ML20214L455

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Insp Repts 50-277/86-12 & 50-278/86-13 on 860618-0703. Violation Noted:Surveillance Test 6.8 Re RHR Pump a Valve, Flow & Unit Cooler Not Performed by 860629,exceeding Specified Time Interval
ML20214L455
Person / Time
Site: Peach Bottom  Constellation icon.png
Issue date: 08/27/1986
From: Collins S, Gallo R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML20214L442 List:
References
50-277-86-12, 50-278-86-13, NUDOCS 8609100157
Download: ML20214L455 (74)


See also: IR 05000277/1986012

Text

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U. S. NUCLEAR REGULATORY COMMISSION

REGION I

Docket / Report No. 50-277/86-12 and 50-278/86-13

License No. DPR-44 and DPR-56

Licensee: Philadelphia Electric Company

2301 Market Street

Philadelohta, Pennsylvania 19101

Facility: Peach lottom Atomic Power Station Units 2 and 3

Location: Delta, Pennsylvania

Dates: June 18 - July 3, 1986

Inspectors: T. Shediosky, Senior Resident Inspector, Millstone Unit 3

(Shift Inspector)

W. Bateman, Senior Resident Inspector, Oyster Creek (Shift

Inspector)

J. Beall, Project Engineer (Shift Inspector)

J. Williams, Resident Inspector, Peach Bottom

E. Kelly, Senior Resident Inspector, Limerick

T. Johnson, Senior Resident Inspector, Peach Bottom

R. Nimitz, Senior Radiation Specialist

G. Smith, Safeguards Specialist

Reviewed by

Inspection

h27f96

R. M. Gallo, Chief, Reactor Projects Section Date

Manager: No. 2A, Division of Reactor Projects

Approved by

Team S. J. Collins, Chief, Re&ctor Projects

At 8!37 8

Date

Leader: Branch No. 2, Division of Reactor Projects

Inspection Summary: Inspection No. 50-277/86-12 and 50-278/86-13

Areas Inspected: This special team inspection reviewed

licensee programs and their application in management effectiveness, plant

operations, maintenance, surveillance, radiological controls, assurance of

quality, fire protection and housekeeping, security, and event analysis.

Inspection efforts by the team totaled 640 hours0.00741 days <br />0.178 hours <br />0.00106 weeks <br />2.4352e-4 months <br />.

Results: A violation associated with overdue surveillance testing program

application and oversight is discussed in detail 7.3. Outstanding items

requiring licensee response and inspector followup are summarized in

Attachment 2 to this report.

8609100157 860902

PDR ADOCK 05000277

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TABLE OF CONTENTS

Page

1. Background............................................ I

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2. Inspection Process.................................... 1

3. Inspection Summary.................................... 2

4. Management Effectiveness.............................. 3

5. Plant 0perations...................................... 4

5. 1 Operations Program............................. 5

5, 2 Operating Procedures........................... 6

5. 3 Operations Staffing............................ 7

5. 4 Operating Logs................................. 8

5. 5 Control of 0vertime............................ 9

5. 6 Control and Oversight of Activities...... ..... 9

5. 7 Personnel Attitude Towards Nuclear Safety...... 10

5. 8 Plant Paging System............................ 11

5. 9 Response To Off Normal Conditions.............. 11

5.10 Verification of Coupling Control Rod Drive

Mechanimi 30-15 With Its Control Blade

(Unit 0)..................................... 12

5.11 Summary.............. ......................... 12

6. Maintenance................................. ......... 13

6. 1 Maintenance Program............................ 13

6. 2 Maintenance Activities......................... 22

6. 3 Maintenance Staffing..........................<. 30

6. 4 Maintenance Interfaces and Communication....... 32

6. 5 Personnel Attitude Towards Nuclear Safety...... 39 3

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6. 6 Summary..... ......................

Surveillance..........................................

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7. 1 Surveillance Prcgram........................... 42

7. 2 Surveillance Activities........................ 42

7. 3 Control and Oversight of Activities............ 43

7. 4 List of Tests 0bserved......................... 44

7. 5 Summary........................................ 44

8. Radiological Controls................................. 44

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8. I Genera 1........................................ 44

8. E Organization and Staffing...................... 45

8. 3 Training and Retraining........................ 45

8. 4 Audits......................................... 46

8. 5 Job Planning and Work Contro1.................. 47

8. 6 Control and Oversight of In-Field Work......... 47

8. 7 Procedures..................................... 48

8. 8 Communication.................................. 48

8. 9 ALARA.......................................... 49

8.10 Corrective Action Program...................... 50

8.11 Overtime.(Health Physics)................. .... 50

8.12 Goa1s.......................................... 50

8.13 Summary........................................ 51

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Table of Contents 2

9. Assurance of Quality.................................. 51

9. 1 QA/QC Program................................... 51

9. 2 QA Activities................................... 52

9. 3 QC Activities................................... 53

9. 4 Procedural Controls............................. 53

9. 5 Other Quality Activities........................ 54

9. 6 Summary......................................... 56

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10. Fi re Protection and Housekeeping . . . . . . . . . . . . . . . . . . . . . 57

10.1 Housekeeping and Plant Conditions............... 57

10.2 Fire Protection Activities...................... 58

10.3 Summary......................................... 62

11. Security.............................................. 63

l 11.1 Shift Inspector Observations.................... 63

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11.2 Security Specialist Observations................ 64

11.3 Summary......................................... 65

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12. Event Analysis........................................ 65

12.1 Unit 2 Loss of Emergency Service Water (ESW).... 65

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12.2 Group IIA Primary Containment Isolation

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of Reactor Water Cleanup System (Unit 3)...... 68

13. Management Meetings and Exit Interview

Attachment 1 - Persons Contacted........................... 70

Attachment 2 - Licensee Response Items and Inspector

Follow Items.............................. 71 +

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DETAILS

1.0 Background

On April 22, 1986, NRC Region I completed a System Assessment of Licensee

Performance (SALP) Board evaluation of Peach Bottom Atomic Power Station

for the period of April 1,1985 through January 31, 1986. That assessment

indicated that the licensee's performance had declined in the areas of

plant operations, maintenance, and licensing activities. Additionally the

area of assurance of quality was rated a category 3. This inspection was

conducted in order to better understand the nature of the licensee's efforts

in these areas and in areas where performance has been cyclic. The team

attempted to obtain a more complete understanding of the underlying reasons

for the licensee's performance discussed in the SALP report and to ascer-

tain whether they could have an adverse impact on the safety of plant

operations.

2.0 Inspection Process

The inspection consisted of a continuous review of plant activities by

three on-shift inspectors, followup inspection of shift-identified items,

dedicated reviews of licensee programs and their application in the areas

of plant operations, maintenance, surveillance, radiological controls,

assurance of quality activities, fire protection and housekeeping,

security activities, and a review of selected plant events which occurred

during the inspection period. The Team Leader met periodically with

licensee management to inform them of preliminary inspection findings and

observations.

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During the first nine days of the inspection the team consisted of the f

team leader, inspection manager, three shift inspectors, a technical  !

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assistant (the Peach Bottom Senior Resident Inspector), a maintenance

inspection specialist (Limerick Senior Resident Insnector), and a resident

inspector. The shift inspectors provided 24-hour inspection coverage

seven days a wetk until June 27, 1986. The resident inspectors occasion-

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ally functioned as a shift inspector during this period. A security

specialist and a radiation specialist joined the team during the period of

June 23, 1986 through June 27, 1986. An exit interview was held at the

! conclusion of the inspection on July 3, 1986. Management observations were

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not discussed at the exit interview, although many of the topics were

discussed with senior licensee management during the inspection.

l The inspectors used the following evaluation criteria during their

j reviews:

1. Are management goals and objectives developed and implemented? Are

they understood by all levels of the licensee's organization?

2. Is there adequate planning and control of routine activities?

3. Do workers and their supervisors have a proper attitude toward

nuclear safety? Do they understand the potential impact of their

day-to-day activities on safety? ,

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4. Is senior management involved in the day-to-day operation of the

plant?

5. Is training, direction, guidance, and supervision by first line

supervisors effective?

6. Is staffing adequate in light of planned work?

7. How do the QA and QC program, and other management assurance of

quality tools monitor plant activities? How are reports by these

groups used by plant management?

8. How does the licensee work with and oversee contractor personnel?

9. Are the safety review committees effective?

3.0 Inspection Summary

The team found no evidence that the plant was being operated unsafely.

The team identified strengths and weaknesses similar to the 1986 SALP

report, with several exceptions: surveillance, maintenance, procedural

adherences and inattention to detail. The surveillance program was weaker

than observed during the SALP period. The maintenance program was

stronger than observed during the SALP period. Also, procedural adherence

and attention to detail during the review period were strong in the area of

operations which was in contrast to the longer term observations during the

SALP period.

The operators were knowledgeable, conscious of nuclear safety, had a

positive attitude, and performed in a consistently professional manner.

Weaknesses were noted with respect to log keeping, the administrative

workload on the Shift Superintendent and definition of onshift personnel '

duties and authorities. Overall plant housekeeping and the facility

upgrade program were considered a strength.

Maintenance activities observed during the inspection were also performed

well. The Maintenance Division organization is well staffed and trained.

A strong sense of pride among the craftsmen was observed. However, the

plant staff maintenance group is understaffed in relation to the increased

demands of preventive maintenance, equipment history and trending.

The conduct of testing, use of surveillance procedures, and test review

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were good. The ability to implement and oversee the surveillance program

l was weak in that several safety system tests were found to be overdue (past

!- the Technical Specification surveillance interval) even though this problem

had been the subject of a previous violation and short-term corrective

actions. This finding constitutes an example of program implementation and

accountability focused at an inappropriate level within the organization.

Additionally, quality audits conducted in this area failed to identify this

long-standing problem due to a concentration on program compliance with

procedures.

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Weaknesses were noted in the radiological controls area including

communications, training, staffing and the lack of an aggressive approach

to the planning and control of infield work activities. These findings

are particularly significant in light of the program challenges to be

brought on by the 1987 unit refueling and pipe replacement outages.

Selected reviews indicate that QA/QC implementation is focused toward

meeting program requirements. Weaknesses were noted in the qualifications

of auditors and the depth of QA audits in the health physics and surveillance

areas. OEAC and ISEG activities are considered a licensee strength. The

PORC and NRB are functioning well administratively, however, improvements

are required to ensure that operational quality is achieved and

maintained. The observation of NRB activities indicates that the board

may be deficient in the area of operational expertise.

Past security weaknesses have been noted by the licensee. However, no

formal written plan to improve the security area and assess the potential

impact of planned 1987 outage activities currently exists even though this

functional area has been assessed category 3 in the two previous SALP

periods. The licensee appears to have difficulty in achieving timely and

effective corrective action and is overly conservative in the approach

to co-control of the security contractor. The failure to implement and

properly focus oversight of aggressive corrective action programs

continues to be a weakness.

The licensee is currently implementing and tracking an overall site plan

to address identified hardware and program shortcomings. An initial

review of this plan in conjunction with discussions with site and

corporate representatives indicates that implementation and oversight is

focused on the site manager and that no corporate official has direct

responsibility or authority for program evaluation and assessment of

effectiveness. Additionally, direct assessment of program status is

performed only monthly in conjunction with mandated reporting to a

corporate executive. Targeting oversight of this type of program at the

site level seems inappropriate and a strong commitment to program imple-

mentation appeared to be lacking as evidenced by overdue program items and

l the absence of direct corporate management involvement.

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4. Management Effectiveness

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Licensee first line supervisors were strongly involved in station

activities and were considered effective during the inspection. The team

, noted that the first line supervisors were supported by their staffs who

! demonstrate a desire to complete work in a safe manner. Some areas have

shown recent improvement including establishment of management goals and

policies and overall plant housekeeping. Further dissemination of goals

and policies below the supervisor level is required. Extensive painting

and lighting efforts are underway to enhance the plant staff's ability to

maintain cleanliness.

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Previous NRC concerns have been confirmed during this inspection and in

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some cases additional problems have been identified. For example,

licensee followup on commitments and previously identified issues has

been a concern that was demonstrated, during the inspection, to be weaker

than previously understood. Specific areas of concern are security

i program corrective actions, surveillance program oversight and progress

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relative to the Peach Bottom Improvement Program. Specifically, the

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security area was rated category 3 for the-current and previous SALP

periods yet no documented improvement program was available and

management involvement was considered almost nonexistent. Surveillance

program implementation concerns were addressed to the licensee in

February 1986. The licensee's April 1986 response indicates a strong

management commitment to correct NRC identified concerns. However,

l during this inspection a lack of management attention or concern for the

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problems was evidenced by the existence of a large number of overdue

surveillance tests and general confusion regarding management of the

. program.

, The Peach Bottom Improvement Program, formulated in. response to the

December 1985 INPO evaluation, provides a detailed description of the

. required action as well as an updated status of individual actions. NRC

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discussions with the Plant Manager and the corporate engineer tracking

individual item status indicated that minimal senior management attention

or direction is being applied toward completion of improvement plan tasks

j and that was applied only when it was needed to update the PECo Chief

. Executive Officer. The focus of program oversight of the PBAPS Manager

may be inappropriate given the breadth and demands of program t

implementation.

The failure to implement aggressive corrective action programs even after

problems have been identified indicates that Peach Bottom will have a

difficult time being able to correct station problems before they become

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apparent to third party review. Furthermore, it is apparent that only

minimal efforts are being made in the area of self-identification of

problems. In some areas, such as the expertise of NRB members and NRB

j' lack of involvement in operational activities, the licensee representatives

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demonstrated positive responsiveness to NRC concerns but in other areas,

such as oversight of the surveillance and security programs, licensee

response appears almost totally without direction.

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5.0 Plant Operations

Operating activities were observed by NRC shift inspectors during the 1

l. period from June 19 through June 27, 1986. The areas observed included  ;

control room activities such as the conduct of watchstanding, shift

i relief, operators response to abnormal plant conditions, surveillance

, testing, coordination of maintenance activities and logkeeping.

l Inspections of the plant were conducted by team members during this

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period. Limiting Conditions for Operation stated in the Operating

License Technical Specification were verified and licensee response

actions were monitored.

5.1 Operations Program

The facility is operated by a staff of plant personnel working in a

six (6) shift rotation. Its members hold NRC Senior Reactor

Operator Licenses, or NRC Reactor Operator Licenses; there are also

unlicensed plant operators. These individuals are supported by a

staff of engineering, technical and clerical personnel.

The Shift Superintendent is the senior member of the operating

shift. Both he and the Shift Supervisor hold Senior Operator

Licenses. These two individuals are responsible for directing the

operation of both Peach Bottom Unit 2 and Unit 3 reactors. Their

duties were found to be clearly stated in Administrative Procedure

A-7, " Shift Operations", Revision 21, dated November 21, 1985.

The inspectors determined that the on-shift operations staff met the

requirenents of Technical Specification 6.2.2 for the numbers of

personnel and types of licenses. However, the station and corporate

organization has been changed from that represented in Technical

Specification 6.2 figures 6.2-1 and 6.2-2. In each' case,

responsibilities of critical individuals have been split among two

others or non-nuclear production personnel have been relocated.

Specifically, in changes to the Station Organization, the Assistant

Superintendent has been replaced with a Superintendent of Plant

Services and a Superintendent of Operations. The Station

Superintendent is now titled the Station Manager. In the corporate

offices the Manager of Electric Production has been replaced by the

Manager of Nuclear Production and reports to the Vice President

Electric Production. The Superintendent, Nuclear Generating Division

and the Superintendent, Quality Assurance Division report to the

Manager of Nuclear Production. The responsibility for non-nuclear

production rests in a second organization reporting to the Vice

President Electrical Production. A Technical Specification change

request has been submitted to the NRC Office of Nuclear Reactor

Regulation and is under review.

Since the Station Manager must report through two other individuals

within the corporate organization before reaching the first corporate

officer, the Vice President Electric Production, the inspectors were

concerned that the needs of the station may not reach the proper level

within Philadelphia Electric Company. The reporting chain was examined

by the NRC inspectors and there was no evidence of a problem. The

Superintendent, Nuclear Generating Division is presently spending the

majority of his time at the Peach Bottom Station. He is responsible

for both Peach Bottom and the Limerick Station.

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The team recommends that the licensee monitor this situation and

ensure that the Station Managers of both the Peach Bottom and

Limerick Stations have clear and frequent access to a corporate

officer, having the authority to direct additional support and

funding when needed and not otherwise available through routine

channels.

An additional finding of the NRC team is the large number of people

supporting the facility on-site in engineering, operations and

maintenance who organizationally do not report through the Station

Manager. This matrix type of organization results in the Station

Manager not having direct control over several divisions performing

safety-related work on a full time basis. Since these workers may

not routinely work with station procedures and personnel site manage-

ment should be sensitive to the increased potential for coordination

and work control problems. The team's interface with these workers

found them to be skilled and highly motivated.

5.2 Ogerating Procedures

Plant operations is supported through administrative and technical

operating procedures. As part of the shift inspections, the NRC

personnel verified that the applicable procedures were in use. They

noted that, in general, procedures were technically adequate to

accomplish the intended activity. Sets of operating procedures,

located on carts, could be relocated in the control room for ease of

operations.

During the period of time the NRC team conducted its inspections an

unplanned plant shutdown was made of Unit 2 for maintenance and

repairs. The unit was returned to full power after a reactor

startup and second shutdown to replace faulty intermediate range

neutron monitoring detectors. Unit 3 remained at power, however load

reductions were made in response to condensate demineralizer

problems. These activities were monitored by the team which found a

strong practice by the operators to use the plant procedures.

The plant has implemented the symptomatic emergency operating or

Transient Response Implementation procedures (TRIP). These proce-

dures are in the form of logic chart diagrams and are located con-

veniently near the center of each unit's control area. The logic

diagrams were reviewed and found to be clear and easy to read. The

inspector confirmed that they were available during simulator

training classes. The operations staff presently uses the Limerick

simulator.

A good practice was noted in having copies of some annunciator alarm

cards posted in the plant. Cards containing the Emergency Diesel

Generator local control panel alarm response procedures are

available at each engine.

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5.3 Operations Staffing

The inspectors determined that each operating shift was staffed with

at least the minimum shift crew composition stated in Technical

Specification 6.2.2.a and shown in Figure 6.2-2. The specification

meets the requirements of 10 CFR 50.54.m.2.-i. Additional licensed

personnel were available for the Unit.2 reactor startup as required

by Technical Specification 3.3.B.b and 6.2.2.c as the startup-was

conducted with the plant Rod Worth Minimizer (RWM) bypassed because

of a faulty rod position indication reed switch.

