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{{#Wiki_filter:",-",R REG(f{ UNITED STATES ,p'" NUCLEAR REGULATORY COMMISSION S WASHINGTON, D.C. 20555-0001 ot 0 I-s: '" l' i; April 11, 2011***** Mr. David A. President and Chief Nuclear Dominion Dominion Energy Kewaunee, Innsbrook Technical 5000 Dominion Glen Allen, VA KEWAUNEE POWER STATION -AUDIT OF THE LICENSEE'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME3804)  
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                          ~0                        WASHINGTON, D.C. 20555-0001 I-                         s:
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~                        i;                           April 11, 2011
  ~                    ~
    ~I]              ~o Mr. David A. Heacock President and Chief Nuclear Officer Dominion Nuclear Dominion Energy Kewaunee, Inc.
Innsbrook Technical Center 5000 Dominion Boulevard Glen Allen, VA 23060-6711
 
==SUBJECT:==
KEWAUNEE POWER STATION - AUDIT OF THE LICENSEE'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME3804)


==Dear Mr. Heacock:==
==Dear Mr. Heacock:==
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document, NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments.
 
Licensees are encouraged to use NEI 99-04 guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC. The NRC Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented.
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document, NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments. Licensees are encouraged to use NEI 99-04 guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.
Accordingly, an audit was performed on the Kewaunee Power Station site on December 6-9, 2010, approximately 3 years from the last audit. Based on the audit, the NRC staff concludes that (1) Dominion Energy Kewaunee, Inc. (the licensee) has implemented, or is tracking future implementation of, regulatory commitments made to the NRC; and (2) the licensee had implemented an effective program to manage regulatory commitment changes. Details of the audit are set forth in the enclosed audit report. This completes the NRC staffs efforts on this issue. Sincerely, Karl Felntuch, Project Manager Plant Licensing Branch 111-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-305  
The NRC Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented. Accordingly, an audit was performed on the Kewaunee Power Station site on December 6-9, 2010, approximately 3 years from the last audit.
Based on the audit, the NRC staff concludes that (1) Dominion Energy Kewaunee, Inc. (the licensee) has implemented, or is tracking future implementation of, regulatory commitments made to the NRC; and (2) the licensee had implemented an effective program to manage regulatory commitment changes. Details of the audit are set forth in the enclosed audit report.
This completes the NRC staffs efforts on this issue.
Sincerely, 7U:1~
Karl Felntuch, Project Manager Plant Licensing Branch 111-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-305


==Enclosure:==
==Enclosure:==
Audit Report cc w/encl: Distribution via ListServ


Audit Report cc w/encl: Distribution via ListServ UNITED NUCLEAR REGULATORY WASHINGTON, D.C. 20555*0001 AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULA liON (NRR) REGULATORY COMMITMENTS MADE BY THE LICENSEE TO THE NUCLEAR REGULATORY COMMISSION (NRC) KEWAUNEE POWER STATION (KPS) DOCKET NO. 50-305  
UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555*0001 AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULAliON (NRR)
REGULATORY COMMITMENTS MADE BY THE LICENSEE TO THE NUCLEAR REGULATORY COMMISSION (NRC)
KEWAUNEE POWER STATION (KPS)
DOCKET NO. 50-305


==1.0 INTRODUCTION==
==1.0     INTRODUCTION AND BACKGROUND==


AND BACKGROUND In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21,2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC. The NRC Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented.
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21,2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.
NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC. NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generiC letters, etc.). The audit is to be performed every 3 years. 2.0 AUDIT PROCEDURE AND RESULTS Since the last audit was completed 3 years ago (see audit report dated September 15, 2007, Agencywide Documents Access and Management System (ADAMS) Accession No. ML071860074), the NRC staff defined the period covered by this audit to be approximately the summer of 2007, to summer of 2010. The audit was performed onsite at KPS on December 6-9, 2010, using an audit sample derived from the period of interest.
The NRC Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented.
The audit sample consisted of 19 items. Each item was assigned the corresponding sample number as an identifier and to facilitate the collecting and collating audit results data.
NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC.
The KPS system is capable of separating a single regulatory commitment into separately managed actions, each with their own path to completion and with their own change history. By this mechanism the audit sample was enlarged when samples Nos. 11, 16, 17, and 19 became 11a, b, c; 16a, b; 17a, b, c; and 19a, b; respectively.
NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generiC letters, etc.). The audit is to be performed every 3 years.
Audit sample 15 was deleted after consultation with the project manager who assembled the original sample when it was determined that it yielded no additional information not obtained from the other samples, and its contribution to the audit did not justify the special handling needed because of proprietary information.
2.0     AUDIT PROCEDURE AND RESULTS Since the last audit was completed 3 years ago (see audit report dated September 15, 2007, Agencywide Documents Access and Management System (ADAMS) Accession No. ML071860074), the NRC staff defined the period covered by this audit to be approximately the summer of 2007, to summer of 2010. The audit was performed onsite at KPS on December 6-9, 2010, using an audit sample derived from the period of interest. The audit sample consisted of 19 items. Each item was assigned the corresponding sample number as an identifier and to facilitate the collecting and collating audit results data.
Consequently, the sample size increased by a net of 24. The audit consisted of two major parts: (1) verification of the licensee's implementation of commitments made to NRC that have been completed; and (2) verification of the licensee's program for managing changes to commitments made to NRC. The audit was conducted to exercise the full management system including information retrieval and interpretation by assigned personnel.
 
The Dominion Energy Kewaunee, Inc. (DEK) person directly supporting this audit was MaryJo Haese, one of three persons of comparable knowledge who routinely support the management system. Ms. Haese demonstrated fluency in retrieval of information and interpretation of it. It was concluded that DEK had sufficient infrastructure to maintain regulatory commitment management system performance should attrition occur among cognizant personnel. Verification of Licensee's Implementation of Commitments Made to the NRC The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licenSing actions/activities.
                                                  -2 The KPS system is capable of separating a single regulatory commitment into separately managed actions, each with their own path to completion and with their own change history. By this mechanism the audit sample was enlarged when samples Nos. 11, 16, 17, and 19 became 11a, b, c; 16a, b; 17a, b, c; and 19a, b; respectively. Audit sample 15 was deleted after consultation with the project manager who assembled the original sample when it was determined that it yielded no additional information not obtained from the other samples, and its contribution to the audit did not justify the special handling needed because of proprietary information. Consequently, the sample size increased by a net of 24.
For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation. Audit Scope The audit addressed the bulk of commitments made by the licensee during the review period. The audit focused on regulatory commitment (as defined above) made in writing to the NRC as a result of past licenSing actions (amendments, exemptions, reliefs, etc.) or licensing activities (response to bulletins, generic letters, etc.). Commitments made in licensee event reports or in response to notices of violation were not included in this audit since those are addressed under the NRC's inspection program. Before the audit, the NRC staff searched the official Agency record system for licensee submittals conveying commitments, and has included in the audit most of the commitments found (see Table 1) by means of the sample, as expanded.
The audit consisted of two major parts: (1) verification of the licensee's implementation of commitments made to NRC that have been completed; and (2) verification of the licensee's program for managing changes to commitments made to NRC.
The audit excluded the following types of commitments that are internal to licensee processes: Commitments made on the licensee's own initiative among internal organizational components. Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed.
The audit was conducted to exercise the full management system including information retrieval and interpretation by assigned personnel. The Dominion Energy Kewaunee, Inc. (DEK) person directly supporting this audit was MaryJo Haese, one of three persons of comparable knowledge who routinely support the management system. Ms. Haese demonstrated fluency in retrieval of information and interpretation of it. It was concluded that DEK had sufficient infrastructure to maintain regulatory commitment management system performance should attrition occur among cognizant personnel.
Good examples of this type of commitments are those made in DEK's letter dated May 8,2008 (ADAMS Accession No. ML081300282).
2.1      Verification of Licensee's Implementation of Commitments Made to the NRC The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licenSing actions/activities. For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation.
-3 Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, technical specifications, and the Updated Safety Analysis Report. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements.
2.1.1    Audit Scope The audit addressed the bulk of commitments made by the licensee during the review period.
Since the management system performed well with the sample size of 24, there is confidence that it would have performed well in a longer audit deliberately selecting some of the excluded types of commitments.
The audit focused on regulatory commitment (as defined above) made in writing to the NRC as a result of past licenSing actions (amendments, exemptions, reliefs, etc.) or licensing activities (response to bulletins, generic letters, etc.). Commitments made in licensee event reports or in response to notices of violation were not included in this audit since those are addressed under the NRC's inspection program. Before the audit, the NRC staff searched the official Agency record system for licensee submittals conveying commitments, and has included in the audit most of the commitments found (see Table 1) by means of the sample, as expanded.
Therefore, the audit appears to be adequate in time (4 days), in sample size (24 items) and in sample type (refer to the above discussion in Section 2.1.1) to make conclusions about regulatory commitment management at KPS. Audit Results The NRC staff reviewed reports generated by the licensee's tracking programs for the commitments listed in Table 1 to evaluate the status of completion.
The audit excluded the following types of commitments that are internal to licensee processes:
The NRC staff found that the licensee's commitment tracking programs had captured all the regulatory commitments that were identified by the NRC staff before the audit, and that the licensee had implemented the commitments on a timely basis. Table 1 summarizes what the NRC staff observed as the current status of licensee commitments. Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for managing and changing commitments.
(1)      Commitments made on the licensee's own initiative among internal organizational components.
The process used at KPS is set forth in procedure LI-AA-110, Rev. 0, "Commitment Management," which is used to manage regulatory commitments and GNP-03.01.01, Rev. 41, when data was collected and Rev. 42, when this report was prepared, "Directive, Implementing Document, and Procedure Administrative Controls," which governs tracing the effect of regulatory commitments on procedures.
(2)      Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed. Good examples of this type of commitments are those made in DEK's letter dated May 8,2008 (ADAMS Accession No. ML081300282).
Based on review of these two cited documents, the NRC staff concludes that the licensee's procedures follow closely the guidance of NEI-99-04 in that they set forth the need for identifying, tracking, and reporting commitments, and they provide a mechanism for changing commitments.
 
The effectiveness of a procedure can be indicated by the products that are produced by the procedure.
                                                  -3 (3)      Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, technical specifications, and the Updated Safety Analysis Report. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements.
As set forth in Section 2.1.1 and Table 1 of this report, the NRC staff found that the licensee had properly addressed the regulatory commitments selected for this audit. As a result of review of the licensee's information, the NRC staff found no reason to differ from the licensee's reported status of the audited commitments.
Since the management system performed well with the sample size of 24, there is confidence that it would have performed well in a longer audit deliberately selecting some of the excluded types of commitments. Therefore, the audit appears to be adequate in time (4 days), in sample size (24 items) and in sample type (refer to the above discussion in Section 2.1.1) to make conclusions about regulatory commitment management at KPS.
Thus, the NRC staff concludes that the procedure used by the licensee to manage commitments is appropriate and effective. CONCLUSION Based on the above audit, the NRC staff concludes that (1) the licensee has implemented or is tracking future implementation of regulatory commitments made to the NRC; and (2) the licensee has implemented an effective program to manage regulatory commitment changes. Further the licensee retains the processes and personnel to continue to do so for the next period of interest.
2.1.2    Audit Results The NRC staff reviewed reports generated by the licensee's tracking programs for the commitments listed in Table 1 to evaluate the status of completion. The NRC staff found that the licensee's commitment tracking programs had captured all the regulatory commitments that were identified by the NRC staff before the audit, and that the licensee had implemented the commitments on a timely basis. Table 1 summarizes what the NRC staff observed as the current status of licensee commitments.
4.0 INFORMATION TABLES SUPPORTING THIS Table 1 -"Summary Table" contains a description of each sample and its disposition at the time of the audit, as well as a judgement of whether the sample was managed effectively.
2.2      Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for managing and changing commitments. The process used at KPS is set forth in procedure LI-AA-110, Rev. 0, "Commitment Management," which is used to manage regulatory commitments and GNP-03.01.01, Rev. 41, when data was collected and Rev. 42, when this report was prepared, "Directive, Implementing Document, and Procedure Administrative Controls," which governs tracing the effect of regulatory commitments on procedures. Based on review of these two cited documents, the NRC staff concludes that the licensee's procedures follow closely the guidance of NEI-99-04 in that they set forth the need for identifying, tracking, and reporting commitments, and they provide a mechanism for changing commitments.
Table 1 is sorted by sample number. Table 2 -"Detailed Audit Data" contains detailed information, data and notations gathered from the audit. The most efficient means of relating Tables 1 and 2 are to cross-match the audit sample numbers in each column 1. Table 2 is sorted by sample number. Table 3 -"Notes and Legend" contains notes from the audit experience; any abbreviations used in Tables 1,2, or the audit report; and any comments, findings, observations, or suggestions.
The effectiveness of a procedure can be indicated by the products that are produced by the procedure. As set forth in Section 2.1.1 and Table 1 of this report, the NRC staff found that the licensee had properly addressed the regulatory commitments selected for this audit. As a result of review of the licensee's information, the NRC staff found no reason to differ from the licensee's reported status of the audited commitments. Thus, the NRC staff concludes that the procedure used by the licensee to manage commitments is appropriate and effective.
Table 3 was used to reduce the space consumed by Table 2 in compiling and organizing the audit data. Table 3 is sorted alphabetically by the first column. 4.0 LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT The licensee person who supported this audit was MaryJo Haese. Principal Contributors:
 
Karl Feintuch and Peter Tam Date: April 11, 2011 TABLE 1 (4 KEWAUNEE POWER STATION AUDIT OF WRITTEN LICENSEE  
==3.0      CONCLUSION==
 
Based on the above audit, the NRC staff concludes that (1) the licensee has implemented or is tracking future implementation of regulatory commitments made to the NRC; and (2) the licensee has implemented an effective program to manage regulatory commitment changes.
Further the licensee retains the processes and personnel to continue to do so for the next period of interest.
 
                                                -4 4.0   INFORMATION TABLES SUPPORTING THIS REPORT Table 1 - "Summary Table" contains a description of each sample and its disposition at the time of the audit, as well as a judgement of whether the sample was managed effectively. Table 1 is sorted by sample number.
Table 2 - "Detailed Audit Data" contains detailed information, data and notations gathered from the audit. The most efficient means of relating Tables 1 and 2 are to cross-match the audit sample numbers in each column 1. Table 2 is sorted by sample number.
Table 3 - "Notes and Legend" contains notes from the audit experience; any abbreviations used in Tables 1,2, or the audit report; and any comments, findings, observations, or suggestions. Table 3 was used to reduce the space consumed by Table 2 in compiling and organizing the audit data. Table 3 is sorted alphabetically by the first column.
4.0     LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT The licensee person who supported this audit was MaryJo Haese.
Principal Contributors: Karl Feintuch and Peter Tam Date:   April 11, 2011
 
TABLE 1 (4 pages)
KEWAUNEE POWER STATION (KPS)
AUDIT OF WRITTEN LICENSEE COMMITMENTS


==SUMMARY==
==SUMMARY==
1 2 -DEK Submittal 3 -NRC TAC No. 4 -NRC Issuance 5 -Summary of commitment 6 -Licensee Audit 1m plementation Sample Status # An updated description of the station blackout alternate alternating current source. including the quality assurance 1 10129/2007 07-0436B ML073100354 None None program requirements for the technical support center diesel generator as defined in the Dominion Nuclear Facility Quality Assurance Program Description.
TABLE 1   2 - DEK Submittal 3 - NRC TAC No. 4 - NRC Issuance   5 - Summary of commitment           6 - Licensee Audit                                                                                             1mplementation Sample                                                                                                   Status An updated description of the station blackout alternate alternating current source.
will be incorporated into the KPS Updated Safety Analysis Report (USAR) and provided to the Complete 4/18/2008; NC Closed in a timely manner NC = not changed wherever it appears Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e). Prior to use of nonwelded valves with end connections other than flanges at KPS, procedures will be developed for installation of nonwelded valves with end connections other than flanges that address operating experience of NRC Information 11/9/07 Letter of 2125/08 Notices 92-15,84-55 and 84-55, Complete 1/212008; NC 2 07-0416A MD6144 granting relief. Supplement
including the quality assurance program requirements for the Complete 4/18/2008; technical support center diesel NC generator as defined in the 10129/2007                                                                              Closed in a timely Dominion Nuclear Facility Quality 1    07-0436B          None            None Assurance Program Description.
: 1. The specific Closed in a timely ML073106750 ML080240029 provisions include: a) not mixing the parts from one manufacturer to another, b) following manufacturer's recommended instructions for installing compression fittings.
manner ML073100354 will be incorporated into the KPS NC = not changed Updated Safety Analysis Report wherever it appears (USAR) and provided to the Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e).
and c) the training or familiarity with the procedure(s) for personnel doing this work. manner 3 11/9/07 07-0352 ML073170705 MD7300 Amend. No. 200, 11120/08.
Prior to use of nonwelded valves with end connections other than flanges at KPS, procedures will be developed for installation of nonwelded valves with end connections other than flanges that address operating experience of NRC Information 11/9/07                             Letter of 2125/08 Notices 92-15,84-55 and 84-55,   Complete 1/212008; NC 2   07-0416A           MD6144           granting relief. Supplement 1. The specific       Closed in a timely ML073106750                       ML080240029       provisions include: a) not mixing manner the parts from one manufacturer to another, b) following manufacturer's recommended instructions for installing compression fittings. and c) the training or familiarity with the procedure(s) for personnel doing this work.
ML082971079 Notify the NRC when the modifications to the auxiliary building (AB) crane to make it sinQle-failure proof are complete Complete 6/12/08; NC Closed in a timely manner All heavy load lifts in or around the spent fuel pool made using the upgraded AB crane lifting system will meet the guidance in NUREG-0612, Section 5.1.6, as follows:
Notify the NRC when the 11/9/07                             Amend. No. 200,                                     Complete 6/12/08; NC modifications to the auxiliary 3    07-0352            MD7300          11120/08.
* Special lifting devices. as 11/9/07 Amend. No. 200, defined in American National Complete 1/16/09; NC 4 07-0352 MD7300 11/20/08, Standards Institute (ANSI) N14.6 Closed in a timely ML073170705 ML082971079 will meet the guidance in NUREG-0612.
building (AB) crane to make it Closed in a timely ML073170705                        ML082971079                                          manner sinQle-failure proof are complete All heavy load lifts in or around the spent fuel pool made using the upgraded AB crane lifting system will meet the guidance in NUREG-0612, Section 5.1.6, as follows:
Section 5.1.6(1 lea) and ANSI N14.6-1993, as clarified in Attachment 5 to this license amendment request (LAR) .
* Special lifting devices. as 11/9/07                             Amend. No. 200,   defined in American National     Complete 1/16/09; NC 4   07-0352           MD7300           11/20/08,         Standards Institute (ANSI) N14.6 Closed in a timely ML073170705                         ML082971079       will meet the guidance in         manner NUREG-0612. Section 5.1.6(1 lea) and ANSI N14.6-1993, as clarified in Attachment 5 to this license amendment request (LAR) .
* Lifting devices not specially designed will meet the guidance manner in NUREG-0612, Section 5.1.6(1 )(b) and American Society of Mechanical Engineers (ASME) B30.9-2003, as clarified in Attachment 5 to this LAR.
* Lifting devices not specially designed will meet the guidance
* The AB crane will meet the guidance in NUREG-0612, Section 5.1.6(2) and 0554 as clarified in Attachments 5 and 6 to this LAR
 
* Interfacing lift points will meet the guidance in NUREG-0612, Section 5.1.6(3), as clarified in Attachment 5 to this LAR. Complete 12/15/08 11/9107 Amend. No. 200, Crane operator training will meet Closed in a timely 5 07-0352 MD7300 11/20108, the guidance in ASME manner ML073170705 ML082971079 2005. Closed in a timely manner 6 11/9/07 07-0352 ML073170705 MD7300 Amend. No. 200, 11/20108, ML082971079 Crane maintenance and inspections will meet the Quidance in ASME B30.2-1976.
in NUREG-0612, Section 5.1.6(1 )(b) and American Society of Mechanical Engineers (ASME)
Complete 1/16/09, NC Closed in a timely manner 7 11/9/07 07-0352 ML073170705 MD7300 Amend. No. 200, 11/20108, ML082971079 Revise USAR Section 9.5.2 to remove the dropped cask analysis from the USAR. Complete 1/15/09: NC Closed in a timely manner After LAR approval and relocation of TS 3.8.a.7 to the Technical Requirements Manual 11/9/07 Amend. No. 200, (TRM) is authorized, add to the Complete 1/16/09; NC 8 07-0352 MD7300 11/20108, TRM required actions to take if Closed in a timely ML073170705 ML082971079 the AB crane lifting system is found not to meet the TRM requirements during a heavy load lift. manner 9 1119/07 07-0465 ML073180499 MD7301 Letter of 5/9/08 (ML081150741), notice of withdrawal of application for amendment DEK will complete required modifications to the AB crane bridge girder to end-tie connections and confirm bolting material as described in Section 4.2.2.9 of this LAR. NC, design change recorded as completed on 5/5/08 according to tTrack LAR ML073180499 withdrawn by letter dated 4/11/08 Closed in a timely manner 10 2/812008 08-0017 ML080650314 MC4691 Review is ongoing The KPS USAR will be modified upon final resolution of GSI-191 and response to Generic Letter 2004-02. In progress; NC Open and being adequately maintained
B30.9-2003, as clarified in Attachment 5 to this LAR.
: 1. DEK will place a restriction in the Kewaunee procedure 11a 6/2/08 08-0113 M L081550342 MD7300 Amend. No. 200, 11/20108, ML082971079 governing the use of the AB crane prohibiting the use of synthetic slings for heavy load lifts with the AB crane when this crane is in the "Cask Handling" or "Override" modes of operation.
* The AB crane will meet the guidance in NUREG-0612, Section 5.1.6(2) and NUREG 0554 as clarified in Attachments 5 and 6 to this LAR
Complete 1/16/09, NC Closed in a timely manner 2. For the AB crane bridge welds whose failure could result in a 11b 6/2/08 08-0113 ML081550342 MD7300 Amend. No. 200, 11/20/08, ML082971079 drop of the critical load, DEK will perform nondestructive examinations at least once every four years following completion of initial cold proof load testing of the AB crane. Complete 1/16/09, NC Closed in a timely manner 11c 6/2/08 08-0113 ML081550342 MD7300 Amend. No. 200, 11/20108, ML082971079
* Interfacing lift points will meet the guidance in NUREG-0612, Section 5.1.6(3), as clarified in Attachment 5 to this LAR.
: 3. DEK will not perform a heavy lift greater than 50 tons using the AB crane. This commitment will be superseded when a seismic Complete 1/27/09, NC Closed in a timely manner analysis, using NRC-approved methods, demonstrates acceptable results are achieved for the AB crane and establishes a new limit based on lifting heavy loads greater than 50 tons. 7/7/08 08-0211 ML081930317 is a 1. DEK will submit the results of the analyses performed using the nonlinear seismic analysis methodology described in this LAR. 2. DEK will perform a "push" test to provide empirical data documenting the force required to induce crane trolley and bridge drive wheel rolling with the brakes applied. The results of 12 resubmittal of an amendment request from 11/9/07. (Le., Audit Sample #12 is a pickup from #9 with MD9221 Amend. No, 205, 4/30/09, ML090570710 the test will be provided to the NRC. 3. DEK will have an independent peer review performed of the Complete 7/15/10; NC [All 3 managed as one kdf] Closed in a timely supplements dated 9/19/08 and 3/17/09) Note 12-2 nonlinear structural model and outputs of the nonlinear analysis to confirm the methodology is appropriate for the application and provide a summary of the review to the NRC. [The three items are managed as one. The 4th regulatory commitment (RgCm) in the 9/19/09 supplement was not selected for the audit sample kdf] manner DEK commits to administratively control the amount of fuel oil in each fuel oil storage tank such 13 1/27/09 09-061 ML090510149 ME0435 Letter approving notice of enforcement discretion, 1/29/09, ML090291061 that a minimum usable amount of 32,858 gallons (including the day tanks) is available to supply each emergency diesel generator (EDG) (without reliance on a portable transfer pump), for the duration of the enforcement discretion.
Complete 12/15/08 11/9107             Amend. No. 200,     Crane operator training will meet   Closed in a timely 5 07-0352     MD7300 11/20108,           the guidance in ASME B30.2        manner ML073170705         ML082971079         2005.                               Closed in a timely manner 11/9/07             Amend. No. 200,     Crane maintenance and               Complete 1/16/09, NC 6  07-0352      MD7300 11/20108,            inspections will meet the          Closed in a timely ML073170705        ML082971079        Quidance in ASME B30.2-1976.       manner 11/9/07            Amend. No. 200,     Revise USAR Section 9.5.2 to       Complete 1/15/09: NC 7  07-0352      MD7300 11/20108,            remove the dropped cask            Closed in a timely ML073170705        ML082971079          analysis from the USAR.            manner After LAR approval and relocation of TS 3.8.a.7 to the Technical Requirements Manual 11/9/07             Amend. No. 200,     (TRM) is authorized, add to the     Complete 1/16/09; NC 8 07-0352     MD7300 11/20108,           TRM required actions to take if     Closed in a timely ML073170705         ML082971079         the AB crane lifting system is     manner found not to meet the TRM requirements during a heavy load lift.
Complete 6/10/09; NC Closed in a timely manner The installation of EDG exhaust 6/1/09 duct insulation (SAMA 160) will In progress; NC 14 09-291 MD9408 Review ongoing be further evaluated as part of Open and being ML091600037 DEK's ongoing performance improvement programs.
NC, design change recorded as completed DEK will complete required Letter of 5/9/08                                         on 5/5/08 according to modifications to the AB crane 1119/07            (ML081150741),                                          tTrack LAR bridge girder to end-tie 9  07-0465      MD7301 notice of withdrawal connections and confirm bolting ML073180499 ML073180499        of application for                                      withdrawn by letter material as described in Section amendment                                                dated 4/11/08 4.2.2.9 of this LAR.
adequately maintained 15 Sample deleted MD9408 Sample deleted at request of Project Manager making the selection.. See Note 15-5 Sample results not used. 1. Additional information will be included in the USAR Supplement (License Renewal Application, Appendix A), including license renewal 16a 8/17/09 09-469 ML092320093 MD9408 License renewal review ongoing commitments identified in Table A6.0-1, as applicable.
Closed in a timely manner The KPS USAR will be modified 2/812008                                                                    In progress; NC upon final resolution of GSI-191 10 08-0017      MC4691 Review is ongoing and response to Generic Letter Open and being ML080650314                                                                  adequately maintained 2004-02.
These USAR Supplement changes will In progress; NC Open and being adequately maintained be consistent with the responses to Requests for Additional Information (RAls) B2.1.13-5, B2.1.14-3, B2.1.15-1, B2.1.18-1, B2.1.21-1, B.2.1.31-1, and 1, are proposed to support approval of the renewed operating license, and may change during the NRC review period, 16b 8/17/09 09-469 ML092320093 MD9408 License renewal review ongoing 2. The response to RAI B3.2-2 will be provided following reevaluation of the environmental effects of fatigue for the NUREG/CR-6260-required evaluations that used stress-based fatigue monitoring.
: 1. DEK will place a restriction in the Kewaunee procedure governing the use of the AB 6/2/08             Amend. No. 200,                                         Complete 1/16/09, NC crane prohibiting the use of 11a 08-0113      MD7300 11/20108, synthetic slings for heavy load Closed in a timely M L081550342        ML082971079                                            manner lifts with the AB crane when this crane is in the "Cask Handling" or "Override" modes of operation.
Complete and transferred for action by LA001848 Change was adequately managed. (The following commitments are selected from Attachment
: 2. For the AB crane bridge welds whose failure could result in a drop of the critical load, DEK will 6/2/08             Amend. No. 200,                                         Complete 1/16/09, NC perform nondestructive 11b 08-0113      MD7300 11/20/08, examinations at least once every Closed in a timely ML081550342        ML082971079                                              manner four years following completion of initial cold proof load testing of the AB crane.
: 5) rrhree of nine commitments were 9/24/09 Conversion to selected for audit -kdf] In progress; NC 17a 09491 ML092440398 ME2139 Improved TS review ongoing 2. DEK will establish the Technical Specification Bases for Open and being adequately maintained Limiting Condition for Operation (LCO) 3.0.8, as adopted, with the applicable license amendment.
: 3. DEK will not perform a heavy 6/2/08              Amend. No. 200,                                          Complete 1/27/09, NC lift greater than 50 tons using the 11c 08-0113     MD7300 11/20108, AB crane. This commitment will Closed in a timely ML081550342        ML082971079                                              manner be superseded when a seismic
 
analysis, using NRC-approved methods, demonstrates acceptable results are achieved for the AB crane and establishes a new limit based on lifting heavy loads greater than 50 tons.
: 1. DEK will submit the results of the analyses performed using the nonlinear seismic analysis methodology described in this LAR.
: 2. DEK will perform a "push" test to provide empirical data documenting the force required 7/7/08                                            to induce crane trolley and bridge 08-0211                                            drive wheel rolling with the ML081930317 is a                                  brakes applied. The results of resubmittal of an                                 the test will be provided to the Complete 7/15/10; NC amendment request                                 NRC.
Amend. No, 205,                                          [All 3 managed as one from 11/9/07. (Le.,
12  Audit Sample #12 is a MD9221 4/30/09,
: 3. DEK will have an independent kdf]
ML090570710                                              Closed in a timely pickup from #9 with                                peer review performed of the manner supplements dated                                 nonlinear structural model and 9/19/08 and 3/17/09)                               outputs of the nonlinear analysis to confirm the methodology is Note 12-2                                          appropriate for the application and provide a summary of the review to the NRC.
[The three items are managed as one. The 4th regulatory commitment (RgCm) in the 9/19/09 supplement was not selected for the audit sample kdf]
DEK commits to administratively control the amount of fuel oil in each fuel oil storage tank such that a minimum usable amount of Letter approving 1/27/09                                           32,858 gallons (including the day  Complete 6/10/09; NC notice of enforcement 13 09-061               ME0435 discretion, 1/29/09, tanks) is available to supply each Closed in a timely ML090510149                                        emergency diesel generator         manner ML090291061 (EDG) (without reliance on a portable transfer pump), for the duration of the enforcement discretion.
The installation of EDG exhaust 6/1/09                                             duct insulation (SAMA 160) will   In progress; NC 14 09-291               MD9408 Review ongoing       be further evaluated as part of   Open and being ML091600037                                       DEK's ongoing performance         adequately maintained improvement programs.
Sample deleted at request of Project                                       Sample results not 15 Sample deleted        MD9408 Manager making the See Note 15-5 used.
selection ..
: 1. Additional information will be included in the USAR Supplement (License Renewal Application, Appendix A),
including license renewal 8/17/09                                           commitments identified in Table   In progress; NC License renewal 16a 09-469                MD9408 review ongoing A6.0-1, as applicable. These       Open and being ML092320093                                        USAR Supplement changes will       adequately maintained be consistent with the responses to Requests for Additional Information (RAls) B2.1.13-5, B2.1.14-3, B2.1.15-1, B2.1.18-1, B2.1.21-1, B.2.1.31-1, and B3.1
 
1, are proposed to support approval of the renewed operating license, and may change during the NRC review period,
: 2. The response to RAI B3.2-2 Complete and will be provided following 8/17/09                                                                      transferred for action by License renewal      reevaluation of the environmental 16b 09-469      MD9408 review ongoing      effects of fatigue for the LA001848 ML092320093                                                                  Change was NUREG/CR-6260-required adequately managed.
evaluations that used stress-based fatigue monitoring.
(The following commitments are selected from Attachment 5) rrhree of nine commitments were selected for audit - kdf]
9/24/09           Conversion to                                              In progress; NC 17a 09491      ME2139 Improved TS review
: 2. DEK will establish the Open and being ML092440398        ongoing                                                    adequately maintained Technical Specification Bases for Limiting Condition for Operation (LCO) 3.0.8, as adopted, with the applicable license amendment.
: 7. DEK will have written procedures available describing
: 7. DEK will have written procedures available describing
* compensatory measures to be 17b 9/24/09 09-491 ML092440398 ME2139 Conversion to i taken in the event of an Improved TS review intentional or unintentional entry ongoing into LCO 3.7.12, Auxiliary Building Special Ventilation (ASV) System, Condition B, "Two ASV trains inoperable due to inoperable ASV boundary." Complete 1216110; NC Closed in a timely manner 8. DEK will add procedural direction to perform an extent of condition evaluation and perform 17c 9/24/09 09-491 ML092440398 ME2139 Conversion to Improved TS review ongoing additional testing for plausible common failure modes associated with the reactor protection system and the engineered safety features actuation system instrument analog channels.
* compensatory measures to be 9/24/09 i taken in the event of an Conversion to                                              Complete 1216110; NC intentional or unintentional entry 17b 09-491      ME2139 Improved TS review into LCO 3.7.12, Auxiliary Closed in a timely ML092440398        ongoing                                                    manner Building Special Ventilation (ASV) System, Condition B, "Two ASV trains inoperable due to inoperable ASV boundary."
Withdrew 12/6/10; NC Closed in a timely manner 18 9/25/09 09-597 ML092710045 MD9408 License renewal review ongoing The revised Work Control Process program will be developed and implemented prior to the period of extended operation.
: 8. DEK will add procedural direction to perform an extent of condition evaluation and perform additional testing for plausible 9/24/09           Conversion to                                              Withdrew 12/6/10; NC common failure modes 17c 09-491     ME2139 Improved TS review associated with the reactor Closed in a timely ML092440398        ongoing                                                    manner protection system and the engineered safety features actuation system instrument analog channels.
In progress; NC Open and being adequately maintained The completion dates for the following two commitments have been revised from October 1, 2009, to October 15, 2009. rrhis 19a 10/15/09 09-645 ML092890560 MD7838 Letter of 4/1/10, ML100880212 RgCm was managed as two separate items -kdf] 1. DEK will revise current fill and vent procedures to provide a means and acceptance criteria to Complete (This RgCm was changed from 1011/09 to 10/15/09)
The revised Work Control 9/25/09                                Process program will be              In progress; NC License renewal 18 09-597     MD9408 review ongoing developed and implemented prior       Open and being ML092710045                            to the period of extended             adequately maintained operation.
Change was adequately managed. ensure that piping is sufficiently full after system fill and vent. This may include confirmation by UT or other appropriate means. 2. DEK will revise current Complete (This RgCm 19b 10/15/09 09-645 ML092890560 MD7838 Letter of 411/1 0, ML100880212 inservice test procedures to provide dynamic sweeping as part of the filling of the systems where needed to ensure systems are sufficientlv full. was changed from 10/1/09 to 10/15/09)
The completion dates for the following two commitments have been revised from October 1, 2009, to October 15, 2009. rrhis RgCm was managed as two Complete (This RgCm separate items - kdf]
Change was adequately managed.
10/15/09                                                                     was changed from Letter of 4/1/10, 19a 09-645      MD7838 ML100880212         1. DEK will revise current fill and 1011/09 to 10/15/09)
ML092890560                                                                  Change was vent procedures to provide a adequately managed.
means and acceptance criteria to ensure that piping is sufficiently full after system fill and vent. This may include confirmation by UT or other appropriate means.
: 2. DEK will revise current           Complete (This RgCm 10/15/09                               inservice test procedures to          was changed from Letter of 411/1 0, 19b 09-645      MD7838 ML100880212 provide dynamic sweeping as           10/1/09 to 10/15/09)
ML092890560                            part of the filling of the systems    Change was where needed to ensure systems        adequately managed.
are sufficientlv full.
 
Table 2
Table 2
* Kewaunee Power Station RgCm Data Table* Detailed Audit Data Page 1 ci z ;; t Ii 0 .s :I 0 :a :lI:: W :I << c N .... 10/29/2007 ci z .: 0 0<< z .., None <\I... c fG :I <II <II0 << Z ... 'C 0 0 >.... fG 0 It) updated description of t station blackout alternate alternating current source, including the quality assurance program requirements for the TSC DG as defined in the IDominion Nuclear Facility Quality Assurance Program Description, will be incorporated into the KPS Updated Safety Analysis Report (USAR) and to the Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e). --:! t'o ';.!;:
* Kewaunee Power Station RgCm Data Table* Detailed Audit Data                                                                                                           Page 1 t'o                                                                      ,,~                >.
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updated description of t station blackout alternate alternating current source, including the quality assurance program requirements for the TSC DG as defined in the IDominion Nuclear Facility                              No ML#,
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2 4 12 , 8 .2  none LAOOO697 incorporated into the KPS    NC                      response to Reference Updated Safety Analysis Report (USAR) and to the Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e).
 
Table 2 ~ Kewaunee Power Station RgCm Data Table - Detailed Audit Data                                                                                                 Page 2 c                  --!
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* Affected change document G
* Affected change document G
* Closed RgCm implemented in timely manner (Yes f No f NA) -; III 0' ii) N ;;1\ (J) :E !U C :::I (J) (J) "0 0 :E (J).., en-III-o* :::I :::u <C () 3 0 III-III -; III 0' ii) 0 (J) !U ii) a. >> c a. ;:;: 0 III III Z l> H
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* Open RgCm is adequately Maintained (Yes f No f NA) I
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* Changed RgCm is adequately managed (Yes I No INA) 5.1.6{1 )(b) and " The AS crane will meet the nee in NUREG-0612, 5.1.6(2) and NU as ciarified in 5 and 6 to this Table 2 -Kewaunee Power Station RgCm Data Table -Detailed Audit Data Page 4 " Special lifting devices, as in American Nationa (\. i III-:; ]!..!!z--.c i c c-y!..
* Open RgCm is adequately Maintained (Yes f No f NA)
! :1<<<liz<1.1 C 0..1 ::1_ I:TZ Q 'II: a. 0 17 IU Q..!li::.;:: 0 z Q i 1:1)y .g y"0,,<1.1 0 IV 0 C IV Q.III ell C 11/c z..!! --1:1) <II a. z 11/ E E IU III Zo .c ...! III III.-&-ai lI:: $III o :6<< .-IU-0 C .-E -III::I Q.1U.c >-<1.1!! 'tico. .E 5<1.1 o<1.1 .2!ell I5l 0 o !-'5,?!,,'11: t y I:I)c '5,,, lI:: <1.1 'Ii III:; " y IU 0oct:;;i:'0:: IV 0::" W a.o ..5! 0 IV !c 0:: !z tl" z ,,&a lI::..1 Y 11/ ... IU S.5 & c '<ii" E<< &111.., :.;:: C C -III IU. ... -0 N &sect; C c c y 0 IV !XI 5 << o 11/ Q. ... c,;;:; IV III<<:.;::.c . o IV<1.1 C) :s << .c E'Yo .:!: w . o a."<<<<'0 It) ::t: u. C) .5 z Standards Institutes (ANSI) N14.6 wilt meet the guida in NUREG-0612, Section 5.1.6(1 )(a) and ANSI N1 1993, as clarified in 5 to this request 3.8.1. No. 200 'I" Lifting devices not specially IcomPlete I LCOOO141 Rev 0, 4 designed will meet the 1116109; NC LAOOO135 1115/09.auidance in NUREG-0612, 1119/07 11/20/08, L082971 079 c.n r r :too 00 00 00-.s w.::..
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* Changed RgCm is adequately managed (Yes I No INA)
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Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data                                                                                           Page 4
(\.
                                                                                -:;                                                        ,,~                >
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                                        " Special lifting devices, as in American Nationa Standards Institutes (ANSI)
N14.6 wilt meet the guida in NUREG-0612, Section 5.1.6(1 )(a) and ANSI N1 1993, as clarified in At+~,-h~onf 5 to this license request (LAR).
4 1119/07 11/20/08,
                                      'I"
                              . No. 200 Lifting devices not specially IcomPlete designed will meet the       1116109; NC ILCOOO141 '1~~n'r~lIo,j LAOOO135                           Rev 0, 3.8.1 L082971 079    auidance in NUREG-0612,                                                         1115/09.
5.1.6{1 )(b) and
                                        " The AS crane will meet the nee in NUREG-0612, 5.1.6(2) and NU as ciarified in
                                              .rna"f~ 5 and 6 to this
 
c.n          1
* Audit Sample No.
2
* DEK Submittal 3
* DEK Submittal 3
* NRC TAC No. 4 -NRC Issuance 5
* NRC TAC No.
* Summary of Commitment A
4 - NRC Issuance 5
* Action Completed Action in Prgress (no Not Changed I Changed to B
* Summary of Commitment oCD ru CD 0..
* KPS Tracking lC#.. C
A
* If closed, then closeout D
* Action Completed (date)
* Governed by
                                            >>c 0..
Action in Prgress (no date)  ;::;:
Not Changed I Changed to what?
r      r
:too 00                B
* KPS Tracking #
00 00
-.s    ~              lC#.. CAP#
w.::..
O'l~
z o
:::l
  <1l          C
* If closed, then KPS o            closeout information Z
  ;u o
r        D
* Governed by KPS process document # (See Note U*)
E
* Affected implementing document F - Affected change document G
* Closed RgCm implemented in timely manner (Yes I No INA) z
:to      H
* Open RgCm is adequately Maintained (Yes I No INA) z
:to    I
* Changed RgCm is adequately managed (Yes I No INA)
 
1 - Audit Sample No.
2 - DEK Submittal 3
* NRC TAC No.
4 - NRC Issuance 5 - Summary of Commitment o
(J) r.u CD
~
A - Action Completed (date)
Col.
c:
-~z        Action in Prgress (no date)
Not Changed I Changed to what?
Col.
(")
B
* KPS Tracking #
LC#"CAP#
C
* If closed, then KPS closeout information o - Governed by KPS process document # (See Note LI*)
E - Affected implementing document F - Affected change document G
* Closed RgCm implemented in timely manner (Yes I No INA)
H
* Open RgCm is adequately Maintained (Yes I No INA)
Z l>
I - Changed RgCm is adequately "U
managed (Yes I No INA)      r.u (0
(J) 0>
 
                                                                -I
            ......                    1 - Audit Sample No.    !.l.'l 0
                          ~
(is'"
                          ~
I'\.)
(0
                          ~            2 - DEK Submittal
                                                              "::E
('I)
                                                                !.l.'l c:
('I) s:                                                  ('I) 0
            ......                      3 - NRC TAC No .        ""0 w
0 0                                                  ~
rs:~        _
('I) 01\.)                                                          ....!.l.'l(J) 0>0 tel        0 .                                                ....o*
.......0> Z                            4 - NRC Issuance
~                                                            ::
o......              .0 I\.)                                    :;:0 (0
0                                      co
                    !=>                                        ()
                      ;0                                        3
            @          ~.                                      0
      . 3  0
            < C CD                                      ....
                                                                !.l.'l
                                                                !.l.'l
=r<b cn                                                        -I o-l>                                                            !.l.'l 3~;o                                                          0 S'o.<n                          5 - Summary of Commitment (1)        a          (1)
(is'"
c::g g,
<n          CD 0                                                0('I) l>o.:::l
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                                                                !.l.'l
            ;0:-1\.)
* OEK Submittal 3
* OEK Submittal 3
* NRC TAC No. 4
* NRC TAC No.
4
* NRC Issuance 5
* NRC Issuance 5
* Summary of Commitment A -Action Completed (date) Action in Prgress (no date) Not Changed I Changed to what? B -KPS Tracking # LC#"CAP# C -If closed, then KPS closeout information r.. D -Governed by KPS process document # (See Note LI*) <p m E -Affected implementing document F -Affected change document G
* Summary of Commitment o
* Closed RgCm implemented in timely manner (Yes I No INA) H
S:
* Open RgCm is adequately Maintained (Yes I No INA) I -Changed RgCm is adequately managed (Yes I No INA) o (j) c.. >>.c:: c.. ;:::;: o III or Table 3 -Kewaunee Power Station RgCm Data Table Notes and Legend Page 1 Topic or Word I Symbol Note. legend or discussion ADAMS Agencywide Document Access and Management System Amd or Amend. amendment Audit observation (general)
(j) c..
The Preventive Maintenance Program would be improved if the Comment field on the PM (preventive maintenance)
A - Action Completed (date)
Data Sheet informed the user that the sheet had a RgCm associated with it. Audit observation (training)
                                    >>.c::
Commitment management staff should consider preparing a Guideline to ensure consistent input to tTrack by stakeholders making infrequent use of tTrack. Audit observation 16b-B The ability to transfer tracking from one LC/LA set to another is demonstrated in Sample 16b. The rationale for the transfer is explained in LA001848:
c..
The NRC wanted more items for another purpose. KPS consolidated LA001542 with LA001848.
Action in Prgress (no date)
CFR Code of Federal Regulations Column headings and cell designations Columns are labeled numbers 1 through 5 and letters A through I. Sample numbers are listed in column 1. Notes are designated as "Note (row) -(column)" Commitment management staff ECN Persons identified as making routine, standardized data entry into tTrack, identified as Noreen Wenborne, MaryJo Haese, and Thomas Breene during the course of RgCm data collection.
Not Changed I Changed to what?   oIII or B - KPS Tracking #
Engineering Change Notice Generic Letter 2004-02 "Potential Impact of Debris Blockage on Emergency Recirculation during Design Bais Accidents at Pressurized-Water Reactors," September 13,2004 GSI-191 "Experimental Studies of Loss-of-Coolant Accident-Generated Debris Accumulation and Head Loss with Emphasis on the Effects of Calcium Silicate Insulation," May 2005 kdf Karl D. Feintuch (Mainly used in combination with brackets to indicate an auditor comment.)
LC#"CAP#
KPS Kewaunee Power Station LA Licensing Action;one or more LA can be associated with one LC LC Licensing Commitment LI* In this report LI* represents LI-AA-110, Rev. 0, "Commitment Management," which governs the management of RgCm. In addition, GNP-03.01.01, Rev. 41 during RgCm Audit and Rev 42 when the Report was issued, "Directive, Implementing Document, and Procedure Administrative Controls" (commonly referred to at KPS as the "Procedure on procedures")
C - If closed, then KPS closeout information r
governs tracing the effect of RgCm on procedures.
D - Governed by KPS process document # (See Note LI*)
Therefore, the management of RgCm, when it affects procedures is controlled by a combination of these 2 procedures.
E - Affected implementing
ML# "MLnnnnnnnnn" (I.e. ML followed by 9 digits) is the identifier used by the NRC to access documents and records within its Agencywide Document Access and Management System (ADAMS) document control system. NC Not Changed (as used in column A)
<p              document m
Table 3 -Kewaunee Power Station RgCm Data Table Notes and Legend Page 2 Topic or Word I Symbol Note legend or discussion Note 01-G, -H. -I (Le., headings in column G. H and I) A "Yes" in Column G, H, or I* indicates that the RgCm was successfully managed according to the description in the heading. NA applies if the particilar column does not apply. As examples, for a closed RgCm, "open" is NA; for unchanged RgCm. "changed" does not apply. Thus "No" would only appear in Columns G, H or I if the RgCm was not adequately managed. Note 03-C NRC notified via suubmitted document SN 08-0113 dated 6/2/08 ML081550342 Note 04-C The Technical Requirements Manual (TRM) is a licensee controlled document for managing requirements that the NRC has approved to be transferred from control by the Technical Specifications.(TS)
F - Affected change document G
Note 12-2, Audit Observation and Audit Finding Observation:
* Closed RgCm implemented in timely manner (Yes I No INA)
Regarding the July 7,2008 application, the licensing group should define a closeout event at which to terminate its ownership of a RgCm intended for its doownstream stakeholders (i.e., Design. Operations, Training, as examples)
H
Audit Finding: DEK lacks a documented instruction in LI-M-110, "Commitment Management." that the instructs the commitment management staff to review all incoming I outgoing correspondence for impact on existing RgCm. Heretofore, commitment management staff has been performing this action without a documented instruction, within LI-M-11 0, to do so. Note 14-E [Suggestion pertaining to on-going RgCm: Stakeholders should report completion plans to Licensing staff for tTrack entry and for future reference.-
* Open RgCm is adequately Maintained (Yes I No INA)
kdf] Note 15-5 The sample contained proprietary information, an attribute not needed to assemble a valid audit sample. The audit results for the sample were consistent with results from other samples, and its removal did not change the findings of the audit. Further, the sample population grew from the original 19 selections to a net population of 24 (1,2,3.4.5.6.7,8,9,10.
I - Changed RgCm is adequately managed (Yes I No INA)
11a, 11b. 11c. 12, 13, 14, 15 omitted, 16a, 16b, 17a, 17b, 17c, 18, 19a, 19b) to track the management of separate RgCm parts. Note 19-E Affected procedures (21 documents, as indicated by separate serial numbers):
 
OP-KW-NOP-RHR-001, -003 SP-34-099A, -099B OP-KW-NOP-SI-002 OP-KW-MOP-RHR-001A, -001 B, -002A, -002B, -003A, -005A, -0058, -006, -006A, -006B OP-KW-NOP-SI-001
Table 3 - Kewaunee Power Station RgCm Data Table       Notes and Legend                                                                         Page 1 Topic or Word I Symbol           Note. legend or discussion ADAMS                             Agencywide Document Access and Management System Amd or Amend.                     amendment The Preventive Maintenance Program would be improved if the Comment field on the PM (preventive Audit observation (general) maintenance) Data Sheet informed the user that the sheet had a RgCm associated with it.
[possible typo in KPS text: NOP should possibly be MOP -kdf], -002, -004 OP-KW-MOP-ICS-001, -002, -003 Note on references to TS In this audit TS references are to the Custom Technical Specifications (CTS), which preceded the conversion to Improved Technical Specifications (ITS) on February 2, 2011. Note on sample characteristics for the sample size of 24, categorized from audit results RgCm items closed and remaining the same:; 1, 2, 3. 4, 5, 6, 7, 8, 9, 11 a, 11 b, 11 c, 12, 13, 17b, 17c (16 items) RgCm items changed and closed:; 16b, 19a, 19b (3 items) RgCm items open and remaining the same:; 10,14, 16a, 17a, 18 (5 items) RgCm items open and changed none Table 3 -Kewaunee Power Station RgCm Data Table -Notes and Legend Page 3 Topic or Word I Symbol Note legend or discussion Note row-column A discussion pertaining to Table 2, row number and column number, which is inserted in Table 3 due to space limitation. (Example:
Commitment management staff should consider preparing a Guideline to ensure consistent input to tTrack by Audit observation (training) stakeholders making infrequent use of tTrack.
Note 01-G, pertains to row 01, column G on Table 2. NRC Information Notice 84-55 "Seal Table Leaks at PWRs," July 6, 1984 NRC Information Notice 84-55, Supplement 1 "Seal Table Leaks at PWRs," May 14, 1985 NRC Information Notice 92-15 "Failure of Primary System Compression Fitting," February 24, 1992 NUREG/CR-6260 "Application of NUREG/CR-59999 Interim Fatigue Curves to Selected Nuclear Power Plant Components," 1995 NUREG-0554 "SinQle-Failure-Proof Cranes for Nuclear Power Plants," May 1979 NUREG-0612 "Control of Heavy Loads at Nuclear Power Plants: Resolution of Generic Technical Activity A-36," July 1980 RgCm Regulatory Commitment, as interpreted by NEI 99-04 (the industry document governing RgCm management) and LlC-105 (the NRC document QoveminQ RgCm audits) SAMA 160 SAMA 160 is described in the license renewal submittal as "Insulate EDG Exhaust Ducts." The context is that insulating the EDG exhaust ducts would reduce the heat load in thhe room and provide additional time to align alternate room cooling in the event that room cooling has failed. Suggestion A comment by auditor kdf, not specific to a RgCm, but offered as a suggestion.
The ability to transfer tracking from one LC/LA set to another is demonstrated in Sample 16b. The rationale for Audit observation 16b-B          the transfer is explained in LA001848: The NRC wanted more items for another purpose. KPS consolidated LA001542 with LA001848.
No action or response is expected.
CFR                               Code of Federal Regulations Column headings and cell         Columns are labeled numbers 1 through 5 and letters A through I. Sample numbers are listed in column 1.
Suggestion (based on Audit Items 11a, b, c) [Commitment management staff should monitor processes that cause users to contact them for RgCm information and arrange to add RgCm information to relevant databases.
designations                      Notes are designated as "Note (row) - (column)"
-kdf] Supple Supplement Title 10 The section of the Code of Federal ReQulations pertaining to "Energy" TRM Technical Requirements Manual -a licensee controlled document for managing plant specific technical requirements.
Persons identified as making routine, standardized data entry into tTrack, identified as Noreen Wenborne, Commitment management staff MaryJo Haese, and Thomas Breene during the course of RgCm data collection.
The TRM is incorporated by reference into the Updated Safety Analysis Report (USAR) TS Technical Specifications, as described in 10 CFR 50.36 tTrack Name of database used to track RgCm. UCR USAR Change Request USAR Updated Safety Analysis Report April 11, 2011 Mr. David A. Heacock President and Chief Nuclear Officer Dominion Nuclear Dominion Energy Kewaunee, Inc. Innsbrook Technical Center 5000 Dominion Boulevard Glen Allen, VA 23060-6711 KEWAUNEE POWER STATION -AUDIT OF THE LICENSEE'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME3804)  
ECN                              Engineering Change Notice "Potential Impact of Debris Blockage on Emergency Recirculation during Design Bais Accidents at Pressurized-Generic Letter 2004-02 Water Reactors," September 13,2004 "Experimental Studies of Loss-of-Coolant Accident-Generated Debris Accumulation and Head Loss with GSI-191 Emphasis on the Effects of Calcium Silicate Insulation," May 2005 kdf                               Karl D. Feintuch (Mainly used in combination with brackets to indicate an auditor comment.)
KPS                               Kewaunee Power Station LA                               Licensing Action;one or more LA can be associated with one LC LC                               Licensing Commitment In this report LI* represents LI-AA-110, Rev. 0, "Commitment Management," which governs the management of RgCm. In addition, GNP-03.01.01, Rev. 41 during RgCm Audit and Rev 42 when the Report was issued, LI*                              "Directive, Implementing Document, and Procedure Administrative Controls" (commonly referred to at KPS as the "Procedure on procedures") governs tracing the effect of RgCm on procedures. Therefore, the management of RgCm, when it affects procedures is controlled by a combination of these 2 procedures.
                                  "MLnnnnnnnnn" (I.e. ML followed by 9 digits) is the identifier used by the NRC to access documents and records ML#
within its Agencywide Document Access and Management System (ADAMS) document control system.
NC                               Not Changed (as used in column A)


==Dear Mr. Heacock:==
Table 3 - Kewaunee Power Station RgCm Data Table Notes and Legend                                                                                      Page 2 Topic or Word I Symbol              Note legend or discussion A "Yes" in Column G, H, or I* indicates that the RgCm was successfully managed according to the description in the heading.
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21,2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document, NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments.
Note 01-G, -H. -I (Le., headings in NA applies if the particilar column does not apply. As examples, for a closed RgCm, "open" is NA; for column G. H and I) unchanged RgCm. "changed" does not apply.
Licensees are encouraged to use NEI 99-04 guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC. The NRC Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented.
Thus "No" would only appear in Columns G, H or I if the RgCm was not adequately managed.
Accordingly, an audit was performed on the Kewaunee Power Station site on December 6-9, 2010, approximately 3 years from the last audit. Based on the audit, the NRC staff concludes that (1) Dominion Energy Kewaunee, Inc. (the licensee) has implemented, or is tracking future implementation of, regulatory commitments made to the NRC; and (2) the licensee had implemented an effective program to manage regulatory commitment changes. Details of the audit are set forth in the enclosed audit report. This completes the NRC staffs efforts on this issue. Sincerely, IRAJ Karl Feintuch, Project Manager Plant Licensing Branch 111-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-305
Note 03-C                          NRC notified via suubmitted document SN 08-0113 dated 6/2/08 ML081550342 The Technical Requirements Manual (TRM) is a licensee controlled document for managing requirements that Note 04-C the NRC has approved to be transferred from control by the Technical Specifications.(TS)
Observation: Regarding the July 7,2008 application, the licensing group should define a closeout event at which to terminate its ownership of a RgCm intended for its doownstream stakeholders (i.e., Design.
Operations, Training, as examples)
Note 12-2, Audit Observation and Audit Finding: DEK lacks a documented instruction in LI-M-110, "Commitment Management." that the instructs Audit Finding the commitment management staff to review all incoming I outgoing correspondence for impact on existing RgCm. Heretofore, commitment management staff has been performing this action without a documented instruction, within LI-M-11 0, to do so.
[Suggestion pertaining to on-going RgCm: Stakeholders should report completion plans to Licensing staff for Note 14-E tTrack entry and for future reference.- kdf]
The sample contained proprietary information, an attribute not needed to assemble a valid audit sample. The audit results for the sample were consistent with results from other samples, and its removal did not change the Note 15-5                          findings of the audit. Further, the sample population grew from the original 19 selections to a net population of 24 (1,2,3.4.5.6.7,8,9,10. 11a, 11b. 11c. 12, 13, 14, 15 omitted, 16a, 16b, 17a, 17b, 17c, 18, 19a, 19b) to track the management of separate RgCm parts.
Affected procedures (21 documents, as indicated by separate serial numbers):
OP-KW-NOP-RHR-001, -003 SP-34-099A, -099B Note 19-E                          OP-KW-NOP-SI-002 OP-KW-MOP-RHR-001A, -001 B, -002A, -002B, -003A, -005A, -0058, -006, -006A, -006B OP-KW-NOP-SI-001 [possible typo in KPS text: NOP should possibly be MOP - kdf], -002, -004 OP-KW-MOP-ICS-001, -002, -003 In this audit TS references are to the Custom Technical Specifications (CTS), which preceded the conversion to Note on references to TS Improved Technical Specifications (ITS) on February 2, 2011.
RgCm    items closed and remaining the same:; 1, 2, 3. 4, 5, 6, 7, 8, 9, 11 a, 11 b, 11 c, 12, 13, 17b, 17c (16 items)
Note on sample characteristics for RgCm    items changed and closed:; 16b, 19a, 19b (3 items) the sample size of 24, categorized RgCm    items open and remaining the same:; 10,14, 16a, 17a, 18 (5 items) from audit results RgCm    items open and changed none


==Enclosure:==
Table 3 - Kewaunee Power Station RgCm Data Table - Notes and Legend                                                                            Page 3 Topic or Word I Symbol            Note legend or discussion A discussion pertaining to Table 2, row number and column number, which is inserted in Table 3 due to space Note row-column limitation. (Example: Note 01-G, pertains to row 01, column G on Table 2.
NRC Information Notice 84-55      "Seal Table Leaks at PWRs," July 6, 1984 NRC Information Notice 84-55, "Seal Table Leaks at PWRs," May 14, 1985 Supplement 1 NRC Information Notice 92-15      "Failure of Primary System Compression Fitting," February 24, 1992 NUREG/CR-6260                    "Application of NUREG/CR-59999 Interim Fatigue Curves to Selected Nuclear Power Plant Components," 1995 NUREG-0554                        "SinQle-Failure-Proof Cranes for Nuclear Power Plants," May 1979 NUREG-0612                        "Control of Heavy Loads at Nuclear Power Plants: Resolution of Generic Technical Activity A-36," July 1980 Regulatory Commitment, as interpreted by NEI 99-04 (the industry document governing RgCm management)
RgCm and LlC-105 (the NRC document QoveminQ RgCm audits)
SAMA 160 is described in the license renewal submittal as "Insulate EDG Exhaust Ducts." The context is that SAMA 160                          insulating the EDG exhaust ducts would reduce the heat load in thhe room and provide additional time to align alternate room cooling in the event that room cooling has failed.
A comment by auditor kdf, not specific to a RgCm, but offered as a suggestion. No action or response is Suggestion expected.
Suggestion (based on Audit Items  [Commitment management staff should monitor processes that cause users to contact them for RgCm 11a, b, c)                        information and arrange to add RgCm information to relevant databases. - kdf]
Supple                            Supplement Title 10                          The section of the Code of Federal ReQulations pertaining to "Energy" Technical Requirements Manual - a licensee controlled document for managing plant specific technical TRM requirements. The TRM is incorporated by reference into the Updated Safety Analysis Report (USAR)
TS                                Technical Specifications, as described in 10 CFR 50.36 tTrack                            Name of database used to track RgCm.
UCR                              USAR Change Request USAR                              Updated Safety Analysis Report


Audit Report cc w/encl: Distribution via ListServ DISTRIBUTION: LPL3-1 r/f RidsNrrDorlLpl3-1 Resource RidsNrrPMKewaunee Resource RidsNrrLABTully Resource M. Kunowski, Region III RidsRgn3MailCenter Resource R. