ML20207S697

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Ack Receipt of 870105 & 0220 Ltrs in Response to Violations Noted in Insp Rept 50-267/86-25.Procedures for Actual Control of Activities Which Encompass Major Quality Area Required
ML20207S697
Person / Time
Site: Fort Saint Vrain 
Issue date: 03/17/1987
From: Gagliardo J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To: Robert Williams
PUBLIC SERVICE CO. OF COLORADO
References
NUDOCS 8703200187
Download: ML20207S697 (2)


See also: IR 05000267/1986025

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In Reply Refer To:

E 17 E7

Docket: 50-267/86-25

Public Service Company of Colorado

ATTN: Robert 0. Williams, Jr.

' Vice President, Nuclear Operations

P. O. Box 840

Denver, Colorado

80201-0840

Gentlemen:

Thank you for your letters, dated January 5, (P-87001) and February 20, 1987,

(P-87070) in response to our letters, dated November 4,1986, and January 23,

1987. With regard to the original Violation 267/8625-02, it should be noted

that Safety Guide 33, dated November 3,1972, which is invoked by your

Technical Specifications, states:

" Appendix A lists typical safety-related activities which should be

[

covered by written procedures. Appendix A does not provide a complete

i

listing of needed procedures since many other activities that are carried

out during the operation phase of a nuclear power plant require written

procedures that are not included in Appendix A."

Procedures for actual control of activities which encompass a major quality

area, such as design control, are clearly required. The violation was written

because effective control of the design change process was being accomplished

through procedures which were not reviewed by the onsite consnittee. Your

coninitment to have the onsite consnittee review ENG-1 resolves our concern

that the actual adatnistrative procedure controlling the design change process

was not a reviewed procedure.

We have no further questions at this time, and will review your corrective

actions during a future inspection.

Sincerely,

% w ua :;,m n,a t,n

n. c w.u,

VJ.E.Gagliardo, Chief

Reactor Projects Branch

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Public Service Company of Colorado

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cc:

Manager. . Nuclear Production Division

Fort St. Vrain Nuclear Station

16805 WCR 191

Platteville, Colorado

80651

P. Tomlinson, Manager, Quality

Assurance Division

(same address)

Colorado Radiation Control Program Director

Colorado Public Utilities Commission

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February 20, 1987

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U. S. Nuclear Regulatory Commission

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ATTN: Document Control Desk

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Washington, D.C.

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Docket No. 50-267

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SUBJECT: I & E Inspection 86-25

REFERENCES: 1) NRC Letter, Gagliardo

to Williams dated

November 4, 1986

(G-86584)

2) PSC Letter Brey to

Gagliardo dated.

December 4, 1986

(P-86656)

3) PSC Letter Brey to

Gagliardo dated

January 5, 1987

(P-87001)

4) NRC Letter, Gagliardo

to Williams dated

January 23, 1987

(G-87022)

Gentlemen:

This letter supercedes our response to violations number 2, 3 and 5,

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as originally stated in Reference

3.

These violations were the

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resul t of inspections conducted at Fort St. Vrain during the period

August 16 thru September 30, 1986.

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P-87070

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February 20, 1987

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2.

Failure to Review Modification Control Procedures:

Technical

Specifications,

Paragraph

7.4.b,

requires that

procedures and administrative policies of

Appendix

A

to

Regulatory Guide 1.33, November 1972, which includes general

procedures for control of modification work, be reviewed by the-

plant operations review comittee (PORC).

Contrary

to

the

above,

procedures

ENG-1

(" Control of-

Modifications and documentation"), and CWPH

(" Controlled Work

Procedure Manual"), which all provide administrative policies of

control of modification work, were not reviewed by PORC.

This is a Severity Level

IV violation.

(Supplement I.D.)

(267/8625-02)

(1) The reason for violation if admitted:

In December,1980, PSC explicitly considered whether or not

Paragraph 7.4 of the Technical specifications applied to

Nuclear Engineering procedures.

At that time, it was

determined (as documented in Procedure G-2 " Fort St. Vrain

Procedure

Systems,"

Issue

3,

Paragraph 4.3.3

see

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Attachment 1) that the review by PORC of Level 2 engineering

procedures,

which

provide

detailed

internal Nuclear

Engineering Division requirements and are subordinate to

Level

1 administrative procedures, was not necessary. The

basis for this determination was that adherence to Level

1

procedures is mandatory (FSAR, Appendix B.5.2.2.2)

and

therefore, Nuclear Engineering procedures cannot conflict

with Level 1 administrative procedures. This determination

is also documented in the current issue

of

Nuclear

Engineering Procedure ENG-6 "NED Procedure System," Section

4.3.3 b.

