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=Text=
=Text=
{{#Wiki_filter:+CC~~~~GULANAkWAZAK DZQ~Z%VLLRRW(RZQ'~~~
{{#Wiki_filter:+CC~~~~GULANAkWAZAKDZQ~Z%VLLRRW(RZQ'~~~
ACCESSION NBR:8809290114 DOC.DATE: 88/09/23 NOTARIZED:
ACCESSION NBR:8809290114         DOC.DATE: 88/09/23   NOTARIZED: NO                 DOCKET ¹
NO DOCKET¹'FA'CIL:50-397 WPPSS Nuclear Project, Unit 2, Washington Public Powe 05000397 TH.NAME AUTHOR AFFILIATION ENSEN,G.C.
  'FA'CIL:50-397 WPPSS Nuclear Project, Unit 2, Washington Public             Powe 05000397 TH.NAME           AUTHOR AFFILIATION ENSEN,G.C.       Washington Public Power Supply System ECIP.NAME         RECIPIENT AFFILIATION Document Control Branch (Document Control Desk) to NRC 880824 ltr re violations noted in Insp Rept l
Washington Public Power Supply System ECIP.NAME RECIPIENT AFFILIATION Document Control Branch (Document Control Desk)


==SUBJECT:==
==SUBJECT:==
Responds to NRC 880824 ltr re violations noted in Insp Rept 50-397/88-21.Corrective actions: DISTRIBUTION CODE'EOZD COPIES RECEIVED'LTR
Responds 50-397/88-21.Corrective actions:
-ENCL l SIZE'ITLE:
DISTRIBUTION CODE'EOZD       COPIES RECEIVED'LTR General (50 Dkt)-Insp Rept/Notice of ENCL Response Violation     SIZE'ITLE:
General (50 Dkt)-Insp Rept/Notice of Violation Response NOTES: RECIPIENT ID CODE/NAME PD5 PD INTERNAL: ACRS DEDRO NRR/DLPQ/PEB 11 NRR/DOEA DIR 11 NRR/DREP/RPB 10 NRR/PMAS/ILRB12 OE LXEBERMAN,J RE L 02 RGK FILE 01 RNAL: LPDR NSIC COPIES LTTR ENCL 1 1 2 2 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1 RECIPIENT ID CODE/NAME SAMWORTH R AEOD NRR MORISSEAUPD NRR/DLPQ/QAB 10 NRR/DREP/EPB 10 NRR/DRIS DIR 9A NUDOCS-ABSTRACT OGC/HDS2 RES/DSIR DEPT NRC PDR COPIES LTTR ENCL 2 2 1 1 TOTAL NUMBER OF COPIES REQUIRED: LTTR 25 ENCL 25 C II WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O.Box 968~3000 George Washington Way~Richland, Washington 99352 September 23, 1988 G02-88-205 Docket No.50-397 U.S.Nuclear Regulatory Commission Attn: Document Control Desk Mail Station Pl-137 Washington, D.C.20555 Gentlemen:
NOTES:
RECIPIENT         COPIES          RECIPIENT                  COPIES ID CODE/NAME      LTTR ENCL    ID CODE/NAME     LTTR ENCL PD5 PD                 1    1    SAMWORTH R                    2    2 INTERNAL: ACRS                     2    2    AEOD DEDRO                 1    1    NRR MORISSEAUPD NRR/DLPQ/PEB 11       1    1    NRR/DLPQ/QAB 10 NRR/DOEA DIR 11        1     1   NRR/DREP/EPB 10 NRR/DREP/RPB 10       2    2    NRR/DRIS DIR 9A NRR/PMAS/ILRB12        1    1    NUDOCS-ABSTRACT OE LXEBERMAN,J        1    1    OGC/HDS2 RE    L      02      1    1    RES/DSIR DEPT RGK      FILE 01      1    1 RNAL: LPDR                    1    1    NRC PDR                       1    1 NSIC                  1     1 TOTAL NUMBER OF COPIES REQUIRED: LTTR       25   ENCL   25
 
C II
 
WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O. Box 968 ~ 3000 George Washington Way ~ Richland, Washington 99352 September 23, 1988 G02-88-205 Docket No. 50-397 U. S. Nuclear     Regulatory Commission Attn:   Document Control Desk Mail Station Pl-137 Washington, D. C.       20555 Gentlemen:


