ML20236C631

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Insp Repts 50-445/87-16 & 50-446/87-13 on 870805-0902. Violations & Deviation Noted.Major Areas Inspected:Applicant Actions on Previous Insp Findings,Followup on Violations & Deviations & Followup on 10CFR50.55(e) Repts
ML20236C631
Person / Time
Site: Comanche Peak  Luminant icon.png
Issue date: 10/23/1987
From: Barnes I, Ellershaw L, Hale C, Will Smith, Wagner P
NRC OFFICE OF SPECIAL PROJECTS
To:
Shared Package
ML20236C585 List:
References
50-445-87-16, 50-446-87-13, NUDOCS 8710270275
Download: ML20236C631 (67)


See also: IR 05000445/1987016

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                                                             APPENDIX C
                                       U. S. NUCLEAR REGULATORY COMMISSION
                                            OFFICE OF SPECIAL PROJECTS
    NRC Inspection Report:                        50-445/87-16                     Permits: CPPR-126                          1
                                                  50-446/87-13                               CpPR-127                         '
    Dockets: 50-445                                                                Category: A2

1

             50-446
                                                                        Construction Permit
                                                                        Expiration Dates:
                                                                        Unit 1: August 1, 1988
                                                                        Unit 2: Extension request
                                                                                       submitted
    Applicant:                   TU Electric
                                 Skyway Tower
                                 400 North Olive Street
                                 Lock Box 81
                                 Dallas, Texas               75201
    Facility Name:                     Comanche Peak Steam Electric Station (CPSES),
                                       Units 1 & 2
    Inspection At:                     Comanche Peak Site, Glen Rose, Texas
    Inspection Conducted:                        August 5 through September 2, 1987
                                        %
                                              I\
                                            v
    Inspectors:                    x
                                              ')             /LLL,                           /0
                                 L .\ E. Ellershaw, Reactor Inspector                          / Dave '
                                      (paragraphs 2.g-n, 2.r, 3.a, 3.f, 3.h-j,
                                        0.b-e, and 9)
                                          \
                                                           1                                  l0                         b 77
                                 C. J. Hale, Reactor Inspector                                  Datd
                                      (paragraphs 2.o, 2.t-u, 3.e, 3.g,                 4,  5.d-e, and 6)
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 G       Dock 0500o445
                                   PDR
 _7 ~ . - _ - -                                                                            ,
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                                                       2
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                                  $fh               foY
                                 W. F. Smith, Reactor Inspector
                                                                              /0/2S/87
                                                                               Dat'e
                                     (paragraphs 2.a, 2.q, and 5.a-c)
                                     f.E. W e
                                  P. C. Wagner, Reh& tor Inspector
                                                                             io/zs/e7
                                                                               Date
                                                                                            3
                                                                                            I
                                      (paragraphs 2.b-f, 2.p, 2.s, 3.b-d, 7.a-c and 8.a)
                                                                                            .
                   Consultants:    EG&G - J. Dale (paragraphs 2.k, 3.a and 3.f)
                                           W. Richins (paragraphs 2.g-j, 2.1, 2.m-n, 2.r,
                                                         and 3.1)
                                           V. Wenczel (paragraph 6.a)
                                                                                            l
                                   Parameter - J. Birmingham (paragraphs 2.0, 2.t,     4,   I
                                                                  and 5.d-e)                l
                                                K. Graham (paragraphs 3.h, 3.j, and
                                                             8.b-c)                         l
                                                D. Jew (paragraphs 8.d-e)
                                                                                            l
                   Reviewed by:      ffha& [0Y
                                   I. Barnes, Senior Project Inspector
                                                                             Y2h77
                                                                               tat'e
                   Inspection Summary:
                   Inspection Conducted: August 5 through September 2, 1987 (Report         j
                   50-445/87-16; 50-446/87-13)                                              f
                                                                                            '
                   Areas Inspected: Nonroutine, unannounced inspection of applicant
                   actions on previous inspection findings; follow-up on violations          .
                                                                                             '
                   and deviations; follow-up on 10 CFR Part 50.55(e) reports; general
                   plant areas (tours); Comanche Peak Response Team (CPRT)
                   issue-specific action plans (ISAPs) III.a.3, III.c, VII.a.2, and
                   VII.b.1; nonconformance processing; corrective action programs; and
                   site design reviews.
                   Results: Within the eight areas inspected, three violations
                   (actions to prevent repetition not taken for nonconforming
                   conditions, paragraph 2.u; 6.9kV jackshaft welds did not meet weld
                   criteria and were not identified during inspection, paragraph 6.b;
                   and cotter pins missing on sway struts, paragraph 8.b) and one
                   deviation (administrative procedure does not have committed
                   administrative controls, paragraph 2.a) were identified,

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                                                    3
        ,
                                                 DETAILS
                 1.    Persons Contactec
                    *D. B. Allen, ISU Coordinator, TU Electric
                    *R. P. Baker, Engineering Assurance (EA) Regulatory Compliance
                            Manager, TU Electric
                      V. Barish, Issue Coordinator, Evaluation Research Corporation
                             (ERC)
                       R. Beam, Conduit Walkdown Supervisor, EBASCO                   l
                    'R. A. Berry,. Project Engineer, Stone & Webster Engineering
                             Corporation (SWEC)                                        ,
                    *D. N.-Bize, Regulatory Compliance Supervisor, TU Electric        '
                    *M. R. Blevins, Manager, Technical Support, TU Electric
                       J. T. Blixt, Nonconformance Report (NCR) Group Supervisor,
                            Brown and Root (B&R)
                       D. Boydston, Issue Coordinator, ERC
                       T. Brandt, Assistant to Director of Quality Assurance (QA),
                            TU Electric                                              '
                                                                                      l
                       R. Broome, Pipe Fabrication Shop, B&R
                       A.-Clay, Pipe Fabrication Shop, B&R
                       P. Cowell, Supervisor of. Structural Integrity, Impell
                             Corporation
                    *R.   D.  Delano, Licensing Engineer, TU Electric
                       M. Dempsey, Electrical Engineer, SWEC
                       D. E. Deviney, Manager, Operations QA, TU Electric
                       S. Esfandiari, Project Engineer, Impell Corporation
                    *S. L. Ellis, Unit 1 Test Manager, TU Electric
                       K. Fitzgerald, HVAC Engineer, EBASCO
                    *M. D. Gadon, Senior Review Team (SRT), CPRT, TU Electric
                       S. Golub, Welding Engineer, SWEC
                    *P. E. Halstead, Manager, Quality Control (QC), TU Electric
                       M. J. Harvey, Warehouseman, B&R
                       S. Harrison, Supervisor of Support Engineering, TU Electric
                    *T. L. Heatherly, Regulatory Compliance Engineer, TU Electric
                    *D. A. Hodge, CPRT Interface, TU Electric
                    *C. R. Hooten,' Unit Manager, Comanche Peak Engineering,
                             TU Electric
                    *J. J. Kelley, Manager, Plant Operations, TU Electric
                       C. Killough, Quality Services Supervisor, TU Electric
                    *R. L. Moeller, Westinghouse Site Manager, Westinghouse
                    *L. D. Nace, Vice President, Engineering & Construction,
                            TU Electric
                       T. R. Neely, Supervisor, B&R
                    *D. E. Noss, QA Issue Interface Coordinator, TU Electric
                       E. Odar, Project Engineering Manager, EBASCO
                       J. O'Hearn, Electrical Engineer, SWEC                         '
                                                                                      .
                       C. Killough, Quality Services Supervisor, TU Electric
                    *G. R. Purdy, Site QA Manager, B&R
                       G. Ross,-Issue Coordinator, ERC
                    *M. J. Riggs', Plant Evaluation Manager, Nuclear Operations,
                            TU Electric
          ____-                --- -                                                .
                                                                                                            _ - _ _ _ - _ _ _ _
                                                                                                                                !
 -.    ..
                                      4
       *A. H. Saunders, EA. Evaluations Manager, TU Electric
       *A. B. Scott, Vice President, Nuclear Operations, TU Electric
       *C. E. Scott, Manager, Startup, TU Electric                                                                              4
                                                                                                                                I
         D. Schmidt, Senior Coordinator, Technical Audit Group,
               TU Electric                                                                                                      ;
                                                                                                                                '
         B. G. Schuler, NCR Evaluation Task Coordinator, SWEC
         D. Shelton, QE, B&R                                                                                                    i
                                                                                                                                '
         L. K. Skinner, Warehouseman, B&R
       *T. G. Tyler, Director, Projects, TU Electric
       *C. S. Weary, Supervisor, Equipment Qualification, TU Electric
         The NRC inspectors also interviewed other applicant employees
         during this inspection period.
       * Denotes personnel present at the September 2, 1987, exit
          interview.                                                                                                            ;
    2.    Applicant Actions on Previous Inspection Findings (92701)
          a.   (Closed) Unresolved Item (445/8511-U-02): Resolution of
               the Joint Test Group's (JTG's) failure to require hot
               preoperational retesting of steam generator water level,
               pressurizer level, and pressurizer pressure instrument
               detectors after replacement. On pages J-73 through J-77
               of the CPSES Supplemental Safety Evaluation Report No.7,
               dated January 1985 (SSER-7), the NRC Technical Review                                                              j
               Team (TRT) identified two completed preoperational test                                                            l
               data packages where the JTG had approved retests                                                                   i
               requiring only a cold calibration after level instrument                                                           d
               detectors had been replaced on steam generators and the
               pressurizer following integrated hot functional testing
                                                                                                                                4
               (HFT). The detectors should also have been checked under                                                          i
               hot plant conditions to satisfy preoperational test                                                                ]
               requirements. The TRT directed the applicant (see page                                                           j
               J-77, paragraph 6.a of SSER-7) to address the appropriate
               resolution in the deferred preoperational tests.
               Deferred preoperational tests are those preoperational                                                             !
               tests which have been formally deferred until the                                                                 $
               required conditions can be achieved during the Initial                                                             i
               Startup Testing Program. This is because the plant may                                                             i
               not be scheduled to achieve those conditions before
               licensing and fueling, i.e., hot standby, and it is not
               always prudent to cycle the plant through a thermal
               transient just for a small increment of testing. The NRC
               reviews, and must consider the safety significance of,                                                              i
                                                                                                                                   '
               these deferrals as part of the licensing process. It was

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               not known by the TRT during the 1984 reviews whether

l another HFT would be conducted before initial fueling. i

                                                                                                                                   1

!

               The JTG conducted a reevaluation of the completed test                                                              l

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               packages as committed in ISAP III.a.1, " Hot Functional

I Testing (HFT)," paragraph 4.1.2. Subsequently, the NRC j

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           . "
                                           5
                   staff conducted implementation inspections for
                   ISAP III.a.1 as documented in NRC Inspection Reports
                   50-445/85-11, 50-446/85-06 and 50-445/85-16,
                   50-446/85-13. In paragraph 5.h of 50-445/85-11,
                   50-446/85-06 the NRC inspector identified another case
                   where a pressurizer pressure transmitter had been
                   replaced subsequent to HFT, but again the JTG approved a
                   cold calibration as the only designated retest.
                   The TRT position on the issue has been that Regulatory
                   Guide (RG) 1.68 (Revision 2 of August 1978), to which the
                   applicant is committed per FSAR Appendix 1A(B), requires
                   tests designated in the FSAR as preoperational tests to
                   be completed and the results evaluated and approved by
                   the applicant prior to issuance of the Operating License.
                   RG 1.68 also requires the system being tested to be
                   " essentially complete." This means complete to the
                   degree that outstanding construction items could not be
                   expected to affect the validity of test results. Failure
                   to install components required to be tested, or the
                   subsequent replacement of tested items can be expected to
                   invalidate the test. RG 1,68 requires that, to the
                   extent practical, the plant conditions during the tests
                   should simulate the actual operating'and emergency
                   conditions to which the system, structure, or component
                   may be subjected. The phrase ".   . . to the extent
                   practical" means earthquakes, steam line ruptures, or
                   other extremes that could damage or shorten the design
                   life of equipment are not appropriate for preoperational
                   testing.
                   Issuance of the Operating License is dependent upon,
                   among many other things, the applicant meeting RG 1.68 in
                   their preoperational test program, or the staff being     .l
                   provided adequate justification, usually in the form of   l
                   specific, limited deferrals, when the preoperational test 1
                   program cannot be completed as committed.
                   The applicant's preoperational test procedures appeared    1
                   to implement the objectives of RG 1.68, based on TRT      !
                   reviews and previous procedure reviews conducted by the
                   NRC Operations Senior Resident Inspector. For example,
                                                                             '
                   1CP-PT-34-05, " Steam Generator Narrow Range Level
                   Verification," demonstrates at hot, no load conditions
                   that the narrow range level channels for each steam       1
                   generator indicate properly at the upper and lower
                   instrument taps, and compare properly with each other for
                   actual changes in steam generator water level.
                   1CP-PT-55-05, " Pressurizer Level Control," demonstrates
                   the control, level indicating, and alarm aspects of
                   pressurizer level instruments with a prerequisite
                    (paragraph 6.13) requiring the plant to be in hot

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                                6                                                                                                                 l
                                                                                                                                                  i
        standby.  1CP-PT-55-10, " Pressurizer Pressure Control
        System," demonstrates the system's capability to maintain
        pressurizer pressure and to restore pressure after a
        pressure deviation, with a prerequisite (paragraph 6.18)
        requiring the plant to be in hot standby.
        These same objectives are not met by only a cold
        calibration of the installed replacement detectors.                                                                          In
        the ISAP III.a.1-Results Report, Revision 1, " Hot
        Functional Testing (HFT)," issued on June 24, 1987, the
        CPRT stated that the JTG's reevaluation of the above test
        data packages led to the conclusion that the test
        objectives had been met and confirmed the original JTG
        decision concerning the retest requirements for the
        replaced detectors. The CPRT and the SRT concurred. The
        NRC staff did not agree, and a meeting to discuss the NRC
        concern was held on August 31, 1987, between the NRC
        Assistant Director for Inspection Programs, CPSES Project
        Division; the TRT Test Programs Lead; the Senior Resident
        Inspector for Operations; TU Electric Vice President,
        Operations; Manager, Startup; Technical Support Lead,
        Startup; and the CPRT Team Leader. The TRT's concerns
        over retesting were discussed with the following results:
        (1)  The Startup group will produce objective evidence
             that the five instrument detectors discussed above
             all demonstrated satisfactory operating
             characteristics during the heatup of the plant to
             normal hot conditions in December 1984/ January 1985.
             This evidence was produced on September 1, 1987.
        (2) -The applicant understood the TRT's concerns that
             there may be other such components or systems that
             may have been inadequately retested following
             maintenance or modifications. In cases where
             preoperational test acceptance criteria may not have
             been fully met on retests, the applicant appears to
             have inappropriately adopted the practice of
             assuming the items would eventually be fully checked
             as a result of the post-licensing Initial Startup
             Test Program. These should have been identified as
             outstanding retests instead of being signed off as
             complete. The applicant has indicated that the
             Prestart' Test Program currently being developed for
             Unit 1 will retest them or identify, with
             justification, those which will not be retested _
             prior to licensing. The NRC staff has reopened                                                                                        l
             applicable portions of the preoperational test
             inspection program to monitor the applicant's Unit 1
             Prestart Test Program which will ensure that all
             preoperational test acceptance criteria are met

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            and/or. exceptions identified with adequate
             justification prior to licensing.
        (3) .StartupfAdministrative Procedure CP-SAP-22, " Retest
            Control," Revision 3 of July 20, 1987, now provides
             adequate: instructions for assuring that equipment
            will be retested to maintain the state of readiness
            previously established by the preoperational tests.
        (4) Operations Administrative Procedure STA-623, " Post
            Work Testing," Revision 1 of June 26, 1987, appears
             to be adequate to assure the operability.of safety-
             related equipment as defined in the Technical         '
             Specifications; however, it does not contain
             controls to ensure adequate retesting of systems or
            design features that have been maintained lor          4
            modified following preoperational testing and prior
             to licensing on systems turned over to Operations
             control, such that.the parameters recorded in the
             preoperational test records remain valid. In view
             of the long period of time between preoperational
             testing ~and licensing at CPSES, the staff recognizes
             that-there will be cases where initial
             preoperational testing criteria will not be met due
             to normal wear and aging of some components.   If
             these components are not restored, this will require
             analyses to justify use in an "as is" condition.
             As stated above, Appendix 1A(B) of the FSAR
             indicates the applicant is committed to RG 1.68,
             Revision-2, 1978. This RG requires, in part, the      2
             establishment of administrative controls to ensure
             adequate retesting of systems or design features
             maintained cn: modified during or following           i
             preoperational testing. In addition, RG 1.68
            ' requires that upon licensing, all safety-related
             systems and design features must meet the
             preoperational test acceptance criteria as described    .
            'in the FSAR with any and all exceptions identified
             to the NRC and appropriately justified.                 {
                                                                     l
             Failure to have the above controls is a deviation      1
             from RG 1.68, Regulatory Position C.2                   l
             (445/8716-D-01).                                        l
                                                                     {
        (5)  It was recognized that in the absence of detailed
             retest requirements for every conceivable kind of
             work that could be performed on safety-related          J
             equipment, there will be cases where engineering        l
             judgement will be necessary to specify post work       i
             retests which ensure the previous results of            j
             preoperational testing are still valid. TU
                                                                     l
                                                                   ,
 ,
        ..                       .
                                                             8

l Electric's Startup and Operations programs provide '

                                           adequate controls for this except as noted in
                                           paragraph (4) above,
                                  b.  (closed) Open Item (445/8511-0-07): Inadequate
                                     separation distance between electrical cable trays. The
                                     NRC inspector observed that cable tray T140CDJ17 had two
                                      1" openings in the solid bottom cover and that the tray
                                     was located only l'9" from the cable tray below. The
                                      separation distance requirements in effect at the time of
                                     the inspection required that a 3' distance be maintained
                                     for the above installation. The NRC inspector has noted
                                     that the applicant issued design change authorization
                                      (DCA) 25,487 subsequent to the inspection. The DCA
                                     revised the required separation distance applicable to
                                     the above installation to 1". The installation in
                                     question, therefore, meets the present separation
                                     criteria. The revised criteria have been submitted in
                                     Amendments 60 and 62 to the FSAR and are currently under
                                     review by the NRC.

l c. (Closed) Open Item (445/8511-0-14): Damaged separation

                                     barrier material (SBM). This open item pertained to
                                     instances of damaged SBM or fire wrap material that were

, observed by the NRC' inspectors during ISAp VII.c

                                     inspections. The specific locations of damage and the
                                     associated applicant noncomformance reports (NCRs) were
                                     delineated in NRC Inspection Report 50-445/86-01;
                                     50-446/86-01. The SBM " blankets" are constructed from
                                     layers of fire retardant material which are then sewn
                                     inside a fiberglass cloth. Further review disclosed NCR
                                     CE 87-4577 had been dispositioned to remove all SBM from
                                     Unit i raceways, because incomplete installation
                                     requirements had led to the conclusion that the quality
                                     of the installations was indeterminate. Therefore, this
                                     open item is moot.
                                 d.   (Closed) Open Item (445/8511-0-16): Inadequate
                                     separation distance between conduit and cable tray.
                                     While performing ISAP VII.c inspections for the conduit
                                     population, the NRC inspector noted separation distances
                                     less than were allowable at the time of the inspection
                                      (also see Open Items 445/8511-0-17 and -18, below).
                                     Subsequent to those inspections, the applicant issued
                                     DCA 25,487. This DCA reduced the required separation
                                     distances between conduits and cable trays to 1". The
                                     observed separation distances were in compliance with

! this revised criteria. As noted in paragraph 2.b above,

                                     the revised separation criteria were submitted to the NRC
                                     in Amendments 60 and 62 to the FSAR.
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L p b e.) -(Closed).open Item (445/8511-0-17): Inadequate conduit

                                                                                              '

L to: cable tray separation. distance.' See open Item (,, '445/8511-0-16, above.-

                                                 .
  '
                              f.   (Closed) open' Item (445/8511-0-18):   Inadequate conduit  l
                                  to cable tray separation distance. See open Item'
                                  445/8511-0-16,L above.
                             g.    (closed): Open: Item (445/8513-0-41): .During an NRC
                                  witnessed: reinspection of Verification Package
                                  I-S-SBPS-028'for support WP-X-AB018-012-3, the ERC
                                  inspector identified two potential. deviations:
                                  (1) incorrect l bolt hole spacing,fand (2) excessive. gap   ,
                                  between the pipe and shim. This resulted^in Deviation       1
                                  Reports (DRs)-I-S-SBPS-028 DR1 and DR2, respectively.
                                  DR1 was revoked on November 27, 1985, and DR2 was revoked
                                  October 7, 1985, for the following reasons: (1) "The
                                  condition no longer exists in field. Based on review of
                                  operations at the time of inspection; there was             j
                                  maintenance' work going on in general area of support and
                                                                                              -
    
