ML102880254

Correction - Quad Cities Nuclear Power Station, Units 1 and 2 - Audit of Exelon Generation Company, Llc'S (Egc), Management of Regulatory Commitments

ML102880254
Person / Time
Site:	Quad Cities
Issue date:	10/19/2010
From:	Gratton C Plant Licensing Branch III
To:	Pacilio M Exelon Nuclear
Gratton C, NRR/DORL/LPL3-2, 415-1055
References
TAC ME4232, TAC ME4233
Download: ML102880254 (10)

Text

UNITED NUCLEAR REGULATORY WASHINGTON, D.C. 20555-0001 October 19, 2010 Mr. Michael J. Pacilio President and Chief Nuclear Officer Exelon Nuclear 4300 Winfield Road Warrenville, IL 60555 CORRECTION

-QUAD CITIES NUCLEAR POWER STATION, UNITS 1 AND 2 AUDIT OF EXELON GENERATION COMPANY, LLC'S (EGC), MANAGEMENT OF REGULATORY COMMITMENTS (TAC NOS. ME4232 AND ME4233)

Dear Mr. Pacilio:

On October 8, 2010. the Nuclear Regulatory Commission (NRC) staff issued the results of a Commitment Management Audit performed by the staff at the Quad Cities Nuclear Power Station, Units 1 and 2. On October 13, 2010, after reviewing the results of the audit, Exelon Generation Company noted an inconsistency between the results of the audit documented in Section 2.0 the audit report, and the conclusions in Section 3.0 of the audit report. To avoid any further confusion, the NRC staff is reissuing the audit report as an attachment to this letter with a revised Section 3.0. We apologize for any inconvenience this may have caused. Sincerely, Christopher Gratton, Senior Project Manager Plant Licensing Branch 111-2 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket Nos. 50-254 and 50-265

Enclosure:

Audit Report cc w/encl: Distribution via Listserv AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR LICENSEE MANAGEMENT OF REGULATORY QUAD CITIES NUCLEAR POWER STATION, UNITS 1 AND DOCKET NOS. 50-254 AND

1.0 INTRODUCTION

AND In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the U.S. Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented, that changes to the regulatory commitments are evaluated, and, when appropriate, reported to the NRC. The NRC Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory commitments are being effectively implemented.

NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC. NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generic letters, etc.). The audit is to be performed every 3 years. 2.0 AUDIT PROCEDURE AND RESULTS An audit of the Quad Cities Nuclear Power Station, Units 1 and 2 (QCNPS), commitment management program was performed at the plant site during the period of August 16 -17,2010.

The audit reviewed commitments made since the last audit conducted in June 2007. The audit consisted of two parts: (1) verification of the licensee's implementation of NRC commitments that have been completed, and (2) verification of the licensee's program for managing changes to NRC commitments.

2.1 Verification of Licensee's Implementation of NRC Commitments The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licensing actions/activities.

For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation.

Enclosure

-Audit Scope The audit addressed a sample of commitments made during the review period. The audit focused on regulatory commitments (as defined above) made in writing to the NRC as a result of past licensing actions (amendments, exemptions, etc.) or licensing activities (bulletins, generic letters, etc.). Before the audit, the NRC staff searched Agencywide Documents Access and Management System for the licensee's submittals since the last audit and selected a representative sample for verification.

The staff also coordinated with the licensee representative to get a listing of regulatory commitments.

The audit excluded the following types of commitments that are internal to licensee processes: Commitments made on the licensee's own initiative among internal organizational components. Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed. Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, Technical Specifications (TSs), and Updated Final Safety Analysis Reports. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements. Audit Results The attached Audit Summary provides details of the audit and its results. The NRC staff reviewed documents generated by the licensee supporting the closure of commitments listed in Table 1. After identification, most commitments were managed within the electronic database "Passport," an element of the corrective action process. The NRC staff found that Exelon Generation Company, LLC (EGC), was able to identify the regulatory commitments contained within the licensing actions selected for this audit and provide documentation of the status of the commitment implementation.