==Subject:==
==Subject:==
NUCLEAR PLANT NO.2 LICENSE NO.NPF-21 NRC INSPECTION REPORT 88-21 The Washington Public Power Supply System her eby replies to the Notice of Violation contained in your letter dated August 24, 1988.Our reply, pursuant to the provision of Section 2.201, Title 10, Code of Federal Regulations, consists of this letter and Appendix A (attached).
NUCLEAR PLANT NO. 2 LICENSE NO. NPF-21 NRC INSPECTION REPORT 88-21 The   Washington Public Power Supply System her eby replies to the Notice of Violation contained in your letter dated August 24, 1988. Our reply, pursuant to the provision of Section 2.201, Title 10, Code of Federal Regulations, consists of this letter and Appendix A (attached).
In Appendix A, each violation is addressed with an explanation of our position regarding validity, corrective action and date of full compliance.
In Appendix A, each violation is addressed with an explanation of our position regarding validity, corrective action and date of full compliance.
Very truly yours, G..Sorensen, Manager Regulatory Programs cc: JB Martin-NRC RV NS Reynolds-BCPZR RB Samworth-NRC DL Williams-BPA, 399 NRC Site Inspector-901A 88092901l4 880923 PDR ADOCK 05000397 6 PNU Appendix A Page 1 of 3 APPENDIX ADuring an NRC inspection conducted on May 30-July 7, 1988, the following violations of NRC requirements were identified.
Very truly yours, G.   . Sorensen,   Manager Regulatory Programs cc:   JB Martin -   NRC RV NS Reynolds   - BCPZR RB Samworth - NRC DL Williams -   BPA, 399 NRC Site Inspector -   901A 88092901l4 880923 PDR   ADOCK   05000397 6                   PNU
In accordance with the"General Statement of Policy and Procedure for NRC Enforcement Actions," 10 CFR Part 2, Appendix C, these violations are listed below: A.Section 3.4.6.1 of the Technical Specifications states in part,"The reactor coolant system temperature and pressure shall be limited..., with: a.A maximum heatup of 100 in any 1-hour period,..." Con)rary to the above.a reactor coolant system heatup of approximately 137 F occurred during a plant startup on June 27, 1988.This is a Severity Level IV Violation (Supplement I).Validit of Violation The Supply System acknowledges the validity of this violation.
 
Corrective Ste s Taken/Results Achieved 1.Regarding exceeding the heatup limitation of Plant Technical Specification 3.4.6.1 on June 27, 1988: a)Plant heatup was immediately terminated when determined to be excessive.
Appendix A Page 1 of 3 APPENDIX A During an     NRC   inspection conducted       on   May   30 - July   7, 1988, the following violations of NRC requirements were identified. In accordance with the "General Statement of Policy and Procedure for NRC Enforcement Actions," 10 CFR Part 2, Appendix C, these violations are listed below:
b)An Engineering evaluation was performed which concluded that no safety concerns were created by the excessive heatup r ate.c)Plant Procedure 7.4.4.6.1.1,"RPV (Reactor Pressure Vessel)Temperature/Pressure Log," was revised to provide additional guidance on control of Plant heatup and cooldown evolutions.
A. Section 3.4.6.1 of the Technical Specifications states in part, "The reactor coolant system temperature and pressure shall be limited ..., with:
Significant changes made to prevent recurrence of this situation i'nclude:~heatup and cooldown rate is limited to 20 F during each 15 minute period.~heatup and cooldown rate is limited to 80 F per hour.  
: a. A maximum heatup of 100 in any 1-hour period,..."
Con)rary to the above. a reactor coolant system heatup                 of approximately 137 F occurred during a plant startup on June 27, 1988.
This is   a Severity Level   IV Violation (Supplement     I).
Validit of Violation The Supply System acknowledges       the   validity of this violation.
Corrective Ste   s Taken/Results Achieved
: 1. Regarding     exceeding     the     heatup     limitation of     Plant   Technical Specification 3.4.6.1     on June 27, 1988:
a)   Plant heatup     was   immediately terminated       when determined to be excessive.
b)   An   Engineering evaluation was performed which concluded that             no safety concerns were created by the excessive heatup r ate.
c)   Plant   Procedure     7.4.4.6.1.1, "RPV (Reactor Pressure Vessel)
Temperature/Pressure       Log," was revised to provide additional guidance on control of Plant heatup and cooldown evolutions.
Significant   changes   made   to prevent recurrence of this situation i'nclude:
                  ~     heatup and cooldown rate is limited to 20             F during each 15 minute period.
                  ~     heatup and cooldown rate       is limited to   80 F per hour.
 