                                  piping.   At the time of reinspection a condition could
                                  have existed causing the pipe to be raised .015" from the
                                  Support." and (2)'"Further reinspection of the
                                  dimensional variance for attachment location to the
                                  baseplate revealed that dimensions:given on support
                                  detail drawing are accurate and within tolerance."
                                  The NRC inspector reinspected Verification Package
                                  I-S-SBPS-028 and interviewed the original ERC inspector.
                                  Based on these actions, the NRC inspector concluded that
                                  the original measurements had'been taken on an incorrect    ;
                                  base plate. The error had been corrected during a           ,
                                 -subsequent inspection that'found all measurements to be     :
                                  within~ tolerance.                                         ~j
                                                                                              i
                            h.    (Closed) open Item (445/8513-0-42): During a
                                                                ~
                                  reinspection of= Verification Package I-S-SBPS-035, the
                                  ERC inspector identified a potential deviation pertaining
                                  to insufficient Hilti bolt embedmont. The support
                                  drawing, CH-2-AB-015-008, Revision 3, indicates the lower
                                  north Hilti requires an 8" minimum embedment; however,
                                 'the ERC. inspector' measured a total embedment of 7 7/8".
                                  This condition caused the initiation of DR
                                  I-S-SBPS-035-DR1 for a violation of minimum embedment,
                                  and which resulted in the~ issuance of NCR 85-M-22006.
                                 This NCR was dispositioned as follows:. "Per CEI-20,
                                 paragraph 3.1.4.1, the change in bolt projection during      ,
                                  tightening of the nut shall not exceed one nut height.
                                  Since the 7 7/8" embedment now existing is within one nut
                                 height of the 8" embed specified, and the bolts were
                                  torqued to the required 150 ft. lbs. (reference
                                  IRMH-50366), the condition is acceptable as is." The NRC
                                                                                              1
  .         .
                                       10

I' i

                inspector has reviewed Verification Package I-S-SBPS-035
                and QEI-020, and concurs with the disposition of NCR
                85-M-22006. This open item is closed.                     ,
             i. (Closed) open Item (445/8513-0-43): This item addressed
                a potential deviation regarding incorrect bolt spacing on {
                a small bore pipe support base plate. This condition was  l
                identified by CPRT during an NRC witnessed inspection of  1
                Verification Package I-S-SBPS-038, documented on CPRT DR  l
                I-S-SBPS-038-DR1, and incorporated into NCR M-23382N.     i
                NCR M-23382N states that this condition is not a          )
                nonconformance based on additional inspection. The        i
                measurement in question is acceptable and within the      f'
                + 1/4" tolerance. The NRC inspector checked the
                measurements and concurs with the disposition of NCR
                M-23382N. This item is closed.
             j. (Closed) open Items (445/8513-0-50, 445/8513-0-51, and
                445/8513-0-52): These items addressed potential
                deviations identified by CPRT during inspections of
                Verification Packages I-S-LINR-03, -30, and -60 which
                were witnessed by the hRC inspector.  Excessive weld
                reinforcement was documented on CPRT DRs I-S-LINR-03-DR1,
                -30-DR1 and -60-DR1. Weld undercut and unacceptable weld
                seam surface were documented on CPRT DRs I-S-LINR-60-DR2
                and DR3 respectively. These DRs were incorporated into
                NCR M-85-101128SX, Revision O, which was dispositioned
                "use-as-is" based on an evaluation of radiographic
                examinations and a comparison of actual to nominal yield
                strengths. The disposition of this NCR is the subject of  )'
                NRC violation 445/8631-V-01 and will be tracked by the
                NRC using this violation number. These open items are
                therefore closed.
            k.  (Closed) Open Item (445/8514-0-23): During an ERC
                reinspection of Verification Package I-M-HVIN-040 (a
                fan), three potential deviations were identified:
                (1) inlet and outlet duct connection gaskets had low and
                uneven compression, (2) diameters for foundation anchor
                bolts and duct connection bolts were illegible on
                drawings provided in the inspection package, and
                (3) exhaust duct connection bolts did not have full
                thread engagement with nuts. The ERC inspector initiated
                DR I-M-HVIN-040-DR1 dated October 22, 1985, for items (1)
                and (3), above. A new legible copy of the drawing
                clarified the required diameters for the foundation
                anchor bolts and the duct connection bolts; therefore,
                this item was not added to the DR. Item (1) on DR1 was
                deleted when inspection after removal of caulking from
                the mating flanges showed the gasket material to be
                satisfactorily compressed.  Item (3) on DR1 resulted in
                the issuance of NCR CM-87-5963X on April 29, 1987, which
    _ _ _ _
 - _ - _ _- - _ _ _ _ _ - _ _ _ _ __ _ _ - _ _ _ _ _ - _ _ _ _ - _ _ _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .                                                       _ - -_-_-_ - __
                                                  .                                             .
                                                                                                                                                                                11
                                                                                                                                                       was dispositioned as follows: "This non-conforming
                                                                                                                                                       condition will be addressed by CAR-111 through the
                                                                                                                                                       implementation of CPE-FVM-CS-029."

l The NRC inspector has reviewed Verification Package

                                                                                                                                                       I-M-HVIN-040, DR1, NCR CM-87-5963-X, CAR-111 and
                                                                                                                                                       CPE-FVM-CS-029. CPE-FVM-CS-029 is a complete walkdown

,

                                                                                                                                                       and reverification program for HVAC and' includes the

i

                                                                                                                                                        inspection of Attribute 3.6.3.E.H.8, " Minimum engagement
                                                                                                                                                        is such that tip of bolt is flush with outside face of
                                                                                                                                                       nut." The NRC inspector concurs with the disposition of-
                                                                                                                                                       DR1 and NCR CM-87-5963-X and agrees that implementation
                                                                                                                                                       of CPE-FVM-CS-029 (which has already begun and will be a
                                                                                                                                                        subject of'NRC inspection) will identify and cause to be
                                                                                                                                                       corrected any other deviating conditions. This open item
                                                                                                                                                        is closed.
                                                                                                          1.                                             (closed) Open Item (445/8514-0-33): This item addressed
                                                                                                                                                       a potential deviation identified by ERC during an NRC
                                                                                                                                                       witnessed inspection of Verification Package I-S-CONC-40.
                                                                                                                                                       The locations of concrete cast-in-place inserts
                                                                                                                                                         (Richmond) were out of tolerance. This condition was
                                                                                                                                                       documented on DR I-S-CONC-40-DR1 and was later
                                                                                                                                                       incorporated into NCR C86-100082SX. This NCR was voided
                                                                                                                                                       per Note 14 on Drawing 2323-S-0640, Revision 5, which
                                                                                                                                                       states, in part, " . .   . Where such installation (of
                                                                                                                                                       Richmond inserts) is prevented by interferences with
                                                                                                                                                       rebar or other embedments that are impractical to move,
                                                                                                                                                       the concrete inserts are to be relocated to clear such
                                                                                                                                                       interferences." As a result, the location of Richmond
                                                                                                                                                       inserts was deleted as an attribute by ERC in Change
                                                                                                                                                       Notice 001 to QI-043, Revision 1, " Reinspection of
                                                                                                                                                       Concrete Placement." The NRC inspector concurs with this
                                                                                                                                                       action and considers this item to be closed.
                                                                                                        m.                                               (closed) Open Item (445/8516-0-45): This item addressed
                                                                                                                                                       potential deviations identified by ERC during an NRC
                                                                                                                                                      witnessed inspection of Verification Package
                                                                                                                                                       I-S-STEL-066. Hilti bolt size, initially identified as a
                                                                                                                                                       deviation, was subsequently verified to be correct per
                                                                                                                                                       DCA 16019, Revision 12.     ERC DRs I-S-STEL-066-DR1 and DR2
                                                                                                                                                      were issued regarding dimension and location of a
                                                                                                                                                       structural member.    A member fabricated out of
                                                                                                                                                       1/2" plates is designed to be 6'0" long with a top
                                                                                                                                                       elevation of 828'0". The as-built length is 5'11 3/4"
                                                                                                                                                       and the top elevation is 828' 3/16". These DRs were
                                                                                                                                                       incorporated into NCR M-86-101229X and dispositioned
                                                                                                                                                       "use-as-is" per DCA 16019, Revision 13, which documents
                                                                                                                                                       and authorizes the above dimension and location.     The NRC
                                                                                                                                                       inspector reviewed the NCR and DCA 16019, and concurs
                                                                                                                                                      with the disposition.
  ,                                                       _      _                          _ _ _ _ -
    -c
     -
       .
                                      2
        n.  (Closed) Open Item (445/8518-0-19): During an NRC
            witnessed reinspection of Verification Package
            I-S-CONC-080, the.ERC inspector identified that an anchor
            bolt projection was out-of-tolerance and would be subject
            to evaluation as a potential deviation.
            Design Drawing 2323-s-0758 requires a 4" projection. QC
            was' unable to determine actual projection due to all
            bolts being cut off on a skewed plane. This condition
            was documented on DR I-S-CONC-80-DR1 which was superseded
            by NCR-C-86-100076-SX.
            The NCR was dispositioned "use-as-is" with the following
            justification. Due to a field obstruction, anchor bolts
            were cut off on a skewed plane at a maximum of
            15 degrees,.which is structurally acceptable since it
            extends beyond the nut by 3/8" to 5/8". The NRC
            inspector has reviewed the above documents related to
            this open item, including the equipment pad and anchor,
            and concurs with this disposition.
         o. (Closed) Open Item (446/8602-0-02): No process was
            apparent to assure that all applicable elements of the QA
            program were audited annually.
            The applicant has developed and issued Administrative
            Guide QIA-7102, " Development and Maintenance of the
            ' Internal Construction Phase Audit Plan / Schedule,"
            Revision O. The intent of this administrative guide is
            to provide the methodology and criteria for development
            of the internal audit plan / schedule for the construction                                ;
            phase.
            The guide is implemented in five phases. Phase one
            identifies the construction activities and subactivities
            which are required to be audited. Phase one is
            accomplished by a review of project documents such as the
            QA Program Plan and project procedures. Phase two
            identifies the elements of Appendix B that are applicable
            to the activities and subactivities identified in phase
            one. Phase three identifies those site procedures and
            instructions that govern the activities and subactivities
            identified in phase one and determines the audit
            requirements for those procedures. Phase four develops a
set of standard annual audits and audit scopes to address

L all of the activities and subactivities identified in

            phase one. Phase five requires a review of the annual
            audits and audit scopes to verify that all applicable
            elements of Appendix B are audited at least annually.
.
            The NRC inspector has reviewed the applicant's actions

[ performed for each of the five phases and has determined

                                                                                                      l
                                                                                                      l
                                                                   ___ ___ _ _ __ _____ - _
                                                                                                      l
    - - _ - _         _        _.
                                                                                    '
              "   *
                -
                                                   13
  ,

r l- l' .that continued implementation of Administrative Guide

                         QIA-7102 should: identify the elements of Appendix B that
                           are required to be audited; assure that these elements
                          are included in audit scopes; and verify that each
                           applicable element is audited annually. Since this
                          administrative guide provides a process to assure that
                           all applicable elements of the QA Program are audited
                          annually, this item is closed.
                   p.      (Closed) Unresolved Item (445/8604-U-14):  Missing cable
                           support plate on electrical penetration assembly (EPA)
                           1E-14. .The NRC inspector had observed that the support
                         plate had been removed from 1E-14 and that no temporary
                           support had been provided.  In response to the other
                           findings contained in the inspection report containing
                          this item, the applicant agreed to replace all EPAs
                         provided by the Bunker Ramo Corporation (BRC) with
                        modules provided by the Conax Corporation. Details of
                           the replacement process are included in Inspection
                         Reports 50-445/86-32, 50-446/86-26; 50-445/87-03,
                           50-446/87-03; and 50-445/87-07, 50-446/87-06. Since the
                        module pigtails involved in this item were Conax modules      ] '
                        which had been earlier installed, the discussions of
                         pigtail supports contained in paragraph 3 of the latter
                          report are applicable to this item. Those previously
                           installed Conax EPA modules which had not been provided
                        with adequate pigtail support were replaced.     Since the
                        modules which may have been damaged have been replaced        .
                         and since the replacement program has implemented
                         adequate controls to ensure pigtail support, the NRC
                         inspector has no further questions on this matter.
                  q.       (Closed) Open Item (445/8607-0-23): During an
                          implementation inspection of ISAP III.b, the NRC
                         inspector noted that ERC commitments, to conduct
                         evaluations to determine whether preoperational test
                        procedures were designed and performed in a manner which
                        complies with the FSAR, had been deleted from ISAP III.b
                        and moved to ISAP III.a.1.     Subsequently, the ISAP
                         III.a.1 and ISAP III.b Results Reports were published.
                        Upon review of both, the NRC inspector noted that the
                        CPRT had moved the commitment, as well as the discussion
                        of implementation results, back into ISAP III.b.
                        Accordingly, there is no need for this open item,
                   r.      (closed) Open Item (445/8607-0-31): This item addressed
                        potential deviations identified by ERC during an NRC
                        witnessed inspection of Verification Package
                         I-S-STEL-164. ERC issued DRs I-S-STEL-164-DR1, DR2, DR3,
                        and DRS regarding, respectively, undersized welds, weld
                        undercut, an alteration (holes in stiffeners) not shown
                        on the design drawing, and the out-of-tolerance location
                        --
                                                                 . _ _
                                                                       !
                                                                        i

- *

                              14
      of field installed details. -These DRs were incorporated
      into NCR M86-101181X and dispositioned "use-as-is" per
      DCA 25219 which documents the conditions identified in            L
      DRs I-S-STEL-164-DR1, DR2, and DRS. NCR M86-101181X
      states that DR I-S-STEL-164-DR3 is not a nonconformance
      based on additional inspection which showed that the
      stiffener holes were in the specified stiffeners as shown        ;
      on Drawing 2323-SI-0635 and Revision 1 of DCA 16,660             3
      dated April 8, 1983. The NRC inspector verified the
      above by inspection of the structure and review of the
      drawing and DCA and concurs with the disposition of NCR
      M86-101181X. This item is closed.
   s. (Closed) Open Item (445/8615-0-09): Incorrect location
      indicated on drawing. During an ISAP VII.c inspection of         i
      electrical equipment, an ERC inspector identified to an          l
      NRC inspector that an electrical cabinet was not located         i
      in the position shown on the Unit 1 cable spreading room
      layout drawing. The DR written for this condition
      (I-E-EEIN-051-01) resulted in NCR E86-103765X being
      issued by the applicant. The NCR was dispositioned               i
      " VOID: This is not a nonconforming condition.                   I
      Cpl-ECPRTC-41 was found by Engineering to be located as          l
      shown on drawing #2323-El-0712-02 (25'-8" South of SA)."         f
      The NRC inspector measured the distance from the frame
      SA wall to the centerline of the cabinet-and observed the
      24'-8" distance documented by the ERC inspector; however,        '
      the NRC inspector observed that this was from the inside
      wall surface of frame SA and not the centerline of the            l
      frame as shown on the drawing. Since the wall was                 ,
      approximately 2' thick, an addition of l' was appropriate        ;
      for the measurement. The NRC inspector, therefore,
      agreed with the NCR disposition.
   t. (Closed) Unresolved Item (445/8626-U-05; 446/8622-U-04):          ,
      Documentation was not provided concerning whether Hilti          !
      bolts with modified length designators were properly
      evaluated and whether the safety implications of the
      modifications to the length designators had been
      determined.
      The NRC inspector has obtained additional ildor.?ation
      regarding this deficiency; i.e., that five Hilti bolts
      were determined to be undersized by an ultrasonic test
      (UT), identified during the corrective action associated
      with SD?? CP-80-10. These bolts were documented and
      dispositioned on NCR-E-81-00001. Additionally, a sixth
      Hilti bolt, found by UT to be longer than specified, was
      also documented and dispositioned by this same NCR.    NRC
      review of NCR-E-81-00001 found the disposition to be:
      scrap the five undersize Hilti bolts, and for the
 - _ - _ _ - - _ - _ _ . __ _ -___-                _ - - _ .
           *                        *
                                                                 15
                                      oversize Hilti bolt (after correcting the length
                                      designator) "use-as-is".
                                      The NRC inspector met with one of the QC inspectors who
                                      performed the corrective actions for SDAR CP-80-10.
                                      During this meeting, the QC inspector indicated that
                                      while no specific instructions had existed to inspect for.
                                      Hilti bolts with modified length designators, the
                                      . inspectors were aware of the potential for this condition
                                                                                                  [
                                      and had inspected for it. The NRC inspector reviewed the

, '

                                      instructions given to the inspector for the UT
                                      examinations performed under SDAR CP-80-10. The
                                      instructions (i.e., QI-QAP-9.2-4B, Revision 0, and
                                      QI-QP-11.2-5, Revision 0) required the QC inspector to
                                      compare the length indicated by the Hilti bolt length
                                      designator to the actual bolt length as determined by the
                                      UT examination.        The NRC inspector determined that
                                      Hilti bolts with modified length designators would have
                                      been discovered by QC during the corrective action for
                                      SDAR CP-80-10. NRC review of the results of SDAR
                                      CP-80-10 found that over 3,600 electrical group Hilti
                                      bolts were inspected by UT examination and that no
                                      additional instances of modified length designators were
                                      discovered. NRC review of the file documentation for
                                      SDAR CP-80-10 found that the 3,600 electrical group Hilti

,

                                      bolts inspected accounted for virtually 100% of the Hilti
                                      bolts installed in the cable spread room and the
                                      auxiliary building at elevations 790' and 810' (except
                                      for inaccessible and 1/4" Hilti bolts). Since these
                                      3,600 bolts were installed in the same area and by the
                                      same electrical craft personnel identified with the
                                      modified.Hilti bolts (the subject of SDAR CP-80-10), the
                                      inspection and UT of only these bolts was an appropriate
                                      action to determine if similar deviations existed in
                                      other Hilti bolts installed by this electrical craft
                                      group. NRC review of notes and memos addressed to or
                                      sent from the then current site QA supervisor indicated
                                      that he was aware of the modification of the length
                                      designators and had considered including them in the
                                      results of SDAR CP-80-10. Since the identified Hilti
                                      bolts with modified length designators had been found in
                                      a support for a nonsafety-related Train "C"
                                      instrumentation cable, and since the results of
                                      corrective action for SDAR CP-80-10 indicated that the
                                      modification of Hilti bolt length designators was

l apparently an isolated occurrence, the decision not to

                                      include this information in the report appeared
                                      justifiable to the NRC inspector.
                                      The additional information obtained concerning NCR

i

                                      E-81-00001 provided how the nonconforming condition of

l the identified Hilti bolt was documented and how the l l

                   -
                       ..
                                                       16
                     .
                                                                                           >
                               hardware was corrected. The information concerning
                               actions taken to determine the extent of the unauthorized
                               modification resolves the NRC concern-that the safety
                               implications of the deviations may not have been
                               evaluated. Therefore, this item is closed.
                          u.'  (Cloced) Unresolved Item (445/8711-U-01; 446/8709-U-01):
                               NCRs were invalidated and no action was taken even when
                               additional corrective or preventive actions were
                               indicated.-
                               The NRC inspector selected 17 NCRs that had been
                               invalidated and discussed each of these with the
                               personnel involved; i.e., M-21543, M-26189, M-28401,
                               M-21982, M-28567, M-21861, M-20857, M-26470, M-26471,
                               M-21940, M-21942, M-21594, M-21881, M-21983, M-26033,
                               M-26060, and M-28674. In nine NCRs, the NCR appeared to
                               have been invalidated properly; i.e., a nonconforming
                               condition did not exist and no corrective or preventive     j
                              -actions were necessary.    In eight of the NCRs,             '
                               discrepancies were noted such as a procedure revision was
                               indicated but none made, all items on the NCR were not
                               addressed, the justification for invalidation did not
                               appear to address the concern, or the nonconforming item
                               had been replaced or removed prior to the NCR being
                               invalidated as "no longer nonconforming," with no other
                               action being indicated even though the NCR may have been
                               valid when it was initiated.
                               Subsequent to the issuance of this unresolved item, the
                               Director of QA initiated a review of all invalidated NCRs
                               processed during the previous 12 month period. This
                               review considered over 200 invalidated NCRs. Most of
                               these NCRs were processed properly, being generated for
                               the most part from CPRT DRs or out-of-scope observations,
                               which indeed were not nonconforming. As documented in
                               office memorandum QQD-323 on August 20, 1987, 37 of these   )
                               invalidated NCRs appear either to have been valid or that
                               further action was appropriate, but no further action was
                               taken.   CAR 070 was initiated on August 26, 1987, to
                               further assess the identified NCRs and initiate any
                               necessary corrective actions concerning this aspect of
                               NCR processing.
                               This further NRC inspection indicates a violation of
                               Criterion XVI of Appendix B to 10 CFR Part 50 and a
                               failure to implement NEO 3.06, " Reporting and Control of
                               Deficiencies," which requires programmatic
                               deficiencies / weaknesses to be identified and corrected to
                               preclude recurrence (445/8716-V-02; 446/8713-V-01).

