ULNRC-04918, Request for Enforcement Discretion
| ML040130655 | |
| Person / Time | |
|---|---|
| Site: | Callaway  |
| Issue date: | 11/13/2003 |
| From: | Keith Young AmerenUE |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| ULNRC-04918 | |
| Download: ML040130655 (30) | |
Text
Amerent/E PO Box 620 CallawayPlant Fulton, AlO 65251 November 13, 2003 U. S. Nuclear Regulatory Commission Document Control Desk Mail Stop P1-137 Washington, DC 20555-0001 Ladies and Gentlemen: ULNRC-04918 DOCKET NUMBER 50-483 CALLAWAY PLANT UNION ELECTRIC COMPANY wAmemef REQUEST FOR ENFORCEMENT DISCRETION UFE Ref 1) ULNRC04898, dated September 9, 2003 Ref 2) NRC letter dated September 11, 2003 Ref 3) ULNRC04903, dated September 18, 2003 On September 6, 2003, Callaway Plant requested a Notice of Enforcement Discretion (NOED). Subsequent to the formal NOED submitted dated September 9, 2003 (reference 1) the NRC determined further review of the request was required (reference 2). On September 15, 2003, the NRC Callaway Senior Resident Inspector verbally requested information, related to the NOED, necessary to complete this review.
On September 18, 2003 we sent our understanding of the requested information, (reference 3).
In reference 3 we noted that not all of the supplied documents had received their final reviews and indicated we would send you additional information after it became available. Attachment 1 lists documents which have subsequentially received their final reviews. These documents are attached to this letter.
If you identify the need for any additional information or have any questions regarding this matter, please contact Mr. Mark A. Reidmeyer, Regional Regulatory Affairs Supervisor at 573/676-4306.
Very truly yours, Keahage D. g Manager, Regulatory Affairs KDY/CSP/slk Attachment 1: List of Documents Supplied Attachment 2: Documents Supplied Aw0\)
a subsidiary ofAmeren Corporation
ULNRC04918 November 13, 2003 Page 2 cc: U. S. Nuclear Regulatory Commission (Original and 1 copy) (w/a)
Attn: Document Control Desk Mail Stop P1-137 Washington, DC 20555-0001 Mr. Bruce S. Mallett (w/a)
Regional Administrator U.S. Nuclear Regulatory Commission Region IV 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011-4005 Senior Resident Inspector (w/a)
Callaway Resident Office U.S. Nuclear Regulatory Commission 8201 NRC Road Steedman, MO 65077 Mr. Ronald Kopriva (w/a)
Senior Project Engineer, Branch B Division of Reactor Projects U.S. Nuclear Regulatory Commission Region IV 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011-4005 Mr. Jack N. Donohew (2 copies) (w/a)
Licensing Project Manager, Callaway Plant Office of Nuclear Reactor Regulation U. S. Nuclear Regulatory Commission Mail Stop 7EI Washington, DC 20555-2738 Manager, Electric Department (w/o)
Missouri Public Service Commission PO Box 360 Jefferson City, MO 65102
ULNRC04918 Attachment I November 13, 2003 Page I LISTING OF DOCUMENTS PROVIDED:
Document Number Page Count C685661 8 A685661A 5 R685661A 3 A713713G 4 W713809 4
ULNRC0491 8 November 13, 2003 Attachment 2 Documents Supplied
4- -_17/19/02 FILE: P170.0001.001 RPT.: CWCP9281 PAGE 1 OF.$
RFR 020411B
- 0 R I G I N A L***********
ACCOUNTING CODES:
l DIV I MAJ I MINOR I I RMC I WO l l 65 l 530 l l BLA I OM882 WAD NO: C685661 CONDITION TAG NO: PERF. GRP: EE COMPONENT ID NUMBER*SYST*TRA *COMPONENT NAME
- LOCATION*********
BBHIS8000B BB PZR SEAL ISO VLV BB-HV-8000B HAND IN CB-2047-RM-3601 Source Requirements (Tech Specs): None TASK SR: Y Q: Y EQ: N SPECIAL SCOPE: SEIS CONST SUPV: GOSS EDWIN F PHONE: 68149 PRINTED: 20020719 SPECIAL PERMITS OR PROCESSES*******ASSOCIATED TASK **********PROCEDURES/ASSOC.DOC***
- SUPPORT: ** ** **
- TROUBLESHOOT: N ** ** **
- CONTROL ROOM BRIEF: Y ** ** **
- RWP NUMBER: ** ** **
- SECT XI REP : N REPL: N ** ** **
- SECTION VIII OR I REPAIR: N ** ** **
- ANII NOTIFIED: N ** **
- SPEC PROCESS: NONE
- PERMITS: WPAH FME2 RWPN
______NOTIICATIO_-REQUIRED:-___________________________________----_-______________
- *QC NOTIFICaTON-REQUIRED: Y NOTE: MAINTENANCE ON THIS COMPONENT MAY REQUIRE SP-PB-V0001 AS A RETEST. PERFORMANCE OF THIS RETEST IN OTHER TAN THE SPECIFIED MODE PER OSP REQUIRES AN APPROVED RFR FROM ENGINEERING.
0 NOTE: MAINTENANCE ON THIS COMPONENT MAY REQUIRE OSP-BB-00003 AS A RETEST. PERFORMANCE OF THIS RETEST MAY BE REQUIRED WHEN RCS IS LESS THAN OR EQUAL TO 368 DEGREES, AND MODE 4, 5, 6.
"W1 I NOTE: FOR PARTS REPLACEMENT, ALSO REFER TO THE WORKSHEET-C NUMBER LISTED ON THE SCREEN TITLED "DRAWINGS AND ASSOCIATED DOCUMENTS".
I THIS WR REWIRES BBHIS8000B PER RR 20411B AS FOLLOWS:
- , A.JvILIIIIIIIII 1l lI 11111111 11111 111111lii 11111 111 11111111111111111li 11111 11111 11111llA11111 11111 11111 111111111 II.
W A D: C685661 (continued) PAGE 2
- 1. ADDS ONE KLA3 CONTACT BLOCK, CHANGES THE OPERATOR ORRIENTATION 180 DEGREES ON RL022.
- 2. REPLACES THE OPERATOR, INDICATING ELEMENT AND CONTACT BLOCK WITH NEW COMPONENTS.
- 3. REQUIRES WPA HOLDOFF.
QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQ Q Q Q QC IS REQUIREDI ALL APPLICABLE INSPECTION POINTS FOR THIS WORK Q Q ARE WITHIN THE WR INSTRUCTIONS/ATTACHMENTS. Q Q Q QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQ NOTE: THE FOLLOWING STEPS WILL REQUIRE THE REMOVAL OF SEPARATION BARRIERS IN RL022 DURING PERFORMANCE OF THESE STEPS.
- 1. At RL022 locate following components, BBHIS8000B and BBHS8000B.
Remove the separation plate to allow removal of switch BBHIS8000B Bag and tag plate and screws to be replaced at completion of rework.
- 2. At RL021/22 locate BBHIS8000B, using DWGs J-200-00055, J-200-00053 and J-200-00241 Sht. 10, verify wiring and terminations as installed.
Q Cl& / "L°I QC INSPECTION POINT, CLASS IE EQUIP REWORK Q (PRIOR TO WORK) OQCM CODE E.4.1 (MODIFICATION)
- 3. Verify all wires have wire markers and then determ from BBHIS8000B.
Switch may be disasembled from operator to allow access to terminals during this step.
Q Q a w / l'o03 QC INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (PRIOR TO DETERM/TERM) OQCM CODE E.2.1
- 4. If not removed in step 3, remove switch indicating element and contact blocks, then complete removal of operator from the Control
W A D: C685661 (continued) PAGE 3 Board.
- 5. Prior to installing the new operator, the cutout will require the keyway to be cut opposite the present location. Original switch should have the necessary keyway, if not, cut keyway. Ensure al filing deris is captured. Use the old keyway as a guide to size keyway to allow rotation of the operator 180 degrees.
Q I Q Ark, / t O QC INSPECTION POINT, CLASS IE EQUIP REWORK Q (PRIOR TO WORK) OQCM CODE E.4.1 (CLEANLINESS OF AREA)
Q
- 6. Install the new operator with OPEN feature located at the top and AUTO/CLOSE feature located at the bottom. Use replacement switch pushbuttons, indication lens on operator, and buttons for OPEN, AUTO, and CLOSE as specified on RFR DWG E-23BB39 HIS as reference for location.
Q Q a t / Cr'-rO7 QC INSPECTION POINT, CLASS IE EQUIP REWORK Q (PRIOR TO WORK) OQCM CODE E.4.1 (NEW INSTALLATION)
Q Note: for ease of installation wiring terminations may be made to indicating element and contact block prior to attaching to operator.
- 7. Install the new locking ring, indicator element and KLA3 contact blocks. -
- 8. Terminate the following wires to contact block: the 2 wires marked 14-60 to terminal 3T. Wire 14-59 that went to BBHS8000B is to be re-labled as 14-61 at S and HIS location. Route a new #14 AWG yellow wire from TB14-61 to BBHIS800B and label both ends 14-61. Terminate new 14-61 and old 14-61 to terminal 2B. Add a jumper from terminal 2 to 3.
Terminate indication wires per RFR 20411B DWG J-200-00055.
i""
.7--l
W A D: C685661 (continued) PAGE 4 Ref RFR 20411B DWGS J-200-00053 and J-200-00055 to verify previous terminations.
Q Q'(A'Xc / QC INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (PRIOR TO DETERM/TERM) OQCM CODE E.2.1 Q
- 9. At RL022 TB14 perform the following per RFR 20411B DWG J-200-00058.
Terminate the new yellow wire labeled 14-61 from Step 8 on 14-61.
Q J// 9/'°' D QC INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (PRIOR TO DETERM/TERM) OQCM CODE E.2.1 Qfo.or RLO2L T8Y'LA -tL._ 'vg4 o c.E qj5r3q6c. N r 4, 4
Q / . fi6(4 § QC~jvfcrv PoAeT-, ItAoRAT1 (OS)
, ttvA.z ro )FrifKmjrR;* ^ 01cm Ce Lc.z.
I Perform scheme check of BBHIS8000B and BBHS8000B per procedure MTE-ZZ-QN005 using RFR 20411B DWGs J-200-00055 and J-200-00058 for BBHIS8000B and TB14 and DWG J-200-00053 for wire 14-61 to BBHS8000B. Perform VISUAL and CONTINUITY scheme test of "Clouded Area" per sections 5.3 and 5.4, high-lite drawings in yellow.
Re-install separation barrier removed in previos step.
Q Z A / "rf QC INSPECTION POINT, CLASS IE EQUIP REWORK Q (PRIOR TO WORK) OQCM CODE E.4.1 (NEW INSTALLATION)
Q END
GENERAL SAFETY RELATED INSPECTION GUIDELINES WAD: C685661 WHEN PERFORMING MAINTENANCE ON THIS EQUIPMENT BE OBSERVANT OF ABNORMAL CONDITIONS AROUND AND INSIDE THE EQUIPMENT, WHETHER OR NOT DIRECTLY RELATED TO THE TASK BEING PERFORMED. THESE CONDITIONS SHOULD BE THE AS-FOUND CONDITION OF THE EQUIPMENT AND/OR AREA. CHECK THE BOX ON THE COMPLETION FORM TO DOCUMENT THE RESULT OF THIS INSPECTION. IF THIS INSPECTION IS UNSATISFACTORY, DESCRIBE EITHER ON THIS FORM OR THE COMPLETION FORM ANY FINDINGS.
- 1. EXTERIOR OBSERVATIONS 2. INTERIOR OBSERVATIONS A. Excessively high or low A. Condensation or moisture in ambient temperatures. control boxes.
B. Indication of past excessive B. Discolored, cracked, frayed, temperature due to operating or worn wire insulation.
temperature of equipment.
C. Cleanliness of equipment and C. Bent or loose terminals; cracked immediate area. or broken phenolic on terminal or fuse blocks, or connectors.
D. Equipment ventilation system D. Discolored, hardened, or operation. contaminated lubricant.
E. Lubrication E. Lubricant build-up in unwanted areas.
F. Condition of equipment F. Worn-out, leaking, missing, or supports and attachments. cracked seals or gaskets.
G. Tightness of mounting bolts, G. Brittle elastomer parts box covers, etc. (i.e. O-rings, diaphragms)
H. Equipment vibration H. Cracking, flaking, powdering, discoloration, nicks, cuts.
abrasions, sharp bends, close proximity ground planes or the presence of moisture on the kapton insulation.