Appendix    A Page 2  of  3 Pressure/Temperature
                  ~      heatup/cooldown and    RPV                        e Monitoring activities  were divided  into  separ ate  sections.
                  ~      A steam  table was provided to convert steam pressure (in PSIG)  to temperature.
d)    A  heatup and cooldown program has been added to the Plant status display on the Control Room Process Computer CRT. The program graphically displays heatup/cooldown in relation to 80 F/hr reference lines. In addition, digital displays indicate projected heatup/cooldown rates based on 15, 30 and 45 minute temperature changes. This information is updated every 60 seconds.          Digital displays are also provided for actual hour ly rates. An alar m functi~n is provided for both projected and actual rates when the 80 F/hr limit is exceeded.
: 2. Regarding the followup actions associated with the potential heatup/cooldown problems identified in Plant ()A Surveillance Report 2-88-018, Plant Operations failed to recognize the significance of the issue with regard to preventing recurrence due to lack of rigor and discipline in the initial review process.
Corrective Action to      be Taken
: 1. Plant  Oper  ations  Management  will  emphasize,  to the Operations staff, the need    for increased    awareness  and a more  effective quality review of Plant    gA  Surveillance Reports.
: 2. General Operating Procedures,        for Plant startup    and shutdown evolutions, will )e revised to limit hourly        heatup and cooldown rates to a maximum of  80 F.
Date  of Full  Com  liance Although the Supply System is currently in full compliance, further corrective actions will be completed by October 31, 1988.
B. 10CFR50.73.d states in part, "Licensee Event Reports must be              ... submitted within  30 days of discovery of a reportable event..."
Contrary to the above, the licensee identified in a ()A surveillance report issued on April 29, 1988 that the Technical Specification heatup and cooldown limits had been exceeded on February 20 and June 19, 1987, and did not issue a licensee event report within 30 days after this discovery.
This is    a  Severity level IV Violation (Supplement        I).


