ML20210N673
| ML20210N673 | |
| Person / Time | |
|---|---|
| Site: | Vogtle |
| Issue date: | 08/14/1997 |
| From: | NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | |
| Shared Package | |
| ML20210N634 | List: |
| References | |
| 50-424-97-08, 50-424-97-8, 50-425-97-08, 50-425-97-8, NUDOCS 9708260084 | |
| Download: ML20210N673 (26) | |
See also: IR 05000424/1997008
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U. S. NUCLEAR REGULATORY COMMISSION (NRC)
REGION 11
Docket Nos. 50-424 and 50-425
License Nos. NPF-68 and NPF-81
Report No:
50-424/97-08, 50-425/97-08
Licensee:
Southern Nuclear Operating Company, Inc.
Facility:
Vogtle Electric Generating Plant (VEGP) Units 1 and 2
Location:
7821 River Road
Waynesboro, GA 30830
Dates:
June 23 through 27, 1997
Inspectors:
T.Ross, Team Leader
R. Carrion, Project Engineer
N. Merriweather, Reactor Inspector
M. Widmann, Resident inspector
Approved by:
P. Skinner, Chief
Reactor Projects Branch 2
,
Division of Reactor Projects
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Enclosure 2
9708260084 970814
ADOCK 05000425
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EXECUTIVE SUMMARY
Vogtle Electric Generatin Plant Units 1 and 2
NRCInspectionReport50-4h4/97-08.50-425/97-08
This team inspection evaluated implementation of the licensee's programs for
problem identification, trending and corrective action; quality assurance
audits; operating experience review feedback: self-assessments, safety review
committees; and reverification of the Updated Safety Analysis Report (UFSAR).
Quality Assurance In Ooerations Maintenance. Enaineerina. and Health Physicji
Overall. Deficiency Cards (DCs) and Root Cause and Corrective Actions
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(RCCAs) were sufficiently thorough and complete, with appropriate
disposition /causes and adequate corrective actions identified.
However,
the content and level of detail between DCs/RCCAs differed considerably,
reflecting a variation in skill and experience level of responsible
departmental personnel.
(Section 07.1)
Nuclear Safety and Compliance (NSAC) personnel were knowledgeable,
e
conscientious, and added considerable cuality to the DC/RCCA process.
However, management expectations regarcing NSAC timeliness for
processing DCs in a prompt and efficient manner were not clearly
communicated.
(Section 07,1)
Backlogs of DCs or Open items (01s) are not trended to evaluate the
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magnitude and associated trends of outstanding corrective actions or
open DCs.
Although DCs are almost always completed by responsible
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departments in a timely manner, corrective action Ols were routinely
rescheduled.
(Section 07.1)
Licensee's trend identification / reporting and departmental self-
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assessment program continues to evolve.
(Section 07.1)
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Event Review Team (ERT) reports and associated RCCAs were of good
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quality and thorough.
Corrective actions developed as a result of ERTs,
and RCCAs, were appropriate for the root causes identified.
In
addition, operability and reportability determinations were appropriate,
where nocessary. (Section 07.2)
Safety Audit Engineering Review (SAER) Program satisfies the
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requirements of the UFSAR and implementing procedures for conducting
quality assurance (QA) audits. Audits were comprehensive and thorough.
Audit Finding Reports (AFRs) and comments were properly addressed in a
timely manner, and completion of corrective actions were followed up.
Findings were adequate to keep licensee management informed of
significant developing problems in the areas audited.
However, the
practice of allowing an extended duration audit could lead to delays in
implementing corrective actions and the conduct of management reviews.
(Section 07.3)
Enclosure 2
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The Health Physics (HP) self-assessment was a comprehensive evaluation
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of major areas of res)onsibility. This self-assessment identified
numerous aspects of t1e HP program for improvement. for which specific
corrective actions have been develo)ed and were being actively tracked
to completion.
Use of experienced iP personnel from outside the plant
as part of the self-assessment team was considered a significant
strength. (Section 07.4.1)
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A Plant Modification and Maintent ice Support (PMMS) department self-
assessment report was thorough and detailed with :.uostantial find'ngs
and recommendations.
Corrective actions were developed and scheduled to
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address all recommendations.
However, the PMMS department failed to
address numerous compliance and process issues identified in the report,
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(Section 07.4.2)
Quarterly Human Performance Review reports were comprehensive. thorougl
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and insightful.
However. it was difficult for the inspectors to
distinguish whether they represented general observations of fact.
conclusive problems, suggestions or spe:ific recommendations.
Many of
the report statements were repetitive with no apparent system for
tracking or dirrositioning them.
Furthermore, many specific comments
regarding the adequacy of certain DC/RCCAs have not been addressed.
The
reports provided good, detailed information, that was not being
ef'ectively utili.vd by the plant. (Section 07.4.3)
Licensee evaluation and corrective actions for two operating experience
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reports issued in 1996 were reviewed and found to be adequate.
The
backlog of industry operating experience reports and NRC Information
Notices v> being maintained at reasonable levels. (Section 07.5)
Independent Safety Engineering Group (ISEG) review activities were
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consistent with UFSAR and procedural requirements, except for leading
ERTs. Assessments performed by ISEG were effective in identifying areas
for improving plant safety. (Sections 07.2 and 07.6)
Safety Review Board (SRB) meetings appeared to be comprehensive and
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routinely identified s)ecific problem areas requiring site and/or
corporate attention.
or each identified problem an SRB open item was
initiated, tracked and usually resolved in a timely manner.
A deviation
was identified for insufficient implementation of all UFSAR commitments
regarding SRB review.
(Section 07.7.2)
Corrective actions in response to v;o.ations and Licensee Event Reports
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were pro)erly implemented in a timely manner.
(Sections 08.1 and M8.1
through 18.5).
Enclosure 2
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Corrective actions to resolve numerous UFSAR discrepancies we.e found to
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be adequate and timely.
The backlog of UFSAR deficiencies was small.
A
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weakness was identified in the UFSAR Review Program in that issues
identified by offsite groups were not formally evaluated for operability
or reportability.
(Section E7.1)
ISEG self-assessment of the UFSAR Accuracy Reverification Program
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results provided good insights as to the causes of the UFSAR
discrepancies and provided several recommendations to management on how
to improve performance and reduce the likelihood of new discrepancies
being introduced.
(Section E7.2)
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Enclosure 2
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Reoort Details
Summary of Plant Status
Unit 1 operated at full power throughout the entire inspection period.
Unit 2 eperated at full power throughout the entire inspection period.
I.
Doerations
07.
Quality Assurance in Operations-(IP 40500)
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07.1 Problem identification. Resolution. Corrective Action. And Trendina
Proarams (4050N
a.
Insoection Scoce
Ins)ectors examined licensee implementation of onsite programs for
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pro)lem identification, resolution, corrective action, and trending as
established in procedure 00150-C " Deficiency Control." Revision
(Rev.) 23: procedure OC058-C. " Root Cause Determination," Rev. 11;
procedure 00409-C "Open Item / Commitment Tracking," Rev. 12: J.rocedure
80014-C " Handling of Deficiency Cards," Rev.11: and procedure 80016-C.