.

To implement the cited Technical Specification paragraph,

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Level

1 administrative procedures Q-3 " Design

Control

System" (Attachment 2), and G-9 " Controlled Work Procedures"

(Attachment 3), are reviewed by PORC.

In addition, each

safety related Controlled Work Procedure (and the associated

safety related Change Notice, which are

prepared

in

accordance with the detailed Level

2 internal Nuclear

Engineering procedures), is individually

reviewed

and

approved by PORC prior to implementation.

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P-87070

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Page 3-

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February 20, 1987

The

applicability

statement of Paragraph .7.4

of the

Technical Specifications states that it is applicable to

administrative procedures which govern plant operation.

Administrative Procedure G-1 " Definitions" further defines

plant operating procedures as written instructions defining

the normal methods, means, and limits of operations of a

nuclear power plant.

Safety Guide 33, dated November 3,

1972 provides the following guidance:

(Excerpt from Appendix

A,

Paragraph ! - Procedures for

Performing Maintenance)

" General

procedures for the control of maintenance,

repair, replacement, and modification work should be

prepared before reactor operation is begun."

The above statement froin Safety Guide 33 is the only

explicit reference to modification procedures in

this

guidance document.

As described above, PSC considers that

Procedures Q-3 and G-9 provides for the implementation of

regulatory requirements related to modifications and design

centrol. Engineering procedures, subordinate to Q-3 and

G-

9,

do not govern plant operations and therefore do not

require

PORC

review

in

accordance

with

Technical

Specification Paragraph 7.4.

Upon further review, PSC feels that perhaps Procedure Q-3 lacks

sufficient specificity concerning the control of modifications.

In

this respect, PSC will commit to requiring a review of ENG-1 (Control

of Modifications and Documentation Changes), by the Plant Operations

Review

Comittee (PORC).

As the main controlling engineering

document for design and modification activities the current issue of

ENG-1 and all future revisions of ENG-1 will henceforth be subject to

PORC review.

(2) The corrective steps which have been taken and the results

achieved:

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ENG-1 will be reviewed by PORC.

(3) Corrective steps which will be taken to avoid further

violations:

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Administrative Procedure G-2 will be revised to require that

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all future revisions to ENG-1 be reviewed by PORC.

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P-87070

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Page 4

February 20, 1987

(4) The date when full compliance will be achieved:

Full compliance will be achieved by May 15, 1987.

3.

Failure to Sufficiently Document Design Verification:

Technical Specifications Paragraph 7.4.a.1, requires that written

procedures be established,

implemented, and maintained

for

activities covered by Appendix A of Regulatory Guide 1.33,

November 1972, which includes general procedures for control of

modification work.

Procedure ENG-1, " Control of Modifications and Documentation,"

requires that the person performing the design verification

process document their effort in sufficient detail to provide a

record of their work.

Contrary

to

the above, the person performing the design

verification for change notice (CN) 1876 did not document the

effort in sufficient detail to provide a record of the work in

that the " Check List of Design Verification Questions for Design

Review Method" was signed and dated on one date and was initialed

and dated on three subsequent dates with no details provided as

to what was verified on each date, and no details were provided

to record that the design sketches included in the CN package

were checked by the design verifier.

This

is

a

Severity

Level

IV

violation.

(Supplement

I.0.)(267/8625-03)

(1) The reason for violation if admitted:

The violation is admitted.

As cited in the violation,

engineering procedure ENG-1 prescribes the

independent

design verification (IDV) process for change notices (CNs).

Procedure ED-100 further

describes

the

process

for

preparation, assembly, review and approval of change notice

packages.

Paragraph 4.5.2 of E0-100 states that

the

coordination

sheet of a CN document the Coordinator,

interface reviewers, page schedule, new pages, substituted

pages and NED approval. This CN coordination sheet serves

as a cover page for the three design packages comprising a

CN.

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P-87070

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Page 5

February 20, 1987

The coordination sheet provides two things:

1) an index

identifying all the Change Notice pages and their issue that

comprise the change notice package; and, 2) a record of the

person /date performing the various duties,

i.e.,

IOV,

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interface review, and approval of the CN package. The

signatures indicate they have reviewed / approved the package.

as required to fulfill their specific responsibilities as

defined in the engineering procedures,

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'The signature by the person doing the IOV on both the IOV

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checklist page and on.the coordination sheet for CN-1876

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(see Attachment 6) explicitly documents that the independent

design verifier has perfonned functions on all appropriate

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pages of the CN package, not just on the checklist pages.