_ _ _ _ _ _ _ _ _ _

                                                                                      I

! i

                 *
                                                      17                               l

L l

                   3 ', vo llow-up on Violations and Deviations (92702)                  i
                        a.    (closed) Violation (445/8516-V-08): The NRC inspector
                              identified that a Richmond Insert had been substituted
                              for a 1 1/4" Super Hilti Kwik Bolt. It was determined
                              that this change was made per DCA 13349; however, the      ;
                              change was not subject to the same design control
                              measures as those applied to the original design. The      )
                              applicant responded to the above violation by letters      J
                              TXX-4826, dated June 16,.1986, and TXX-4992, dated
                              September 5, 1986, which provided the following
                              explanation.                                               l
                              DCA 13349, as issued, allowed the substitution of a 1"
                              diameter Richmond Insert for a 1 1/4" diameter Super       )
                              Hilti Kwik Bolt. The DCA made no mention that the
                              substituted Richmond Insert was to be grouted in
                              previously placed, hardened concrete. As a result of
                              this, the design control and associated design review for
                              the DCA did not receive the same design control measures
                              as those applied to the original design. The DCA (13349)
                              was reviewed and additional calculations were done to
                              show the design change was acceptable. This review of
                              the DCA was performed in accordance with project
                              procedures which are supposed to assure that the design
                              change receives the same design control measures as those
                              applicable to the original design. Further calculations
                              have been completed and show that the support is           a
                              acceptable assuming zero load resisting capacity of the
                              Richmond Insert. DCA 13349 was revised to clarify that
                              the Richmond Insert was grouted versus poured in place.
                              Three design engineers were assigned to review all
                              structural DCAs and to verify whether or not any other
                              document exists with respect to grouted in Richmond
                              Inserts.  This review was initiated on September 2, 1986,
                              and completed September 5, 1986. No other documents were
                              found which pertained to grouted in Richmond Inserts.
                              The NRC inspector reviewed the revised DCA 13349 and        )
                              Calculation SRB-128C, Set 2, Revision 10, and found the
                              information to be accurate and all corrections have taken
                              place. The NRC inspector considers this to be an           I
                              isolated instance.
                        b.    (Closed) Violation (445/8604-V-08; 446/8603-V-08):
                              Failure to stagger electrical splices. The applicant's

'

                              August 4, 1986, response to this violation stated that
                              the requirement to stagger the splices for these valve
                              isolation tank EPAs had not been included in the source
                              or receipt inspection checklists because the requirement
                              was not included in the equipment specification but only

- _ _ _ _ _ _ _ -

- .

                     .       -  -                       -                --         .- . . . - - - - - -
       V;                                                                                                     ,
            '
   .     O^                                     .
                                                '
 K     '
                                                                                                          b
                ...-   ..
                                                           18
            '
       .1                                                                                                     .
   '                    e                                                                               .
                                  indicated.on a drawing. The-applicant'ccamitted to .,
                                  implement a program'to correct problems ~with the receipt                   q
                                  inspections;.this program will be inspected as part of '                     ;
                                  the'closecut of.related violation 445/8604-V-07;                       -{
                               '446/8603-V-07. The applicant further~ committed to the
       '
                                                                                                              l
                                  replacement oftall BRC.EPAs; see the discussion of
                                 unresolved item 445/8604-U-14 above (paragraph'2.p).
                                  Since the EPAs'in question are being replaced with-
                                  assemblies of a-different design which do not include
                                 pigtail ~extensionLsplices, this specific concern'is moot.
                                                                                                            {
                                 This finding was also identified as Violation I.B.4.b in
                                 Report EA 86-09.
                                                                                                            :
                            c,  .( Closed). Violation (445/8604-V-12):  Installation'of
                                  cable supports of a design different than shown on the                  i
                                 vendor drawing. 'The applicant's August 4,'1986, response
                                  to this item explained that the differences'between the.
                                  standard containment' EPA and these valve isolation tank
                                 EPAs led to'the confusion which resulted in noncompliance                  I
                                with a drawing requirement. The' response further stated                 !!
                                  that all BRC'EPAs would be replaced and that the                          '
                                  installation instructions'for the replacement EPAs would
                                more clearly convey the. applicable requirements.
                                                                                                         =!
                                 The NRC. inspector observed that the replacement EPA 1E-79                 i
                                was installed on August 11, 1987; the other.three EPAs                      j
                                 cited (1E-76, -77'andL-78) had been previously installed.
                                 Since these replacement EPAs are of a different design,
                                  the original concerns are moot; however, the NRC
                                  inspector also observed that appropriate support was
                                 being provided for the EPA pigtails in accordance with                  -;
                                 craft and QC? procedures.- Detailed inspections of those                   j
                                                                                                            '
                               ; procedures and the associated installation instructions
                                were documented in NRC Inspection Reports 50-445/86-32,
                               -50-446/86-26; 50-445/87-03, 50-446/87-03; and
                                  50-445/87-07, 50-446/87-06.                                               l
                                 Further NRC inspection related to the adequacy of the
                                  receiving inspection reports (RIRs) will be conducted as
     '
                                 part of the closecut of violation' 445/8604-V-07;
                                  446/8603-V-07'which is related to these same four EPAs.
                                This finding was also identified as Violation I.B.1.a and
                                  I.B.4.a in Report EA 86-09.
                                                                                                            '
                           d.     (Closed) Violation (445/8604-V-15):   Lack of EPA pigtail
                                  support on the inboard side of 1E-14. The applicant's
                                 August 4, 1986, response to this item stated that the
                                 appropriate support had not been provided because of the                   ;
                                  failure to follow the appropriate procedures. The                         l.
                 . ...
                                                  1g
                          applicant further stated that a support would be provided
                          and that training would be conducted prior to the
                          installation of replacement EPAs. The NRC inspector has
                          documented compliance with the requirements that the
                          pigtails be supported in NRC inspection reports related
                          to the EPA replacement program (50-445/8203, 50-446/87-03

.

                          and,50-445/87-07, 50-446/87-06), and the completion of

l

                          craft and QC training in NRC Inspection Report
                          50-445/86-36; 50-446/86-26.
                          On August 11, 1987, the NRC inspector observed the
                          determination (disconnecting the pigtails from the field
                          cables) activities for Module A of EPA 1E-14 on the
                          inside of the Unit i reactor building. This activity was
                          required by'Startup Work Authorization (SWA) 30926 to
                          allow module removal in accordance with Work order (W.O.)
                          C85-293 for seal ring rework.   The NRC inspector had no
                          questions on the determination activity but did observe
                          that the pigtails to the field cables did not have very
                          much slack. A review of the W.O. package showed that DR
                          C87-188 had been written to document the lack of slack on
                          a number of EPAs, including 1E-14.
                          This finding was also identified as violation I.B.1.c in
                          Report EA 86-09.
                       e. (Closed). Violation-(445/8622-V-16; 446/8620-V-07):
                          Several pieces of stainless and carbon steel pipe outside
                          Warehouse C and the Welder Qualification Training Center
                          were not stored in accordance with procedures.
                          The applicant's response committed to revise the
                          applicable procedure (MCP-10) providing several methods
                          of capping. stainless steel pipe and retrain the
                          appropriate personnel in the procedural requirement.
                          These actions were stated as being completed prior to
                          April 1, 1987.
                          The NRC inspector reviewed Document Change Notice (DCN) 1
                          to MCP-10, " Storage and Storage Maintenance of Mechanical
                          and Electrical Equipment," Revision 9. This DCN provided
                          several ways and combinations for protecting the ends'of
                          stainless steel pipe. MCP-10 has since been superseded,
                          in part, by ACP-14.2, " Storage and Maintenance of
                          Mechanical Equipment," Revision 0. The new procedure has
                          similar wording concerning the capping of stainless steel
                          pipe.,
                          To verify the retraining of personnel in the storage
                          procedure, the NRC inspector reviewed the training files
                          for both Warehouse C and the fab shop personnel. The
                          files confirmed that these personnel had received
 - _ - _ - _ _ _ -
          _         _ _ _ _ _ _ _ _ _ _ _ _ _ .-
   ,
            '    '
                                                                         20
 o
                                                  i
                                                 training on the revised procedure. In addition, the NRC
                                                 inspector discussed storage practices with two
                                                 individuals in each area, who demonstrated a proper
                                                 knowledge of the controlling procedure.
                                                 To verify'the effectiveness of the corrective actions,

l the NRC inspected both the outside storage areas

                                                 (Warehouse C and pipe fab shop). No further violations    5
                                                 were identified.
                   f.                            (closed) Deviation (445/8607-D-13): It was identified
                                                 that the ERC inspector and the overview inspector signed

'

                                                 off Attribute 3, regarding spherical bearing gap for
                                                 Verification Package I-S-PS7N-146, as being acceptable.
                                                 However, an NRC inspection of this package revealed that-
                                                 the spherical bearing had been heavily painted, thus
                                                 precluding an accurate measurement of either the gap or
                                                 the spacers.
                                                 As a result of the identified deviating condition,
                                                 Attribute 3 for Verification Package I-S-PS7N-146 was
                                                 "N/A'd" to indicate that this attribute was
                                                 nonrecreatable. In addition, on August 1, 1986,
                                                 out-of-scope observation (OOS) 796 was initiated to
                                                 identify this condition. This resulted in the issuance
                                                 of NCR M-25383N dated September 17, 1986. On August 1,
                                                 1987, the NRC inspector accompanied an ERC inspector on a
                                                 reinspection of all pipe support spherical bearings
                                                 previously inspected by the ERC inspector identified in
                                                 this deviation. Seven packages were reinspected which
                                                 resulted in a total of four OOSs (including OOS 796).
                                          ,      TU Electric has also undertaken a hardware validation
                                                 program (HVP) for, among other things, 100% of the pipe
                                                 supports which includes spherical bearing gap in the
                                                 inspection attributes. NCR M-25383 was dispositioned to
                                                 say that " Existing paint on spherical bearings is not a
                                                 non-conformance since component exhibits freedom of
                                                 movement." The NRC inspector has reviewed all of the
                                                 above documents and concurs.
                   g.                            (Closed) Deviation (445/8622-D-01; 446/8620-D-01):
                                                 Committed corrective actions concerning preparation and
                                                 evaluation of objectivity forms were not accomplished
                                                 for certain CPRT personnel. Three examples of the
                                                 deviation were identified.
                                                 (1)  The support staff for the CPRT Program Director and

F personnel on the records review committee had not

                                                      completed objectivity forms.
                                                      The NRC inspector verified that the above personnel
                                                      had since completed the required forms and the forms

= - _ _ _ - _ _ _

m-.

            ,
                                                                                    ]
              L., .:                              21
                               had been evaluated by the proper level of management
                               by the committed date of March 23, 1987. Further,
                               the NRC inspector inspected the files of all new     i
                               CPRT personnel added since March 23, 1987, a total
                               of 34 files. These files were in compliance with
                               commitments.
                         (2)   The objectivity form of the CPRT Program Director
                               had-not been evaluated by the appropriate CPRT
                               manager as committed in the April 1, 1986, letter
                               from Mr. Counsil.
                               Revision 3 to the CPRT Program Plan, dated
                               January 25, 1986, exempted the SRT chairman ind the
                               CPRT Program Director'from the objectivity
                               requirements, since both were then applicant         ;
                              . employees.                                          1
                                                                                    i
                         (3)   The TERA Revj ew Team Leader (RTL) objectivity form    :
                               was not completed by the date committed.             j
                                As indicated in the deviation the TERA RTL          !
                                objectivity form was completed July 17, 1986.
                         In~ summary, the committed corrective actions have been
                         accomplished. A further inspection by the NRC of the
                         files of personnel added to the CPRT since the corrective
                         actions were completed did not identify other deviations
                         indicating effective implementation of preventive
                         actions. Accordingly, this deviation is closed.
                     h.   (Closed) Deviation (445/8622-D-10):
                                                                                '
                                                                Positive            j
                         displacement charging pump TBX-CSAPPD-01 was not tagged     l
                         with ERC deviation tags even though eight DRs had been      ;
                        : issued with respect to noncomplying nut torque             i
                         requirements and mechanical coupling alignment.
                         In response to the Notice of Deviation (NOD), TU Electric    ,
                                                                                      l
                         stated they had no reason to believe ERC inspection
                         personnel did not place deviation tags identifying the       l
                         noncomplying conditions associated with pump                 l
                         TBX-CSAPPD-01. Therefore, the ERC tags had fallen off or     l
                         were inadvertently removed. The purpose of placing ERC       l
                                                                                      '
                         deviation identification hold tags on hardware is to
                         assist TU Electric in identifying the deviating hardware
                          for their control. Based on the DRs written by ERC,
                         TU Electric placed a hold tag on TBX-CSAPPD-01 as
.
                          evidenced by NCR M-25151N. A memo was prepared by the
        '

t CPRT Program Director to TU Electric emphasizing the I nature and significance of ERC deviation tags. l p I ,

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

,

                                    I  i
                       ~
                         .$      0                                          !
                 *
                   'af
                                                                                                         ,
                                                 -Thd NRC inspector. reviewed memorandum CPRT-897Jwhich
                                                          1
                                                  addressesLtheJsignificance'of ERC. deviation
                   .                              identification tags'and verified, by field' inspection,
                                                 . that.a'nonconformance' hold. tag had been placed on.the
                                                  nonconforming equipment.
                                   Li .-          (Closed)' Deviation (445/8631-D-02): The ERC inspector
                                                  entered "N/A" for Attribute B.3.1, structural' bolting l         !
               ,                                  tightness,.on the inspection'chscklist for Verification
                                                  Package R-S-STEL-117 when, in. fact,ithe attribute does:         ,

HA ' apply., Eight 3/4" A193 bolts are associated with the 'j dih

"*
                                                  reinspected' member and tightnessowas signed off on the
                      ,                           construction traveler.      ERC' reinspected this. attribute,.
                                                  found it acceptable, and corrected the inspection
                                                  checklist.. ERC also reviewed the work of the. responsible       ;
                                                  inspector on similar verification packages and. concluded        ;
                                                  that.'the error was.an isolated occurrence.' The NRC:
                                                  inspector verified the above and concurs with ERC's              i
                                                  conclusion.
                                   Lj .           (Closed) Deviation (445/8631-D-03; 446/8625-D-01): ERC            !
                                                 lDR R-M-FFTA-001 DR-6, which documents that Chicago Bridge
                                                  & Iron.(CBI) did not supply a metal material verification        j
                                                  summary sheet'(MVSS), was' improperly invalidated evenL
                                                                                                                   '
                                                 .though.the described condition was.not acceptable. The-
                                                  CBI' material requirement table MRT-73121/2 requires asea
                                                  minimum r 0that.the MVSS be supplied.
                                                  The quality instruction (QI-42) failed to specify that
                                                  the use of " Supplemental Summary Sheet of Material
            "~                                    Verification" (SSMV) as'a continuation sheet for the
                                                  " Metal Material Verification. Summary Sheet" is an.
                                                 . acceptable' method for CBI to denote' material piece mark       .
  ?-                                              identifications.                                                 j
                                                  A change notice to QI-042 was prepared on June 25, 1987,
                                                  to specify that the use of " Supplemental Summary Sheet of
                                                  Material Verification" by CBI is acceptable.
                                                  The NRC inspector reviewed the CBI QA manual and                 k
                                                 . determined that, although'MRT-73121/2 did require an MVSS        j
                                                  for each piece mark number, it is an acceptable                    i
                                                  documentation practice to use the SSMV as a continuation           )
                                                  sheet for the MVSS.
                                                  The NRC inspector verified that ERC QI-042 had been

L revised as stated. I p l

                                                                                                                      1

.. . I

                      ,                                                                                              1
  __ _-__- __                            -

. -

     '    '
                                         23                                  ;
                                                                             I
       4.   Action on 10 CFR Part 50.55(e) Deficiencies Identified by the' q
            Applicant (92700)
            a.    (Closed) SDAR CP-80-10: Unauthorized modifications were    {
                 made by craft to the wedge area of concrete anchor           l
                  (Hilti) bolts.                                             -
                                                                             i
                 This condition was initially reported to the NRC on
 y               October 1, 1980. At that time the applicant performed an    j
                 investigation to determine the extent of the                 '
                 nonconformance and to determine the corrective actions
                 required. The Resident Reactor Inspector (RRI) reviewed      :
                 the sampling basis for the applicant's investigation,        l
                 observed portions of the ultrasonic testing performed,       l
                 and reviewed the applicant's final report. Based on          I
                 these activities, the RRI closed the item in NRC             I
                 Inspection Report 50-445/81-18.                              l
                                                                              l
                 The applicant reopened this item by means of a               i
                 supplemental report to SDAR CP-80-10 dated July 15, 1987.   ]
                 This action was taken to clarify certain statements found    ;
                 in the file documents for SDAR CP-80-10 by the NRC          ]
                 inspector. The supplemental report clarified that           j
                 SDAR CP-80-10 specifically addressed unauthorized           )
                 modification to the wedge area of Hilti bolts.
                                                                             l
                 The supplemental report also clarified that five          ,
                 nonconforming Hilti bolts identified during the original    ,
                 investigation of SDAR CP-80-10, which appeared to have      (
                 modified length indicator stamps, were outside the scope    j
                 of SDAR CP-80-10. These five bolts were addressed by the
                 applicant separately on NCR E-81-00001. The supplemental     l
                 report stated that the applicant's conclusions regarding    i
                 SDAR CP-80-10 remain unchanged.                             j
                                                                              !
                 The NRC inspector reviewed the applicant's corrective
                 actions regarding these five Hilti bolts and determined
                 that the corrective actions taken were appropriate. (See
                 the closure of unresolved item 445/8626-U-05;
                 446/8622-U-04 in paragraph 2.t of this report for related
                 information.)
                 Based on the RRI's closure of this item in NRC Inspection    !
                 Report 50-445/81-18 and NRC inspection of the unresolved
                 item (50-445/8626-U-05; 50-446/8622-U-04), this item is
                 closed.
            b.    (Open) SDAR CP-86-48: A review of NCR dispositions          j
                 indicated that some dispositions may have been               l
                 technically inadequate.                                      I
                                                                              l
                                                                              1
                                                                              1
                                                                      ___

n.