The NRC staff also sampled documents generated between 2007 and 2010 to determine whether regulatory commitments generated in those documents were included in the regulatory commitment management process. The staff selected the documents listed in Table 2 for review, and found that the commitments were being managed consistent with the licensee's program. Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for

-managing and changing commitments.

The staff focused on changes to the program that became effective after the last commitment management audit in 2007. 2.2.1 Audit Results The process used at QCNPS to manage commitments is contained in procedure LS-AA-110, Revision 7, "Commitment Management." The staff reviewed the licensee's procedure against the guidance contained in NEI 99-04, "Guidance for Managing NRC Commitment Changes," focusing on changes to the program implemented after the NRC staff's 2007 program audit. In general, the NRC staff found that LS-AA-110 follows closely with the guidance in NEI 99-04, and that the procedure is comprehensive and generally effective.

However, the NRC staff observed an inconsistency in the procedure for reporting regulatory commitment changes to the NRC by the licensee.

LS-AA-110, Section 4.7, "NRC Notification of Commitments Changes/Deletions," was compared with the guidance in NEI 99-04 for regulatory commitments that are relied upon by the NRC staff as part of an action of regulatory interest.

In this instance, a regulatory commitment was deemed appropriate in lieu of other regulatory actions, such as an Order or license condition.

Guidance on changes to these regulatory commitments states that if the original commitment has yet to be implemented, the licensee may proceed with the change, but the NRC staff should be notified of the change "as soon as practicable after the change is approved by licensee management, but before any committed completion date." The licensee's procedure includes a flowchart prompting "Timely Notification of Intended Change to NRC," however, the associated procedural steps do not define the "timely notification" aspects of this action. Rather, the step prompts the licensee to submit the information in an annual report to the NRC. If the revised commitment had an implementation date before the annual report is due, the licensee could implement the revised regulatory commitment before the NRC was notified, which would be inconsistent with NEI 99-04 guidance.

The licensee was informed of this inconsistency.

The NRC staff reviewed regulatory commitment changes that have taken place since 2007, but did not identify any changes to commitments that were relied upon by the NRC staff and implemented before the NRC staff was notified.

The NRC staff also reviewed actions the licensee took as a result of the 2007 commitment management audit to address observations from that audit. The licensee revised LS-AA-11 1001, "Commitment Tracking Program T&RM," to include a separate Passport code for regulatory commitments.

This change addressed the finding that Passport did not differentiate between regulatory and non-regulatory commitments.

In addition, while the licensee indicated that the Passport software was not coded to provide time sensitive information for documenting changes to the database, the licensee stated that Passport does provide a date stamp when assignments are taken to a "complete" status. Finally, Revision 3 to LS-AA-110-1001 added a new attachment that includes a template providing guidance on the level of detail for the commitment tracking.

The template addresses the NRC staff concern that the commitment tracking database entries lacked sufficient detail. Based on the above, the NRC staff's review concluded that the licensee maintained records of commitments and documented commitment changes appropriately.

-4

3.0 CONCLUSION

The NRC staff concludes that, based on the above findings, (1) LS-AA-11 0 follows the guidance in NEI 99-04, and that the procedure is comprehensive and generally effective; and (2) 110 could be clarified to ensure that the NRC staff is informed of regulatory commitments that have been changed but not yet implemented, as soon as practical, and before the implementation of the changed commitment.

4.0 LICENSEE PERSOI\II\IEL CONTACTED FOR THIS AUDIT M. Wagner Principal Contributor:

C. Gratton, NRR

Attachment:

Summary of Audit Results Table 1 Sample of Closed Commitments for Quad Cities Nuclear Power Station -August 2010 Submittal Regulatory Issue Commitment(s)

Scheduled Completion Date (Type) Status 2/15/2007 Authorization to use Delta 1) The BLU suits will be used in a configuration consisting Prior to use for each Closed RS-07-018 Protection Mururoa BLU suits of: Mururoa BLU one-piece encapsulating suit (of either commitment ML070470639 PVC or Ethyfuge construction), fitted with 1) a Micronel C500X-012EK-AB60 blower with a C501A-012AK-A battery (consistent with the parts list in Section 7 of Attachment 6.6.6 to the Topical Report TR MURUBLU05NP), and 2) four Scott PF 10 P3, or four Delta Protection P3, high efficiency particulate filter cartridges.

All four filter cartridges must be matching and replaced as a set. 2) Procedures for use of the suit systems are integrated into the respiratory programs required by 10 CFR Part 20, Subpart H. Fit testing of user is not applicable to fully encapsulating suits. Prior to use, wearers are trained on these conditions of use as well as the emergency escape features of the suits. 3) Suits are used in accordance with recommendations in Attachments 6.6.4, 6.6.5, and 6.6.6 of the Topical Report TR MURUBLU05NP (ADAMS Accession No. ML053060280).

4) Suit enclosures are single use only, (other than those segregated for training purposes only) and are discarded after use. Unused suit enclosures are stored in their original manufacturer's packing (in an environment not colder than 32 deg. F, nor hotter than 140 deg. F), with a maximum storage shelf-life of 3 years. Suits are not to come in contact with anything colder than 41 deg. F, nor hotter than 140 deg. F, during use. 5) Suits are donned with a fully charged battery pack installed on the blower. The maximum period of use (timed from a fully charged battery), is 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> with the blower set at 600 IImin; and 7 hours8.101852e-5 days <br />0.00194 hours <br />1.157407e-5 weeks <br />2.6635e-6 months <br /> with the blower at the 400 IImin setting. 6) Suits are used only in atmospheres containing specific contaminants in concentrations that are not immediately dangerous to life or health (IDLH), as given in NIOSH "Concept for Industrial Power, Airpurifying Respiratory Standard," Draft for Comment, May 30,2005, and have an oxygen content of at least 19.5 percent by volume. 7) Communication channels will be established with Delta Protection to report any defects experienced with the Attachment

-2 device, and to ensure that any manufacturer's notifications concerning the suit systems are received in a timely manner. 8) The following elements and controls found in Section 6.4 ofTopical Report TR MURUBLU05NP will be incorporated into EGC and AmerGen respiratory protection program: a. Prior to use, the Mururoa BLU self-fed suits will be integrated into the respiratory protection program, using the information provided by the manufacturer.

b. Prior to use, the lesson plans will be developed to train workers on Mururoa BLU's features, donning, use and removal, cautions and use of mouth strips and tear off strips for routine and emergency egress. c. Prior to use, Radiation Protection personnel will be provided additional training for selection, approval, issue, equipment set-up, operation and maintenance instructions for Mururoa BLU suits. 10/10/2002 Request to Implement an Training will be provided on the new SLC injection function Upon completion of Closed RS-02-174 Alternative Source Term as part of operator re-qualification training and EOP and training (Completed 9/07) ML022940292 SAMG training.

06/30/2004 ES-06-063 ML041830426 12/13/2006 Application to Use Weighting Exelon/AmerGen procedures will be revised to require that Upon implementation of Closed RS-06-179 Factors for External when using the weighting factors in Table 1 ANSI/HPS NRC of approved use of ML063530361 Exposure N13.41-1997, dosimetry is to be placed at the highest revised weighting factors. exposed part of the compartment or composite compartment.

04/30/2004 Amendment to TS Regarding Exelon/AmerGen will establish the TS Bases as adopted Concurrent with Closed RS-04-067 Mode Change Limitations with the applicable license amendment.

implementation of the ML072280298 Using the CLlIP Process license amendment.

ML072280301

-10/3/2007 Request for Amendment to Exelon Generation Company, LLC (EGG) is making a Implemented by TS Closed NL-07-1709 Technical Specifications to regulatory commitment to provide to the NRC using an Amendment ML072820527 Eliminate Requirements to Provide Monthly Operating Reports and Annual Occupational Radiation Exposure Reports industry database the operating data (for each calendar month) that is described in Generic Letter 97-02 "Revised Contents of the Monthly Operating Report," by the last day of the month following the end of each calendar quarter. The regulatory commitment will be based on use of an industry database (e.g., the industry's Consolidated Data Entry (CDE) program, currently being developed and maintained by the Institute of Nuclear Power Operations) . This regulatory commitment will be implemented to prevent any gaps in the monthly operating statistics and shutdown experience provided to the NRC (i .e ., data for all months will be provided using one or both systems (monthly operating reports and CDE>>. implementation date.

Table Sample of Commitments Opened Since the 2007 Submittal Regulatory Issue Commitment{s)

Scheduled Completion Date (Type) 4/2112008 License Amendment Request Exelon Generation Company, LLC and AmerGen Energy By October 1, 2009 RS-08-023 to Remove References to Company, LLC will implement the 10 CFR 26, Subpart I, (Closed) ML081120430 NRC Generic Letter 82-12, "Nuclear Power Plant Staff Working Hours" requirements for managing fatigue at each operating nuclear facility, concurrently with, implementation of the Technical Specification (TS) amendment to remove work hour limitations from TS . The intent of this commitment is to ensure that work hour limitations are controlled by either TS or regulation at all times. 6/9/2008 Licensing action to modify EGC and AmerGen will establish the Technical Implement with RS-07-061 the CRD Surveillance Specifications Bases for TS Bases 3.1.3 and 3.3.1.2 amendment ML081620236 frequency consistent with those shown in TSTF-475, Revision 1, "Control Rod Notch Testing Frequency" and SRM Insert Control Rod Action." (Closed) 10109/2007 Licensing action TSTF-423 1. EGC will follow the guidance established in Section 11 Ongoing RS-07-117 Cold Shutdown End States of NUMARC 93-01, "Industry Guidance for Monitoring ML072830096 Elimination the Effectiveness of Maintenance at Nuclear Power Plants," Nuclear Management and Resource Council, Revision 3, July 2000. 2. EGC will follow the guidance established in 05-02, "Implementation Guidance for TSTF-423, Revision 0, "Technical Specifications End States, NEDC-32988-A," Revision 1, March 2007. Implement with amendment (Closed)

October 19, 2010 Mr. Michael J. Pacilio President and Chief Nuclear Officer Exelon Nuclear 4300 Winfield Road Warrenville, IL 60555 CORRECTION

-QUAD CITIES NUCLEAR POWER STATION, UNITS 1 AND 2 AUDIT OF EXELON GENERATION COMPANY, LLC'S (EGC), MANAGEMENT OF REGULATORY COMMITMENTS (TAC NOS. ME4232 AND ME4233)

Dear Mr. Pacilio:

On October 8, 2010, the Nuclear Regulatory Commission (NRC) staff issued the results of a Commitment Management Audit performed by the staff at the Quad Cities Nuclear Power Station, Units 1 and 2. On October 13, 2010, after reviewing the results of the audit, Exelon Generation Company noted an inconsistency between the results of the audit documented in Section 2.0 the audit report, and the conclusions in Section 3.0 of the audit report. To avoid any further confusion, the NRC staff is reissuing the audit report as an attachment to this letter with a revised Section 3.0. We apologize for any inconvenience this may have caused. Sincerely, IRA! Christopher Gratton, Senior Project Manager Plant Licensing Branch 111-2 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket Nos. 50-254 and 50-265

Enclosure:

Audit Report cc w/encl: Distribution via Listserv DISTRIBUTION:

PUBLIC RidsNrrPMQuadCities Resource RidsAcrsAcnw_MailCTR Resource LPL3-2 RlF RidsNrrLA THarris Resource RidsNrrDorlLpl3-2 Resource RidsOgcRp Resource RidsNrrDorlDpr Resource RidsRgn3MailCenter Resource ACCESSION No.: ML102880254 NRR-106 OFFICE NAME DATE NRRlLPL3-2/PM CGratton 10/19/10 N RRlLPL3-2/LA THarris 10/19/10 N RRlLPL3-2/BC MDavid forRCarlson 10/19/10 N RRlLPL3-2/PM CGratton 10/19/10 OFFICIAL RECORD COPY