I. Excessive moisture where I. Discolored, hardened, melted moisture is not expected. terminal or terminal insulation.
- 3. RECORD OBSERVATIONS Record any of the above or similar internal/external conditions observed in the section below or on the WR completion form. ENSURE that your supervisor or foreman is aware of these conditions and a work request is written, if required, to correct the situation. Document work request or NMR number here or on the WR completion form, if known. If any abnormal conditions are annotated on this guideline it MUST be attached to the WR package.
- FOR PM'S, WHERE PARTS ARE REPLACED, RECORD THE CONDITION OF THE ITEM BEING REPLACED.
FOLLOW UP WR NMR SOS FOLLOW UP WR SOS
- COMPLETION FORM COMPONENT ID .
DOC NUMBER (40) ISSUED TO DATE _________
(41) APPROVAL 1 LI lO 6 DATE __-_i9 _
TO START SS/CRS Signature, OR $Other Signatureo Start, OR NVPA Tag-Out Number, OR Verbal Approval Obtained by Printed name of CRS if Verbal (42) CAUSE / DESCRIPTION OF FAILURE OBSERVATION OR FINDINGS ee Z 70 a 6D CONTINUED ON BACK L]
(43) REPAIR ACTION TAKEN / CORRECTIVE ACTION (DETAILED RECORD OF WORK)
L)F.TI-Z@A6 I ~<>>X 5' 4 7 6A - 77/~47~ go Cs~s/ "-tx ,'V<t aD; /'-4SC77-3 4 ,dzS-,aO ,iL b, 4,,, C- 7z5 79 ) 1 9A.G
,f>c ss, rr c eS 77ff / Y, 7ArZ,,DAf feo -c. eCeec -iZ rCee /W
_______________________________________________ CHECK IF CONTINUED ON ATTACH E S/RELATED INSPECTION: N/A El SAT E"i'NSAT I] FME PRE-CLOSURE INSPECTION: N/A [I SAT 9 MATERIALUSED 374 S5 7S9 (44) S/N REMOVED (46) CAL TOOLS AND jCrt A 1 0 5) MT EQUIPMENT ID SIN INSTALLED CAL DUE DATE (47) CONDITION TAG STATUS: REMOVED 0 CHECKED OK _
LEFT HANGING NO TA (48) PERFORMED BY __ _ _ _ _ __ _ _ _ _
- (49) INITIAU REPAIR COMPLETE Er 9- 3 OF OTHI iRS _ _______
NOT COMPLETE E DATETIME (HR:MIN)
(50) SKILL HR B (51) dZA
- MEN ___ DURATION / SUPERVISOR REVIEW HOURS 7 9=3 -"S TOTAL /_ 7 DATE (52) WORK COMPLETION ACKNOWLEDGED: _ __ ___ __ _ DATEITIME c3 /
SS/CRS OR WORK SUPERVISOR VERBAL NOTIFICATION OF SSICRS: DATE/TIME WORK GROUP SUPERVISOR CA0075A 11/27/00 Page 1 Of 2 APA-ZZ00320
(42 CONT.) CONDITION OBSERVED (CAUSE OF FAILURE IF KNOWN)
(43 CONT.) REPAIR ACTION TAKEN/CORRECTIVE ACTION (DETAILED RECORD)
(53) WORK PACKAGE FEEDBACK FROM CRAFrSMAN/SUPERVISOR:
(54) FOLLOW ENGR REVIEW UP ACTION REQUIRED a DOC TYPE DOC NO. DOC TYPE DOC NO. COPY SENT TO:
(55) *PLANNER: At DATE leuL DATA ENTRY D
- Signature denotes that the Planner has reviewed the work package and resolved feedback comments with the originator REVISED TASK DESCRIPTION
SUMMARY
(56) PLANNER NOTES:
(57) NPRDS HISTORY CODES CORRECTIVE ACTION _ _ FAILURE SYMPTOM FAILURE SEVERITY LEVEL CAUSE CATEGORY DOCUMENTATION CAUSE DESCRIPTION CA0075A 11/27/00
' -- - ' ' 'Page 2 Of 2 APA-ZZ-00320
MTE-ZZ-QNOO5 MTE-ZZ-QN005 Rev. 003 ELECTRICAL SCHEME CHECKOUT SIGN-OFF I
WORK AUTHORIZING DOCUMENT (6'56 1 MAJOR SECTIONS TO BE COMPLETED (5.3, 5.4, 5.5) ' ,3 £ Em 4 COMPONENTID. NUMBER a But 5 e C 1 DRAWING NUMBER J Zo-ows8 £ < 5*
M&TE TEST EQUIPMENT CAL DUE DATE INITIAL DATE 3.0 PREREQUISITES COMPLETE ----O 5.3 VISUAL INSPECTION COMPLETE __-__-3 D 5.4 CONTINUITY TEST COMPLETE -A -a3 5.5 ENERGIZED TESTS 6.0 RESTORATION COMPLETE 4'_ a.
REMARKS:
.SIGNAT5 3DATE TESTED BY t9 APPROVED BY ENGINEERING APPROVAL
- Page of Pae-o 1- - ATTACHMENT 2
/02- FILE: P170.0001.001 RPT.: CWCP9281
~'
- PAGE OF 2-
- RFR 020411B *
- 0 R I G I N A L *********************
ACCOUNTING CODES:
l DIV I MAJ I MINOR I I RMC I WO I I 65 l 531 l I I 8LA I OM882 WAD NO: A685661A CONDITION TAG NO: PERF. GRP: EE COMPONENT ID NUMBER*SYST*TRA *COMPONENT NAME ********************* LOCATION*********
NG02BDF1 NG FDR BKR TO BBHV8000B RCS PZR OUT PWR AB-2026-RM-1409 Source Requirements (Tech Specs): None TASK SR: Y Q: Y EQ: N SPECIAL SCOPE: SEIS CONST SUPV: GOSS EDWIN F PHONE: 68149 PRINTED: 20020719 SPECIAL PERMITS OR PROCESSES*******ASSOCIATED TASK **********PROCEDURES/ASSOC.DOC***
- SUPPORT: ** ** **
- TROUBLESHOOT: N ** ** **
- CONTROL ROOM BRIEF: Y ** ** **
- RWP NUMBER: ** ** **
- SECT XI REP : N REPL: N ** ** **
- SECTION VIII OR I REPAIR: N ** ** **
- ANII NOTIFIED: N ** ** **
- SPEC PROCESS: NONE
- PERMITS: WPAH FME2 RWPN j _ . _ QC
- QC NOTIFICATION-REQUIRED: Y
-- HIGH SECURITY NOTES --
NOTE: MAINTENANCE ON THIS COMPONENT MAY REQUIRE OSP-BB-V0001 AS A RETEST. PERFORMANCE OF THIS RETEST IN OTHER THAN THE SPECIFIED MODE PER OSP REQUIRES AN APPROVED RFR FROM ENGINEERING.
