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| issue date = 09/11/1990
| issue date = 09/11/1990
| title = Responds to Violations & Several Unresolved Items Noted in SSFI Rept 50-244/89-81.Update of Appropriate Unresolved Items Encl.Specific Actions Re All NRC Unresolved Items Being Tracked to Completion
| title = Responds to Violations & Several Unresolved Items Noted in SSFI Rept 50-244/89-81.Update of Appropriate Unresolved Items Encl.Specific Actions Re All NRC Unresolved Items Being Tracked to Completion
| author name = MECREDY R C
| author name = Mecredy R
| author affiliation = ROCHESTER GAS & ELECTRIC CORP.
| author affiliation = ROCHESTER GAS & ELECTRIC CORP.
| addressee name = MARTIN T T
| addressee name = Martin T
| addressee affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
| addressee affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
| docket = 05000244
| docket = 05000244
Line 14: Line 14:
| page count = 2
| page count = 2
}}
}}
See also: [[followed by::IR 05000244/1989081]]


=Text=
=Text=
{{#Wiki_filter:k'LROCHESTER
{{#Wiki_filter:k 'L
GASANDELECTRICCORPORATION
                                                                                                        /       '. tone
ROBERTChtECREDYVi<ehetidentCinnet4uclee<Ptoduction
                                                                                                                    >t*te ROCHESTER GAS AND ELECTRIC CORPORATION                      ~ 89 EAST AVENUE, ROCHESTER N. Y. 14649-0001 ROBERT    C htECREDY                                                                        TELEPHONE Vi<e hetident                                                                          AREA CODE 71B 546 2700 Cinne t4uclee< Ptoduction September  11, 1990 Mr. Thomas T. Martin Regional Administrator U.S. Nuclear Regulatory Commission Region            I 475        Allendale Road King of Prussia, PA 19406'ubject:
/'.tone>t*te~89EASTAVENUE,ROCHESTER
120-day Response              to Inspection Report 50-244/89-81 Safety System Functional Inspection on the RHR System R.E. Ginna Nuclear Power Plant Docket No. 50-244
N.Y.14649-0001
 
TELEPHONE
==Reference:==
AREACODE71B5462700September
(a) NRC Inspection Report 50-244/89-81, dated May 9, 1990 (b) RG&E letter from R. C. Mecredy -to NRC, T. T.
11,1990Mr.ThomasT.MartinRegionalAdministrator
Martin, dated June 8, 1990
U.S.NuclearRegulatory
 
Commission
==Dear Mr. Martin:==
RegionI475Allendale
 
RoadKingofPrussia,PA19406'ubject:
Reference (a) requested a response to two Notices of Violation and several unresolved items within 30 days and a written evaluation of the deficiencies identified in Section 2.1 of the Inspection Report within 120 days.
120-dayResponsetoInspection
In our 30-day response to two Notices of Violation, Ref. (b), we summarized our proposed resolution or schedule for resolution for the unresolved items 89-81-01 through 10. The NRC unresolved item description and our proposed resolution of each of these was discussed in enclosures C and E of Ref. (b). An update of the appropriate unresolved items is provided as Attachment A to this response.           Specific actions regarding all NRC unresolved items are being tracked to completion by RG&E.
Report50-244/89-81
  ~U       The identified weaknesses in Section 2.1 of the Inspection Report
SafetySystemFunctional
~cIQ        collectively raised an NRC concern as to the effectiveness of RG&E's current practices to establish engineering assurance.                                     This et\A      was identified as unresolved item 89-81-11 and is the focus of this oo        response.
Inspection
1'Q      RG&E          recognizes that unresolved item 89-81-11, engineering
ontheRHRSystemR.E.GinnaNuclearPowerPlantDocketNo.50-244Reference:
  ~C3 oP o+      assurance, is characterized by broad programmatic issues. RG&E has completed an evaluation of the deficiencies and concerns raised in the Inspection Report by performing an internal assessment of the underlying issues identified in Section 2.1 and the examples discussed in Section 2.2. Our assessment has been documented in an g Q~o//(]
(a)NRCInspection
 
Report50-244/89-81,
Cl internal report entitled "Systematic Assessments of Engineering Assurance   Issues 'and RHR SSFI Concerns" dated 9/11/90.       RG&E believes that the underlying concerns necessitate both interim.and long term activities to resolve. Our approach in performing the
datedMay9,1990(b)RG&EletterfromR.C.Mecredy-toNRC,T.T.Martin,datedJune8,1990DearMr.Martin:Reference
-internal assessment and a summary of the high priority actions are presented in Attachment B. This attachment is a summary of the considerable efforts of an RG&E SSFI Assessment Team composed of a group of experienced    RG&E  staff and management personnel.
(a)requested
The  primary task of'the RG&E SSFI Assessment Team was to prepare a report to RG&E's management which recommended the most effective interim actions needed to begin the process of strengthening the engineering processes and. controls.
aresponsetotwoNoticesofViolation
The RG&E SSFI Assessment Team was composed of nine senior engineers and staff. The team met to re-examine the inspection report and categorize the deficiencies by topical areas.         The team also evaluated a report prepared by an RG&E consultant who independently identified the programmatic concerns. The assessment consisted of individual evaluations by team members as well as working sessions as a group.
andseveralunresolved
The RG&E Assessment    Team grouped the NRC identified deficiencies into the following topical areas:
itemswithin30daysandawrittenevaluation
~ Improved Method of Identifying and. Assessing Safety Concerns
ofthedeficiencies
~ Improved Design Control and Reviews
identified
~ Improved Design Interface Control
inSection2.1oftheInspection
~ Improved Documentation Associated with Design Bases
Reportwithin120days.Inour30-dayresponsetotwoNoticesofViolation,
~ Improved Documentation Associated with Modifications
Ref.(b),wesummarized
~ Improved Engineering/Plant     Communications The team then  established interim actions and long term corrective actions for each topical area. The team prioritized the interim actions and established a proposed schedule. The interim actions were recommended based upon achieving a fundamental improvement on the engineering process.     Interim actions are those actions which can be implemented immediately or within a period. of up to a year.
ourproposedresolution
Long-term corrective actions were also recommended,.       Many of the longer term recommendations are already embodied in two major programs:     Configuration Management (CM) and the Engineering Procedures   Upgrade Program.
orscheduleforresolution
A  report on the Configuration Management program descriptions and schedule was presented to members of Region I and NRR on March 6 and March 27, 1990, respectively.     (Individual projects within the CM program may be examined        within the enclosure to Inspection Report 90-03, dated April 18, 1990). The Engineering Procedures Upgrade program has been initiated and will include an external assessment of our current procedures by an independent consultant.
fortheunresolved
It The is expected that this assessment will be complete by year-end.
items89-81-01through10.TheNRCunresolved
results of RG&E's internal SSFI Assessment will become an input to the Engineering Procedures Upgrade and the Configuration Management Programs.       Attachment B is a summary report of the Assessment  Team activities  and recommendations.
itemdescription
 
andourproposedresolution
RG&E  believes that many of the deficiencies noted under the engineering assurance unresolved item 89-81-11 had been recognized prior to the RHR SSFI and have been enveloped under the various Configuration Management       Projects,   such    as  the Setpoint Verification Program and Design Basis Documentation Projects. We have recognized that interim actions are necessary to sufficiently strengthen the engineering processes, procedures and documentation of information to bridge the gap to these longer term programs. We have begun the process to implement these actions and plan to examine their effectiveness, during 1991.       We believe that the interim actions planned are the most effective measures for RG&E to provide adequate resolution of the identified deficiencies while we are implementing the long term Configuration Management Programs.
ofeachofthesewasdiscussed
The NRC Inspection Report identified the Engineering A'ssurance deficiencies in sections 2.2.1.1, 2.2.1.2, 2.2.3.2, and 2.2.3.3.
inenclosures
The RG&E assessment    concentrated on the root causes of these deficiencies and not just the examples themselves. Nevertheless, the specific analyses, reports, and drawings that require revisions or corrections as described in these sections are being revised or updated as necessary,     including for example, the calculations discussed in section 2.2.1.2 and the drawings identified in section 2.2.3.3(B). , Our specific evaluations relative to the examples found in these four sections are contained in the Assessment Team report.
CandEofRef.(b).Anupdateoftheappropriate
We believe that the systematic assessment     discussed in Attachment B is a thorough and appropriate response to unresolved item 89 11. Please notify us if you believe we have not interpreted the NRC report correctly.
unresolved
Very  truly yours, Robert C. Mecredy GAHK118 Atta'chment xc: U.S. Nuclear Regulatory Commission (original)
itemsisprovidedasAttachment
Document Control Desk Washington, D.C. 20555 Allen R. Johnson (Mail Stop 14Dl)
Atothisresponse.
Project Directorate I-3 Washington, D.C. 20555 Ginna Senior Resident Inspector
Specificactionsregarding
 
allNRCunresolved
Attachment A UPDATE OF UNRESOLVED ITEMS FROM RG&E's ENCLOSURE E OF, JUNE 8, 1990 URI 89-81-02   (Section 2.2.1.4) Resolution of Safety Concerns June 8, 1990:   An  interim process for handling safety concerns is under development and will be discussed in our 120 day response.
itemsarebeingtrackedtocompletion
Update:   RG&E has developed a formal process in Procedure QE-1603, Documenting and Reporting of Conditions Adverse to Quality, for handling potential safety concerns identified by Nuclear Engineering Services personnel.
byRG&E.~U~cIQet\Aoo1'Q~C3oPo+Theidentified
These among the conditions -which would be reported, are:
weaknesses
nonconformances,     deviations, deficiencies, failures, malfunctions, defective material and equipment, vendor technical reports, design basis documentation, and the material condition of the plant structures, systems or components.
inSection2.1oftheInspection
The procedure requires that potential safety concerns be documented and tracked by Nuclear Engineering Services personnel.     The process provides for: ensuring that a preliminary safety evaluation is performed by Nuclear Safety and Licensing; transmitting information concerning conditions that involve a safety concern to the Technical Manager, Ginna Station; disposition of safety concerns through the appropriate process such as a nonconformance report (NCR), and. identified deficiency report (IDR);
Reportcollectively
reviewing the condition and preliminary safety evaluation by Ginna Station Technical Section against the criteria for reporting events (A-25.1); dispositioning the condition through the appropriate process such as corrective action reports (CAR), procedure change notice (PCN) and work request/trouble request (WR/TR); providing the initiator with the feedback on the disposition.
raisedanNRCconcernastotheeffectiveness
Potential conditions adverse to quality that are discovered by Ginna Station personnel are dispositioned by one of the current processes under the Maintenance Work Request and Trouble Report (A-1603), Corrective Action Report (A-1601), and Reporting of Unusual Plant Conditions (A-25).
ofRG&E'scurrentpractices
Interim and long term corrective actions recommended as part of the RG&E SSFI Assessment are described in Attachment B under the general topical area Improved Process for Reporting and Assessing Safety Concerns.
toestablish
A  1
engineering
 