Because the operators are generally in a six shift rotation, off-shift

personnel are normally available during the weekdays. When available

.these additional personnel allow a third Senior Licensed Operator to:

be stationed; he has the title of Outside Shift Supervisor and is given

duties partly administrative in nature but not physically restricted-

to the Control Room as is the Shift Supervisor. In addition, a fourth

Licensed Operator is assigned to process maintenance requests on

weekdays, relieving the on-shift personnel from this duty and

allowing that operator to devote attention to processing maintenance

requests. As a result, extra time can be devoted to verification of

Technical Specification Limiting Conditions for Operation, to research

system alignments for installation of safety tags and to determine

retest requirements. However, because of personnel limitations these

two positions are not normally filled on back shifts. Their presence

on shifts was observed as a notable strength. NRC team members have

observed them providing a meaningful contribution to' shift performance.

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assigned to the-controls of Unit 2 or 3 was available to devote his

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entire attention to that plant. A third Licensed Operator, the

Control Operator, and the two Senior Licensed Operators share their

r' attention between the two units and the performance of

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administrative functions.

The on shift NRC personnel monitored the performance of the licensed

personnel and found the positions filled with knowledgeable and

experienced personnel. The Control Operator and the two Senior

Licensed Operators remained appraised of plant conditions for both

units. At about 1:30 p.m., on June 24, 1986, the NRC inspectors

observed that the two Senior Licensed Operators and the Control

Operator responded quickly to an isolation of the Unit 3 Reactor

Water Cl.anup System. At the time, Unit 3 was at full power and

Unit 2 was shut down for an unscheduled maintenance outage. The

inspector observed that because of the activities at Unit 2, little

attention was applied to Unit 3 prior to the isolation. At the time

of the isolation, the operators re-focused their attention on Unit

3. Their response was appropriate to the situation and is a noted

strength.

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The Control or " Chief" Operator holds an NRC Reactor Operator

License and has responsibilities for both units. Since the Control

Operator is more experienced than the Assistant Control Operators and -

is relied upon by the Unit Assistant Control Operators for assistance

and relief, the concern exists that he may direct the licensed

activities of the Unit Reactor Operators, as defined in 10 CFR

55.4(e). This item will be reviewed in a future inspection

(277/86-12-01; 278/86-13-01).

An appropriate solution may be providing each unit with an

additional Control Operator and upgrading the " Chief" Operator to

hold a senior license.

During the peried of the NRC shift inspection, there were no

occurrences at either unit which were not adequately handled by

licensed operators. However, because of an unscheduled maintenance

outage of Unit 2, there were long periods of time during which only

the one Licensed Operator was available to directly monitor Unit 3.

The Unit Reactor Operators shift between Unit 2 and 3 with each

watch rotation. The other shift personnel, the Control Operator,

Control Room Shift Supervisor and Shift Superintendent share their

attention between the two units. The use of a common operating

staff may introduce an additional amount of fatigue during periods

of maintenance outages. Since the same staff may be dealing with

one reactor at power and another in an outage, for an extended

period of time, the potential exists for the attention to detail

required for successful operation to be reduced because of the size +

of the operating staff,

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5.4 Operating Logs

The inspectors determined that operating logs are kept by each

member of the control room shift. However, some of the logs are

sketchy and have few entries. The logs individually did not reflect

the level of effort actually applied by the shift personnel. However,

when all control room logs are reviewed in total, a complete plant

status can be obtained.

The log books had to be reviewed with shift turnover checklist

forms A-7 Appendix 5, to adequately appreciate plant conditions and

evaluations. Of the various logs, the Shift Superintendent's log

was the most informative and best kept and reflects the knowledge of

those individuals. However, because it is not addressed by

procedure A-7, it is considered to be an informal log, not signed

and sometimes kept in pencil.

Licensee attention is needed to improve these records such that

they reflect the professional manner in which personnel actually

perform their duties. This will be reviewed in a future inspection

(277/86-12-02; 278/86-13-02).

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5.5 Control of Overtime

Procedure A-40, " Working Hour Restrictions", Revision 3, dated

October 23, 1985, establishes controls for overtime and implements

the criteria of NUREG 0737,Section I.A.1.3. The inspector

determined that the Operations Department uses a rotation system to

allocate overtime among its personnel. A review of the amount of

overtime worked indicated that although individually they were not

excessive, the licensee has been compensating for personnel shortages

in approving overtime. Also, because of supporting two units with a

common operating staff, the opportunity to work overtime appears to

continue year round. Individuals actually working the overtime may

be subject to the personnel fatigue issue addressed above.

In a second observation, Procedure A-40 restricts its application to

the (22) systems and components stated in Section 2.2 and limits its

scope to Peach Bottom Station personnel only. In failing to make a

global restriction, the licensee may be allowing interpretations

which may lead to personnel errors in safety-related systems.

5.6 Control and Oversight of Activities

The inspectors found that the Senior Licensed shift personnel were

knowledgeable of plant conditions and maintained control over plant

activities. Both the Shift Superintencent and Shift Supervisor were

observed to review the control boards and logs for each unit at the

beginning of each shift. The Shift Superintendent conducted a

briefing for all personnel early each shift. Ihese meetings were +

attended by NRC

organizations inspectors

and station who observed

management that representativos

were present. The shift from support f

briefing is considered a strength.

The Shift Superintendent appeared to be the center for much of the

communications with station management and support organizations and

was also responsible for scheduling the activities of these organiza-

tions. As a normal weekday practice, a Station Management meeting

is held to discuss the status of each unit, to identify new problems

and lay out an overall course of action. The day Shift Superintendent

provides most of the information for this meeting from the data gathered

since coming on shift. The information is received and acted on by

the Station Manager and department head level personnel. A second

meeting providing management coordination is held later in the morning.

Again, the day Shift Superintendent plays a major role in providing

plant infcrmation and activity coordination control.

The Shift Superintendent appears to have been assigned responsibility

for these meetings because, since watch relief, he has been kept up

to date on plant status. The time needed to prepare for and partici-

pate in these two meetings may detract from the Shift Superintendent's

principal responsibility of shift oversight for safe reactor

operations. Although Unit 2 was shut down for an unscheduled eight

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day maintenance outage during this NRC inspection, the licensee did

not establish an on-shift management representative. Therefore, the

Shift Superinter. dent was faced with the responsibility of information

dissemination and activity coordination for both units. This may have

an adverse impact on reactor safety. Licensee action is required to

address the potential for overloading the Shift Superintendent with

administrative duties better assigned to other staff members. This

will be reviewed in a future inspection (277/86-12-03; 278/86-13-03).

The inspectors observed that on-shift personnel carried out their

duties as described in Procedure A-7, " Shift Operations". In every

case during the inspection the NRC team members found the Shift

Superintendent and Shift Supervisor knowledgeable'of plant status

and equipment problems.

5.7 Personnel Attitude Towards Nuclear Safety

During the conduc't of the NRC on-shift inspections discussions were

held with licensed and non-licensed shift personnel. In every case

the licensee's operating staff was found to have a o.od attitude

toward nuclear safety. Individuals were interestec in their

assignments, took pride in the plant and enjoyed their work. For

example, while making rounds with Plant Operatoes the isspectors

noted that they were conscientious toward investigatirg plant

conditions. One operator repeatedly exceeded the requirements for

his inspection tours because it was his first snift after several

days off and he wished to re-establish his knowledge of plant condi-

tions through observations. Plant Operators were interested in deter- t

mining the source of any small leak and checking runnirg equipment.

The inspectors noted that observations by operators were made i

consistently and naturally.

Shift Supervisors were observed to insist on strict adherence to

procedures and involved themselves in evaluations of the units.

Shift personnel were also strongly supportive of station management.

However, some held the opinion that because of its financial

importance to Philadelphia Electric and its close location to the

corporate office, the Limerick project has drained resources from

the Peach Bottom Station. There was a general perception that

historically the site was managed from the corporate office, but

recent line organization changes were viewed as a positive approach

to this issue.

Personnel have recently taken a strong interest in placing trouble tags

on deficient plant equipment and control panel information tags where

needed. The Equipment Trouble Tags identify the different equipment

and act as a precursor to a Maintenance Request Form (MRF). The

information tags act as an operator aid. They are applied

'

. liberally, but subject to monthly audit to determine their

continuing need or other corrective action. One weakness of the

Information Tag System is that since there are no serial numbers or

.

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11

tracking log, all the tags may not be located during an audit and

correction of a significant problem may be overlooked. This item will

be reviewed in a future inspection (277/86-12-04; 278/86-13-04).

The inspector reviewed the information tags placed on the core spray

and RHR testable check valve bypass valve on both units. On March

23, 1986, the bypass valves were disabled to provide proper

electrical separation for 10 CFR 50, Appendix R. SP-920 was

implemented to perform this disabling. The inspector reviewed the

information tags, SP-920 and a related April 17, 1986 memo, and

discussed this item with licensed operators. No unacceptable condi-

tions were identified.

Station management appears to have a positive attitude toward

nuclear safety. This is reflected by the June 18, 1986, shutdown of

Unit 2 due to a piping leak in an Emergency Service Water supply to

an Emergency Core Cooling Room Cooler. Also, the licensee

management conscientiously carried out Local Leak Rate Testing of

containment isolation valves after maintenance as simple as valve

motor operator reairs.

5.8 Plant Paging System

During the period, .i observation was made by all the inspectors

regarding def'ciencias with the plant paging system. The major

deficiency involves lack of control room priority on the system such

that control room announcements are often interrupted by relatively

meaningless pages. This situation has the potential to severely a

limit control room communications to the plant site. The other i

deficiency involves abuse of the paging system to include such  !

childish acts as making obscene sounds, playing music, and using the

tones associated with each digit to sound out nursery rhymes. The

licensee has been aware of the paging system deficiencies for some

time but has not implemented effective changes to correct them. This

item will be reviewed in a future inspection (277/86-12-05;

278/86-13-05).

5.9 Response to Off-Normal Conditions

During the course of the inspection the operators were observed

responding to various off-normal conditions. In each case actions

were taken appropriately and the alarm cards were utilized. A loss

of Emergency Service Water to ECCS room coolers on Unit 2 is reviewed

in detail 12.1 of this report. A primary containment isolation group

IIA occurred on Unit 3 and is reviewed in section 12.2 of this

report.

On Thursday, June 26, 1986, an alarm indicating that the Unit 3

Reactor Building SE Airlock Seal was broken and secondary containment

was not intact was received. The inspector checked the alarm card and

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12

determined that the operators responded properly. The licensee

determined that the doors were working properly but a time-delay

relay in the alarming circuitry was faulty. The relay was changed.

Upon checking the air lock doors the operator found the alarm did not

initiate. On June 30, 1986, the Test Engineers investigated the

problem and found a blown fuse. The circuit was tested satisfactorily

on June 30, 1986.

Licensed operator knowledge of response to off-normal, annunciator

alarms is considered a strength.

5.10 Verification of Coupling Control Rod Drive Mechanism 30-15 with Its

Control Blade (Unit 2)

The licensee has been unable to verify the integrity of the coupling

between the Unit 2 Control Rod Drive Mechanism (CRDM) 30-15 and its

Control Blade through conventional methods as the drive mechanism

does not reach the number 48 position. Although the drive mechanism

passed its functional tests including the coupling integrity test at

the beginning of the present operating cycle (Number 7), during

subsequent tests the drive could not be withdrawn to position 48.

This had also occurred once during cycle number six on March 10,

1984. At that time the licensee diagnosed the problem as a faulty

position indicator probe. The control blade was replaced in

September 1985 during the reload number six refueling outage. The

drive mechanism passed a functional test on March 24, 1986, but has

failed subsequent tests.

The inspector observed the implementation of a Special Procedure

884, " Operational Verification of Control Rod 30-15 During Unit 2 '

Cycle 7", Rev.1, dated Feberuary 5,1986, during a plant startup on

June 26, 1986. Procedure Section II.A was completed and data was

reviewed for rod withdrawal to notch position 26. Traversing Incore

Probe (TIP) traces at location 32-17 tracked control blade

withdrawal. The inspector also reviewed the licensee's safety

evaluation dated October 18, 1985, letters dated October 17 and

December 5, 1985, clarifying engineering analysis and a General

Electric Safety Analysis dated July 1985. Nuclear Review Board

Meeting Minutes, Number 173, also addressed the problem and proposed

corrective actions.

There were no unacceptable conditions identified.

5.11 Summary

The NRC team determined that the station is operated by well quali-

fied individuals with a positive attitude toward their positions and

for nuclear plant safety. However, there does appear to be a need

for additional support within each operating shift to insure that

adequate attention to detail is exercised in the operation of each

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13

unit. The-licensee should be aware that long periods of extended

work hours as that which may occur during an outage may result in

fatigue resulting in personnel errors affecting either unit.

The control room operating logs need to be improved to reflect the

professional manner in which personnel are actually performing their

duties.

There needs to be an effective management representative assigned to

assist the Shift Superintendent and coordinate the efforts of various

support organizations. This is particularly true during an outage on

a round-the-clock basis.

The duties, responsibilities and accountability of on-shift personnel

needs to be clearly defined and disseminated throughout the organi-

zation

6.0 Maintenance

6.1 Maintenance Program

Plant maintenance programs were reviewed to determine their effect

on safe plant operation. NRC inspectors witnessed the performance of

maintenance work, discussed maintenance-related activities and

administrative controls with appropriate personnel, and assessed

staffing and management involvement in the maintenance area.

Interviews were held with Maint<c. qce Division supervision and

tradesmen, plant staff assignec 's the Engineer-Maintenance, and t

interfacing organizations such s Engineering and Research, control Q;

room operators and Construction Division. The backlog of E

maintenance work was evaluated, adherence to overtime guidelines was

reviewed, and QA/QC involvement in maintenance activities was

assessed. Also evaluated was the control of contractors utilized to

perform maintenance, the adequacy of engineering support, the status

of outstanding preventive maintenance work, and outage planning.

6.1.1 Maintenance Request Forms (MRF)

The licensee uses a computerized system for history and

maintenance work planning (CHAMPS). The current data base

extends to February 1984 (with plans to eventually retrofit

data back to 1980) and includes current totals of approxi-

mately 20,000 MRFs for Unit 2 and 10,000 for Unit 3 in

various stages of completion. About 15-20% of the total

data represent cancelled MRFs due in part to duplication or

errors in initiating a MRF. Duplication is attributed to

equipment and component tagging problems which are being

addressed in the long term by the licensee, as well as

inefficient work coordination among different work groups

which has recently been improved via daily coordination

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14

meetings. The actual MRF history data base usable at Peach

Bottom for trending and equipment failure analysis is 9200

Unit 2 and 4500 Unit 3 MRFs.

Outstanding MRFs are traceable to a point in the MRF system

used to process work. That point may be at Section 2

(Staff Investigation and Approval) through Section 7

(Operation Verification Results) of the MRF. This range

encompasses identification of a problem by plant staff to

completed post-maintenance testing. Administrative

closecut of the document and entering into the history file

(accounting for 2100 outstanding MRFs) is handled by a

single clerk in the staff of the Engineer-Maintenance.

The progress of a MRF prior to actual work includes

workgroup reviews, refinements, and approvals up to and

including completion of Section 5, whereupon permits are

written, blocks established on equipment, and work is

turned over to the responsible work group. Comoletion of

Section 6 of the MRF signifies physical work U mpleted.

There are relatively few MRFs currently under his category.

Snapshots of current work status sti.tistics are therefore

significant with respect to a section-by-section <: count.

The current statistics reflect planned MRFs for f ture unit

outages, including preventive maintenance and Con,truction

Division work, accounting for over 700 MRFs outstanding on

each unit.

Interviews with personnel from different licensee organiza-

tions (i.e., maintenance and operations) suggest one f

L

problem contributing to a backlog of outstanding MRFs is

that there is a lack of licensed operators qualified and

available to write permits and turn over plant equipment to

Maintenance for work (completion of Section 5). The

inspector did observe that a Control Operator was not

typically staffed on the swing and mid-shifts, nor on the

week-ends, to prepare permits and direct blocking of equip-

ment and systems. Further, during the Unit 2 shutdown

begun on June 18, 1986, to repair an ESW piping leak, a

decision was made to staff the mid-shift with a maintenance

crew to support the mini-outage work. However, permits

were not prepared to enable that work until the next day

since a licensed control operator ("MRF-doctor") was not

provided on the shift to write the permits. Review of

current outstanding MRF statistics indicate approximately

1400 MRFs in the system awaiting completion of Section 5

(permits issued), although more than half (800 MRFs) are

pre planned outage work including preventive maintenance.

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Outstanding MRF statistics, when examined in finer detail,

suggest problems other than just with Section 5 and the

ability to provide permits. The MRF system provides for

monitoring and accountability of work but additional

staffing in other areas to plan, screen, and close out

completed work may also be needed. No examples of

incomplete safety-related corrective maintenance were found

by the inspector. A CHAMPS sort of outstanding MRFs through

Section 6 for which the responsible work group were

Maintenance Division electricians was reviewed by the

inspector and discussed with the plant staff's Assistant

Engineer-Maintenance. Although the indicated backlog was

125 MRFs, closer investigation revealed that 70 of those

were either being worked (40) or were on hold for a

technically sound reason. Of the 55 which were potentially

available to be developed towards working status, none were

safety-related corrective maintenance.

The inspector concluded that the licensee had an accurate

perspective e outstanding maintenance workloads and

safety-relat i maintenance was not being delayed. The

current initiatives towards job planning in the Maintenance

Divistor, the neily established work coordination meeting,

clearer in plant tagging and identification, and additional

plant staffing 1 the Station's Operations and Maintenance

Groups snauld serve to reduce and more evenly distribute

the statistics associated with the MRF system.

6.1.2 Preventive Maintenance (PM)

!

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The inspector interviewed the engineer on the plant staff

assigned to the PM program which has only recently been

formally developed. A list of 22 new maintenance procedures

to be developed by Maintenance Division engineering was

identified on May 2, 1986, and included were environmental

qualification - PM procedures and other PM procedures such

as diesel generator air start and thermostatic control valve

rebuilds. Prior to this memorandum, PM was accomplished

using existing Maintenance Division corrective maintenance

procedures with appropriately initialled steps. The only

procedure developed of the 22 identified above was a draft

of M-52, Rebuild of the Diesel Thermostatic Control Valve.

The inspector reviewed Procedure M-52 and found no unaccept-

able conditions.

Discussions with licensee personnel indicate that a con-

tractor is currently working on a PM program for 15 iden-

tified systems, and based on equipment history and exper-

ience, will recommend equipment for detailed PM. As

___ -- - .____- _ - _ . . _ _ _ _ -

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addressed in detail 6.1.1, there are an extensive number

of PM MRFs in CHAMPS which are awaiting to be worked. As

an example, for Unit 2 (and common' plant) maintenance, there

are 1500 PM MRFs associated with future outage time, and

300 awaiting non-outage opportunities. Although the inspec-

tor did not observe actual PM in progress, nor did he review

the detailed scope of outstanding PM work, the recent initi-

atives to formalize the program and develop specific PM

procedures have just begun. Staffing in the Engineer-

Maintenance group is not currently sufficient to implement

the full intent of the envisioned PM program.

6.1.3 Training Programs

The inspector visited the Maintenance Division's training

facility located at a decommissioned power station,

Barbadoes Island, in Norristown, Pennsylvania. The

inspector toured the facility on June 27, 1986, interviewed

the Training and Testing Group Foreman, senior craft

instructors, the nuclear training instructor and other

personnel, and reviewed selected lesson plans.

The licensee has implemented an excellent mechanism for

feedback from both the tradesman and his supervisor regard-

ing in progression (i.e. helper up-through 1st Class) skill

training conducted at Barbadoes. The inspector reviewed a

number of evaluation forms provided to the full-time

instructor devoted to feedback. The evaluations covered t

training for 3rd Class machinists, electricians and N

steamfitters, and. helpers. Each evaluation addressed the I

'

adequacy and importance of training in 10 or more specified

tasks assigned to that class of tradesman. The tasks were

rated by both the trainee and his supervisor: Electricians

placed high importance in the area of Limitorque valves; a

finding also confirmed by interviews with qualified 1st

class electricians and supervisors as a major portion of

electrician work load. On the other hand, the importance

of industrial or personnel safety is stressed in helper

training. Maintenance Division trainers are using this

feedback,to evaluate the progress of craftsmen in progress-

ion, as well as refinements in the training curricula.

A formalized on-the-job training (0JT) program was approved

for use in December 1985. A total of 85 Maintenance Division

instruction evaluators were certified to administer the

program; 25 are presently stationed at Peach Bottom. The

OJT is administered to first-class tradesmen, who are the

assigned job leaders when maintenance work is performed.

The program consists of documented self-study preparation,

on-the-job discussion, and actual job performance under the

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guidance of one of the certified instructors / craftsmen.

The inspector reviewed the prepared guides for specialized

tasks in four disciplines; electricians,' machinists, pipe-

fitters and riggers. The formalized tasks for electricians

are currently covered by 12 guides which address mainte-

nance on circuit breakers, motor operators, and refueling

platform preventive maintenance. Steam-fitters have

specific OJT which addresses topics such as safety-relief

valves, MSIV pneumatics and vacuum breakers. The inspector

also discussed the feedback to-date on the existing 0JT

program and noted that recent Limerick maintenance on MSIVs

and main steam SRVs had incorporated DJT which was docu-

mented and will be factored into future Peach Bottom work.

The inspector interviewed an electrical instructor and

reviewed associated lesson plans for tradesmen in progression

(i.e., 2nd and 3rd class electricians). The instructor had

18 years of maintenance experience, 12 as a 1st class elec-

-

trician and approximately 7 years at Peach Bottom. The

classroom training was described as a total of 37 lessons

(roughly one lesson per day) for 3rd class electricians; 4

hours of lectures and 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> in the laboratory. Classes

are held to a total of 4 stedents, for optimum instructor

attention, particularly in the lab sessions. Lesson plans

are currently being prepared under a formalized system,

with a Maintenance Division goal of completing over 400

plans in the areas of electrical and mechanical training by

January 1987. The instructor's lesson plans were observed +

to contain vendor manual information and were supplemented k

by prepared guides provided by a contractor including the 0

use of videotapes. A four part text on electricity was

also part of the training, and home assignments were incor-

porated from those texts.

Lab projects are part of the training at Barbadoes. An

example is two Limitorque valves which are set out in the

facility for teardown and rebuild work. A large portion

of electrician and machinist workload, even at non-

nuclear plants such as Eddystone, involves work on Limi-

torque valves. Electricians in training are taught

specific Limitorque tasks such as resetting torque switch

contacts and logic troubleshooting. The inspector reviewed

a formal lesson plan for 2nd class machinist covering

Limitorque valve operators which was approved on

February 7,1986. The plan contained detailed 't. formation

enabling disassembly and reassembly of Limitorque models

SM800 and SMB000. The operating principals, spring setting

procedures, and pertinent inspection techniques were ade-

quately addressed. The lesson is supplemented with hands-on

familiarity (in the training facility) of the motor-end,

declutching lever, handwheel and drive sleeve assemblies.

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18

Also covered are topics such as lubrication, common

problems and experiences, ordering of parts, and relation-

ships between the motor and pinion gears'and Belville

springs. The lesson plan was found to be comprehensive.

The inspector reviewed the Training Group's method of using

course feedback and other actual plant experience to modify

or re-structure training on certain topics. Examples

include:

--

Requests for training from Maintenance Division super-

visors at Limerick and Peach Bottom on specialized

techniques associated with Limitorque valves.'

--

Course Request Sequence No. 13 dated November 1985

from the licensee's Operating Experience Assessment

Committee (0EAC) associated with NRC IE Information

Notice 85-22, Failure of Limitorque Motor Operated

Valve. This request was determined to be already

covered via a Limitorque Bulletin SN i-828 which is a

handout provided in Training Lesson . ' on valve

operator.

--

Course Request Sequence 25 dated May 30, 1985 regarding

NRC IE Notice 85-43 concerning rac'iograpiy events.

This information was incorporated into tne Helper

training program.

--

Operating Experience No.1550 from the CEAC regarding

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a COLT diesel generator problem with piston bushings i

experienced in November 1985, which will be incorporated

into specialist training.

--

Operating Experience No. 382 received from the OEAC

based on an INPO SOER dated May 2, 1985 addressing

trips caused by vibration fatigue of control air lines.

This experience is currently being evaluated by the

Training Group.

The inspector concluded that operating experience was being

reviewed and provided to the Maintenance Division Training

Group, and was being incorporated into lesson plans as

appropriate.

The inspector also discussed specialized training which has

been provided to Peach Bottom site maintenance personnel.

An example included a course consisting of two, 21s-day

onsite sessions given at Peach Bottom on April 28 - May 2,

1986 by the diesel generator vendor, Fairbanks Morse. The

course supplements the basic general machinist training,

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and was provided based on field supervision requests,

approved under Course Request Sequence No. 43 dated

February 10, 1986. This course was previously taught at

Limerick site in December 1985. Feedback from personnel

attending the Fairbanks Morse course included the need for

more hands-on instruction, a clearer vendor manual to

follow and more than 2 days of study. Each student

received a detailed Fairbanks Engine manual, and a 20-

question test at the conclusion of the course. The course

outline addressed industry experiences with COLT diesel

engines such as INP0 significant event reports.

Future training is scheduled in a number of specialized

areas, and is being coordinated by the Nuclear Training

Instructor, who is to be permanently assigned to the Peach

Bottom site by September 1986. The inspector discussed the

continuing training program with the Nuclear Training

Instructor, who described topics in 26 machinist tasks

covering areas such as seals, bearings, and control rod

drive rebt Ids. A course in RWCU pump maintenance, MCT-08,

was given n February 28, 1986. Twc 5-day courses are

scheouled at GE-San Jose in October 1936 to be attended by

6 riggers and liachinists (as well as by training instruc-

tors) adoress og refueling floor maintenance. And, a 2-day

vendor solid state technology course covering circuitry and

troubieshooting is planned to be provided to 30 1st class

electricians.

The inspector also reviewed a course request which was 1l

approved on February 20, 1986, and which has resulted in I

expanded emphasis in machinist and pipefitter training  !

addressing torquing sequences on all types of joints.

The training will improve controls over packing and gasket

compression, overstretched bolts, and joint tightness.

The expanding training is being incorporated into lesson

plans and will be included in training examinations as a

skill to be demonstrated.

The inspector discussed pertinent topics which are addressed

in Helper training with an instructor. The Helper is an

entry level in the Maintenance Division, and a principal

focus of helper training is worker safety. This was con-

firmed by reviewing the feedback from a recent Helper class

of 30 trainees (and their supervisors) conducted from

November 20, 1985 through March 17, 1986. The Helper class

instructers are experts from the training group as well as

senior tradesmen who are detailed from the sites to

Barbadoes,

i

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.

The licensee has recognized the continued need to recruit

and train entry-level maintenance workers, and this is

evidenced by the current class of Helpers at Barbadoes and

by the 28 Helpers currently assigned at Peach Bottom

Station.

Finally, the inspector reviewed QA Audit Report AP 85-101

conducted at Peach Bottom site, Barbadoes Training Center,

and PECO main offices on November 1-27, 1985. The audit

covered training and qualification programs for Maintenance

Division craftsmen, and concluded that associated adminis-

trative controls were adequate and effectively implemented.

Selected findings were reviewed by the inspector, and found

to be properly addressed where required by the licensee.

None of the identified deficiencies were considered by the

inspector to be significant, and all had been closed by

the licensee at the time of this inspection.

6.1.4 Work Hours Control

Controls on working hours of Maintenance Division personnel

performing safety-related activities are outlined in Pro-

cedure MA-23. The inspector reviewed Revision 3 to MA-23

approved on February 18, 1986, and discussed the trending

and control of overtime at Peach Bottom with the Maintenance

Division Supervising Engineer. MA-23 requires an approved

Overtime Deviation Report for projected maintenance work in

excess of:

- --

16 consecutive hours h

'

--

16 hours1.851852e-4 days <br />0.00444 hours <br />2.645503e-5 weeks <br />6.088e-6 months <br /> in any 24-hour period

--

24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> in any 48-hour period

--

17 consecutive / days

The NRC guidelines apply to workers performing safety related

maintenance. However, the licensee tracks work hours for

all Peach Bottom Maintenance Division workers, including

supervisors and engineers, on a daily basis. Overtime hours

are limited for all maintenance work (safety and non-safety

related). The work foremen are required to monitor their

assigned tradesmen, included those who are periodically

assigned to Peach Bottom activities from the general pool

and mobile groups out of Oregon Avenue Headquarters. Also,

travel time, as well as, time worked at locations other

than Peach Bottom (e.g. non-nuclear sites such as Muddy

Run, Eddystone, and substations) is accounted for in meeting

the requirements of MA-23. Permission to work overtime is

granted by responsible foremen, in accordance with Maintenance

Division work rules, and deviations from the above limits

must be justified, documented, and approved.

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The inspector reviewed all approved deviations from the

overtime guidelines since January 1986. There were 30-35

Overtime Deviation Reports for each month in-the first

calendar quarter of 1986, during which the Unit 3 outage

was completed. Deviation reports documented for the second

calendar quarter of 1986 during the months of April (24),

May (9), and June (16) were averaging 16 instances per month

or half of the previous quarter. Each deviation from the

. limits was justified with a narrative prepared by the super--

vising foreman. Many of the deviations were multiple suc-

cessive reports for one indi.vidual since, one that tradesman

would exceed a limit, it would typically take 2-3 days (and

therefore 2-3 reports) to " work out of" the restriction

even while working straight 8-hour days. _ Many of the devia-

.

tions were justified after the foreman had offered other

appropriate workers the overtime in accordance with Main-

tenance Division work rules which provide for equal oppor-

tunity and a spread of the hours among qualifiea tradesmen.

The inspector reviewed documented work hours for 14 1st

Class and 4 2nd and 3rd Class machinists for the month of

June 1986, as well as,.for 7 helpers. No violations of the

work-hour restrictions were identified. The inspector

observed the use of "Six 10's" or six consecutive 10-hour

days among the helpers. THe 60-hour schedule is effective

for job planning and also meets all.of the overtime

criteria.

The computerized printouts for all Maintenance Division

personnel are reviewed daily by a Technical Assistant and 4

the printouts provide running totals for.all personnel

'

assigned to Peach Bottom and are highlighted in each re-

stricted category (24-and 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br />, and 7. days). The

inspector concluded that the licensee was consistently

tracking work hours of all Maintenance Division personnel,

that work hours were being controlled by immediate craft

supervision,'and that Maintenance Division management were

aware of the use of overtime among workers. Documented

, deviations were found to be appropriately justified and not

j used unnecessarily or excessively. The inspector also dis-

i

cussed the past 12 month history of overtime utilization

! within the Maintenance Division staff assigned to Peach

! Bottom. Overall overtime hours on-site averaged 29%,

! although that number was higher for mobile Maintenance

! Division workers (36%) than for permanent station personnel

l (22%). The higher averages can be attributed to continuous

l outage activities during that period and, as mentioned

before, are higher for the mobile personnel because of

travel time and other non- nuclear assignments. Also, in

, most nuclear mobile jobs, non-safety related work such as

J

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turbine balancing and transformer maintenance accounts for

much of the time. The Maintenance Division has established

a management goal of controlling the use'of overtime, and

foremen and first- line supervision have been held accoun-

table for meeting the guidelines of MA-23 and spreading

overtime work hours more evenly amongst craftsmen such that

the Division's objective of overall 20% overtime is

achievable by the end of 1986. Finally, discussions with

craftsmen and their immediate sub-foremen supervision

regarding use of overtime identified no instances where

worker fatigue was in question, or where the quality of

safety-related maintenance was being impaired due to

excessive work hours.

The control of overtime hours, particularly on drywell and

other high-radiation maintenance activities, should also

serve to reduce cumulative radiation exposure goals. The

inspector reviewed an April 8,1986 memorandum from the

Peach Bottom ALARA Review Committee Chairman to station

management and supervision concerning the 1986 proje ted

man-rem exposure goal for maintenance workers, whica was

1175 man-rem and represented 71% of the total site e>.posure

expected. The inspector discussed ALARA goals with the

Chairman and reviewed work experience data on exposurt-

history for maintenance. These data represented actual

documented worker exposure and were observed to be useo in

job planning for the Unit 2 IRM replacements. The expected

man-rem for an IRM replacement was observed to be within t

10% of that actually realized during the work. The

inspector concluded that ALARA concerns were being factored f

into maintenance planning, and that ALARA estimates based

on previous history were accurate. The cumulative exposure

goal was therefore quantifiable and, even for a two unit

station with significant contamination challenges which

extend the time required to perform maintenance, capable of

being achieved barring unforeseen outages or equipment

failures. However, interviews with tradesmen and

non-supervisory maintenance personnel indicated that these

goals regarding overtime and exposure control were not

generally understood although their effect had been

recognized.

6.2 Maintenance Activities

6.2.1 Snubber Replacement

During a tour of the Unit 2 drywell on June 18, 1986, at

the time of the outage to repair a leak in the Emergency

Service Water system piping, the licensee identified

deficiencies with two safety related hydraulic snubbers.

The snubbers and the deficiencies were as follows:

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(1) Snubber 6DDNLS13 in the feedwater system had a

displaced paddle bearing, and

(2) Snubber 1GGS33 in the main steam system had a low oil

level.

Both these snubbers were removed to perform testing to

verify their operability. The inspector witnessed a

portion of the testing performed in accordance with

Procedure M65.4, Hydraulic Snubber Testing (With Load

Cell), Rev. 10. As part of the inspector observation

activities, interviews with the technician, QC inspector,

and QA auditor were conducted.

The licensee has a snubber testing machine that is capable

of testing hydraulic snubbers with a bore size up to six

inches. They presently do not have the equipment to test

mechanical snubbers but have plans to purchase a machine

with this capability. The two deficient hydraulic

snubbers were tested using the in-house equipment. The

technician who perfo red the testing was knowledgeable of

the procedure used, tr.e test equipment, and technical

aspects of hydraulic snut bers. The QC inspector also

appeared experiencea in *nubber testing. The QC inspector

verified that the instrumentation associated with the

testing was properly calibrated, the test procedure was

the latest revision, and the procedural requirements were

followed. A QA auditor 5,erformed a surveillance of the +

snubber testing as part of an overall maintenance hL

surveillance activity. dis questions and observations

seemed adequate. The NRC inspector performed similar

observations and did not identify any discrepancies. A

procedural problem developed when setting up the testing

machine prior to any actual testing. In particular,

paragraph II.0 of M65.4 requires an adjustment of two

pressure regulators to establish a driving force on the

snubber testing ram. This paragraph refers to Appendix B,

Table 2, to determine the correct pressure setting for the

,

size snubber tested. The technician pointed out that the

system pressure values listed in the table were excessive,

.

'

and, if applied, could damage the snubber being tested.

When questioned as to his logic, the technician explained

that the pressure gauges in the testing machine had been

recently replaced and had different zero readings than the

previous gauges, in that the gauges are not considered

official gauges within the scope of the calibration

program but are used for establishing an approximate

pressure to drive the ram. The gauges used to establish

the pressure values in Appendix B, Table 2 apparently read

some value other than zero when the pressure regulators

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

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24

were backed off. This value was reportedly about 200 psi.

It was not clear why the gauges behaved in this fashion

but their behavior was compensated for when the Table 2

values were established. The replacement gauges read

about 75 psi when the pressure regulators were backed off,

llad the technician applied the full pressure as required

in Table 2 to the ram, it would have been in actuality 125

psi more than desired and could have resulted in snubber

damage. The technician stated that procedure M65.4 was

undergoing revision but he was not sure if this aspect of

the procedure was being addressed in the upcoming revision.

The technician's understanding of his job, which prevented

possible snubber damage, is commendable. Subsequent to

the identification of this procedural problem, a temporary

procedure change was effected that resolved the problem.

The snubbers were then tested and both failed the bleed

rate portion of the test and were, therefore, declared

inoperable. They were replaced prior to restart. An

inspection of the snubber that had a low oil level

disclosed evidence that this snubber may have been used as

'

a step, the hydraulic oil reservoir fluid port plug was

missing, and the loss of fluid was attributed to a leaky

connection between the valve block supply tube and the

reservoir. An inspection of the second snubber with the

displaced paddle bearing, indicated that the bearing

staking was not adequate.

Section 4.11.D.6 of the Technical Specifications (TS) i

requires that the licensee perform an engineering i

evaluation of inoperable snubbers to determine the failure  ;

mode and if the attached system or component was adversely

'

affected. The NRC inspector reviewed the licensee's

'

written evaluation, File: Equip 1-25-1 (Snubbers), and

found that it contained a correct description of the

t failure modes and an explanation that a snubber's failure

1

to meet the bleed rate criteria would not create an

obstruction to thermal growth of the piping because bleed

rates only take effect after lockup activation. The

overall evaluation was reasonable and thorough. TS 4.11.0.2 requires that when two snubbers are found

inoperable, the time interval for surveillance checks of

t similar type snubbers must be once every six months.

! Because the licensee was already on a six month inspection

frequency for inaccessible snubbers (drywell), these two

i snubber failures did not change the inspection frequency

l for inaccessible snubbers.

I

!

_ _ _

, _ _ _ _ _ _ . . _ . _ _ _ , _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ , _ , __ . . , _ _ _ , _ _

o

25

The NRC inspector raised a concern regarding the use of

the gauges on the snubber testing machine to establish

values used in the test procedure. As stated earlier the

gauges do not read zero when installed in the machine and

when the gauges are replaced, the zero readings also

change, thereby invalidating the affected procedural

values. This situation could be eliminated by using the

calibrated load cell readings to establish ram driving

pressure. The licensee responded to this concern by

stating procedure M65.4 is undergoing a revision that

will, in part, resolve this problem. The NRC will review

resolution of this issue in a future inspection

(277/86-12-06; 278/86-13-06).