" Trend Identification And-Reporting " Rev. 2.
Selected Deficiency Cards
(DCs) and applicable root cause corrective action (RCCA) re
recent equipment problems and personnel incidents were eval, arts for
uated to
verify licensee effectiveness in c'escribing problems.1dentifying
cause(s), and initiating corrective actions in accordance with
procedural cuidance.
Plant
Safety and Compliance (NSAC) personnel and supervision rnm the Nuclear
group and responsible departments were
interviewed as necessary. The inspectors also reviewed the Open Item
(01) Commitment Tracking System backlog and history of outstanding
corrective actions, and recent trend reports and departmental self-
assessments of equipment failures and personnel errors.
b.
Observations and F.ndinas
The documentation of 18 completed DCs. some with RCCAs. was reviewed in
detail by the inspectors. These DCs/RCCAs were properly completed with
only a few minor administrative errors and omissions. Also,
reportability issues pursuant to 10 CFR 50.73 were properly reviewed by
the licensee. Most of the reviewed DCs and RCCAs were thorough and
detailed, with appropriate disposition /causes and adequate corrective
actions identified. However, three specif . DCs (discussed below) were
inadequately documented or failed to identify the root cause.
Content
-and level of detail between the DCs/RCCAs differed considerably,
reflecting a variation in skill and experience level of responsible
departmental personnel.
Based on interviews with the NSAC staff, there
Enclosure 2
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has been a major increase in the number of DCs/RCCAs being processed
along with a considerable turnover of the individuals tasked with
addressing them for their respective departments.
This turnover
resulted in many of the individuals being inexperienced and have not
received advanced training yet to enhance their problem solving
methodologies or root cause techniques.
The following three DCs and RCCA were considered inadequate for the
reasons discussed below:
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The RCCA for DC 1-97-010 did not identify the appropriate root
cause of a diesel generator control power circuit problem.
Consequently the actions to prevent recurrence were inadequate
and a similar control circuit failure recurred shortly after this
DC/RCCA was completed and implemented.
Following the second
incident another RCCA by the system engineer was developed and
reviewed by an inspector.
This RCCA determined that a
. manufacturing-related design deficiency of a light socket had
caused the control power circuit breaker to trip,
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In the two other cases. DCs 2-97-071 and 2-97-085. concerning a
cracked weld and missing seismic restraining pin on the collar of
a Nuclear Service Cooli1g Water (NSCW) pump, the DCs did not
adequately describe the causes and corrective actions.
These DCs
were not documented well enough for the inspectors to conclude
that the root cause(s) had been determined or the corrective
actions adequate. Also, there was no RCCA performed even tho*:gh
it involved complex problems.
In discussions with the licensee,
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the inspectors concluded that detailed evaluations had been
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conducted by offsite engineering personnel to determine the cause
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of the weld failure and missing pin, and corrective actions
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developed in concert with the onsite system engineer.
However.
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the causes and corrective actions had not been adequately
documented in the DC nor via a RCCA.
Licensee personnel indicated
that they planned to document these DCs more thoroughly to
accurately describe the causes and corrective actions.
While reviewing the selected CCs the inspectors identified 11 other DCs
that were initially dis)ositioned as potential Maintenance Preventable
Functional Failures (MP:Fs) that did not have an RCCA. According to
procedure 50028-C. " Engineering Maintenance Rule Im)1ementation."
Rev. 4. the responsible engineer was to perform an RCCA on "potentit.1"
MPFFs or when performece criteria / goals for a system were not met.
However, procedure 00;.,b3-C. " Maintenance Rule Implementation." Rev. 2.
states that RCCAs O
- i be performed for any condition determined to be
an MPFF.
The licensee later aetermined that the 11 DCs initially
characterized as potential MPFFs were not MPFFs. and that no RCCA was
required. A review of the procedural differences has been undertaken by
the licensee.
Enclosure 2
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The threshold for initiating DCs has dropped over time, resulting in an
increase in DCs (approximately 350 in 1995, 900 in 1996. and perhaps
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about 1200 in 1997).
During the inspection, the backlog of outstanding
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DCs was approximately 135. Of these, about 75 were being actively
worked by the responsible departments. )articularly Operations.
Maintenanct and Engineering Suppurt.
T7e other 60 DCs were being
processed by the NSAC group, including newly-initiated DCs and DCs being
reviewed for closure.
Procedure 00150-C. requires responsible departments to resolve DCs/RCCAs
and identify corrective actions within 30 days; whereupon, the NSAC
group conducts a quality review, re-evaluates reportability and enters
proposed corrective actions into the computer database (i.e.. Open item
(01)/ Commitment Tracking System). Although, responsible departments
consistently disposed of their assigned DCs within the 30 days, the NSAC
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group struggled to keep up with the increased volume of DCs required to
be processed. As a consequence, some newly-initiated DCs reviewed by
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the inspectors were taking several days. and up to a week. before the
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NSAC reportability review was accomplished and the DC assigned to a
res)onsible de
The oC form indicates this should be done
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witlin a day. partment.In addition, the closecut reviews of comaleted DCs and
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entry of corrective actions into the OI/ Commitment Tracting System by
NSAC was taking longer than desired. About a fourth of the outstanding
DCs that the NSAC group was responsible for closing had been waiting two
to three months since the responsible department finished identifying
causes and corrective actions.
Some DCs had actually been waiting five
to-seven months after the responsible department was done befor : they
were closed by NSAC (e.g.. DC 2-97-22 and 2-96-259). Although there are
no plant procedural guidelines on the length of time NSAC takes to
closecut a completed DC these delays could adversely impact the
accurate and timely tracking of corrective actions and quarterly
trending for management.
NSAC's final reportability review ano quality
checks regarding adequacy and completeness of DC/RCCA documentation,
root causes, and corrective actions are also impacted.
Similar timeliness issues with the processing of DCs by NSAC were
previously identified by the Safety Audit and Engineering Review (SAER)
group during a routine cudit of the licensee's corrective action piogram
conducted in January 1997. The applicable Audit Finding Report
(AFR) 640 was issued January 16, 1997. Corrective actions to address
the AFR were implemented and subsequently reviewed by SAER on April 15,
1997, which determined that the actions were adequate to close out AFR
640. Although the total NSAC backlog of DCs was reduced, the timely
review of new DCs and closure of completeo DCs appeared to remain a
problem. Management expectations regarding NSAC timeliness for
processing DCs in a prompt and efficient manner was not clearly
communicated by procedures.
Enclosure 2
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The inspectors observed and discussed the closecut of DCs with NSAC
personnel. These closeout reviews by NSAC personnel were thorough,
detailed, and added considerable quality to the program.
NSAC personnel
were very knowledgeable and conscientious, although not always timely.
Problems with the completeness and adequacy of DCs dhpositioned by the
responsible departments were promptly brought to the department's
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attention for resolution by NSAC.