     ,
   *   *
;v                                24          .            -
                                                 '
                                                                    H
                                                                     '
         The' applicant reported to the NRC that it initiated a
         program-to review the adequacy of certain NCR
         dispositions. The~ review program is the result of          ,
         investigative actions relative to Corrective Action         l
         Report (CAR) 062. A description of the review program
         was provided.to the NRC in an interim report,               .
         SDAR CP-86-48, dated July 15, 1987. A description of the    j
         three phases of this NCR review program follows.            j
         Phase I of'the program is to identify those NCRs and
         TU Electric design deficiency reports (TDDRs)-which
         contain dispositions. involving engineering requirements;
         e.g., use-as-is, repair, or void.      If the engineering-
         involvement identified on the NCR or TDDR is the subject    f
         of other ongoing engineering validation efforts (e.g.,      !
         HVAC reverification program), those NCRs and TDDRs are      !
         sent to the applicable engineering group for technical      ;
                                                                     '
         evaluation of the dispositions. All other NCRs and TDDRs
         identified are sent to Phase II.     (The' scope of the
         Phase I review will include all NCRs and TDDRs processed
         or inprocess before the effective date of Procedure
         NEO 3.05, " Reporting and Control of Nonconformances,"      '
         dated December 22, 1986).
                                                                     1
         Phase II of the program provides for a technical
         evaluation of the disposition of each NCR or TDDR             ,
         identified in Phase I.                                      j
         Phase III of the program requires that appropriate          j
         actions be initiated to resolve any disposition             i
         inadequacies.                                               !
                                                                      )
         SWEC is performing this review and has almost completed     l
         the Phase I activity. Phase II is ongoing, and Phase III    J
         is being implemented as required. NRC inspection of all      ]
         phases of the review program is being performed and will       !
         be reported in this and subsequent reports.                    I
         The NRC inspector reviewed SWEC Procedures
         CPE-TD-SWECO34, Revision'1, "Nonconformance Report (NCR)       ,
         and Design Deficiency Report (TDDR) Evaluation," and           '
         PP-041, Revision 1, "Nonconformance Evaluation                 '
         Procedure." These procedures govern the SWEC review of
         NCRs and TDDRs.    The NRC inspector determined that these    ]
         procedures provided the necessary guidance for the review      l
         of those documents reported to be of concern in                l
         SDAR CP-86-48,
                                                                        1
         To assess the implementation of the Phase I review of
         NCRs the NRC inspector reviewed 60 of the completed           )
         Phase I reviews.    The NRC inspector found that SWEC had    "
                                                                        l
         properly identified those NCRs: (1) whose dispositions
                                                                        l
                                                  -
                                                                                                                   +                   ,
     w~'4               .
                                        3                                                                  ,                             q
                                                                      "> j                             <
                                                                     , /g a                                 ;
                                   -.y
                                                                                                                                         .
                                                                                                      ,
                    '."
                                                                       ['{ 3 25
                                                             '
                              ~.
                                                                  '                                 /<       ,
                                                                                                                                         '
                                                                                                  %                           ,
                                          involved engineering requirements, (2) that,wir4 te be               l
                                                                                                                             "Q/ '
                                          reviewed by other engineering validation ef'fcd6, and
                                          'O) that were dispositioned, or in the proccus 'cf 'being                         i
                                         dispcnitioned before December 22, 1986, and therefore
                                         wsre Mequired to be evaluated in Phase II of.the SWEC
 :,                                    fyeview program. The results of the NRC inspection of                                       '
                                                                                                                        4                l
                                       i'fthene
                                          review.NCRs was consistent with the results of tho'SWEC
                                                           ,
                                                                    ,s   ,
                                                                                                         /
                                                                                                                              ..i.         ,
                                                             seNCRstobeaddressehI4yndther
                                          Concerning t
                                          engineering validation efforts, the W;C inspector found                      r,   Y( q
                                                                                                                                             l
                                          that the method.s for transferring t! his \fd.u;onsibility didQ ' '
                                          not provide accountability ofithese IIC Q or assurance                     .  $
                                          that all NCf.s would be evaluated consiitent'with the SWEC
                          ^

'

                                          program.    Thisconcernhasbeenexpressedtejthe
                                          applicant and will be'followed up as an opert item                                  >
                                           (445/8716-0-03; 445/3713-0-02).
                                                               ,s           S
                                          Other forms used' to' document deficiencies; such as test
                                          deficiency reports (TDRs) and field deficiency reports'(                                         i
                                           (FDRs) are similari in many respects to NCRo and TDDRs.
                                          It is not clear at/ this time if these docunvents will be
                                          included in the SDAR Cp-86-48 review program.                 ThelNRC
                                          will follow this matter as an open" item-(445/8716Hb-04;
                                          446/8713-o-03).s,
                                                                                                            \
                                          No violations or devk,tions were noted. \ NRC inspe$ tion
                                          of this jtogram is coiytinuing.
                                                                              ,,                                 .
                   + 52 l        CPRT ISAps
                                                         '                                   ~
                                                                ,
                                                                                     [
                                          Technical S, specification For Deferred Tests (ISAP III.a.3[
                                                                                  .
                                 a.
                                           (72400q),
                                          During:the TRT inspection of test programs in the
                                          preoperational test area, the NRC operationn resident
                                           inspectors expressed concern that the orderly progress of
                                           Initial Startup (ISU) testing may be hampered by
                                          Technical Specification (TS) limiting conditions for
                                          operation (LCOs), due t'o hhc nature and extent of
                                          preoperational tests which had been deferred into the ISU
                                          program. The NRC usually approves preoperational test
                                          deferrals with the stated assumption that TSs will be met
                                          while the test is being conducted. In or6er to achieve
                                           the plant conditions (i.e., hot plant at normal cressure
                                           and temperature) to cenduct the deferred preoperitional
                                           tests, the TSs requiro some of the systems being tested
                                           to' be fully operable.             However, operability cannot be
                                           eerified cn most systems until preoperational testing is
                                          completed. :An example is thermal expansion testing,
                            !
                                          where numerods snubbers were deferred; thereby rendering
                                                                                                                                     c     ,
                  .
     .
        -- _ _ _ _ ____

r 7si . gj

                                                                                      %
                                               :    ,
                                              1l
  * '
                              26               Q 1,
                                                      ^

u i

<
      systems needed to enter hot plant modes of operation as
      inoperable.
      This issue was addressed in NRC. Inspection Report
      50-445/85-16; 50-446/85-13 under prxagraph 6.e of
      Appendix D. After the issue had been re.ised,
                                             j            the
      applicant conducted another hot testing sequence in
      November and December 1984, during which most of the
      preoperational tests previously scheduled for deferral
      were completed. In a letter dated?Janutry 24, 1985,.the
      NRC closed this issue, and on page y-18 of SSER-7, the
      staff indicated that it will not requipe TU Electric to-
      evaluate required plant conditions' for the deferred
      preoperational tests against the applicable TS LCOs                                  q
      because TU Electric had informed the TRT that the tests                 s'
      will be conducted prior to fuel load.
      The CPRT issued ISAP III.a.3, Revisi$n 3 on February 27,
      1986, to readdress the issue and to 'rcote that although
      many of the individual testing items were completed as
      stated above, there remained four items open pendird                          F, / /
      completion of satisfactory testing and ono item open                                 i
      pending NRC approval of a proposed TS change. The,ISAP
      indicated that no action was required because TU LGectric
      has had adequate administrative controls to ch6'tre')that'
      TS requirements are considered when scheduling            ,i   <
      preoperational test deferrals.                       , ( ' h,
      On October 15, 1986, the CPRT issued the ISAP'dII.e.3              ,        )        J
      Results Report, " Technical Specification for Defeyr61,if'
      Tests,"whichreiteratedandsupplementeddetailsofitho[
      ISAP, documented the CPRT findings and explained what the.   s
      findings revealed, and then reached a conclusion based onj,
                                                        '                   ' '
      the findings.                                                    ,
                                                                          '
                                                                       f
      The NRC staff reviewed the results report to (1) ensurd                   ,
      that it accurately reflected what the actica plan was,
      (2) verify that CPRT findings reported were consistent
      with what the NRC inspectors found while conducting the
      ISAP implementation inspections, (3) ensure that
      conclusions reached had valid bases, (4) ascertain that
      root causes and generic implications, if,any, were fully
      addressed and satisfactorily resolved, and (5) check to
      ensure the 14 questions posed by the At' omic Safety and
      Licensing Board (ASLB) with respcLt to the results report
      were adequately answered and did noo'open new issues.
      The ISAP III.a.3 Results Report concluded that:                                       )
                                                                                            l
      (1)  Station procedures provide for evaluation of
           deferred preoperational testing and include, among                               j
                                                                                            (
                                                                                            l
                                                                                            i

__  !

               g f 7;
                         d, -
                                               -pp                              .
                                                                                                         7

(4 m .gf

                      3,                          'e        ,
'
      6,1       -      -
                                                   .s               27
 hh'         s                                    1                                                      1
 Jhlh      '
             /t    ,                                                                                      !

d[ gi .pther things, consideration of thc requirements of. )

                                   4 j j qpha TSs.
 '
                                              f                                                           I
      .,
                                   s   u+                              .                                 I
  ,u                                 fZi_   '
                                                Since the potential cf deferred preoperational
                                                                        ~
                                                                                                          .
     *'i                           O            testing always exists, even if diligence is               :
                                     1          exercise,d to keep it to an absolute minimum, the       .{
             ,
                                              ICPRT
                                      .( review.of     amended the ISAP to include identification and    '
                                                           the specific station procedures which
                                                addres4 3he NRC concerns on meeting TS LCOs.     The
                                                accepttsce" criterion was that the station procedures
                                                must specifically require that evaluation of                j
                                                deferred preoperational test procedures include the        i
                            [h                  consideration of TS requirements.                         )
                                                                                                          4
                                 '
                                     The CPRT determined that STA-805, Revision 2, " Deferred             J
                                     . Testing," requires', in part, that a safety evaluation be          ;
                                                                                                          4
                                     performed as a part of the test deferral process,
                                     addressing                           in accordance with STA-707,
                                     Revision 3,jTS     " requirements,
                                                          Safety Evaluations." STA-707 specifies how
                                     safety evaluations shall be performed, documented,
                                     reviewed and approved to meet the requirements of 10 CFR             !
                                      50.59.
                                     The NRC inspector reviewed the same administrative
                                    . procedures above and concluded that there are adequate
                                    ' controls in effect to ensure that test deferrals are
                                     properly reviewed and cycluated against possible TS
                                                                                                            i
                                      impact, which will allociate the NRC resident inspectors'
                                     concerns about TS LCOs being met.
                                                                                                             l
                          l
                             s
                                     As required by the Program Plan, the CPRT addressed the               j
                               ,
                               '
                                     question of root causes and generic implications.            Since     !
                                     noitesting deviation or deficiency was identified and no             I
                                     ge3eric condition exists which indicates that there are
                                          ~
                                     ~ inadequate administrative contnols over deferred
                                     gr' operational testing, no root cause or generic
                                      implication 4 determination is required. The staff                  3
                                      concurs, bdsed on independent reviews of STA-707 and                   l
                                      STA-805.
                                      On April 14, 1986, the ASLB issued Memorandum
                                      79-430-06-OL relative to a motion to ccmpel production of
                                      checklists, which contained 14 questions needing to be
                                      resolied in results reports.          On March 2, 1987, the
                                      applicant responded to the ASLB's 14 questions as they
                                      apply to the ISAP III.a.3 Resuits Report. The NRC staff

I reviewed the questions and the CPRT responses to

                                      determine whether the; document would have any impact on

f t the.resvlts and conclusions drawn from ISAP

                                      implementation. The staff found that the responses were
       "
                                      consistent with observations made by the NRC inspector

f redative to ISAP III.a.3 and none of the responses

                                      it
                                        '

l ! .

   _ _ _ _ -                                                                  ,

!

             * '
                                            28

f l

                                                                                I

l indicated a need to pursue any old or new issues any I further. Therefore, the staff considers the 14 questions

                    and their responses to have no impact on the outcome or
                    closure of this ISAP; and thus, has determined the
                    ISAP III.a.3 Results Report to be acceptable as written.
                    Summary of Completion of ISAP III.a.3:
                    (1)  NRC Conclusion:
                         The staff concluded that there is no cause for
                         concern that the applicant may not consider TS
                         impacts with deferred preoperational tests.
                         Administrative controls to prevent this are in
                         effect at CPSES as evidenced by NRC reviews of
                         STA-805 and STA-707. In addition, this issue was
                         previously closed by the staff on page J-18 of
                         SSER-7. Therefore ISAP III.a.3 is closed.
                    (2)  Remaining NRC Inspection Activities:
                         None.
                    No violations or deviations were identified.
                 b. Preoperational Test Review and Approval of Results
                    (ISAP III.a.5) (70400)
                    In Memorandum 79-430-06-OL dated December 21, 1984, the
                    ASLB expressed a need to know how the Joint Test Group
                    (JTG) could have approved completed preoperational test
                    1CP-PT-02-02, "118 VAC RPS Inverters," when the package
                    contained test data which did not meet the stated
                    acceptance criteria, and what assurance is there that
                    similar errors do not exist in other startup test
                    results.   As a result, the applicant implemented ISAP
                    III.a.5 to (1) identify the factors which contributed to
                    the approval of test data which did not meet
                    specifications, and (2) to provide reasonable assurance
                    there are no similar errors in other test data packages.
                    The CPRT subsequently informed the NRC staff that actions
                    committed by the ISAP were complete. The staff completed
                    an implementation inspection to verify that actions were
                    completed as stated in the ISAP, and to ensure auditable
                    documentation was on file to support the actions taken.    1
                                                                               t
                    In order to maintain a correlation between the areas
                    inspected and the corresponding sections of ISAP III.a.5,   j
                                                                                '
                    Revision 0, the inspector addressed each area by
                    assigning an NRC reference number using the ISAP
                    paragraph number assigned by the CPRT for each action:
                                                                                I
                                                                                !
                                                                                 l
                                                                                 '

_______

 __             _ _                  -
                                                                                          4
                                                                                            l
    '
                                   29-

'

                                                                                             l
                                                                                             l
                                                                                             l
         3.a.5/4.1.1: The CPRT committed to review the original                              l
         test date package for 1CP-PT-02-02.to determine the                                j
         reason for approval of test results which did not meet                             j
         the stated acceptance criteria. The approach taken was                             )
         to review the author's performance on 1CP-PT-02-02 and                           j
         any other tes~s he wrote, the performance of the test                              I
         engineer conducting the test, and finally the completed
         test package review and approval process. The NRC
         inspector found these reviews and.the results obtained
         were adequately documented in the CPRT files. The
         results will be discussed later during the results report
         review' conducted by the staff.
         3.a.5/4.1.2: The CPRT committed to examine the test data
         in all 205 test data packages to determine if there were
         any.other instances where test data did not meet the
         stated acceptance criteria, using the sampling plan in                            I
         Appendix D of the CPRT Program Plan. .The NRC inspector
         noted that a tota 1> population of 3391 acceptance                                ;
         criteria, which represent the total from the 205 test
         packages, were sampled. Ninety-five samples were to be                            i
         drawn at random since there was already'one defect
         (lCP-PT-02-02). Otherwise, 60 would have been
         appropriate. The NRC inspector noted-that 101 samples
         were drawn, which conservatively exceed the minimum
         of 95.     The inspector then withdrew 10 percent of the
         sampled acceptance criteria and conducted a similar
         independent review. There were no deficiencies found.
         Adequate documentation existed indicating.that all
         101 samples had been evaluated the the CPRT.
         3.a.5/4.1'.3:    The CPRT committed to process any
         identified discrepancies according to Appendix E of the                           '
         CPRT Program Plan and-that corrective action, if
         required, would be implemented in accordance with
         Appendix H.     The staff-verified that these actions were
         addressed in the ISAP III.a.5 Results Report, the review
         of which will be discussed during a later inspection.
         No violations or deviations were identified.
      c. Prerequisite Testing (ISAP III.c) (70301)
         On page J-85 of SSER-7, allegations relating to the
         conduct of prerequisite testing by unqualified personnel
         were characterized. The NRC TRT investigated and found
         that the allegations had neither safety significance nor
         generic implications as reported on page J-88 of SSER-7.
         However, during the inspection of 35 test data packages,
         the TRT found that craft personnel had verified and
         signed for initial conditions on some prerequisite test
         data sheets, which is contrary to Section 4.10.9 of
                                                                    _ _ - _ _ _ _ _ _ _ -
 g-
                                                                                                   1
            ..       . .
                                                               30                                   i
                                                                                                    l
                                     Startup Administrative Procedure-(CP-SAP) 21, " Conduct of
                                     Testing,"'which required this to be~done by the System'        l
                                     Test Engineer (STE). This practice was' inappropriately        )
                                     - authorized by a Startup Interoffice Memorandum-(SIM)'       {
                                     ' issued'by the Lead Startup Engineer'on March 31, 1983.
                                                 .
                                      The SIM. countermanded the requirements of CP-SAP-21 by.
                                      allowing-test. support crafts to verify and sign for
                                      initial conditions in selected Prerequisite Test      .
                                     : Instructions.   The TRT required TU Electric:to rescind
                                      the SIM and-take action to ensure there were no other
                                      memoranda issued in conflict with approved procedures.
                                      The TRT.alsoLrequired TU Electric to conduct a review of     j
                                      all other prerequisite' test records to determine those
                                      that had initial conditions signed by craft personnel,
                                     -and to assess the impact of those improper verifications
                                      on theLtesting that followed.
                                                     _
                                      As;a result of the TRT findings,~the applicant.
                                      implemented ISAP III.c to identify SIMs which may be in     .)
                                      conflict with' approved CP-SAPS, identify prerequisite       j
                                      test records which may have initial conditions signed as-
                                      comple'e
                                             t  by craft personnel, and to evaluate the impact     ]i
                                      of improper verifications on subsequent testing.             l
                                                                                                   1
                                      The CPRT subsequently informed the NRC staff that actions    !
                                     ' committed by the ISAP were complete.   The staff conducted
                                      an implementation inspection to verify that actions were
                                      completed as stated in the ISAP, and to ensure auditable
                                      documentation was on file to support the actions taken.
                                      In order to maintain a correlation between the areas
                                      inspected and the corresponding sections of ISAP III.c,
                                      Revision 4, the inspector' addressed each area by
                                      assigning an NRC reference number using the ISAP
                                      paragraph number assigned by the CPRT for each action:
                                      3.c/4.1.1: The applicant rescinded SIM-83084 above by
                                      issuance of SIM-84220, dated September 25, 1984. The
                                      inspector verified this by personal observation of the       ,
                                                                                                   '
                                      memorandum.
                                      3.c/4.1.2: The applicant committed--to instruct STEs that
                                      SIM-83084 had been rescinded, and that it is their
                                      responsibility to verify and sign for initial conditions      '
                                      in Prerequisite Test Instructions as required by
                                      CP-SAP-21. The inspector noted that this training was to      ,
                                      be conducted as directed in SIM-84220, and documented on
                                      sign-off sheets attached to SIM-84220. The NRC inspector
 .
                                      found the signed off sheets documenting the training as
   -
                                      satisfactorily completed in the Startup Organization's

j, files. I '

                                                                                                    :

L__ m_i. _ . _ . ._ _ _.. ._ __

{l? < y !

        *     '
    .                                     31

I ,

                3.c/4.1.3: The applicant committed to instruct all test
                support craft personnel that they shall not verify and
                sign for initial conditions nor shall they conduct any
                tests without the supervision of an STE. The inspector
                noted that this was implemented through both SIMs 84220
                and 85049. The completion of all test support craft
                personnel training in this area was documented in one of
                the attachments to SIM-84220 and in a similar attachment
                to SIM-85049.    The inspector observed the documentation
                in the files.
                3.c/4.1.4: Both Startup Management and the CPRT reviewed
                all SIMs issued between June 1982 and June 1987 to

.

                                                                          I
                determine if any other directives had been issued which
                conflict.with the requirements of the CP-SAPS. This
                consisted of several volumes of binders containing a
                                                                          i
                total of 717 SIMs. No additional conflicts between the
                SIMs and the CP-SAPS were found, however there were eight
                SIMs that could not be located.     Four were voided and
                thus were of no consequence, and Startup management
                indicated that the remaining four probably did not create
                any conflicts based on the subject matter. The inspector  !
                                                                          '
                did not necessarily agree, but did concede that the
                probability of any of the four SIMs having a problem was
                remote based on the absence of problems with the 709 SIMs
                that were reviewed. Subsequently the NRC inspector
                scanned four volumes at random, thus looking at about 200
                SIMs and found no problems.
                3.c./4.1.5: All prerequisite test records were reviewed
                to identify other cases where craft personnel signed for
                initial conditions. The NRC inspector reviewed
                documentation showing the results of the reviews. The
                inspector observed that about 12 per cent of.all
                safety-related test instruction data sheets contained
                test support craft sign-offs for initial conditions.
                This was not unexpected in light of the effects of
                SIM-83084 discussed above. The review was well
                documented with a clear representation of where the        .
                                                                          I
                inappropriate sign-offs were found.
                3.c/4.1.6: The applicant committed to analyze all
                Prerequisite Test Instructions identified in 3.c/4.1.5    l
                                                                          '
                above to determine the consequence of improper initial
                conditions verifications. The conclusion reached was
                that this would have no impact on subsequent testing, as
                documented in SIM-86155 dated September 15, 1986. The
                NRC inspector noted that for each Prerequisite Test          ,
                Instruction that was found to have initial conditions       i
                signed off by individuals other than STEs, a TDR was         f
                initiated and dispositioned. Of the 31 Prerequisite Test  j
                Instructions that were utilized, 19 had improper          J
                                                                          l
                                                                             !
                                                                             \
                                                                            i
                                                                             1
                                                                          f
_--   _   _                                                               1