NOTE: MAINTENANCE ON THIS COMPONENT MAY REQUIRE OSP-BB-00003 AS A RETEST. PERFORMANCE OF THIS RETEST MAY BE REQUIRED WHEN RCS IS LESS THAN OR EQUAL TO 368 DEGREES, AND MODE 4, 5, 6.
-- LOW SECURITY NOTES --
NOTE: FOR PARTS REPLACEMENT, ALSO REFER TO THE WORKSHEET-C NUMBER LISTED ON THE SCREEN TITLED "DRAWINGS AND ASSOCIATED DOCUMENTS".
111111 1111111flu 1111111111HIN N1 1111111111 11111 1111111111111111111 11111 1111111111 11111 11111 11111111111111
W A D: A685661A (continued) PAGE 2 THIS WR REWIRES NGO2BDF1 PER RFR 20411B AS FOLLOWS:
- 1. ADDS A SEAL-IN CONTACT BLOCK FOR THE PORV BLOCK VALVE BBHIS800B.
- 2. REQUIRES WPA HOLDOFF.
QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQ Q Q Q QC IS REQUIRED! ALL APPLICABLE INSPECTION POINTS FOR THIS WORK Q Q ARE WITHIN THE WR INSTRUCTIONS/ATTACHMENTS. Q Q Q QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQ NOTE: THE FOLLOWING STEPS WILL REQUIRE THE MCC CUBICLE TO BE PULLED LOOSE TO DEENERGIZE 480 VAC AND 120 VAC FROM TERMINALS.
VERIFY VOLTAGE ISN'T PRESENCE ONCE DISCONNECTED.
- 1. In cubicle NG02BDFl, using RFR 2411B ECN E-018-00856, Disconnect internal wires from terminal 12 & 13 to the 49-X contacte4 4 f 4 4&
eteWvcl~ artfe Disconnect internal wire on terminal 2 and reland on terminal 9. -CA Disconnect internal wire on terminal 3 from 420 contact and reland on
- 1a, terminal la. C13
- 2. In cubicle NG02BDF1, using RFR 20411B CARTS ECN cable 4BBG39BC, Land blue wire on terminal 12.
_7° Z s/y/o.3 AiA pabrs Q ... Lk.. 9/..24* QC INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (PRIOR TO DETERM/TERM) OQCM CODE E.2.1 Q
2.Perform scheme check of NG02BDF1 per procedure MTE-ZZ-QN005 using RFR 204ilB ECN E-018-00856 and TB. Perform VISUAL and CONTINUITY scheme test of "Clouded Area" per sections 5.3 and 5.4, high-lite ECNs in yellow.
3.Restore breaker into cubicle.
END
COMPLETION FORM COMPONENT ID doll D(aIL/
} DOC NUMBER A (40) ISSUED TO DATE (41) APPROVAL
/f qq&(o- DATE 7-- 3 TO START SSICRS Signature, OR Other Signatureo Start, OR WPA Tag-Out Number, OR Verbal Approval Obtained by Printed name of CRS if Verbal (42) CAUSE / DESCRIPTION OF FAILURE OBSERVATION OR FINDINGS _
CONTINUED ON BACK [
(43) REPAIR ACTION TAKEN / CORRECTIVE ACTION (DETAILED RECORD OF WORK)
&kYC'oemlb e WnsTN I .
CHECK IF CONTINUED ON ATTACH I S/RELATED INSPECTION: N/A El SAT [ UNSAT 0 FME PRE-CLOSURE INSPECTION: N/A E SAT r MATERIAL USED 3 746/3 3 (44) SIN REMOVED (46) CAL TOOLS AND U) cYM a '6
~h
- EQUIPMENT ID S/N INSTALLED CAL DUE DATE (47) CONDITION TAG STATUS: REMOVED D CHECKED OK Er LEFT HANGING E NO TAG 2 (48) PERFORMED BY _ ___
(49) INITIAL' REPAIR COMPLETE [i' i-Y--3 OF OTHI MRS L 36A& . ___
NOT COMPLETE E DATETIME (HR:MIN)
- (50) SKILL _ _ HR (51) 92t
- MEN 2_ DURATION SUPERVISOR REVIEW HOURS z _
TOTAL _ __ DATE (52) WORK COMPLETION ACKNOWLEDGED:CKNOW DATETrIM 9 4 -- /
SS/CRS ORIWORK SUPERWISOR.
