ML20206R344

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Insp Rept 50-312/87-06 on 870131-0227.Violations Noted: Nonconformance Rept Not Written for Nonisolable Pipe Leakage in Nuclear Svc Raw Water Sys in Train a
ML20206R344
Person / Time
Site: Rancho Seco
Issue date: 04/06/1987
From: Ang W, Dangelo A, Andrew Hon, Miller L, Morrill P, Myers C, Perez G, Ramsey C
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML20206R212 List:
References
50-312-87-06, 50-312-87-6, NUDOCS 8704220149
Download: ML20206R344 (43)


See also: IR 05000312/1987006

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                                          U. S. NUCLEAR REGULATORY COMISSION
                                                            REGION Y
               Report No. 50-312/87-06

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               Docket No. 50-312                                                                         i
               License No. DPR-54

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               Licensee Sacramento Municipal Utility District
                           P. 0.' Box 15830
                           Sacramento, California 95813
               Facility Name: Rancho,Seco Unit 1-
                                                                                                       "
               Inspection at: Herald, California (RanchoSecoSite),
               Inspection Conducted:
               Inspectors:        M              v S'                                                    l
                                                                                            4-r+7
                                  A. J. D'Angelo, Senior Resident Inspector                Date Signed
                                                                                             44f7
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                                  CJ.' Myers, Resident Inspector                           Date Signed
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                                  G. P. Perez, Resident Inspector
                                                                                            44 -E7
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                                                                                           Date Signed
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                                  W. Ang, Regional Inspector
                                                                                           4 -6 -t 1
                                                                                           Date Signed
                                  [4- -7          , [-. -                                   9 4,f y
                                  C. Ramsey, Regional Inspector                            Date Signed
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                                  A. Hon, Resident Inspector, San Onofre                   Date Signed
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                                  P. Morrill, Regional Inspector
                                                                                            4 4'f1
                                                                                           Date Signed
                                                              '
               Approved By:                         i   8                                 4 ~#7
                                  L. F. Miller, Chief                                      Date Signed
                                  Reactor Projects Section II
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      Summary:
      Inspection between January 31 and February 27, 1987 (Report No. 50-312/87-06)
      Areas Inspected: This routine inspection by the Resident Inspectors, four
      regional inspectors, and two consultants.. involved the areas of operational
      safety verification, maintenance' surveillance, procurement, receipt, storage,
                                                          ,
      and handling, licensed operator training, non-licensed operator training,
      Allegations RV-86-A-99, RV-86-A-22, RV-86-A-78, and followup items. During
      this inspection, Inspection Procedures 30702, 30703, 37701, 37702, 37703,
      38701, 38702, 41400, 41701, 61726, 62703, 71707, 71710, 90712, 92700, 92701,
      92703, and 94703 were used.
      Results: Two violations related to the control of repair work, two violations
      related to the control of safety related spare parts, two violations related
      to 10 CFR 50.72 and 50.73 reporting, and one violation related to
      nonconformance dispositioning were identified in the areas inspected.

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                                                                  DETAILS '
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                                                             .
                     ;1. . Persons Contacted.
           '                    '
                           a.; Licensee Personnel
                                I J. Ward, Deputy General > Manager, Nuclear
                                  K. Perkins, Restart Implementation Manager-
                                  G. Coward, Executive Assistant, Special Projects
                 -
                         '
                                  B. Day, Deputy Nuclear Plant Manager
                                  J. McColligan, Assistant to Nuclear Plant Manager
                                18. Bibb, Deputy Restart Implementation Manager
                                  R. Ashley, Licensing Manager.
                                  D. Army, Nuclear Maintenance Manager ~ J
                                  B. Croley, Nuclear Technical Manager-        '
                                  G. Cranston, Nuclear. Engineering Manager               <
                                  S. Redeker, Nuclear Operations-Manageri
                                  J. Shetler, Implementation Manager, .
                                  T.~ Tucker,- Nuclear, Operationst Superintendent
                               - M. Price, Nuclear Mechanical Maintenance: Superintendent
                                  L. Fossom, Deputy Implementation Manager'
                                                                       ~
                               *R. Colombo, Regulatory Compliance Superintendent
                                  J. Field, Nuclear Technical Support Superintendent
                                  M. Hieronimus, Asst.-Operations Superintendent    -

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                                  S. Crunk,sIncident Analysis Group Supervisor .
                               3F. Kellie, Radiation Protection Superintendent
                                  S. Knight, Quality Assurance Manager-.
                                  C. Stephenson,. Senior. Regulatory Compliance Engineer
                                  B. Daniels, ~ Supervisor, Electrical Engineering
                                  J. 'Irwin, Supervisor, ~ I&C Maintenance-
                                  C. Linkhart, Electrical Maintenance Superintendent
                               *R. Cherba, Quality Engineering Supervisor
                               *T. Shewski, Quality Engineer
                                                                         '
                                  P. Turner, Training Manager

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                                  F. Gowers, Deputy Training Manager
                                  M. Herell, Operations Training Supervisor
                                  R. Considine, Superintendent of Training Support
                                  T. Hunter, Operations Training Supervisor
                                  J. Chwastyk Deputy Operations Training Supervisor
                                  D. McIntire, Restart Training Coordinator
                                  K. Malloy, Non-licensed Operator Program Coordinator
                                  J. McCann, Instructor
                                  H. Heilmetre, Manager, Nuclear Training Services, PSI
                                                                     -
                                  J. Carson, Simulator Instructor, PSI
                                  R. Simmons Senior Instructor, PSI-
                                  G. Wallace, Simulator Program Coordinator
         '
                                  A. Mcrady, Training Library & Records Supervisor
                                  P. Gibbel, TIMS Expert
                                  M. Turner, Training Records
                                  R. Ashley, Licensing Manager
                               *J. Robertson, Licensing
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                                - Other licensee employees contacted included technicians, operators,
                                 mechanics, security and office personnel.
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                                                    .  .-     .                                                    .
                                 {        Attended the Exit Meeting on March 12, 1987.                                                              -
                                          Management Analysis Company (MAC) Personnel

', 2. Operational Safety Verification I - .- '

                                 Thi inspectors reviewed control. room ope' rations which included access
                                 control, staffing, ' observation of decay heat removal system alignment.
                                .and review of control room logs. Discussions with the shift supervisors
                                 and operators indicated understanding by these personnel of the reasons
                                 for annunciator indications, abnormal plant conditions and maintenance
                                 work in progress. The inspectors also verified, by observation of valve
                                 and switch position indications, that emergency systems were properly
        _
                                 aligned for the cold shutdown condition of the facility.
  -
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                                 Tours of the auxiliary, reactor, and turbine buildings, including
                                 exterior areas, were made to assess equipment conditions and plant
                                 conditions. Also the tours were made to assess the effectiveness of
                              -
                                 radiological controls and adherence to regulatory requirements. The
                                 inspectors also observed plant housekeeping and cleanliness, looked for                                              '
                                 potential fire and safety hazards, and observed security and safeguards
                                 practices.
                                 The inspector reviewed Special Test Procedure STP 1011, Decay Heat
                                 Removal Test, for compliance with the Technical Specifications and
                                 potential safety questions which could arise during the conduct of the
                                 test. The licensee addressed a potential concern of boron dilutions
                                 within the Reactor Coolant System (RCS) during the conduct of-the test by
appropriate valve lineups and sampling. i

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                                 No violations or deviations were identified.
                     3.          Monthly Surveillance

, During this period only. testing related to the Systems Review and Test

                                 Program was inspected.

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                                 The following items were considered during this review: Testing-                                                   :
                                 witressed was in accordance with adequate procedures; test                                         .
                                                                                                                                                     '

. instrumentation was calibrated; limiting conditions for operation were

                                 met; removal and restoration of the affected components were
                                 accomplished; test results conformed with Technical Specification and
                                 procedure requirements and were reviewed by personnel other than the
                                 individual directing the test; the reactor operator, technician or
                                 engineer performing the test recorded the data and the data were in
                                 agreement with observations made by the inspector; and any deficiencies

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                                 identified during the testing were properly reviewed and resolved by
                                 appropriate management personnel.

! . System Review and Test Program (SRTP)

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                                  The areas of inspection included reviews of newly issued Special Test
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                                  Procedures (STPs).revisedAdministrativeProcedures(APs)andwitnessing
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                                 !tne conduct of STP 1019B-(see'below) performed during the inspection
                                  period.
                                                                                                '
                                        SPECIAL TEST PROCEDURES
                        '
                                        STP 1019B - Preliminary Functional Testing of TDI Emergency Diesel
                                                         Generator GEB2 Phase II
                                        STP 770      - CCW Containment Isolation Valve RCP Interlock
                                        STP 1032 - Nuclear Service Cooling Water Component flow'
                                                         Verification
                                                       '
        ,
                                        STP'1034 - CCW to PCW Heat Exchanger Tube Leakage Detection Test
                                        STP 771      - Pressurizer Spray Valve Interlock Functional Test - Test
                                                         Outline Review Only
           .                            STP 1044 - Auxiliary Boiler Interlock and Load Test
                                        STP'1011 - Determination of Decay Heat Load
                                        STP 962      - DHS Pump Interlock Functional Test
                                        ADMINISTRATIVE PROCEDURES
                                        AP.44     - Plant Modifications - ECN Implementation
                                        AP.80     - Training of Test Personnel
                                        AP.81     - Certification and Qualification of Test Personnel

, AP.82 - Conduct of Special' Testing

                                        AP.92     - System Review and-Test Program Description and
                                                    Organization
                                        AP.93     - System Status and Investigation Reports
                                                                                                                   i
                                        AP.96     - Test Working Group
                                                                                '
   -                                    AP.2.27 - Spec'ial Test Procedure Fomat and Content
                                  Test Outlines for a variety of other STPs were also reviewed.                    *
                                  During the review of newly issued STPs' the inspector identified that some
    '
                                  procedures contained inconsistencies in their preparation. In

, particular, STP 770 had several steps written that required the test

                                  personnel to perform an action even though the steps were written in the

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                                                                            '
                                  context of observation steps which did not require the operator to
                                  perform an action such as manipulating a switch, i.e.: " Verify the valve
                                  cycles closed and open" when it was actually required to " Cycle the
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                  valve and verify it closes and opens."; In establishing the acceptance
                  criteria for the aforementioned step, the criteria was stated as "The -
                  valve opens and closes", was rather than "the valve closes and opens,"
                  which was the expected sequence of valve positioning. Similar types of
                                                    ^
                   inconsistencies were identified by the inspector in.other procedures as.
               'well. The licensee agreed.with these observations and promptly clarified
                  the-procedural intent..                           ,
                  During the auditing of the conduct of STP 10198, the inspector noted that
                  the test performance was. acceptable. Some typographical errors which
                  required issuance of Temporary Procedure Changes (TPC) were pointed out
                   to the Test Director by the. inspector. These did not change the
                                                            .
                   technical accuracy of the procedure.
                  Review of preliminary test-results indicated'some. lack of training of the
                  Test Directors in the preparation of: test documentation. The licensee
                ,has subsequently issued AP.82, Conduct of Special. Testing, and on
                  February 19, 1987, fonnally trained all prospective Test Directors on
                  test conduct and documentation. This training:should improve the
                  preparation and acceptability of test documentation.
                  No violations or deviations were identified.
          4.      Monthly Maintenance                   .
                .The inspector observed a temporary maintenance repair of a leaking pipe
                  in the "A" train of the nuclear service raw water (NSRW) system. The
                  leaking pipe was repaired with a rubber patch affixed with four hose
                  clamps to reduce the leakage. The inspector observed a deficiency tag
                  enclosed -in a clear plastic bag filled with water from the leakage. The
                  inspector:was not shown any Work Requests by the licensee which
                  documented the installation of the temporary repair patch. However the
                  licensee had written Work Request No. 110755 to effect permanent repair
                  of the piping. In discussion with licensee representatives, the
                  inspector found that no nonconformance report had been written on the.
               - original deficiency nor had any abnormal tag been written to control the
                  temporary modification to limit the leakage. from the defective pipe.
                 This is an apparent violation of the NCR procedure requirements of QAP-17
                 and Criterion XVI of 10 CFR 50 Appendix B, which require initiation of an
                 NCR on a nonconforming component (Violation 87-06-01).
                 Moreover, the temporary repair was an apparent violation of the Aonormal
                 Tag requirements of 10 CFR 50, Appendix B Criterion III, and AP.26,
                  " Abnormal Tag Procedures" in that no tag was initiated, nor was any
                 design control over the repairs invoked (Violation 87-06-02).
          5.   . ESF Walkdown
               -The inspector walked down portions of the main steam line pressure taps
                 . installed as part of the EFIC system per ECN-5415C. Tne inspector noted
                 that two of the four pressure tap instrument tubing lines of each main
               . steam line did not have electrical heat tracing installed to protect the,
                 instrument lines from freezing. The inspector reviewed ECN-5415C which
                 was still open at the time and found that installation of the electrical
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              -heat tracing for the instrument lines was not included within the scope-
               of work for the Sub-ECN even though it was specified in the Major-ECN and
               included as part of the design basis report (DBR) evaluated for the
               safety analysis of the modification. A licensee representative stated
               that the electrical heat tracing was not to be installed as a priority
              ' item prior to restart, but rather would be installed in the fall prior tc
               the next cold weather season. However, the inspector noted that the
               requirement for installation of the electrical heat tracing had been
               marginally annotated by Operations in the Safety Analysis, and the MSRC
               had reviewed the annotated document. A licensee representative stated
               that current controls over ECN preparation did not incorporate methods to
               insure that all elements of the modification referenced in the safety
       '
               analysis were actually incorporated within the scope of work of the
               Sub-ECNs. The inspector was concerned that this omission might enable
               work elements to be overlooked and not be tracked to implementation. The
               deficiency was not identified under an Abnormal Tag or an NCR to ensure
               that future installation would be performed.
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               The licensee's design control system appeared to not have correctly
               translated the design requirements as stated in the major ECN to the
               detailed sub-ECN, in this case. This also appeared to be a programatic
               weakness. (No violation was issued because this error was discovered by
               the inspector before the licensee had completed their review of the work
               package which was still open and partially unreviewed by the licensee).
               The licensee's progress in this area will be reviewed further in
               subsequent inspections.
               No violations or deviations were identified.
           6.  Training
               A.    Purpose and Scope
                    This inspection was conducted to evaluate the effectiveness of the
                     licensed operator training program and to determine the adequacy of
                     licensee followup actions on training open items.
                     Prior to the inspection, the previous examination of the licensed
                    operator training program (Report No. 50-312/84-29, November 14-21,
                     1984) was reviewed. In addition, Inspection Report No. 50-312/86-07
                     (datedMay 14,1986) documented findings related to the overcooling
                     transient of December 26, 1985. This report contained two open
                     items related to training of operators, 86-07-02 and 86-07-06.
                    Report 50-312/86-07 and the two open items were reviewed for
                     follow-up.
               B.   Background:
                    Following the December 26, 1985 overcooling event, the NRC conducted
                    a special inspection from February 21 to April 11, 1986.
      -
                    During the week of April 7-11, 1986 the NRC staff interviewed
                    licensed and non-licensed operations personnel to assess the
                    effectiveness of training after the overcooling event. Although
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           the team concluded that the training had been effective, they
          'noted eleven items which indicated operator uncertainty in
           specalized areas. These items were subsequently discussed with the
           Facility Staff and documented as NRC open items 86-07-02 and
           86-07-06.
           To evaluate the effectiveness of the operations training and
           requalification programs, two additional operating events were
           chosen to followup through a review of training records, interviews
           with personnel, and examination of the licensee's incorporation of
           this material into the training program. The first event occured on
           November 16, 1986, when isolation of the spent fuel pool leak chase
           drain line resulted in an unplanned offsite release. The second
           event. selected occurred on November 21, 1986,.when a pressurizer