assurance.
URI, 89-81-05 (Section 2.2.2.2)       Electrical Load Growth Program June 8, 1990:     We are taking actions      to integrate this process into the appropriate Engineering (QE) procedures.,
Thiswasidentified
We  anticipate completion of these actions by the date of our 120 day response.
asunresolved
Update:     RG&E  issued a change to engineering procedure QE-301 Rev.
item89-81-11andisthefocusofthisresponse.
11 with issuance of PDR 0609 dated 7/9/90. This change requires that our design process ensure that the effects of all load changes on the station batteries or diesel-generators shall be addressed, including the requirement that these be evaluated and shown to be within the margin allowed by the current loading analysis.
RG&Erecognizes
During the RG&E SSFI Review Team Assessment    it was noted that other examples were identified which could be placed within the issue of establishing a mechanism to evaluate the cumulative effects of modifications.        Interim and long term corrective actions are described within Attachment B under the general topical area Improved Documentation Associated with Modifications.
thatunresolved
URI  89-81-07 (Section 2.2.4.4.a., b., and d.) Control Room P&ID's June 8, 1990:     An  interim process for enhancing the update process for control    room information .is currently under review and    will  be  discussed  in the  120 day response.
item89-81-11,
Update:     This concern was manifested in two areas, drawing change requests (DCRs) and training material.
engineering
DCR  Process:
assurance,
The  timeliness of processing drawing changes has been enhanced through implementation of Revision 3 of A-606, Drawing Change Requests procedure. This upgrade directs the timely upgrading of drawings used in the Control Room and Technical Support Center. Posting of drawing changes is required within 2 working days from their receipt by Central Records.       (General practice has been same day posting). The approval and tracking of the DCR process is currently assigned to the Technical Section at Ginna Station. Plans are being made to transfer data entry, control of the database and distribution to the Document Control department.       Another enhancement includes a monthly DCR status report that is distributed to management.       The DCR process has been given increased emphasis through procedural contr'ols. With its present method, RG&E believes that timely posting and effective tracking and trending of the DCR system will be achieved..
ischaracterized
A 2
bybroadprogrammatic
 
issues.RG&Ehascompleted
4 Trainin Material:
anevaluation
RG&E  is committed to ensuring that all training material available to Licensed operators is as correct and current as possible. During the inspection we agreed that the Lesson Text RG&E -25 contained an invalid value for the time available to isolate a 50 gpm seal leak to prevent RHR pump motor flooding. Other information relative to plant modifications on valve:numbers (EWR 4761) and piping modification (EWR 4675) also had not yet been incorporated into the Lesson Text because the Training Change Request had not yet been implemented.     After the discrepancy on the isolation time was identified to RG&E, the Lesson Text was immediately corrected.
ofthedeficiencies
For  clarity, the Lesson Texts have been renamed TRAINING SYSTEMS DESCRIPTIONS. However, these are not defined as Controlled Configuration material. These documents are not meant to take the place of approved plant procedures, engineering design documents, plant drawings or vendor technical manuals. They are used as reference material, arranged by system, that contain a conceptual overview of    .
andconcernsraisedintheInspection
that system designed to be used. as a job and. training aid. We understand the NRC's concern over the fact that this material is available for use in the control room, may be frequently used, and is not designated as being potentially out of date. We believe the primary concern is the timeliness of updating this material to reflect the plant configuration, not over the control over these documents. Therefore, strict control has been placed over these documents. There is a master copy controlled b'y the Training Department and all changes are controlled by procedure TR 5.9 (Training Change Request/Notice).
Reportbyperforming
Records are kept of controlled copy holders of controlled copies. Placement of this material in the control room is controlled by the Training Department. This is the norm, not the exception, in the utility industry.
aninternalassessment
We  understand    and  recognize  the underlying concern identified over the timeliness of providing current and controlled material to those who may use it. Procedures TR 5.5.1     (Tracking Plant Changes) is currently the process that has been developed and implemented to identify and track plant changes and include those changes in training material where appropriate. We have taken additional steps in order to provide training material that is as current as possible and to better define the purpose of this material.
oftheunderlying
: 1. Place a copy of the "Information Letter" in all Training System Descriptions that are affected by a plant modification.         This action has been implemented and will be controlled by Configuration A 3
issuesidentified
 
inSection2.1andtheexamplesdiscussed
Management       Training    Guidelines,   CMTG-3.0, Preparation and Use of Information Letters.         The information letter provides current information on a modification. The letter will remain part of the system description until the system description has been revised. to incorporate the new modification.
inSection2.2.Ourassessment
I
hasbeendocumented
: 2. The first page of each Training System Description will be stamped TRAINING INFORMATION ONLY. This action has been initiated..
inangQ~o//(]  
: 3. Include the date of revision for each page of the Training System Description. This action has been implemented.
Cl  
There  were    no  additional interim remedial actions recommended    as  part of the RG&E SSFI Review Team Assessment    other than those above. Long term corrective actions are described in Attachment B under general topical area Plant Design Information/Design Bases.
internalreportentitled"Systematic
URI 89-81-06 (Section 2.2.2.3) Molded Case Circuit Breaker June 8, 1990: The industry is currently examining the need for, and benefits of, molded case circuit breakers testing. RG&E will continue to work closely with the industry and EPRI to determine the appropriate test methods and requirements.
Assessments
Update:   During August RG&E personnel from Engineering and Plant Maintenance visited the Diablo Canyon Power Plant to inspect the equipment and procedures for periodic testing of molded case circuit breakers used by PG&E. Results of the first cycle of testing by the Diablo Canyon staff were also discussed.     A similar program for Ginna Station appears to be technically feasible, subject to additional evaluation and procurement of test equipment, development of procedures, and performance of a trial test program.
ofEngineering
It  is anticipated that a trial program can be initiated within the next year. It is estimated that the first cycle of a test program would require four or more years to complete following the successful completion of a trial test.
Assurance
A-4
Issues'andRHRSSFIConcerns"
 
dated9/11/90.RG&Ebelievesthattheunderlying
Attachment   B SYSTEMATIC ASSESSMENT OF ENGINEERING ASSURANCE ISSUES AND RHR  SSFI  CONCERNS This attachment is  a summary  of the SSFI Assessment Team approach and recommended  actions extracted. from the  RG&E  report with the same name.
concernsnecessitate
 
bothinterim.and
Systematic Assessment of Engineering Assurance Issues and RHR SSFI Concerns TABLE OF CONTENTS
longtermactivities
 
toresolve.Ourapproachinperforming
==1.0  INTRODUCTION==
the-internal
 
assessment
1.1 ~pur ose 1.3  Sco e  of Review  and Recommendations 1.4  Review Team 2.0
andasummaryofthehighpriorityactionsarepresented
  'I SYSTEMATIC ASSESSMENT 3.0  ISSUES AND CONCERNS ADDRESSED 4.
inAttachment
 
B.Thisattachment
==SUMMARY==
isasummaryoftheconsiderable
OF RECOMMENDATIONS APPENDICES:
effortsofanRG&ESSFIAssessment
Appendix A,     Programmatic Concerns  Listing Page i
Teamcomposedofagroupofexperienced
 
RG&Estaffandmanagement
0 Systematic Assessment of Engineering Assurance Issues and  RHR  SSFI Concerns
personnel.
 
Theprimarytaskof'theRG&ESSFIAssessment
==1.0  INTRODUCTION==
TeamwastoprepareareporttoRG&E'smanagement
 
whichrecommended
    ~Pur ose This document provides the results of a systematic assessment of issues and concerns raised by the NRC',s Safety System Functional Inspection (SSFI) conducted during November and December, 1989, which focused on the Ginna Station Residual Heat Removal (RHR) System.
themosteffective
This summary report also presents interim remedial actions and long-term corrective actions. Other steps toward improvements, already in progress, are also listed..
interimactionsneededtobegintheprocessofstrengthening
1e2 Back round A  safety System Functional  Inspection (SSFI) was performed by an NRC team from November      6 to            8, 1989, at RG&E facilities (Ginna Station and the December corporate offices), and is documented in a letter from the NRC dated May 9, 1990.
theengineering
The objective of the SSFI was to assess the capability of the Ginna Residual Heat Removal (RHR) system to perform its design basis safety functions. The NRC inspection team evaluated the adequacy of operational procedures,       test practices, ,and maintenance policies as they contribute to RHR system reliability. The NRC team also addressed the quality of engineering support activities.
processes
The NRC team did not identify any conditions that would prohibit the RHR system from performing its intended functions under normal and design basis accident conditions. However, it  was stated by the NRC that complete reliability was not possible sinceverification          of system the design basis calculations for the RHR system were not readily available.
and.controls.
The NRC SSFI team did have one immediate concern and, as a result, RG&E was requested to promptly resolve a discrepancy regarding the potential flooding of the RHR pump room. Our actions taken to resolve this were documented in Enclosure E to our June 8, 1990 response (URI 89-81-10).
TheRG&ESSFIAssessment
In addition  it appeared to the NRC inspection team that two activities were not conducted in full compliance with NRC requirements, as described in the Notice of Violation (NOV) enclosed as Appendix A to the NRC SSFI Inspection Report.
Teamwascomposedofnineseniorengineers
B 1
andstaff.Theteammettore-examine
 
theinspection
The RG&E response    to the NOV included a schedule for resolving the unresolved items (exclusive of 89-81-11 discussed above) identified in the NRC SSFI report.
reportandcategorize
The RHR SSFI Inspection Report also cited, a number of concerns which could be associated with broader programmatic issues.
thedeficiencies
The NRC inspection team concluded that weaknesses exist in engineering support and plant modification activities. These weaknesses were listed in Section 2.1, and were discussed in Section 2.2, of the NRC SSFI Inspection Report, and have been assigned unresolved item number 89-81-11. The SSFI Inspection Report required'G&E to "provide their evaluation of those weaknesses within 120 days". The identified weaknesses were placed under the broad category of "engineering assurance" by the NRC.
bytopicalareas.Theteamalsoevaluated
RG&E  committed'n the June 8, 1990 30-day response to conduct a  review of    its engineering process using a systematic approach. RG&E elected to perform its evaluation of the "engineering assurance" issues by utilizing a review team approach.     The results of the review team approach was intended to provide the basis toward. resolution of NRC SSFI Inspection unresolved item 89-81-11.
areportpreparedbyanRG&Econsultant
1.3 Sco e.of the Review and'Recommendations The scope of the SSFI review was established              by RG&E Management prior to the initiation of the review team effort.
whoindependently
RG&E Management provided general guidance for conduct of the review 'team effort as well as specific guidance on the scope of potential recommendations.         To ensure that a thorough evaluation was conducted, the review team examined the material found in the following documents:
identified
a ~   NRC  SSFI Report no. 50-244/89-81,   dated, May 9, 1990
theprogrammatic
: b. RG&E's 30-day response    letter to  the  NRC dated June 8, 1990 c ~   Commitment and Action Tracking System (CATS) commitments established by the NRC inspection report and RG&E's June 8, 1990  letter.
concerns.
: d. INPO Good Practices, "Guidance for the Conduct of Design Engineering" (INPO 88-016) December, 1988
Theassessment
: e. Grove Engineering Review Report dated July 10, 1990 Applicable sections of the    RG&E Configuration  Management (CM) Plan.
consisted
B 2
ofindividual
 
evaluations
0 g,   NRC  Safety    System Functional Inspection Guidelines, Appendix  C  (issued 11/12/86).
byteammembersaswellasworkingsessionsasagroup.TheRG&EAssessment
: h. EPRI, Nuclear Safety Analysis Center Document, NSAC/121, "Guidelines for Performing Safety System Functional Inspections (November 1988).
TeamgroupedtheNRCidentified
NQA-1   "Quality Assurance Program Requirements for Nuclear Power  Plants" (1979)
deficiencies
: j. ANSI N45.2.11, "Quality Assurance Requirements Design of Nuclear Power Plants" (1974) for the
intothefollowing
: k. NRC'egulatory Guide 1.64, "Quality Assurance Requirements for the Design of Nuclear Power Plants"
topicalareas:~Improved~Improved~Improved~Improved~Improved~ImprovedMethodofIdentifying
: l. QE-series Engineering Procedures
and.Assessing
: m. A-series Ginna Station Administrative Procedures With this reference material as background information the review team members proceeded to evaluate the NRC concerns and make recommendations for corrective action to RG&E Management through the Department Manager, Nuclear Engineering Services.
SafetyConcernsDesignControlandReviewsDesignInterface
The following is'       summary of the guidance provided by RG&E Management:
ControlDocumentation
: a. Issues addressed      were  to focus on, but not, limited to, those contained      in the  NRC SSFI Report    (IR 89-81).
Associated
: b. Concerns    cited by the NRC were to be accepted as valid.
withDesignBasesDocumentation
No  effort    was to be expended on questioning either the cited concerns or the        examples  used  in the    NRC  SSFI Report.
Associated
c ~  Recommendations were to take the form        of interim actions and long-term corrective actions.
withModifications
: d. Recommendations     for interim actions  were  to be limited to the following items:
Engineering/Plant
: i. Changes  to ~existin    Engineering and Ginna Station Procedures.
Communications
ii. Creation of a limited number of new Engineering QE or    Administrative Procedures           and/or    Ginna Administrative Procedures.
Theteamthenestablished
iii. Issuance of policy statements department or corporate level.)
interimactionsandlongtermcorrective
(at discipline, B 3
actionsforeachtopicalarea.Theteamprioritized
 