Appendix A Page 2 of 3~heatup/cooldown and RPV Pressure/Temperature e Monitoring activities were divided into separ ate sections.~A steam table was provided to convert steam pressure (in PSIG)to temperature.
Appendix A Page 3 of 3 Validit of Violation The   Supply System acknowledges the validity of this violation.               A definite determination that the Technical Specification limit had been exceeded was not provided in the QA Surveillance Report.             Plant QA management had mistakenly determined that a Plant QA deficiency (finding) was the appropriate mechanism to initiate the reportability evaluation by the Plant personnel qualified and responsible for that function (e.g. Shift Manager or Plant Technical Compliance group).       A Plant   Nonconformance     Report (NCR) should have been issued in accordance with Plant Procedure (PPM) 1.3.12, "Plant Problems."           The purpose of the procedur is to provide instructions for the identification, documentation and disposition of Plant problems, and to ensure that each problem is reviewed for reportability in accordance with regulatory requirements.
d)A heatup and cooldown program has been added to the Plant status display on the Control Room Process Computer CRT.The program graphically displays heatup/cooldown in relation to 80 F/hr reference lines.In addition, digital displays indicate projected heatup/cooldown rates based on 15, 30 and 45 minute temperature changes.This information is updated every 60 seconds.Digital displays are also provided for actual hour ly rates.An alar m functi~n is provided for both projected and actual rates when the 80 F/hr limit is exceeded.2.Regarding the followup actions associated with the potential heatup/cooldown problems identified in Plant ()A Surveillance Report 2-88-018, Plant Operations failed to recognize the significance of the issue with regard to preventing recurrence due to lack of rigor and discipline in the initial review process.Corrective Action to be Taken 1.Plant Oper ations Management will emphasize, to the Operations staff, the need for increased awareness and a more effective quality review of Plant gA Surveillance Reports.2.General Operating Procedures, for Plant startup and shutdown evolutions, will)e revised to limit hourly heatup and cooldown rates to a maximum of 80 F.Date of Full Com liance Although the Supply System is currently in full compliance, further corrective actions will be completed by October 31, 1988.B.10CFR50.73.d states in part,"Licensee Event Reports must be...submitted within 30 days of discovery of a reportable event..." Contrary to the above, the licensee identified in a ()A surveillance report issued on April 29, 1988 that the Technical Specification heatup and cooldown limits had been exceeded on February 20 and June 19, 1987, and did not issue a licensee event report within 30 days after this discovery.
The Plant Operations Department, during the initial review of the Plant QA Surveillance Report, also failed to recognize the potential Technical Specification violation and; therefore, the reportability of the situation.
This is a Severity level IV Violation (Supplement I).
Corrective Ste     s Taken/Results Achieved
Appendix A Page 3 of 3 Validit of Violation The Supply System acknowledges the validity of this violation.
: 1. On   July 5, 1988 an NCR was written by the Plant QA organization which documented the situation that the QA Surveillance Report had identified three examples where the heatup/cooldown rates may have been exceeded. The Plant Technical Compliance Group was aware of the NCR and recognized the need to perform a reportability evaluation.         However, due to the workload associated with scheduled commitments, the group was unable to evaluate the situation in a timely manner (the situation was determined to be reportable on August 23, 1988).
A definite determination that the Technical Specification limit had been exceeded was not provided in the QA Surveillance Report.Plant QA management had mistakenly determined that a Plant QA deficiency (finding)was the appropriate mechanism to initiate the reportability evaluation by the Plant personnel qualified and responsible for that function (e.g.Shift Manager or Plant Technical Compliance group).A Plant Nonconformance Report (NCR)should have been issued in accordance with Plant Procedure (PPM)1.3.12,"Plant Problems." The purpose of the procedur is to provide instructions for the identification, documentation and disposition of Plant problems, and to ensure that each problem is reviewed for reportability in accordance with regulatory requirements.
: 2. Licensee Event Report 88-028 is currently being prepar ed and will be submitted to the NRC in accordance with the requirements of 10CFR50.73.
The Plant Operations Department, during the initial review of the Plant QA Surveillance Report, also failed to recognize the potential Technical Specification violation and;therefore, the reportability of the situation.
Corrective Action to     be Taken
Corrective Ste s Taken/Results Achieved 1.On July 5, 1988 an NCR was written by the Plant QA organization which documented the situation that the QA Surveillance Report had identified three examples where the heatup/cooldown rates may have been exceeded.The Plant Technical Compliance Group was aware of the NCR and recognized the need to perform a reportability evaluation.
: 1. Plant QA Procedure PQA-03, "Conduct of QA Surveillances," will       be revised to provide direction to evaluate deficiencies (findings) against       PPM 1.3.12 to determine   if an NCR is required.
However, due to the workload associated with scheduled commitments, the group was unable to evaluate the situation in a timely manner (the situation was determined to be reportable on August 23, 1988).2.Licensee Event Report 88-028 is currently being prepar ed and will be submitted to the NRC in accordance with the requirements of 10CFR50.73.
: 2. Plant Licensing and Assurance Engineers       will attend a review of this event and   will be informed of their responsibility with regard to pr oblem report initiation in accordance with PPM 1.3.12.
Corrective Action to be Taken 1.Plant QA Procedure PQA-03,"Conduct of QA Surveillances," will be revised to provide direction to evaluate deficiencies (findings) against PPM 1.3.12 to determine if an NCR is required.2.Plant Licensing and Assurance Engineers will attend a review of this event and will be informed of their responsibility with regard to pr oblem report initiation in accordance with PPM 1.3.12.3.A review of the Plant Compliance organization has been completed.
: 3. A   review of the Plant Compliance organization has been completed.         Several methods   of improving the efficiency of the group have been identified and will be implemented.
Several methods of improving the efficiency of the group have been identified and will be implemented.
Date of Full   com liance
Date of Full com liance 1.Corrective Actions 1 and 2 will be completed by November 18, 1988.2.Corrective Action 3 will be implemented during FY 1989.}}
: 1. Corrective Actions     1 and 2 will be completed by November 18, 1988.
: 2. Corrective Action     3   will be implemented during FY 1989.}}