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           heater bundle was burned out due-to energizing the heaters with the
           water level .in the pressurizer below the~ heaters.
       C.  Inspection of Training
           Thainspectionof'requalificafionandtrainingwasconductedusing
           the six overlapping' ' steps' listed below:
           Examination of the current requalification program
           Audit of operator requalification records
           Evaluation of classroom and simulator training
           Interviews with and observations of shift personnel
           Interviews with licensee training, operations, and licensing
              personnel
          -1.    ' Examination of the current requalification program
                  The inspector examined the " Operator Training Program for NRC
                  Hot License Candidates", TI-80 Rev.1, "NRC Licensed Operator
                  Retraining Program", T2-80 Rev.2, and the licensee's records of
 .
                  personnel in the requalification program.
                  In addition to this review, the inspector (1) reviewed NRC and
                  licensee records to determine the pass rates for NRC
                  requalifications and initial examinations as well as licensee
                  requalification examinations, (2) determined the status of INPO
                 Acreditation for the Rancho Seco Training Programs, and (3)
                  reviewed the qualification of training department personnel.
                  The inspector determined the pass rates for requalification and
                  initial examinations for the last three years.
                 The results are tabulated below:
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                           ' Year            JInitial Tests                       '
                                                                                            Requal Examination
                                             2 Pass Rate'                              :    Pass' Rate..
                                             'NRC         - ,
                                                                               *         'NRC- Facility
          #
                      _
                              1984             100%     i
                                                                             .
                                                                                         t100%                75%.
                              1985'-            82%                                         N/A               97%
                                                                       '
                             1986               89%~                                       82%-               100%
 .
                             The inspector also detemined th'a't INP0 Acreditation .had b'een
                             obtained in April 1986 for the Hot License, Requalification,
                             STA, , and Non-licensed Operations; training programs.
                             The inspector found that the instructors were qualified
                             consistent with the approved _Requalification-Program and
                             ANSI 3.1 - 1978. However, the inspector also found that all
                           -but one of the Operations Training Group (approximately 25 out                                  -3
                             of 26 personnel) were contractors. The inspector asked the
                             Training Manager when and how many of these positions would be
                             converted to full time SMUD employees.
                                                                                                                              ,
                          ' The'~ Training Manager stated that he had recently requested nine
                             full time, positions; three supervisors, .and six instructors. To                                '
                             date only one position had been_ approved by SMUD (The Simulator
                             Supervisor position), but that he. expected that the remaining
                             positions should be approved in the near future.
                            The inspector concluded 'that SMUD's implementation of the
                             Re_ qualification Program appeared to be improving since the
                             previous inspection of it two years ago.                                   Increased staffing,
                             previous staff B&W experience, and management involvement were
    7                        strong points of the' current training programs.
                            Conversely, the Rancho Seco Operations Training staff consists
                            of over 95% contractor personnel. It is recomended that a
                             significant number of these positions be promptly converted to                                   f
                             full time SMUD employees.
                     2. -   Audit of Requalification Program Records
                            The requalification and training records were audited to
                            evaluate the licensee's compliance with the regulatory
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                            requirements. Eleven records were fully audited and several
                            other records were spot checked.
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                                                                                      The sample was based on
                            selecting:from each shift: operators, senior reactor
                            operators,'no'n-licensed operations personnel, personnel who had
                            been involved in recent significant operational events, and
                            personnel who were concomitantly interviewed by the inspector.
                            Documentation for the following: items were audited:
                                          -                   ,                   -
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                            Annual Written' examinations 1985 -through 1986
                            Lecture, attendance records for-1986'
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                                                          Required Control Manipulations'1984 thro' ugh 1986
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                                                          Performance Evaluations 1985 through 1986                                                            -
                                                        ~ Training required in identified deficient areas
   a                                                  - Completion and documenta' tion of'Requ' ired Reading assignments
                                                          for 1986 and 1987 Resumption of licensed duties. after
                                                        ' completion of-accelerated training (when required) Review of

j procedures / changes and-self study . During'the audit the sample was expanded to review 100% of the <

                                           records for completion of required reading assignments for licensed

i personnel:(including training department personnel) and non-licensed

                                          operations personnel
                                          The inspector observed that individual requalification files did'
                                          not contain = references to successful NRC SR0 upgrade examinations,
which obviate the need for an annual requalification exam. The
                                           licensee personnel pointed out that if a R0 passed an NRC test for

[_ SRO, then, in accordance;with the.Requalification Program, the

                                          person:was not required to'also take--the RO requalification
                                          examination. The inspector ~ agreed and suggested that some

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                                           indication of this situation be retained in the individual                                                        '
                                                                                                                                                                                                              <
                                          requalification files.

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                                          The inspector,also' observed that control manipulation number 8,
                                          " Loss of Instrument Air," of the current, approved Requalification -

, Program had.not been completed during the period 1984 through 1986. '

                                          Initial discussions with licensee personnel disclosed that the B&W

<, .(Power Systems International) simulator did not simulate loss of

                                          instrument air for Rancho Seco.* The inspector examined the previous
                                                                                                                                                         ~

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               _

! revisions of the Requalification Program, T2-80 Rev.0&1 and found

                                          that the-loss of instrument air manipulation was not required under
 .
          v                               the old program. Consequently, this manipulation will not be

o overdue until two years after the~ manipulation became a requirement

                                          (December 17,1987).

,

                                         While examining the records of completion of. reading assignments the
                                          inspector found that at least 18% of the required reading
                                          assignments for licensed operators were completed more than 30 days
after they were due. Since 30 days is allowed for completion of the

l assignments'and return of the completion sheet, the subject 18% , L required over 60 days for completion. The inspector found that at

                                          least 16% of the Technical Specification reading requirements
                                          required more than 60 days for completion, while 28% required over
                                         30 days for completion. Approximatly 13% of the non-licensed
                                         operations personnel' reading assignments were overdue by more than                                                                                                  r
                                         30 days (60 days from issuance).
                                          In response to the inspector's observations regarding the number
                                         and tardiness of reading assignments, the Plant and Training
                                         Managers stated that effective immediately, when a reading
                                        . assignment or Technical Specification review was past due by two

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                 weeks the individuals' supervisor would be informed in writing.
                -After the assignment was over four weeks overdue'the Plant
                 Manager / Operations Manager would be informed in writing, and if this
                  had no insnediate effect, the person would be removed from licensed
                  duties.
                . Licensee personnel also stated ~that starting with reading
                  assignment 86-11, both licensed and non-licensed operations
                  personnel would get the same reading assignments.
                  In general, the records of the training and requalification programs
                 appeared to be well documented and properly executed. Tracking and
                 documentation of training completed and training due over the last
                  two years has greatly improved. No items of non-compliance were
                  identified. Regarding the required reading assignments, the number
                 of overdue assignments during the last year appeared excessive.
                 The licensee's methods and committments to improve this performance
                 appear acceptable. Continued licensee management attention should
                 be directed at this area to ensure timely completion of required
                 reading assignments.
             3.  Evaluation of Classroom and Simulator Training
                 This inspection was to determine how effectively the licensee
                 Operations and Training Departrients dealt with the three selected
                 operational events and to follow-up the previously identified
                 trainingitems(NRCNos. 86-07-02 and 86-07-06). A secondary purpose
                 was to determine if training received prior to the events could or
                 should have prevented or mitigated the events. In order to properly
                 evaluate the training material content for technical adequacy, the
                 response to operating events, and the effectiveness of the training
                 the inspector reviewed several areas of plant design and operations.
                 These areas included the Plant Emergency Operations Procedures,
                 Casualty Procedures, Instrument AirSystem(IAS),theIntegrated
                 Control System (ICS), the Turbine Bypass and Atmospheric Dump
                 Valving (TBV & ADV), Feedwater and Auxiliary Feedwater System (FW &
                 AFW), Auxiliary Steam system, Reactor Make-up System valves, Fuel
                 Pool Leak Chase Channel Drain System, Pressurizer Level Indication
 l               System devices, manual valve operations, and the control room panel
                 modifications. This activity was completed by conducting system
                 walkthroughs with operations management, review of procedures and
                 temporary changes, review of Design Change Notices, and discussions
                 with training and operations personnel.
                 The inspector audited the following classroom training to verify
                 that the technical content and instructor presentation of the
                 information was adequate
.OD24 C0716 "ICS Modifications Part II
                       OD24 D2100 "EOP Modifications, Cycle 7 Restart" " Radiation
                                   Protection Refresher

1 i

                                                                               .

l !

          -_
 sv   ,           c                         .                .     .
 "
                                                                                                             .
                                                                                                          ",
             p ',5         *
                                               .               .   .
                                                                                     -
                                                                                                             Me'
                                                     '
                                                                     :10-
                                                                               '                         '
               -
  -W     ,        ,          ,                                                         y      -
                                                                                                     ,.-
                                                                                                               '
                                                                                                                 ,
       -
              *
                     '       Theinspectoralsoreviewddthe'following':coursematerialfor
                               adequacy in. scope'and technical content.               '
                                                                                                ,
                                    <0024 C0702 "EOP Modifications"
                         _
                                    -_OD24 C0703 " Recovery from SFAS Actuation-
                                                           '
           '
                                     0024'C0704 "AFW FC,LTBV,'&'ADV Local' Operation
 "                   '
                                     0024'C0713 "ICS Modifications"
                                     0024 C0714 "IAS Modifications"                                            .
                                                                                                                   -
                                     0D23 K0500(series) " Introduction to EFI"
                               To evaluate the licensee responses to significant operating events
                               the inspector reviewed the following documents related;to'the'
                               burnout of pressurizer heaters and the inadvertent. release of _ fuel
                                                                                   ~
                               pool leakage.
             .
                                     Letter Ward to Martin, JEW 86-963, dated December 3,'1986
   '
                                                                      t
                                     Root Cause' Report 86-34 Pressurizer Heater Damage,-Draft dated
                                       :1/30/87-                                        '
                                                                                                  ,.
                                                                                                                     .
                                     Op'erations Special. Orders
                                              86-35'USE OF INFORMATION STICKERS 11/24/86
                                              86-37 START.OF SHIFT CREW BRIEFING-11/26/86
                                              86-34 RESPONSE TO' INDICATIONS >11/24/86
                                                         ~
                                     Letter. Ward to Martin,' JEW 86-980, dated. December 15, 1986,_
                                        with-LER_86-25:- -                  ,
                                        e     n                             +.
                                                                                                                       ~
                                     Nuclear Tracking Department Item, entry form 8700127 dated
                                                                 ~
                                      ;1/14/87                            ,
 L                                   Procedure-A-21 Spent Fuel Pool Cooling System,-Rev. 13 dated

$. 9/25/85 and Temporary' Change 8700002; dated 12/31/87- . The inspector observed;two days of B&W simulator training at

                               Lynchberg, Virginia to determine'the effectiveness of " hands-on"
                               training and to verify the actual training received.
                                                                                 ~
                                                                                          The following ~
                               evolutions were observed.                .
                                                                          >

[ 0D24 K7900 "S/G Tube Rupture- l~_

                    '
                                     0024 K5500 " Loss of Off-site Power
                                     "EFIC Operations"
" Reactor / Plant Startup
 2 .                         _ _ _      , __            __        _ --                        _ . - . .                  _.                                    .._                      _ . . . .           .         ._
     s         .     ,g.                      .                            4
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                                        9                                                                                 ,

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                                                                         ,
                                                                                    .                 .
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       1.                         .
                                    . -
                                                                                            .
                                                                                                                                                                                                              ,a
           .