In particular, each of the four design sketches in CN-1876

were assigned a CN page number, and each of those CN page

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numbers was explicitly included on the CN coordination

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sheets signed by the independent design verifier.

To

provide a signature on each individual

sketch would then

place doubt in ones mind that any of the other pages of the

CN package were reviewed.

PSC believes that we have perfomed all the requirements in

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the preparation and review of the subject Change Notice in

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accordance with procedures and regulations. However, the

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NRC has identified what PSC considers to be a weakness, in

that several

10Vs/ reviews / approvals have been performed

without detailed documentation identifying why the several

s!gnatures were required.

(2) The corrective steps which have been taken and the results

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achieved:

On December 9, 1986 the Nuclear En

an instructional memo (NOG-86-1647)gineering Olvision issued

reiterating the design

verification process and procedural requirements.

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In addition, our engineering procedures have been changed

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and a new fom created so that more explicit documentation

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will be required when a CN package receives more than one

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set of IOV/ review / approval.

This procedural change was

implemented on January 16, 1987.

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P-87070

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Page 6

February 20, 1987

(3) Corrective steps which will

be,taken to avoid further

violations:

Correctivestepshavebeer,implementedsee(2)above.

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(4) The date full compliance will be achieved:

Full compliance was achieved on January 16, 1987.

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5.

Failure to Implement Corrective Action Program

Criterion XVI to 10 CFR Part 50, Appendix B, requires that

measures be established to assure that conditions adverse to

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quality,

such

as

failures,

mal functions,

deficiencies,

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deviations, defective material and equipment, and nonconformances

are promptly identified and corrected.

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Contrary to the above, the installation instructions for CN-1876

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noted that numerous discrepancies were identified with the

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existing

vendor

design

documents

and

the actual

field

l

installation, but no corrective action was initiated to review

other areas of the vendor documents not affected by the change

notice for similar discrepancies.

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This

is

a

Severity

Level

IV

violation.

(Supplement

l

1.D.)(267/8625-05)

(1) The reason for the violation if admitted:

The

violation

is admitted.

At the time the design

modification was being prepared minor discrepancies were

discovered

in

comon

point

teminations.

These

,

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discrepancies were between the actual comon points used to

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tenninate

circuit

connections and the way they were

represented on the wire lists. At this point in the design

process the designer perfomed a verification of wiring

connections within the applicable portions of the system.

Certain areas could not be verified due to inaccessibility

of equipment or the hazard of inadvertently

tripping

operating circuits. The inability to verify all applicable

connections prompted the note in the CN

package

to

construction

personnel

requesting verification of all

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applicable terminations prior to modification or removal.

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Subsequent verification by construction personnel resulted

in one additional comon point discrepancy being identified.

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February 20, 1987

The CN was modified by a Deviation Request to document the

deficiency.

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In all cases where discrepancies were uncovered, either by

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the designer or construction personnel, only comon point

terminations were involved.

The discrepancies uncovered

during the verification process did

not

affect

the

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functional

integrity

of

the electrical circuits and

therefore, PSC maintains its position that the electrical

design -was not compromised by the discovery of the minor

discrepancies in comon point terminations.

However,

PSC comits to a field verification of all

remaining electrical connections associated with the orifice

valve control relays and associated wiring which are located

in instrument panel I-9327. This is the area where the

deficiencies

were

discovered

during

the design and

construction operation.

The field verification will

be

confined to this

instrument panel as the circuitry was

designed and fabricated by the same vendor at his facility

and then shipped to FSV for installation as a unit.

(2) The corrective steps which have been taken and the

results achieved:

No action has been taken at this time.

(3) Corrective steps which will be taken to avoid further

violations:

A memo will be distributed to NED design personnel

detailing

this

violation

and

reiterating

the

requirements of Criterion XVI to 10 CFR Part 50,

Appendix B.

(4) The date full compliance will be achieved:

The memo to NED design personnel will be issued by

March 16, 1987. Field verification of the remaining

electrical connections associated with the orifice

valve circuitry will be completed by May 15, 1987.

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P-87070

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Page 8

February 20,'1987

Should you have any . questions concerning this response, please

contact Mr. M.H. Holmes at (303) 480-6960 for additional information.

Very truly yours,

h E /Y

D. W. Warembourg, Manger

Nuclear Engineering Division

DW/ RAS:pa

Attachments

cc: Regional Administrator, Region IV

Attention: Mr. J. E. Gagliardo, Chief

Reactor Projects Branch

Mr. R. E. Farrell

Senior Resident Inspector

Fort St. Vrain

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