In certain cases, this resulted in
revised causes and/or corrective actions. Also the many inconsistencies
observed by the inspectors in the type and number of root cause codes
identified by responsible departments for trending purposes were usually
corrected during the NSAC review.
The total backlog of outstanding items in the 01/ Commitment Tracking
System was about 740 open items (e.g., DC/RCCA corrective actions) and
commitments.
Because the licensee does not trend their backlogs of DCs
or dis, the inspectors were unable to evaluate the magnitude and
associated trends of outstanding corrective actions or open DCs.
However, scheduled due dates for DCs assigned to responsible departments
and Ols/ commitments were aggressively tracked by management on a weekly
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basis. According to the "Open Item and Deficiency Card Status" weekly
reports reviewed by an inspector and interviews with management. DCs and
Ols/ commitments were rarely late.
The inspectors selected ten Ols due
on June 27 to assess the effectiveness of licensee efforts to ensure
that Ols were being closed in a timely manner, consistent with scheduled
due cates.
Of these ten Ols, only three were closed on time.
Of the
remaining seven, two were closed late and five were rescheduled (one of
which was rescheduled after it was overdue).
Due to the fact that these
ten Ols were either rescheduled or closed before June 27. the "Open Item
and Deficiency Card Status" weekly report issued the following Monday
(June 30) would have reported no Ols were late. The inspectors
discussed with plant management that approximately 70% of corrective
action Ols due on June 27 were not completed on time, and half were
rescheduled at the last moment.
The inspectors identified that 01 34432. whose responsible department
was Westinghouse had a scheduled completion date of February 28, 1997.
Because of the way the weekly "Open Item and Deficiency Card Status"
report was formatted, management was unaware that this 0I was long
overdue.
When notified of this finding by the inspectors, NSAC
contacted Westinghouse and revised the due date.
Procedure 00150-C, requires that any responsible department that needs
more than 35 days to resolve a DC must get an Assistant General Manager
(AGM) approval for an extension.
In 1997. of the hundreds of DCs
processed, only three have been extended. The inspectors reviewed the
extension requests and verified that they were approved by an AGM.
However, the administrative controls for rescheduling due dates of
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corrective action Ols was not as-strict.
Procedure 00409-C allows any
corrective action OI to be rescheduled with approval from the NSAC
Originating Coordinator and the responsible department manager,
Enclosure ?
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superintendent, supervisor, or team leader. The inspectors did not
observe that any request to reschedule a corrective action 01 was
denied,
The number and frequency of rescheduled Ols each week were not
being specifically tracked or reported.
The inspectors reviewed several recent "06arterly Trend Reports and
Department Self-assessments." the most recent covering November 1996
through January 1997, issued April 25. 1997. NSAC is responsible for
issuing the quarterly trend reports to each department in addition to
the de)artment's own individual self-assessment. The quarterly report
for Fe)ruary through April 1997 had not been issued by June 27, 1997.
Two to three month delays in issuing the quarterly trend reports seemed
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to be typical, and consistent with DC/RCCA processing delays exhibited
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by NSAC.
Procedure 80016-C does not provide any guidance on the
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expected timeliness of trend identification and reporting. Trend
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reporting and departmental self-assessments have evolved considerably
over the past year and a) pears to be a valuable tool for plant
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-improvement. Although tie most recent quarterly trend report did not
identify any additional corrective actions based on plant-wide trending,
the departmental self-assessments and trending did identify numerous
areas for improvement (e.g., work practices, procedural use, procedure
cuality, management and supervisory involvement).
Each department also
ceveloped corrective measures and provided implementation schedules to
address self-identified problems and adverse trends for improving
performance. The individual departmental self-assessments varied
considerably in format, quality and content. There was no
administrative procedure to ensure uniformity and consistency.
However,
the program was still in its formative stages and management stated that
program guidance is still being developed.
c.
Conclusions
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Overall, the inspectors cor 'Jded that DC/RCCAs were sufficiently
thorough and complete, witi, appropriate disposition /causes and adecuate
corrective actions identified. However, the content and level of cetail
between DCs/RCCAs differed considerably, reflecting a variation in skill
and experience level of responsible departmental personnel.
NSAC
personnel were knowledgeable, conscientious, and added considerable
quality to the DC/RCCA process.
However, management expectations
regarding NSAC timelir.ess for processing DCs in a prompt and efficient
manner were not clearly communicated.
Backlogs of DCs or 0Is are not-
trended to evaluate the magnitude and associated trends of outstanding
corrective actions or open DCs. Although DCs are almost always
completed by responsible departments in a timely manner. corrective
action 0Is were routinely rescheduled. The licensee's trend
identification / reporting and departmental self-assessment program
continues to evolve.
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Enclosure 2
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07.2 Event Review Team Reports (40500)
a.
Insoection Scoce
Procedure 00057-C, " Event Investigation," Rev. 10, and
C. " Root Cause Determination," Rev. 11, described the ' procedure 00058-
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icensee's methods
for determining the root causes of events.
The inspectors reviewed
selected Event Review Team (ERT) and RCCA re) orts.
The review included
a cursory examination of 11 ERT reports, wf t1 a detailed review of three
ERT reports listed below:
ERT report 1-96-06, " Inadequate Cooling for Safety Injection Pump
IB Motor." dated October 15, 1996:
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ERT report 2-96-003, " Manual Reactor Trip Due to Main Feed
Regulating Valve Sticking," dated October 14, 1996: and
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ERT report 2-96-004, " Low Vacuum - Turbine Trip / Reactor Trip after
SGFPT (Steam Generator Feed Pump Turbine) Rupture Disk Failure,"
dated October 23, 1996.
The inspectors reviewed the above ERT reports for effectiveness of
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identifying root causes, making appro)riate recommendations to solve the
problem and prevent recurrence, and t1e implementation of developed
corrective actions.
In addition, the inspectors reviewed operability
determinations made by the licensee as a result of events and associated
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reportability issues.
b.
Observations and Findinos
The licensee performs ERTs and RCCAs for significant events such as:
unplanned reactor trips: reoortable Engineered Safety features (ESF)
actuations; significant radiological events: and events identified by
site management.
Based on the review of the selected ERTs. the inspector noted that the
licensee frequently uses the Cause Identification Worksheet analysis
technique or the Paper and Pencil Narrative method to investigate an
event. Application of those te< hniques resulted in thorough root cause
analysis. However, the inspectars identified several . non-repetitive,
minor administrative procedural non-compliances.
None of the identified
items resulted in impacting the problem resolution process or the
effectiveness of the corrective actions developed.
These items were
forwarded to the licensee for resolution.
An issue raised by the inspectors during the review of event reports
concerned ERT team leaders. A review of the team members for each of
the 11 ERTs indicated that an Independent Safety Engineering Group
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(ISEG) re)resentative led five of the 11 teams.
Updated Final Safety
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Analysis Report (UFSAR) Section 17.2.1.3.4, states that ISEG shall not
Enclosure 2
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Mcome responsible for signoff functions such that it becomes involved
in the operating organization.