theinterimactionsandestablished
iv. Development of discipline-specific implementing documents (such as design guides, standards, etc.).
aproposedschedule.
: v. Reassignment of duties to personnel within specific disciplines.
Theinterimactionswererecommended
: e. Recommendations   were'o  be achievable    utilizing staff levels that are currently authorized.
baseduponachieving
1.4 Review Team RG&E  Management selected a review team to act on their behalf consisting of a group of nine experienced personnel representing the following areas: Mechanical Engineering, Electrical Engineering,         Structural     and    Construction Engineering, Nuclear Safety and Licensing, Configuration Management,     Document  Control/Records     Man'agement, Ginna Technical Section, and Nuclear Engineering Services Department staff.
afundamental
2.0 SYSTEMATIC ASSESSMENT The  multi-discipline RG&E SSPI Review Team performed an assessment of the issues and concerns generated by the NRC RHR SSFI. The team began by establishing the following definition of "Engineering Assurance":
improvement
En ineerin Assurance:       The planned and systematic actions necessary to provide adequate confidence that engineering activities are performed in a consistent manner with adherence to plant licensing basis, applicable procedures, regulations and accepted industry standards.
ontheengineering
The  review team members formed. "focus groups" which were assigned individual detail items from the programmatic concerns listing established in the initial breakdown of issues (appendix A). Individual assessments were made and the issues grouped and documented as part of RG&Es "Systematic Assessment of Engineering Assurance and RHR SSPI Concern Report."     The review was based on the review team's own assessment as well as on detailed information obtained through discussions with other cognizant engineering and, plant personnel.
process.Interimactionsarethoseactionswhichcanbeimplemented
3.0 ISSUES AND CONCERNS ADDRESSED The  review team regrouped  all issues  and programmatic concerns into six topical areas,   as listed  below:
immediately
s-4
orwithinaperiod.ofuptoayear.Long-term
 
corrective
3.1 To  ical  Area 1:   "Improved Process  for Reporting and Assessing Safety Concerns" a:   "Process    for Handling Safety    Concerns Outside the  EWR Process" 3.2 To  ical  Area 2:   ."Improved Design Control and Reviews" a ~   "Engineering Management"
actionswerealsorecommended,.
: b.    "Engineering Assurance" c      "Timeliness of DCR Processing"
Manyofthelongertermrecommendations
: d.    "Design Reviews"
arealreadyembodiedintwomajorprograms:
: e.    "PAID Upgrade Program"
Configuration
: f.    "Design Control" 3.3 To  ical  Area 3:   "Improved Design Interface Control"
Management
: a.     "Procedural Inconsistency" 3.4 To  ical Area 4: "Improved Design Documentation/Design       Bases" a ~   "Interdisciplinary Review of Non-Mods"
(CM)andtheEngineering
: b.    "Calculations" c      "Deletion of Information from PGIDs"
Procedures
: d.    "Valve Identification Differences"
UpgradeProgram.AreportontheConfiguration
: e.    "Design Basis Information"
Management
: f. Controlled Instrument List g,    Training Material 1
programdescriptions
3.5 To  ical  Area 5:       "Improved Documentation   Associated with Modifications"
andschedulewaspresented
: a.     "Invalid Information in    UFSAR"
tomembersofRegionIandNRRonMarch6andMarch27,1990,respectively.
: b.     "Assessment of Cumulative Effects of Modifications"
(Individual
: c.     "Issuance of Design Outputs"
projectswithintheCMprogrammaybeexaminedwithintheenclosure
: d.     "Control of    EWRs" 3.6 To  ical  Area 6:   "Improved Engineering/Plant Communications"
toInspection
: a.     "Engineering/Plant Interface"
Report90-03,datedApril18,1990).TheEngineering
: b.     "Acceptance Criteria"
Procedures
: c.     "Adequacy of SRV Test Acceptance Criteria" 4.0 Summar of Recommendations The following is a general summary of the most significant interim actions and long term corrective actions.
Upgradeprogramhasbeeninitiated
4.1 RG&E's management has ensured close control and quality engineering services through their interaction and review of design, but written procedures do not make that control sufficiently-explicit.
andwillincludeanexternalassessment
B 5
ofourcurrentprocedures
 
byanindependent
As  interim actions,   a single procedure will be developed that outlines the entire    scope  of the design process. Discipline design guides for generation of design criteria, design analyses and design verification documents will be initiated.
consultant.
Also, the integrated. assessment process will be separately      "
Itisexpectedthatthisassessment
proceduralized.     Applicable procedures will be revised to establish the requirements for review,'a'pproval, and issuance of vendor documents. In,the longer term, we plan to complete the upgrade of engineering procedures and processes to reflect industry standards of good practice, efficiency and rapid response.
willbecompletebyyear-end.
4.2  Engineering procedures contain a strong bias to modification design. This has proved to be well suited toward major stand alone design projects but is not as effectively used to aggressively support all of the engineering activities associated with a well-maintained. operating plant. Close-out EWR documentation can be protracted,       because the scope of a modification may be in'creased over time, causing design documents    to remain open.
TheresultsofRG&E'sinternalSSFIAssessment
As interim actions,         we plan to limit the practice      of increasing the scope of a design modification during the interval between turnover of the modification in the plant and records close-out.       We will begin to transmit EWR Design Packages to Document Control concurrent with the issuance of the construction package. In this way, the list of applicable design documents will also be established for the modification to be installed..         The UFSAR change      process will be proceduralized and integrated with the above turnover process.
willbecomeaninputtotheEngineering
4.3 Interim activities are needed to begin to capture, retain, provide access to, and organize design basis information as part of the normal ongoing engineering activities. RG&E has incorporated a design basis documentation project under the Configuration Management Program.         This program will be implemented over the next several years focusing on the safety systems.
Procedures
Efforts    will be  made to identify the types of materi'al and documents    that contain design basis information and to begin to index and organize      it in Document Control. In the longer term, the Design Basis Documentation project will develop Design Basis Documents for the major plant systems and equipment.
UpgradeandtheConfiguration
4.4 Because  of the major modification bias used in the development of  QE  procedures and the major upgrade programs that have taken place over the years, the engineering department is not formatted on    a system  basis.
Management
B-6
Programs.
 
Attachment
li 1
BisasummaryreportoftheAssessment
i
Teamactivities
 
andrecommendations.
The  Configuration Management Program is being developed on a systems basis. The Q-List has defined system boundaries that will be useful as we index design .documents       in Document Control and develop Design Basis Documents.
   
4.5 Many of the underlying 'concerns and long term corrective actions are currently part of the existing or planned programs within Configuration'anagement and Engineering Procedures Upgrade Programs.
RG&Ebelievesthatmanyofthedeficiencies
The Design Basis Documentation,   Setpoint Verification, Q-List, Document Control Enhancement,       and. Engineering   Controlled Configuration Drawing Upgrade Programs are individual parts of this program. The specific actions recommended by the SSFI Assessment  team will be reviewed by the RG&E personnel responsible for the CM projects together with management to make any needed revisions to the scope of these projects.
notedundertheengineering
4.6 Engineering activities are performed by Nuclear, Engineering Services (NES) and station technical staff.           The design process must ensure consistency between these activities.
assurance
As interim actions, we plan to increase the controls over setpoint changes and reporting of safety concerns. A process will be developed to ensure  that proposed setpoint changes are given the appropriate review prior to their issuance.        The PCAQ process (Potential Condition Adverse to Quality) has been implemented in QE-1603 for Nuclear Engineering Services personnel to provide identification and disposition of potential safety concerns and provide a vehicle to improve the interface with technical personnel at the plant. We also plan to develop a streamlined approval process for technical support projects not involving modifications. In the long term we will examine establishing a single process for all Nuclear Division personnel to report specific concerns which may have safety significance. Processes will be developed to ensure commonality of procedures between NES and the Technical Section at Ginna.
unresolved
B  7
item89-81-11hadbeenrecognized
 
priortotheRHRSSFIandhavebeenenveloped
0 0
underthevariousConfiguration
0
Management
 
Projects,
SYSTEMATIC ASSESSMENT OF ENGINEERING ASSURANCE ISSUES AND RHR SSFI CONCERNS APPENDIX A
suchastheSetpointVerification
 
ProgramandDesignBasisDocumentation
Cl 0
Projects.
 
Wehaverecognized
Pro rammatic Concerns Areas  Involvin Si ificant Identified      Weaknesses Res onse Sco e  Listin ENGINEERING MANAGEMENT Weakness in managerial and administrative controls Management relies on engineer's       experience instead    of formal controls Engineering management has not provided clear            guidance  and procedural controls over design change process Lack of Engineering Assurance Practices Organizational Interfaces w ~     Control of documentation, engineering design interfaces, and engineering communications with external organizations is poor.
thatinterimactionsarenecessary
Lack of criteria for.determining when engineering concurrence is needed DCR's  not processed in a timely manner Design output not properly distributed UFSAR contains    invalid information No process  for handling safety concerns identified outside the engineering process P&ID change did not result in an UFSAR change as appropriate Engineering Discipline Interfaces Each discipline has its own interpretation of engineering procedure requirements.     Engineering Management has a different perception than the engineering staff P&ID changes occurred without an interdisciplinary review CONFIGURATION MANAGEMENT Plant Baseline Configuration Lack  of complete and consistent nomenclature between P&IDs and procedures, UFSAR and QA Manual Deletion of information from P&IDs Design Bases r
tosufficiently
            ~     Design Basis Calculation not available or do not exist
strengthen
            ~     Lack of documented design basis is a generic weakness
theengineering
            ~     UFSAR  contains invalid information without a supporting design basis
processes,
            ~     No calculation list or formalized overall listing
procedures
 
anddocumentation
              ~   Operating procedures,     emergency procedures, and operator training.,material   do  not reflect the limiting design basis of the  system Design Modifications RG&E  does  not have a mechanism for accounting for synergistic effects of modifications (electrical calcs, pipe stress calcs)
ofinformation
Numerous weaknesses    exist in engineering support  and  plant modification activities Document  Control UFSAR  contains invalid information Lack  of comprehensive controlled instrument list Weakness in management control system to assure complete and consistent design output is issued and distributed PSIDs issued have removed and revised information. Team concerned how RG6E maintains traceability of this information Informational inconsistencies exist between documents DCR processing is not timely EWRs remain in personal control of responsible engineer
tobridgethegaptotheselongertermprograms.
              ~    EWRs lack index Completed EWRs are not processed into the document control system in a timely manner Uncontrolled training material ENGINEERING PROCEDURES Design Reviews Review process lacks depth Review and verification does not        strictly follow ANSI N45.F 11 Inadequate Review Independent  Verification not    done  in accordance with engineering procedures Calculations-Generic weakness    in review and approval of calculations Calculational control program (ANSI N45.2.11) is weak No list of calculations, no way to track past calculations Setpoints
Wehavebeguntheprocesstoimplement
              ~   Instrument loop setpoints      may  not account for loop inaccuracies
theseactionsandplantoexaminetheireffectiveness,
 