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                                                               ,

P ' IThejicensedandLnon-licensedoperations'personnelreceivedthe~~ ~

                                                                                                                                                                                                                          ;
~ ,
                                                   same classroom'and required reading _ assignments. ~ The licensed'
               '
                                                  personnel;also received simulator training, annual oral and written

-

                                                  examinations and required Technical. Specification 1 reading. 'The

-

                       ,                        ~.c lassroom training appeared to be professional and technically-
                                                  correct.-Questions which could'not be answered in. class were'
          .                                       subsequently investigated =and answered by the instructor

h The approved requalification program permits *up.to 30% of the. ' . lecture' series to be missed for a justifiable cause with make-up

     %                                            training, conducted within six weeks.of; return to duty. The

4

                                              ,  ; inspector.noted that on December 29, 1986'(Memo-NOS 86-345)'the
                                                  Shift Operations Superintendent documented instructions'to the                                                                                    '
   t                                              Shift Supervisors to. improve lecture' attendance. Shift Supervis'rs                                                                            o              ._
                                                  were directed that: (1) vacation requests.during training week 1
                                                                                                                            ~

> j must be approved by..the Shift Operations Superintendent and will not 4

                                                  be approved unless some sort of emergency exists, (2);the Shift
                                                  Supervisor must write a memo to the Shift,0perations-Supervisor
                                                  whenever an~ operator: misses a day'of training, stating the reason,

- . and'(3) the Shift Supervisor will be held personally accountable for I his crew attending the last' day of training and completing the

                                                             .
                                                  weekly examination.

] , '

                                                  Based on the sample examined,-the training ~ material and
                                                  presentation ~s related to.the December 26,- 1985 overcooling event-                                                                                  ,

i, appeared satisfactory. The training staff has repeated training on

                                                  manual valve operations to the' operators.since NRC inspection
50-312/86-07 was conducted. The training staff has also taught : t

, ' response to overcooling and_ Emergency Operations Procedures (EOPs), * 1

                                                 .and selected-systems at least twice since that time. The inspector
                                                  determined that this.was due (at least in part) to the lack of final
                                                ' design for the'EFIC. 'The design now appears fixed and final                                                                                                           l

i. training has been scheduled for March 1987. The inspector alsoi < !

                                                  observed that the licensee had revised the E0Ps content and format.
                                                  This was done to verify adequacy, incorporate changes to the
                                                  facility, and to make the E0Ps more readable.                                                                                                                           ~

a , .At the time of the inspection, the training material did not cover

'
                                                  the missunderstanding of pressurizer level instrument status which
                                                  resulted in burnout of'a=p'ressurizer heater (letter, Ward to Martin,
. JEW 86-963, dated December 3, 1986) or the inadvertent release of

J. water from the fuel. pool leak chase system-(LER 86-25).-The

~ inspector questioned the training staff regarding training followup
                                                  of these two events since both events had occurred in' November 1986.
                                                  The training staff explained that they did not'. incorporate
- operational events into the training material until an analysis or
                                                  Root Cause Analysis was finalized. They also explained that the

H[ Operations Department will normally issue Temporary changes to.

                                        -
                                                  procedures and Operations Special Orders to keep all personnel
                                                  informed of these undesirable events. The inspector verified that'
                                                  these two events had been entered into the Training Department's

t followup system and assigned to a member,of the staff for final L followup. The' licensee training staff has scheduled the final ,

                                                . Root-Cause. Analysis (86-34) of the pressurizer heater event and the'

! l' !- .

             i                                                                                                                                                                                                            ,

, { I

       __%,-,_._.,,_..~_.._.___,,                                   _ , _ . , _ . , _ . . , - ~ . . _ _ . , _ _ ,               _ _ . , _ , _ , _ , . . . . - , . _ , . . _ . . _ . _ ,                             -.
                                                   -      _            -
      .                                                 P
                                 
                                             .12;
    .
             . spent. fuel pool leak (LER 86-25) to be included in the next required
               reading; assignment. The inspector also verified that the licensee
              management had issued Special Orders'and procedure changes-
              consistent with the reported events and that the operators had read
               these documents. Based on discussions with the training staff,
             . operators, and.a review'of old training material the inspector
               determined that previous training did not address these events.
              The simulator training was conducted in two phases:        first,
               demonstration by the training staff and simulator instructors, and
               second, unassisted operator plant start-up and response to
               unannounced casulties. In the first phase, an instructcr
             ' demonstrated operations of the new and modified Rancho Seco systems
               as well as control of plant pressure, temperature and level
               following major plant upsets. The training stressed diagnosis of
               plant conditions based.on all available instrumentation,
               understanding of overall plant response to single and multiple
               failures, implementation of a formal shift organization, and formal
               communications between members of the. shift. During the second
               phase, the operators were monitored by a minimum of three members of

,

               the training staff during a plant start-up and during unannounced

l casulties. .After each session was completed the operators and

               evaluators met separately to evaluate the problems and performance
               which occurred. The training staff then asked the shift personnel
               to present their conclusions, after which the training staff
               presented their own findings and criticisms. The. inspector observed
               that~the operators maintained a professional approach using formal
               communications, adhered to written procedures, and properly
               diagnosed plant conditions. The debrief sessions were succinct.

l

               The scenarios p'repared by the licensee's staff clearly stated what

.

               was' expected of each operator and correctly described the simulator
               response.
               The inspector concluded that the licensee management appeared
               committed to take action to correct decreasing attendance at
                 lectures during training week before=it became an issue. The
               written course material and classroom training appear to cover all
               aspects of the overcooling event of December 26, 1985 and adequately
               cover the local operation of plant valves. The current course
               material appears to be well prepared and presented in a professional
               manner. For.the three operational events examined it appeared that'
                training before the events occurred was not sufficient to have
               prevented or mitigated the events. 'However, previous classroom and   '
                 simulator training appear to have met the requirements of the
                approved requalification training program. The additional training
                 (on excessive cooldown,-loss of ICS, and manual valve operations)
                 after the overcooling event appears adequate to prevent similiar
                 future events. Training related to the pressurizer heater burnout
                 and fuel pool leakage had not been implemented as of the date of
                 inspection.        '
                 The incorporation of operational events into the ongoing
                 Requalification Training Program appeared to lag the actual events
                 by approximatly four months. The initial information dissemination
                                                                                       !
 ..     .. .
               .
                                 .              .
                                                       __
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                                                 ~ and corrective. actions; associated with~these events;are-promulgated
                                                    by the Operations Department.) 3This approach appeared satisfactory
       ;             ,
                          .                        isince the' operators are informed of these events.promptly'and - ~
         .o
                            ^
                                                    subsequent retraining is required;after.the' event: analysis ~is                    _s       .
                                                                                                                                               = ~ '
                                 -
                                                  . completed.     c       - '
                                                                                 i   ' .i , '                           ~ .              - -
                                                 -Thksimulator.thaniniappearedtobiespeciallyeff4ctive.: The'
                                                                                              ~
                                      - ~
     '
                                    -
                                                   ' necessity for, and acceptance.of,' formal shift organization and'_
                     .
                                                    communications by -training.and. operations personnel demonstrated '
                                                    clear training goals and detailed criteria for successful
                                   -
                                                   . performance during simulator scenarios relat'ed,to'the 12/26/85
                       g                            event.
                                            '
            ,                                 5.     Interviews and Observations of On-Shift Pe'rsonnel-
  ,                                                            .                                        .         .                      -
                                                    To complete the assessment of training effectiveness and to verify
                                                    that the records examined reflected the actual training received,.
                                                    the inspector. conducted. interviews and plant walkthroughs with shift
                                                    operations personnel. This'was also done to determine if the
                                                    additional training given-to correct the deficiencies identified in
                                                    NRC report 50-312/86-07 (items 86-07-02 and 86-07-06)'had been
                                                                                 -
                                                    effective and to evaluate,the operators' knowledge related to_the-
                                                    pressurizer. heater. incident and unmonitored fuel pool-leakage-
                                                                                            -
                                                                                                                                    ~
                                                     incident. -The inspector's sample included twelve personnel from
                                                    three shifts and was divided between licensed and non-licensed-
                                                    operations personnel. The sample also included several of the.
                                                                                                      -
                                                    licensed personnel whose requalification records the inspector had-                                <
     4 =                                            examined.
                                                                                          ~
                                                 'The inspector ~ questioned the operations personnel and requested-that_-
                                                 -
                                                   -they take the inspector to selected pieces of equipment. In'several
                        n                           cases the inspector required the operator to demonstrate. valve:
                                                    operation, trace. system flow paths, demonstrate appropriate
       , ,
                    ,
                                                    ' procedures, and discuss the causes of the operational events
                                                    selected. The following general items were included.
            ^

,

                                                           Local ADV, TBV, FW, and AFW system valve' operations.

L- Local RCP Seal Injection and Seal Return valve operation L -Local Letdown Isolation valve operation l Aux. Steam Reducing station local' operation- '

                                                           Operation.of valve controllers in the control room
                                ~
                                                           Operation of the make-up tank outlet valve during SFAS
                                                           Limitorque M0V. local operation

i- ! Local operation of Feedwater Heater valves

! , Position indication and failure modes for the valves described

,
                                                             above (loss of air, loss of power, and loss of control

l. signal)

                                                                                                                                                         -
   .

1

  -.
                                                                                      ,
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                                      14
 *                               ,
                                      -           '
                        ,
                                                    4
            Identification and effects of complete and partial losses
              of NNI and ICS power
            Location of circuit breakers and indications for NNI and ICS
              power supplies.      ;
            Location and limitations on' operation of Spent Fuel Pool Leal
              Chase Channel isolation valves
            Identification of inaccurate or out of service pressurizer

. level indication

            Actions required following a pressurizer heater breaker trip
              during heat-up
            Radiological measures taken during an emergency entry into a
              potentially high radiation area (potential fuel damage)
            Recognition of an overcooling event
            Action to be taken-during an overcooling event
            Entry into known contaminated areas
            Observation of control room supervision and communications
      The inspector determined that, in general, all personnel interviewed
      could find the requested plant components, understood local manual
      valve operation, and had a good understanding of how the operable
      installed valves worked.:The inspector observed that in the
      situations where valve modifications were not complete some
      operations personnel were. uncertain of what would be installed and
      how'it would function.
      However, two exceptions were noted.    The inspector found that-the.
      auxiliary steam reducing station was not fully installed and that
                                                                           ~
      training appeared incomplete for this item. Some personnel were not
      aware of how the new reducing station would operate, its failure
      modes, or how.it could be controlled locally.
      The inspector also found some confusion over the control system to
                                                      -
      be used to control the atmospheric dump valves, how the back-up air
                  ~
      supply systems would be used for these components, and valve
      position during~ normal operations. This appears to be due to the
      fact that installation of these components is not complete and that
      some aspects of the modifications had not been finalized as of the
      date of the inspection.
      The inspector found that some operations personnel were unaware of
      any new controls placed on the isolation of the spent fuel pool leak
      chase system.    Some personnel were not-aware that an inadvertent
      release had occured. The licensed operators questioned were aware
      of administrative controls placed on these valves'and the
      inadvertent release.
   .
                                   15
 .
      Licensee training personnel responded that training in these two
     areas was not yet completed.
     The inspector observed that the s'hift personnel in the control room
     were extremely busy during all three shifts.      This activity in the
     control room appeared to be due to ongoing work in the plant which
     required constant attention to clearances and tests in progress.
     The inspector noted that it was very difficult for the shift crew to
      spare even one person for walk-throughs. The clearance coordinator
     was often surrounded by several people and the senior licensed
     operators appeared to be involved in many activities at the same
     time. The inspector related this observation to the licensee's
     management. The inspector stated that it appeared inappropriate for
     scheduling and construction to control the plant operations to the
     degree observed. The inspector stated that licensed operators must
     be fully in charge of the plant at all times and should not be
     subject to excessive pressures by other groups.
     The inspector also stated that the knowledge and ability of the
     operations personnel appeared satisfactory. However, since
     extensive modifications had been made and some personnel stated that
     they were unsure of what was going to be installed in the plant, it
     appeared essential that the plant testing and start-up be (1)
     deliberate and' controlled with no surprises, and (2) that all shifts
     be involved in testing and start-up to familiarize everyone with the
     modifications and new plant characteristics. A licensee
     representative' stated.that they agreed that operations must be in
     charge of the facility and would look into both issues.
     The following week, the inspector observed that the operators
     appeared to'be controlling the ongoing work at a more reasonable
     pace and without the hectic pressure previously observed.
     The inspector found that the operations. personnel examined appeared

!

     to have received training consistent with_the documentation in their
     records and the the training had been generally effective

l The inspector concluded that the additional training of licensed and l non-licensed operators was acceptable and that the deficiencies f identified during inspection 50-312/86-07 related to training should

     be closed.   NRC open items 86-07-02 and 86-07-06 are closed.
     Information related to the uncontrolled release of fuel pool leakage
     had not reached all of the non-licensed operations personnel.
     Licensee personnel have stated that this material will be in the
     second required reading assignment for 1987.

! Operations personnel appear to have been under pressure to allow

     construction and testing to proceed as fast as possible. Training
     personnel appear to have been under pressure to teach final system

l

     design and operations just prior to start-up (system design freeze

l appears to have occured very recently, e.g. EFIC, Auxiliary steam). l The immediate effects of the inspector's preliminary comments to

     licensee management appear to have been effective in asserting

l

, - ,

   '
       .
                                               ~ 16

, t

                  greater. operator control of the plant. However the inspector's
                  observations were limited and the effects on training and the plant.

e testing and start-up have not been observed.