By signing and recommending corrective
actions as part of the ERT report the ISEG representative performed
duties in accordance with procedure 00057-C.
SAER had identified a
somewhat related issue during an audit of the ISEG.
The audit comment
pointed out that ISEG internal procedures only allowed ISEG personnel to
assist and not lead ERTs.
Corrective action taken in response to the
audit comment was to prohibit ISEG members from leading future ERTs in
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accordance with procedure VSAER-WP-20. The inspectors discussed their
observation with licensee management.
The ins)ectors were later
informed that corporate management had (as of iay 9.1997) directed ISEG
members to no longer lead ERTs until further notice.
The licensee documented events as required by 10 CFR 50.73. Licensee
Event Report (LER) system. No issues or discrepancies concerning
reportability were identified.
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c.
Conclusions
The inspectois concluded that the ERT reports and RCCAs reviewed were of
good quality and thorough. Corrective actions developed as a result of
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ERTs. and associated RCCAs, were appropriate for the root causes
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identified.
In addition, operability and reportability determinations
were appropriate, where necessary.
07.3 Safety Audit and Enaineerina Review Proaram (40500)
a.
Insoection Scone
The inspectors evaluated implementation of the SAER Program with regard
to scope and responsibilities, position in the plant organization
according to UFSAR Chapter 17.2. Operational Quality Assurance Program,
and licensee procedures. Selected SAER audits were specifically
reviewed.
b.
Observations and Findinas
The ins)ectors discussed the structure and specific responsibilities of
the SAER group with its su3ervisor to determine that the program's
implementation satisfied t1e requirements of the UFSAR. including
independence from operational considerations.
The inspectors reviewed
the audit schedule for the current year for compliance with required
subject audit areas and frequency.
The inspectors selected the following audits for review:
OP02. " Health Physics and Radiation Protection." for the previous
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three audits (specifically. OP02-95/06. OP02-96/05, and
OP02-96/33):
Enclosure 2
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OP06. " Reactor and Plant Operations." for the previous three
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audits (specifically. OP06-96/09. OP06-96/29, and OP06-97/05):
OP09, " Surveillance Program / Technical Specification Compliance,"
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for the previous three audits (specifically. OP09-96/15,
OP09-96/31, and OP09-97/11): and,
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OP21, "Corre:tive Action Program." last audit and portions of next
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to last audit (specifically, OP21-97/08 and OP21-96-39)
The inspectors noted that the audits were comprehensive and thorough.
These audits included audit findings, comments, and/or recommendations
for the audited group. Audit finding reports (AFRs) required an
immediate response and were tracked by plant management until
appropriate approved action was taken to resolve the finding.
Comments
recuired action to be taken and were followed up during a successive
aucit to review the appropriateness of the action taken.
Recommendations were treated as suggestions and had to be acknowledged,
but no formal problem resolution was required.
The inspectors reviewed
the handling of these different items, from original presentation in an
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audit to final resolution and disposition, and determined that they were
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appropriately resolved in a timely manner.
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The inspectors noted that all of the audits were conducted within the
required frequency, based on start dates.
However, the inspectors found
that the SAER group could continue auditing for long periods of time or
even suspend the audit (e.g.
auditor reassigned to begin another more
important audit). The typical SAER audit completed in 1997 took from
three weeks to three months to perform, with most being accomplished in
about a month.
A few audits were actually suspended, some covered plant
activities that did encompass considerable lengths of time; but the
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normal. routine audit was several weeks long.
An audit was not
considered completed until the audit exit meeting was neld by which time
the audit report was finalized and audit checklists typically f'.lled
out. Consequently, a significant amount of the audit duration was not
necessarily active auditing but documenting. UFSAR Section
17.2.1.1.1.9.C states that audit reports will be forwarded to the Vice
President - Nuclear (VPN) and responsible management within 30 days
after the audit is completed. Although allowed by internal SAER
procedures for flexibility, the inspectors considered that the extended
duration of an audit could permit findings and comments to not be
communicated to responsible managers. VPN, and/or Safety Review Board
(SRB) in a timely manner.
In addition, suspending audits or extending
audits to accommodate documentation can lead to delays in corrective
actions and management review activities.
Enclosure 2
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c.
Conclusions
The inspectors concluded that the SAER Program satisfies the
requirements of the UFSAR and implementing procedures for conducting
quality assurance (0A) audits. Audits were comprehensive and thorough.
AFRs and comments were properly addressed in a timely manner, and
com)letion of corrective actions were verified.
Findings were adequate
to (eep licensee management informed of significant developing problems
in the areas audited.
However, the practice of allowing an extended
duration audit could lead to delays in implementing corrective actions
and the conduct of management reviews.
07.4 Self- Assessments (40500)
07.4.1
Health Physics Self-Assessment
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a.
Insoection Scoce
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The inspectors reviewed the licensee's comprehensive self-
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assessment of Health Physics (HP) areas of responsibility,
b.
Observations and Findinas
The inspectors reviewed a self-assessment conducted by the HP
Department from February 3-7. 1997. The inspectors noted that the
self-assessment was conducted by a team of people not only from
within the plant staff, but from other nuclear plants within the
Southern Nuclear Operating Company. Inc. (SNC) organization, and
even from nuclear plants outside the SNC organization. The
inspectors determined this aspect of the program to be a strength.
The assessment addressed the following seven areas: As Low As
Reasonably Achievable (ALARA): contamination control: external
radiation: personnel dosimetry: RWPs/ posting and labeling: solid
radwaste; and surveys and documentation. A generally consistent
format was used to report on each area with specific observations,
both as strengths and areas for improvement. Overall each area
3rovided numerous insightful and meaningful observations.
iowever, the final document appeared as a disparate collection of
work from several individuals with varying quality
The root
cause analysis, addressed as pie charts at the end of the
assessment, was not always well-defined. The inspectors also
reviewed data collection sheets from the individual team members.
These sheets were of a standard format and provided more detailed
information regarding each observation. These sheets also
provided trending codes, defined corrective actions, and tracked
status.
~
Enclosure 2
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c.
Conclusions
The HP self-assessment, was a comprehensive evaluation of major
areas of res)onsibility.
This self-assessment identified numerous
aspects of tie HP program for improvement for which specific
corrective actions have been developed and were being actively
tracked to completion. The use of experienced HP personnel from
outside the plant as part of the self-assessment team was
considered a significant strength.
1
,
07.4.2
Plant Modifications and Maintenance Sucoort (PMMS) Self-Assessment
a.
Insoection Scooe
The inspectors reviewed the report from a self-assessment of the
PMMS department conducted in December 1996.
The inspectors also
reviewed the PMMS corrective action plan,
b.
Observations and Findinas
The PMMS self-assessment team performed a detailed assessment of
the design change process, modelling and analy7.ing twenty-two
discrete, significant activities of the process.
Four specific
process areas were identified for assessment: Design Change
Control. Design Generation. Design Implementation, and Design
Close Out.
During the assessment substantial findings were
identified and explicit recommendations were made. A
comprehensive corrective action plan was developed, with scheduled
due dates, which addressed each of the specific recommendations.