during1991.Webelievethattheinterimactionsplannedarethemosteffective
            ~     Acceptance criteria not established in test procedure  for setpointof undervoltage alarm relays Other Lack  of formal control of engineering and design documents RG&E  design control measures do not compare favorably with accepted industry practices UFSAR contains invalid information Lack of interface control with internal and external organizations SRV  testing procedures contain general and minimal information SAFETY CONCERNS Inability to properly identify safety concerns (battery load profile deficiencies not discovered)
measuresforRG&Etoprovideadequateresolution
Inability to assess safety concerns (poor root cause analysis)
oftheidentified
No mechanism to disposition safety concerns identified outside of the normal engineering process (PIC-629 EWR did not reflect any action taken on identified concern TESTING DC  undervoltage test inadequate SRV  testing inadequate MCCBs  not tested periodically SPECIFIC DESIGN CONCERNS SW  Single Failure Inadequate RHR NPSH Jumper cable exceeded minimum allowed bend radius Battery rack do not have a grounding cable RHR pump  seal failure (Eg)
deficiencies
RHR pump  seal failure causing loss of both RHR pumps  (single failure)}}
whileweareimplementing
thelongtermConfiguration
Management
Programs.
TheNRCInspection
Reportidentified
theEngineering
A'ssurance
deficiencies
insections2.2.1.1,2.2.1.2,2.2.3.2,and2.2.3.3.TheRG&Eassessment
concentrated
ontherootcausesofthesedeficiencies
andnotjusttheexamplesthemselves.
Nevertheless,
thespecificanalyses,
reports,anddrawingsthatrequirerevisions
orcorrections
asdescribed
inthesesectionsarebeingrevisedorupdatedasnecessary,
including
forexample,thecalculations
discussed
insection2.2.1.2andthedrawingsidentified
insection2.2.3.3(B).
,Ourspecificevaluations
relativetotheexamplesfoundinthesefoursectionsarecontained
intheAssessment
Teamreport.Webelievethatthesystematic
assessment
discussed
inAttachment
Bisathoroughandappropriate
responsetounresolved
item89-81-11.Pleasenotifyusifyoubelievewehavenotinterpreted
theNRCreportcorrectly.
Verytrulyyours,GAHK118Atta'chment
RobertC.Mecredyxc:U.S.NuclearRegulatory
Commission
(original)
DocumentControlDeskWashington,
D.C.20555AllenR.Johnson(MailStop14Dl)ProjectDirectorate
I-3Washington,
D.C.20555GinnaSeniorResidentInspector
Attachment
AUPDATEOFUNRESOLVED
ITEMSFROMRG&E'sENCLOSURE
EOF,JUNE8,1990URI89-81-02(Section2.2.1.4)Resolution
ofSafetyConcernsJune8,1990:Aninterimprocessforhandlingsafetyconcernsisunderdevelopment
andwillbediscussed
inour120dayresponse.
Update:RG&Ehasdeveloped
aformalprocessinProcedure
QE-1603,Documenting
andReporting
ofConditions
AdversetoQuality,forhandlingpotential
safetyconcernsidentified
byNuclearEngineering
Servicespersonnel.
Theseamongtheconditions
-whichwouldbereported,
are:nonconformances,
deviations,
deficiencies,
failures,
malfunctions,
defective
materialandequipment,
vendortechnical
reports,designbasisdocumentation,
andthematerialcondition
oftheplantstructures,
systemsorcomponents.
Theprocedure
requiresthatpotential
safetyconcernsbedocumented
andtrackedbyNuclearEngineering
Servicespersonnel.
Theprocessprovidesfor:ensuringthatapreliminary
safetyevaluation
isperformed
byNuclearSafetyandLicensing;
transmitting
information
concerning
conditions
thatinvolveasafetyconcerntotheTechnical
Manager,GinnaStation;disposition
ofsafetyconcernsthroughtheappropriate
processsuchasanonconformance
report(NCR),and.identified
deficiency
report(IDR);reviewing
thecondition
andpreliminary
safetyevaluation
byGinnaStationTechnical
Sectionagainstthecriteriaforreporting
events(A-25.1);
dispositioning
thecondition
throughtheappropriate
processsuchascorrective
actionreports(CAR),procedure
changenotice(PCN)andworkrequest/trouble
request(WR/TR);providing
theinitiator
withthefeedbackonthedisposition.
Potential
conditions
adversetoqualitythatarediscovered
byGinnaStationpersonnel
aredispositioned
byoneofthecurrentprocesses
undertheMaintenance
WorkRequestandTroubleReport(A-1603),
Corrective
ActionReport(A-1601),
andReporting
ofUnusualPlantConditions
(A-25).Interimandlongtermcorrective
actionsrecommended
aspartoftheRG&ESSFIAssessment
aredescribed
inAttachment
BunderthegeneraltopicalareaImprovedProcessforReporting
andAssessing
SafetyConcerns.
A-1
URI,89-81-05(Section2.2.2.2)Electrical
LoadGrowthProgramJune8,1990:Wearetakingactionstointegrate
thisprocessintotheappropriate
Engineering
(QE)procedures.,
Weanticipate
completion
oftheseactionsbythedateofour120dayresponse.
Update:RG&Eissuedachangetoengineering
procedure
QE-301Rev.11withissuanceofPDR0609dated7/9/90.Thischangerequiresthatourdesignprocessensurethattheeffectsofallloadchangesonthestationbatteries
ordiesel-generators
shallbeaddressed,
including
therequirement
thatthesebeevaluated
andshowntobewithinthemarginallowedbythecurrentloadinganalysis.
DuringtheRG&ESSFIReviewTeamAssessment
itwasnotedthatotherexampleswereidentified
whichcouldbeplacedwithintheissueofestablishing
amechanism
toevaluatethecumulative
effectsofmodifications.
Interimandlongtermcorrective
actionsaredescribed
withinAttachment
BunderthegeneraltopicalareaImprovedDocumentation
Associated
withModifications.
URI89-81-07(Section2.2.4.4.a.,
b.,andd.)ControlRoomP&ID'sJune8,1990:Aninterimprocessforenhancing
theupdateprocessforcontrolroominformation
.iscurrently
underreviewandwillbediscussed
inthe120dayresponse.
Update:Thisconcernwasmanifested
intwoareas,drawingchangerequests(DCRs)andtrainingmaterial.
DCRProcess:Thetimeliness
ofprocessing
drawingchangeshasbeenenhancedthroughimplementation
ofRevision3ofA-606,DrawingChangeRequestsprocedure.
Thisupgradedirectsthetimelyupgrading
ofdrawingsusedintheControlRoomandTechnical
SupportCenter.Postingofdrawingchangesisrequiredwithin2workingdaysfromtheirreceiptbyCentralRecords.(Generalpracticehasbeensamedayposting).
TheapprovalandtrackingoftheDCRprocessiscurrently
assignedtotheTechnical
SectionatGinnaStation.Plansarebeingmadetotransferdataentry,controlofthedatabaseanddistribution
totheDocumentControldepartment.
Anotherenhancement
includesamonthlyDCRstatusreportthatisdistributed
tomanagement.
TheDCRprocesshasbeengivenincreased
emphasisthroughprocedural
contr'ols.
Withitspresentmethod,RG&Ebelievesthattimelypostingandeffective
trackingandtrendingoftheDCRsystemwillbeachieved..
A-2  
4  
TraininMaterial:
RG&Eiscommitted
toensuringthatalltrainingmaterialavailable
toLicensedoperators
isascorrectandcurrentaspossible.
Duringtheinspection
weagreedthattheLessonTextRG&E-25contained
aninvalidvalueforthetimeavailable
toisolatea50gpmsealleaktopreventRHRpumpmotorflooding.
Otherinformation
relativetoplantmodifications
onvalve:numbers
(EWR4761)andpipingmodification
(EWR4675)alsohadnotyetbeenincorporated
intotheLessonTextbecausetheTrainingChangeRequesthadnotyetbeenimplemented.
Afterthediscrepancy
ontheisolation
timewasidentified
toRG&E,theLessonTextwasimmediately
corrected.
Forclarity,theLessonTextshavebeenrenamedTRAININGSYSTEMSDESCRIPTIONS.
However,thesearenotdefinedasControlled
Configuration
material.
Thesedocuments
arenotmeanttotaketheplaceofapprovedplantprocedures,
engineering
designdocuments,
plantdrawingsorvendortechnical
manuals.Theyareusedasreference
material,
arrangedbysystem,thatcontainaconceptual
overviewof.thatsystemdesignedtobeused.asajoband.trainingaid.Weunderstand
theNRC'sconcernoverthefactthatthismaterialisavailable
foruseinthecontrolroom,maybefrequently
used,andisnotdesignated
asbeingpotentially
outofdate.Webelievetheprimaryconcernisthetimeliness
ofupdatingthismaterialtoreflecttheplantconfiguration,
notoverthecontroloverthesedocuments.
Therefore,
strictcontrolhasbeenplacedoverthesedocuments.
Thereisamastercopycontrolled
b'ytheTrainingDepartment
andallchangesarecontrolled
byprocedure
TR5.9(Training
ChangeRequest/Notice).
Recordsarekeptofcontrolled
copyholdersofcontrolled
copies.Placement
ofthismaterialinthecontrolroomiscontrolled
bytheTrainingDepartment.
Thisisthenorm,nottheexception,
intheutilityindustry.
Weunderstand
andrecognize
theunderlying
concernidentified
overthetimeliness
ofproviding
currentandcontrolled
materialtothosewhomayuseit.Procedures
TR5.5.1(Tracking
PlantChanges)iscurrently
theprocessthathasbeendeveloped
andimplemented
toidentifyandtrackplantchangesandincludethosechangesintrainingmaterialwhereappropriate.
Wehavetakenadditional
stepsinordertoprovidetrainingmaterialthatisascurrentaspossibleandtobetterdefinethepurposeofthismaterial.
1.Placeacopyofthe"Information
Letter"inallTrainingSystemDescriptions
thatareaffectedbyaplantmodification.
Thisactionhasbeenimplemented
andwillbecontrolled
byConfiguration
A-3  
2.Management
TrainingGuidelines,
CMTG-3.0,
Preparation
andUseofInformation
Letters.Theinformation
letterprovidescurrentinformation
onamodification.
Theletterwillremainpartofthesystemdescription
untilthesystemdescription
hasbeenrevised.toincorporate
thenewmodification.
IThefirstpageofeachTrainingSystemDescription
willbestampedTRAININGINFORMATION
ONLY.Thisactionhasbeeninitiated..
3.IncludethedateofrevisionforeachpageoftheTrainingSystemDescription.
Thisactionhasbeenimplemented.
Therewerenoadditional
interimremedialactionsrecommended
aspartoftheRG&ESSFIReviewTeamAssessment
otherthanthoseabove.Longtermcorrective
actionsaredescribed
inAttachment
BundergeneraltopicalareaPlantDesignInformation/Design
Bases.URI89-81-06(Section2.2.2.3)MoldedCaseCircuitBreakerJune8,1990:Theindustryiscurrently
examining
theneedfor,andbenefitsof,moldedcasecircuitbreakerstesting.RG&EwillcontinuetoworkcloselywiththeindustryandEPRItodetermine
theappropriate
testmethodsandrequirements.
Update:DuringAugustRG&Epersonnel
fromEngineering
andPlantMaintenance
visitedtheDiabloCanyonPowerPlanttoinspecttheequipment
andprocedures
forperiodictestingofmoldedcasecircuitbreakersusedbyPG&E.ResultsofthefirstcycleoftestingbytheDiabloCanyonstaffwerealsodiscussed.
AsimilarprogramforGinnaStationappearstobetechnically
feasible,
subjecttoadditional
evaluation
andprocurement
oftestequipment,
development
ofprocedures,
andperformance
ofatrialtestprogram.Itisanticipated
thatatrialprogramcanbeinitiated
withinthenextyear.Itisestimated
thatthefirstcycleofatestprogramwouldrequirefourormoreyearstocompletefollowing
thesuccessful
completion
ofatrialtest.A-4  
Attachment
BSYSTEMATIC
ASSESSMENT
OFENGINEERING
ASSURANCE
ISSUESANDRHRSSFICONCERNSThisattachment
isasummaryoftheSSFIAssessment
Teamapproachandrecommended
actionsextracted.
fromtheRG&Ereportwiththesamename.
   
