in a hurry to get work started

and he did not want to wait for security to unlock the work

area. He instructed the workers to climb over the fence and

start work.

The workers refused and waited for the gate to be

opened.

On September 16, 1988, the alleger was contacted to verify that

the barrier that they were asked to breach was, in fact, their

daily enclosed work area and not a protected area or vital area

barrier. The difference between security areas and barriers

was explained to the alleger and he agreed that no breach of

NRC required security occurred. He was just attempting to use

this example to show how the craft foreman attempted to rush

the job and hurry his people.

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(2) Conclusion

The NRC review of this concern through interviews showed that

the barrier in question was not a security barrier and no

breach of security occurred. This allegation is considered

closed,

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Concern No. 6

The Ombudsman was informed in November of 1987 of these issues

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involving VM Systems and the foreman responsible.

In addition,

several ot.her individuals provided similar concerns to the Ombudsman

and were not getting an adequate response.

(1) NRC Review

The NRC inspector contacted the Ombudsman. The NRC inspector

diso contacted the alleger who provided the nanes of other

individuals who he referred to as having similar concerns and

had not received a reply from the Ombudsman.

The NRC inspector, r.ssisted by the Ombudsman, reviewed the exit

interview forms of e.he persons referenced.

Two had indicated

cor;cerns verbally but did not provide a written statement and

signature on the appropriate Ombudsman Program form. The

Ombudsman informed the inspector that he/she does not inforns the

concerned person of the results of the investigation unless this

portion of the form is filled in and signed.

The Ombudsman

requested assistance from the Quality Verification group to

perform a surveillance / audit into the concerns voiced by the

above individuals. The concerns provided to the Quality

Verification auditor were as follows:

0-1. A supervisor requested a welder to allow another welder

to use his certification.

0-2. Used parts and components for another job and did not

modify the paperwork.

0-3. Violated or crossing of security boundaries without

compensatory measures in place.

0-4. During fire damper installation in the Boric Acid Room,

two sheet metal workers were instructed by their

supervisor to cut into the wrong sheet metal duct, and

was later repaired without informing TED personnel.

The above concerns were given to the Quality Verification auditor

verbally and he was directed by the Ombudsman not to contact the

craf t or supervisor of the contractor in performing his audit.

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The NRC inspector reviewed the surveillance report concerning

these concerns. The content of the surveillance report is

considered proprietary by TED as it is part'of the Ombudsman

investigation. The purpose of the classification of proprietary

is to protect the identity of those individuals who brought

forth the concerns to the Ombudsman. The Ombudsman's

restriction to not contact the craft or supervisor was also

intended to safeguard the concerned person's identity.

Review of the surveillance report revealed that although the

Quality Verification auditor performed a surveillance of the

work activities, inspections, documentation, etc., the specific

issues addressed by the concerned person / persons was not adequately

investigated. This was primarily due to the ground rules of the

Ombudsman which restricted talking to the craft and foreman who

would be cognizant of the issues.

(2) Conclusion

It is necessary to protect the identity of the person who

brought forth the concerns when the person requests anonymity;

however, as in this case, the Ombudsman's restrictions negated

an adequate review of the concerns.

It was not necessary to

divulge the identity of the concerned persons to perform an

adequate review.

It is understood that when a concern is

brought to the attention of the craft or former supervisor,

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hir, identity may be jeopardized for it is likely that he had

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discussed these concerns openly with others. This possibility

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should be explained to the individual who requested anonymity

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when concerns are expressed to the Ombudsman.

The NRC inspector also identified other weaknesses in the

licensee's Ombudsman procedures. Although the Ombudsman Program

is not a regulatory requirement, when potential safety issues are

revealed to the licensee's Ombudsman, it is imperative that the

licensee makes a thorough investigation of these issues.

It is

also important to notify the concerned individual upon completion

of the investigation with the results of the investigation and

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corrective action taken (if any was necessary). This can preclude

the individual from notifying the NRC with the same concerns.

The NRC inspectors investigated concerns 0-3 and 0-4 presented to

the Ombudsman; however, 0-1 and 0-2 were not given to the NRC by

the alleger and may have been provided by another person.

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NRC inspectors could not substantiate these concerns as the

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contractors had completed their job and departed the site. The

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Ombudsman indicated that although the supervisor made the

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request for the welder to allow another to use his welder

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certification, the welder stated during his interview that he

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did not allow his certification number to be used by others.

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The licensee could not substantiate this allegation as it was

one individual's word against another's.

The licensee did not address the concern of parts and

components being substituted without proper paperwork directly.

However, the licensee did perform c.n overall quality review

of'the fire damper installation. This audit included review of

all the nonconformance reports (PCAQs), work packages for the

installation of fire dampers, including materials control, field

observations of QC inspectors, and review of QC procedures. The

overall quality of the installations was found to comply with the

applicable drawings and quality requirements,

lhe NRC inspector suggested that the licensee modify the

Ombudsman procedures to alleviate the weaknesses addressed in

this report. The licensee acknowledged the inspectors

suggestions.

3.

Exit Interview

The inspectors met with licensee representatives (denoted in Paragraph 1)

at the conclusion of the inspection on October 5, 1988. The inspector

sumarized the scope and findings of the inspection. The inspector also

discussed the likely informational content of the inspection report with

regards to documents or processes reviewed by the inspector during the

inspection. The licensee identified the "Ombudsman Program" reports and

associated surveillances as proprietary. The inspector assured the

licensee that no proprietary information would be disclosed from the

reports.

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