The inspectors' review indicated that the PMMS department did not
address numerous " compliance" and " process" issues in the Design
Generation area identified by the assessment team, for which
s)ecific recommendations were not made. After discussions with
tie inspector. PMMS management indicated it planned to go back and
address each of the issues.
This issue is identified as an
example of Inspector Followup Item (IFI) 50-424. 425/97-08-01.
Resolution of Self-Assessment Findings.
c.
Conclusions
The PMMS self-assessment was thorough and detailed, with
substantial findings and recommendations.
Corrective actions were
)lanned and scheduled to address all of the recommendations.
lowever, the PMMS department did not address numerous compliance
and process issues identified in the report.
Enclosure 2
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11
07.4.3
Ouarterly Human Performance Self-Assessments
a.
Insoection Scone
The inspectors reviewed several of the most recent Quarterly RCCA
Human Performance Review reports. and discussed these reports with
site management and the Independent Safety Engineering Group
(ISEG) supervisor.
b.
Observations and Findinas
In February 1996, the ISEG was requested to conduct quarterly
reviews of DC/RCCAs involving human performance errors. The ISEG
has conducted five quarterly reviews since February 1996, usually
issuing their reports within four to six weeks after the quarter.
These reports were comprehensive, thorough and insightful, with
detailed observations and some statistical analysis.
However, it
was difficult for the inspectors to distinguish whether some ISEG
-
report statements were mea #, to be a general observation of fact,
conclusive problem, suggestion, or specific recommendation. There
was no formal process in place to disposition these ISEG
statements. some of which have been repeated in several quarterly
reports with no apparent licensee response.
Examples of
repetitive ISEG issues were:
1) there is a continued increasing
trend of DCs with human performance errors. 2) efforts to ensure
individuals with advanced root cause training perform the RCCAs
involving human performance issues have been inconsistent: 3) cnce
potential trends are identified RCCAs should be completed on each
recurring incident: and 4) a review group to evaluate quality and
consistency of DC dispositions
' analyze adverse trends would be
beneficial.
Also, attached to each ISEG quarterly report was Attachment A.
" Example Human Performance Review Summaries / Assessment Comments."
In this attachment were detailed discussions, specific comments.
and recommendations regarding selected DC/RCCAs.
Many of the ISEG
comments clearly ques:,ioned whether the disposition. causes,
and/or corrective actions of particular DC/RCCAs were a)propriate
or adequate. These Attachment A comments and findings lad not
been routed to the responsible departments for resolution. These
findings represent potentially inadequate corrective actions
and/or incomplete documentation of DC/RCCAs. This issue is
identified as an example of IFI 50-424, 425/97-08-01. Resolution
of Self-Assessment Findings.
c.
Conclusions
ISEG Ouarterly Human Perfcrmance Reviews were comprehensive,
thorough and insightful.
However, many of the ISEG report
statements were unclear whether they represented general
Enclosure 2
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,
!
12
observations of fact, conclusive problems. suggestions or specific
recommendations. Also, the inspectors were unable to ascertain
how the licensee was addressing these ISEG statements. especially
those that were repeated in several reports. Specific comments
regarding the adequacy of particular DC/RCCAs have not been
addressed by licensee management.
07.5 Ooeratina Exoerience Feedback Proaram (40500)
a.
Insoection Scooe
The inspectors reviewed the licensee's handling of two Opeuting
Experience Reports (GERs) and the backlog of open OERs, including NRC
Information Notices (ins) awaiting disposition.
b.
Observations and Findinas
Procedure 00414-C, " Operating Experience Program," required ISEG to
coordinate the onsite evaluation of certain industry event reports and
NRC ins.
NSAC was assigned responsibility for onsite coordination of
generic letters and other NPC issues requiring a response. The
inspectors selected two recently dispositioned OERs from a list of
industry event reports that nad been received since January 1996 to
present. The inspectors reviewed the licensee's evaluations and
corrective actions for the OERs selected and found both to be adequate.
For the examples reviewed, appropriate de]artments had been involved in
the evaluation and required training on tie events had been provided for
both licensed and non-licensed personnel.
The inspectors found that the
ISEG had a goal to have all ins closed within a six-month period. The
-
licensee indicated that all but one 1996 IN had been closed.
It was
expected to be closed by the end of June, which was consistent with the
department goals. The ISEG's total backlog of open OERs was
approximately 54 items, somewhat higher than the 1996 year end total of
44 items.
c.
Conclusions
<
The licensee's evaluation and corrective actions for two OERs issued in
1996 were reviewed and found to be adequate. The backlog of industry
OERs and ins was being maintained within reasonable levels.
07.6 Indeoendent Safety Enqineerino Grouc (40500)
a.
Insoection Scoce
The inspectors reviewed the ISEG activities to determine if they were
consistent with those described in UFSAR Section 17.2.1.3.4 and
Procedure VSAER-WP-20. Independent Safety Engineering Group
Organization.
Enclosure 2
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13
b.
Observations and Findinas
The ins)ectors found that the ISEG was meeting the activities described
in the JFSAR and internal procedures for reviewing and providing
recommendations to management on methods to improve plant safety and
reliability and reporting to management on the activities reviewed by
the ISEG.
However, the inspectors found that the ISEG was involved in
both assisting and leading event review teams.
The practice of ISEG
1eading event review teams was found to be in conflict with the UFSAR
with respect to maintaining independence from the operating organization
-(see report Section 07.2).
The inspectors found that the ISEG had
performed several assessments over the last 12 to 18 months.
Exam)1es
of routine assessments Jerformed by ISEG were Pre-Outage Schedule Review
and Risk Assessments, Slutdown Risk Assessments. Post-Outage Review and
Risk Assessments and Quarterly RCCA Human Performance Reviews (see
report Section 07.4.3).
Examples of special assessments that were
)erformed by the ISEG included the assessment of the UFSAR Review
l
3rogram and the Configuration Control Assessment. A detailed review of
the UFSAR Review Assessment is described in report Section E7.2.
c.
Conclusions
The inspectors concluded that the ISEG acti"ities were consistent with
UFSAR and procedural requirements, except f ' leading the ERTs.
The
assessments performed by the ISEG were efft
ive in identifying areas
for improving plant safety.
07.7 Onsite and Offsite Review Committee Activi; 140500)
07.7.1
Plant Review Board
The inspectors attended one meeting of the Plant Review Board
(PRB) on June 24.
Plant management was well represented at the
meeting and attendance met UFSAR membership and quorum
requirements.
The PRB agenda for meeting 97-47 was com)osed
primarily of procedure changes and DCs.
Of these, the )RB anly
actually discussed those procedure changes and DCs that one ir
more of the members indicated they had comments on.
Discussuns
were detailed and explored relevant aspects of associated
procedure changes.
07.7.2
Safety Review Board
a.
Insoection Scooe
The inspectors reviewed UFSAR and corporate procedural
requirements for conducting Safety Review Board (SRB) activities.