VERBAL NOTIFICATION OF SS/CRS: DATEJTIME I WORK GROUP SUPERVISOR CA0075A 11/27/00
- - t Ad tPagie1Of 2 APA-2Z-00320
t (42 CPNT.') CONDITION OBSERVED (CAUSE OF FAILURE IF KNOWN)
(43 CONT.) REPAIR ACTION TAKEN/CORRECTIVE ACTION (DETAILED RECORD)
(53) WORK PACKAGE FEEDBACK FROM CRAFTSMAN/SUPERVISOR:
(54) FOLLOW ENGR REVIEW UP ACTION REQUIRED a DOC TYPE DOC NO. DOC TYPE DOC NO. COPY SENT TO:
(55) *PLANNER: 4( DATE Id/r/o DATA ENTRY l
- Signaure denotes that the Planner has reviewed the work package and resolved feedback comments with the originator REVISED TASK DESCRIPTION
SUMMARY
(56) PLANNER NOTES:
(57) NPRDS HISTORY CODES CORRECTIVE ACON _ _ FAILURE SYMPTOM FAILURE SEVERITY LEVEL CAUSE CATEGORY DOCUMENTATION _ CAUSEDESCRIPTION CA0075A
- ' ' ' -'~ ~lr 11127/00 Page 2 Of 2 -; --- - APA-ZZ-00320
J 7 T r ' MTE-ZZ-QN005 Rev. 003 I .A ELECTRICAL SCHEME CHECKOUT SIGN-OFF WORK AUTHORIZING DOCUMENT A( 4 /A MAJOR SECTIONS TO BE COMPLETED (5.3, 5.4, 5.5) 5.3 5.4 COMPONENT ID. NUMBER AIG 02 8 DF DRAWING NUMBER - /&-0o0s5e M&TE TEST EQUIPMENT CAL DUE DATE INITIAL DATE 3.0 PREREQUISITES COMPLETE 5.3 VISUAL INSPECTION COMPLETE 9-4403 5.4 CONTINUITY TEST COMPLETE 4o3 5.5 ENERGIZED TESTS 6.0 RESTORATION COMPLETE REMARKS:
SIGNATURE DATE TESTED BY APPROVED BY ENGINEERING APPROVAL
.. -~~~~~~~~~~
.1
- Page of ATTACHMENT 2-i
06*430/03 FILE: P170.0001.001 RPT.: CWCP9281
- PAGE 1 OF z,
- RFR 020411B
- 0 R I G I N A L ACCOUNTING CODES:
l DIV I MAJ I MINOR I I RMC I WO I I 65 1 530 l l l 80B I OM882 WAD NO: R685661A CONDITION TAG NO: PERF. GRP: 0 COMPONENT ID NUMBER*SYST*TRA *COMPONENT NAME ******************** LOCATION*********
BBHIS8000B BB B PZR SEAL ISO VLV BB-HV-8000B HAND IN CB-2047-RM-3601 Source Requirements (Tech Specs): None TASK SR: Y Q: Y EQ: N SPECIAL SCOPE: SEIS CONST SUPV: GOSS EDWIN F PHONE: 68149 PRINTED: 20030630 SPECIAL PERMITS OR PROCESSES*******ASSOCIATED TASK **********PROCEDURES/ASSOC.DOC***
- SUPPORT: ** ** **
- TROUBLESHOOT: N ** ** **
- CONTROL ROOM BRIEF: Y ** ** **
- RWP NUMBER: ** ** **
- SECT XI REP : N REPL: N ** ** **
- SECTION VIII OR I REPAIR: N ** ** **
- ANII NOTIFIED: N ** ** **
- SPEC PROCESS: NONE
- PERMITS: WPAN RWPN
- QC NOTIFICATION-REQUIRED: Y
-- HIGH SECURITY NOTES --
NOTE: MAINTENANCE ON THIS COMPONENT MAY REQUIRE OSP-BB-VO001 AS A RETEST. PERFORMANCE OF THIS RETEST IN OTHER THAN THE SPECIFIED MODE PER OSP REQUIRES AN APPROVED RFR FROM ENGINEERING.
NOTE: MAINTENANCE ON THIS COMPONENT MAY REQUIRE OSP-BB-00003 AS A RETEST. PERFORMANCE OF THIS RETEST MAY BE REQUIRED WHEN RCS IS LESS THAN OR EQUAL TO 368 DEGREES, AND MODE 4, 5, 6.
-- LOW SECURITY NOTES --
NOTE: FOR PARTS REPLACEMENT, ALSO REFER TO THE WORKSHEET-C NUMBER LISTED ON THE SCREEN TITLED "DRAWINGS AND ASSOCIATED DOCUMENTS".
- I 111!111i 11111ll111111II11111l 1111111111111 11111111111110111111 IIl11111III111111111111
W A D: R685661A (continued) PAGE 2 1.PERFORM VALVE STROKE RETEST FOR BBHV8OOOB PER OSP-BB-OVOO1 AND THE OPERATING CONDITIONS THAT EXIST AT THE TIME OF THE RETEST.
RETEST COMPLETION FORM r , -i
( IR bei66uA APPROVAL TO BEGIN (2) t7/ I STS(3)l NIP[EI PMEI WREJ SS/OS SUPERVISOR DA VERBAL APPROVAL (4)
NAME OF SS/OS GIVING APPROVAL DATE NAME OF PERSON OBTAINING APPROVAL RETESTTOBEPERFORMED:(5) v4Lve Srxosc Rrr Peg ose-98-OLvqOc7 A4vp rilC OefCArNjG- C4fjPerlotvf frilM-t Ar T~tc tic of Aw qcress.
RETEST ACTION TAKEN/OBSERVATIONS: (6) 0°e 4 5ie. 4:m, - : A f,'4-,+ CAS _ae r Js Re.q -seaq 55 0a& ltfd lXAtl_ jA6f -creplli c105e CALIBRATEDTOOLS &EQUIP.US D L IS SKLL FS (8)/4'i £; TE 4 MAN-HOURS SKILL HRS SKILL HRS SKILL HRS / E
, . . .~. . ~ ~ J. .A -n ,I I, .. - .- -- - -- - -- - --.......................................
(WI-JuLE HOURS) (9) I C I i- I L I I I I I___
.A RETESTS RESULTS SS/OS NOTIFIED (10) //
ME OF SS/OS NOTIFIED NAME OF PERSON MAKING NOTIFICATION SATISFACTORY NM/ S : Cp5 UNSATISFACTORY x DATE/TIME NOTIFIED ?- /-of I I?'5 4-
, a, n -coo:06S<4 IF UNSAT EXPLAIN IN DETAIL (OBSERVATIONS FIELD)
RETESTPERFORMER* (11) D4ta f y _ " _A DATE 9- 03 -
PRINTED NAME OF QUALIFIED PERFORMER'S NiMNATURE PERFORMER IF RETEST PERFORMER IS THE SAME PERSON THAT NOTIFIES SS/OS NO ENTRY IS REQUIRED IN THE "NAME OF PERSON MAKING NOTIFICATION BLOCK" NOTIFY PLANNING OR PROJECT ENGINEERING (MODIFICATIONS) AND RETURN TO THE APPLICABLE DEPARTMENT AS SOON AS POSSIBLE AFTER COMPLETION.
ATTACH DATA SHEETS THAT WERE COMPLETED PER THIS RETEST REQUIREMENT: DATA SHEETS ATTACHED TO OTHER RETESTS OR MASTER RETESTS DO NOT NEED TO BE ATTACHED WHEN THE OTHER RETEST IS REFERENCED FOR TRACEABILITY.