            No violations or' deviations were identified.
         7. Followup of Unresolved Items
            In inspection report 50-312/86-42 the inspector identified three
            unresolved items which dealt with the licensee's apparent lack of
            immediate notification to the NRC per the regt.irements in 10 CFR 50.72.
            The licensee reviewed their control roon logs and provided the inspector
            with a record of a red phone notification on September 7, 1985. This
            phone notification discussed the events reported in LER 85-18. Therefore,
     ,
            unresolved item 86-42-02 is closed.
            However, the-licensee was unable to identify immediate notifications to
            the NRC on the events surrounding LER 85-13 and 85-20.
            The event discussed in LER 85-13, initiation of the emergency diesel
            generator, appeared to have met the criteria in 10 CFR 50.72(b)(2)(ii) as
            a four hour report which is "Any event or condition that results in
            manual or automatic actuation of any Engineered Safety Feature (ESF)...".
            The event discussed in LER 85-20, the HVAC system failure to function in
            accordance with the design basis report and technical specification 4.10
            requirement, appeared to have met the criteria in 10 CFR 50.72(b)(2)(i)
            as a four hour report which is "Any event, found while the reactor is
            shutdown, that, had it been found while the reactor was in operation,
            would have resulted in the nuclear power plant, including its principal
            safety barriers, being seriously degraded or being in an unanalyzed
            condition that significantly compromises plant safety."
            The apparent failure to notify the NRC per the requirements of 10 CFR
            50.72 in two cases is an apparent violation, (Violation 87-06-03).
            Unresolved items 86-42-01 and 86-42-03 are Closed due to the above
            violation being issued. (87-06-03) Open, (86-42-01) Closed,(86-42-02)
            Closed, and (86-42-03) Closed.
            UNR 83-23-01, (Closed) " Feasibility of Analog Status of SFAS Added to the
            Control Room.
            In Inspection Report 83-23, the inspector identified an unresolved item
            that in the Rancho Seco control room there were no annunciators of the
            status of the three analog SFAS channels. The licensee committed to
            review the feasibility of adding the analog status to the Integrated Data
            and Display System (IDADS) computer.
            In a memo dated September 3, 1986 from D. Gillispie to R. Ashley, the
            licensee stated that their study determined that to add the analog status
            of SFAS to IDADS would require additional equipment within the SFAS
            system. Therefore, the licensee's Nuclear Engineering department, after
            completing the feasibility study, recommended that the analog status not

m

   ..
                                          17
 .
      be added to IDADS. -This item does not, on further review, appear to have
      been a potential violation,.and is closed. (83-23-01), Closed.
      UNR 86-30-03 ,-(Closed) "Use'of Furmanite Leak Sealant.
      The inspector reviewed'a. draft memo to be issued by Nuclear Engineering
      (NE) which revised the NE guidance on the use of leak sealants
                              ~
      (Furmanite) for temporary repairs on safety related systems. The memo
      revised a previous memo dated 1/2/87 and-limited the application of
      Furmanite in safety related systems to temporarily repair existing
      gasketing mechanisms in piping systems.     Furthermore, it prohibited the
                                                               .
      use of Furmanite for repair of through wall breaches in pressure
      boundaries.
      A licensee representative committed to provide by separate memo, a
      current status of the applications of Furmanite in the plant and the
      schedule for replacing any applications in safety related systems such
      that prior to the next plant startup all known uses of Furmanite in
      safety systems will be replaced with permanent piping repair.
      In discussing this item with the inspector, licensee engineering
      representatives identified that the clamp and sealant used for the repair
      of thru-wall pipe leakage in the. drain line for the decay heat removal
      pump were designed to appropriate ASME requirements as a mechanical joint
      with gasketing material for leakage control. Furthermore, they contended
      that the structural integrity of the original piping system was
      unimpaired by the existence of the thru-wall defect and the addition of
      the clamp.    Consequently, the licensee concluded that the clamp and
      sealant were properly designed to applicable code requirements and that
      the original piping system remained in compliance with code requirements
      despite the existence of the thru-wall defect and the addition of the
      clamp.
      In their engineering analysis, the licensee contended that the Furmanite
      was not used as a " pressure boundary material" in the rr. pair, in the
      sense that it was not analyzed as a replacement for the pipe wall
      material. The licensee explained that their analysis was based on the
      assumption that the thru-wall defect could be modeled as a pipe wall
      penetration of known geometry. This assumption enabled the use of
      established analysis techniques employing standard code calculations to
      determine the acceptability of the pressure boundary. As such, the
      licensee considered the design to be changed to incorporate a bolted
      mechanical joint as part of the pressure boundary.
      The lack of engineering control over the radiographic testing used to
      identify and define the thru-wall defect geometry in support of the
      engineering analysis has been identified in two violations in a previous
      report.   (86-18-02 and 86-18-03).
      Based on their response to the previous violations and their programmatic
      commitments limiting the future use of the leak sealant technique, it
      appeared to the inspector that the licensee has taken appropriate
      corrective actions in addressing the identified weaknesses in the
      engineering program.
                      ,     . -.                ,        _.._ _ _ .-                                  _          _                     ..      _             . _     .       . . -
           ,'_          .      &              .                                                _                         w             y
                                                                                                                                                                                           '
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                                                                                                                              .
                                                                                                                                ;
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                                          ,
                                                                                                                                  '
                                                                                @
                                                                                                                                                                                 '

ff~ ,

                                                                ,x          x
                                                                                                               ,              f         m                                                    -
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                                                                                                ,                ,
                                                           .
                                                                                                                                        ~
                                        This; item is closed (UNR 86-30-03, closed).                                                                                   '

4 -'

                                                     : ,
                                                                       .            .     v             s   t.
                                                                                                                                     -
                                                                                                                                                                 _
                                                                                                                                                                                   -
                                                                                                                                                                                            3'
           1                             In addition', .b'ased os followup.oflthis" item,[the following LERs were also
           .',                         -closed:                                                     ,                _
                                                                                                                                   ,
                    -          .
                                                                                        ,w            5            <
                                                                                                                                                                                  .         ,

W ,

                             '
                                                  LER 86-02-L1:' : Closed -
                                                  LER 86-14-LO: Closed                    c.
                '

r' . ' '

                                                         :
                                                                         '
                                                                                        ' ir4                                   ,        , , ,
                                 8. ,-Licensee' Event Reports (LERs) Follow'up:                                             +
                                                                                                                                     7

. LER85-14 Revision 3 \)(Close)'-NonClass1ReplacementBreaker

                                                                                                                                                                                      '
                                                                                                                                                                                            ;

4- Installed,for NSCW Pump A. * ' '

           '
                                        The LER reported that a Class 2 breaker was use'                                             d to replace a Class 12

0 breaker for NSCW pump A.while the' plant _was shutdown. The condition was' < '

                                                                                                                                                                                             .

>

"
                                         identified.on NCR 4796.on June 14,,1985. Reactor. criticality was
                                        achieved.on June 14, 1985 and again on; June 23, 1985 without the NSCW "A"                                                                            -

p trair being declared. inoperable andlwithout associated limiting i

conditions-for operations being addressed. The condition was. recognized
on July 9,1985 while the plant was again shutdown, appropriate Technical
                                        Specification requirements were observed and a Class 1 breaker was

s ,

                                         installed on July 24, 1985.
                                                                                                                                                                                           I
' '
                                        Subsequent. licensee evaluation resulted in various corrective action                                                             -
      ,                                ' items, including establishment of a formal. review of NCRs-for impact on                                                                             F

l . plant conditions and a formal program to document and control the  ; j selection process for replacement parts.

                                        The QA Department has performed several surveillances: documented on

"l surveillance report numbers ~746, 747, 758, and 766 to review completed <

                                        corrective action for the' LER.. The corrective action for formalizing the
                                        replacement parts control was in process but ha:i not yet been completed.

1 The NRC inspector determined that Operations Manual Procedure B.1, . l Revision 17, Plant Precritical Checks, hr/J been changed to include a- , ! requirement in Enclosure 5.5~ step 10 to verify resolution.of all NCRs as ! part of the precriticality check list. The NRC inspector also determine  :

        '
                                         the Plant Manager and the QA Manager had issued internal policies for                                                                               .

E issuance of safety related and environmentally qualified material from  : ! the warehouse pending issuance of the revised replacement parts control i procedures. The policy requires.QC verification, tagging and control of I this material. The interim measures provided reasonable assurance that i the licensee's committed corrective actions will be implemented.

                                         LER 85-14 was closed. The licensee's material iss'uance program will be

'

                                        the-subject of future routine inspections.

i 1: LER 86-06, (Closed) 7 ,

                                        The licensee reported that during cold shutdown conditions on
                                        April 14, 1986, an ongoing comprehensive review of fire portection
systems and procedures identified the licensee's failure to deluge fire

} suppression systems surveillances every three-years as required by the ! Technical Specifications.

1

1-

                                                                                '
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                                                                                        .
                                                                                  .

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    ,        ---m._.---                           ---_,,_..--,,-,n._-_--,.._.___.                                                              --_-_-.__-.m.                 - - . - . .
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                                                       19 ,
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                                                                             .
                                              ,
                                                       '
    *~                                            4
                                        ;. _
                                                .   ..
         ,
           This' item is closed based on the adequacy of the licensee's corrective
           actions,-which included the'following:
           a.    Performing the regnired surveillance testing
           b.    Cross-indexing of technical specification and surveillance
                 procedures to corresponding' surveillance test frequencies.
           c.    Revision of surveillance test procedures for deluge sprinkler fire
                 suppression systems to incorporate appropriate _ test criteria and
                 acceptance parameters as specified by governing code requirements.
           d.    Clearly outlining and dispositioning identified deficiencies through
                 nonconformance reports (NCRs).             NCR #S-5627 was issued to track
                 deficiencies identified as a result of performing three year
                 surveillance _ testing of deluge sprinkler fire suppression systems
                 for fire zones 81 and 82.
           LER 86-08-(Closed)-
           The licensee reported that a proper fire watch had not been posted while           ,
                                                                                                {
           welding and cutting work was being perfo'rmed in fire areas. An hourly
           fire watch was posted rather than a continuous fire watch
           This item is closed based on the adequacy of the licensee's corrective
           actions which included the following:
           a.    A commitment by the licensee stated in LER 86-08 to initiate
                 training for all fire protection group members the week of
                 May 25, 1986_which required completed review of applicable technical
                 specifications and administrative procedures for control of
                 combustibles and ignition sources in order to enhance the staff's
                 ability to abide by fire' protection technical specifications.
           b.    Maintenance of records of. staff: members trained and the training
                 lesson plans.                                     e
           c.    Installation of fire detection for_ reduridant trains required for
                 safe shutdown in Zone 46 as outlined in' proposed Amendment No. 137
                 to the Technical Specifications.
                                                                        ~
           The inspector also determined that several events between September, 1985
           and January, 1986 had not been reported or were reported late,--
           apparently:
           a.    Engineering discovery on January 7, 1986, that insufficient voltage
                 would be available to the essential control room HVAC power supplies
                 following a design basis LOCA, as required within 30 days after the
                 discovery of the event under.10 CFR 50.73(a)(i) and later identified
                  in LER 86-23.
           b.    On September 9, 1985, the licensee released liquid effluent without
                 on-line rad monitor or a dual verification of a chemical analysis of

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                                                            .the. release-sample.as req'uired by Tdchnical Specification 3'.15,'                              ,
                                                                                                                                                                  -     <
                                                             therefore,ithe event is reportable.under 10 CFR 50.73(a)(2)(1)(B).
                                                                                                                 -
                   '
       -
                                                .c.          While in a cold' shutdown condition ~ o'n September 10, 1985, the
                          s                                 . licensee ~ declared both emergency diesel generators' inoperable. :This.                                       l
              -
                                                           Jis a condition.that alone could have prevented the fulfillment of
                                                             the. safety function'to remove residual: heat and~was reportable under
         ,                      ,
                                                             10 CFR 50.73(a)(2)(v)(B).                                                          ,
   ,                                               d.        On October 30, 1985'; whil'eithepl'antLwas'inhotshutdown,the'
                                                                                                                  ~
                                                                                                                                                                    '
         ',
                                                             auxiliary feedwater pump, P-319,' auto started on the safety.. feature
                                                             signal of low-feedwater pressure'. Therefore, this' event was an-
                                                             automatic actuation of an engineered' safety feature' system and
     -
                                                             reportableiunder 10 CFR 50.73(a)(2)(iv)., .                   .
                                                                                                                                                  "
                                                                       ,                      .
                                                   e .'    'On December.12,E1985,' the' Technical' Specifica' tion leak test', for? the
   N,                 "
                                                             personnel hatch,'was performed.without maintaining technical
                                                             specification. required pressure...! This condition is prohibited by=
   :                                                         Technical Specifications, and therefore_ reportable under 10 CFR
                                                             50.73(a)(2)(1)(B).                                       ,
   c*                                              f.        On September 23, 1985 the decay heat "dropline"/ suction isolation'
       ,
                                                             valve closed spuriously, removing the ability of the system to .
                                          ,                  remove residual heat from the valve. - This condition was reportable
               ,                                             under 10 CFR 50.73(a)(2)(v) but was not reported.                                          x
                                                                                                                                                                             t-
             -
                                                -This'is an apparent violation of 10 CFR 50.73 (Violation 87-06-07).                                            .
                                      8a.' ?Special Reports Followup
                                                LSpecial Report 81-59-X0, (Closed)
 a,
                                                  The111censee reported an hourly ~ fire watch had been posted instead of a
                                                   continuous fire watch as required by Technical Specification
 m.                                               No.- 3.14.6.'2.>                                          .
                                                  ThisJitem is closed based on the adequacy of the licensee's corrective
                                                  actions which included the following:
                                                   a.        Revision of Administrative Procedure (AP.) No. 60,
                                                             Section 4.3.1.1.3.5 to clearly identify specific zones which require
                                                             continuous surveillance based on Technical Specification
                        a                                  ' requirements for areas containing equipment important to' safety.
                                                                                                                                                                             '
                                                  b.         Implementation of an Administrative Procedure review to ensure that
                                                             sufficient emphasis is placed on the referenced Technical
                                                           : Specification requirements.
                                                .Special Report 82-01-X0, (0 pen)
                                            .
                                                                                                                                                                              '
                                                .The licensee reported a fire watch which was not performed for three
                                    -             hours due to airborne radioactivity.