Systematic
Assessment
ofEngineering
Assurance
IssuesandRHRSSFIConcernsTABLEOFCONTENTS1.0INTRODUCTION
1.1~purose1.3ScoeofReviewandRecommendations
1.4ReviewTeam2.0SYSTEMATIC
ASSESSMENT
'I3.0ISSUESANDCONCERNSADDRESSED
4.0SUMMARYOFRECOMMENDATIONS
APPENDICES:
AppendixA,Programmatic
ConcernsListingPagei
0  
Systematic
Assessment
ofEngineering
Assurance
IssuesandRHRSSFIConcerns1.0INTRODUCTION
1e2~PuroseThisdocumentprovidestheresultsofasystematic
assessment
ofissuesandconcernsraisedbytheNRC',sSafetySystemFunctional
Inspection
(SSFI)conducted
duringNovemberandDecember,
1989,whichfocusedontheGinnaStationResidualHeatRemoval(RHR)System.Thissummaryreportalsopresentsinterimremedialactionsandlong-term
corrective
actions.Otherstepstowardimprovements,
alreadyinprogress,
arealsolisted..BackroundAsafetySystemFunctional
Inspection
(SSFI)wasperformed
byanNRCteamfromNovember6toDecember8,1989,atRG&Efacilities
(GinnaStationandthecorporate
offices),
andisdocumented
inaletterfromtheNRCdatedMay9,1990.Theobjective
oftheSSFIwastoassessthecapability
oftheGinnaResidualHeatRemoval(RHR)systemtoperformitsdesignbasissafetyfunctions.
TheNRCinspection
teamevaluated
theadequacyofoperational
procedures,
testpractices,
,andmaintenance
policiesastheycontribute
toRHRsystemreliability.
TheNRCteamalsoaddressed
thequalityofengineering
supportactivities.
TheNRCteamdidnotidentifyanyconditions
thatwouldprohibittheRHRsystemfromperforming
itsintendedfunctions
undernormalanddesignbasisaccidentconditions.
However,itwasstatedbytheNRCthatcompleteverification
ofsystemreliability
wasnotpossiblesincethedesignbasiscalculations
fortheRHRsystemwerenotreadilyavailable.
TheNRCSSFIteamdidhaveoneimmediate
concernand,asaresult,RG&Ewasrequested
topromptlyresolveadiscrepancy
regarding
thepotential
floodingoftheRHRpumproom.Ouractionstakentoresolvethisweredocumented
inEnclosure
EtoourJune8,1990response(URI89-81-10).
InadditionitappearedtotheNRCinspection
teamthattwoactivities
werenotconducted
infullcompliance
withNRCrequirements,
asdescribed
intheNoticeofViolation
(NOV)enclosedasAppendixAtotheNRCSSFIInspection
Report.B-1  
TheRG&EresponsetotheNOVincludedascheduleforresolving
theunresolved
items(exclusive
of89-81-11discussed
above)identified
intheNRCSSFIreport.TheRHRSSFIInspection
Reportalsocited,anumberofconcernswhichcouldbeassociated
withbroaderprogrammatic
issues.TheNRCinspection
teamconcluded
thatweaknesses
existinengineering
supportandplantmodification
activities.
Theseweaknesses
werelistedinSection2.1,andwerediscussed
inSection2.2,oftheNRCSSFIInspection
Report,andhavebeenassignedunresolved
itemnumber89-81-11.
TheSSFIInspection
Reportrequired'G&E
to"providetheirevaluation
ofthoseweaknesses
within120days".Theidentified
weaknesses
wereplacedunderthebroadcategoryof"engineering
assurance"
bytheNRC.RG&Ecommitted'n
theJune8,199030-dayresponsetoconductareviewofitsengineering
processusingasystematic
approach.
RG&Eelectedtoperformitsevaluation
ofthe"engineering
assurance"
issuesbyutilizing
areviewteamapproach.
Theresultsofthereviewteamapproachwasintendedtoprovidethebasistoward.resolution
ofNRCSSFIInspection
unresolved
item89-81-11.
1.3Scoe.oftheReviewand'Recommendations
ThescopeoftheSSFIreviewwasestablished
byRG&EManagement
priortotheinitiation
ofthereviewteameffort.RG&EManagement
providedgeneralguidanceforconductofthereview'teameffortaswellasspecificguidanceonthescopeofpotential
recommendations.
Toensurethatathoroughevaluation
wasconducted,
thereviewteamexaminedthematerialfoundinthefollowing
documents:
a~NRCSSFIReportno.50-244/89-81,
dated,May9,1990b.RG&E's30-dayresponselettertotheNRCdatedJune8,1990c~Commitment
andActionTrackingSystem(CATS)commitments
established
bytheNRCinspection
reportandRG&E'sJune8,1990letter.d.e.INPOGoodPractices,
"Guidance
fortheConductofDesignEngineering"
(INPO88-016)December,
1988GroveEngineering
ReviewReportdatedJuly10,1990Applicable
sectionsoftheRG&EConfiguration
Management
(CM)Plan.B-2  
0  
g,NRCSafetySystemFunctional
Inspection
Guidelines,
AppendixC(issued11/12/86).
h.EPRI,NuclearSafetyAnalysisCenterDocument,
NSAC/121,
"Guidelines
forPerforming
SafetySystemFunctional
Inspections
(November
1988).NQA-1"QualityAssurance
ProgramRequirements
forNuclearPowerPlants"(1979)j.ANSIN45.2.11,
"QualityAssurance
Requirements
fortheDesignofNuclearPowerPlants"(1974)k.NRC'egulatory
Guide1.64,"QualityAssurance
Requirements
fortheDesignofNuclearPowerPlants"l.QE-series
Engineering
Procedures
m.A-seriesGinnaStationAdministrative
Procedures
Withthisreference
materialasbackground
information
thereviewteammembersproceeded
toevaluatetheNRCconcernsandmakerecommendations
forcorrective
actiontoRG&EManagement
throughtheDepartment
Manager,NuclearEngineering
Services.
Thefollowing
is'summaryoftheguidanceprovidedbyRG&EManagement:
a.Issuesaddressed
weretofocuson,butnot,limitedto,thosecontained
intheNRCSSFIReport(IR89-81).b.c~ConcernscitedbytheNRCweretobeacceptedasvalid.Noeffortwastobeexpendedonquestioning
eitherthecitedconcernsortheexamplesusedintheNRCSSFIReport.Recommendations
weretotaketheformofinterimactionsandlong-term
corrective
actions.d.Recommendations
forinterimactionsweretobelimitedtothefollowing
items:i.Changesto~existinEngineering
andGinnaStationProcedures.
ii.CreationofalimitednumberofnewEngineering
QEorAdministrative
Procedures
and/orGinnaAdministrative
Procedures.
iii.Issuanceofpolicystatements
(atdiscipline,
department
orcorporate
level.)B-3  
e.iv.Development
ofdiscipline-specific
implementing
documents
(suchasdesignguides,standards,
etc.).v.Reassignment
ofdutiestopersonnel
withinspecificdisciplines.
Recommendations
were'obeachievable
utilizing
stafflevelsthatarecurrently
authorized.
1.4ReviewTeamRG&EManagement
selectedareviewteamtoactontheirbehalfconsisting
ofagroupofnineexperienced
personnel
representing
thefollowing
areas:Mechanical
Engineering,
Electrical
Engineering,
Structural
andConstruction
Engineering,
NuclearSafetyandLicensing,
Configuration
Management,
DocumentControl/Records
Man'agement,
GinnaTechnical
Section,andNuclearEngineering
ServicesDepartment
staff.2.0SYSTEMATIC
ASSESSMENT
Themulti-discipline
RG&ESSPIReviewTeamperformed
anassessment
oftheissuesandconcernsgenerated
bytheNRCRHRSSFI.Theteambeganbyestablishing
thefollowing
definition
of"Engineering
Assurance":
EnineerinAssurance:
Theplannedandsystematic
actionsnecessary
toprovideadequateconfidence
thatengineering
activities
areperformed
inaconsistent
mannerwithadherence
toplantlicensing
basis,applicable
procedures,
regulations
andacceptedindustrystandards.
Thereviewteammembersformed."focusgroups"whichwereassignedindividual
detailitemsfromtheprogrammatic
concernslistingestablished
intheinitialbreakdown
ofissues(appendix
A).Individual
assessments
weremadeandtheissuesgroupedanddocumented
aspartofRG&Es"Systematic
Assessment
ofEngineering
Assurance
andRHRSSPIConcernReport."Thereviewwasbasedonthereviewteam'sownassessment
aswellasondetailedinformation
obtainedthroughdiscussions
withothercognizant
engineering
and,plantpersonnel.
3.0ISSUESANDCONCERNSADDRESSED
Thereviewteamregrouped
allissuesandprogrammatic
concernsintosixtopicalareas,aslistedbelow:s-4  
3.1ToicalArea1:"Improved
ProcessforReporting
andAssessing
SafetyConcerns"
a:"ProcessforHandlingSafetyConcernsOutsidetheEWRProcess"3.2ToicalArea2:."Improved
DesignControlandReviews"a~b.cd.e.f."Engineering
Management"
"Engineering
Assurance"
"Timeliness
ofDCRProcessing"
"DesignReviews""PAIDUpgradeProgram""DesignControl"3.3ToicalArea3:"Improved
DesignInterface
Control"a."Procedural
Inconsistency"
3.4ToicalArea4:"Improved
DesignDocumentation/Design
Bases"a~b.cd.e.f.g,"Interdisciplinary
ReviewofNon-Mods"
"Calculations"
"Deletion
ofInformation
fromPGIDs""ValveIdentification
Differences"
"DesignBasisInformation"
Controlled
Instrument
ListTrainingMaterial3.5ToicalArea5:Modifications"
1"Improved
Documentation
Associated
witha."InvalidInformation
inUFSAR"b."Assessment
ofCumulative
EffectsofModifications"
c."Issuance
ofDesignOutputs"d."ControlofEWRs"3.6ToicalArea6:"Improved
Engineering/Plant
Communications"
a."Engineering/Plant
Interface"
b."Acceptance
Criteria"
c."Adequacy
ofSRVTestAcceptance
Criteria"
4.0SummarofRecommendations
Thefollowing
isageneralsummaryofthemostsignificant
interimactionsandlongtermcorrective
actions.4.1RG&E'smanagement
hasensuredclosecontrolandqualityengineering
servicesthroughtheirinteraction
andreviewofdesign,butwrittenprocedures
donotmakethatcontrolsufficiently-explicit.
B-5  
Asinterimactions,asingleprocedure
willbedeveloped
thatoutlinestheentirescopeofthedesignprocess.Discipline
designguidesforgeneration
ofdesigncriteria,
designanalysesanddesignverification
documents
willbeinitiated.
Also,theintegrated.
assessment
processwillbeseparately
"proceduralized.
Applicable
procedures
willberevisedtoestablish
therequirements
forreview,'a'pproval,
andissuanceofvendordocuments.
In,thelongerterm,weplantocompletetheupgradeofengineering
procedures
andprocesses
toreflectindustrystandards
ofgoodpractice,
efficiency
andrapidresponse.
4.24.34.4Engineering
procedures
containastrongbiastomodification
design.Thishasprovedtobewellsuitedtowardmajorstandalonedesignprojectsbutisnotaseffectively
usedtoaggressively
supportalloftheengineering
activities
associated
withawell-maintained.
operating
plant.Close-out
EWRdocumentation
canbeprotracted,
becausethescopeofamodification
maybein'creased
overtime,causingdesigndocuments
toremainopen.Asinterimactions,weplantolimitthepracticeofincreasing
thescopeofadesignmodification
duringtheintervalbetweenturnoverofthemodification
intheplantandrecordsclose-out.
WewillbegintotransmitEWRDesignPackagestoDocumentControlconcurrent
withtheissuanceoftheconstruction
package.Inthisway,thelistofapplicable
designdocuments
willalsobeestablished
forthemodification
tobeinstalled..
TheUFSARchangeprocesswillbeproceduralized
andintegrated
withtheaboveturnoverprocess.Interimactivities
areneededtobegintocapture,retain,provideaccessto,andorganizedesignbasisinformation
aspartofthenormalongoingengineering
activities.
RG&Ehasincorporated
adesignbasisdocumentation
projectundertheConfiguration
Management
Program.Thisprogramwillbeimplemented
overthenextseveralyearsfocusingonthesafetysystems.Effortswillbemadetoidentifythetypesofmateri'al
anddocuments
thatcontaindesignbasisinformation
andtobegintoindexandorganizeitinDocumentControl.Inthelongerterm,theDesignBasisDocumentation
projectwilldevelopDesignBasisDocuments
forthemajorplantsystemsandequipment.
Becauseofthemajormodification
biasusedinthedevelopment
ofQEprocedures
andthemajorupgradeprogramsthathavetakenplaceovertheyears,theengineering
department
isnotformatted
onasystembasis.B-6
li1i
TheConfiguration
Management
Programisbeingdeveloped
onasystemsbasis.TheQ-Listhasdefinedsystemboundaries
thatwillbeusefulasweindexdesign.documents
inDocumentControlanddevelopDesignBasisDocuments.
4.5Manyoftheunderlying
'concerns
andlongtermcorrective
actionsarecurrently
partoftheexistingorplannedprogramswithinConfiguration'anagement
andEngineering
Procedures
UpgradePrograms.
TheDesignBasisDocumentation,
SetpointVerification,
Q-List,DocumentControlEnhancement,
and.Engineering
Controlled
Configuration
DrawingUpgradeProgramsareindividual
partsofthisprogram.Thespecificactionsrecommended
bytheSSFIAssessment
teamwillbereviewedbytheRG&Epersonnel
responsible
fortheCMprojectstogetherwithmanagement
tomakeanyneededrevisions
tothescopeoftheseprojects.
4.6Engineering
activities
areperformed
byNuclear,Engineering
Services(NES)andstationtechnical
staff.Thedesignprocessmustensureconsistency
betweentheseactivities.
Asinterimactions,weplantoincreasethecontrolsoversetpointchangesandreporting
ofsafetyconcerns.
Aprocesswillbedeveloped
toensurethatproposedsetpointchangesaregiventheappropriate
reviewpriortotheirissuance.
ThePCAQprocess(Potential
Condition
AdversetoQuality)hasbeenimplemented
inQE-1603forNuclearEngineering
Servicespersonnel
toprovideidentification
anddisposition
ofpotential
safetyconcernsandprovideavehicletoimprovetheinterface
withtechnical
personnel
attheplant.Wealsoplantodevelopastreamlined
approvalprocessfortechnical
supportprojectsnotinvolving
modifications.
Inthelongtermwewillexamineestablishing
asingleprocessforallNuclearDivisionpersonnel
toreportspecificconcernswhichmayhavesafetysignificance.
Processes
willbedeveloped
toensurecommonality
ofprocedures
betweenNESandtheTechnical
SectionatGinna.B-7
000
SYSTEMATIC
ASSESSMENT
OFENGINEERING
ASSURANCE
ISSUESANDRHRSSFICONCERNSAPPENDIXA
Cl0
ProrammaticConcernsAreasInvolvinSiificantIdentified
Weaknesses
ResonseScoeListinENGINEERING
MANAGEMENT
Weaknessinmanagerial
andadministrative
controlsManagement
reliesonengineer's
experience
insteadofformalcontrolsEngineering
management
hasnotprovidedclearguidanceandprocedural
controlsoverdesignchangeprocessLackofEngineering
Assurance
Practices
Organizational
Interfaces
w~Controlofdocumentation,
engineering
designinterfaces,
andengineering
communications
withexternalorganizations
ispoor.Lackofcriteriafor.determining
whenengineering
concurrence
isneededDCR'snotprocessed
inatimelymannerDesignoutputnotproperlydistributed
UFSARcontainsinvalidinformation
Noprocessforhandlingsafetyconcernsidentified
outsidetheengineering
processP&IDchangedidnotresultinanUFSARchangeasappropriate
Engineering
Discipline
Interfaces
Eachdiscipline
hasitsowninterpretation
ofengineering
procedure
requirements.
Engineering
Management
hasadifferent
perception
thantheengineering
staffP&IDchangesoccurredwithoutaninterdisciplinary
reviewCONFIGURATION
MANAGEMENT
PlantBaselineConfiguration
Lackofcompleteandconsistent
nomenclature
betweenP&IDsandprocedures,
UFSARandQAManualDeletionofinformation
fromP&IDsDesignBasesr~DesignBasisCalculation
notavailable
ordonotexist~Lackofdocumented
designbasisisagenericweakness~UFSARcontainsinvalidinformation
withoutasupporting
designbasis~Nocalculation
listorformalized
overalllisting
~Operating
procedures,
emergency
procedures,
andoperatortraining.,material
donotreflectthelimitingdesignbasisofthesystemDesignModifications
RG&Edoesnothaveamechanism
foraccounting
forsynergistic
effectsofmodifications
(electrical
calcs,pipestresscalcs)Numerousweaknesses
existinengineering
supportandplantmodification
activities
DocumentControl,~UFSARcontainsinvalidinformation
Lackofcomprehensive
controlled
instrument
listWeaknessinmanagement
controlsystemtoassurecompleteandconsistent
designoutputisissuedanddistributed
PSIDsissuedhaveremovedandrevisedinformation.
Teamconcerned
howRG6Emaintains
traceability
ofthisinformation
Informational
inconsistencies
existbetweendocuments
DCRprocessing
isnottimelyEWRsremaininpersonalcontrolofresponsible
engineerEWRslackindexCompleted
EWRsarenotprocessed
intothedocumentcontrolsysteminatimelymannerUncontrolled
trainingmaterialENGINEERING
PROCEDURES
DesignReviewsReviewprocesslacksdepthReviewandverification
doesnotstrictlyfollowANSIN45.F11Inadequate
ReviewIndependent
Verification
notdoneinaccordance
withengineering
procedures
Calculations-
Genericweaknessinreviewandapprovalofcalculations
Calculational
controlprogram(ANSIN45.2.11)
isweakNolistofcalculations,
nowaytotrackpastcalculations
Setpoints
~Instrument
loopsetpoints
maynotaccountforloopinaccuracies
~Acceptance
criterianotestablished
intestprocedure
forsetpointof
undervoltage
alarmrelaysOtherLackofformalcontrolofengineering
anddesigndocuments
RG&Edesigncontrolmeasuresdonotcomparefavorably
withacceptedindustrypractices
UFSARcontainsinvalidinformation
Lackofinterface
controlwithinternalandexternalorganizations
SRVtestingprocedures
containgeneralandminimalinformation
SAFETYCONCERNSInability
toproperlyidentifysafetyconcerns(batteryloadprofiledeficiencies
notdiscovered)
Inability
toassesssafetyconcerns(poorrootcauseanalysis)
Nomechanism
todisposition
safetyconcernsidentified
outsideofthenormalengineering
process(PIC-629EWRdidnotreflectanyactiontakenonidentified
concernTESTINGDCundervoltage
testinadequate
SRVtestinginadequate
MCCBsnottestedperiodically
SPECIFICDESIGNCONCERNSSWSingleFailureInadequate
RHRNPSHJumpercableexceededminimumallowedbendradiusBatteryrackdonothaveagrounding
cableRHRpumpsealfailure(Eg)RHRpumpsealfailurecausinglossofbothRHRpumps(singlefailure)
}}