The inspector also reviewed the last two SRB meeting minutes
(i.e. . iajor Meetings 96-20 and 97-02). including associated SRB
open items, and interviewed several SRB members.
Enclosure 2
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b.
Observations and Findinas
UFSAR Section 17.2.1.1.1 prescribed SRB functions, organization
and review res)onsibilities.
Corporate procedure VSRB-05. Safety
Review Board. Rev. O, provided the procedural guidance for
defining how the SRB fulfills its regulatory responsibilities.
The inspector verified that SRB activities were conducted in
accordance with UFSAR Section 17.2.1.1.1 and procedure VSRB-05,
except as discussed below.
In general. SRB meetings were
comprehensive and routinely identified specific problem areas
requiring site and/or corporate attention.
For each identified
problem an SRB open item was initiated, tracked and usually
resolved in a timely manner prior to the next SRB meeting
whereupon it would be reviewed and closed out. Of the eleven SRB
open items from the SRB meeting (Major Meeting 96-20) on December
18, 1996, only one item remained open following the meeting on
April 30,1997. The SRB meeting on April 30 also identified an
additional 19 open items.
Responses to 14 of these new SRB open
items had already been received within about 45 days following the
SRB meeting. The inspector noted that, except for some SRB open
items assigned to the VEGP General Manager (GM). most open items
were not entered into the site corrective action program for
trending or RCCA.
The inspectors identified the following deficiencies in procedural
guidance and implementation of SRB responsibilities:
e
UFSAR Rev. 6. Section 17.2.1.1.1.7.F. states that the SRB
shall be responsible for reviewing significant operating
abnormalities or deviations from normal and expected
performance of plant equipment that affect nuclear safety.
Section 17.2.1.1.1.7.H states that the SRB shall review all
recognized indications of an unanticipated deficiency in
some aspect of design or operation of structures, systems,
or components that could affect nuclear safety. These areas
of review were in addition to SRB responsibilities to review
violations. AFRs. and LERs.
However, the inspector was
unable to discover any examples within the scope of UFSAR
Sections 17.2.1.1.1.7.F and H that had been reviewed by the
SRB unless it also involved a violation. AFR or LER.
Although these UFSAR review requirements were replicated in
VSRB-005, the procedure did not provide any defining
guidance.
As documented in inspection report Section 07.2 the
inspectors examined 11 ERT reports of significant plant
events according to procedure 00057-C.
Of these events
(that occurred within the past year), eight were reviewed by
the WRB primarily because they resulted in an LER, special
report. and/or violation.
However, three events were not
Enclosure 2
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4
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15
reviewed.
In general. ERT reports that don't result in
violations. LERs. AFRs. etc. are considered to be examples
of the aforementioned UFSAR sections that require SRB
review.
The inspectors were provided little or no documentation to
e
demonstrate how several SRB responsibilities described in
Section 5.2 of VSRB-005 were being accomplished, such as:
a) " Verifying that certain aspects of plant operations in
accordance with license provisions:" b) " Making
recommendations for improvements in plant operations and in
effectiveness of operations quality assurance;" and c)
,
"Re-audit of deficient areas where indicated, shall be
initiated by the SRB."
Implementation of UFSAR Sections 17.2.1.1.1.7.F and H. as
l
described above, constitute a deviation from UFSAR commitments and
'
is identified as DEV 50-424, 425/97-08-02. Failure to Fulfill All
SRB Review Commitments,
i
!
The most recent annual SAER assessment of the VEGP SAER grou) and
SRB was issued in an audit report dated December 6, 1996. T11s
audit report did not identify any " Findings" or make any
" Comments" regarding conduct of SRB functions.
SRB members
themselves did not provide any comments regarding the conduct or
suggestions for improvement of the last two SRB meetings using the
provided feedback forms,
c.
Conclusions
In general. SRB meetings appeared to be comprehensive and
routinely identified specific problem areas requiring site and/or
corporate attention.
For each ideitified problem, an SRB open
item was initiated, tracked, and wholly resolved in a timely
manner.
SRB activities were conducted in accordance with FSAR
Section 17.2.1.1.1 and procedure VSRB-05, except as identified
above.
DEV 50-424, 425/97-08-02 was identified for insufficient
implementation of UFSAR commitments regarding SRB review.
08
Miscellaneous Operations Issues (92901)
f
08.1 (Closed) Violation (VIO) 50-425/96-11-01: Improperly Positioned
Clearance Holci Points on Unit 2 Main Control Room Boards - Two Examples.
This item was addressed in Sections 02.1 and 02.2 of Inspection Report
(IR) 50-424, 425/96-11. The licensee submitted its reply to the VIO by
letter dated December 30, 1996.
The inspectors reviewed the root cause
determination and corrective actions completed by the licensee to avoid
recurrence. The inspectors verified completion of the corrective
actions, which included the counseling of the operations supervisors
Enclosure 2
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.
1
16
regarding clearance and tagging restrictions using solenoid valves as
clearance points. Also, tha counseling of the individual operator
directly involved regarding tagging requirements and the importance of
ensuring that component position is in accordance with the clearance
requirements. The topic was included in the operation department's
continuing training for licensed and non-licensed operators, scheduled
,
for completion in March 1997.
The ins)ectors also reviewed the training
lesson plan and personnel attendance sleets for the training.
The
lesson plan was determined to be adequate and the training was completed
as scheduled.
This VIO is closed.
II. Maintenance
1
M8
Miscellaneous Maintenance Issues (92902)
!
M8.1
(Closed) VIO 50-424/96-479-01013: Inoperable IB SIP Due To Inadequate
Cooling Flow To Its Motor Coolers.
This issue was documented in IR 50-424. 425/96-12 (Section M8.4).
50-424, 425/96-11 (Section M3.1). LER 50 -424/96-10. Rev. 0, and
LER 50-424/96-10. Rev. 1.
The inspectors reviewed the licensee's corrective actions identified in
the LER and ERT report 1-96-06. " Inadequate Cooling for Safety Injection
Pump 1B Motor". dated October 15, 1996.
Based on this review the
licensee's corrective actions should preclude repetition.
This VIO is
closed.
M8.2 (Closed) VIO 50-424. 425/96-479-01023: Inadequate Procedural Guidance To
Assure Correct Installation Of Motor Cooler Gaskets And Plenums For
Safety-Related Equipment.
This violation was documented in IR 50-424, 425/96-12 and addressed the
lack of adequate procedural guidance.
As part of the licensee's corrective action, maintenance procedure
27118-C. " Westinghouse large Frame Motor Heat Exchanger Maintenance."
Revision 2. was developed.
Based on the review of the maintenance procedure performed by the
inspectors and the review documented in report Section M8.1. the
licensee's corrective actions should preclude repetition.
This VIO is
closed.
Enclosure 2
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M8.3 (Closed) LER 50-424/96 010; SIP Rendered Inoperable Due to Lack of Motor
Cooling.
This LER documented issues discussed in report Sections M8.1 and M8.2.
Based on that review this LER is closed.