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                                                                                                                                                                              >

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                    .
                             _ _ _ _ - . - _ . _ .                  . _ _ . _ _ _ _ _ . _ _ . _ _ _ _ . . _ , - . _ _ _ - _ , _ . , _ _ . , _ _
                                                                                                 '
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                                          '                                   .
                                                           21
 .                              -
             , ,
                  .               -
                                                 -
                      This~ item remains'open pending' final resolution by the licensee.
   ,
                      Resolution.to this problem is in progress. However, adequate
                      administrative controls were.not in place during the inspection to as'sure.
                      that minimum qualified staffing'will be:on site at all times to perform
     ,
         .
                    fthis duty.
                      Special Report 82-02-X0, (Closed)
                                      ~
           .
                      The licensee reported that an hourly fire watch in the "B" Diesel
                      Generator Room'was.not conducted for four hours.
                     This item is closed based on the adequacy of the licensee's corrective
                      actions taken.-This was an unusual occurrence. A fire watch was required
                      in the "B" Diesel Generator Room because of a non-functional' fire barrier
                      penetration seal. The door to the Diesel Generator Room had been.
                      replaced with a new door at 3:30 p.m. ' Inadvertently, a cover plate' was
                      rot . installed over the normal door latching mechanism so that the door
                     would be controlled only by it's security latching device. . Because the-      .
                      plate wasLnot installed, as required, when the door was closed it latched
                      in a locked position. When the fire watch attempted to gain entry into.
                      the room, the security latch _ opened but the door latch held the door
                      closed. No key was available for the door latch immediately,.so it took-
                    .until 7:24 p.m. to gain entry into the, room without causing damage to the
                      door. Normal fire detection and suppression equipment in the room was
                      verified operable during the period of time.that the fire watch was
                      unable to gain entry into the room. =The required cover plate was
                      installed over the normal ' door -latching mechanism and= the key for the
                      door was made available to security and the control room.
                                        ~
                      Special Report 83-01-X0,:(0 pen)
                     The licensee reported the reactor' coolant pump room fire detectors were
                      not tested as required by Technical-Specification No. 3.14.1.
                     The licensee's surveillance procedure no. SP-201.03W was being revised to
                      address this problem (accessible vs. inaccessible testing). -This item
                      remains open pending further licensee action and NRC review.
                      Special Report 83-02-X0, (Closed)
                     The licensee reported the motor driven fire pump out of service over
                      seven days for maintenance.
                     This item is closed based on the adequacy of the licensee's corrective
                      actions. During the March, 1983 outage, Motor Driven Fire Pump No. P-440
                     was administratively taken out of service for more than seven days due to

-

                      the necessity to drain the cooling tower circulating water basin. A
                      recovery procedure was established for the pump which required filling
                      the basin by opening inlet bypass valve No. PCW-002 from the Plant
                     Cooling Water System to provide sufficient water supply for the pump to
                     be manually operated as needed.       The recovery procedure remained in place
                      until the Cooling Tower Circulating Water Basin was refilled. The Diesel

,

                     Driven Fire Pump was operable to provide automatic flow to the Fire
                                    -

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. , ~ Protection.Wate(Supply;SystemduringthE: entire-periodof.timethatthe

                              s.                 Motor Driven Fire Pump wasideclared; administratively inoperable.
 4                                                                                                                         .
,
       '                               '
                                         .      ,Special' Report 83-03-X0,=(Closed)
                                                                                                        -
                       ~                                       '
    s                                            The 11censee reported the unavailability of fire su'ppression wat5r-
                                                 supplies.                                                                              .
           -"                                                                                                                                 >
                                                                           ,              ,
                                                         .                                                             .                  .
         '
                                                 This item is. closed based lon the licensee's correctiv'e^ actions 1taken a's
      ,                   s                    ' discussed in'the special. report.                                4           .                   ,
                                                                                                                    '      '
                                                                                                                                        '
 y                                               Special Report 83 204-X0,:(Closed)
                                                                     3
                                                                                                                             ^                  1"
                                                 Licenseereportedunavailability'ofitwo,highpressure~ fire l pumps.'
                                                 This item is closed based onthe licensee's correstive actions'taken as
                                                 discussed in the~special report.                                    ,
                                                                                                                '
   i                          ,
                                                 Special Report 87-01-X0, (0 pen)~                  .
               ~~
                           a-                    The licensed reported non-functionalffire barriers required to be                                  ,
                           '-                    operable by Technical Specification 3.14.6.                       y,
                                               ;This report 'is a periodic update of previous- special reports addressing
                                                 the same s'ubject.- Report No. 87-01-X0 indicates that'the licensee is
             '
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                                                                                                      s
                                                 making progress toward making breached fire barriers operable. .According.
 ,                     ,                       -to the licensee, prior to startup from the current outage, the licensee's
                                                 goal is to have all breached fire barriers operable.                        The large number of'
                                                 breached-barriers may-be'significant',-and this item remains open pending
                                                 further licensee action and NRC review.-
                                                                                             s
       -
                                      '9.        Inspector Followup Items-
                  '
                                               :Open Item (50-312/85-22-01), (C1osed).
                                                 By. letter dated February 28, 1985, the licensee submitted a formal-
                                               . exemption request to the NRC for relief.from the requirements for
                                               . protection offredundant safe shutdown trains in accordance with
                        :        ,               Section III.G.2 of, Appendix R.to 10 CFR 50 for' Fire Area No. 69,
                                               - Auxiliary Feedwater Pumps per the provisions'of 10 CFR 50.12.
                                                 This item is closed based on the NRC's review of the. requested exemption
                                                 which will be discussed in.a supplemental Safety Evaluation Report to be
                                                 issued by the NRC at a later date.
                                                                                                                           .
                                                 Open Item (50-312/85-22-02),-(Closed)
                                                 By letter dated February 28, 1985, the licensee submitted a formal
                                                 exemption request to the NRC:for relief from the requirements for
                                                 protection of redundant safe shutdown trains in accordance with
                                                 Section III.G.2 of Appendix R to 10 CFR 50 for Fire Area No. 69,
                                                 auxiliary feedwater pump valves, per the provisions of 10 CFR 50.12.
     <
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                                                  23          .
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                                      .
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             This item is closed < based on the NRC's review of the requested exemption
   '
             which will be discussed in a supplemental Safety Evaluation Report to be
   ,         issued;by.the NRC at a later date.
             Open Item (50-312/85-22-03) '(Closed)' '            '
                             ~
             By letter dated February 28,~1985,;the licensee submitted a formal-
             exemption' request to the NRC for relief from the requirements for
             protection of redundant safe shutdown trains in accordance with
       '
             Section III.G.2 of. Appendix R~to.10 CFR 50 for Fire Area No. 68 cables
             inside' containment electrical' penetration area per the provisions of
                                              ~
             10 CFR 50.12.
             This item is closed based'on the NRC's review of the requested exemption
            which will be discussed in a supplemental Safety Evaluation Report to be
             issued by the NRC at a later date.
            Open Item (50-312/85-22-04), (Closed)
             By letter dated May 4, 1985, the licensee submitted a ' formal exemption
             request to the NRC for relief from the requirements for protection of
             redundant safe shutdown trains in accordance with Section III.G.2 of
            Appendix R to 10 CFR 50 for Fire Area No. 69 Nuclear Service Cooling
            Water Pumps per the provisions of 10 CFR 50.12.
            This item is closed based on the NRC's review of the requested exemption
            which will be discussed in a Supplemental Safety Evaluation Report to be
             issued by the NRC at a later date.
            Open Item (50-312/85-22-05), (Closed)
            By letter dated February 28, 1985, the licensee submitted a formal

.

            exemption request to the NRC'for relief from the requirements for
            protection of redundant safe shutdown trains in accordance with
            Section III.G.2 of Appendix R to 10 CFR 50 for Fire Area No..RG1 cables
             inside Auxiliary Building Electrical Penetration Area per the provisions
            of 10 CFR 50.12.
            This item is closed based on'the NRC's review of the requested exemption
            which will be discussed in a supplemental Safety Evaluation Report to be
             issued by the NRC at a later date.
            Open Item (50-312/85-22-06), (Closed)'
            By letter dated February 28,.1985, the licensee submitted a formal
            exemption request to the NRC for relief from the requirements for
           . protection of redundant safe shutdown trains in.accordance with
            Section III.G.2 of Appendix R to 10 CFR 50 for Fire Area RB1 Auxiliary
            Building Mechanical Penetration Area per the provisions of 10 CFR 50.12.
            This item is closed based on the NRC's' review of the requested exemption
                                                               .
            which will be discussed in a supplemental Safety Evaluation Report to be
             issued by the NRC at a later date.
                                                .
                                                          1
                             ___        __        _--_ ____   _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ _ _ _ _ _ - _ _ _ _
        '
     .,
   ~
                                             24
 .
          Open Item (50-312/85-22-08), (Closed)
          By letter dated. February 28, 1985, the licensee submitted a formal
          request to the NRC for relief from the requirements for protection of
          redundant safe shutdown trains in accordance with Section III.G.2 of
          Appendix R to 10 CFR 50 for Fire Area No. 110 Nuclear Service Raw Water
          Pumps, per 10 CFR 50.12.
          This item is closed based on the NRC's review of the requested exemption
          which will be discussed in a supplemental Safety Evaluation Report to be
          issued by the NRC at a later date
          Open Itiem (50-312/85-22-09), (Closed)
          By letter dated April 4,1985, the licensee submitted a formal exemption
          request to the NRC for relief from the requirements for protection of
          redundant safe shutdown trains in accordance with section III.B.2 of
          Appendix R to 10 CFR 50 for Fire Area 91, Nuclear Service Electrical
          Building roof, per the provisions of 10 CFR 50.12.
          This item is closed based on the NRC's review ~of the requested exemption
          which will be' discussed in a supplemental Safety Evaluation Report to be
          issued by the NRC at a-later date.                '
          Open Item (50-312/85-22-10), (Closed)
                                           ~

'

          By letter dated May 24,1985,-the licensee submitted a formal exemption
          request from the requirements for protection of redundant safe shutdown
          trains in accordance with Section III.G.2 of Appendix R to 10 CFR 50 for
          Fire Area No. 74 Auxiliary Building roof Control Room HVAC units per the
          provision of 10 CFR 50.12.
          This item is closed based on the NRC's review of the requested exemption
          which will be discussed in a supplemental Safety Evaluation Report to be
           issued by the NRC at a later date.
          Open Item (50-312/85-22-11), (Closed)
           By letter dated May 24, 1985, the licensee submitted a formal exemption
           request to the NRC for relief from the requirements for protection of
           redundant safe shutdown trains in accordance with Section III.G.2 of
          Appendix R to 10 CFR 50 for Fire Area No. 74 Auxiliary Building Roof
           Nuclear Service Cooling Water Surge Tank level switches per the
           provisions of 10 CFR 50.12.
           This item is closed based on the NRC's review of the requested exemption
          which will be discussed in a supplemental Safety Evaluation Report to be
           issued by the NRC at a later date.
           Open Item (50-312/85-22-12), (Closed)
           By letter dated November 7, 1985, the licensee submitted a formal
           exemption request to the NRC for relief from the requirements for
           protection of redundant safe shutdown trains in accordance with
                                                                                         ~~
                                                       '
                                                             ,

f ...

                                                               .
               ,
                                        F                -25
    ..
                       SectionlIII.G.2ofAppendixRto10CFR50fortheControlRoomFire
                       Area 1 per the provisions of 10 CFR 50.12.
                                                   ~
                       This item.is closed based on the NRC's review of the requested exemption
                     -which will be discussed in a supplemental Safety Evaluation Report to be
       .
                       issued by the NRC at a later date.
                       Open Item (50-312/85-22-13), (Closed)
                       By letter dated February 28,1985, the licensee submitted a formal
                       exemption request to the NRC for relief from the requirements for
                       capacity of Reactor Coolant Pump oil collection systems in accordance
                     1with Section III.0 of Appendix R to 10 CFR 50 per the provisions of
                   ,
                      ,10-CFR 50.12.
    ^=
                       This: item is closed based on the.NRC's review of the requested exemption
                 _     which will be discussed in a supplemental Safety Evaluation Report to be
                       issued by the NRC at a later date.
                       Open Item (50-312/85-36-01), (0 pen)
                       The licensee's administrative procedure review and programmatic
                       assessment of effective implementation of fire protection program
                      -requirements is ongoing. This item' remains open'pending completion of
                       licensee actions and further NRC review.
      '
         ,
                       Open Item (50-312/86-18-07), (0 pen).
                       This item concerned apparent lack ~ ofd ' rainage capability for discharged
                     - automatic fire suppression water in the technical support center
                                                                                            ~
                       The licensee'is performing an' engineering study to determine potential
                       adverse affects from this condition. According to the licensee, this
                       assessment is ongoing. This item remains open pending completion of
                      ~ licensee action and.further NRC review.
  .
                       Followup (50-312/85-11-01 and 85-27-01), (Clos'ed)
                        Inspector Followup Item 85-11-01:noted five inspector concerns regarding
                       the licensee's QA program procedures. Inspection Report 50-312/85-27
                       reviewedLand closed out the five concerns of followup item 85-11-01 but
                       opened followup items.85-27-01 and 85-27-02 regarding additional concerns
                       with QA program procedures. Inspection Report 50-312/85-31 reopened
                        followup item 85-11-01 pending issuance of a revised QA manual to
                       specifically address nuclear operations.
                       The NRC inspector reviewed the QA manual and determined that on
    ,                  January 1, 1986, the QA manual procedures had been changed and QA policy
                        sections had been issued to include QA program requirements for the
                       operations phase. Inspector Followup Item 85-11-01 was Closed.
                        Inspector Followup Item 85-27-01 had been opened pending issuance of a
                        formal review process for 10 CFR 50.54(a)(3) QA program changes. The
                        inspector reviewed Amendment 17 to the Management Safety Review Committee
,          ,
                                                     _           _ _ _ _ _ _ _ . _ _ _ _
 .
                                      26

.

   (MSRC) Chapter and determined that proposed changes to the QA program
   description which involves reduction in program commitments previously
   accepted by the NRC, were added to the required MSRC review process.
   Inspector Followup Item 85-27-01 was Closed. The NRC inspector also
   determined that the associated Followup Item, 85-27-02, had been
   previously reviewed by Region V and was Closed on Inspection Report
   50-312/86-38.
   Followup on Deviation 86-07-10 (0 pen) " Control Cable Shielding Not
   Protected at Ungrounded End"
   In response to this deviation, the licensee committed in a letter to the
   NRC dated June 13, 1986, to either perform a sample inspection of the
   terminations in the plant and to rework as needed or to use analysis to
   demonstrate that with the extensive ground grid system, the identified
   discrepancy is not a genuine technical concern and that no further
   inspection and rework is necessary.
   Subsequent to the above letter, the licensee. contracted Bechtel Power
   Corporation to perform the analysis. In Bechtel's Letter No. BSL-6160 to
   the licensee dated 10/7/86, Bechtel concluded that " Incorrect grounding
   of instrument cable shields and signal conductors creates ground loops
   that may cause degraded analog signals when electrical power system
   ground faults or lightning occur....Because of the.brief duration of the
   degraded signals, only circuits that have memory function to retain the
   signal action can cause unacceptable consequences." The unacceptable
   consequences include:
   A.    Initiate a unit trip
   B.    Initiate a safety feature actuation
   C.    Inhibit a safety features actuation
   D.    Change the state of major plant equipment
   E.    Upset major plant-process control devices.
   F.    Prevent plant operators from performing essential functions.
   Bechtel identified a number of' plant systems where degraded signals
   caused by incorrect instrument cable shield and signal conductor
   grounding may inhibit operation of plant safety systems or cause
   unacceptable upsets in plant operation. These systems are both Class 1E
   and Non-Class 1E such as:
   A.    Reactor Protection
   B.    Reactor Control
   C.    Nuclear Instrumentation
   D.    Safety Features Actuation
                                                            _.  .

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                                    Non-Nuclear lInstrumentat.
                                        .
                                            -
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                           G.       Turbine: Control'and Pr6tection'                            at         "             t'-
                                                  7; 7% --                    ,                     9                  p
                           H.     ; Reactor Coolant Pump Protection                              a
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                ,          EightyL(80). cables of4 these systems were identified by Bechtelifor
                  l        reinspection walkdown-and rework,;if the ground shield terminations were
                           found not. insulated. -The licensee 1 initiated work requests and, included                      .
                           thenLin the work planning for implementation ~ prior to the restart.
                                                                       ~                                             ~ ' '
              '
                          -Theinspectorconsideredthelicensee'scorrectiveactionstobe
                           responsive and will follow the implementation during future inspections.
                           This. item remained open pending licensee's completion of the walkdown and
                                                                   '
                           necessary rework.                             " , ,_                                      !
                                                                                                 ~,
                                                                                                                              '
                              LER 86-10, LER'85-16,'Rev'.1 Cable Raceway Trackina Systems'(CRTS),-(0 pen)
                                                                     -
                                                       .i                   .: s
                                                                                 ~
                           1.      ' Introduction ~
           (
                                    During this inspection period, the-inspector continuously menitored
                                    the licensee's corrective efforts in this area by in office review
                                    and onsite inspection. ? Previous' inspection results were documented
                                     in Inspection Report 50-312/87-01. This. inspection will be                                        -
                                    continued, and> remains open pending completion of the licensee's
                                    program and. review by the NRC.
                                    The scope of the licensee's resol _ution of the CRTS problems included
                                    the disposition of the discrepancy generated by the-CRTS.
                                    self-checking features 'and the discrepancy between the CRTS data
                    ,
                                    base and the actual plant configurations. '                                                           .
     ,
                           2.       CRTS Documentation Discrepancy Resolution-
                                      ~
                                    The licensee stated that when the original Bechtel's' cable tracking
                                          ~
                                  . system EE 553 was converted to the SMUD CRTS in 1981, a
                                    self-checking program was run on the~ CRTS. and it identified a number
                                  'of discrepancies in meeting the CRTS built-in criteria. These
                                    discrepancies' included cable trays filled beyond the design
                                    criteria, mixing of instrument cables with power and control ' cables
                                     in the same raceway, mixing of class 1 and non-class 1 cables, and
                                    missing nodes where cable raceways should be physically connected.
                                    The licensee was dispositioning these discrepancies by reviewing
                                    against the Updated Safety Analysis Report (USAR) Chapter 8'                                                 '
                                    Commitments, Appendix R and SMUD current construction standard.                                                l
                                    A.        Mixing of Instrument Cables with Power / Control Cables
                                              The licensee reviewed approximately 350 instances of instrument
                                              and power / control cable intermixing and did not identify any-
                                              cables needing rework due to misrouting. The discrepancies
                                                                                 v
                                                               ,._
                                                q  .
                                                   *
          4.                %
      '
                                             28
 ..
                  were. accepted by the licensee based on one of the fol'owing
                  criteria:

v

                  (1) The cable carried a digital signal which was not
                         susceptible to external noise.
                  (2) The instrument power supply cable and signal cable shared
                         the same connector or raceway while the instrument power
                        supply cable carried a constant current.
  -
                  (3) The' instrument was used only for indication or alarm
                         function without control or actuation functions. External
                        noise would result only in momentary change of indication.
                  However, because the USAR did not specifically provide-
                  allowance for these criteria, the licensee is reevaluating
                  whether rework is necessary.
               B. Cable Tray Overfill
                  The licensee's USAR commitment stated that the maximum fill in
                  redundant trays is 40 percent. The CRTS self-checking run
                  identified 38 class 1 and 150 non-class.1 cases of overfills.
                  The licensee dispositioned these overfills by evaluating the
                  current carrying capacity of the cables in the trays and
                  structural loading of these trays. The licensee identified one
                  case of overfilled tray exceeded the 50 pound per linear foot
                  limit by 0.2 pound . The licensee notified the NRC per
                  10 CFR 50.72. Currently, the licensee was performing seismic
                  structural ~ analysis of this finoing. Furthermore, the licensee
                  was evaluating other power cable tray's less than the 40 percent
                  filled to ascertain whether the criteria was conservative
                  enough.
               C. Mixing of Class 1 and Non-Class 1 Cables
                  Cable raceways with this condition were identified by the CRTS
                  self-checking due to the generic application nature of the
                  vendor. supplied software.         However, the Rancho Seco USAR
                  permits this condition provided that the non-class 1 cable does
                  not form a bridge between two redundant class 1 raceways.           The

I licensee did not identify any condition which violated this

                  USAR commitment and required rework.

l

               D. Cable Raceway Connections
                  One of the features of the CRTS self-checking program is to
                  check all the raceways.which a cable is supposed to go through
                  are connected in the order of the cable routing.           The raceway
                  configuration is part of the CRTS data base. Approximately 200
                  cases of class 1 and class 2 required by appendix R were

,

                  identified by the CRTS self-checking run to have raceways not

i

                  connected according to the routing. Typically for these
                  discrepancies, the CRTS was unable to locate the node of

! !

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                              connectionof[thetwo' trays-whichacable'was.supposedtogo
                     ~
                              through'. Theilicensee completed the resoluted of these
                              discrepancies by reviewing the cable routing schemes, raceway-
                              configuration drawings, and-in about 75 percent of the cases,_
                             : conducted. actual walkdowns of the raceways to identify raceways
                                                         ~
                             -and connections not entered;into the CRTS routing schemes but-       '
                              physically. existed between the two disconnected raceways. Upon
                              completion of these resolutions, the licensee updated the CRTS
                              routing schemes by, adding the missing connection to-the data
                          *
                              base.' The licensee did not' identify any necessary rework to
                              the cable or raceway as.a result of the self-checking program

g cases. -

                       The licensee's effort in resolving the discrepancies generated by
                       the CRTS self-checking program was nearly completed for class 1 and
     '
                       for class 2 cables required by Appendix R was nearly completed also.
                       The licensee stated that none of the deficiencies were safety
                                                               -
                       significant.' The inspector reviewed samples of the licensee's
                       disposition packages and ' independently walked down two package's and
                       found.them to be satisfactory. Based on these samples, the
                       licensee's' program to resolve these discrepancies appeared adequate.
                                  ~
                       However, 10 CFR 50.59 required the' licensee to perform a safety
                       analysis when a modification results in a condition not described in
                       the USAR (such as overfilled _~ trays and mixing instrument cable with
                       power / control cables). Since the licensee was unable to present
                       documentation of such a' review for these modifications, this is an
                       unresolved item (87-06-08), pending further review of records by the
                       licensee and the inspector.-
                  3.   Sample Walkdown of~the Cables-to. Verify CRTS Accuracy
                       LER 86-10 revealed a discrepancy between the CRTS_ data base and the
                       actual plant configuration. To address the concern over the quality
                       and accuracy of the data base,-the licensee initiated a sample
              '
                       walkdown program to' physically verify that the cables were actually
                       routed as the CRTS data base shown.           The sample walkdown program
                       covers those cables installed or modified after the> plant was
                       constructed and turned over by Bechtel. The licensee believed that
                       the original Bechtel work was covered by an accepted Bechtel QA
                       program (this remains to'be verified by the licensee). This remains
                       to;be verified.
                                                                 ~
                       Initially, the_ licensee divided the cables into three lots:
                       o    < Lot-1:    Cables installed with subsequent modifications. The
                              licensee believed that this category was vulnerable to errors
                ,             due to revisions not properly implemented;
                       o     - Lot-2: ' Cables installed without ' subsequent- modifications.
                       o      Lot-3:    Cables installed under the responsibility of an
                              individual-construction engineer (CE) associated with the  ~
                              modification reported in LER 86-10 which were not completed.
                                                           .

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                                      The licensee initially' based th'e sample size on MILLStandard'105D to
                                      achieve 95 percent confidence that upon completion of the sample the
      - ,
                        -
                                    . rest of the lot'is accurate with a 95~ percent qualityllevel. _Later,

c the licensee switched _to a different model called " likelihood- j: -

                                    1d ensity function" ~which the licensee' believed could maintain the-

[

                                                                                                                   ~
                                                                                                                                  '

. . .

                                      same' confidence and'_ quality level while reducing.the sample size.'
                                      In the process of the sample walkdown, onl February 4,1987,.the^
                                      licensee found_one. cable in Lot-3 sample' space-and one cable in
                 ". .                 Lot-1 sample space were not routed ~ascthe CRTS data base shown.                     Th'e
                                  ,
                                      second cable was also in the population space lof' Lot-3'. Further                              .
                                      evaluation by the licensee revealed that these;two cables were
                 _ ,                  installed under the responsibility of the'same individual along with---
                                      five other~ cables which were also found misrouted. The as found
                                      condition of these1.seven misrouted cables presented an Appendix R'
                                    . violation since redundant signal cables needed for safe shutdown
                                                    ~                                                                        .
             .                        were in the same fire area. ;The licensee promptly took compensatory
      ,                               measures by posting a' fire watch and notified the NRC per
                                      10CFR50.72. These seven cables-were then~ rerouted properly'as
                                                                                                 _
                                    . verified.by the inspector's independent walkdown. The licensee
           '
v~                                    dete'rmined that these seven cables were in the same work package
                                      ECN4942 as the other seven cables. reported in LER 86-10. tThese two
                                      sets of seven cables. served the following: indication, functions:
                      -
                                      o      Steam Generator A Level                                                            <
 .         .
                                      o      Steam Generator B Level
                                                                                                       ~
                                      o      Loop A RCS Cold Leg Temperature
   s                                .o-      Loop B RCS Cold Leg. Temperature-
                                      o      Pressurizer Level                                                                      '
                                     -o      Make-UpTdnkLevel'                                 l
                                                                                                   '
                                    'o     1 Steam Generator Pressure                     ,
                                      Thefirst~setlofcables'(LE[86-10)2were routed from an isolation
                                      cabinet H4SIA to cabinett H4 CAL;in ~the control room and the second
                                       set of cables (found 'during. the walkdown), were outed from H4SIA to
                                      the Remote Shutdown Panel H2SD in the same rim
                                                                                             ,
                                                                     .-             , .
                                      Based on the above ' finding, the:licenthe nsp ted that the
                                      misrouted problem most .likely occurrel y w 4 ECN was revised.
                                       subsequent to the first' installation and.the quality of the work by
                                       the individual responsible-for._the 14 misrouted cables. Thus , ~ the
                                       licensee regrouped the lots.as follows:
                                                                                                                ;.
    '
                                       o    ' Lot-1      'riginal~ Lot-1 minus those installed under        -
                                                         the responsiblity of the associated CE. The licensee
                                                         selected a_ sample size of 56 out of the population
                                                        - size of.1,702.
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                                      .os     : Lot-2           Original Lot-2 minus those installed under
                                 ^
                                                              'the responsibility of the associated CE. _The
                ,                                               licensee. selected a sample'siz'e of.52 out of the
      .                                                         population size of 424.           '
                                       o     LLot-3             Cable installed under the responsibility of
                                                                the associated CE without' subsequent revisions. . The.
                                                                licensee selected a sample; size of 48'out of the
                                                                                        ~
                                                 -
                                                                population size of-189.
   *
                 s                     o-    : Lot-4           : Cable' installed under the responsibility of
                                                              :theLassociated CE with subsequent revisions. The
                                                              ' licensee decided on a 100 ' percent inspection'of the
                                                                populati.on size of 78.~
                                                          ,                                     e
                                       The adequacy 'of the sample' lot selection and sample size was
      /.                               discussed with 'the office of Nuclear Reactor Regulation (NRR) staff.                '
      '                                The license'e committed to assemble a package with detailed
            4                          description of the sampling model for further, evaluation by the
                                       staff. This issu~e will remain'open pending further NRC review.
                                                            _
    '
                                                     .. '.         ..                      ..
                                       The physical walkdown of the selected cables were being. performed
                                       under the-licensee's;Special Test' Procedure!STP-972 " Verification of
                                       Instrument Cable Routing" and STP-976 " Verification of Power and
                                                                                              ~
                                       Control-Cable Routing."-:With the few exceptions of obvious short
        ,                              cable routings where visual inspections.were' adequate, the licensee
                                     -utilized ~two radio. frequency traces to-aid.the cable tracing.
                                                                                      ^
                                       To assess'the-adequacy!of'the license'e's; effort, the inspector
                                       conducted the following assessment <
                                       o       Reviewed the aboveitwo procedures.
                                                                                                                          ,
                                       o       Reviewed samples;of the completed packages.
              -
                                     -o-     LWitnessed .a sample' of two walkdowns in process with each of the
                                               two RF tracers.
                                       o      Witnessed. a -visual . inspection ~ walkdown in process.
                                       o       Requested the licnesee to retrace two cables with the
                                               inspector.
        ,
                                       The cables sampled by:the inspector were routed through various
                                       buildings of~the plant from the roof of the building to manholes                       s
                                       underground, and from the' clean technical support center to.the
                                       contaminated areas in the. plant.- Various types of raceways were
                                       covered by the inspection. Based on these assessments, the
                                       inspector found the licensee's performance of walkdown to be
          -
                                       reliable to confirm the exact locations of the cables sampled.
                                       Near the end of the inspection, the licensee had completed
                                       approximately 150 walkdowns. With the exception ~of the major
                                       deficiency of the 7 cables described above, the licensee did not
                    ,
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                  .
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                                      .
             ,
                               identify othe_r major defects. LThe licensee identified a few minor
  -
                               differences between.the CRTS and actual cable installation and
                               dispositioned them acceptable ~after evaluation against requirements-
                               such as the USAR and 10 CFR 50 Appendix R. The inspector reviewed
       .                     .the licensee's dispositions and found them adequate. LER 86-10 will
                              -remain open pending completion of the CRTS program and the review by
   ,
                               the NRC.
                        4.     (0 pen) LER 85-16, Rev. 1, " Spurious Closure of DHR Dropline
                               Isolation Valve"                                   ,
                              ~In addition to the issues discussed above, the inspector developed a
                               new concern from this LER, which had previously been closed in
                               Inspection Report 50-312/86-42. The licensee determined the root
       '
                               cause of this LER was that the instrument cables for the pressure
                               transmitter PT-21099 was misrouted in the power cable trays and
 E
                               resulted spurious actuation of the isolation valve due to electrical
                               noise. The licensee stated that this cable was installed by Bechtel
                               prior to the turnover in 1975.    The apparent cause of the misrouting
                              was that the design engineer specified the cable to be shielded
                               twisted pair and code the cable type accordingly. It was expected
                               that the cable routing engineer discern from the cable code that it
                              was an instrument cable and not to be routed with power cable. This
                               misrouting was not detected by the original Bechtel's cable tracking
                               system EE553 because it check the consistency of the cable trays for
                               their service level (power or instrument) but did not check between
                               the cable and the tray. When the EE553 was converted to CRTS, the
                               cable service type (power or instrument) was retroactively coded
                               based on the service level of the tray it was in.    Thus this cable
                               passed the CRTS self-checking program undetected.
                              This deficiency raised the concern over the quality of the cable
                               installed by Bechtel which currently is not being addressed by the
                               licensee's sample walkdown program.    The licensee committed to
                               prepare justification prior to restart.
                    10. Allegation Followup
                        RV-86-A-022 (Closed)
                        A.     Characterization
                              Maintenance personnel are being blamed for operations errors.
                        B.     Implied Significance to Operation
                              The wrong department or organization could potentially be singled
                              out for inappropriate performance, therefore, the corrective actions
                               taken would:not affect the people responsible for the occurrence.
                        C.    Assessment of Safety Significance
                              The inspector reviewed the licensee's Licensee Event Reports (LERs)

l' for 1985. The inspector focused on LERs which involved safety !

                                                 g
          .
          .
 -
          ..
     .'      ?                                      33
   .
        .
                      system actuations. :Five LERs were identified for review: 85-11,
                      85-15, 85-21, 85-23, and 85-25. . The licensee's discussion of the
                      root causes of these above LERs indicated that in three of the
                      events the. operator',s inattention or error; contributed to the event.-
                      The other two~ events consisted of: A contract electrician caused a
                      feeder breaker to open accidentally, and an electrical technician
                      error in lifting a' lead incorrectly.   .     4
                                                                         t
               D.     Staff Position      4.
                                                          ~
                      The inspector:foundo 'nly two out'of the five cases of safety system
                   factuation reviewed involved the' licensee's acknowledgment that
                      maintenance personnel _ errors.were~ contributing ~ factors in the event.
                      In both cases the inspector concluded that'the licensee had
                      appropriately identified the personnel error. Therefore, in the
                      review the inspector did not identify any circumstance where-the
                      licensee had blamed the maintenance personnel for operations errors,
                      and that theilicensee had reasonably' identified the personnel
                      errors. .The allegation was not substantiated, and is closed.
               E.     Action Required:                            _
                      None
               RV-86-A-078
               A.     Characterization
                      a.     No procedure exists for acceptance of material and for
                             controlling nonconforming material found in the warehouse.
                      b.     0-rings have been issued for service that have had expired
                             shelf life.
               B.    -Implied Significance to Operation
                      a .'   Safety related work is not being controlled by appropriate
                            . approved procedures.
                      b      Unqualified, or nonconforming, 0-rings could be used in safety
                             related equipment.
               C.     Assessment of Safety Significance
                      The alleger brought both of these allegations to the attention of
                      the licensee's Quality Assurance Manager on the same day the
                      allegation was identified to the NRC inspector. The licensee's
                      conclusions from its investigation were that: "0-rings with expired
                      shelf life were withdrawn from the warehouse stock and were
                      processed and controlled in accordance with site procedures. Some
                      of these withdrawals were for the purpose of removing them from
                   ~
                      stock and triggering the system to order replacements. Others were
                      for use in non-safety, secondary plant applications. In no case
                      were any rubber components with expired shelf life installed in
*

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                                        Quality /C1' ass'11 equipment without a Nonconforming Report-being
  ~
                               .
                                                                                                                                  .
                                       ;origi_nated and properly-dispositioned".1.(Excerpted from meno:

c i W. Koepke to S. Knight, dated.2/2/87) '

                                                                                                                   ,

s

      1,                               ;Theinspectorreviewed[theilicendee's-investigatlionsonthe
      "                                                                                                                               '
               .
                                        allegation, and d,evelope, d the~ following                 y
                                                                                                                concerns:
                                                                        ,
                                        a.      Thelicense[only" loded ~;at0-rings;thatwereissuedduringthe--.-
                                                period of July- 14 through September 18,:1986. The review did-
                                                not look at any 0-rings that.were -issued' prior to that period.
                                                Th'e licensee's rationale for: limiting the< time-period-reviewed                             ' '
                                                was that this'was~the interval during which the alleger was
           -
                        -
                                              . involved on site with"0-ring storage,
                                        b.      The licensee stated that in_no' case were any rubber; components
                                                with expired shelf life installed in Quality Class l' equipment
                                                                                              ~

y. ,

                                              ~without a Nonconforming Report being originated and
                                                dispositioned. The inspector reviewed the list of 0-rings
                                                issued during'the period of July <14 through September 18, 1986
             .                                 .with a licensee representative, and the representative was
                                                unable ~to definitely identify which 0 rings were issued to
                 *
                                                Quality Class-1 equipment. 'In addition, the l licensee was -
                                                unable to identify the amount of time that the issued 0-rings
                            <
                                                had exceeded their shelf life.
                                        c.    .The Nonconforming Report (NCR) referenced above-is NCR 5806,
                                 .
                                                issued 8/6/86. The disposition of the NCR required an                                       '
                                                engineering evaluation to be performed on expired items prior
                                                to withdrawal of the item from the warehouse if the item's.
                                              . shelf life had expired. The evaluation ~would encompass a
                                                physical condition evaluation'and an evaluation of the storage ~-
                                                environment. This evaluation would a' 6 be' documented on a
                                                                                                                                                "
    .                                           Receiving Inspection Data Report (RIDh,..
                                                The inspector found that the disposition of the NCR was based
                                                on a documented telephoneEconversation with a representative-
                                                from a local supplier of 0-rings. The representative related                              -
                                                that 0-rings could be stored for an extended interval provided
                                                that temperature and humidity wer.e' monitored. No specific
                                                interval or criteria were provided.' There was no other
                                                technical information from the'various vendors which supplied
                                                                                                          -
                                                rubber parts to the licensee to support the NCR disposition.
                                                In addition, the licensee is presently not storing the rubber
                                                parts'in the various warehouses on site as described in the
                                                telephone conversation.
                                        d.      The inspector reviewed a sample of six.0-rings with stock
                 '
                                                numbers which the alleger had' identified as 0-rings with-
                                                expired shelf life. Of thes~e 0-rings, five of six Sad
                                                designations ~as non-Class 1 (non ' safety-related) parts.
                                                Therefore, these items were'not< intended,~ at present, for
                                                Class _1 equipment.' The remaining.0-ring has been in review for
                                                Class 1 designation si.nce 7/30/86. The inspector found-
                                                acceptance tags on 0-rings with,the above stock number,
                                                t
                                                                                                                          .

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                                                                                            howeversit was_ not segregat'ed from 0-rings of similar stock /
                                                                                            numbers which had expired shelf life.
      '
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                                                                                     .                                                                                .

e-

                               f     4.               Staff PositionT
          ^
                                                                                                                                                        .                                                                                                                                           ;
                                                      Thelal' legations we're' partially-. substantiated.' Th'e licensee's review ~of'                                                                                                                                                            . .

11 1t he allegations appeared to be incomplete as noted above. -Two violations - !

                                                      of. regulatory requirements have:been identified-(see paragraph 9). 'The.

.

         .
                            .E         -
                                                      licensee will be required to respond,to these violations within.30 days.

.

                                                                                                                                                                                                                                                                                               '
                                    ~ 5.              Conclusion =                                            s                                                                                                                               .
                                                                                                                                                                                                                                                                                                    -
           .
                                                                                                                                                                                                                                                                                     .
                                                                                                                                            .
                                                                                                                                                                                                                .
         '
                .
                                         '.
                                                      This allegation ~.is closed. Lic~ensee' corrective action to the yiolations;                                                                                                                                                                -;

n' will.be followed up in a subsequent inspection to ensure necessary

                                                                                                                  ~

'

             ,
                                                     -program changes are made. The itemsJin paragraphs'3a through d will be-

l- followed up.in conjunction with Violation 87-06-05 (Paragraph 9).

                                                                                                                                                                    '
                                     Allegation RV-86-A-0099-                                                                                                                                         .
                                                                                                                                                                                                                                                                                                    ,
                                                                                                                                                  '                                                                                                                                           '
                                     1.               Characterization                                                                                                                                                                                                                               ;
'
                                                      "QA memorandum SRK 86-079, dated November 17,'1986 tells QC inspectors                                                                                                                                      ._
                                                                                                                                                                                                                                                                                                     [
                                                      not to write NCR's and their supervision will determine what NCR's are to
                  '
                                                     .be written."                                                                                                                 ,

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                                                                                                                                                                              >
                                                                                                                                                                                                                                                                                    , .

, 2. . Implied Significance to Design, Construction-or Operation

                                                                                                                                                                                                                                    ~
                                   .                  QC inspectors are beingfdiscduraged,from writing nonconformance reports'                                                                                                                                                                 ,
                                                    . by QA memorandum SRK.86-079.                                                                                                           ./          .

!4*' &

                                                -
                                                                                                                                                                                                 ,
                                                                       _                          . .. .
    '
                                     3.               Assessment of-Safety Significance                                                                                                           ,- -
. . - c. .

F Thefollowingprocedures.wepe' reviewed-toideterminethelicensee's -

                                                      nonconforming. condition reporting                                                 .-
                                                                                                                                                             requirements.                                                                                                    ,
                                                                                                  Y
                                                                                                         ..                       w           . _ < A                     ,
                                                                                                                                                                                      -
                                                                                                                                                                                               4$ ~"
                                                                    QA Policy Section XV, Revision 0, Nondonforming Materials Parts or

l Components .

                                                                                                                                 ;                                                                     - ,
                                                                                                                                         7,                                                  . g=
                                                                                                                                                                                                            - o
                                                                    QA Procedure (QAP) Number.17, Revision 4', Nonconforming Material
                                                                                                            ~
                                                                                                                           ^                                                                                                                                                                        ^
                        '
                                                                                                                                                                                                  "'
Control , ,
                                                                                                                                                                                                                  '
                                                                                                                      .                                    ,

,

                                                      *

j '; Administrative sProcedure 22,' Revision ~ 12,' Occurrence Description '

                                                                    Reports (0DR's) Reporting and Resolution

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.- '.The above noted procedures-require the documentation of observed

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                                                      nonconforming conditions. However the inspector had the following                                                                    '
                                                      concerns regarding QAP 17:                                                                                                                                                                                                                    -
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                                                      (a) QAP 17 does not address potential 10 CFR Part 21~and 10 CFR Part
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                                                                    50.73 reporting requirements.                                                                                                                                                                                                    ,
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) [.' (b) General Requireme'nt paragraph 6.3 of QAP 17 allows the use of a

                                                                    5-day memo for non-operational nonconforming conditions in lieu of a

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                                                                    nonconforming > report (NCR). QAP-17 does not provide any controls or
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 s             . requirements (record keeping, close-out controls etc.) for 5-day
               memo's.
                                                         .
       -(c) QAP 17 procedure paragraph 2.1 allows NCR's that are determined to
               describe a condition-that was not a nonconforming condition', to be.
               returned to the originator.without a' control number. No auditable
              . record of returned NCR's is required.
       -(d) 'QAP 17 procedure paragraph 2.6 requires a copy'of all "Operctional
               NCRs" to be sent-to the Unit Operations Superintendent for review
               and action to assure operations in compliance _with license
               requirements,,however, QAP 17.does'.not require immediate NCR
               notification of the Unit Operations Superintendent when the plant is-

E operating to assure prompt license compliance.