Latest revision as of 10:51, 4 February 2020

Responds to Violations & Several Unresolved Items Noted in SSFI Rept 50-244/89-81.Update of Appropriate Unresolved Items Encl.Specific Actions Re All NRC Unresolved Items Being Tracked to Completion
ML17262A133
Person / Time
Site: Ginna Constellation icon.png
Issue date: 09/11/1990
From: Mecredy R
ROCHESTER GAS & ELECTRIC CORP.
To: Martin T
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
References
NUDOCS 9009200182
Download: ML17262A133 (2)


Text

k 'L

/ '. tone

>t*te ROCHESTER GAS AND ELECTRIC CORPORATION ~ 89 EAST AVENUE, ROCHESTER N. Y. 14649-0001 ROBERT C htECREDY TELEPHONE Vi<e hetident AREA CODE 71B 546 2700 Cinne t4uclee< Ptoduction September 11, 1990 Mr. Thomas T. Martin Regional Administrator U.S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406'ubject:

120-day Response to Inspection Report 50-244/89-81 Safety System Functional Inspection on the RHR System R.E. Ginna Nuclear Power Plant Docket No. 50-244

Reference:

(a) NRC Inspection Report 50-244/89-81, dated May 9, 1990 (b) RG&E letter from R. C. Mecredy -to NRC, T. T.

Martin, dated June 8, 1990

Dear Mr. Martin:

Reference (a) requested a response to two Notices of Violation and several unresolved items within 30 days and a written evaluation of the deficiencies identified in Section 2.1 of the Inspection Report within 120 days.

In our 30-day response to two Notices of Violation, Ref. (b), we summarized our proposed resolution or schedule for resolution for the unresolved items 89-81-01 through 10. The NRC unresolved item description and our proposed resolution of each of these was discussed in enclosures C and E of Ref. (b). An update of the appropriate unresolved items is provided as Attachment A to this response. Specific actions regarding all NRC unresolved items are being tracked to completion by RG&E.

~U The identified weaknesses in Section 2.1 of the Inspection Report

~cIQ collectively raised an NRC concern as to the effectiveness of RG&E's current practices to establish engineering assurance. This et\A was identified as unresolved item 89-81-11 and is the focus of this oo response.

1'Q RG&E recognizes that unresolved item 89-81-11, engineering

~C3 oP o+ assurance, is characterized by broad programmatic issues. RG&E has completed an evaluation of the deficiencies and concerns raised in the Inspection Report by performing an internal assessment of the underlying issues identified in Section 2.1 and the examples discussed in Section 2.2. Our assessment has been documented in an g Q~o//(]

Cl internal report entitled "Systematic Assessments of Engineering Assurance Issues 'and RHR SSFI Concerns" dated 9/11/90. RG&E believes that the underlying concerns necessitate both interim.and long term activities to resolve. Our approach in performing the

-internal assessment and a summary of the high priority actions are presented in Attachment B. This attachment is a summary of the considerable efforts of an RG&E SSFI Assessment Team composed of a group of experienced RG&E staff and management personnel.

The primary task of'the RG&E SSFI Assessment Team was to prepare a report to RG&E's management which recommended the most effective interim actions needed to begin the process of strengthening the engineering processes and. controls.

The RG&E SSFI Assessment Team was composed of nine senior engineers and staff. The team met to re-examine the inspection report and categorize the deficiencies by topical areas. The team also evaluated a report prepared by an RG&E consultant who independently identified the programmatic concerns. The assessment consisted of individual evaluations by team members as well as working sessions as a group.

The RG&E Assessment Team grouped the NRC identified deficiencies into the following topical areas:

~ Improved Method of Identifying and. Assessing Safety Concerns

~ Improved Design Control and Reviews

~ Improved Design Interface Control

~ Improved Documentation Associated with Design Bases

~ Improved Documentation Associated with Modifications

~ Improved Engineering/Plant Communications The team then established interim actions and long term corrective actions for each topical area. The team prioritized the interim actions and established a proposed schedule. The interim actions were recommended based upon achieving a fundamental improvement on the engineering process. Interim actions are those actions which can be implemented immediately or within a period. of up to a year.

Long-term corrective actions were also recommended,. Many of the longer term recommendations are already embodied in two major programs: Configuration Management (CM) and the Engineering Procedures Upgrade Program.

A report on the Configuration Management program descriptions and schedule was presented to members of Region I and NRR on March 6 and March 27, 1990, respectively. (Individual projects within the CM program may be examined within the enclosure to Inspection Report 90-03, dated April 18, 1990). The Engineering Procedures Upgrade program has been initiated and will include an external assessment of our current procedures by an independent consultant.