M8.4 (Closed) LER 50-424/96-010. Rev. 1: SIP Rendered Inoperable Due to Lack
of Motor Cooling.
This LER documented further analys1s performed by the licensee of the
impact that the inoperable SI pump had on the small break loss-of-
coolant-accident.
In addition. further corrective actions were
developed as a result of the licensee's continued review of the issue.
Based on this review and that documented in report Sections M8.1 and
!
M8.2. this LER is closed.
M8.5 (Closed) LER 50-424/97-001: Thermal Overload Bypass Jumper Connection
Renders ECCS Valve Inoperable
This LER documented the identification of a thermal overload bypass
jumper for valve 1HV-8802A. SI Pump A to Hot Leg 1 and 4 Isolation
Valve %ing improperly connected.
Prevt. inspection of this issue was documented in IR 50-424. 424/96-14
(Section 02.4) and 50-424, 425/97-04 (Section 08.1).
The inspectors reviewed the licensee's corrective actions identified in
the LER and the event report developed as a result of this event.
As a result of the event. the licensee verified that other ECCS valves'
thermal overload jumpers in both Units 1 and 2 were properly installed.
In addition, the licensee developed supplemental training for
maintenance personnel on proper install? tion of lifted leads with an
emphasis on independent verification.
' ne licensee also counseled the
i
involved maintenance personnel.
The licensee's corrective actions should preclude repetition.
Based on
this review this LER is closed.
Enclosure 2
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x
III.
Enaineerina
-E7
Quality Assurance in Engineering Activities-
1
E7.1 UFSAR Accuracy Reverification Proaram (40500)
a.
Insoection Scoce
<
The inspectors reviewed the. licensee's activities associated with the
resolution of numerous discrepancies identified by the UFSAR Accuracy
1
Reverification Program to determine if these actions were comistent-
with the requirements of title 10 of the Code of Federal Regulations
Parts 50.-59, 50.72. 50.73. ar.d Part 50 Appendix B. Criterion XVI.
-b.
-Observations and Findinas
The licensee in res]onse to IN 96-17. " Reactor Operation Inconsistent
with the Updated FSA1." conducted a review of over 600 sections of the
VEGP UFSAR to verify that it accurately reflected the plant design,
as-built condition, and/or operating practices.
This review, performed
by individuals from the operating plant staff. SNC corporate. Southern
Company Services (SCS), and Westinghouse, took ) lace over approximately
a six-month period from July 1996 through Decem)er 1996, and resulted in
the identification and documentation of over 700 discreaancies.between -
the UFSAR and as-built plant and operating practices. Of those the
licensee-considered that approximately 500 were associated-with original
errors in the UFSAR.
-The deficiencies were documented on ap3roximately 100 DCs, and
approximately 125 Licensing Document C1ange Requests (LDCRs) were
-generated to revise the-UFSAR. The licensee indicated that -
discre)ancies identified by site reviewers were documented on DCs and
that tiose identified by offsite reviewers (i.e. SNC cor) orate. SC1.'and
Westinghouse personnel) were primarily documented on LDCRs.
Site
procedures required DCs to be evaluated-for operability and
r
reportability: however, a similar -requirement did not exist for LDCRs~.
'
In the latter case, the licensee relied on the knowledge of the
personnel doing the review to identify any operability or reportability
concerns, . This was considered to be a weakness in the UFSAR Review
Program,-although no operability or reportability issues were
identified.
The inspectors reviewed the adequacy of the licensee's corrective
actions for the UFSAR discrepancies documented in-DCs-1-96-412.
1-96-449,1-96-431.1-96-499 and'l-96-375 involving various
discrepancies with UFSAR Sections 15.0.13. 15.6.3. 3.1.2. 3.1.4. 6.5.2.
15.6.5 and 9.3.4.
The inspector found that the DCs had been_ adequately
dispositioned, but not all of the required corrective ections had been--
-
Enclosure 2
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19
completed. The inspector did not identify any concerns documented on
the above DCs that required reporting in accordance with 10 CFR 50.72 or
With one exception, DC 1-96-499, a root cause evaluation
was not )erformed for each discre)ancy, rather, an assessment was made
of the U:SAR review results and tie most likely causes were determined,
for which recommendations made and corrective actions were identified to
reduce the likelihood of new discrepancies being introduced.
The
inspector found this to be acceptable.
DC 1-96-375, identified a discrepancy between plant operating practices
in the use of the Centrifugal Charging Pumps (CCPs) for normal charging.
The UFSAR that stated normal charging flow was provided by the )ositive
displacement charging pump (PDP).
The corrective action taken )y the
i.
licensee was to revise the UFSAR to allow the PDP or CCP to provide
'
normal charging to the reactor coolant system. The licensee's 10 CFR
l
50.59 Safety Evaluation stated, in part, that " utilization of
centrifugr' "harging pumps to provide normal charging fhv does not
raise the
- ability of occurrence of a malfunction of centrifugal
charging pumps. This is assured by routine preventive and predictive
maintenance."
l
Considering the above evaluation, the inspectors requested and reviewed
information on the environmental qualification (EO) of the CCP motors.
A one-page document identified as Attachment 11, Sheet 2 of 2. of
Calculation X4 CPS.0075.335. Rev. 8, was )rovided to demonstrate the
EO-qualified life for the CCP Motors. T11s document indicated that the
I
,
motors had a qualified life of greater than 60 years operating
continuously for 60.1 percent of the time at a normal service
temperature of 100,88 degrees Centigrade (C). A single page from a
draft calculation was also provided to the ins)ectors in which the motor
J
qualified life had been re-analyzed based on tie motor o)erating 100
<
percent of the time. This draft calculation indicated tie motor had a
qualified life under these conditions of greater than 40 years at a
normal service temperature of 100.88 degrees C.
The one page document
from the draft calculation indicated that the motor service temperature
s
of 100.88 degrees C consisted of 30 degrees C ambient temperature. plus
60.88 degrees C heat 'ise at 640 HP plus 10 degrees C hot spot.
EQ Documentation Package No. X6AA15 indicated that the CCPs were located
in the Auxiliary Building in areas 8RC115. 8RC118, 8RC16. and 8RC17.
The normal ambient temperature for these areas was shown in FSAR Table
3.11.B.1 as 100 degrees Fahrenheit (F) which is approximately 37.78
degrees C.
The inspectors noted that the 30 degrees'C did not appear to
be consistent with the UFSAR. Discussions with SNC corporate personnel
indicated that temperature surveys had previously been done at the site
and these results were used in the analysis to establish a qualified
life for the CCP etors.
This issue is unresolved, pending further
review by the inspector to determine the design basis for the
30 degree C ambient temperature used in the evaluation of the CCP motor
qualified life. This issue will be identified as Unresolved Item (URI)
Enclosure 2
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20
50-424, 425/97-08-03. Determine Design Basis for Ambient Temperatures
Used in Qualified Life Evaluations of CCP Motors.