-

 - --     . ._
                                                                                             i
      * '
                                           32
                                                                                             3
                  verifications, and thus 19 TDRs were written. The NRC
                   inspector reviewed all 19 TDRs. Each TDR had a completed
                   checklist and evaluation to determine the impact an
                   improper verification on each one of the initial
                   conditions would have on the conduct of the test. Where                   l
                   there could have been impact, it was pointed out that the                 i
                   result would be an unsuccessful test, wherein the STE                      :
                  would be involved and would have to take corrective                        i
                   action in order to accomplish the test satisfactorily.
                   In general, rationales for non-impact were (1) might only
                   cause delays, (2) the craft involved had sufficient ~
                   expertise and training to properly accomplish the task,
                   and (3) th6 initial condition was administrative in
                   nature and thus had no effect cn1 the test.   The staff
                   agrees with the rationales used on the basis of prior TRT
                   reviews of test support craft training files, as reported
                   on page J-86 of SSER-7, and on the adequacy of technical
                   supervision and oversight provided by the STEs, which is
                   discussed on page J-88 of SSER-7.
                                                                                             I
                   3.c/4.1.7: The applicant committed to evaluate the
                   results of all the above activities to assess the impact                  j
                   on later testing, particularly on Unit 2. As a result of
                   that evaluation the NRC inspector noted that CP-SAP-19,
                   " Indoctrination / Training / Qualification Requirements for
                   Startup Personnel" was revised to establish a more formal
                   program to qualify test support craft personnel. The
                   applicant's. requirements are more stringent than those'of
                   ANSI N45-2.6, " Qualification of Inspection, Examination,
                  'and Testing Personnel for Nuclear Power Plants." The
                   applicant also made some improvements in the Prerequisite
                   Test Instruction Manual to better utilize procedures that
                   will be used in the future by operations personnel.
                   3.c/4.1.8: This section of the ISAP discusses the
                   handling of identified discrepancies in accordance with
                   Appendix E of the CPRT Program Plan and corrective action
                   according to Appendix H. The NRC inspector noted the
                   initiation and dispositioning of TDRs where appropriate
                   during the implementation of this ISAP. No further
                   action is required under this section of the ISAP.
                   No violations or deviations were identified.
               d.  Nonconformance and Corrective Action Systems
                   (ISAP VII.a.2) (35061)
                   During this report period NRC References 07.a.02.03,
                   07.a.02.04, 07.a.02.08, 07.a.02.09, 07.a.02.12, and
                   07.a.02.13 were reviewed as follows.
                                                                        __________________ -
                                                                          l
                                                                          l
       *   '
                                      33                                 q
                                                                          l
                                                                          l
              Evaluate TRT and SSER Findings on NCRs (NRC Reference
              07.a.02.03), Evaluate TRT and SSER Findings on CARS and
              Trending (NRC Reference 07.a.02.08)
              ISAP VII.a.2 required the CPRT to perform a review of the   l
              NRC TRT findings-that were relative to the nonconformance   j
              and-corrective action systems.- These TRT findings were    I
              documented in_SSERs-7, -8, -10, and -11. The CPRT review    )
              of the TRT findings was to deterhine: (1) if the TRT        l
              finding was valid, (2) whether the deviation was an         l
              isolated occurrence or, (3) whether the deviation was the
              result of a deficiency in the nonconformance and
              corrective-action systems.
              The CPRT review is complete and the results have been     )
                                                                        '
              issued.in Sectiou 5.5, " External Source Issues," of the
              ISAP VII.a.2 Results Report. The supporting
              documentation is found in the ISAP working file (subfile  i
              VII.a.2.3a001 and 002).
              An NRC review of the CPF T review results and file
              documentation verified as stated in Section 5.5 of the-
              results report, the CPRT review team did not perform a
              review of TRT findings as originally described, rather
              the CPRT review team evaluated the TRT findings and other
              external source issues for impact on their independent
              evaluation of the nonconformance and corrective action
              systems.   (Note: these systems include NCRs, CARS, and
              trend reports.) The NRC inspector finds this change in
              implementation to be appropriate in that it focuses the
              CPRT review on the potential system deficiencies implied
              by the findings rather than on the finding itself.
              Resolution of individual TRT findings and other external
              source issues will be included as a part of the
              collective evaluation according to current CPRT plans.
              The NRC inspector found that the CPRT had instituted an
              issue review and tracking group to assure that all
              external source issues, including TRT findings, would be
              addressed. This group had assigned to ISAP VII.a.2 a
              list of issues determined to be relevant to the
              nonconformance or corrective action systems. NRC review
              of the list of issues assigned to ISAP VII.a.2 found that
              it included TRT findings from SSERs-7, -8, -10, and -11
              and issues from other external sources such as the
              Management Analysis Company (MAC) Report, the Lobbin
              Report, and the Construction Appraisal Team (CAT) Report.
              The NRC inspector reviewed SSERs-7, -8, -9, -10 and -11,
              and determined that the list included appropriate TRT
              findings and that no exclusions were apparent.   The CPRT
              list included issues such as:
                                                                        4

i l l L-___________- >

  ._ -           .          _ ____       _ ._ _   __ ___
                                                                          ,
         *
       '
                                      34
           -     QC inspectors failed to assure control of a
                  nonconforming pipe; i.e., did not tag or segregate
                   the pipe.
           -    -Interoffice memoranda were used improperly to
                 disposition NCRs.-
           -     NCRs were voided improperly or were disapproved and
,
                   subsequently destroyed.
           -     There was a frequent and improper use of the'NCR
                  disposition to "use as is".
           -
                 QC inspectors were intimidated to accept NCR
                   corrective actions.
           The list of external source issues and the results of the
           issue coordinator's assessmentLof each finding for impact
           on ISAP VII.a.2 conclusions are described in the ISAP
           working file (subfile VII.a.2.3a, Section 001 and 002).
           The NRC inspector reviewed the-list and the issue
           coordinator's assessment and found that the CPRT-
           conclusions in general concurred with the' conclusions of.
           the TRT; i.e. , that it could or could: not be
           substantiated. The NRC inspector also found that the
           CPRT review team, based on the external source issues and
           its own review of the nonconformance and corrective
           action systems, had determined that deficiencies had
           existed in those systems. For example, the CPRT review
           team had identified deficiencies in the procedures that
           controlled the nonconformance and corrective action
           systems.     The CPRT had identified that these procedures
           lacked the necessary detail to assure a satisfactory
           resolution of identified concerns. The CPRT issued
           progra.n deviation report (PDR) 59 to document this
           devie.cion and to notify the applicant of the need for
           corrective action. Additional CPRT review team findings
           were reported under PDRs 52, 64, 66, 67, 68, 69, 71, 72,
           and 74. The NRC inspector finds these PDRs to have
           properly documented the CPRT review team's findings and
           that the recommendations for improvements in the
           nonconformance control and corrective action systems to
           be appropriate. NRC follow-up of these recommendations
           and the applicant's actions will be performed and
           reported as a specific activity in subsequent reports.
           No NRC violations or deviations were noted and no further        l
           inspection of these reference items is planned.
                                                                            l

> l

                                                                            l
                                                                            1
                                                                            1
                                                           -   _     --- a

- - _- _

        * *
                                       35
            Report Hardware Concerns and Input to Corrective Action
             Review (NRC Reference 07.a.02.04); Report Hardware
             Concerns and Input to 55(e) Deportability Review (NRC                                         ?
             Reference 07.a.02.09)
             The ISAP required the CPRT to notify the applicable
             Review Team Leaders (RTLs) of any potential hardware
             concerns.found during the implementation of ISAP VII.a.2
            'that would require further evaluation. The results
             report indicates those notifications were'made.
             The NRC inspector found during inspection of the                                              i
             ISAP VII.a.2 activities that the CPRT review team had                                         '
             documented those concerns with rotential hardware impact
             on DRs. The NRC inspector verified that the DRs have
             been brought: to the attention of the QA/QC RTL and that
             the DRs have been referred to TU Electric for corrective
             action. NRC review of the PDRs issued as a result of
             ISAP VII.a.2 found that they did not have a direct impact
             on hardware. The PDRs were also referred'to TU Electric
             for corrective action.
             Based on the above, the NRC inspector determined that the                                       i
             ISAP requiremer.t to notify the applicable RTLs of                                             J
             potential nardware concerns found during implementation                                       q
             of ISAP VII.a.2 had been complied with and that the                                             l
            -concerns had been properly documented.
                                                                                                            !
             Initially, ISAP VII.a.2 was to evaluate the results of
             the nonconformance system (including NCRs and "other
             forms") review for input to both the corrective action
             and the 10 CFR Part 50.55(e) reviews. Further, that the
             results of the corrective action review would be reviewed
             for input to the 10 CFR Part 50.55(e) review. As the
             CPRT began implementing this ISAP, it became apparent
             that input from the nonconformance system review to the
             corrective action review, and the corrective action
             review to the 10 CFR Part 50.55(e) review, was not                                              I
             meaningful and was not pursuad. The bases for the CPRT's
             departure in this area of the ISAP was: (1) the
             corrective action system was structured to address
             potentially generic system and process problems having
             input from systems such as the trending program and not
             NCRs or systems which were related to singular hardware
             problems; and (2) the corrective action system had little
             or no input to the 10 CFR Part 50.55(e). The
             deportability system functions from input from the
             nonconformance system, which was considered in the CPRT
             evaluation.
             The NRC inspector has reviewed the bases for this
             departure from ISAP VII.a.2 and has verified that input
                                                       _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ -

>-

 mm-   ' ,L~
               .
                                                                                   4
                                                                                   ;
     s e
                                                                                 '
   A
       n     t   '
                                              36
                   ;from'the nonconformance system was provided to the:10fCFR
                    Part 50.55(e). deportability review.- Based on this review      i
                    and verification, the NRC' inspector concurs with:the           ,
                    actions taken by the CPRT in this regard.
                    No violations or deviations;were'noted and-no-further-NRC      ;
                   . inspection of-these reference items is planned.               I
                    Expand Review if-Deficiencies are'Noted (NRC Reference
                    07.a.02.12
                    ISAP VII.a'.2 required.that, "If deviations are
                    identified, additional reviews will be conducted as
                    required to identify the full extent of the programmatic
                    deficiencies.    In addition, areas or. groups of
                                                                                ~1
                    deficiencies which require, evaluation or reevaluation for
                   110 CFR Part'50.55(e) deportability shall be identified'
                    and referred'to TUGCo for processing." NRC: inspection of
                    the CPRT' procedural review, performed to evaluate'the
                    deportability system, found that the CPRT hadJidentified-      ,
                                                                                    '
                    a program deviation.in~the TU Electric deportability
                    system. The CPRT identified that TU-Electric Procedure,         ,
                   :CP-QP-16.1, "Significant Construction Deficiencies," the        '
                    controlling procedure for deportability, did not
                    adequately identify significant deficiency reporting
                    requirements.from October 1979 through November:1985.
                    Since the CPRT review team was able to. identify the~ time
                    frame of the deficiencies additional reviews were not          '
                                                                                    ;
                    required.    Based on its review of significant deficiency.
                    analysis reports (SDARs), the CPRT had determined that,         '
                                                                                     .
                    in spite of the lack of formal requirements forl
                    determining reportabilityfof__ deficiencies in CP-QP-16.1,         )
                    the determinations that were made by TU Electric of an          j
                    ' item / event's deportability were reasonable. _Therefore,        I
                     the CPRT found it unnecessary to refer any SDARs.to               l
                    TU Electric for reevaluation of their deportability.
                    Based on review of a portion of the CPRT sample, the NRC
                    inspector verified-that those determinations of
                    deportability reviewed by the CPRT were appropriate. The
                    NRC_ inspector noted that the CPRI had written PDR 69 to
                    document TU Electric failure to raview all NCRs for
                    deportability. PDR 69 has bcon referred to TU Electric.
                    The CPRT concern that the control of SDAR records is no:
                     in compliance with' ANSI N45.2.9 has been documented on
                    PDR 52 and also referred to TU Electric.                           ,

.

                                                                                       I

L Based on the_above results and previous inspection of the l l' CPRT reviews of the deportability procedures and their j '

                     implementation, the NRC inspector concludes that the CPRT
                     reviews were of a sufficient size to identify and scope
 _       _                                                                       _
                                                                                      i

I l

   * *
                                 37

h 1

                                                                                      1
       program deficiencies.     The NRC inspector also concluded-
       that all identified concerns and deficiencies have been
       properly documented and referred to TU Electric for                           1
       action.
       No violations or deviations were noted and no further NRC                      3
       inspection of this reference item is planned.                                  J
                                                                                      1
       Third-Party Overview of the NCR Review Program (Reference
       07.a.02.13)
       The applicant has initiated a program to review the
       adequacy of NCR dispositions which involve an engineering
       requirement; i.e., use-as-is, repair, or void
       dispositions. This program has been reported to the NRC
       as part of SDAR CP 86-48 and is described in an interim
       report, TXX-6560.     The interim report stated that the NCR
       review program would be accomplished in three phases.
                _
       Phase I of the program is a screening review performed to
       identify those NCRs whose dispositions would be evaluated
       further in Phase II.     The criteria of the Phase I
       screening review were: (1) the NCR disposition was issued
       prior to the issuance of corporate Procedure NEO 3.05,                         l
       " Reporting and Control of Nonconformances," (effective                        I
                                                                                      I
       date, December 22, 1986) (2) the disposition of the NCR
       involved engineering requirements (i.e., use-as-is,                           ]
       repair, or void) as determined by an assessment of the                         9
       actual written disposition; and (3) the NCR was not
       already the subject of other ongoing engineering                               i
       validation efforts; e.g., Pipe Support Engineering
       (SWEC), Equipment Qualification (Impell/SWEC), Cable Tray
       Hangers (EBASCO/Impell), Conduit (Ebasco/Impell), and
       HVAC (Ebasco/Impell). The NCRs passing this screening
       review would then go to Phase II.
       Phase II consists of a detailed technical evaluation of
       the dispositions of the NCRs coming from Phase I.
       Phase III consists of the resolution of any concerns
       involving NCR disposition adequacy.
       The scope of this review program has been expanded to
       include a review of the technical adequacy of
       dispositions of TDDRs, as described in Procedure
       CPE-TD-SWEC-034, Revision 1, "Nonconformance Report (NCR)
       and Design Deficiency Report (TDDR) Evaluation."
       Section 3.0 of the ISAP VII.a.2 Results Report stated
       that third-party engineers were performing an overview of
       the review of NCR and TDDR disposition adequacy and that
       the results of both the NCR and TDDR review and the
       third-party overviews would be reported in a supplement
                                                         ____________________________a
                                                                     a
                                                                     !
      .
    ,
                                  38
  \
           to the VII.a.2 Results Report. The NRC inspection of
           this activity has been initiated and will be reported as   ,
           work in this area progresses. The first such report is     !
           found in paragraph 4.b of this report.
                                                                     "
           No violations or deviations were noted during inspection
           of NRC Reference 07.a.02.13 and no further inspection of
           this reference item is planned.
                                                                     4
        e. Onsite Fabrication (ISAP VII.b.1) (35061)
           During this report period, NRC Reference 07.b.01.07 and
           07.b.01.10 were reviewed as follows.
           Analyze Data for Fabrication Compliance (NRC Reference
           07.b.01.07) Report Programmatic Implications and Issues
           to Other ISAPs (NRC Reference 07.b.01.10)
           Implementation of ISAP VII.b.1 required the CPRT to
           perform a review of the procedures that control onsite
           fabrication and a review of a sample of fabrication        ;
                                                                      '
           package.1
           Subsequent to the procedure reviews, the CPRT was to
           perform an auclysis of the resulting data. This CPRT
           analysis was completed and reported in Section 5.6 of the
           ISAP VII.b.1 Results Report. The analysis assessed         '
                                                                       ,
           whether the shop fabrication activities met the
           requirements of 10 CFR Part 50, Appendix B, Criteria V,
           IX, and X as committed in the CPSES FSAR.  The specific
           requirements of each criteria are:
           Criterion V requires that activities affecting quality be
           prescribed by and accomplished in accordance with
           documented instructions and procedures;
           Criterion IX requires that special processes such as         l
           welding and NDE be controlled and be accomplished by         I
           qualified personnel using qualified procedures; and          l
                                                                        1
           Criterion X requires that a program for inspection of        I
           activities affecting quality be established and               I
           performed. This program shall include: (1) inspection       I
           independent of the activity being inspected;                 !
           (2) examination or testing of each work operation where      l
           necessary to assure quality, or if impossible or              l
           disadvantageous monitoring of the work operations, or       j
           both examination and monitoring if necessary to assure       j
           control; (3) as necessary, mandatory inspection hold          I
           points shall be assigned and shall be indicated in
           appropriate documents.
                                                                        i

__

                           ;   ,
                                           ' '
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                                                                                                .
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                                                              ,
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                                    '
                                 .. .                                    39-
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                                                  >                                                                   q
                                                                                                                        l
                                               ;A1't hough other1 Appendix B criteria may also have'been
                                                                             ~
              +                >               fapplicable,1they were in the scope of review of other.               o  '
                      .
                          '
                                                ISAPs;'e.g., nonconformance control'is assessed.by:
                             '
       ,
                                                ISAP VII.a.2.

l: 4

                                             aThe NRC inspector previously inspected'thelimplementation
                     

, of the procedural: reviews.and the package reviews . J l

                                       '
                                               (performed.for?ISAP VII.b.1 and reported the details of                 J
                    ,E                          those; inspections;in NRC Inspection. Reports 50-445/86-22,.         J
         ,

g -50-446/86-20;-and150-445/86-31,,50-446/86-25. Using:the

                                                results of.these inspections, the NRC inspector reviewed
                                               Lthe!CPRTfanalysis and found that the CPRT had properly:
                                                identified certain deficiencies.__The CPRT identified'                1
    "
                                                that~ the historical procedures for construction: and    ,             ,

4: Linspection activities containedfinadequacies;.e.g.,_'B&R

                                                Procedure: QI-QAP'11.1-28.did not provide; details for
                                                inspection 1of site fabricated U-bolts.nor:did it require-            1
                                                the documentation ~of U-bolt' inspection'results.   The
                                                identified procedural inadequacies were documented on                    .
                                                PDRs'38 and 39. ' The NRC inspector also found that the
           '

w 'CPRT review of welder qualification and inspector  !

     4
                                                certification Was an accurate assessment of the.-status of
                                                                                       o certifications..
                                                welder. qualifications and QC. inspect'r
                                                                                                                       '
                                                As. reported in NRC' Inspection ReportsL50-445/86-22,
                                                50-446/86-20; and 50-445/8631, 50-446/86-25,' the NRC
                                                                                                                     
                                                inspector reviewed 11 documentation. packages!(9 ASME and
             .<                                 2 non-ASME) to the criteria used in the CPRT review.                   .
                                                Based on the NRC review of the 11 fabrication packages               R '
                                                and NRC review'of the CPRT findings for the remaining.
                                                eighty packages, the NRC inspector'found that the'CPRT
                                                hadTproperly determined that:
                                                 (1)  The non-ASME packages showed a lack of documentation
                                                      in eight packages which would preclude the CPRT                  1
                                                      document reviewers from verifying the qualifications
                                                      of.the_ welders involved; and                                    ;
                                                 (2)' Inspector certifications in 44 sample items were
                                                      found to be questionable.
                                                The instances of a lack of weld documentation were
                                                documented on DRs and were reviewed by the CPRT Safety
   "
                  ,                             Significance Evaluation Group (SSEG). The SSEG
                                                established through review of additional documentation
                                                that the welders were qualified. The NRC inspector
                                               . reviewed the reports of-the SSEG and found that the SSEG
                                                had established the dates that the welds were actually
                                                made and'then verified that the welder was qualified on
                                                that date.
   -_.

i

         ,.    .
                 The NRC inspector verified the results-of the SSEG review
                 by inspection of.the documentation that established the
                 date that the welds were made and by reviewing the site
                 Welders Qualification Matrix (WQM) for each welder in
                 question.  In all instances, the welders' qualifications
                 were verified. Although a similar lack of documentation
                 of welder qualifications may exist in other non-ASME
                 packages, the NRC inspector concurs with the CPRT
                 conclusion that it is probable that documentation for
                 welder qualifications exist. This is based on two
                 factors: (1) the welders' qualifications were originally
                 verified by QC; and (2) in all eight identified instances
                 where the date the weld was performed was established,
                 the welder was found to have been qualified when the weld
                 was made.
                 The instances of questionable inspector certifications
                 were documented on generic DRs 32, 33, and 34 which were
                 referred to ISAP I.d.1, "QC Inspector Qualifications" for
                 evaluation and input to the results of that ISAP as
                 required.
                 The CPRT also identified concerns relative to material
                 traceability, the lack of evidence of inspection for site
                 fabrication of U-bolts, and the uncontrolled " star stamp"
                 marking of Hilti bolts. The NRC inspector verified
                 during review of fabrication packages that these concerns
                 were properly identified and reported to the appropriate
                 ISAP issue coordinator.
                 The NRC inspector reviewed the ISAP VII.b.1 DRs and
                 verified that the material traceability problems had been
                 identified and sent to the ISAP VII.a.1 issue
                 coordinator.
                 The concern of QC documentation deficiencies relative to
                 site fabrication of U-bolts, along with other concerns
                 such as inadequate / inconsistent information, insufficient
                 data, and missing records or illegible records, has been
                 documented on PDRs 38 and 39 and will be considered in
                 the collective evaluation being performed by CPRT. NRC
                 inspection of the collective evaluation-will be reported
                 when completed.
                 The concern for " star stamp" marking of Hilti belts has
                 been documented on CPRT PDRs 38 and 39. The issue is
                 being addressed by two CARS, B&R CAR-058, which documents
                 the issue for ASME related Hilti bolts and TU Electric
                 CAR-074, which documents the issue for non-ASME related
                 Hilti bolts. The NRC inspector reviewed these CARS and
                 found that they address the CPRT concern as described in
                 PDRs 38 and 39. The issue of " star stamping" has been
                                                                             l

- _ _ -.

                                                                                          -

7, .