        (e) 'QAP 17 procedure paragraph 3.1 requires NCR disposition _ action to
  '
               include determination of cause and action to preclude recurrence but
               does not consider potential generic nonconforming condition
               evaluation for significant conditions adverse to quality.
        (f) QAP 17 procedure paragraph 13.0 allows NCR's with control numbers to
               be voided upon review and approval by the Engineering Review Board.
               No criterion is provided for ERB approval to void the NCR.
        The above noted QAP 17 concerns were discussed with the licensee, pending
        further-review, the concerns were identified as Inspector Follow-up Item
        87-06-09, "QAP-17 concerns".       The licensee QA Manager stated that these
        concerns would be considered for possible future incorporation into
        QAP-17.
        Memorandum SRK-86-079, dated November 17, 1986, was discussed with the QA
        Manager. The QA Manager stated that the memorandum was issued to provide
        a formalized means for QC inspectors to request information.or
        clarification of field conditions but not as a substitute for NCR's.
        Subsequent to the discussion, the QA Manager issued a revision to the
        memorandum on January 14, 1987 stating that the use of memos "should only
        be used when it appears that other mechanisms (NCR, ODR, etc.) are not
        appropriate-for the condition.
        The NRC inspector interviewed eight QC inspectors and the QC Supervisor
        to determine if QC personnel clearly understood the licensee's NCR and
        ODR policy and that NCR's or ODR's were written when required. The
        sample included day and night shift QC inspectors, SMUD and U.S. Testing
        QC inspectors and new (0 to 6 months) and old (6 months to 15 years)
        Rancho Seco employee's.      All of the QC inspectors interviewed-indicated
        that they would write an NCR or ODR if one was required by applicable
        procedures. None of the QC inspectors interviewed felt that there was
        pressure not to write NCR's. However, during the interviews, the NRC
        inspector identified the following concerns:
    ,  -(a) Site specific QA/QC training for QC inspectors consists of
               individual reading of the QA/QC procedures and a subsequent written
             . exam.   No formalized classroom site specific QA/QC training is
               given. The QA/QC inspectors consequently have little opportunity to

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                   t                        !be fully' appraised of the procedural requirements, ask questions ~ and
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                                              learn specific-details of the procedures, prior to~ performing actual
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                                            -field inspections. ' Two inspectors' interviewed.had . limited knowledge
                                             of site ~ specific requirements. .Pendi,ng furtherl inspection ofLthis-
                                         E subject to determine significance,this was identifiedLas' Inspector
                                       c Follow-up Item 87-06-10, "QC-Inspector Training.
                                    (b) Two ofithe QC inspectors interviewed each identified-separate
                                             nonconformance: reports (5703 and 6140) that had been written but had
                                                                                                ~
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                                            :been cancelled. The NCRs'and their cancellation were inspected by'            ,
        .,                                   the NRC-inspector. lNCR 5703 records indicate that the NCR was
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                                           ' voided, in accordance with QAP;17, subsequent to reasonable.          .
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                                             technical review by the licensee. .However NCR 6140 appeared to have-
                                                                    ~
                                             been voided without.. adequate review by the' licensee.
  E                                          Construction Inspection Data Report.(CIDR) Specification M17.08
             ,
                                             requires the inspection of the setscrews and pins of the governor
                                             drive coupling lfor.the new TDI Emergency Diesel Generators. The
                                             inspection required verification of- proper' installation by visually-
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                                             determining that the " setscrews in place with locktite (i.e. they
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                                             appear tight)!and are spot staked,"3and " pins installed'and' appear
                                            . tight". xThe QC inspector assigned to perform the inspection'after-
           '
                                             the 100 hr run of the 'dieselsi determined on December 9,1986 that
                                             the " Governor drive coupling' set screws _were not; installed'using
                                             Locktite, and were not staked in place", and initiated NRC-56140.
        '
                                             On December.19, 1986, 10 days"after the first inspection, a
   ,                                         different QC inspector' performed the subject inspection and
                                           -determined the installationito be satisfactory. On January 10, 1987
                             --
                                             the QA Quality Engineer-completed the-CIDR with a note stating "Upon
                                             re-assembly after inspection during phase "B", the setscrews were
                                             installed w/Locktite 242 and spot staked. NCR #S-6140 should not
                                             have been written.(per QAP #17) and will be voided." On January 21,
                                             1987, NCR S-6140 was voided by the Engineering Review Board. On
                                             February 7, 1987, subsequent to inquiry by the NRC. inspector
                                             regarding NCR S-6140, the QA Quality Engineer cancelled the CIDR
                                             note and replaced it with the following note "Further investigation
                                             confirms that the set-screw (subject of NCR #S6140) was in place
                                             "as-found". It was found to be tight.and spot-staked. NCR #S-6140
      .
                                             was voided by the ERB on 1/21/87." The licensee was unable to
   '
                                             obtain any documentation that work was performed to'Locktite and
                                             stake the subject setscrews during'the NRC inspection.
                                             10~CFR 50 Appendix'"B" Criterion XVI requires that " Measures shall
                                             be established to assure that conditions adverse to quality, such as
                                             failures, malfunctions, deficiencies, deviations, defective material
                                             and equipment, and>nonconformances are promptly identified and
                                             corrected. In the case of significant conditions adverse to-
          "
                           '
                                             quality, the measures shall: assure that the cause of the condition
                                             is determined.and corrective action taken to preclude repetition.
                                                                             ~
  -                                          The identification of the significant condition adverse to quality,
                                             the cause of the condition, and the corrective action taken shall be
                                             documented and reported to appropriate levels of management.
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                  Contrary to the above, licensee measures, QA Procedure 17 Rev. 4,
                  Nonconforming Material Control, to assure that conditions adverse to
                  quality are promptly corrected are inadequate that QAP 17 paragraph
                  13.1 allows NCRs to be voided with Engineering Review Board approval
                  but does not provide a criterion for approval of voiding NCR's. In
                  addition, licensee measures were inadequate in that NCRs-6140 was
                  voided by the Engineering Review Board without determination of the
                                                     without determination of a need for
                  validity of the original
                  further corrective       report,thout
                                      action and wi documented corrective action
                  for the originally reported condition. Furthermore, the-licensee
                  measures were inadequate in that no determination was made to
                  determine the cause of the originally-(NCRs-6140) reported condition
                  regarding the newly installed emergency diesel generators or action
                  to preclude repetition for potential similar as-found nonconforming
                  conditions on the new emergency diesel generators.
                  The above noted condition was identified as violation 87-06-04,
                  " Inadequate NCR S-6140 Corrective Action." The licensee's QA
                  Manager disagreed that the condition was a violation because the
                  second inspector verified the installation to be acceptable 10 days
                  after the NCR was originated and the installation was again verified
                  to be acceptable on February 12, 1987. The NRC inspector noted the
                  QA Manager's dissenting opinion and informed the QA Manager that the
                  Violation still appeared to be appropriate in that NCR S-6140 was
                  cancelled without a reasonable attempt to reconcile the
                  unsatisfactory results of the first inspection and the satisfactory
                  results of the second inspection performed 10 days after the
                  original as-found condition was reported. Furthermore, no licensee
                  consideration was evident for the need for further 10 CFR 50
                  Appendix "B" Criterion XVI corrective action for potential similar
                  "as-found" deficient conditions for the newly installed TDI
                  Emergency Diesel Generators.
             4.   Staff Position
                  This allegation was not substantiated. The inspection verified that
                  there is reasonable assurance that nonconforming conditions are
                  being identified by QC inspectors. A violation regarding voiding of
                  NCR's was identified. Corrective action for Violation 87-06-04 will
                  be followed by the routine inspection program.
             5.   Action Required
                  Verify licensee corrective action for violation 87-06-04.
         11. Receipt, Storage, and Handling of Equipment and Materials Program,
             and Review of Procurement
             The inspector reviewed the licensee's implementation of the QA program
             and the material program relating to the control of receipt, storage, and
             handling of equipment and materials for safety related equipment.
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     -The inspector reviewed a sample of six receipt inspections and found that
       the inspections appeared.to~have been generally conducted in accordance
      with. Quality Assurance Procedure (QAP) 10, Receiving Inspection.
      However, the following errors,were found: The review of two Receipt
       Inspection Data Reports (RIDRs) for; Exxon Nebula EP0 grease, (Stock
      Number 101861), revealed the storage locations identified on the RIDRs
      were different for identical grease:     one RIDR stated that the grease
      should be stored in a level "B" storage area as defined by ANSI N45.2.2 -
      1972, while the'other RIDR stated the same type grease should be stored
       in a level "C" storage area. The inspector found various containers of
      grease in a cargo storage container on site. The container only met the
      ANSI requirements for level "C" storage. The licensee had not defined
      its storage levels in a procedure other than the notation on the RIDRs.
      The licensee committed to clarify this apparent storage level discrepancy
      promptly.
      The inspector reviewed the licensee's warehousing procedure,
      AP 605, Rev. 11, " General Warehousing." The inspector's noted that the
      following requirements existed: 10 CFR 50, Appendix B, Criterion V,
      states, in part, " Activities affecting quality shall be prescribed by
      documented instructions, procedures, or drawings, of a type appropriate
      to the circumstances and shall be accomplished in accordance with these
      instructions, procedures..."
      Quality Assurance Program Policy Section V, Rev. O, " Instructions,
      Procedures and Drawings", states, -in part:
        "3.0 Policy
        Activities affecting the operational safety or quality
        performance at Rancho Seco shall be prescribed by and
        implemented in accordance with documented instructions,
        procedures, and drawings for the operational life of the
        plant.
      AP 605, Rev.11 requires, in part:
        "3.4.2.6 All shelf life items and EQ items that have a shelf life
        are sorted such that the oldest items are in front or_on top
        and the newest in back or on the bottom.
        3.4.3.4.1 A manual or computerized tickler file system will be set
        up to ensure that specific storage control instructions... are
        followed.
              3.4.3.4.5.7 The person responsible for reviewing the tickler will
              also be responsible for ensuring that the stock which has
              reached its expiration date_is removed from the shelf on a
              monthly basis..."
      The inspector found that on February 24, 1987, no system had been
      implemented'in accordance with AP 605 that sorted the shelf life items
      such that the oldest items were.in front or on tos.      A manual or
                                                                                i

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  .?                                                      40
 .
     computerized tickler file system was not implemented to control special
     storage requirements; for example, the shelf life of. safety related
     rubber components.    No licensee personnel had reviewed or removed expired
     shelf life items on a monthly basis.
     The inspector found examples of expired shelf life 0-rings in the
     A warehouse in their storage location and not removed. This included
     0-rings intended for Class 1 equipment as in the case of Stock
     Numbers 038318 and 113082.
     This is an apparent violation of the quality assurance requirements for
     control of materials (Violation 87-06-05).
     The inspector also noted that 10 CFR 50, App. B Criterion VIII, states,
     in part: " Measures shall be established for the identification and
     control of materials, parts,'and components, including partially            N
     fabricated assemblies. These measures shall assure that identification
     of the item is maintained by... part number, serial number... on the item
     Quality Assurance Program Policy Section VIII, Rev. O, " Identification     ,
     and Control of Materials, Parts and Components" requires, in part
      "3.0 Policy                                                                s
      Appropriate procedural methods shall be prescribed and
      implemented to assure that materials, spare parts or components
      are properly identified and controlled to preclude the use of
       incorrect or nonconforming items..."
     However, the inspector observed that various safety related items in
     stock in the Warehouses A and B were not identifiable. On February 24,
     1987 no marking or tags with identification numbers were provided on the
     parts.
     This is an apparent violation of the noted requirements for
     identification of safety related spare parts. Violation 87-06-06
     The inspector also observed that:
     A.    Members of the warehouse staff, when asked, could not provide the
           inspector a controlled copy of AP 605. Nor did a new employee who
           was responsible for issuing parts know of the existence of AP 605.
           The licensee later informed the inspector that a controlled copy of
           AP 605 was available in Warehouse A.
     B.    Various techniques were used to apply the acceptance tag onto the
           0-rings. This included the wrapping of a metal wire with a tag
           connected to the wire around the 0-ring. This method of tagging
           appreared to provide the potential for the cutting of the 0-ring
           material by the wire.
     C.    The inspector reviewed the licensee's QA audit number 0-759
           performed on 11/5-8/85 and 11/12/85, concerning activities performed
           on all on-site warehouses (MSRC No. 22 Audit). The audit findings,
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                            in part, included: ~ Item 18, a finding'.that "... no special storage
                            requirements, shelf life, storage maintenance tickler file exists".
                            The-item was addressed by:t "This item will be placed on the QA
                            followup list (next MSRC No. 22 Audit)". The licensee would have
                                                                    ~
                            next performed the MSRC.No. 22 Audit during of 11/86,~but due to a
                                                            .
                            memo dated-November 17, 1986, the: licensee postponed the
                            investigation of this item and others to the nexttGeneral
                            Warehousing Audit _1.n late 1987. As discussed in this report, the
                            licensee to date, still does not have a tickler file as discussed in
                           AP.605. Therefore, the inspector is concerned by the method of the
                            quality assurance's verification.of corrective action to audit
                            findings.
                     D.   -The inspector reviewed the contents of the cargo container where
             .
                           .various spare parts for motor operator valves were stored. The
                            cargo container appeared to be appropriate only as a level "C"
                            storage by ANSI N45.2.2 - 1972. However, the inspector found
                            safety-related gaskets, 0-rings, and other parts which are
                            recommended by ANSI 45.2.2 to be stored in' level "B" storage.
                     These concerns will be followed as part of future inspections of the
                     licensee's response to the two violations in this subject area in this
                     report.
               12. Unresolved Items
                     Unresolved items are matters about which more information is required to
                     determine whether they are-acceptable or may involve violations or
                     deviations. One new unresolved item identified during this inspection
                     is discussed on page 29.
               13. . Exit Meeting
                     The inspectors met with licensee representatives =(noted in Paragraph 1)
                     at various times during the report period and fonnally on March 12, 1987.
                     The scope and findings of.the inspection activities described in this
                     report were summarized at the meeting. Licensee representatives
 *
                     acknowledged the inspector's findings and violations identified.

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