The inspectors found that the backlog of incomplete corrective actions
for the UFSAR discrepancies was small, consisting of approximately six
LDCRs that required processing: approxinatel
engineering assistance that were still open:y three requests for
approximately 11
miscellaneous corrective action items: and those corrective actions to
address recommendations made by the ISEG on actions to help preclude
similar UFSAR problems in the future.
The corrective actions in
'
response to the ISEG recommendations were scheduled to be completed by
the end of the year.
c.
Conclusions
The licensee's corrective actions to resolve numerous UFSAR
discrepancies were found to be adequate and timely.
The backlog of
UFSAR deficiencies was small. A weakness was identified in the UFSAR
Review Program in that issues identified by offsite groups (i.e.. SNC
corporate. SCS. and Westinghouse) were not formally evaluated for
o)erability or reportability.
In those cases, the licensee relied on
tie knowledge of the personnel doing the review to identify any
operability or reportability concerns.
E7.2 Self-Assessment of the UFSAR Review Proaram (40500)
a.
Insoection Scooe
The inspectors reviewed the licensee's self-assessment of the UFSAR
Accuracy Reverification Program results.
b.
Observation and Findinas
An assessment of the UFSAR Accuracy Reverification Program results was
performed by the ISEG in response to a management request to identify
reasons for the various identified discrepancies and recommend
corrective actions to help preclude similar 3roblems from occurring in
the future.
The assessment report. dated Fearuary 12. 1997, identified
that the most common causes for the discrepancies were:
Incomnlete identification of all UFSAR sections affected by a
change (omissions);
Change process responsibilities not clearly defined / understood
e
(affected documents not identified):
Inadequate safety evaluations (did not address all potential
e
issues, or recognize affected UFSAR sections and explain why they
were or were not affected; commitments not identified):
Enclosure 2
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21
Administrative oversight less than adequate (backlog): and
e
e
Minor original UFSAR errors.
The assessment team found that the tracking of corrective actions for
DCs with multiple UFSAR discrepancies had been poor and that certain
items could not be verified as being complete. A recommendation was
made by the ISEG to have each department responsible for the disposition
of deficiency cards generated as art of the UFSAR review to ensure one-
1
for-one correlation between each tem on the DC and the corrective
documentation.
Management-agreed with the recommendation and action
>
items were assigned to track completion of this review.
In addition to
the-above.. the assessment team identified some miscellaneous corrective
-
actions that needed to be tracked to completion.
These were given open
item status and identified in an attachment to the report.
The assessment team concluded that a majority of the UFSAR discrepancies
.
_
were minor errors and had been in place since the plant was licensed.
.It further concluded that the programs and processes in place were
adequate to ensure that the plant was operated and maintained in
accordance with its design bases. The assessment team-provided several
recommendations to management on actions that should be taken to reduce
the likelihood of new discrepancies being introduced.
By internal
letter dated June 12. 1997, entitled. " Response to Recommendations of
Updated FSAR Assessment." plant management summarized the corrective
actions that would be taken in response to the recommendations made by
the assessment team. These corrective actions were being tracked by the
licensee's open item / commitment tracking system and were scheduled to be
completed by the end of the-year,
c.
Conclusions
The ISEG assessment of the UFSAR Review Program results provided good
-insights as to the causes of the UFSAR discrepancies and provided
several recommendations to management on how to improve performance and
reduce the likelihood of new discrepancies being introduced.
V.
Manacement-Meetinas and Other Areas
X
- Review of Updated Final Safety Analysis Report (UFSAR)
A recent discovery of a licensee o)erating its facility in a manner
contrary to the UFSAR description lighlighted.the need for a special
focused review that compares plant practices, procedures and/or
parameters to the UFSAR descriptions. While performing the inspections
discussed in this re) ort, the inspectors reviewed the applicable e
portions of the UFSAR that related-to the areas inspected.- The
inspectors verified that the UFSAR wording was consistent with the
Enclosure 2
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22
observed plant practices, procedures and/or parameters, except as
described in report Section 07.2. regarding SRB review responsibilities.
X1
Exit Meeting Summary
The inspectors ) resented the inspection results to members of licensee
management at t1e conclusion of the inspection on June 27, 1997. The
licensee acknowledged the findings presented and expressed additional
and/or dissenting comments regarding the following areas inspected:
a) NSAC processing of Ts. b) Open Item tracking, c) Self-Assessments,
d) SAER audit scheduling, e) ISEG involvement on ERTs. and f) SRB
functions.
The inspectors asked the licensee whether any materials examined during
the inspection should be considered proprietary.
No proprietary
information was identified,
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PARTIAL LIST OF PERSONS CONTACTED
Licensee
J. Beasley. Nuclear Plant General Manager
W. Burmeister. Manger Engineering Support
D. Carter. Site Supervisor SAER
S. Chestnut. Manager 0)erations
R. Dorman. V4 nager SAER - Corporate
K. Duquette. Plant Health Physicist
J. Gasser. Assistant General Manager Plant Operations
J. Goodrum. NSAC Nuclear Specialist
K. Holmes. Manager Maintenance
P. Rushton. Assistant General Manager Plant Support
M. Sheibani. NSAC Supervisor
M. Slivka. ISEG Supervisor
C. Tippins. Jr. . NSAC Nuclear Specialist
INSPECTION PROCEDURES USED
IP 40500:
Effectiveness of Licensee Controls In Identifying. Resolving, and
Preventing Problems
IP 92901:
Followup - Operations
IP 92902:
Followup - Maintenance
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Enclosure 2
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ITEMS OPENED AND CLOSED
- Ooened-
.T3 g -Item Number
Status
Description and Reference
IFI-
50-424. 425/97-08-01
Open
Resolution of Self-Assessment
Findings (Sections 07.4.2 and
07.4.3)
DEV
50-424, 425/97-08-02
Open
Failure to Fulfill All SRB Review
Commitments (Section 07.7.2)
_50-424. 425/97-08-03
Open
Determine Design Basis for Ambient
Temperatures Used in Qualified Life
.
Evaluations of CCP Motors
'
(Section-E7.1)
1
Closed
T.sg Item Number
Status
Descriotion and Reference
.
50-425/96-11-01
Closed
Improperly Positioned Clearance Hold
Points on-Unit 2 Main Control Room
Boards - Two Examples (Section 08.1)
50-424/96-479-01013
Closed
Inoperable 1B SIP Due to Inadequate
Cooling Flow to Its Motor Coolers
,
(Section M8.1)
50-424/96-479-01023
C1osed
Inadequate Procedural Guidance to
50-425/96-479-01023
Assure Correct Installation of Motor
Cooler Gaskets and-Plenums for
Safety-Related. Equipment
(Section.M8.2)-
LER
50-424/96-010
Closed
SIP Rendered Inoperable Due to lack
of Motor Cooling (Section M8.3)
LER- 50-424/96-010-01
Closed
SIP Rendered Inoperable Due to Lack
of Motor Cooling (Section M8.4)
LER
50-424/97-001
Closed
. Thermal Overload By) ass Jumper
Connection Renders
ECCS Valve
Inoperable (Section M8.5)
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Enclcsure 2
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