                      ,_                                                                     y
          , ',    +
                                                                                -
                                                                                            1
             '~
                    '
                                                        41
    *

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                              identified to'the NRC as a potentially. reportable item
"
      '
                              and willLbe inspected by the NRC as that effort                ;
                              progresses.
                              Based on the above, the NRC' inspector determined that the      t
  '
                              .CPRT properly analyzed the data'resulting from the
                              reviews of procedures and fabrication packages.,The'NRC.
                              Linspector alsofdetermined that the CPRT documented'its
                              findings ~on DRs or PDRs and referred them to TU Electric
                             'for' action or to other ISAPs for~further evaluation      .
                                                                                             4
                              '(e.g.,'ISAPs VIT..a.l and I.d.1)-or referred them to the-
                              CPRT collective evaluation.
                              No violations or deviations were noted during inspectio'n
                              of.these reference items and no further inspection of
                              these items is planned.
                6.      Inspection of NCR Process (35061)
                                                                                            
                       .This is a continuation.of an inspection initiated during the
                       -previous. report period (50/445-8713; 50/446-8710)~.
                                                                                             4
                        a.    Operations Deficiency Report Program
                              The purpose of-the NRC inspection was to determine
                              whether methods for the initiation, processing, and
                              control of plant operations deficiency. reports at CPSES
                              were. performed in accordance with Nuclear Engineering and
                              Operations Procedure NEO 3.06, Revision 0, " Reporting and
                              Control of Deficiencies".    Station Administration
                              Procedure STA-404, Revision 5, " Control of Deficiencies,"
                               is the operations procedure which implements the
                               requirements of NEO 3.06. Provided below is a summary of
                               the STA-404 deficiency reporting process, the methodology
                              used by the NRC to inspect the deficiency reporting
                              process, and inspection results.
                               (1)  STA-404 Ded ciency Reporting Process
                                    Upon discovery of a. deficiency (e.g., departure from
                                    procedures), a deficiency report is initiated. The
                                    initiator is required to. provide, among other
                                    things, a description of the deficiency observed,         ,
                                    the activity affected, observation date, and the
                                    initiator's name. The deficiency report is then
                                    reviewed by the preparer's department-head for
                                    validity. Since December 22, 1986, (NEO 3.06
                                    effective date), 324 operations deficiency reports
                                    have been originated by operations, engineering, and         i
                                    QA/QC. .Of these 324 deficiency reports, 11 had been
                                                                                                '
                                    invalidated, 136 had been closed, and 177 were still
                                    inprocess.
   __
 ,
      * '
                                  42
              An evaluation by QA is then conducted to accomplish
              the.following: (1) determine if the deficiency
              report is valid, complete, and sufficient in detail
              for the problem to be understood and resolved; (2)
              assign responsibility for dispositioning with a
              response-due date; (3) perform an analysis to
              determine if the condition requires the initiation
              of an NCR; and (4) transmit the deficiency report to
              engineering for deportability review.
              Dispositioning is accomplished by the assigned
              organization, which evaluates the identified
              deficiency and provides the cause of the deficiency,
              action to correct the deficiency, action to preclude
              recurrence, and a proposed implementation date. QA
              then_ reviews the proposed disposition and concurs
              before disposition activities proceed. When
              disposition is complete, QA/QC verifies
              implementation and that engineering review for
              deportability (10 CFR Part 50.55(e) and Part 21) has
              been performed.
          (2) NRC Inspection
              A review was conducted to determine if STA-404
              adequately addressed the requirements of NEO 3.06.
              The results were that STA-404 was consistent with
              NEO 3.06 and provided adequate implementing
              instructions.    To verify implementation of STA-404,
              the NRC inspector developed an inspection plan and
              checklist which detailed the organizational
              responsibilities and requirements identified in
              STA-404. A sample of deficiency reports was
              compared the checklist to determine if deficiency
              reports were initiated, processed, and controlled as
              prescribed. The sample selected was 43 of the 324
              deficiency reports initiated since December 22,
               1986, which included the 11 deficiency reports that
              were invalidated, 14 closed deficiency reports, and
               18 deficiency reports that were inprocess.
               In developing the checklist, consideration was given
               to the interface between operations, engineering,
               and QA/QC. The scope of the inspection was
               structured to include operations deficiency reports
               initiated for installed plant equipment, inprocess
              modifications, maintenance actions, and QA/QC
               related functions.

, l  !

                      _  ._.                        __     _ _ _ _ _ -
 ' '
                             43

>

     (3) Inspection Results
         (a)  Initial Evaluation for Validity
              The NRC inspector determined that the
              preparer's manager and-QA/QC had reviewed the
              43 deficiency reports for validity,
              completeness, and that sufficient detail
              existed in order for the identified problem to
              be clearly understood and resolved. Of the 11
              deficiency reports that were inspected which
              had been invalidated, four were by the
              preparer's manager and seven by QA/QC. The
              invalid deficiency reports were found to have
              adequate justifications to substantiate the
              invalid dispositioning. The remaining 32 were
              determined by the NRC to have been properly
              evaluated as being valid with the required
              detail to enable problem resolution; i.e.,               ,
                                                                       '
              determination if an NCR was required,
              assignment of dispositioning responsibility,
              and response due date.
         (b)  Comanche Peak Engineering (CPE) Review
              During the inspection, the NRC determined that
              each of the 14 closed deficiency reports were
              submitted to and reviewed by CPE for
              deportability under the provisions of 10 CFR
              50.55(e) and 10 CFR Part 21. Each of the 18
              inprocess deficiency reports were also found to          k
              have been submitted to engineering for                     l
              reportabiljty review, as substantiated by filed           I
              three-part transmittal memos.
         (c)  Dispositioning
              The NRC inspector found that dispositioning by
              the assigned organization was provided for the
              closed deficiency reports and for those                    ;
              inprocess deficiency reports (11) that had                 i
              already been dispositioned. Deficiency cause,
              actions to correct, and actions to prevent                 l
              recurrence appeared to be adequately
              identified. Of the 11 dispositioned inprocess
              deficiency reports, 7 had exceeded their
              disposition completion date. NEO 3.06 requires
              when dispositioning can not be completed by the
              proposed date, "an extension shall be requested
              by informing QA in writing that an extension is
              required". Included in the request would be a
              new date and a justification for the requested

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                                     _
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  1. . extension. Forithese 11' inprocess deficiency:
                    ?
                          e                     ; reports, nofextension requests were found.- The
      '   '
                                          ;     iremaining seven inprocess-deficiency: reports

. b- weresnot dispositioned;Lhowever,'these:

                                                ~ deficiency reports' exceeded theidate:when:a
                                                  proposed? disposition was. required. .AsLwith the.
 ..
                                                  disposition complete dates,1NEO:3.06 re' quires
                                                Lwritten' requests for proposed 1 disposition;date
                                  ,
                                    ,
                                                ' extensions.-
                                                 'Both of these conditions were: observed by the ,
                                                ; applicant during:airecent.TU Elec'tric QA audit.
    -
                                                ;of theJoperations deficiency report program.:
      e                                           The audit was conducted;from MayL4 through^ July
                                                  6',- 1987, and'reportedjin audit. report
                                                  TUG-10-87. fat'present, the' applicant _is in'the
                                                  process /.ofiresolvingithe:identifiediconditions.        .i
                                                  For both the closed and inprocess deficiency
                                                  reports which were dispositioned,agA reviews           '
                                                 -and' concurrence were found'to have1been
                                                  adequately performad;and' documented.
                                       (d)        Disposition' Accomplishment'
                                                  Basedonthereview'oftbe14_closeddeficiency.
                                                 . reports,1the NRC determined.thatfQA/QC' verified.
                                                                                   _
                                                  disposition implementation, closed the
                                                  deficiency-report, and performed the required
                                                 . reviews for accuracy and completeness of
                                                  documentation.
            t
                                    .(e)          Records and Deficiency' Report Tracking                   ;
                                                  Completed. records were found to have been
                                                  turned over to the operations permanent records
                                                  vault, as required. The Deficiency Report Log
                                                  was reviewed and found to contain the
                                                  appropriate entries for'both closed and-
                                                  inprocess deficiency reports.-
                                                  The computer Deficiency Status Report,'which
                                                  was used to account for and track deficiency               !
                                                  reports, was examined. This report provided
                                                  the status of inprocess deficiency reports
                                                  including implementation dates for disposition
                                                  and engineering evaluation and days the
                                                  deficiency report has been open. A summary of
                                                  the Deficiency Status Report was found to.have             l
                                                  been included in the monthly QA Status Report              !
                                                  as required by STA-404. With respect to                    i
                                                  trending and corrective action, quarterly
                                                  reports were generated which trended deficiency
                                                                                                             i
                                                                                                             i
          ~
                                                                                                             1
                                                             _       _ _ _ _ _ _ _

l

  
                                     45
       '

i.

                       reports and addressed the initiation of
                       corrective action requests.
     '
             In' summary, of the 324 deficiency reports (valid and
             invalid) initiated since the implementation of NEO 3.06,
             the NRC inspected 43 for conformance to requirements of
             NEO 3.06 as implemented by STA-404. Based on this
             inspection, the NRC determined that the applicant has
             established and implemented a program to document,
             process, and correct deficiencies for operations
             activities at CPSES. The one error in implementation
             identified by the NRC inspector during this inspection                '!
             had previously been identified by a TU Electric audit and
             corrective actions had been initiated. No other
             violations or deviations were identified.
         b.- Construction Nonconformance Reporting
             The documenting of nonconforming conditions in the-
             construction area is controlled in two categories based
             generally on equipment type: ASME (B&R) and non-ASME (TU                i
             Electric). While the two procedural processes are very
             similar, this inspection was directed at the non-ASME
             process and the management review and tracking activities
             common to both ASME and non-ASME nonconformances.
             The procedures controlling the activities'irspected
             during this report period are:
             CP-QP-16.0, " Reporting Construction Deficiencies,"
               Revision 27
             QI-QP-16.0-8, " Processing Construction Deficiencies,"
               Revision 1
             QI-QP-16.0-9, " Processing Programmatic Deficiency
               Reports," Revision 1                                                  ;
             QI-QP-16.0-10, " Initiating and Processing Nonconformance               l
               Reports," Revision 1                                                   i
                                                                                     l
             These procedures were inspected and were found to                       j
             incorporate the requirements of NEO 3.05 and NEO 3.06.                  !
             The following is a brief description of the three
             reporting processes: construction deficiency report
             (CDR), deficiency report, and NCR.
                                                                                     .
                                                                                      '
             While a CDR may be initiated by any individual noting a
             potentially. nonconforming condition, the most frequent
             initiators are QC inspectors. The initiator obtains a
             CDR form and completes the upper portion of the form
             which includes the item identification, its location, and               ,
             a complete description of the nonconforming condition.
             The initiator then contacts the NCR Group (NCRG) and
 _.
          .
                                                                                             -,
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                '.                              46

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                                                                                                !
                      obtains the next sequential number and. enters it on the

! CDR form. The CDR form, thus completed, is sent to the

                      NCRG where it is reviewed by a QE for completeness,                       i
                      validity, assignment of action party, and distribution.                   l
                                                                                                '
                      Based on the QE's review, the approved CDR is sent to
                      construction management for disposition if: (1) the CDR                   ,
                                                                                                '
                      is valid, (2) the nonconforming condition can be
                      corrected by rework or replacement (scrap), andL(3) the
                      rework or replacement can be accomplished without
        '
                      engineering involvement. If the QE believes the proper                    :
                      disposition of the CDR is use-as-is or repair, or if
                      construction management believes engineering involvement
                      is necessary to resolve the CDR, the QE closes the CDR by
                      transferring the documented condition to an NCR.       If the
                      QE review of the CDR concludes that a nonconforming
                      condition does not exist, the CDR is voided and a
                      justification is documented. This action must be with
                      the concurrence of the,NCPG supervisor in which case the
                      voided CDR is returned"to the initiator.
                      Deficiency reports may be initiated-by QA, engineering,
                      or startup personnel when a programmatic deficiency is
                      apparent (this'is in contrast to a CDR which in most
                      cases relates to hardware problems). Therefore, during
                      the processing of CDRs and NCRs, the QEs may identify'               'r    .
                      procedural or process deficiencies'that result in                         ?
                      deficiency reports being initiated in addition to or
      >               resulting from the disposition of a CDR or an NCR.        Once
                      the deficiency report is initiated and validated by the
                      responsible department head, the NCRG numbers and logs
                      the deficiency report then sends the deficiency report to
                      the individual responsible for its disposition.       Since
                      the deficiency report documents programmatic problems,
                      its disposition must include a determination of the cause
                      and actions to correct and prevent recurrence of the
                      deficiency.    If the deficiency report is invalidated, the
                      NCRG supervisor must concur and the deficiency report is                   l
                      returned to the initiator.
                      An NCR may be initiated by QA, engineering, startup, or
                      subcontractor personnel when a condition is identified
                      that requires a repair, use-as-is, or engineering
                      involvement in its disposition. The initiator prepares
                      the upper portion of the NCR form which is then sent to                   i
                      the NCRG. If the NCR'is valid, it is approved, logged,
                      numbered, and sent to engineering for disposition.        If
                      the NCR is deemed invalid, a copy is returned to the                      ,
                      initiator.
                      The following activities are common to the processing of
                      CDRs, deficiency reports, and NCRs:
                                                                __________-____-_____-_________L

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                                                                        .
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                                                                                                                                                           I
                                                           -(1)   Tracking -1 Separate handwritten 4 logs'are maintained'                                i
              ; %@                                                 for each type report which providessunique numbers'                  '
                                                                                                                                                          "
                                                                  and other brief. descriptive:information.
                                   *
                                                          -(2)?istatus - Computer files are maintainedifor'each
                                                                  l report and~the file--is-updated at eachastepnin.the
       '            ,        ,
                                                                  process: by the NCRG; e.g. ,' at validation, Jwheni
                                                                  disposition is'proposedh when!dispositionais:                           -
             _
                                                                   completed, etc.            ,
                                                                                                                     ,
          n                                                                                                               ,
                                                            (3)': Deportability        TEA reviews each' report forp                  >
                                                                   reportabilityc under 10 CFR Partr50.55('e).
                                                                                                                                                      s .i

' '

                                                                                            a.
                                                            (y4) . Verification - Prior'to the,closureJoffany. report'                      ,
                                                                 10A/QC. physically verifies that the-documented
           ,
                                                                 : disposition / actions have been? completed'.
     .                ,
                                                           ToLverify procedural implementation!and effectiveness,
,                 '
                                                            the NRC: inspector reviewed thefCDR,fdeficiency report,
                                                                                                  ~
                ,                                           and NCR logs, the latter in detail. Fromfthe NCR-log,                                     '
                       *                                    12'NCRs issued subsequent'to the NEO 3.05' effective-date'
                                                           were selected'~for; inspection.             The resultsLof the NRC-                              l
      :X                                     , '[4'         inspection of thesef12 NCRs and.related documents ~                                     '
                                                                                                                                                           i
                                                    ,
                                                          .follows.                                                                           '
                           .
                                                          aCC 87-66
                                                            The torque on.Hilti bolts on watertight doors was the
                                                            subject of-thistNCR. This NCR resulted:from'CDR 86-64CC.                                      1
                                                            The documents associated with this NCR were. inspected and.
                                                                                                                                                           #
                                                            no; process; discrepancies were identified by the.NRC
                                                          vinspector.                                   N
                                                            CM 87-1058
                                                    '
                                                            ThisLNCR was-the result of CDR 87-1260-MC. Four items
     '
                                                          'were identified on the NCR: Hilti bolts with.-unacceptable                                          <
                                                            gaps.under the' nut, another with questionable:embedment,                                    'd
                                                            an undersized weld, and an excessive base metal reduction                                        )
                                                            adjacent to a1 weld. These items concerned an HVAC
                                                            seismic support. Based on an' inspection of-supporting
                                                            documentation, this NCR appears to have been processed
                                                            properly; however, there is an apparent procedural
         ' '
                                                          . weakness. . QI-QP-16.0-10 states that NCRs shallLaddress                              t-
                                                            only specific nonconformances, not to be extended to
   ~
                                                            similar products or activities. The NCRG supervisor
                                                            interprets this statement as intended to-prevent generic
              ,                                             NCRs. This is a reasonable-interpretation, but it leaves
                                         .                  two questions unanswered that is typified by-this NCR:
 -                                                          (1) when more than one item requires a disposition, the
                                                            dispositions may not all be the same category, and (2) if                                     a
                                                            any, or all but one, of the items are deemed invalid, the
                                                                                                                                                             i
                                                                                                                                                               I
          = = = - _ - _ _        -
                  .                                    _           _

, f t

 f .-                           48
                                                                     ~

.

      fact that at least one item is valid will prevent the
      NCR, CDR, or deficiency report from being returned to the          1
      initiator. While this NCR does not suffer from either of
      these problems, further inspection of this matter is
      necessary and will be considered an open item
      (445/8716-0-05; 446/8713-0-04).
                                                                       :
      CM 87-2805
      This NCR was transferred from CDR 87-3288-MC which
      identified an NCR (M-86-104911) that had been
      dispositioned'and closed but did not address the-
      nonconforming condition. NCR M-86-104911 identified     a
      noncomplying beveled washer and a gap between the cable
      tray and a clamp; the disposition, reviewed and approved
      by a QE, was to grout the described support member.     This   -;
      disposition does. not appear to relate to cn even address
      the noted nonconforming condition. NCR CM 87-2805 was
      initiated March 4, 1987, and essentially restates the
      condition described in M-86-104911. The disposition of-
      CM 87-2805, also reviewed and approved by a QE, simply
      states craft to rework and QC to reinspect. As of this
      inspection, the disposition has.not been completed nor
      has any other' apparent action been taken.    The NRC will       ,
                                                                        ~
      consider this item open until this NCR has been
                                                                     'I
      completed, at whict time the NRC inspector will inspect
      this matter further (445/8716-0-06).
      CM 87-4564
      This NCR resulted from CDR 87-4488-MC-N-X, a finding
      initially identified by the-CPRT concerning a broken           o
      cotter pin. Engineering invalidated the NCR on                   l
      June 4, 1987,'and the NCRG supervisor approved the
      completion of the NCR on July 2, 1987.     On June 22, 1987,       '
      the procedure controlling NCR processing by engineering
       (ECE 3.05) was revised prohibiting the invalidation of
      NCRs, instead such dispositions were to be use-as-is with
      a statement of explanation. The NRC inspector searched
      for other examples of NCRs invalidated during the
      transition phase of the procedure revision but found
      none. Training records were reviewed which verified
      engineering personnel were trained in the procedure
      revision.     While other NCRs similar to this one may
                                                                       "
      exist, none were found nor did the NRC inspector find any
      other NCRs processed after June 22 that had been
      invalidated.     This occurrence appears to be very limited      I
      and perhaps confined to NCRs already in process when the
      procedure was revised. No further NRC inspection of this
      matter appears warranted or is planned.
                                                                       ,
                                                                                               !
                                                                                             j
                               <
         e ,a-                                         49
                                 4
                                                                                               !

h ~CE 87-5067

                                                                                                '

, L On' April 7,'1987, CDR 87-5438-EC was initiated stating .)

                              that 6.9kv switchgear was disassembled and reassembled           !
                                                                                               '
                             without identifying parts as they were removed and:
                              without QC witnessing the proper. reassembly of-the parts
                              as required by instructions.on-the traveler.- On April-8,
                              the CDR was closed by transferring:the concern.to
                              deficiency report.C87-1783 for the: programmatic
                             ' deficiency and NCR CE 87-5067 for:the potential hardware
                              deficiency'(mixing of parts.during reassembly). The NCR
                              was closed based.on engineering's statement.that no                 '
                              engineering documents were violated; thus, no
                              nonconforming condition existed.
                              Ths basis usedJto support' engineering's closure of this
                              NCR was that the traveler was more restrictive than the
                              specification and that QC did witness.all or part af the     ,
                              activities in question. In effect, engineering w ts
                              voiding this NCR which-was permitted by procedure unt!.1
                              the June 22,.1987, revision.to ECE 3.05. The NRC;
                              inspector found the disposition of this NCR (closed on
                              April 21, 1987) to-be proper and the same as a use-as-is
                              disposition.
                              Deficiency report C87-1783 was closed on August 27, 1987;
                              however, the disposition appears questionable. The cause
                              of the deficiency was stated as being a misinterpretation             i
                              of'the traveler, but no action was taken to correct or
                              prevent recurrence of this apparent programmatic
                              deficiency. A further review of the associated                       !'
                              documentation for this item by the NRC inspector l.
                              identified CDR 87-7101-EC which also questioned the
                              disposition of-deficiency report C87-1783. .CDR
                              87-7101-EC was transferred to a new deficiency report
                              (C87-2446) on May 22, 1987. Disposition of deficiency
                              report C87-2446 was due on August 17,1987, but had not
                              been made by the close of this inspection.     Review of the
                              disposition of this deficiency report is considered to.be      ;
                                                                                               i
                              an open item (446/8713-0-05).
                              CM 87-6385
                              This NCR was initiated April 30, 1987, and documented
                              three cable tray hanger problems identified on inspection             l
                              report (IR) ME-1-91659, which required engineering                    i
                                                                                                    '
                              disposition.    The problems were: (1) a gap at the
                              support, (2) a gap between the cable tray and the clamp,
                              and (3) improper use of a beveled washer. The
                              engineering disposition, given on May 20, 1987, was to
                              rework each in accordance with the applicable procedure
                              and QC to reinspect. All actions appear proper, but this

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

                                                                        _ _ _ _ _
                                                                                       __-____-
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               .   .
                                                 50

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 59
                        NCR is another example of the open item noted earlier
                        (445/8716-o-05; 446/8713-0-04).
                        CE 87-665A
                        This NCR resulted from CDR 87-6629-EC, which identified
                        six cables with unacceptable damage to their insulation.
                        The engineering disposition was to rework the cables and
                        six irs were generated. .The work was completed on June
                        19, 1987.    The disposition was verified by QA/QC. The
                        NCR was closed on July 27, 1987. All CDR and NCR
                        activities were consistent with the controlling
                        procedures.
                        CE 87-6936
                        This NCR was written because of an error in processing an
                        earlier NCR. The NRC inspector obtained copies of the
                        earlier NCR (CE 87-5172, Revisions 0 and 1), which was
                        issued as a result of CDRs 87-5594-EC and 87-5595-EC. CE
                        87-5172 was issued because the nitrogen used to
                                                                                                {
       ,

w? pressurize and tent 46 EPAs could not be verified to meet

                        specification requirements. Revision 1 to CE 87-5172 was
                        issued to delete one EPA and add another from the
                        original list of affected EPAs; however, in transcribing
                        the EPA numbers, the 'QE inadvertently lef t one EPA off
                        the Revision 1 list. This error resulted in the issuance
                        of NCR CE 87-6936 on May 15, 1987, which added the
                        omitted EPA to the work activity, but did not address the
                        deficiency in the process that permitted this error. On
                        July 1, 1987, CDR 87-8283-EC was issued listing five
                        process and documentation errors associated with the NCRs
                        identified above (CE 87-5172 and CE 87-6936).             This CDR
                        was transferred to DR C87-2922 which proposed a
                        disposition that would be completed by November 30, 1987.
                        The disposition, though net yet complete, proposed
                       < correcting the documentation errors, but did not indicate
                        any actions associated with preventing recurrence.
                        On July 27, 1987, another CDR (C87-8861-EC) was initiated
                        relative to NCR CE 87-5172, Revision 1, wherein an IR was               l
                        issued for work on an EPA that referenced CE 87-5172, but
                        the EPA is.not listed on the NCR. This process or
                        documentation error was transferred to deficiency report
                        C87-3172, which is awaiting disposition.
                       While reviewing the EPA document package, the NRC
          ,
                        inspector noted two other CDRs. These CDRs, 87-7336-EC
                        (transferred to deficiency report C87-2660) and 87-7780,
                        were inspected.further by the NRC inspector.
    t'

mm___ _ - - _ _

                                                                                             _
                                                                                                    !
                                                                                                    <
 - *
                             51
                                                                                                      i
                                                                                                    i
     Deficiency report C87-2660 identified a drawing (El-0507)                                       i
     that did not depict the current EPA function and
     locations. DCA 46588 has been proposed to correct this
     problem which engineering has determined is a                                                    l
     documentation problem only; i.e., El-0507 was'not                                               )
     intended to show location and function of EpAs, since                                          !
     drawing El-0511 provides this information. The                                                 )
     disposition of this deficiency report (C87-2660)'does not                                       ;
                                                                                                     ;
     propose any preventive action, but the disposition has
     not been approved as yet.                                                                      !
     CDR 87-7780, identifying six NCR/CDR processing problems,
     was initiated on June 18, 1987, but had not been approved
     or dispositioned by the close of this inspection.
     In summary, the NRC review of NCR CE 87-6936 and related
     CDRs and deficiency reports noted several nonconforming
     conditions with specific hardware, all of which have been
     properly. corrected. In addition, several potential                                            i
     programmatic or processing items were noted that are
                                      ~
     awaiting disposition. These are documented on deficiency                                       v
     reports C87-2922, C87-3172, and C87-2560 and CDR 87-7780.
     Review of the processing and dispo"Acion of these
     documents is considered an open item (445/8716-0-07;
     446/8713-0-06).
     CM 87-7401-X                                                                                  q
     This NCR was transferred from CDR 87-6864-MC-X, listing
     items identified by the CPRT inspection affort. The NCR
                                                                                                    '
     identified five potentially nonconforming conditions.
     While the NCR is still inprocess, it has been handled in
     accordance with procedures thus far. It is, however, a
     further example of a previously identified open item
     concerning multiple problems documented on a single NCR
      (445/8716-0-05; 446/8713-o-04).
     CE 87-7763
     This NCR, dispositioned use-as-is, was transferred from
     CDR 87-7421-EC, which identified various pieces of carbon
     steel being used on EPAs. The problem described on the
     CDR referenced a previous NCRO(CE 87-249) which required
     the replacement  of carbon steel lock washers with                                             '
     stainless steel  washers because of the potential for
     corrosion. The   justification for the use-as-is
     disposition was  that further evaluation of the atmosphere
      and environmental conditions had determined that the
     affected EPAs would not be subject to a corrosive
      atmosphere. The NRC inspector reviewed these further
      evaluations and discussed the results with the
      responsible engineer.  The results of the evaluation were

! l . _ _ _ _ _ _ - . _ .

                                                                 ___________________________._______j
                                                                                                                  ~
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                                             ifoundedLon1the design' basis for inside. containment:which;
                                              under-'normalLeonditions requires a,noncondensing;
    *                   <
                                            . atmosphere,Jor dry _airienvironment, usually less than: 70 0
T-                                            relative humidityi 'The NRC inspector agrees with this-
      ,
                                             _ assessment' based oniaireview of,the applicable: documents,
                                             'which: included the'FSAR. design' bases and the corrosion'
                                                                               
                                              specialist'sl evaluation.
                                              CE 87-7984
     '
                            '
                                             .During;the-NRC inspector's review of the-NCR.logh          .,
                                              CE 87-79841wasinoted:to.have been entered on June: 12 ,'
                                              1987, but no other-information was given. 1The NRC.
                                           3: inspector-requested the' status'and" location of theLNCR.
                                             '.AfterLaltime,     the QE advised
                                              evidence.could-be'found             the NRC inspector
                                                                           that wouldfindicate      thatwas-
                                                                                               theLNCR      no
                                             ~evertissued, except for the' partial log; entry.- No other
                                               such occurrence was noted in anyof; the logs. . This
                                               appes;s.to have-been an isolated occurrence; however,
                                               thisLitem will besheld open for,further inspection ~
                                              :(445/8716-o-08; 446/8713-0-07.).:                                    >
                                               CE 87-8979'.                       '
                                               This NCR concerns the welds on jackshafts for the 6.9kV
                                               circuit breakers that had:been-returned to'the vendor int
                                               repair. 'This problem had its beginning'in January 1986..
                                               when the wold on a jackshaft failed due principally to
                                                                                          ~
                                               lack of fusion. .As;a consequence,;all.jackshafts from-
                                               this vendor (BBC, Brown Boveri, Inc.) for 6;9kV circuit
                                               breakers were returned for repair. The' repair 1i nvolved            'j~
                                               rewelding, but used weld acceptance criteria less.
                                               stringent than the drawing, requirements.t This. relaxation
                                               of weld 1 criteria was based cn1 a 10,000' cycle test-
                                               performed on a pair (left hand-and right' hand) of
                                               jackshafts returned from the site, but before weld' repair
                                               was performed. On the. basis of the foregoing and

'

                                               inspection of each repaired jackshaft by vendor and-
                                               applicant personnel before return..to the site, CE 87-8979
                                               was dispositioned use-as-is. The NRC inspector: reviewed
                                                the 10,000 cycle test results, the applicant's vendor
                                                inspection trip report, the revised weld acceptance'
                                               criteria, and the quality assurance release form for
                                                returning the jackshafts to the site. . The NRC inspector
                                                                                                 ~
                                                requested the QC inspection records and the tested-

a jackshafts for future inspection (445/8716-0-09; l' 446/8713-O-08). The NRC inspector then inspected ~the L repaired jackshafts being reinstalled in the 6.9kv L circuit breakers. About 12 items were visually inspected ,

                                                 and 5 were inspected using a Fiber Metal products weld                 1
                                                 fillet gage. One of these five (#273) was found to                    j'
                                                violate the revised weld criteria even though all
                                                                                                                        1
                                                                                                                        1
                                                                                                    - - - - - - -
                                          .
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                                        .
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     7                        ljackshafts had been inspected by both. vendor and'
            '                  :e,pplicant personnel (445/871F-V-10; 446/ 8 713-V-09 ) .
         ,
                  '^            The applicant wasLadvised'of the'NRC's finding and NCR pE
                                87-90600 was ic%e,iated on September 2, 1987             t Further-
      ,'
                                inspection by the applicant has identified other                    .
                                                                                                                            ;.
                                                                                                                            '
                                jackshafts that fail    j      to meet the revised. criteria.    The

y*

   ,
                                NRC'will inspect this matter further in'c#nnection with \                                 '
                                                                                                                            I
                                the identified violation. ' '                      ll N ;                         <
                                                                                      q
                          The foregoing inspection of the construction nonconformance                                       '

.i reporting process did not. identify any signi'ficant problems

                          with NCR processing, even though one violation regarding
                          vendor inspections was ident$fi.ed. A number of open items do                                     ;
                          remain that require further'NRC inspection.
                . 7. :    plant Tours
                          The NRC inspectors made frequent tours of.the Unit 1, Unit 2,
                    5     and. common areas of the facility to observ'e items such as
                     '.   housekeeping, equipment protec tion, and in-process' work
                          activities. The follcaing items of significance were
                   ,
                          observed:
                          a.    Valve Operator Test ___(51053)
                                On August 11, 1987, the NRC inspector witnessed an
                                acceptable stroke test (opening and closing) of a motor
                                operated valve (MOV). The valve (MOV 1-8806) was the                                          .
                                refueling ~ water storage tank to the suction of the safety                                 j
                                injection pump isolation valve for Train B. This 6" gate                                / "!
                                valve was positioned by a Limitorque, Type SB, Size 00
                                valve operator. An inspection by NRC of finternal wiring'
                                                                                                                    '
                                of the valve cperator disclosed no problems with bend                                    R
 ,
                                radiij. terminal lugs, or conductor identification.                                         ]
                                The NRC inspector did note the existence of two cap-type
                                wire splices on what appeared to be vendor installed
                                conductors. A review of the W.o. C86-7445 package                                       o
                                disclosed that it had been issued to conduct an equipment                                       )
                               -qualification (EQ) walkdown. The checklist for this                                            j
                                walkdown specifically listed splices as an attribute to                                         l
        a                      :be ahecked. Further review of the W.O. package revealed                                         I
                                                                                                                               !
        f'                      two' ;nmper wires had heen replaced due to the lack of
       'h1                      identification information on the previcvsly installed                                      a
           '
                                jumpers; i.e., conductor and insulation type and                                             )
                                manufacturer information was not visible. The                                                   !
                                replacement of these jumpers was documented on an IR form                                       !
                                 (No. Ip 031-135) which was included in the W.O. package.                                       l
                                                                                                                                1
                                No violations or deviations were idyntified.
                                                                                                                                I
                                                                                                                                !
                                                                                                                                ,
                                                                                                                      1         1
                                                                                                                                1
    ___.
 7_
                                                                                               l
          .    ..
                                                 54
                  b.   Valve Leakoff Piping (49055)                   <
                       On August 17, 1987, the NRC inspector obserYed tilat the
                        leakoff piping from. three valves located in ' Room i92 of      ,
                        the Unit 2 safeguards building was routed tothe idoor

-

                       drain.    Since one of the valves was the reactor boolant
                        letdownheatexchangertemperaturecontrol3alve,\ ,the                     ;
                        leakoff would be radioactive.     (The leakoff connection is
                                                                                  '
                                                                                            4 '
                       designed to direct any valve stem leakage to a
                        radioactive water collection facility.) The NRC
                        inspector checked the Unit 1, Room 92, and observed the                )
                        same configuration.    Unit 1 and Unit 2 are mirrcq images             l
                        and should be the same if the installation is acfeptable.
                        A review of the FSAR showed that,the floor draiv in-
                        Room 92 was directed to Floor Drain Sump No. 1 is the
                        respective unit (Figure 9.3-6) which is a radioactive
                        liquid collection point. Since the possible radioactive
                        leakoff liquids will be' properly collected for each unit,
                        the NRC inspector had no further quer,tions.                           <
                        No violations or deviations were identified.
                                                                                               )
                  c.    Electrical Penetration Assembly (EPA) (51053)                          ;
                                                                        (                      !
                        On August 18, 1987, the NRC inspector witnessed the                    i
                        ferrule removal from EPA 2E-60; medule A.         A description        ;
                        of the need for and methods used t'or ferrule removal is                .
                        contained in paragraph 2.b of NEC, Inspection Report                   j
                         50-445/87-03; 50-446/87-03 for EPA 1E-09.        The NRC              j
                        inspector observed that procedures were followed and
                        verified that the EPA body war-not damaged during the
                         ferrule removal process.           i
                                                              i                                9
            8.    Corrective Action Program (CAP)          /
                  The NRC inspectors have begun the verification of the
                  applicant activities associated with,the CAP.         In an effort to
                  consolidate the inspection efforts related to the CAP, the
                  associated inputs will be included in a single paragraph in                     .
                  this, and subsequent, inspection reports. Previous NRC                       1
                  inspection activities related to the CAP were documented in                  j
                  paragraphs 6 and 7 of NRC Inspecticn Report 50-445/87-11;                    ;
                   50-446/87-09.                                ;
                  The following NRC inspection activiti'es related to the CAP
                  were conducted during this report perj;od:
                  a.     Electrical (51063)
                         The NRC inspector reviewed the field verification methods        >
                         (FVM) procedure for the electrical conduit sleeves,
                         FVM-EE-023, " Instructions to Acquiro bata for Cable

Y_-___-_-_________-___

      _.
                ._                                                      _         _                   _       __   _ _ _ _
                                                                                       '
                                               ,                 I;
                                                                                         ,
,
    '
                                                                             
                                                                             -
                                                                          ,,
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                       #               h                                         _55
                                                                                             ~
                                                                             1
                                                     Percent-Fill Calculations:and. Identification'of
                               '
                                                     Thru-Floor and:Thru-Wall Embedded Conduit Sleeves."' The                   1
                         <                           ' procedure provided informationiand sample data collection-
                                                                                                    -
                                                                                                                                 l
                      6                             ' sheets to.indicatenthe type of data,that must be
                                                     collected'so that an accurate calculation can be made'of
                                                     the percentage of cable fill ~which exists in various
                                                    . thru-wall'(TWS).and.thru-floor.(TFS) conduit sleeves.
                                                     Basically, the number of each. type of' electrical cable.
                                                                               ~
                           -v                        through each sleeve must be recorded so.that the'                          1
                           di                       . cross-sectional an a of the cable fill, can be determined.              H
                                                     SWEC had~ completed'their walkdowns and-the collected data:
                                                            ~
                                             i
     ,7 
                                                     was being used.to calculate lthe percent fill'of the TWS
                                                     and TFS.~
                                  .t-
                                                     The NRC inspector-selected:a sample of three walkdown.
                        j ' O' i der packages to verify?the accuracy of the collected data.
                                     6
                                          ' .$jf The results were:                                                           -{
                             y                              , ,-                     *
                                                                                                                              -j
                                                     Areq;133' p                                                               1
                                        4            This.ahaa ce prised the' north wall of the 807': floor

>" elevatidn of the.' electrical and control building.between I

                                                      frames,B-A and C-A which is the~ wall;between-the Unit 1                 l
    . < ,                                           ~ andLUnit 2 cable spreading rooms.- The 39 TWS were.                     j
                                                                                                                              j
                                                                                                         ~
  jjk       '
                           ,                         depicted'on' Bisco: seal map Drawing EC807-133-2.- of the.
                                                     - 39' penetrations shown-on this drawing, only 162were:               ,
                                                                                                                             ?
        ,                                             accessible without having some. scaffolding erected; all.
  '"                             t                   'of[theaccessibleTWSwereeitherconnecteddirectlyto
                                                      conduit'or were. unused spares.      The NRC inspector did               J
              1    ,[.#        ./                    n6te'that one of the spare TWS was-opened and had-two-                  .l
                                                                                                                             .j
                    ~
                            .p,,                      temporary cables pulled through. The inspector agreed
                       g
                             -
                                                     with the SWEC findings'for this area.                                     l
                                                                                                                              q
                                                      Area 180                                                                 l
                                                      This area comprised the east wall of the 790' elevation                  ;
                                                      of the Unit 2 side of-the auxiliary building as depicted                 I
      #                                               on Bisco seal map Drawing AD-790-180-12. There were                      i
                                                      43 penetrations shown on this map; of these, 12 were not
                                                      electrical (i.e., piping) and 18 were unused spares.
                                                     The NRC inspector verified the acc'uracy of the collected
                                                      data for 10 of the 13 TWS by inspection from the west                      ,
                                                      side of the wall because of access limitations. The                        I
                                                      remaining three-5" TWS were too full to perform an
                                                      accurate., count of each-type of cable without opening the
                                                                                                                              y)
                                                                                                                 .
                                                   . ; cable hundles;1 however, the figures for the total number
                                              A       of cables' through these sleeves appeared appropriate to                  1
                                               ..     the inspector (i.e., 49 through 4037, 45 through 4038,
                                                 4    and 51 through 4039). The NRC inspector also noted that
                                                      two incorrect listings were made on the data sheets.                       l
                                                                                                                                l
                                                                                                                                 !
                                                          a

l . s

  a-__--_                          .

,__-- ,

                                                                                            !
        - '
                                        56
                                                                                            ,
                                                                                            i
               .Both-of these errors were related to the first
                description code digit..
                                                                                            I
                The first digit indicates the color and therefore, the                      j
                service of the cable (e.g., 1-orange, Train A; 2-green,
                Train B). The error involved identifying cables as W-113
                indicating orange colored, 2/0 AWG Triplex, when, in
                fact, the cable was. black and; therefore, should have                       ;
                been designated W-013. However, the conductor size was                       ;
                correctly listed'as 13, so the percent fill data was
                correct.
                                                                                            ]
                                                                                              j
                Area 226
     ,-         This area comprised the Unit 1 half of.the 832' elevation                   3
                                                                                            '
                floor of the auxiliary building. The NRC inspector
                verified the accuracy of the data for 9 of the
                10 safety-related cable TFS and verified the accuracy of
                the other TFS indicated on the Bisco seal map drawing
                (AB-B31-226-1) used as the guidance for this area. The
                inspector noted that the majority of the TFS in this area
                were for nonsafety-related (Train C) cables. The NRC
                inspector's data agreed with the SWEC data.                                 l
                No violations or deviations were identified.
            b.  Large Bore Pipe Supports (50090)
                                                                                            s
                The applicant is currently involved with implementation
                of the Post Construction Hardware Validation Program
                 (PCHVP) which was established due to revision of CPSES
                installation design requirements.    The Large Bore Pipe
                Support CAP of the PCHVP is being implemented to assure
                that the pipe support hardware meets the validated design                      '
                requirements.   SWEC will perform a detailed engineering
                analysis of each individual safety-related pipe support                       ,
                design and identify any modifications required.                               !
                Construction and QC activities will be performed under                        {
                the B&R ASME QA Program.   TU Electric Procedure CPSP-12,                     l
                "As-Built Verification," will provide verification of                        j
                as-built configuration of piping and pipe supports in                         I
                accordance with the applicants response to NRC IE
                Bulletin 79-14. TU Electric Procedure CPPP-22,                                l
                 " Clearance Walkdown," has been developed to provide                         l
                assurance that pipe supports permit the piping systems to
                move within their maximum displacement in each of the

i three orthogonal directions as a result of dynamic forces j

                 and thermal effects.

[

                The Large Bore Pipe Support CAP indexes all engineering

l

                 and QC procedures required for implementation.    The NRC

! inspector has performed a preliminary review of these l

                                                                                               l

L l _ ._____________a

__ ,

                  , ,                          57-
                       procedures and will continue'to reOiew and evaluate their
                      - adequacy during future inspections. The implementing
                       procedures were reviewed to determine whether:
                                                                                    i
                       .    means have been established to verify that any           j
                             significant design and field changes from approved     {'
                            ' drawings are adequately controlled and processed
                            commensurate with the original design control
                            activities.                                            j
                       .    means have been established to ensure that quality
                             requirements are met.
                       .    procedures and instructions pertaining to pipe           !
                             supports and restraints have been reviewed and          !
                             approved.
                       Previous NRC inspections of pipe supports which have been    {
                       completed by construction and field accepted by QC under      l
                       the PCHVP were documented in NRC Inspection Report            l
                       50-445/87-11; 50-446/87-09.
                       The NRC inspector performed inspections of inprocess work     i
                       activities on the following pipe supports:                    ;
                       CT-1-053-445-C62R
                       DO-1-DG-044-011-5                                             l
                       DO-1-099-700-S53R                                             1
                       DO-1-067-708-S53R                                             1
                                                                                       1
                       Items verified were control of welding-electrodes,
                       installation of concrete expansion anchors, accuracy of
                       inprocess QC dimensional inspections, welding quality,          i
                       and compliance with work package instructions. Craft            i
                       personnel were interviewed to determine knowledge of            l
                       procedures and compliance with work instructions. While         l
                                                                                       I
                       the NRC inspectors were interviewing craftsmen performing
                       work on pipe support DO-1-067-708-SS3R, and prior to.the
                       inspector's review of the associated work package, a QC
                       inspector arrived and reviewed the work package.    Upon
                       completion of the QC review, work was stopped due to a QC
                       hold point on a repair process sheet being bypassed by
                       the craftsmen. NCR 87-A00491, Revision 1, was initiated.        l
                       This finding is an open item pending review of the              I
                       applicant's NCR disposition and processing
                       (445/8716-O-11).                                                l
                       The NRC inspectors performed a documentation review and
                       field installation inspection of the following pipe

l supports, which were construction complete and accepted

                       by QC, to determine whether the applicant is adequately
                                                                                       l

L ____m_._.-_-.__

.