MASTER RETEST SIGNOFF (12)
RETESTED BY MASTER # DATE REVIEWER'S SIGNATURE DATE REVIEWER'S NOTES PLANNER'S SIGNATURE cij.,- DATE _S 9_/° Page 1 of 2 CA0875 I 05/30/03
- -r- -
-- -- PDP-Z 0001I
I. R_ _ - Retest number
- 2. APPROVAL TO BEGIN - SS/OS signs/dates for plant equipment per APA-ZZ.00320 or APA-ZZ-00330.
- 4. VERBAL APPROVAL - Name of SS/OS giving approval, date approval given and name of person who obtained approval.
- 5. RETEST TO BE PERFORMED - Type/name of test to be performed.
- 6. RETEST ACTION TAKEN/OBSERVATIONS - Indicate test performed and observations associated with equipment performance. When test is unsatisfactory provide an explanation as detailed as possible.
- 7. CALIBRATED TOOLS AND EQUIP USED - Indicate the numbers of all calibrated tools and equipment used. If more than 6 spaces are necdcd use the Retest Action Taken block for additional space.
- 8. DUE DATES OK - Check (4) that tool calibration due dates are current.
- 9. MANHOURS - Indicate skill of performing craft and number of hours needed to complete test.
10 RETEST RESULTS/SATISFACTORY-UNSATISFACTORY - Indicate test results. If unsatisfactory see step 6 above.
- 11. RETEST PERFORMER - Qualified performer prints name and then signs/dates.
- 12. MASTER SIGN-OFF - This section is completed when all testing requirements listed in the "RETEST TO BE PERFORMED" section of this retest are satisfied by another retest or surveillance (Master Retest). This section is completed per Section 5.6 of PDP-ZZ-00011.
Page 2 of 2 CA0875 05/30/03 PDP-ZZ-Ol I
4 OSP-BB-V0001 I
- 1 Rev. 016 VALVE TEST DATA SHIEET PERSON PERFORMING INTJIAL DATE STARTED
/QKL DATE COMPLETED gr, .a rs p-t r 0%~
oVrv/
OBSERVED NORMAL MAX ACTUAL REQ FULL FULL VALVE IUT IUT STROKE STROKE ALLOW STR STR RESOR NORM REM LOCAL STR VLV VLV REM LOCAL RPTSR REMOR INDEP NOTES M(S Tu7B ERANGE(S) STROKE STROKE t
.____ POS POS POS 0 C 0 C TIME(S) (in) (in) POS POS POS VERIF VERIF 1 BBHV8000A . -. f 167 20 1.3 BBHV8000A BACKSEAT --
BBHV8000B 0 13i/L. I4 12.3.16.7 12.3-16.7 2 BBHV8026 C _2 7/16 - 1,2 BBHV8027 C 1,2 ll /31/ /,
M & TE ID NUMBERS RECORDED ON STS COMPLETION FORMS ,SP -q-03 (INITIALDATE)
,1 - POSITION INDICATION TEST REQUIRED ONLY PER ST-00198 CONTAINMENT ISOLATION VALVE 3 - IF BBHV8000A IS ON ITS BACKSEAT, USE THE BBHV8000A BACKSEAT" ROW OF THIS. TABLE AND DISREGARD THE "BBHV8000A" ROW. IF BBHV8000A IS NOT ON ITS BACKSEAT, USE THE "BBHV8000A" ROW AND DISREGARD THE "BBHV8000A BACKSEAT' ROW.
Page 1 of 1 ATTACHMENT 1 I1
' ;?9/06/03 FILE: P170.0001.001 RPT: CWCP9251
'______________-_.---_ -} R I G I N A L ----------------------- PAGE 1 OF a 6 CONDITION TAG NO: 0 PERF. GRP: EE WORK DOCUMENT: W71 809 COMPONENT ID NUMBER*SYST*TRA *COMPONENT NAME ********************* LOCATION*********
BBHS8000B BB RCS PZR OUT BB-HV-8000B HAND SW CB-2047-RM-3601 Source Requirements (Tech Specs): None TASK SR: Y Q: Y EQ: N SPECIAL SCOPE: SEIS ORIGINATOR: ONARHEIM GARY R EXT: 64679 PLNR: ONARHEIM GARY R DT 20030906 INITIATING DOC: APVR: BAXTER JOHN H DT 20030906 RETEST/AUX***SEQ*****RESP GRP*******DESCRIPTION
- W713809 0 EE REPLACE HANDSWITCH/OPERATOR SPECIAL PERMITS OR PROCESSES*******ASSOCIATED TASK **********PROCEDURES/ASSOC.DOC***
- SUPPORT: ** ** J-200-00053 **
- TROUBLESHOOT: N ** ** J-200-00055 **
- CONTROL ROOM BRIEF: N ** ** J-200-00058 **
- RWP NUMBER: ** ** J-200-00006 **
- SECT XI REP : N REPL: N ** ** J-200-00241 **
- SECTION VIII OR I REPAIR: N ** ** E-23BB39 **
- ANII NOTIFIED: N DT: ** ** E-23BB40 **
- ** ** E-23BB28 **
- ** ** 4BBR28HB **
- SPEC PROCESS: NONE
- PERMITS: WPAN RWPN FME2 lSPUI f FIHAL
-------- -------- ---- --- ------------------ ------ REVIE~EVI-W7 3 X E -- e -
QC NOTIFICATION-REQUIRED: Y
- CONDITION/PROBLEM AS STATED ON CONDITION TAG **********
Replace handswitch and operator.