Latest revision as of 14:55, 29 October 2019

Responds to NRC 880824 Ltr Re Violations Noted in Insp Rept 50-397/88-21.Corrective Actions:Plant Heatup Immediately Terminated When Determined to Be Excessive,Engineering Evaluation Performed & Procedure 7.4.4.6.1.1 Revised
ML17284A531
Person / Time
Site: Columbia Energy Northwest icon.png
Issue date: 09/23/1988
From: Sorensen G
WASHINGTON PUBLIC POWER SUPPLY SYSTEM
To:
NRC OFFICE OF ADMINISTRATION & RESOURCES MANAGEMENT (ARM)
References
GO2-88-205, NUDOCS 8809290114
Download: ML17284A531 (7)


Text

+CC~~~~GULANAkWAZAKDZQ~Z%VLLRRW(RZQ'~~~

ACCESSION NBR:8809290114 DOC.DATE: 88/09/23 NOTARIZED: NO DOCKET ¹

'FA'CIL:50-397 WPPSS Nuclear Project, Unit 2, Washington Public Powe 05000397 TH.NAME AUTHOR AFFILIATION ENSEN,G.C. Washington Public Power Supply System ECIP.NAME RECIPIENT AFFILIATION Document Control Branch (Document Control Desk) to NRC 880824 ltr re violations noted in Insp Rept l

SUBJECT:

Responds 50-397/88-21.Corrective actions:

DISTRIBUTION CODE'EOZD COPIES RECEIVED'LTR General (50 Dkt)-Insp Rept/Notice of ENCL Response Violation SIZE'ITLE:

NOTES:

RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD5 PD 1 1 SAMWORTH R 2 2 INTERNAL: ACRS 2 2 AEOD DEDRO 1 1 NRR MORISSEAUPD NRR/DLPQ/PEB 11 1 1 NRR/DLPQ/QAB 10 NRR/DOEA DIR 11 1 1 NRR/DREP/EPB 10 NRR/DREP/RPB 10 2 2 NRR/DRIS DIR 9A NRR/PMAS/ILRB12 1 1 NUDOCS-ABSTRACT OE LXEBERMAN,J 1 1 OGC/HDS2 RE L 02 1 1 RES/DSIR DEPT RGK FILE 01 1 1 RNAL: LPDR 1 1 NRC PDR 1 1 NSIC 1 1 TOTAL NUMBER OF COPIES REQUIRED: LTTR 25 ENCL 25

C II

WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O. Box 968 ~ 3000 George Washington Way ~ Richland, Washington 99352 September 23, 1988 G02-88-205 Docket No. 50-397 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Mail Station Pl-137 Washington, D. C. 20555 Gentlemen:

Subject:

NUCLEAR PLANT NO. 2 LICENSE NO. NPF-21 NRC INSPECTION REPORT 88-21 The Washington Public Power Supply System her eby replies to the Notice of Violation contained in your letter dated August 24, 1988. Our reply, pursuant to the provision of Section 2.201, Title 10, Code of Federal Regulations, consists of this letter and Appendix A (attached).

In Appendix A, each violation is addressed with an explanation of our position regarding validity, corrective action and date of full compliance.

Very truly yours, G. . Sorensen, Manager Regulatory Programs cc: JB Martin - NRC RV NS Reynolds - BCPZR RB Samworth - NRC DL Williams - BPA, 399 NRC Site Inspector - 901A 88092901l4 880923 PDR ADOCK 05000397 6 PNU

Appendix A Page 1 of 3 APPENDIX A During an NRC inspection conducted on May 30 - July 7, 1988, the following violations of NRC requirements were identified. In accordance with the "General Statement of Policy and Procedure for NRC Enforcement Actions," 10 CFR Part 2, Appendix C, these violations are listed below:

A. Section 3.4.6.1 of the Technical Specifications states in part, "The reactor coolant system temperature and pressure shall be limited ..., with:

a. A maximum heatup of 100 in any 1-hour period,..."

Con)rary to the above. a reactor coolant system heatup of approximately 137 F occurred during a plant startup on June 27, 1988.

This is a Severity Level IV Violation (Supplement I).

Validit of Violation The Supply System acknowledges the validity of this violation.

Corrective Ste s Taken/Results Achieved

1. Regarding exceeding the heatup limitation of Plant Technical Specification 3.4.6.1 on June 27, 1988:

a) Plant heatup was immediately terminated when determined to be excessive.

b) An Engineering evaluation was performed which concluded that no safety concerns were created by the excessive heatup r ate.

c) Plant Procedure 7.4.4.6.1.1, "RPV (Reactor Pressure Vessel)

Temperature/Pressure Log," was revised to provide additional guidance on control of Plant heatup and cooldown evolutions.

Significant changes made to prevent recurrence of this situation i'nclude:

~ heatup and cooldown rate is limited to 20 F during each 15 minute period.

~ heatup and cooldown rate is limited to 80 F per hour.

Appendix A Page 2 of 3 Pressure/Temperature

~ heatup/cooldown and RPV e Monitoring activities were divided into separ ate sections.

~ A steam table was provided to convert steam pressure (in PSIG) to temperature.

d) A heatup and cooldown program has been added to the Plant status display on the Control Room Process Computer CRT. The program graphically displays heatup/cooldown in relation to 80 F/hr reference lines. In addition, digital displays indicate projected heatup/cooldown rates based on 15, 30 and 45 minute temperature changes. This information is updated every 60 seconds. Digital displays are also provided for actual hour ly rates. An alar m functi~n is provided for both projected and actual rates when the 80 F/hr limit is exceeded.

2. Regarding the followup actions associated with the potential heatup/cooldown problems identified in Plant ()A Surveillance Report 2-88-018, Plant Operations failed to recognize the significance of the issue with regard to preventing recurrence due to lack of rigor and discipline in the initial review process.

Corrective Action to be Taken

1. Plant Oper ations Management will emphasize, to the Operations staff, the need for increased awareness and a more effective quality review of Plant gA Surveillance Reports.
2. General Operating Procedures, for Plant startup and shutdown evolutions, will )e revised to limit hourly heatup and cooldown rates to a maximum of 80 F.

Date of Full Com liance Although the Supply System is currently in full compliance, further corrective actions will be completed by October 31, 1988.

B. 10CFR50.73.d states in part, "Licensee Event Reports must be ... submitted within 30 days of discovery of a reportable event..."

Contrary to the above, the licensee identified in a ()A surveillance report issued on April 29, 1988 that the Technical Specification heatup and cooldown limits had been exceeded on February 20 and June 19, 1987, and did not issue a licensee event report within 30 days after this discovery.

This is a Severity level IV Violation (Supplement I).

Appendix A Page 3 of 3 Validit of Violation The Supply System acknowledges the validity of this violation. A definite determination that the Technical Specification limit had been exceeded was not provided in the QA Surveillance Report. Plant QA management had mistakenly determined that a Plant QA deficiency (finding) was the appropriate mechanism to initiate the reportability evaluation by the Plant personnel qualified and responsible for that function (e.g. Shift Manager or Plant Technical Compliance group). A Plant Nonconformance Report (NCR) should have been issued in accordance with Plant Procedure (PPM) 1.3.12, "Plant Problems." The purpose of the procedur is to provide instructions for the identification, documentation and disposition of Plant problems, and to ensure that each problem is reviewed for reportability in accordance with regulatory requirements.

The Plant Operations Department, during the initial review of the Plant QA Surveillance Report, also failed to recognize the potential Technical Specification violation and; therefore, the reportability of the situation.

Corrective Ste s Taken/Results Achieved

1. On July 5, 1988 an NCR was written by the Plant QA organization which documented the situation that the QA Surveillance Report had identified three examples where the heatup/cooldown rates may have been exceeded. The Plant Technical Compliance Group was aware of the NCR and recognized the need to perform a reportability evaluation. However, due to the workload associated with scheduled commitments, the group was unable to evaluate the situation in a timely manner (the situation was determined to be reportable on August 23, 1988).
2. Licensee Event Report 88-028 is currently being prepar ed and will be submitted to the NRC in accordance with the requirements of 10CFR50.73.

Corrective Action to be Taken

1. Plant QA Procedure PQA-03, "Conduct of QA Surveillances," will be revised to provide direction to evaluate deficiencies (findings) against PPM 1.3.12 to determine if an NCR is required.
2. Plant Licensing and Assurance Engineers will attend a review of this event and will be informed of their responsibility with regard to pr oblem report initiation in accordance with PPM 1.3.12.
3. A review of the Plant Compliance organization has been completed. Several methods of improving the efficiency of the group have been identified and will be implemented.

Date of Full com liance

1. Corrective Actions 1 and 2 will be completed by November 18, 1988.
2. Corrective Action 3 will be implemented during FY 1989.