                ._ - - _                               . _ .         _
                                                                              _-  _.    . _ _ _ _ _ _ . . _ - .
%                              i
                         : ...                                          58
                                                     ,
                                                preparing,' reviewing, and maintaining a system of quality       l
             '
                                                                 '
                                                records:                                                        l
                                                Support Drawing No.                    Pipe Isometric No.
                                               .CC-1-226-002-C53R, R/1-               .CC-1-RB-020A
           -                                    CS-1-158-022-S42R, CP-1              'CS-1-SB-060
                                                CS-1-239-005'-A42R, R/5                CS-1-AB-03
                                               -CC-1-043-010-A43K,.R/7                 CC-1-AB-002
                                                SI-1-044-029-S32R, R/S                 SI-1-SB-012.
                                                CC-X-027-010-A43R, R/6                 CC-X-AB-013
                                                CC-1-007-026-A43K, R/4                 CC-1-AB-030
                                                CS-1-110-002-A42R, R/5                 CS-1-AB-004
                                                CC-1-155-003-S53R, R/4                 CC-1~-SB-012              ;
                                                CH-1-204-713-E33R, R/3                 CH-1-EC-003A.
                                                CS-1-251-022-S53R, CP-1                CS-1-SB-023               ,
                                               .CC-1-173-010-S53R, R/4                 CC-1-SB-033               1
                                                CT-1-001-002-S22K, CP-1                CT-1-SB-012               3
                                                AF-1-002-710-S33R- CP-1
                                                                   ,                   AF-1SB-002~
                                               .CH-1-249-005-S43R,-R/2                 CH-1-SB-013
                                               .CC-1-043-020-A43K, R/4                 CC-1-AB-004
                                                CS-1-319-002-S53R, CP-1                CS-1-SB-012A-
                                               :DO-1-067-709-S53R, R/3                 DO-1-DG-021
                                                AF-1-101-003-S33R, R/3-                AF-1-SB-020               i
                                                RH-1-014-007-532S, CP-2                RH-1-SB-014               .
                                                AF-1-109-003-S63K, R/3                 AF-1-SB-29B               i
                                                SF-X-007-011-F43, R/3                  SF-X-FB-017B              l
                                                CC-1-295-006-C53R, R/4                 CC-1-RB-041
                               '

i NRC inspection of pipe support CC-1-295-006-C53R on

                                               . August 21, 1987, identified that the sway strut rear
                                                             .
                                                bracket load pin.did not have a cotter pin installed on
                                                eitherLside of the sway strut rear bracket. TU Electric
                                                CAR-65, in-response to a'CPRT identified deficiency,
                                                required QC verification of the proper installation of
                                                cotter pins and that QC procedures be revised to include
                                                QC verification of cotter pins and snap rings when
                                                removal and reinstallation are required. The failure of
                                                the required corrective action to assure that
                                                configuration control is maintained is a violation
                                                (445/o716-V-12).
                                 .c.            Small Bore Pipe Supports (50090)                                   '
                                                                                                                   1
                                                The applicant is currently involved with implementation
                                                of the PCHVP which was established due to revision of
                                                CPSES installation design requirements. The Small Bore
                                                Pipe Support CAP of the PCHVP is'being implemented to
                                                assure that the pipe support hardware meets the validated
                                                design requirements. Implementation will be performed in           ,
                                                conjunction with the Large Bore Pipe Support CAP by SWEC           l
                                                and B&R using the same engineering and QC procedures.              l
                                                                                                                   1
         4
                                                                                                                   i

L_._---______...-__.__ . . - _ _ __

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                                                                                59
              s                  >
                                     on
                                                       '     '
                                                                                                     '                                                           :1
       '          '
                                                     'See' paragraphf 8.b"forfdetails)of'NRC. inspection-off
                                                       implementing procedures-
,e
                '
                                                   cThe'-NRC. inspectors; performed aidocumentation'. review and?
                               4                     : field? installation inspection 3of the following pipe
                     -
                                                       supportsLto determine whetherLthe applicant is; adequately-
            J                                         preparing,~ reviewing, and maintaining a' system of quality
                                               '
                                                                       -*
                                                       records:
                                                                                                                                                             -
                                                       Support Drawing'No.-                     Pipe Icometric No.-
                                                                                                         E
  V                    , le >                          CS-1-112-714-C41R,'R/1                   CS-1-RB -0 2 8 '
                                                       CC-1-RB-008-002-3,:R/1                   ~Cr-1-RB-008
   >
                                                       CS-1-105-701-C41S, R/2                   ": -1-RB-031B
      ,.                                             -CT-1-SB-035-002-2, R/3-                   CT-1-SB-035
                                                      No' violations or deviations were' identified.

f

                                                                                                                                                                    '
                a            <           ~d.           Conduit supports A & B Train and C Train'>2" (48053)
                                                      This PCHVP Was. instituted to-field walkdown and analyze
                                                                   1
                                                       thefsafety-related conduits / supports.(trains"A;& B) and                                                       '
                                                       nonsafety-relatedLconduits/ supports (train C). greater ~                                               >
                                                       than 2". This'is for Units 1 & 2 conduit contained-
                                                      within. Unit 1 and common areas. EBASCO has.been
                                                       contracted by'TU. Electric to. implement lthis program. .Thei
                                                   ~
                                                     ' scope of this.NRC inspection. involves. assessing the-
  U^-                                                  adequacy of the EBASCO implementation ofEthe' appropriate
                                                       FVMs when performing the walkdowns. At:the present time,-
                                                     'EBASCO.has1 completed approximately_'3800 conduit runs out
                                                       of the 67001 contained within their scope'of activities
                                                       forLthis PCHVP.-
                                                     -The NRC inspector reviewed the-following FVM procedures:
                                                       procedure Number                         Title
                                                       CPE-EB-FVM-CS-014, R5            Design Control of
                                                                                        Electrical Conduit Raceways
                                                                                        for Unit 2 Installation in-                                                   "
                                                                                                                                                                       .
                                                                                       . Unit 1 and Common Areas
                                                       CPE-FVM-CS-033, R1               Design 1 Control of
                                                                                        Electrical Conduit Raceways
                                                                                       -for Unit 1 and Common" Areas
                                                       CPE-FVM-CS-056, R0               Design' Control and

I.

                                                                                        As-Built Data Collection of
                                                                                        Electrical Conduit' Raceways                                               ]

b-

                                                                                        for Unit 1 and Common Areas-
 . v.
            '

l.

         >                                                                                                                                                           'I

b l o ' L _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

--

  .s-,
                                                                        y
       , .                           60
            These Inn 4 procedures established the methods and sequence   i
                                                                          '
            by which the data collection for the applicable
            conduits / supports field verification was to be performed
            and documented. They provided, among other things, the        j
            criteria, inspection attributes,.and tolerances that the
            field walkdown engineers should adhere to when                4
                                                                          '
            implementing this PCHVP. The documentation of the
            collected data from the individual field walkdowns is to
            be in the form of newly generated isometric drawings of       i'
            the conduit runs and red line marked drawings of the
            appropriate conduit supports.
            The NRC inspector, for this inspection period, selected a     !
            sample of 13 completed conduit walkdown packages to
            verify the accuracy and correctness of the EBASCO
            collected data. The following is a list of the NRC
            inspected packages:                                           j
            Conduit Number    Size       Room     * Area   ** Number of
                                                             Supports     1
                                                                          1
            C13011026         3/4"       161A       RB1          2        )
            C14W13101         2"         154       RB1           9        i
            C14W30916         1 1/2"     154/155A  RB1           5        ;
            C12K04629         3"         103        SG1          9        !
            C13G08636         1 1/2"     88         SG1          5
            C13010190         3/4"       70         SG1          2
            C14G20043         1"         109        SG1          3
            C14021197         1"         70         SG1          4
            C03G05670         5"         133       ECB           2        !
            C12K03128         5"         146        ECB          1
            C13G07049         3"         133        ECB          3        l
            C14K15522         4"         133        ECB          2        l
            C16B10045         4"         135        ECB          3        ;
            *ECB - Electrical / Control Building
             RB1 - Unit 1 Reactor Building
             SG1 - Unit 1 Safeguards
           ** Number of supports includes conduit, junction box, and
             pull box supports.
            The NRC inspector's walkdowns were performed while
            adhering to the criteria of the appropriate FVM. Even         Il
            though certain data recorded by the NRC inspector may not
            have matched that recorded by the EBASCO field walkdown
            engineer, it was deemed to be acceptable since the
            difference in recorded dimensions was still within the        ;
            tolerances specified in the applicable FVM. Based upon         u

I this, no discrepancies from the FVM criteria were

            identified.

i

                                                    _
  -   -
            - _ .       _
                          -     _
                                               - =_ _.        . _ -           _   _ .
                                      _
    s   .-                                 61
.
                   No vtolations or deviations were identified.'
                                                            ~
           c.      Conduit Supports c' Train less'than or equal'to 2" (48053)

.

                   This.PCHVP involves a= multi-level screening process.of
                   Train C. conduit (2" diameter and under) systems for CPSES          1
                   Unit 1, Unit.2, and common areas. The' Train C conduit             o
                   systems are those classified:as-nonsafety-related-
                  -including the rec 1'assified'nonsafety-related; lighting-
                  -systems which were initially classified'as-
                   safety-related. Though these. conduits are
                   nonsafety-related, the-screening process is necessary to
                   assess what'effect it would have oniother. safety-related
                   equipment / components during a seismic event. Impell has

, been contracted by TU Electric.to' implement this PCHVP.

                   The scope of this NRC-inspection will involve assessing
                   the adequacy of.the Impell' implementation of the
                   appropriate FVM and' project instructions (PIs). It
                   includes, but'is not limited to, determining the level of-
                  . screening required and the accuracy and correctness of             ,
                                                                                        '
                   field walkdowns, reviewing engineering calculations
                  -required to analyze the structural integrity of the
                   conduits and supports, and performing a final room
                   walkdown to ascertain whether any Train C conduit
                   contained within the Impell scope had been inadvertently
                  .omitted from their screening process. At the present
                   time,JImpell has walked down, reviewed, and closed out-
                   approximately 160 out of the 240' rooms within the Unit 1
                   and common area scope.
                   The NRC inspector reviewed the following FVM and Impell
                   PI procedures:                                                      ;
                   Procedure Number                    Procedure Title
                   ECE 9.04-03, R0                     Post Construction Hardware
                                                       Validation Program
                                                       Implementation Plan-Impell
                                                       Corporation
                   CPE-IM-FVM-CS-095, R0               Train C Conduit Program         l
                   PI-0210-052-003                     Seismic Evaluation of
                                                       Train C Conduit Supports
                   PI-0210-052-004                     Train C As-Built Walkdown
                   PI-0210-052-005                     Procedures for Implementing
                                                       Screen Level 6                  ,
                   PI-0210-053-001                     Multi-Level Screening
                                                                                       i
      .
                                     -.       , . _ _
                                                            ,.              . _ _ .    _ _ .
                       a.
            -
              '
    -
          ,
                . .. ,
                                                      '62
                                                          Criteria'for Train C
                                                          Conduit (two-inch andJ
                                                          under)'at'CPSES
        4'
                          "PI-0210-052-002                Level Four Screening.
                                                          Criteria for: Conduit
                                                          (two-inch and-under)'_at
                                                                     -
                                                                         -
                                                          CPSES
                           PI-0210-053-003                Level Four Screening
                                                          Criteria for Type'2.
                                                          Supports, Train C'(two-inch
                                                          and under) at CPSES-
                           PI-0210-053-007                Level Four Screening
                                                          Criteria for Type 7-S-17
                                                          Supports, Train _C~Two-Inch
                                                          and under (including
                                                          reclassified lightire
                                                          systems
                           The FVM and Impell PI procedures establish the types of
                           screening-processes to'be utilized by<the_Impell field.
                           walkdown engineers and how they are.to-be implemented.
                           They provided, among other: things,Jthe criteria,
                           inspection attributes, and tolerances'that the field
                           walkdown. engineers.should adhere to when implementing the-
                           various' screening levels contained'within this PCHVP.
                           From.this collected data, the engineering evaluations'of
                           the conduits-and supports, if necessary, are performed.
                               -
                          .The NRC inspector chose to perform a review /walkdown of'
                           the total scope of Impell's work for Room 206'in the
                           Unit 1. safeguards building. :This was to verify the
                           accuracy of the data Impell collected during their
                           walkdowns and the appropriateness of the engineering
                           calculations. The Impell-work entailed. Level 5 support
                           walkdowns and engineering evaluations, Level 4 and'
                           Level.2 evaluations, and conduit support modifications.
                           The following calculation /walkdown packages relevant to
                           Room'206 were reviewed by the NRC inspector during this
                          Linspection period:
 ..

I i

  .
           _ - -
                                                                                     ,
                 .   .-                           63
         '
                                                                                       I
                           Calculation Number        Title                             l
                                                                                        l
                           L4-S-1-AUX-206            Level 4 - Conduit Support         l'
                                                     Evaluation
                           A-01828*                  Level 5 Support Evaluation
                           A-02846*                  Level 5 Support Evaluation         ,
                           A-02854*
                                                                                       i
                                                     Level'5 Support Evaluation
                           A-02914*                  Level 5 Support Evaluation
                           A-02932*                  Level 5 Support Evaluation         ;
                           A-02974*                  Level 5 Support Evaluation
                           L2-S-1-AUX-206            Level 2 Conduit Support            '
                                                     Evaluation
                           0210-C14K17440-01*        Train C Conduit Support
                                                     Modification                         '
                           0210-C14K17440-02*        Train C Conduit Support
                                                     Modification
                           0210-CKTS-01*             Train C Conduit support            ;
                                                     Modification
                           0210-CRT5-01*             Train C Conduit Support            '
                                                     Modification
                           0210-HT-09A-01*           Train C Conduit Support             ,
                                                     Modification                       j
                           0210-AB3-14-01*           Train C Conduit Support
                                                     Modification
                           * Denotes those packages where field walkdowns and
                           engineering calculations were required.                     f
                           The NRC inspector's review included verifying the Impell
                                                                                           I
                           field walkdowns to the actual as-installed conditions and
                           the criteria of the appropriate PI and, where applicable,        l
                           a thorough review of the engineering calculations for the        I
                           relevance of the methods of analysis used, correctness           !
                                                                                            '
                           and accuracy of the calculations, and the adequacy of the
                           correlation between the field collected data and the
                           analyses themselves. No discrepant conditions were
                           identified by the NRC inspector during the review of the
                           above listed calculation packages.
                           To complete the assessment of the Impell screening
                           process for Room 206, the NRC inspector must finish
                           performing field walkdowns and the engineering
                           calculations review on-three additional Level 5 support
                           evaluation packages. In addition, a final walkdown of
                           the coom will be performed to determine if any Train C
                           condtit had been inadvertently omitted from the Impell
                           review. This is to be completed in a subsequent
                           inspection period.
                           No violations or deviations were identified.
                                                                                            I

_________ _ __ . _ .

                                                                                          j
  _    _ _ - _     __                               _
    ,          .                              64
      9.         Significant Meetings (50100)
                 On August'27,'1987, representatives of TU-Electric, SWEC and
                 Ebasco Services, Inc., met with the NRC site staff to discuss
                 a-proposed program dealing with the visual inspection of a
                 sample of. welds both in the coated condition and after removal
                 of the coating. The objective of the program is to provide
                 additional assurance that previously visually inspected and
                 accepted welds _do not contain defects of a type which could be
                 masked by the application of coatings.
                 Eleven representative groups from which the samples are to be
                 selected have been tentatively identified for this program.
                 The criteria used for establishing the groups are as follows:
                 .    Welding process
                 .    Base material
                 .    Code or specification
                 .    Contractor performing the work
                 Group 1 consists of carbon steel structural type supports;
                 i.e., most cable tray supports, instrumentation supports,
                 conduit supports, and the supporting structures of pipe whip
                 restraints, welded by B&R using the shielded metal arc process
                 (SMAW) to the AWS D1.1 code.
                 Group 2 consists of ASME Section III, Subsection NF, carbon
                 steel component supports welded by B&R using SMAW.
                -Group 3 consists of.ASME Section III carbon steel piping
                 welded by B&R using the gas tungsten arc welding process.
                 Group 4 consists of ASME Section III carbon steel piping
                 welded by B&R using SMAW.
                 Group 5 consists of gage steel; i.e., cable trays welded by
                 B&R using SMAW to AWS Dl.1.
                 Group 6 consists of HVAC duct support structural welds.
                 Group 7 consists of HVAC structural steel to sheet metal >

>-

                 1/16".
Group 8 consists of HVAC structural steel to sheet metal <
                 1/16".                                                          I
                 Group 9 consists of HVAC duct work sheet metal welds.
                                                                                 i
                                                                                 !
                                                                                 1
 _          _

E  !

   ,     -                              65
                                                                             i
           Group 10 consists of welds in HVAC air handling equipment,
           plenums, and equipment supports, except for flare bevel groove
           welds.
           Group 11 consists of flare bevel groove welds in HVAC air
           handling equipment, plenums and equipment supports.
           Additional details of the program are being developed'and will
           be presented-to the NRC staff subsequent to this inspection
           period.
     10.   Site Design Reviews
           During the week of August 10-14, 1987, D. Terao of OSP-HQ
           staff and NRC consultants from Teledyne Engineering Services
           (TES) performed audits of the as-building process used for
           HVAC, piping and pipe supports, and Train C conduit supports      ]
           (less than or equal to 2" diameter) at CPSES.
           For HVAC, D. Terao and TES consultants R. Wray and R. Rose
           performed-an audit of the as-building process and program
           applicants to HVAC ducts and duct hangers. The audit
           performed by D. Terao and TES consultants R. Hookway and          ] :
           D. Messinger of the as-building process for piping and pipe       i
           supports (less than or equal to 2" diameter), D. Terao and TES
           consultants J. Flaherty and E. Solla reviewed project
           instructions for multi-level screening criteria, as-building      i
                                                                             '
           and acceptance criteria, and the program for auxiliary
           building Room 206. A field walk down of Room 206 was also
           performed.                                                          j
                                                                               i
           The purpose of the reviews was to ensure that the as-building     I
           criteria included all important attributes needed by                !
           Corrective Action Program contractors to adequately perform         j
           their design verification activities.   Staff findings will be     ;
           included in a supplement to the CPSES Safety Evaluation Report      i
           upon completion of staff audits.                                    )
     11.   Open Items
                                                                               i
           Open items are matters which have been discussed with the         i
           licensee, which will be reviewed further by the inspector, and    i
           which involve some action on the part of the NRC or licensee        I
           or both. Open items disclosed during the inspection are
           discussed in paragraphs 4.b (two items), 6.b (six items), and
           8.b (one item).                                                     !
                                                                               l
                                                                               I
                                                           __  _____ __- - a
         . - - _ _ _             -                                                                                                    __
                           %
               4
     4
           . if y            .                                . 66
                                                                                                                                          4
                                              .\' .                                                         p
                     12 '.      Exit ~ Interview (30703)
                               - An exit interview-was conducted onJSeptember 2, 1987, with.the
                                applicant'sl representatives identified in paragraph 1 of this
                               - report.   During-this exit interview, the NRC inspectors
                                summarized the scope and. findings of the inspection. The-
                                applicant acknowledged the. inspection' findings.
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                                                                            DISTRIBUTION:
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                                                                        .NRC " PDR ""*"' ~"                                 ,
                                                                            LPDR'         -
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                                                                      :CPPD Reading..(HQ)                                     j
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                                                                            *CPRT' Group                                    '
                                                                            * SRI-OPS-
                                                                            * SRI-CONST-                                     i
                                                                            AD for Projects                                 !
                                                                            * MIS' System, RIV                             -!
                                                                            *RSTS Operator, RIV
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                                                                              RIV. Docket: File                             -
                                                                            *DWeiss,.RM/ALF                                 .
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