Condition Tag Hung? No WPA RECOMMENDED *************************
NO WPA REQUIRED-LEADS TO BE LIFTED AT RL022 TERM BLOCK QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQC Q C Q QC IS REQUIRED! ALL APPLICABLE INSPECTION POINTS FOR THIS WORK C Q ARE WITHIN THE WR INSTRUCTIONS/ATTACHMENTS. C Q C QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQC PERFORM SAFETY RELATED INSPECTION
- WORK TO BE PERFORMED **********************
IIII 111111 111111111111 1111111111 11 1111111111 111111 11111 111111111 1 l11111 1111
. W A D: W713809 (continued) PAGE 2 QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQ Q
Q Q QC INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (o IOR ERM) OQCM CODE E.2.1 Q 1. Lift leads from BBHS8000B in RL022 at TB14 per CARTS sheets. 4 ( '1 QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQ 4f /Use.
ce/N- f md ,6^UiD, o reQW J D
_7 Lcwe L7ocA4 Crvp~
QQCQCQZCQ CQCQC9CQCQCQC09QCPCQ QCQCCfcQCQCOCQCQCQCIQCQCQC X QCQCQCQ C9 /
0% a<h RL T- dfik/ t lz ta ~c ou,4 ^<4 ii t-Qe -t =es° co v-4c t Q 2 / QC INSPECTION POINT, PARTS VERIFICATION (Q)
Q (PRIOR TO REPI&CtMENT) OQCM CODE E.1.2 Q
.Q. ,fl Q / 3 C INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (PRIOR TO TE ERM) OQCM CODE E.2.1 Q II ,./
Q V / 7
/ QC INSPECTION POINT, CLASS IE EQUIP.INSTALL Q (PRIOR TO ORK) OQCM CODE E.4.1 MOD, REWORK Q
Q Q 2. Ensure that the new switch with 4 KLA2 contact blocks on a Q.- E30AD operator conform to drawings E-23BB39, J-200-00241 and Q J-200-00053.
Q Q a. Note that J-200-00053 is to be used for point to point Q verification and the switch is to be assembled per J-200-00241 Q
Q 3. Determ the leads from BBHS8000B Q
Q a. Remove and discard any KAOWOOL type material from around the Q switch.
Q Q 4. Replace the switch assembly.
Q Q 5. Reterminate the leads removed.
Q QCQCQCQCQCCQCQCQCQCQQCQCC0QCQCQCQCQCQCQCQCQCCQCQCQ CQ CQcQCC o l--b /e VC1i1,,L~ r a7, o-q, QCQCQCQCQCQCQCQCQ CQ QCfQCQCQCQC CQCQC CCQCQCQCQCQ CQcQ 0 Q 4. ,, ge e fw. t- C Af oo OX 7- c<0I/t7<
Q 1 7QC INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (PRIOR TO DET OQCM CODE E.2.1 0/TRM)
Q Q 6. Reland the leads to BBHS8000B at RL022 per CARTS sheets.
QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQ
-~ ~ _ __ _ _ _ - .___
.. X'. U . . . - . -
7 COMPLETION FORM i
.COMPONENT ID DOC NUMBER kK 7153?69 (40) ISSUED TO DATE _ _ _ _ _ _ _
(4 1) APPROVAL DATE 12/3/2 _ _ _ _ _ _ _
TO START 6 SgntueOR - .. -. . ~~~Other Signature to Start, OR WP1'g-Out Number, OR-- - ----...- Verbal Approval Obtained by Printed name of CRS if Verbal -
(42) CAUSE I DESCRIPTION OF FAILURE OBSERVATION OR FINDINGS i-lf lKA CONTINUED ON BACK E (43) REPAIR ACTION TAKEN CORRECTIVE ACTION (DETAILED RECORD OF WORK) -
. ~~~CHECK IF CONTINUED ON ATTACH E S/RELATED INSPEC('TION: N/A E SAT Sm- UNSAT E FmE PRE-CLOsuRE INSPECTION: N/A El SAT R MATERIAL USED (44) S/N REMOVEE - ..... ~(46)
CAL TOOLS AND SIN INSTALLED CAL DUE DATE ______
(4)CONDITION TAG STATUS: REMOVED El .CHECKED OKE[ _________
LEFr.HANGING ElNO TAG []________
(48) PERFORMED B 3i .~. LG _ _ _ _ _ _ _ _
j~~~
REPAIRCOMPLETE - - - (49)INITIALS -
REPAIR____COMPLETE-. .OF OTHERS ULI§K NOT COMPLETE 0 DATETIME (HR:MIN). ----..-
(50) SKIL ~
- MEN 2 . DURATION '_SUPERVIRRREVIEW HOURS ~ _ _ _ _~9 6 0 TOTAL .*'- .DATE (52) WORK COMPLETION ACKNOWLEDGED: DATE/TIME SRWV MR M
- VERBAL-NOTIFICATION OF SSICRS: ____________DATE/THfIE_______
. -. -WORK GROUP SUPERVISOR --- -
- :- - ~' - -. CA0075A Page 1 Of 2 APA-ZZ-00320
I I (42 CONT.) CONDITION OBSERVED (CAUSE OF FAILURE IF KNOWN)
(43 CONT.) REPAIR ACTION TAKEN/CORRECTIVE ACTION (DETAILED RECORD)
(53) WORK PACKAGE FEEDBACK FROM CRAFTSMAN/SUPERVISOR:
(54) FOLLOW ENGR REVIEW ITJP ATTON DTTTD an VA- s------ _ U Li
( DOC YPEDAx). DOC TYP/ D9C NO. COPY SEN TTO:
(55) *PLANNER: DATZAE /(DTATAE ENTRY E 1 7 ign re denta the Planner has reviewed the 4rkatkage and resolved feedback comments with the originator REVISED TAC DESCRIPTION
SUMMARY
(56) PLANNER NOTES:
(57) NPRDS HISTORY CODES CORRECTIVE ACTION _ FAILURE SYMPTOM FAILURE SEVERITY LEVEL ( 7 CAUSE CATEGORY DOCUMENTATION CAUSE DESCRIPTION CA0075A 11/27/00 Page 2 Of 2 APA-ZZ-00320
t9/05/03 .. - FILE: P170.0001.001, RPT: CWCP9251
-OIIA R I G I NA -- ---------------- PAGE 1 OF CONDITION TAG NO: 0 PERF. GRP: EE WORK DOCUMENT: A713713G COMPONENT ID NUMBER*SYST*TRA *COMPONENT NAME
- LOCATION*********
NG01AGR5 NG SPARE CB-2000-RM-3301 Source Requirements (Tech Scs): None TASK SR: Y Q: Y EQ: N SPECIAL SCOPE: SEIS ORIGINATOR: BAXTER JOHN H EXT: 68493 PLNR: BAXTER JOHN H DT 20030905 INITIATING DOC: W713713 APVR: DT RETEST/AUX***SEQ*****RESP GRP*******DESCRIPTION ********************************
W713713 0 EE. REPLACE OPERATOR MOTOR A713713A 0 EE REPLACE THE OVERLOAD RELAYS R713713A 0 EE .. PERFORM MOVATS TEST.