It The is expected that this assessment will be complete by year-end.

results of RG&E's internal SSFI Assessment will become an input to the Engineering Procedures Upgrade and the Configuration Management Programs. Attachment B is a summary report of the Assessment Team activities and recommendations.

RG&E believes that many of the deficiencies noted under the engineering assurance unresolved item 89-81-11 had been recognized prior to the RHR SSFI and have been enveloped under the various Configuration Management Projects, such as the Setpoint Verification Program and Design Basis Documentation Projects. We have recognized that interim actions are necessary to sufficiently strengthen the engineering processes, procedures and documentation of information to bridge the gap to these longer term programs. We have begun the process to implement these actions and plan to examine their effectiveness, during 1991. We believe that the interim actions planned are the most effective measures for RG&E to provide adequate resolution of the identified deficiencies while we are implementing the long term Configuration Management Programs.

The NRC Inspection Report identified the Engineering A'ssurance deficiencies in sections 2.2.1.1, 2.2.1.2, 2.2.3.2, and 2.2.3.3.

The RG&E assessment concentrated on the root causes of these deficiencies and not just the examples themselves. Nevertheless, the specific analyses, reports, and drawings that require revisions or corrections as described in these sections are being revised or updated as necessary, including for example, the calculations discussed in section 2.2.1.2 and the drawings identified in section 2.2.3.3(B). , Our specific evaluations relative to the examples found in these four sections are contained in the Assessment Team report.

We believe that the systematic assessment discussed in Attachment B is a thorough and appropriate response to unresolved item 89 11. Please notify us if you believe we have not interpreted the NRC report correctly.

Very truly yours, Robert C. Mecredy GAHK118 Atta'chment xc: U.S. Nuclear Regulatory Commission (original)

Document Control Desk Washington, D.C. 20555 Allen R. Johnson (Mail Stop 14Dl)

Project Directorate I-3 Washington, D.C. 20555 Ginna Senior Resident Inspector

Attachment A UPDATE OF UNRESOLVED ITEMS FROM RG&E's ENCLOSURE E OF, JUNE 8, 1990 URI 89-81-02 (Section 2.2.1.4) Resolution of Safety Concerns June 8, 1990: An interim process for handling safety concerns is under development and will be discussed in our 120 day response.

Update: RG&E has developed a formal process in Procedure QE-1603, Documenting and Reporting of Conditions Adverse to Quality, for handling potential safety concerns identified by Nuclear Engineering Services personnel.

These among the conditions -which would be reported, are:

nonconformances, deviations, deficiencies, failures, malfunctions, defective material and equipment, vendor technical reports, design basis documentation, and the material condition of the plant structures, systems or components.

The procedure requires that potential safety concerns be documented and tracked by Nuclear Engineering Services personnel. The process provides for: ensuring that a preliminary safety evaluation is performed by Nuclear Safety and Licensing; transmitting information concerning conditions that involve a safety concern to the Technical Manager, Ginna Station; disposition of safety concerns through the appropriate process such as a nonconformance report (NCR), and. identified deficiency report (IDR);

reviewing the condition and preliminary safety evaluation by Ginna Station Technical Section against the criteria for reporting events (A-25.1); dispositioning the condition through the appropriate process such as corrective action reports (CAR), procedure change notice (PCN) and work request/trouble request (WR/TR); providing the initiator with the feedback on the disposition.

Potential conditions adverse to quality that are discovered by Ginna Station personnel are dispositioned by one of the current processes under the Maintenance Work Request and Trouble Report (A-1603), Corrective Action Report (A-1601), and Reporting of Unusual Plant Conditions (A-25).

Interim and long term corrective actions recommended as part of the RG&E SSFI Assessment are described in Attachment B under the general topical area Improved Process for Reporting and Assessing Safety Concerns.

A 1

URI, 89-81-05 (Section 2.2.2.2) Electrical Load Growth Program June 8, 1990: We are taking actions to integrate this process into the appropriate Engineering (QE) procedures.,

We anticipate completion of these actions by the date of our 120 day response.

Update: RG&E issued a change to engineering procedure QE-301 Rev.

11 with issuance of PDR 0609 dated 7/9/90. This change requires that our design process ensure that the effects of all load changes on the station batteries or diesel-generators shall be addressed, including the requirement that these be evaluated and shown to be within the margin allowed by the current loading analysis.

During the RG&E SSFI Review Team Assessment it was noted that other examples were identified which could be placed within the issue of establishing a mechanism to evaluate the cumulative effects of modifications. Interim and long term corrective actions are described within Attachment B under the general topical area Improved Documentation Associated with Modifications.

URI 89-81-07 (Section 2.2.4.4.a., b., and d.) Control Room P&ID's June 8, 1990: An interim process for enhancing the update process for control room information .is currently under review and will be discussed in the 120 day response.

Update: This concern was manifested in two areas, drawing change requests (DCRs) and training material.

DCR Process:

The timeliness of processing drawing changes has been enhanced through implementation of Revision 3 of A-606, Drawing Change Requests procedure. This upgrade directs the timely upgrading of drawings used in the Control Room and Technical Support Center. Posting of drawing changes is required within 2 working days from their receipt by Central Records. (General practice has been same day posting). The approval and tracking of the DCR process is currently assigned to the Technical Section at Ginna Station. Plans are being made to transfer data entry, control of the database and distribution to the Document Control department. Another enhancement includes a monthly DCR status report that is distributed to management. The DCR process has been given increased emphasis through procedural contr'ols. With its present method, RG&E believes that timely posting and effective tracking and trending of the DCR system will be achieved..

A 2

4 Trainin Material:

RG&E is committed to ensuring that all training material available to Licensed operators is as correct and current as possible. During the inspection we agreed that the Lesson Text RG&E -25 contained an invalid value for the time available to isolate a 50 gpm seal leak to prevent RHR pump motor flooding. Other information relative to plant modifications on valve:numbers (EWR 4761) and piping modification (EWR 4675) also had not yet been incorporated into the Lesson Text because the Training Change Request had not yet been implemented. After the discrepancy on the isolation time was identified to RG&E, the Lesson Text was immediately corrected.

For clarity, the Lesson Texts have been renamed TRAINING SYSTEMS DESCRIPTIONS. However, these are not defined as Controlled Configuration material. These documents are not meant to take the place of approved plant procedures, engineering design documents, plant drawings or vendor technical manuals. They are used as reference material, arranged by system, that contain a conceptual overview of .

that system designed to be used. as a job and. training aid. We understand the NRC's concern over the fact that this material is available for use in the control room, may be frequently used, and is not designated as being potentially out of date. We believe the primary concern is the timeliness of updating this material to reflect the plant configuration, not over the control over these documents. Therefore, strict control has been placed over these documents. There is a master copy controlled b'y the Training Department and all changes are controlled by procedure TR 5.9 (Training Change Request/Notice).

Records are kept of controlled copy holders of controlled copies. Placement of this material in the control room is controlled by the Training Department. This is the norm, not the exception, in the utility industry.

We understand and recognize the underlying concern identified over the timeliness of providing current and controlled material to those who may use it. Procedures TR 5.5.1 (Tracking Plant Changes) is currently the process that has been developed and implemented to identify and track plant changes and include those changes in training material where appropriate. We have taken additional steps in order to provide training material that is as current as possible and to better define the purpose of this material.

1. Place a copy of the "Information Letter" in all Training System Descriptions that are affected by a plant modification. This action has been implemented and will be controlled by Configuration A 3

Management Training Guidelines, CMTG-3.0, Preparation and Use of Information Letters. The information letter provides current information on a modification. The letter will remain part of the system description until the system description has been revised. to incorporate the new modification.

I

2. The first page of each Training System Description will be stamped TRAINING INFORMATION ONLY. This action has been initiated..
3. Include the date of revision for each page of the Training System Description. This action has been implemented.

There were no additional interim remedial actions recommended as part of the RG&E SSFI Review Team Assessment other than those above. Long term corrective actions are described in Attachment B under general topical area Plant Design Information/Design Bases.

URI 89-81-06 (Section 2.2.2.3) Molded Case Circuit Breaker June 8, 1990: The industry is currently examining the need for, and benefits of, molded case circuit breakers testing. RG&E will continue to work closely with the industry and EPRI to determine the appropriate test methods and requirements.

Update: During August RG&E personnel from Engineering and Plant Maintenance visited the Diablo Canyon Power Plant to inspect the equipment and procedures for periodic testing of molded case circuit breakers used by PG&E. Results of the first cycle of testing by the Diablo Canyon staff were also discussed. A similar program for Ginna Station appears to be technically feasible, subject to additional evaluation and procurement of test equipment, development of procedures, and performance of a trial test program.

It is anticipated that a trial program can be initiated within the next year. It is estimated that the first cycle of a test program would require four or more years to complete following the successful completion of a trial test.

A-4

Attachment B SYSTEMATIC ASSESSMENT OF ENGINEERING ASSURANCE ISSUES AND RHR SSFI CONCERNS This attachment is a summary of the SSFI Assessment Team approach and recommended actions extracted. from the RG&E report with the same name.

Systematic Assessment of Engineering Assurance Issues and RHR SSFI Concerns TABLE OF CONTENTS

1.0 INTRODUCTION

1.1 ~pur ose 1.3 Sco e of Review and Recommendations 1.4 Review Team 2.0

'I SYSTEMATIC ASSESSMENT 3.0 ISSUES AND CONCERNS ADDRESSED 4.0

SUMMARY

OF RECOMMENDATIONS APPENDICES:

Appendix A, Programmatic Concerns Listing Page i

0 Systematic Assessment of Engineering Assurance Issues and RHR SSFI Concerns

1.0 INTRODUCTION

~Pur ose This document provides the results of a systematic assessment of issues and concerns raised by the NRC',s Safety System Functional Inspection (SSFI) conducted during November and December, 1989, which focused on the Ginna Station Residual Heat Removal (RHR) System.

This summary report also presents interim remedial actions and long-term corrective actions. Other steps toward improvements, already in progress, are also listed..

1e2 Back round A safety System Functional Inspection (SSFI) was performed by an NRC team from November 6 to 8, 1989, at RG&E facilities (Ginna Station and the December corporate offices), and is documented in a letter from the NRC dated May 9, 1990.

The objective of the SSFI was to assess the capability of the Ginna Residual Heat Removal (RHR) system to perform its design basis safety functions. The NRC inspection team evaluated the adequacy of operational procedures, test practices, ,and maintenance policies as they contribute to RHR system reliability. The NRC team also addressed the quality of engineering support activities.

The NRC team did not identify any conditions that would prohibit the RHR system from performing its intended functions under normal and design basis accident conditions. However, it was stated by the NRC that complete reliability was not possible sinceverification of system the design basis calculations for the RHR system were not readily available.

The NRC SSFI team did have one immediate concern and, as a result, RG&E was requested to promptly resolve a discrepancy regarding the potential flooding of the RHR pump room. Our actions taken to resolve this were documented in Enclosure E to our June 8, 1990 response (URI 89-81-10).

In addition it appeared to the NRC inspection team that two activities were not conducted in full compliance with NRC requirements, as described in the Notice of Violation (NOV) enclosed as Appendix A to the NRC SSFI Inspection Report.

B 1

The RG&E response to the NOV included a schedule for resolving the unresolved items (exclusive of 89-81-11 discussed above) identified in the NRC SSFI report.

The RHR SSFI Inspection Report also cited, a number of concerns which could be associated with broader programmatic issues.

The NRC inspection team concluded that weaknesses exist in engineering support and plant modification activities. These weaknesses were listed in Section 2.1, and were discussed in Section 2.2, of the NRC SSFI Inspection Report, and have been assigned unresolved item number 89-81-11. The SSFI Inspection Report required'G&E to "provide their evaluation of those weaknesses within 120 days". The identified weaknesses were placed under the broad category of "engineering assurance" by the NRC.

RG&E committed'n the June 8, 1990 30-day response to conduct a review of its engineering process using a systematic approach. RG&E elected to perform its evaluation of the "engineering assurance" issues by utilizing a review team approach. The results of the review team approach was intended to provide the basis toward. resolution of NRC SSFI Inspection unresolved item 89-81-11.