6.2.2 ESW Repair - Welding and NDE

On June 18, 1986, Unit 2 shutdown to repair a leak in an

Emergency Service Water 3" line to the "A" Residual Heat

Removal room 2AV25 cooler. The leak was reportedly caused

by localized pitting corrosion. The NRC inspector

witnessed various activities associated with the repair of

the leak and reviewed associated documentation.

The problem was identified on MRF No. 8604631. The repair

action was to weld a Thread-0-Let onto the pipe with the

placement of the Thread-0-Let such that the hole in the

ESW pipe would be within the boundary established by the

Thread-0-Let. A plug would then be screwed into the <

Thread-0-Let to form a pressure boundary. The hole in the #

ESW line was not worked on in any way. Prior to welding  !

the Thread-0-Let onto the pipe, two significant

preparatory steps had to be taken: The first involved

establishing a freeze seal on the ESW line and then

draining the line, and the second involved performing NDE

of the pipe wall around the hole to ensure sufficient

j material thickness. The NRC inspector observed the

contractor freeze seal operation and determined it to be
in compliance with Procedure M94.2, Pipe System Freeze
Sealing, Rev. 1. In addition, the inspector observed MT of

!

the pipe material around the hole to ensure no material

defects existed and UT thickness determinations of the pipe

'

wall around and away from the 1/4 inch diameter hole to

ensure sufficient base material thickness. The NDE

! technicians were not QC personnel but were attached to the

i plant inservice inspection group that reports to the

i maintenance division and were qualified to ASNT-TC-1A level

II. The NDE was performed ir. accordance with procedures

and the pipe material around the hole was determined to be

free of defects.

I

!

i

.

.,

.

26 \

There were no criteria established by engineering, that

the NDE technicians were aware of, that addressed material

thickness requirements versus distance from the centerline

of the hole to ensure the Thread-0-Let connecting weld

would be made to adequate base material. In addition,

there was no engineering review of the thickness data

prior to making the Thread-0-Let weld. The evaluation was

made on the spot by the NDE technicians using a design

minimum wall thickness value stated in the repair

procedure. The NRC inspector felt some engineering

evaluation of the UT data prior to making the weld would

have been appropriate. When specifically questioned about

this, the licensee stated that it was understood that the

NDE technicians would stop the job and involve engineering

if any of the wall thickness readings were less than the

minimum wall thickness specified in the repair procedure.

Because none of the readings were less than the minimum

value, engineering was not involved.

Subsequent to the NDE, two welders attached the

Thread-0-Let to the pipe using the GTAW process for the i

root pass and SMAW for the balance of the " full

penetration fillet weld". The NRC inspector reviewed the

WPS's for both processes and the welder qualifications.

These were satisfactory. The inspector observed that the

E-7018 electrodes were kept in an operating warming oven

prior to use and that a het work permit existed as well as

did a fire watch. Upon completion of the repair, the

inspector reviewed the work package and found it to

contain all of the required documentation and signatures.  :

In summary, the inspector's observations led him to

conclude that craft involvement in the ESW leak repair.was

performed in an efficient and professional manner. The

organization of the initial work package to get the job

started and finally to complete the job, was

comprehensive.

6.2.3 Coordination Meeting

The licensee has instituted a daily coordination meting

chaired by plant operations staff during which planned

activities are discussed. The treeting was begun

approximately two months ago, and has proved to be a

valuable planning instrument whereby maintenance (among

other) activities are prioritized and potential problems

surfaced and resolved. The inspector attended several of

these daily meetings, and noted that appropriate personnel

were present including ALARA and HP representatives, as

.

27

well as other plant support groups such as Catalytic

contractors, Construction Division personnel working

modifications, and technical engineers.

The meeting is centered about a computerized summary

five-day schedule, is conducted by an Assistant Operations

Engineer, and also attended by the Operations Shift

Superintendent. The inspector noted that a large amount of

discussion time was devoted to the availability (or in many

cases unavailability) of blocked systems ready to work by

maintenance tradesmen. Appropriate Maintenance Division

sub-foremen were present and knowledgeable of the status of

subject MRF items. After the coordination meeting, the

sub-foremen remained to discuss that day's workload with

the plant staff Assistant Engineer - Maintenance.

6.2.4 Status Reports to Management

The inspector reviewed bi-weekly status reports prepared

by the Supervisor of Engineering within the Maintenance

Division group at F ich Bottom. The reports for June 1986

provide good status of work, problems and efforts at the

site to Mainterance Div.sion management at Oregon Avenue

headquarters, including *

--

The major painting effort on-site 21% complete.

--

A proposal for wireless communications for the fuel *y

floors and under-vessel maintenance.

'

--

Results of snubber inspections, CR0 pump, radwaste

demineralizer and, M-G set fan repairs.

--

Status of items associated with the Unit 2

mint-outage in June 1986 such as the ESW pipe leaks,

valve packing leaks and the IRM replacements.

--

Procedural revisions, ISI program status, suggestions

solicited from Division personnel regarding snubber

maintenance.

--

Meetings planned, such as with Mechanical Engineering

regarding scaffold controls.

The inspector discussed these issues with various

maintenance personnel, observed certain of the completed

work or work in progress, and found the information in the

reports to be accurate and useful in keeping Maintenance

Division management informed.

.

28

6.2.5 IRM Replacements - Work Planning

The inspector attended a pre work planning meeting held on

June 23, 1986, to discuss the replacement of two Unit 2

IRMs. The meeting was conducted by plant management with

appropriate support groups represented such as ALARA,

maintenance foremen, test engineers and I&C technicians.

The licensee incorporated experience recently gained at

Limerick Station in replacing the IRMs, primarily

associated with radiological hazards and fiberglass

sheathing for insulation of the detector cable.

Based on recommendations by personnel familiar with the

Limerick replacements, the licensee instituted a temporary

procedure change (TPC) to Maintenance Division procedure

4.5, IRM Replacement. The inspector observed the

development of the required changes, and noted good

cooperation and communication between plant staff and

Maintenance Division engineers. However, problems were

later noted with M-4.5 regarding direction given to

Susquehanna Lab I&C technicians during detector cable

reconnection. Although the maintenance " traveller" or

sign-off sheet associated with the reconnection step in

M-4.5 was the responsibility of the lead work group (in

this case machinists) to verify, the reconnection was not

performed under an I&C procedure. Further, during the

actual IRM replacement, the licensee did not use the

TPC-version of M-4.5, but instead incorrectly reverted to -

the original revision because of as-found radiological 8

conditions. The procedural deviation was identified by P

the licensee, resulted in no significant safety problems,

and is being addressed via personnel counselling and

procedural revisions.

6.2.6 ESW Pipe Repair - Engineering Support

The inspector evaluated the engineering review of a leak

in a 3-inch vertical piping supply to the Unit 2 "A" RHR

room cooler discovered on June 18, 1986. The leak was

upstream of the cooler's air-operated isolation valve, and

was therefore unisolable. A hole approximately 1/4-inch

in diameter was found and attributed to a localized

deep pit corrosion. Mechanical engineering evaluation of

the piping leak affirmed the as-found condition as similar

to previous emergency service water (ESW) piping corrosion

discovered in August 1984 and February 1985 during

cleaning of the pipe.

.

_

.

29

The inspector observed preparations to repair a room cooler

piping leak using a free e seal upstream of the leak in

accordance with Maintenance Procedure M-94.2 and applicable

work instructions. The inspector also reviewed ultrasonic

measurements taken on the ESW lines to all RHR room coolers

which confirmed adequate wall thickness in excess of the

0.1124 inch minimum value:

RHR Room Coolers Pipe Wall (Inches)

A 0.12 - 0.20

B 0.23 - 0.28

C 0.17 - 0.23

D 0.19 - 0.26

These data were presented in PORC Meeting 86-81 attended

by the inspector on June 20, 1986. A mechanical

engineering representative was present to confirm the

licensee's engineering evaluation of the repair and the

overall integrity of all ESW piping. A deep pit was

attributed to be the cause of the leak, although the

possibility was recognized for future instances of

localized cotrosion pitting which would be undetectable

unless they break through. A modification was requested

(similar to an existing change on Unit 3 ESW system) to

add isolation valve's in the branch lines to each RHR room.

The PORC concluded that, pending completion of a hydro

test on the repaired piping, the ESW system on Unit 2 was +

operable.

hr.

The inspector attended Nuclear Review Board (NRB) Meeting

No. 188 held that afternoon at PECo corporate offices.

The NRB heard a well prepared presentation by Mechanical

Engineering of the current leak as well as past experience

with the ESW system. The chemical treatment program

currently in effect was described to reduce pitting and

general corrosion by 50%. The NRB questioned the cause

and duration of the leak, and based on the UT data,

eliminated the presence of a generalized thinning problem.

The NRB concluded that future leaks could occur, since

cor m ion pits already present in the carbon steel pipe

woula not be eliminated by the chemical treatment.

The NRB questioned the duration of the leak, prior to

being found via a room flood alarm, and why it had not

been found by an operator on his plant rounds. The

Manager of Nuclear Production could not explain how

frequently the RHR room spaces were inspected and, based

on a request from NRB members, committed to consideration

of an explicit item in the operator round sheets to

observe for potential leakage in the room to detect

~. - - -- --. -- - . - . . - . - _ -. - - .- . .

!

. +

30

4 possible future leaks. The NRB meeting lasted-

approximately one hour, with appropriate senior PECo

management attendance. The NRB concluded that the weld

repair of the leak was adequate, that ESW system integrity

-

was acceptable, that the system was operable, and that

i' Unit 2 could be restarted. NRB meeting attendees seemed

to focus primarily upon the engineering aspects of the ESW

event. This may have been a function of board expertise-

makeup with only one true operational area representative <

present.  !

6.3 Maintenance Staffing ,

, >

. The Maintenance Division consists of 1153 personnel stationed at

various PEco stations (nuclear and non-nuclear), the Oregen Avenue

1 Philadelphia headquarters, and various mobile groups such as for

i equipment balancing, turbine work, battery and transformer '

i expertise. The organization reports to a Superintendent, Maintenance

Division, who is distinct from power plant supervision but who does

in-turn report through a manager to the same vice president as docs

l Peach Bottom station management.

4

The Peach Bottom Maintenance Division staff dedicated to and

! stationed at the site is adequately staffed and consists of: 72

i

tradv .aen; 38 first-line supervisors at the sub, assistant and

foreman level; 28 helpers; and engineering support staff of ten

engineers and technical assistants, and, three supervising

engineers. The tradesmen include 13 electricians, 17 machinists, 18

'

pipefitters, six welders, 13 riggers, and other tradesmen. The '

,

group also uses four shift-assistant foremen to coordinate witt, u

! control room and effect the transfer of requests for permits and I

blocks and maintenance ready to work. The shift foremen were

i

t

observed to be highly experienced at Peach Bottom (on the order of

10-15 years), respected by their peers and co-workers, and effective

'

l at getting the support of maintenance tradesmen in troubleshooting

!

and completing work. -

'

<

The Maintenance Division currently employs approximately 90-100

Catalytic, Inc. contract electricians, painters, carpenters, and

.

, laborers. The majority of those contractors have had significant

. experience at Peach Bottom, and are used for standard work such as

erecting scaffolding, painting, preventive maintenance on the

l travelling screens, and certain work under the direction of a vendor

representative, but supervised by a permanent PECo sub-foreman.

l. Although the permanent station staff does presently have a shortage '

j of electricians which has been supplemented via the Catalytic

i

contractors, the station also is supported by mobile Maintenance

Division personnel and the specialty groups based out of the Oregon

4

Avenue shop. Therefore, the ability to draw upon that mobile

resource is a significant strength in addressing unexpected

C

ww.-<. . -w-----._- , - - - - - - - - - - - - -+-a

.

31

equipment failures and scheduled outage maintenance. An example

observed during this inspection was the Unit 2 main transformer

problems and mini-outage work, all of which was supported in a

timely manner by maintenance crafts.

The licensee has also recognized the need to qualify and staff the

Division for the future as evidenced by the 28 helpers assigned to

Peach Bottom and the training programs for tradesmen in progression

which is discussed in detail 6.1.3.

Staffing in the plant groups assigned to the Engineer-Maintenance

appears to be thin, with a need for technicians or technical

assistants to handle the administrative workloads associated with the

CHAMPS system. The inspector discussed the utilization of

n'aintenance trending with the Assistant Engineer - Maintenance. The

licensee recently established a program to perform maintenance

history searches using MRF and NPRDS data and formalized failure

reports. Although there are approximately 30 instances logged which

are being researched, only five were actually completed and available

for review. The inspector reviewed a railure investigation report

for the E-4 emergency diesel generato. fuel oil leak that occurred in

November 1985. The report was an excellent example of detailed

failure analysis including investigative fallowup of causes and

failuro mode and recommended corrective antions. The report has also

since been used as a valuable reference by plant personnel. However,

because of a lack of available manpower in the plant uaf f group, the

failure reports have not yet been formally produced. Further, the

time and expertise on the CHAMPS and other data bases required to t

obtain equipment maintenance histories has precluded preparation of k

such reports. M

The instance involving equipment history was the steam packing leak

experienced on the Unit 2 RCIC inboard isolation valve M0-2-13-015.

In response to the inspector's request, a history of maintenance MRFs

on the valve was obtained which was timely and useful in determining

equipment qualification considerations. But, since failure analysis

reports are completed at the discretion of the Engineer - Maintenance

or in response to other requests, no report had been generated as of

the end of this inspection on the RCIC packing leak and its apparent

effect on the failure of the main steam line drain valve M0-2-02-074

installed directly beneath the RCIC valve. The inspector entered the

Unit 2 drywell and observed the condition and repair of both of the

above valves. The inspector discussed the condition of the Limitorque

contacts for the 074 valve with tradesmen repairing the valves. The

contacts were corroded and apparently shorted-out by the packing leak-

age from above via a broken electrical conduit. The inspector reviewed

the environmental qualification data sheets for both valves, and noted

that the 074 valve was qualified for six days of post accident opera-

tion at 100% relative humidity, as well as boric acid and water spray.

The inspector discussed the failure cause of the 074 valve with

Electrical Engineering personnel, the plant Engineer - Maintenance

.

32

and the Maintenance Division Engineering Supervisor. The capability

of the valve to withstand direct water impingement was questioned

and, pending a failure analysis for the valve, is unresolved

(277/86-12-07).

6.4 Maintenance Interfaces and Communication

6.4.1 Blocking and Permit Coordination

The inspector interviewed licer. sed Chief Operators stationed

in the control room who are qualified to prepare blocking

permits. The inspector also reviewed the prioritization of

work which is available for maintenance and that requires

cumpletion of MRF Section 5 to turnover equipment from

Operations to Maintenance personnel. Finally, the

inspector accompanied the Maintenance Division Shift

Assistant Foreman who is the working interface between

Operations and Maintenance Groups and who provides a direct

conmunication between the control room and the tradesmen,

F rticularly on the backshifts, to initiate maintenance

coubleshooting and work. A discussion of the role of the

Cr.ief Operator with respect to outstanding MRFs is

conteined in Detail 6.1.1.

The icensed operators available to prepare blocking and

permits are apparently in shortage, and the licensee has y

not been successful in consistently staffing an extra Chief ~

Operator (CO) as a "MRF-Doctor" on backshifts or weekends. e

The inspector noted that, for day shift during the Unit 2 i

mini-outage, this inspection, an extra C0 was provided to (

coordinate preparation of permits. However, on the back-

shifts and weekends even during the mini-outage, no extra

C0 was present. Permits required during those off-normal

hours must be prepared by the control room C0 or a super-

visor whose duties are towards the operating unit (s). While

the inspector found no evidence of safety-related correctiva

maintenance which was neglected because of this shortage of

C0's dedicated to permit preparation, there were observed

delays over the backshifts in initiating mini-outage work

until permits could be provided on the next available day

shift. On the other hand, the inspector found on one

occasion that there were on the order of 25 permits already

prepared which awaited between timing or plant conditions

to work (i.e., priorities were low or jobs scheduled for

weekends or work restricted by Technical Specifications).

Also found were an equal number of permits previously writ-

ten but filed ir. the control room which required a plant

outage to work. Therefore, the statistics of backlogged

MRFs requiring a permit do not indicate a complete story

concerning constantly changing priorities in the centrol

-

0

33

room. Safety related work and significant short-notice

plant equipment problems do routinely receive immediate

priority attention.

Improved work coordination and job planning is observed to

be bringing a manageable amount of work to the attention of

the C0 for permits. But, reduction of the backlog of MRFs,

support of the developing PM program, and the ability to

deal with unscheduled mini-outages will require licensee

attention to better staffing the blocking coordinator

position. The inspector observed a currently vacant back-

.oom adjacent to the control room, and discussed this with

the licensee as a possible location for more efficient per-

mit preparation and coordination. Licensee supervisors in

Operations and Maintenance were interviewed and all were

found to be cognizant of the problem in consistently staffing

the permit coordinator position.

The inspector interviewed and accompanied several Maintenance

Division Shift Assistant Foremen on both day and swing-

-

shifts. The shift foreman is a position resulting from

NRC NUREG-0737 requirements for a craft representative .

on-shift at all times. The four individuals assigned to

th's position at Peach Bottom were found to be well-

respected by their peers in all site groups, and to have a ,

significant amount of Peach Bottom work experience. The

shift foreman attends shift turnover meetings and is a

central contact for plant management concerning maintenance +

problems and work status during backshifts. The indivi- k

duals filling these positions at Peach Bottom were observed U

to be efficiently utilized in coordinating maintenance

activities, such as the Unit 2 IRM replacements and Unit 3

Recirculation MG-Set lube oil troubleshooting. This posi-

tion is a strength and contributes towards good communica-

tion between control room operations and in plant Mainte-

nance Division foremen and tradesmen.

6.4.2 Outage Planning

The inspector interviewed the Outage Planning Engineer and

i

'

discussed the recent 14-month Unit 2 pipe replacement out-

age and the 8-month Unit 3 refueling outage which covered a

combined timeframe of April 1984 through March 1986. The

inspector also reviewed plans for the upcoming Unit 2

outage scheduled in February 1987. Delays in the previous

outage work were attributed to unanticipated problems such

as core spray sparger repairs. Improved planning techni-

ques have been implemented, including the use of area

coordinators for drywell, fuel floor, reactor systems and

balance of plant work. The licensee uses a computerized

l

'

I

1

.

-

34

planning software program, PREMIS, to schedule and track

planned maintenance work for the April 1987 Unit 2 outage.