A713713B 0 .EE , /r ; 2 CHEME C685661 WIRING A713713C 0 ,EE . LIFT THE -CORE.LOAD.JUMPER A713713D . . 0 EE ,ya .1e-AND CORE. LOAD .JMPR A713713E EE , . REWIRE TOPREMOD CONDITION 0
R713713B 0, 0 . -CYCLE.VALVE,,.OSPBBVOOO1.
0 A713713F EE MCE.TEST .NEW.MOTOR FOR BBHV8000B 0
A713713G EE REMOVE. OVERLOAD RELAYS - NGO1AGR5 SPECIAL PERMITS OR PROCESSES*******ASSOCIATED TASK **********PROCEDURES/ASSOC.DOC***
- SUPPORT: ** ** **
- TROUBLESHOOT: N , _ ** . **.. **
- CONTROL ROOM BRIEF: N ** ** **
- RWP NUMBER: ** ** **
- SECT XI REP : N REPL: N ** ** **
,*SECTION VIII OR I REPAIR: N ** ** **
A*ANII NOTIFIED: N DT: ** - ** **
t* , ~~~~~~~~~~~~**. tyW **
A INPUTN
., , . I** ITIAL FINAL **
- SPEC PROCESS: NONE RE17IEPZ QC REVIEW
- PERMITS: WPAY RWPN FME2 . -- g QC NOTIFICATION-REQUIRED: Y Remove.the overload relays from.NG0{ 5 for-use on NG02BDF1.
- , 'WPA.RECOMMENDED
-~~ ~ ~ ~ : . PMtLIY
-J(V -II VCDCwnnRmA fA r W- a A Ho, . G. .. , L1191Y Z'AEt Y A Hold off is required on.NG0lAGF5 '..
- . -'RELATED INSPECTln V - - . . - all QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQC Q C Q QC IS REQUIREDI ALL APPLICABLE INSPECTION POINTS FOR THIS WORK C Q ARE WITHIN THE WR INSTRUCTIONS/ATTACHMENTS. C Q - C QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQC'
~- . 1. I111111111111111111111111 l11111111 G11111 11111411111 II11111 111111111111111 11111 111111
W A D: A713713G (continued) PAGE 2
- WORK TO BE PERFORMED **********************
QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQC Q
Q A Q {/? / qf QC INSPECTION POINT, TERMINATIONS (Q/EQ)
Q (PRIOR TO DETERM) OQCM CODE E.2.1 Q
Q U!'? __ __lo _ QC INSPECTION POINT, CLASS IE EQUIP.INSTALL Q (PRIOR TO WORK) OQCM CODE E.4.1 MOD, REWORK Q rW qIC.
- Q 1. Remove the overload relays from NGO1AG5 for use on A713713A.
Q -Tape off any leads as required.
Q Q Note: This cubicle will be futured out on W713737 and RFR 23066A.
Q Q
QCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQCQC
_ o _~~2
- @-C654
> < LE~~~~2-
-A COMPLETION FORM .
COMPONENT ID A/ Jof (- 6 & -DOC NUMBER - - S7 a6-(40) ISSUED TO
- new
'1':II (41) APPROVAL TO START
/ ^. 1_-
SS/CRS Signature, OR DA iTE f fi ~ QS , °<4 Other SignaturejStart, OR WPA Tag-Out Number, OR Verbal Approval Obtained by Printed name of CRS if Verbal (42) CAUSE / DESCRIPTION OF FAILURE OBSERVATION OR FINDINGS .
CONTINUED ON BACK El (43) REIR ACTION TAKEN / CORREI AON (DETAILE COy OF WORK) o AA~~,, ~, qT ., ACE N (ETAc*E.CO Acet OlCT(k f ARALJ
.... ~~~~~~~~~rr T rrM TT~ r) ~ r r~ I. ..
., ,- . .. Iv .5 a..... - _
- S/RELATED INSPECTION: N/A SAT -UNSAT - FME PRE-CLOSURE INSPECTION: N/A E SAT O MATERIAL USED (44) SN REMOVED (46) CAL TOOLS AND ' -_:
EQUIPMENT ID -
S/N INSTALLED CAL DUE DATEED T_ _ _ _
(47) CONDITION TAG STATUS: REMO' tVED [1 '- - - ' -CHECKED OKED. '_'___' _'_'
LEFF HAIR EI NO' (48) PERFORMED BY z1kc4~
(49) INITIALS REPAIR COMPLETE -- OF OTHERS NOT COMPLETE [-
aIN DE IE (HR:MIN) :--:-. :.--- - -:-- '-'; _:_ _ '_ _ ' '
(50) 'S L . .- ,__ ';. i HR. -, . . (51)
- MEN ' -_'_ ;; __'_.' DURATION SUPERVIzSpRREVIEW HOURS _ I TOTAL __'L_- : " ' ' ' --' ' - ;; " ' ' -l - -: '7'.- ' x ,DATE (52) WORK COMPLETION AC KNOWLEDGEI. -- DATE/TIME SS/CRS OR WORK SUPERVISOR ------
,VERBAL NOTIFICATION OF SS/CRS: DATE/TIME WORK GROUP SUPERVISOR i :- . ; ,. I ~ II~ .:
. _.! . I .. 1..
.--. ACA0075A
- - 1 11127/00 Page1Of2 APA-ZZ-00320
I.. .
(42 CONT.) CONDITION OBSERVED (CAUSE OF FAILURE IF KNOWN) 1. .1 (43 CONT.) REPAIR ACTION TAKEN/CORRECTIVE ACTION (DETAILED RECORD)
(53) WORK PACKAGE FEEDBACK FROM CRAFTSMAN/SUPERVISOR:
(54) FOLLOW ENGR REVIEW UP ACTION _ REQUIRED n DOCTYP I ADO NO. DOC TPE DOC NO. COPY SEN[TTO:
(55) *PLANNER: - DATE nature enotes that the P ner has reviewed the or
- X l DATAENTRY ckage and resolved feedback comments with the originator REVISED TAS )EsCRIPTION S
SUMMARY
(56) PLANNER NOTES:
(57) NPRDS HISTORY CODES CORRECTIVE ACTION __ FAILURE SYMPTOM FAILURE SEVERITY LEVEL I<;
CAUSE CATEGORY DOCUMENTATION ___ - - CAUSE DESCRIPTION CA0075A 11/27/00 Page 2 Of 2 APA-ZZ-00320