1.3 Sco e.of the Review and'Recommendations The scope of the SSFI review was established by RG&E Management prior to the initiation of the review team effort.

RG&E Management provided general guidance for conduct of the review 'team effort as well as specific guidance on the scope of potential recommendations. To ensure that a thorough evaluation was conducted, the review team examined the material found in the following documents:

a ~ NRC SSFI Report no. 50-244/89-81, dated, May 9, 1990

b. RG&E's 30-day response letter to the NRC dated June 8, 1990 c ~ Commitment and Action Tracking System (CATS) commitments established by the NRC inspection report and RG&E's June 8, 1990 letter.
d. INPO Good Practices, "Guidance for the Conduct of Design Engineering" (INPO 88-016) December, 1988
e. Grove Engineering Review Report dated July 10, 1990 Applicable sections of the RG&E Configuration Management (CM) Plan.

B 2

0 g, NRC Safety System Functional Inspection Guidelines, Appendix C (issued 11/12/86).

h. EPRI, Nuclear Safety Analysis Center Document, NSAC/121, "Guidelines for Performing Safety System Functional Inspections (November 1988).

NQA-1 "Quality Assurance Program Requirements for Nuclear Power Plants" (1979)

j. ANSI N45.2.11, "Quality Assurance Requirements Design of Nuclear Power Plants" (1974) for the
k. NRC'egulatory Guide 1.64, "Quality Assurance Requirements for the Design of Nuclear Power Plants"
l. QE-series Engineering Procedures
m. A-series Ginna Station Administrative Procedures With this reference material as background information the review team members proceeded to evaluate the NRC concerns and make recommendations for corrective action to RG&E Management through the Department Manager, Nuclear Engineering Services.

The following is' summary of the guidance provided by RG&E Management:

a. Issues addressed were to focus on, but not, limited to, those contained in the NRC SSFI Report (IR 89-81).
b. Concerns cited by the NRC were to be accepted as valid.

No effort was to be expended on questioning either the cited concerns or the examples used in the NRC SSFI Report.

c ~ Recommendations were to take the form of interim actions and long-term corrective actions.

d. Recommendations for interim actions were to be limited to the following items:
i. Changes to ~existin Engineering and Ginna Station Procedures.

ii. Creation of a limited number of new Engineering QE or Administrative Procedures and/or Ginna Administrative Procedures.

iii. Issuance of policy statements department or corporate level.)

(at discipline, B 3

iv. Development of discipline-specific implementing documents (such as design guides, standards, etc.).

v. Reassignment of duties to personnel within specific disciplines.
e. Recommendations were'o be achievable utilizing staff levels that are currently authorized.

1.4 Review Team RG&E Management selected a review team to act on their behalf consisting of a group of nine experienced personnel representing the following areas: Mechanical Engineering, Electrical Engineering, Structural and Construction Engineering, Nuclear Safety and Licensing, Configuration Management, Document Control/Records Man'agement, Ginna Technical Section, and Nuclear Engineering Services Department staff.

2.0 SYSTEMATIC ASSESSMENT The multi-discipline RG&E SSPI Review Team performed an assessment of the issues and concerns generated by the NRC RHR SSFI. The team began by establishing the following definition of "Engineering Assurance":

En ineerin Assurance: The planned and systematic actions necessary to provide adequate confidence that engineering activities are performed in a consistent manner with adherence to plant licensing basis, applicable procedures, regulations and accepted industry standards.

The review team members formed. "focus groups" which were assigned individual detail items from the programmatic concerns listing established in the initial breakdown of issues (appendix A). Individual assessments were made and the issues grouped and documented as part of RG&Es "Systematic Assessment of Engineering Assurance and RHR SSPI Concern Report." The review was based on the review team's own assessment as well as on detailed information obtained through discussions with other cognizant engineering and, plant personnel.

3.0 ISSUES AND CONCERNS ADDRESSED The review team regrouped all issues and programmatic concerns into six topical areas, as listed below:

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3.1 To ical Area 1: "Improved Process for Reporting and Assessing Safety Concerns" a: "Process for Handling Safety Concerns Outside the EWR Process" 3.2 To ical Area 2: ."Improved Design Control and Reviews" a ~ "Engineering Management"

b. "Engineering Assurance" c "Timeliness of DCR Processing"
d. "Design Reviews"
e. "PAID Upgrade Program"
f. "Design Control" 3.3 To ical Area 3: "Improved Design Interface Control"
a. "Procedural Inconsistency" 3.4 To ical Area 4: "Improved Design Documentation/Design Bases" a ~ "Interdisciplinary Review of Non-Mods"
b. "Calculations" c "Deletion of Information from PGIDs"
d. "Valve Identification Differences"
e. "Design Basis Information"
f. Controlled Instrument List g, Training Material 1

3.5 To ical Area 5: "Improved Documentation Associated with Modifications"

a. "Invalid Information in UFSAR"
b. "Assessment of Cumulative Effects of Modifications"
c. "Issuance of Design Outputs"
d. "Control of EWRs" 3.6 To ical Area 6: "Improved Engineering/Plant Communications"
a. "Engineering/Plant Interface"
b. "Acceptance Criteria"
c. "Adequacy of SRV Test Acceptance Criteria" 4.0 Summar of Recommendations The following is a general summary of the most significant interim actions and long term corrective actions.

4.1 RG&E's management has ensured close control and quality engineering services through their interaction and review of design, but written procedures do not make that control sufficiently-explicit.

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As interim actions, a single procedure will be developed that outlines the entire scope of the design process. Discipline design guides for generation of design criteria, design analyses and design verification documents will be initiated.

Also, the integrated. assessment process will be separately "

proceduralized. Applicable procedures will be revised to establish the requirements for review,'a'pproval, and issuance of vendor documents. In,the longer term, we plan to complete the upgrade of engineering procedures and processes to reflect industry standards of good practice, efficiency and rapid response.

4.2 Engineering procedures contain a strong bias to modification design. This has proved to be well suited toward major stand alone design projects but is not as effectively used to aggressively support all of the engineering activities associated with a well-maintained. operating plant. Close-out EWR documentation can be protracted, because the scope of a modification may be in'creased over time, causing design documents to remain open.

As interim actions, we plan to limit the practice of increasing the scope of a design modification during the interval between turnover of the modification in the plant and records close-out. We will begin to transmit EWR Design Packages to Document Control concurrent with the issuance of the construction package. In this way, the list of applicable design documents will also be established for the modification to be installed.. The UFSAR change process will be proceduralized and integrated with the above turnover process.

4.3 Interim activities are needed to begin to capture, retain, provide access to, and organize design basis information as part of the normal ongoing engineering activities. RG&E has incorporated a design basis documentation project under the Configuration Management Program. This program will be implemented over the next several years focusing on the safety systems.

Efforts will be made to identify the types of materi'al and documents that contain design basis information and to begin to index and organize it in Document Control. In the longer term, the Design Basis Documentation project will develop Design Basis Documents for the major plant systems and equipment.

4.4 Because of the major modification bias used in the development of QE procedures and the major upgrade programs that have taken place over the years, the engineering department is not formatted on a system basis.

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The Configuration Management Program is being developed on a systems basis. The Q-List has defined system boundaries that will be useful as we index design .documents in Document Control and develop Design Basis Documents.

4.5 Many of the underlying 'concerns and long term corrective actions are currently part of the existing or planned programs within Configuration'anagement and Engineering Procedures Upgrade Programs.

The Design Basis Documentation, Setpoint Verification, Q-List, Document Control Enhancement, and. Engineering Controlled Configuration Drawing Upgrade Programs are individual parts of this program. The specific actions recommended by the SSFI Assessment team will be reviewed by the RG&E personnel responsible for the CM projects together with management to make any needed revisions to the scope of these projects.

4.6 Engineering activities are performed by Nuclear, Engineering Services (NES) and station technical staff. The design process must ensure consistency between these activities.

As interim actions, we plan to increase the controls over setpoint changes and reporting of safety concerns. A process will be developed to ensure that proposed setpoint changes are given the appropriate review prior to their issuance. The PCAQ process (Potential Condition Adverse to Quality) has been implemented in QE-1603 for Nuclear Engineering Services personnel to provide identification and disposition of potential safety concerns and provide a vehicle to improve the interface with technical personnel at the plant. We also plan to develop a streamlined approval process for technical support projects not involving modifications. In the long term we will examine establishing a single process for all Nuclear Division personnel to report specific concerns which may have safety significance. Processes will be developed to ensure commonality of procedures between NES and the Technical Section at Ginna.

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SYSTEMATIC ASSESSMENT OF ENGINEERING ASSURANCE ISSUES AND RHR SSFI CONCERNS APPENDIX A

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Pro rammatic Concerns Areas Involvin Si ificant Identified Weaknesses Res onse Sco e Listin ENGINEERING MANAGEMENT Weakness in managerial and administrative controls Management relies on engineer's experience instead of formal controls Engineering management has not provided clear guidance and procedural controls over design change process Lack of Engineering Assurance Practices Organizational Interfaces w ~ Control of documentation, engineering design interfaces, and engineering communications with external organizations is poor.

Lack of criteria for.determining when engineering concurrence is needed DCR's not processed in a timely manner Design output not properly distributed UFSAR contains invalid information No process for handling safety concerns identified outside the engineering process P&ID change did not result in an UFSAR change as appropriate Engineering Discipline Interfaces Each discipline has its own interpretation of engineering procedure requirements. Engineering Management has a different perception than the engineering staff P&ID changes occurred without an interdisciplinary review CONFIGURATION MANAGEMENT Plant Baseline Configuration Lack of complete and consistent nomenclature between P&IDs and procedures, UFSAR and QA Manual Deletion of information from P&IDs Design Bases r

~ Design Basis Calculation not available or do not exist

~ Lack of documented design basis is a generic weakness

~ UFSAR contains invalid information without a supporting design basis

~ No calculation list or formalized overall listing

~ Operating procedures, emergency procedures, and operator training.,material do not reflect the limiting design basis of the system Design Modifications RG&E does not have a mechanism for accounting for synergistic effects of modifications (electrical calcs, pipe stress calcs)

Numerous weaknesses exist in engineering support and plant modification activities Document Control UFSAR contains invalid information Lack of comprehensive controlled instrument list Weakness in management control system to assure complete and consistent design output is issued and distributed PSIDs issued have removed and revised information. Team concerned how RG6E maintains traceability of this information Informational inconsistencies exist between documents DCR processing is not timely EWRs remain in personal control of responsible engineer

~ EWRs lack index Completed EWRs are not processed into the document control system in a timely manner Uncontrolled training material ENGINEERING PROCEDURES Design Reviews Review process lacks depth Review and verification does not strictly follow ANSI N45.F 11 Inadequate Review Independent Verification not done in accordance with engineering procedures Calculations-Generic weakness in review and approval of calculations Calculational control program (ANSI N45.2.11) is weak No list of calculations, no way to track past calculations Setpoints

~ Instrument loop setpoints may not account for loop inaccuracies

~ Acceptance criteria not established in test procedure for setpointof undervoltage alarm relays Other Lack of formal control of engineering and design documents RG&E design control measures do not compare favorably with accepted industry practices UFSAR contains invalid information Lack of interface control with internal and external organizations SRV testing procedures contain general and minimal information SAFETY CONCERNS Inability to properly identify safety concerns (battery load profile deficiencies not discovered)

Inability to assess safety concerns (poor root cause analysis)

No mechanism to disposition safety concerns identified outside of the normal engineering process (PIC-629 EWR did not reflect any action taken on identified concern TESTING DC undervoltage test inadequate SRV testing inadequate MCCBs not tested periodically SPECIFIC DESIGN CONCERNS SW Single Failure Inadequate RHR NPSH Jumper cable exceeded minimum allowed bend radius Battery rack do not have a grounding cable RHR pump seal failure (Eg)

RHR pump seal failure causing loss of both RHR pumps (single failure)