The inspector reviewed a Unit 2 outage planning performance

monitoring printout dated June 26, 1986. The status of

outage work was broken down by principal work group (i.e.,

Maintenance, Construction and E&R Lab Divisions) and in the

four plant areas. Work was further subdivided into five

segments for manageability as well as by one of three

status codes. The inspector observed 2648 total MRFs, over

half of which are scheduled on PREMIS (and CHAMPS) for

-

Unit 2 outage work assigned to the three principal work

groups. These statistics include approximately 1500

preventive maintenance items and 600 corrective maintenance

activities assigned to the Maintenance Division. The

inspector concluded that the licensee is plaaring and

tracking work status sufficiently in advance of the Unit 2

outage.

The inspector noted through discussions with the Outage

Planning Engineer that improvements were underway in work

planning based on the past recent outage experience. The

problem of being in an outage constantly for two years on

either of the units was being addressed by E&R engineering,

Maintenance Division and plant staff programs. The Outage

Ergireer's staff of 20 personnel currently includes an ade-

quate number of engineers, technical assistants, coordinators

and clerical aids. Additional support is provided by

Engineering & Research projects section engineers who are 5

developing work priorities and schedules for the upcoming i

Unit 2 outage. Finally, the Outage Engineer stated that he (

would be attending the INPO sponsored outage planning

manager's workshop in September 1986. The inspector con-

cluded that the licensee's recent improvements in approach-

ing outage planning, and the extensive experience of and

peer respect given to the Outage Engineer who has been

working at Peach Bottom as both a refueling floor

supervisor, reactor engineer, and in his current position

since September 1983, are a significant strength.

l 6.4.3 Quality Assurance and Quality Control

!

The inspector interviewed corporate supervising engineers,

the Peach Bottom site supervisor and engineers, and various

personnel in the QA and QC organizations. QA audits and QC

inspections were reviewed in the area of maintenance, and

findings were evaluated for significance and licensee

management response.

l

l

l

.

35

6.4.3.1 Quality Assurance Audits

QA audits and surveillance in the area of main-

tenance were reviewed by the inspector. A total

of 14 audits were conducted in 1985, and 7 were

conducted in 1984. The inspector noted that there

were no outstanding responses to QA findings in

the maintenance audits, and that the audits were

sufficiently detailed so as to understand the

concerns raised by QA. Further, Maintenance

Division management attention to QA findings was

appropriately documented by memorandum for the

Superintendent of the Division, were timely and

responsive. The audits covered a ,ariety of

safety-related activities including: the control

of heavy loads, snubber maintenance, annual diesel

generator overhauls, RHR valve and HPCI turbine

work, CRD replacements, recirculation piping

repairs, ISI programs and maintenance training.

The QA audits also addressec che status of asso-

ciated NRC findings includi, violations, open

items, and Information Notices.

QA Audit Report AP 85-109 was c aducted at Peach

Bottom from 12/12/85 through 1/13/86 to assess ,

the valve maintenance performed during the

Unit 3 refueling outage. The inspector reviewed

the results of the QA audit concerning response +

to certain containment isolation valves, which h

addressed proper MRF processing, parts and mate- E

rial procurement and control of weld filler mate-

rial. The QA auditor concluded that programmatic

controls applied towards the valve maintenance

were adequately implemented.

! QA also performs surveillances in accordance with

prepared checklists. The inspector noted that

three surveillances of maintenance activities

were conducted in 1984, none in 1985, and one

to-date in 1986. The inspector reviewed QA Sur-

l veillance SP 86-01 conducted on 1/28-2/4/86 for

l the E2 diesel generator drive air blower repair.

'

The surveillance checked for 12 distinct items

such as properly calibr,ated tools, appropriate

l MRF documentation and procedures, the presence of

l certified QC inspectors and established fire

I watches if necessary, adequate permits and tagging,

l completed QC hold and witness points, and post-

maintenance operational verification. The sur-

! veillance identified no deficiencies, and concluded

'

l that adequate work controls were established with

l

r-

.

36

effective QC inspection. Responsible QC and Main-

tenance Div sion management were made aware of

the surveillance findings. The inspector also

noted acceptable QA findings related to: four

3-hour post-maintenance run-in tests were compre-

hensively performed by the vendor. Fairbanks-

Morse; QC provided 24-hour coverage of the repair

and performed in-line inspections which assured

that quality was maintained at the work area; and

PORC approved procedure changes were being used.

The inspector reviewed a QA Division Activities

, Summary Report for the period May 23 - June 5,

1986, and discussed the report with the Peach

Bottom QA Supervisor. The QA Supervisor has been

assigned to that position at the site for four

years, and has had previous Maintenance Division

experience The inspector concluded that the QA

group at Peach Bottom is assessing significant

! .intenance activities, identifying findings which

e receiving appropriate Maintenance Division

management attention, and assuring that quality

work was being maintained in accordance with pro-

grar. controls.

6.4.3.2 Quality Control Inspections

QC performs planned inspections and random moni- e

toring of maintenance activ~ities, and the results 1

of these inspections are provided to senior i

licensee management via monthly memoranda from

the Superintendent of the QA Division and by

using the computerized QA Trending and Tracking

System (QATTS).

QC is an integral part of the performance of main-

tenance, since QC input in Section 4 of the MRF

,

is required prior to preparing permits and initi-

l ating work. The total number of MRFs reviewed by

,

QC for proper administrative controls, work class-

l

ification and QC hold and witness points was 531

from January through May, 1986. Included in that

total are Final MRF Section 7 reviews by QC

following completion of the maintenance. QC

inspectors focus on maintenance and associated

,

'

activities in radwaste, housekeeping, fuel hand-

ling and receipt inspections. QC hold and witness

points are permanently incorporated in Maintenance

Division Procedures, and may also be added during

the pre-work MRF Section 4 review by QC.

.

37

The inspector reviewed the monthly report for May

1986 of QC inspection and monitoring at Peach

Bottom. QC results are expressed in percentages

of acceptable inspections, and of a total 142

inspections performed in May, 92% were satisfac-

tory. The report used QATTS data to trend QC

inspection findings, which increased from 80%

satisfactory in March 1986 to the present per-

centage. Computer generated trend plots of

satisfactory findings over the past 12 months are

produced in the monthly reports using linear

regression analysis. A steady trend (no change)

over the past 12 months depicted a mean

successful inspection frequency of 90%. QC also

performs random monitoring of activities and is

experiencing current satisfactory results

approaching 90%, with an improving trend over the

past 12 months. The improvement was attributable

import to separate tracking of housekeeping

findings which had been previously included in

monitoring statistics. Specific maintenance

coverage by QC over the 3-month period .

March-May,1986, showed 96-100% satisfactory

results. Maintenance inspection statistics over

the past year exhibit an improving trend between

upper and lower confidence levels of 82-96%

acceptability.

,

,

The inspector reviewed a QATTS sort of 466 total

l QC reports in 1986 (to the present) addressing y

, m.aintenance activities, of which 443 or 95% were

l

satisfactory. The inspector also reviewed the

,

QATTS description of the 23 unacceptable finding,

of which two remain open regarding a deficient

reactor recirculation pump seal flange and an

equipment failure due to normal wear. Selected

findings were reviewed, discussed with QC per-

sonnel, and found by the inspector to be repre-

sentative of a broad sampling of maintenance

including snubber installation, motor operated

i valve repairs, torquing sequences and tool

! control. The inspector reviewed a more extensive

l QATTS sort of 2197 total QC inspections performed

l in 1985 for maintenance activities, and found an

l overall success frequency of 88%. Of the 263

documented unsatisfactory findings, 3 remained

open as of this inspection awaiting engineering

evaluation or documentation.

I

l

l

l

.

38

The inspector discussed QC findings, program fea-

, tures and staffing with Peach Bottom QC personnel.

The workload in QC increases to in excess of 75%

maintenance inspections and monitoring during

outages, as have occurred at Peach Bottom for the

past two years. The site QC group has also been

more involved in housekeeping inspections during

the past 6 months. The group has used QATTS with

data retrofit back to January 1985. Staffing

included four engineers including supervision,

and 15 QC inspectors of which approximately 10

are contractor provided by Catalytic and certified

to ANSI Level II. The QC group has also used a

licensed operator and health physicist (on-loan)

at times, and corporate supervision is visibly

involved in site activities. The corporate QC

supervisor is consistently present onsite, accor-

ding to interviews with QC personnel, 2-3 days

per week and has experience in Maintenance

Division prior to QC assignment. During ESW pipe

repairs and IRM replacement maintenance observed

as part of this team inspection, QC involvement

in work planning and performance was evident.

The inspector concluded that QC is extensively

involved in consistent evaluation of maintenance

activities, that findings are being tracked and

trended for presentation to licensee management, 4

'

and that a high percentage of QC inspection

(90-95%) has resulted in satisfactory findings, h

with relatively few remaining unresolved defic-

iencies. The coverage and data analysis provided

by QC for maintenance activities is a strength.

6.4.4 Engineering Support

Corporate E&R engineering support of plant maintenance was

reviewed on a limited basis. The evaluation is based on

discussions with mechanical and electrical engineering per-

sonne] from corporate Philadelphia offices, Peach Bottom

site maintenance staff (which also include engineers), and

inspection observations of the ESW pipe repair (addressed

in Detail 6.2) and the Unit 2 RCIC MO-2-13-15 valve packing

leak (addressed in Detail 6.1.1).

The ESW pipe repair received prompt and thorough engineer-

ing evaluation, which was based on site visits by a respon-

sible system engineer, and PORC and NRB evaluations of the

repair.

.

'

39

The Unit 2 RCIC valve packing leak was evaluated to

initially result in temperatures of approximately 300 F at

the valve motor which reduced its qualified life consider-

ably based on thermal aging. The inspector reviewed a more

refined calculation of space temperature increases near the

motor predicted to be 192 F. The inspector discussed that

calculation with the responsible mechanical engineer and

found the assumptions and methodology to be reasonable and

well-thoughtout using space cooler ventilation character-

istics. However, a finalized version of the calculation was

not available at the time of this inspection and the

thermal aging prediction had not yet been performed.

Excellent engineering support was observed within the Main-

tenance Division engineering group assigned to the Peach

Bottom site. The group includes a supervisor, 3 engineers

and 6 technical assistants who assist in procedure genera-

tion and revision, equipment failure analyses, and coordina-

tion with vendor support for maintenance problems.

In addition to the plant staff technical engis ering staff

which does not typically support maintenance activities,

the licensee utilizes a contract staff of 32 Bachtai startup

engineers to assist in various maintenance activicies. The

plant Engineer-Maintenance relies upon support frcm this

contractor and others to implement various programs associ-

ated with maintenance. The Engineer-Maintenance has rela-

tively few engineers on his staff (four) and relies on tech- t

nical assistants to perform equipment maintenance trouble- i

shooting, failure. history, PM and spare parts work and other (

coordination requiring engineering input.

E&R corporate engineering is apparently adequately support-

ing site maintenance. Although modifications were not

evaluated as part of this inspection, a measure of corporate

engineering support is the 70 completed modifications

installed and field tested on Units 2 and 3 since January

1986, and the 124 approved modifications to be installed

during the Unit 2 1987 refueling outage.

6.5 Personnel Attitude Towards Nuclear Safety

Maintenance Division tradesmen interviewed were knowledgeable of the

distinction between safety and non-safety related work and systems.

The inspector noted a strong sense of pride among Maintenance

Division personnel regarding the quality of their work. This

observation held consistent frnm interviews with superintendents and

supervision, engineering support, foremen and tradesmen, and other

support groups such as training. The inspector also identified a

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

.

40

clear accountability for the quality of maintenance work, particu-

larly between the first-class tradesmen and immediate supervision at

the foreman level. The accountability extended to the mobile Main-

^

tenance Division groups including the general pool and other

specialty groups based out of the Maintenance Division Oregon Avenue

Shop in Philadelphia. Although there are a relatively large number

of employees (1153) and only approximately 100 personnel permanently

assigned to Peach Bottom, the mobility and experience level of the

Maintenance Division is a strength. Most personnel interviewed had

greater than ten years of experience, with much of that experience at

Peach Bottom. Further, because personnel in the Maintenance Division

can and are moved about the PECo system at various power plant

locations (nuclear and non-nuclear), tradesmen and supervision are

aware of individual abilities and performance. This mobility allows

for better accountability and work planning.

Maintenance Division management are aware of workload status,

individual performance, and the overall quality of plant systems.

Perceived or identified prcblems are pursued, such as recent SALP

findings in the area of . intenance and the backlog of maintenance

work. Supervision from ie superintendent level to the foreman

level were aware of these problems, and were observea to be engaged

in solutions to tho.;a proble:s. Examples include the continuing

effort to better quantify t; i status of outstanding MRFs, the

dissemination of Fairbanks Parse Service Information Letters, and

routine in plant inspections of equipment and area ccnditions and

housekeeping. The inspector accompanied the Maintenance Division

Supervising Engineer, the plant staff Engineer - Maintenance, and 3

the corporate QC supervisor en a plant walk-through to inspect h

selected areas based on existing housekeeping concerns and equipment M

problems. These included the Unit 2 refueling floor and the fan

spaces for the recirculation motor generator sets. Supervision were

observed to be knowledgeable of present plant problems and effected

quick solutions to those problems. The inspector raised a concern

for the potential of a siphon developed on the spent fuel pool due

to a hose associated with hydro-lasing and the installation of new

fuel storage racks. In immediate response to that concern,

Construction Division personnel and the supervising tradesman on the

refuel floor were summoned to the area, discussed the portable hose

condition, and agreed to shut a suction valve which would prevent

the possibility of a siphon.

The licensee has also instituted a deficiency correction program

utilizing Bechtel's startup contract engineers who completed a plant

walkthrough during the past month which identified approximately

1000 housekeeping and equipment conditions requiring correction.

The inspector observed these items during plant tours which were

identified using equipment trouble tags. This effort will' result in

a significant upgrade in overall physical plant conditions.

. , -

-_ _. _ _ _ .

.

1

41

-

Maintenance Division personnel exhibited an open and candid approach

towards the inspector's questions, and were cooperative and '

interested in the areas evaluated during the review of maintenance

activities. Some maintenance tradesmen interviewed expressed a

frustration with the increasingly longer amount of time required to

finish a job, and attributed that protracted effort to increased

, paperwork demands and detailed procedures. Some tradesmen also

j expressed a concern for a lack of feedback on work performed-(i.e.,

i-

the status or success of a job) and development of procedures

requiring their input.

6.6 Summary

The Maintenance Division was found to be a well staffed and trained

-

resource at Peach Bottom. Training, including OJT and feedback, and

experience levels of tradesmen is high, with many in excess of 10

years at Peach Bottom. The Division management is knowledgeable,

1

'

well-informed and interested in solving and worker safety clearly

stressed. A strong sense of pride among tradesmen and other division

personnel was evident, as was accountability for work quality to

. first line sub-foreman and higher supervision. Overtime hours are

l consistently tracked and controlled with NRC guidelines, with a

maintenance goal established and evident to limit and more-evenly

spread overtime to 20% for assigned Peach Bottom crafts. Contractors

,

are also carefully used and integrated into the permanent site staff.

The plant staff of the Engineer - Maintenance is not as adequately

staffed, and increased program demands in the areas of PM, CHAMPS *

processing and equipment history and failure analyses will strain 'h

those resources, particularly during outages. The statistics of L

outstanding MRFs in the system suggest a need for a better

coordination, planning and staffing in the interface control room

! position to coordinate blocks and permits.. The Maintenance Division ,

!~

Shift Assistant Foreman position appears to be working well towards

i

focusing proper maintenance attention of priority plant problems.

Management goals towards improved work planning are evident in the

i outage planning function and Maintenance Division Assistant foreman

J assigned as planners. However, not all management goals are clearly

i

i

understood at the tradesman level, suggesting a possible need for ,

better feedback to Maintenance Division crafts.

l 7.0 Surveillance

Surveillance testing activities were reviewed by the shift and supporting

inspectors. Observations of tests, or parts of tests, were conducted to

[ assess performance in accordance with approved procedures and LCO's, test

results (if completed), removal and restoration of equipment, and

f

I

,

-

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

- . . - _ - - - - - . . . . - - - . - - - - --

,

.-

42

deficiency review and resolution. In addition, a review of the

surveillance test (ST) program including management controls was

performed.

7.1 Surveillance Program

The surveillance program is controlled by Administrative Procedure

A-43, " Surveillance Testing System" (Rev. 17, September 30,1983).

A-43 assigns responsibility for the preparation and maintenance of a

master test schedule to the ST Coordinator. The schedule is

maintained in the form of a computer database which can display

status, print copies and receive updated information. The ST

Coordinator inputs current plant conditions and obtains a printout

which identifies STs, broken down by group responsibility, which are

due to be performed during the following week.

!

Current copies of the-STs are given to the cognizant engineers prior

to the week due. The STs are performed by lab or shift personnel

and are reviewed by shift supervision to determine if the test

results are satisfactory, or if the unit has entered an LC0 due to a

test failure, or if other. followup action is appropriate. Following

.

additional review by plant staff, the completion of the STs is

entered into the database. The performance of the ST program was

found to be adequate in that the system was found to consistently

identify the STs coming due under current plant conditions and

provided the cognizant engineer up-to-date procedures with

sufficient lead time to schedule the tests.

Nodeficierifeswereidentified,howeverdetail6.3documentsa

related con'cern. 1;

7.2 Surveillance Activities

During the course of the inspection, numerous STs, or parts of STs,

were monitored by the shift inspectors. A list of the observed STs

is included in Section 7.4 of this report. The operators reviewed

the ST procedures and consulted with them during the course of the

tests. Minor deficiencies, such as a broken support bracket and a

small flange steam leak during ST 6.5 HPCI Pump, Valve, Flow,

Cooler, were noted and entered into the MRF system for repair.

HPSW pump 3A did not meet the acceptance criteria for discharge

pressure vs. flow rate during the performance of ST 6.10-3, "HPSW

Pump and Valve, Operability and Flow Rate Test". The Control Room

gauges indicated that the discharge pressure was too high at the

required rate of flow. Shift supervision declared the pump

inoperable; this placed the unit in a 30 day LC0 since with HPSW 3C

out of service for repairs only HPSW pumps 3B and 3D remained

operable. Subsequent testing identified the problem to be an

inaccurate control room gauge, which read 40 psig high. The gauge

.

43

was labelled to indicate the deficiency, a MRF to recalibrate the

gauge was requested, and HPSW pump 3A was declared operable thus

exiting the LCO.

No deficiencies in surveillance activities were identified.

7.3 Control and Oversight of Activities

The control and oversight of the ST program was identified as a

weakness in Inspection Report 50-277/85-44; 50-278/85-44 in that

management controls might not be adequate with respect to overdue

STs. In an April 9, 1986, response the licensee committed to

certain immediate actions to address the concern and also committed

to implement changes to the controlling Administrative Procedures

within 90 days.

The inspector reviewed the list of late (beyond " grace date") tests

dated July 1, 1986. Changing plant conditions and processing lag

time may cause some completed tests to appear missed, but the Peach

Bottom list reviewed by the inspector with 325 missed tests appc red

excessively large. Of the 325 items, 69 were STs, tied to TS

requirements. Another 16 missed STs involved emergency drills or.

f Unit 2 and extend back to the first quarter of 1985. .

In response to the inspector's concerns, the licensee took action tu

'

determine the surveillance status of certain key systems (Unit 2 B

Core Spray, A RHR, and HPSW systems; Unit 3 A RHR system) and RPS

.

trip functions (Unit 2 turbine stop valve closure and turbine control

_

e

valve fast closure; Unit 3 turbine stop valve closure). Documentation $

was found for the testing of the Unit 2 Core Spray and the Unit 3 A i,

RHR systems, but the licensee determined that the other STs had not

been performed. The licensee subsequently completed the remaining

five STs satisfactorily on July 1-2, 1986. Failure to complete these

five missed STs is an apparent violation of Technical Specifications 4.5. A.3 (Unit 2 A RHR), 4.5.B,1 (Unit 2 HPSW), and Table 4.1.1 (Unit

2 turbine stop valve closure and turbine control valve fast closure;

Unit 3 turbine stop valve closure). (277/86-12-08; 278/86-13-08).

The inspector reviewed the most recent QA audit of the ST program to

'

determine if the issue of overdue or missed tests was being followed

by the QA group. The QA audit, performed in March 1986, reviewed

205 completed STs but did not note whether or not the tests had been

performed on time.

-

The ST Coordinator prepares two lists of late tests which are

provided weekly to cognizant engineers and station management. One

list identifies the tests which are late (but still within the

" grace period") and the other list identifies the tests which were

missed (beyond the " grace date"). The volume of missed tests (325

in the July 1,1986 list), the duration of the overdue periods (some

- - -. . _

a

44

.

back to 1985), and the potential significance of certain missed

tests (e.g., ECCS trains and RPS trip signals) indicates that the

current system of control and oversight of the test program is not

effective. This finding is consistent with and an expansion of the

finding contained in Inspection Report 50-277/85-44; 50-278/85-44

and indicates that corrective actions to date have not addressed the

identified weakness.

7.4 List of Tests Observed

Portions of the following surveillance testing activities were reviewed:

ST 1.3-3, Unit 3 PCIS Logic System Functional Test

ST 6.4, MSIV Closure Timing and Closure Timing Adjustment, Unit 3

ST 6.5, HPCI Pump, Valve, Flow, Cooler, Unit 2

ST 6.10-3, HPSW Pump and Valve Operability and Flow Rate Test -

Unit 3 Only

ST 8.1, Diesel Generator Full Load Test

ST 9.1-2X, The Surveillance Log

ST 9.1-2Y, The Surveillance Log

SY 9.1-2Z, The Surveillance Log

ST 9.1-3X, The Surveillance Log

ST 9.1-3Y, The Surveillance Log

ST 9.1-3Z, The Surveillance Log

ST 9.2, Control Rod Exercise, Unit 3

ST 9.7, MSIV Partial Closure and RPS Input Functional Test, Unit 3

ST 9.17-3, Reactor Coolant Leakage Test - Unit 3 Only.

e

7.5 Summary  :

'

t '

The team reviewed the in place ST program, the conduct of testing

activities, and the control and oversight of the testing program.

The ST program was found to adequately identify and schedule testing

activities. No deficiencies were noted in the performance of tests;

personnel used approved procedures, compared test results to valid

acceptance criteria, and made appropriate determination with respect

to system operability. The control and oversight of the testing

program by management was found to be a significant weakness. The

. improper focus of ST performance accountability and oversight has

resulted in many missed tests including STs on ECCS systems and RPS

functions.

8.0 Radiological Controls

8.1 General

Radiological controls activities in the station were observed during

the inspection by the shift inspectors and a specialist inspector.

The review areas include program documents, discussions with

radiological controls and other station personnel, attendance at

l licensee planning meetings, and observation of radiological controls

l

<

45

practices during ongoing work. The training and qualification

program for contractor and permanent radiological controls personnel

was also reviewed.

8.2 Organization and Staffing

The licensee's radiological control organization has undergone two

recent reorganizations. A reorganization early in 1985 of the

combined health physics / chemistry group resulted in the establishment

of separate health physics and chemistry groups. A reorganization of

the health physics group in mid 1985 resulted in the establishment of

a separate ALARA sub group. The health physics group currently

consists of three sub groups: a technical sub group, an applied

sub group, and the recently established ALARA sub group.

These changes within the health physics group were performed to

address NRC and INP0 identified concerns. One of the concerns was

that a substantial number of contractor personnel (about 40

technicians) were being used in authorized licensee permanent

pc itions due to, among other items, the lack of adequately trained

a ' qualified licensee technicians. Licensee technicians currently

in training and once trained are anticipated to reduce reliance upon

centr.: tor personnel for non-outage routine activities. The

licer. ee is actively attempting to reduce the number of contractor

techn cians commensurate with the completion of training for the

newly hired personnel.

More recently (January 1986), the licensee has performed an evalua- +

'

tion of the organization and staffing needs of the Health Physics 8

Group. The evaluation has identified that the current organization E

needs improvement in order to adequately implement the responsibil-

ities of the group. The evaluation also recommended that about 30

individuals (management and non-management) be obtained to fully

j staff a recommended (expanded) organization. Licensee senior manage-

'

ment is currently reviewing the recommendations. Reviews during this

inspection indicate some problems (e.g., lack of timely review of

l events and lack of adequate oversight of in-field radiological

i activities) that appear to have resulted at least in part from

insufficient staffing.

!

Areas requiring further licensee attention include timely completion

j of the review of the health physics group organization and staffing,

i- and implementation and tracking of the needed changes to ensure

effective conduct of the health physics group responsibilities.

(277/86-12-9; 278/86-13-9).

i

8.3 Training and Retraining

The licensee has established and implemented an initial and continu-

ing training program for radiological controls technicians (health

physics and chemistry). Both the health physics and chemistry

l

!

l

-.

C

'

46

technician training programs were accredited by INP0 in May 1985. An

initial training and qualification program for contractor health

physics personnel is also in place. Record reviews indicate that

both contractor and licensee health physics technicians attended the

continuing training programs. Licensee personnel responsible for

implementing these' training programs were considered conscientious.

The contractor health physics technician training program did not

include an initial " diagnostic" exam for use in determining the

adequacy of a technician's knowledge prior to placement in the six

day initial contractor technician training. Also, the qualification

process did not adequately address " practical factors" qualifica-

-

tions. The need for this latter item is considered a program

weakness.

No program is in place to provide timely training of health physics

technicians in current health and safety significant matters (e.g.,

.

procedure changes, industry events) prior to them performing work

associated with these matters. This lack of timely training and

overall progressive approach to the Health Physics area leads to a

" business as usual" approach to in-field work resulting in -

inadequate program applications.

Training and qualification of contractor chemistry technicians is

implemented through the chemistry department; however, the program

is not formally described. .

The training program for professional level health physics personnel -

is described in memoranda but has not been-fully established and hL

implemented in that topic lesson plans for about 50% of the

described topics were not written and presented. The training

program for professional level health physics personnel continues to

need management attention.

] The licensee General Employee Training program has recently been

certified in accordance with INP0 guidelines. HP training will be

reviewed in a future inspection (277/86-12-10; 278/86-13-10).

8.4 Audits

The licensee is implementing the technical specification required

audits of radiological control program areas. Audit findings were

i

tracked and closed in accordance with Quality Assurance Manual

requirements.

,

'

Review of radiological controls program area audits from 1984 through

1986 indicate that individuals with little o'r no background or know-

,

ledge in the area they were auditing were used as auditors (e.g.,

i

September 1984 Health Physics Operations and Dosimetry Audit). In

addition, the depth of the audit is considered less than adequate to

l

_ _ , _ . . _

.

.

47

evaluate the acceptability of program areas audited relative to appli-

cable regulatory requirements or standard industry practice. Although

some improvements were noted in later audits, additional improvements

appear warranted to fully utilize audits as a management tool to

assure quality and maintain a current Health Physics program.

Assessments of site radiological controls activities (e.g., respiratory

protection) are performed by the corporate radiological control group.

However, the corporate audit / assessment program is not formally estab-

lished and written reports of findings are not provided to the site.

Additional licensee action is required to formally establish the

corporate radiological controls assessment program (277/86-12-11;

278/86-13-11).

8.5 Job Planning and Work Control

The licensee has upgraded the job planning and work control in the

area of radiological controls. Health physics field operations and

ALARA personnel routinely attend the recently initiated daily work

planning meetings. The health physics group uses information cbtained

at this meeting and a published five day review schedule to plcr and

staff for upcoming work. The meeting and review schedule have improved

the group awareness of upcoming work and minimized reactivt action >

by the group. Some problems still exist in this area in that perscenel

are requesting Radiation Work Permits that are not used cr are not

used within a period of several days resulting in the need for addi-

tional surveys by health physics personnel. This may result in need-

less additional exposure. Reviews of this concern should be initiated

and appropriate administrative controls (as necessary) established to '

minimize this problem. This will be reviewed in a future inspection 4

(277/86-12-12; 278/86-13-12).

'

The health physics group (ALARA) is involved in reviews and planning

for long range work. However, the interface with planning and

scheduling is not clearly defined in the licensee's program. Addi-

tional licensee action is needed in this area.

8.6 Control and Oversight of In-Field Work

The licensee has initiated action to improve oversight and control of

in-field work in response to NRC and INP0 identified concerns. The

licensee's recent evaluation of the organization and staffing of the

health physics group has recommended organization changes and additional

management staffing to improve oversight and control of in-field work.

!

The first line supervisor for health physics operations has recently

been tasked with the requirement to spend at least four hours per day

,

in the field reviewing on going activities. However, there has been

I-

l

l

l

l

_ _ . _ _ _ - _

,. _ - - _

..- .. . -. - - . . - . .- -

,

1-

., ,

.

48 -

i

i-

no; clear direction to the individual as.to what minimum activities

should be reviewed or a clear feedback mechanism established to
review and disposition findings in a timely and effective manner.

1

I

Some positive aspects were noted. ~For example, during this inspection,

the licensee performed generally good radiological controls planning

and preparation for the replacement of two IRMs in Unit 2. Meetings-

were held between involved groups in order to address problems identi-

,

fied at Limerick during similar IRM replacements. Procedure changes

were made specifically to improve radiological controls and address

the problems. However, the improved planning was overshadowed by'

i deficiencies in the oversight of the work practices resulting from

-

health physics technician failure to perform all' appropriate proced-

urally required radiation surveys ~during the work.

i Deficiencies were identified in the oversight and control of a nuinber

i of radiological work activities reviewed. For example, inadequacies

e

in the Radiation Work Permit controls and in-field activity oversight

i for plant clean-up resulted in improper placement of airborne radio-

activity samplers during on going wrk activities.

t

Deficiencies were identified in the oversight of work and activities

4 by the Health Physics Technical Group. Examples include inadequate

j evaluation of the' radiological envire ment-to be entered by spent

fuel pool divers and inadequate evalui, tion of the calibration of

, radiation survey instruments and personnel dosimetry to be used by

the divers. Also, deficiencies identified in oversight and control

1

of the calibration of airborne radioactivity sampling equipment, it

l was not apparent that some in-field air sampling equipment in use was

This will be reviewed in a future inspection

.

. properly calibrated.

(277/86-12-13; 278/86-12-13).

'

l

8.7 Procedures

l

The licensee has established and implemented a Radiation Protection

l Plan and procedures for implementing the plan at the station level.

[ Various supervisors in the health physics group have issued memoranda

l and " guidelines" to interpret and supplement existing site health

'

physics procedures. Topics discussed in these memoranda and guide-

lines included dosimetry placement, exposure controls, and airborne

radioactivity sampling. The licensee has no effective administrative

'

controls in place to ensure all appropriate personnel have read,

l understood, and implement the memoranda and guidelines. In some

i

cases it appears that the guidelines can be considered as procedures

[ and should be established, implemented, and maintained in accordance

l with Technical Specification requirements. Licensee action is needed

to review the guidelines and incorporate them into appropriate

j station procedures. (277/86-12-14; 278/86-13-14).

I

!

!

___ . _ . _ _ _ _ . _ _ _ __ _ _ _ _ .-. _ _ _ _ _. _ _ _ _ _ _ _-

a

.

49

The corporate radiological controls group has not fully established

procedures to define their activities (e.g., site audit assessment

program). Actions are in progress to establish and implement corporate

program procedures.

8.8 Communication

Inter and intra health physics group communications were generally

adequate. However, the need for some improvements was identified.

Principal health physics supervisors attend the daily morning meetings.

The health physics supervisor for operations meets weekly with the

technician staff in the health physics " break room" to discuss

current health physics activities. The acoustics of the health

physics " break room" were poor. Turbine building noise in conjunc-

tion with crowded conditions provided a less than adequate forum for

discussion of health physics issues.

Discussions with some technicians indicated some problems relative to

communication from " top down" in that problems are brought to super-

vi.C m's attention but no " feedback" is provided on the problem (e.g.,

02/ "' analyzer calibration check). Some health physics technicians

expressed morale concerns due ir, part to inadequate communication

concern .

he licansee's Senior Health Physicist has scheduled meetings with

his st&ff and with representatives of health physics technicians.

The meeting serves as a forum to discuss status of goals and issues

brought up by technicians.

Additicnal licensee action may be required to address the adequacy of 4

communications between health physics supervisory / management

personnel and the technician staff. This item will be reviewed in a

future inspection (277/86-12-15; 278/86-13-15).

8.9 ALARA

The licensee has made a number of notable improvements in the ALARA

program to provide for upgraded ALARA oversight of radiological work.

Examples include establishment of a separate ALARA group, establish-

ment of program procedures, improvements in training, and utilization

of computers. Observation of ALARA activities indicate the initiatives

have made some apparent improvements in the effectiveness of ALARA

oversight of on going activities.

Although ALARA program improvements have been made, some deficiencies

were identified involving the establishment of necessary program pro-

cedures and controls. For exar.ple, procedures are not in place for

performing cost benefit analysis, interfacing with planning and

scheduling, controlling of work requests to ensure adequate lead time

for ALARA review, and the review of design change modifications.

Procedural guidance far performing ALARA reviews of on going work

_, _ _ _ __

.

d

.

. '

50

were considered inadequate due to a lack of defined criteria for

initiating reviews. The licensee was using an informal criteria (25%

excess exposures, man-hours, or dose rates) to select jobs for ALARA

review.

Licensee action is needed to address the need for specific procedures

for ALARA goal setting, tracking and the review of goals. Examples

of possible goals include man-rem and area contamination. This is

considered a program weakness. (277/86-12-16; 278/86-13-16).

8.10 Corrective Action Program

The licensee is currently revising the program for identification,

tracking and resolution of radiological controls deficiencies. Find-

ings identified during this inspection (e.g., five instances of the

same contractor being contaminated on the refueling floor) establish

the need for program improvements, particularly in the area of timely

disposition of findings.

The licensee has obtained radiological controls deficiency programs

from other utilities and is modifying its program to include some

attributes of the programs. A draft program procedure addressing the

.

corrective action program area has been written and is currently being

reviewed.

8.11 Overtime (Health Physics)

The licensee has established administrative controls to limit overtime i

consistent with NRC guidelines for licensee radiological control per- i

sonnel. However, the program was not effectively applied to contractor 9

health physics technicians. The contractor site coordinator was

unaware of all licensee administrative requirements in this area.

Although no apparent instances of exceeding overtime guidance was

identified, due primarily to a lack of available overtime for con-

tractors, licensee action is required to ensure overtime administra-

tion controls are effectively applied to contractors.

8.12 Goals

The electric production department has established goals. These

goals have been translated as appropriate into group supervisor goals.

The goals provided to health physics group supervisory personnel were

considered in some cases non-challenging and limited.

Licensee action is required to improve the goals program for the health

physics group in order to upgrade performance, consistent with current

industry standards. A tracking and monitoring program for health

physics goals is presently not established.

, _

. ._. - --, . - -

--

,

51

The licensee has established an improvement plan to improve Peach

Bottom performance. The goals (i.e., all intermediate and final

milestones) for this plan have not yet been assigned to responsible

parties.

8.13 Summary

The licensee has acknowledged the need to upgrade the health physics

program at Peach Bottom. Action has been taken to upgrade the

program in that an action plan is currently being finalized to

address NRC and INP0 identified deficiencies. The licensee plans to

place the plan on a computer for effective tracking of intermediate

and final milestones.

In consideration of the 1987 outage schedule, licensee action is

required to review the scope of the action plan to ensure adequate

resources are available to implement the action plan and effect -

needed program improvements prior to the outage. The establishment

of clear communications within the site organization and the

utilization of corporate group as a resource needs to be included

within the action plan scope.

9.0 Assurance of Quality

The scope of this inspection included an overview of QA and QC activities,

a review of QA audit and surveillance findings, a review of QC inspection

and monitoring findings, and an observation QA/QC activities during plant

. operations. In addition, other plant and oversight groups functioning to t

assure quality were reviewed. These groups include the on-site Plant $E

Operations Review Committee (PORC), the off-site Nuclear Review Board (NRB),

the on-site Independent Safety Engineering Group (ISEG), the corporate

Operations Experience Assessment Committee (OEAC), and plant and corporate

management. Procedural controls, adherence to procedures and programs to

assure quality of control room activities were reviewed.

9.1 QA/QC Program

The Quality Assurance (QA) organization includes the Electric

Production Department QA (EP-QA) and the Engineering and Research

Department QA (ER-QA). These QA organizations are described in the

Peach Bottom QA Plans Volumes I and III.

EP-QA includes a site QC group, a site QA group, and an engineering

group. The ER-QA includes an off-site QA section, an on-site QC

section for construction, and a QC section for the Testing and Lab

Division.

.

Reviews of QA and QC activities conducted in accordance with QA Plan

Volume I and III requirements and implementing procedures were performed.

.

52

9.2 QA Activities

QA performs audits and surveillances of quality affecting activities.

These audits and surveillances are documented in formal findings as

deviations or nonconformances, and are responded to and tracked by

the QA trending and tracking system (QATTS).

The inspector reviewed recent EP-QA audit and surveillance findings

in the following areas: shift operations, fire protection, and

health physics. Weaknesses were nated in health physics audit area

(see section 7.4) and the surveillance area (see Section 6.3). Audits

and surveillances of the shift operations area meet program require-

ments, however, the scope and findings of the audits are oriented

toward compliance with administrative requirements such as equipment

tagging and not toward verification of safe reactor operation.

With respect to fire prote'ction audits, a commitment was made to the

NRC regarding receipt inspection of certain fire protection items.

While EP-QA has implemented this commitment, ER apparently has not

resolved a 1984 audit finding regardir: the commitment to the NRC.

Interviews with QA personnel during tb s inspection, indicate a lack

of adequate communication between EP-QA and ER.

Audits identified concerns which are not reviations or nonconformances

but which are of significance. Tnese typus of concerns are expressed

formally in audits as recommendations. Tnese recommendations are not

tracked after the audit is issued nor is anyone required to respond

to them. The lack of a disposition for tt.e recommendations is a weak- *

ness in the QA program as many issues are not necessarily enforceable h

but should be addressed to improve overall plant operation. There b

appears to be a perception that corporate is not fully utilizing QA

as a management tool vs. ensuring that program requirements are met.

This will be reviewed in a future inspection (277/86-12-17;

278/86-13-17).

In addition, QA did not have a requirement until October 1985 to

obtain commitment dates for responses to audit findings. Subsequent

to October 1985, QA has obtained commitment dates for all new

I findings and the old findings predating October 1985, indicating a

l substantial effort by the site QA department toward trending and

l tracking of findings.

!

Based on interviews with QA personnel, the inspector concluded that

morale may be low in site QA audit group. The basis for this low

morale appears to be salary related.

EP-QA performs daily reviews of control room activities including

shift turnover, log reviews, operator discussions and system checks.

Although not required by the QA Plan, the review is normally performed

by an auditor who is a former licensed operator. The inspector

verified that this review was being performed and held discussions

l

,

i

, _ . _ . --

..

.

53

with the auditor. The QA auditor was knowledgeable of plant opera-

tions. However, the inspector noted that no formal surveillance plan

nor checklist exists for this daily review. Licensse action is needed

to formalize the control room review activities. (277/86-12-18;

278/86-13-18).

9.3 QC Activities

QC performs monitoring and inspection of quality affecting activities

as required by the QA Plan. Findings are documented and tracked using

the QATTS. QC inspection hold and witness points are part of the

specific implementing procedures. Detailed Monitoring Checklists

(DMC) are prepared by QC. QC performs reviews of maintenance, house-

keeping, health physics, shift operations, and radwaste.

The inspector reviewed selected implementing procedures for QC hold

and witness points, observed QC in the field, and reviewed the results

of completed QC DMCs. Implementation of QC activities is performed

by a group of 26 on-site people of which half are contractors. The

licensee F s a hiring and training program to replace the contractors

with perm ent PECo employees.

The inspector .eviewed selected QC DMCs with particular emphasis in

the area of ccqtrol room and shift observations. There are DMCs for

shift turnove , permits and blocking, valve control, log keeping,

equipment control status, and operator rounds. The QC group staff

includes a former qualified non-licensed operator and a recently

qualified STA to perform monitoring of control room activities. +

QC performs an informal daily review of control room activities as $

verified by inspector observations. Licensee action is needed to O

'

formalize the review of control room activities. QC accompanies the

weekly plant equipment status tour with maintenance, construction and

-

plant operations. The inspector accompanied the weekly plant tour on

June 26, 1986 (see section 5.5). In addition, the licensee has

instituted a Strive for Excellence Evaluation (SEE) Program. As part

of the SEE Program, QC performs a weekly inspection of plant operations

and communicates the result of this inspection to plant management.

9.4 Procedural Controls

'

The inspector reviewed plant procedures against the requirements of

NRC Regulatory Guide 1.33-1972 with special emphasis on procedures

for combating emergencies. After discussion with the licensee, it

was determined that the following procedures required by Regulatory

l Guide 1.33, Appendix A, paragraph F were not included as plant

procedures:

r

l

l

--

Loss of Instrument Air,

.

--

Loss of Service Water / Loss of Emergency Service Water,

!

,

. _ - _ _ , . , , , _ _. . . , , ,.-.7 . - . . -

.

'

54

--

Loss of Component Cooling System and Cooling of Individual

Components.

--

Mispositioned Control Rod.

Licensee action is needed to provide appropriate emergency

procedures in these areas.

In addition, a review of the plant administrative procedures

revealed that no administrative procedure exists for review and

approval of Routine Test (RT) procedures as required by Regulatory

Guide 1.33, Appendix A, paragraph A. The inspector was informed

that a QA audit in August 1984 had identified this problem in a

noncompliance report (NCR #AP84-43-01). Plant management appears

reluctant to correct this deficiency. Since the 1984 NCR was -

written, approximately 66 new or revised RT's have been issued

associated with safety related systems or components. The inspector

determined that RTs have been written which appear to be more

appropriately classified as other types of procedures such as

HP0/COs, REs and CAs. The Regulatory Guide requirement for review

and approval of procedures has been properly implemented for all

other procedures. Licensee action is needed to define the scope of

RTs and administratively control their preparation and issuance.

Missing emergency procedures and administrative control of RTs are

unre'olved

s (277/86-12-19; 278/86-13-19).

9.5 Other Quality Activities

9.5.1 Plant Operations Review Committee (PORC)

,.

The following PORC meetings were attended by the

inspector:

--

Special meeting on June 19, 1986, to discuss Unit 2

ESW repair procedures.

--

Special meeting on June 20, 1986, to determine the

Unit 2 ESW operability (see detail 6.2.6).

Regarding the June 19, 1986, meeting the inspector verified

that Technical Specification requirements for the required

quorum attendance were met. The meeting agenda included

the review of a work instruction concerning the inspection

and repair of an Emergency Service Water supply line to the

Unit 2 "A" Residual Heat Removal pump room. The meeting was

characterized by frank discussions and questioning of cause

and corrective actions. In particular, attention was given

to confirming the referenced repair procedures. Individual

members' opinions were encouraged.

I

.

.

55

9.5.2 Nuclear Review Board (NRB)

The NRB is the off-site overview committee that reports to

the Vice President, Electric Production. The NRB convened

a special meeting on June 20, 1986, to review the Unit 2

ESW repair and operability of the system. The inspector

attended this meeting at the PECo corporate office (see

detail 6.2.6).

Technical Specification 6.5.2 requires that NRB provide

independent review and audit of nuclear power plant

operations. The NRB Charter, Revision 8, and NRB-1,

Review Practices, Revision 3, further details these

requirements. A review of the NRB membership shows an

apparent weakness may exist with respect to operations

experience, and therefore NRB in-depth review of operations

activities. Discussions were held with the NRB Chairman

with respect to this finding. The NRB Chairman stated that

this item will be reviewed at the next NRB meeting (July

1986).

9.5.3 Independent Safety Engineering Group (ISEG)

ISEG is an on-site independent assessment group that

reports to the corporate Nuclear Safety Section. The ISEG

function includes investigations of events, reviews of

violations, reviews of operating events, and other duties

as specified in the Nuclear Safety Section charter dated, -

August 19, 1983. '

t

'

ISEG reviews control room activities daily (Monday through

Friday) as required by Nuclear Safety Section Procedure

NSS-I-2, Rev. 2, January 21, 1985. Items that are

independently reviewed include: Out of service equipment

versus Technical Specification LCOs and FSAR design basis.

Results are brought to the attention of the shift and

plant management. ISEG is currently staffed with one

supervisor, two engineers, and two individuals part-time.

The inspector verified that the reviews are being

performed.

ISEG is performing studies and participating in a program

on scram reduction in accordance with INP0 and GE owners

groups. The inspector reviewed these studies and

discussed them with ISEG engineers. These studies have

determined that eleven scrams have occurred at Peach

Bottom due to feedwater control system malfunctions.

Engineering has been requested to provide recommendations

concerning a new fault tolerant system.

_ _ _ _ _

.

.

56

9.5.4 0perating Experience Assessment Committee (OEAC)

The OEAC is a technical review group established to

provide a broad interdisciplinary review of significant

internal and external operating experience informatt.n

pertinent to the safe operation of Peach Bottom and

Limerick. The information reviewed includes: INP0

Significant Operating Experience Reports (S0ERs) and

Significant Event Reports (SERs); Service Information

Letters; NRC Bulletins, and Information Notices, and

Inspection Reports; and, Plant upset reports and operating

problems. The OEAC provides reenmmendations to management

on improving operations, procedures, training and

maintenance by means of verbal and written reports or

meeting minutes.

The inspector reviewed the OEAC Charter, dated May 23,

1984, selected OEAC meeting minutes, talked to tne OEAC

Chairmar. and attended the June 25, 1986, OEAC meeting.

The OEAC meets monthly, alternating the meeti: s at

Limerick and Peach Bottom. Open items are tr .ked and

followed up on. The inspector concluded that the meeting

was an appropriate exchange of information. The .resence

of training department at the OEAC meetings is a trength.

9.5.5 Human Performance Evaluation System

The inspector inquired as to the licensee's intentions in e

participating in the INP0-Human Performance Evaluation i

System program. The program is intended to assist I

,

licensees in the reduction of human error by encouraging

personnel to report actual or potential situations whicn

keep a person from outstanding performance. A licensee

representative informed the inspector that the program is

under review. It is recommended that a decision to

implement this program be tied to a commitment to provide

experienced, credible staff staff for its implementation.

9.6 Summary

The implementation of QA/QC activities meet program requirements.

Weaknesses were noted in the depth of QA audits of the health physics

and surveillance programs. ISEG, QA and QC are currently reviewing

control room activities although licensee action is required to

formalize these programs. PORC and NRB are administratively functioning

adequately and members demonstrate a good questioning approach. The

NRB membership may be weak in the area of plant operations experience.

The OEAC activities and the licensee's pursuit of the HPES are con-

sidered a strength.

.

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57

10. Fire Protection and Housekeeping

10.1 Housekeeping and Plant Conditions

Housekeeping was evaluated by all NRC team inspectors during routine

tours of the plant on all shifts and was found to be acceptable. It

was noted that a major painting effort was in progress in response

to an INP0 initiative and that the painting process on previously

unpainted concrete involved surface preparation in accordance with

manufacturer's instructions.

The present state of housekeeping at Peach Bottom is in stark

contrast to the poor conditions that existed at the end of the past

outage. Both inside the power block and on the outside grounds, one

notices little or no trash, few if any tripping or slipping hazards

on the walkways, a minimum use of temporary materials such as

scaffolding, the proper storage of gas bottles, empty trash

receptacles, very little graffiti, and internally clean electrical

cabinets. PECo employees appeared to take pride in the cleanliness

of the facility as evidencer by an individual who introduced himself

to the inspectors during th ,'r tour of the Unit 3 refueling floor -

and proceeded to express his appreciation for the progress made by

his employer to clean H s work ,rea. This cleanup effort involved

recovery of a substantial amota of previously contaminated floor.

There were a few areas where hcusekeeping could use improvement.

These involved the Unit 2 refueling floor, portions of the Emergency

Diesel Generator (EDG) building, and the 116' elevation in the *

turbine building. In particular, work on the high density spent $

fuel storage racks is in progress on the Unit 2 refueling floor E

which has resulted in additional clutter and some inadequate

housekeeping problems with loose tools, a maze of hoses and cables

that should be better organized, filled trash bags, and a general

state of disarray of the items on the floor. Plant Operations is

aware of the Unit 2 refueling floor situation and has notified

Construction of their concerns. Construction has been reluctant to

accumulation of ' lubricating oil under the turbocharger end of all

four EDG's and an accumulation of fuel oil under the injectors above

the exhaust manifold of all four EDG's. The licensee addressed this

problem after the NRC inspector brought it to his attention. The

problem on the 116' elevation in the turbine building involves an

accumulation of 55 gallon drums that are filled with fluids

requiring processing. The storage of these drums appears to be

organized and the quantity, based on discussions with various plant

personnel, varies but never decreases to the point where there does

not appear to be anything less than a major storage area for 55

gallon drums. The licensee stated the drum storage is necessary and

feels it does not represent a problem. Long range plans involve

moving the drums and the associated processing equipment to the low

level radwaste storage building.

.

58

1

F

During routine reviews the inspectors observed that both extension >

and step ladders were not properly stored after use. 'The licensee

should make an effort to properly store these items after use to

eliminate the possibility of damaging safety related equipment

should they fall or be knocked over.

10.2 Fire Protection Activities

Fire protection activities at Peach Bottom were inspected and found

to be in conformance with Technical Specification requirements. The

following paragraphs discuss the specific areas inspected and the

resultant observations:

10.2.1 Shift Inspector Observations

During routine tours of all areas of the plant and outside

areas, inspections were made of fire extinguishers, hose

stations, and fire doors. Without exception, all fire

extinguishers and hose stations were found to be

accessible and had been routinely inspected for

operability. All fire doors were found to be closed and

in working order.

Technical Specification (TS) required fire watches were

observed to be touring the plant in accordance with the

route specified on their tour sheet. Fire watch personnel

were evident by their unique uniform of blue coveralls and

white hard hat. A total of two roving fire watches per _

shift were in effect to meet TS requirements. Most of the ,

yd

areas required to be toured are the subject of licensee E ,

exemption requests with NRC Licensing and are expected to

be deleted from the tour after resolution. Other non-TS

fire watches were stationed to meet hot work

requirements.

Training for fire watches was found to be a function of

the type of fire watch, i.e., a TS fire watch receives two

days of classroom training whereas a non-TS fire watch,

for such activities as hot work, gets no training but is

required to read administrative procedures A-12 and

A-12.1. A non-TS fire watch is generally a craft worker

assigned to the Maintenance and Construction Department.

10.2.2 Appendix R Status

Fire protection management personnel were questioned

regarding the completion status of 10 CFR 50 Appendix R

modifications. They stated that all work in both units is

expected to be complete by the end of the 1987 refueling

outage which includes the physical work, development and

implementation of procedures, and training. It was

!

l

I

~

.

59

explained that there are still several exemption requests

undergoing review by NRC Licensing, which, if ruled upon

unfavorably, could affect the end date for completion of

Appendix R activities.

The frequency and type of training and drills for the fire

brigade were reviewed and found to be in compliance with

Appendix R and TS requirements.

10.2.3 Administrative Procedure Review

The following fire protection related Administrative

procedures were reviewed and compared to TS requirements to

ensure their adequacy:

--

A-12, Ignition Source Control Procedure, Rev. 4.

--

A-12.1, Procedure for Controlling Technical

Specification Firewatch and Firewatch Patrols,

Rev.6.

--

A-12.2, Control of Combustibles, Rev. 3.

--

A-12.3, System Impairments, Rev. O.

Although the administrative procedures are not intended to

duplicate the TSs, they are designed to control in-house

activities required to implement TS requirements. Review .

of the A-12.1 procedure noted that the requirements for 'l

posting a fire watch as a function of fire barrier pene- (

tration functionality were not complete.

'

In particular

paragraph 3.14.D.2 was not included in the A.12.1 proce-

dure. The NRC inspector pointed this out to the licensee

who agreed it should be included in the A-12.2 procedure,

and the most likely reason it was not, was due to failure

to update A-12.1 after a TS amendment that added the

requirement. The licensee stated, that in actual practice,

the requirement is implemented. At the end of the inspec-

tion, the licensee had initiated a complete revision of

A-12.1 to update this procedure. The inspectors will

follow up to ensure incorporation of TS paragraph

3.14.D.2 into A-12.1.

On June 26, 1986, at 4:15 a.m., while touring the Unit 2

Reactor Building 135 foot elevation, the inspector noted a

truck parked inside the building. The inspector informed

the Shift Superintendent who investigated and took action

to station a fire watch and guard at the truck. The

inspector questioned the licensee on the hazards involved

with the truck in the Reactor Building. The licensee

reviewed the hazards and determined that Procedure A-12.2,

.

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.

60

" Control of Combustibles", would be revised to require a

fire watch whenever a vehicle is in the power block. The

inspector will follow the licensee's actions (277/86-12-20;

278/86-13-20).

10.2.4 Carbon Dioxide Fire Protection Systems

An inspection was performed of the Emergency Diesel

Generator (EDG) Cardox System. This inspection noted thit

all the equipment associated with the EDG Cardox System

including the tank, gauges, valves, piping, ejection

nozzles, pipe supports, electrical equipment, and

protective steel for Cardox piping passing through one EDG

bay into another was correctly installed and in working

order. The volume of CO2 in the storage tank exceeded TS

requirements and a review of the Operations Tour Sheets

and procedure S.13 indicated that there is adequate

control to assure the volume of C02 in the tank will not

drop,below TS limits. A similar inspection, although not

as thorough, was conducted on the Cardox systems that

service the HPCI rooms and the control, cable spreadi g,

and computer rooms. These Cardox systems are located on

elevation 116' of the turbine buildings. Again, all

hardware inspected was found to be in working order and

the weight of CO2 in the tanks exceeded TS requirements.

The Operations Tour Sheet and procedure S.13 review,

however, disclosed what appears to be a TS interpretation

problem. In particular, it is not clear as to the TS

requirements for the minimum weight of CO2 required. The i

TS states 11,000 pounds of CO2 is required for the cable h

spreading, computer, and control rooms and 2400 pounds is

required for each HPCI room in order for the Cardox

systems to be operable. This requirement is interpreted

by the licensee to mean that the minimum weight of CO2

required by TS is 11,000 pounds. Their logic is based on

the probability that there will never be simultaneous

fires in the HPCI room and in either the cable spreading,

computer, or control rooms. PECO's interpretation of the

TS has resulted in the Operations Tour Sheets and the S.13

procedure controlling the minimum weight of CO2 to a value

of approximately 13,200 pounds. The NRC inspector

questioned the licensee's interpretation of the TS and

contacted NRC Licensing for assistance. An interpretation

was not available prior to the end of this inspection.

The weight of CO2 required to be in the Cardox system to

support operability will ne reviewed following an

!

'

interpretation of the TSs by NRC Licensing. This will be

reviewed in a future inspection (277/86-12-21;

278/86-13-21).

.

'

.

61

10.2.5 QA Audits

Annual QA audits of fire protection for 1984 and 1985 (the

1986 audit had not been performed) and a routine 1986 QA

surveillance of fire barrier penetration inspections were

reviewed. The particular documentation reviewed included:

--

Audit No. AP 85-99 PL, Fire Protection Plan and

Procedures, dated 12/4/85.

--

Audit No. AP 84-80PL, Fire Protection Plan and

Procedures, dated 12/13/84.

--

Surveillance Check Report SP 86-06 ST, Surveillance

of Fire Barrier / Penetration Seal Inspection, dated

3/27/86.

The audits were found to be sufficiently broad in scope,

and when compared to deternine how similar they were, were

found to exhibit enough C fferences to conclude that they

were capable of resultir.a in adequate audits of fire

protection. As evidenceo by several meaningful findings,

it was apparent the auditors made effective use of their

audit plans. One of the 19C'. audit findings identified a

failure of both Electric ProJuction and Engineering and

Research to meet a managemer.t commitment to the NRC to

receipt inspect fire protection items. Electric

Production (EP) responded by correcting the problem but $

Engineering and Research (E&R) as of the 1985 audit, still  %

had not corrected.the problem. A review of the (

correspondence associated with this issue indicates E&R

has been extremely slow in making and implementing

necessary procedural changes. Part of the reason for this

may be that EP management made the commitment to the NRC

for both EP and E&R without prior discussion and

agreement. There are, indications that a closer working

relationship between the two entirely separate on-site QA

groups should be fostered by EP and E&R management.

The inspector noted that several significant concerns were

identified by the auditors that were not discrepancies

which could be classified as findings. These are included

in the " Recommendations" section of the audit report. The

NRC inspector learned that these issues are not tracked

nor are they required to be responded to. This appears to

be a weakness that detracts from the overall effectiveness

of the quality program at Peach Bottom. In discussions

with QA personnel, it became apparent that recommendations

are not made lightly and generally represent potentially

significant issues that should be addressed in a timely

manner and in writing by the responsible party.

.

62

The QA surveillance of the fire barrier / penetration seal

inspection disclosed an issue involving potential TS

noncompliance. In particular, present TSs require that

100% of all penetration seals be inspected once every 18

months. However, the licensee submitted a request to NRC

Licensing approximately ten months ago to change the TSs

to be consistent with Standard TSs that require a 10%

inspection of each type of penetration seal once every 18

months. At present, the TS change has not been granted,

the licensee is close to the end of the 18 month surveil-

lance period plus a 25% grace period, and they have

inspected to the requirements of the proposed TS change.

The NRC inspector followed up this issue and determined

that NRC Licensing has made a commitment to PECo to approve

the proposed TS change prior to the time when the

licensee would be in violation of their current require-

ments. The inspector had no further questions on this

issue.

10.3 l mmary

In summary, housekeeping has changed from a weakness to a

strength at Peach Bottom. The few exceptions noted indicate

that PECo management must remain committed to the present

level of effort to prevent gradual deterioration. Additionally, ,

it appears that management needs to reinforce to all involved

in performing work at the plant site, that Operations concerns

for sloppy housekeeping must be addressed by positive action, +

, not debate over whether or not a housekeeping problem exists.

In summary, the fire protection program at Peach Bottom

meets TS requirements. PECo's implementation of Appendix R

requirements is well underway and is scheduled to be

l complete prior to the end of the 1987 refueling outage.

Procedures reviewed noted a potential administrative

problem involving failure to incorporate a portion of a

TS amendment into the appropriate procedure. This may be

l

an isolated case, however, the licensee shculd review their

I processes to incorporate new requirements into existing

procedures to determine and correct the weakness that

l

.

resulted in this one example. The example of the truck in

the Reactor Building being a previously unaddressed hazard

indicates the licensee needs to increase their overall

l

awareness of hazards not addressed by procedure. EP

Quality Assurance appears to have a well defined audit and

surveillance program. However, it appears QA could be more

effective if their program required a written response to

l their audit recommendations. The fact that E&R did not

l respond in a timely fashion to implement action to receipt

._. -. .

'O

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inspect fire protection equipment indicates the licensee

needs to resolve an apparent lack of spirit of cooperation

between EP and E&R.

11.0 Security

11.1 Shift' Inspector Observations

The NRC inspector toured the protected area fence with a member of

the security force. The tour was made at dusk and continued into

darkness so that an assessment of the lighting could be made. The

following observations were made during the tour:

--

The lamps that light the area on either side of the protected

area fence were observed to occasionally turn off. This

reportedly occurs when a sensing device determines the

temperature in the light to be too hot. Along one portion of

the protected area fence, at least one light was out and

another was erratic because of this temperature control.

Although this particular area of the fence was not totally

dark, it was heavy with shadows and it was questionable as to

whether or not there was enough light for adequate performance

of the TV monitors.

--

The exclusion area on either side of the protected area fence

was, without exception, clear.

--

The security activities'at Peach Bottom are subcontracted to  ;

Burns Security. There is a fairly high turnover rate in the

security force as demonstrated by an individual with 8-1/2

months of experience being about in the middle of the seniority

,

list.

--

Although the turnover rate may be higher than what might be

considered normal, the department training appears to be good.

This may be attributable, in part, to the licensee's program

wherein a progression is established such that an individual

initially starts out as a fire watch, then progresses to a

watchperson, and then progresses to an armed guard. Although

l this progression is not always followed, it results in those

l who do follow it, being more knowledgeable about the Peach

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Bottom site.

--

There is no evidence of on going problems with PECo or

contractor personnel coming to work under the influence of

drugs or alcohol. The inspector noted that based on the

physical arrangement in the security building, however, it is ,

not likely that a guard would be able to detect alcohol on an

individual's breath. This arrangement does not preclude the

detection of aberrant behavior.

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--

Security equipment is generally considered adequate and the

arsenal has been recently upgraded in response to nationwide

concerns for terrorism. Historicaliy, there have been problems

with the security computer system which reportedly will be

addressed by the overall security system upgrade plans.

--

There is a drug and alcohol screening program for all members

of the security force. It involves an announced test as part

of initial employment screening and a once per year test at the

time of the annual pnysical. In addition, an unannounced test

of each security shift is performed annually.

Subsequent to this tour, the inspector made routine observations of

'

security activities and concluded that most routine activities are

performed as required. One exception to this was noted to be poor '

practices of the Secondary Alarm System (SAS) operator. On one

occasion, the SAS operator was observed to be distracted in conver-

sation with the shift clerk, on other occasions more than one guard

was in the SAS and all were involved in conversations and not paying

attention to the TV monitor screens. Presently, the SAS is not a

separate enclosed isolated room, it is an open area just inside the

Unit 3 entrance to the Control Room. By virtue of its location and

openness, it is not surprising the SAS operator is occasionally s

distracted. In discussions with the licensee about this problem, the

licensee stated that plans are being implemented to relocate the

SAS and make it a separate enclosed isolated space which will help to

resolve this problem.

11.2 Security Specialist Observations

The licensee's security program had been rated as Category 3 for the

last two SALP periods. The problems identified during those periods

appear to share the same general root cause: Inadequate licensee

management attention to, and control of, the security contractor.

During the latter portion of the most recent assessment period, some

improvement in the overall performance of the licensee's security

management staff and that of the security force contractor was

demonstrated. Licensee actions include the hiring of a Nuclear

Security Specialist to assist the Administrative Engineer and Plant

Manager in responding to the needs of the security program, and the

security force contractor had proposed an enhanced training program

for its personnel designed to respond better to the needs of the

licensee.

During this inspection, the licensee identified, and the inspector

verified, the following actions that have been implemented to

upgrade and strengthen the security program:

--

All security force members have been trained in the enhanced

training program.

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--

The alarm station operator positions have been upgraded to

supervising positions and all contract security supervisors

have received specific supervisory training.

--

The licensee now conducts weekly meetings with outside and

district contract security management to review problems and

program status. The inspector attended such a meeting on June

, 26, 1986, and noted that while the added communication between

the licensee and security contractor was beneficial, the

effectiveness of the meetings could be increased with the

attendance of a member of licensee's management to provide for

direct feedback and who would be in a position to ensure more

prompt action in making decisions and resolving problems.

In addition to the above, prior to the end of 1986, the licensee

plans to add a Nuclear Security Specialist to its on-site security

organization, and a corporate security representative will be

assigned to oversee site activities and report directly to corporate

security. The Nuclear Security Specialist will be used to previde

additional licensee oversight of the security contractor and che

corporate security representative will provide an on going ( dit of

the site security program.

11.3 Summary

In summary, although licensee actions to address previous problems *

have been initiated at the time of the inspection, the licensee had

not developed a firm written program to assign responsibilities, g

establish and implement goals and objectives which provide direction ~ ,

and accountability, and measure progress in upgrading the security h

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program. This is considered an additional example of incomplete and

inappropriate application of licensee corrective action programs.

12.0 Event Analysis

12.1 Unit 2 Loss of Emergency Service Water (ESW)

12.1.1 Sequence of Events and Licensee Actions

With Unit 2 operating at 100%, at approximately 7:20 a.m.,

on June 18, 1986, the RHR room 2A flood alarm occurred.

Plant operators were dispatched to check the 2A RHR room,

and at 7:40 a.m., the APO reported that the 3 inch ESW

line to 2A RHR room cooler 2AE58 was leaking, and that 10

inches of water were in the room. The leak was stopped at

8:07 a.m., by closing ESW valves 502, 503 and 506. This

action resulted in isolating all ESW to ECCS room coolers

including:

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Four RHR room coolers (two per room),

--

Four core spray room coolers (two per room),

--

HPCI room coolers (two per room),

--

RCIC room coolers (two per room),

--

Four core spray pump motor coolers, and

--

Four RHR pump seal coolers.

The licensee stationed an operator to open the ESW

isolation valves if the room coolers were needed. The

room coolers are designed to provide adequate ventilation

cooling during safety related equipment operation.

The licensee immediately initiated a plant shutdown due to

loss of all ESW to ECCS components. At 8:22 a.m., the

licensee declared an Unc.ual Event based on a threat to

the normal level of plaa', safety, and the Emergency Plan

was implemented. At 10:00 a.m., a maintenance pipe fitter

placed a temporary patch on the ESW line and ESW was

restored to service. i.t 10-05 a.m., with Unit 2 at 32%

power, a manual scran was iaitiated per procedures to

complete the shut down. At 10:10 a.m., the ESW was

verified not to be leaking and the Unusual Event was

terminated.

The subsequent repair of the ESW leak and related NRC I .'

activities is discussed in section 5.2 of this report.

Unit 2 was restarted on June 23, 1986.

12.1.2 NRC Review of Event

12.1.2.1 Control Room Activities

At the time of the 2A RHR room flood alarm, the

resident inspectors were in the control room

and observed the control room licensed operators

followup of the alarms and alarm card #C203A-25.

The inspector noted that the flood alarm

setpoint is six inches.

The Auxiliary Plant Operator verbal reports to

the control room was monitored as well as shift

supervision determination of leak isolation.

The inspector reviewed P&ID M-315, ESW and HPSW,

Rev. 19. The control room operators determined

that the leak was not isolable locally in the 2A

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RHR room, and that in order to stop the leak,

-header isolation valves (502, 503, 506) in the

RBCCW room had to be closed. _The inspector

noted that the licensee made a prudent decision

to station an operator at the isolation valves

in the event safety system room coolers were

needed.

At about 8:15 a.m., plant management arrived in

the control room. The inspector monitored the

licensee decision to declare an Unusual Event as

required by EP-101, Classification of

Emergencies, Rev. 15 and EP-102, Unusual Event

Response, Rev. 12. The Unusual Event was

declared because isolation of all ESW to the '

Unit 2 ECCS room coolers was a threat to the

normal level of plant safety. The inspector

monitored the NRC ENS phone call as well as

other notifications that were made.

The inspector monitored the plant shut down per

GP-3, Normal Plant Shutdown, Rev. 33. The

inspector reviewed TS 3.5.H which requires that

when both pump room coolers are inoperable, the

associate ECCS pump must also be considered

inoperable. Thus, the licensee was required to ,

declare all ECCS pumps inoperable due to loss of

ESW supply to the room coolers. The ECCS pumps =

could have been utilized however, and as

previously noted an operator was stationed to fd 1

open the ESW isolation valves, the room cooler

supply, if needed.

The inspector reviewed the licensee'.s Upset

Report regarding this event dated June 27, 1986.

The Upset Report was determined to be factual

and complete. The inspector noted that Unit 3

had implemented a plant modification (MOD 1557)

i which added manual isolation valves on each pair

'

of room coolers during the 1985-86 refueling  !

outage. M00-1557 is scheduled for completion in

Unit 2 during the 1987 refueling outage.

i

The inspector concluded that the control room

, response to the leak was tim.Ly and appropriate.

j

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Adequate implementation of one emergency plan

procedures and plant shutdown procedures was

j noted. The time from the annunciator alarm to

starting the plant shut down was 47 minutes, and

l the time to a hot shut down condition was I hour

,

and 58 minutes.

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The inspector noted two problems during

subsequent followup to the event:

--

There currently exists no emergency or

other type procedure for loss of ESW. This

issue is further discussed in section 8.4

of this report.

--

The licensee inspects the 2A RHR room daily

as required by ST 7.8.5, Unmanned Vital

Area Visual Inspection, Rev. 1. This

inspection is primarily for security plan

purposes and a leak may not have been

detected. The licensee also noted this

deficient condition, and has implemented a

once per shift inspection of each ECCS room

by the non-licensed operators.

12.2 Group IIA Primary Containment Isolation of Reactor Water Cleanup

System (Unit 3)

The inspector observed operator response to an isolation of the Unit

3 Reactor Water Cleanup System (RWCU). The isolation occurred at

1:30 p.m., June 24, 1986, when the plant was at full power.

Preparations were being made for a startup of Unit 2 and most of the

attention of shift supervision was being directed to those details.

The Unit 3 Control Operator announced the event and was immediately +

assisted by the Shift Superintendent, Shift Supervisor, the " Chief" ho

Control Operator, and the Shift Technical Advisor. The event was

caused by a loss of power to instrument loops monitoring

demineralizer influent temperature and pump vibration. Although the

control circuit properly tripped the running pumps and isolated the

system, there was no indication or annunciation of an out of

specification parameter causing the isolation, in accordance with

plant design. The operators received appropriate assistance from

the Outside Shift Supervisor who quickly identified the power supply

circuit and personally investigated its status within the plant.

After determining the cause and reporting to the Shift Superintendent

power was restored and the RWCU system returned to service. During

this event the operators demonstrated excellent communications in

that all control room personnel were kept appraised of plant status

and actions being undertaken. Operating and off-normal procedures

were in use throughout this event. Appropriate notification was made

to the NRC in accordance with 10 CFR 50.72.

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13. Management Meeting and Exit Interview

A verbal summary of preliminary findings were provided to the Senior Vice

President-Nuclear Power and other licensee representatives (listed in

Attachment 1) including the Manager, Peach Bottom Station at the conclu-

sion of the inspection on July 3,1986. During the inspection, licensee

management was periodically notified verbally of the preliminary findings

by the NRC Inspection Team Manager and leader. A management overview of

the inspection findings was also presented to the Vice President-

Electric Production at NRC Region I offices on July 22, 1986. No written

inspection material was provided to the licensee during the inspection.

No proprietary information is included in this report.

Attachment I lists licensee supervisors and managers who were contacted

or interviewed during the course of the inspection. Attachment 2 lists

12 outstanding items to be responded to by the licensee, and 11 items

which will be followed-up on by future NRC inspections.

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ATTACHMENT 1

INSPECTION REPORT 50-277/86-12/86-13

PERSONS CONTACTED

The following is a listing of licensee personnel supervision were contacted

during the inspection. Other licensee employees, contractors and vendor

representatives were contacted during the course of the inspection.

V. S. Boyer, Senior Vice President, Philadelphia Electric Company (PECo)

S. L. Daltroff, Vice President, Electric Production

M. J. Cooney, Manager, Nuclear Production

G. M. Leitch, Superintendent, Nuclear Generation Division

W. T. Ullrich, Superintendent, Limerick 2 Project

R. H. Moore, Superintendent, Quality Assurance Division

M. J. McCormick, Jr., Superintendent, Maintenance Division

R. S. Fleischmann, II, Manager, Peach Bottom

G. A. Hunger, Jr. , Engineer In Charge, Nuclear Safety Section

W. J. Knapp, Jr., Director, Radiation Protection Section

W. F. Casey, Superintendent Station Section, Maintenance Division

J. E. Winzenried, Staff Engineer, PBAPS

J. B. Cotton, Superintendent, Plant Services, PBAPS

D. C. Smith, Superintendent, Operations, PBAPS

A. E. Hilsmeier, Senior Health Physicist, PBAPS

J. F. Mitman, Engineer, Maintenance, PBAPS

A. A. Fulvio, Engineer, Technical, PBAPS

S. R. Roberts, Engineer, Operations *

F. W. Polaski, Engineer, Outage Planning

S. A. Spitko, Engineer, Administration f('

O. L. Oltmans, Senior Chemist

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ATTACHMENT 2

INSPECTION REPORT 50-277/86-12 AND 50-278/86-13

'

LICENSEE RESPONSE ITEMS AND INSPECTOR FOLLOW ITEMS

I. Licensee Response Items

The licensee is requested to respond to each item, describing tne planned

action and the estimated completion date.

1. Address the concern that the " Chief" Operator may direct the licensed

activities of the Unit Reactor Operators, as defined in 10 CFR

55.4(e), without holding a Senior Reactor Operator license.

(277/86-12-01; 278/86-13-01)

2. Improve control room logs and records such that they reflect the

professional manner in which personnel actually perform their duties.

(277/86-12-02; 278/86-13-02)

3. Address the potential for presently assigned S. ft Superintendent

administrative duties detracting from plant operation oversight

responsibilties. (277/86-12-03; 278/86-13-03)

4. Address the concern that not all information tags nay be located

during an audit due to absence of serial numbers, log, or other form

of tracking system. (277/86-12-04; 278/86-13-04)

5. Address and correct paging system deficiencies and abuse.

(277/86-12-05; 278/86-13-05) t ,

6. Conduct failure analysis of MO-2-02-074 and compare results with the

valve's environmental qualification analysis. (277/86-12-07)

l 7. Address the status of the review of health physics group

'

organization and staffing, and plans to address findings.

(277/86-12-09;278/86-12-09)

8. Improve training program for health physics technicians.

l (277/86-12-10; 278/86-13-10)

l

9. Address the need to formally establish the corporate radiological

controls assessment program (277/86-12-11; 278/86-13-11)

! 10. Address concern that needless exposure results from conducting radia-

tion surveys to support Radiation Work Permits which are not used or

l are not used with a period of several days such that additional surveys

are required. (277/86-12-12; 278/86-13-12)

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11. Address concern that oversicht and control of work and activities by

the Health Physics Technical Group is inadequate. (277/86-12-13;

278/86-13-13)

12. Address the practice of using infornial health physics " guidelines"

and not incorporating them into appropriate controlled station

procedures. (277/86-12-14; 278/86-12-14)

13. Address the need for procedures for ALARA goal setting and

tracking. (277/86-12-16; 278/86-13-16)

14. Establish tracking system for the resolution of QA audit recommenda-

tions. (277/86-12-17; 278/86-13-17)

15. Formalize QA control room review activities. (277/86-12-18;

278/86-13-18)

16. Define the scope of RTs and administrative 1y control their

preparation and issuance; and address the missing emergency

procedures to meet regulatory requirements. (277/86-12-19;

278/86-13-19)

II. Inspector Follow Items

These items will be reviewed during subsequent NRC inspections.

1. Review revision to Procedure M65.4 with respect to using gauge valves

on the snubber testing machine. (277/86-12-06; 278/86-13-06) +

Review adequacy of licensee actions to enhance communications between

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2.

health physics supervisory / management personnel and the technician

staff. (277/86-12-15; 278/86-13-15)

3. Review revision to Procedure A-12.1 to ensure incorporation of the

requirements of TS 3.14.D.2. Review revision to Procedure A-12.2 to

ensure that a fire watch is required whenever a vehicle is in the

power block. (277/86-12-20; 278/86-13-20)

4. Review adequacy of CO2 weight required in the Cardox system to assure

operability. (277/86-12-21; 278/86-13-21)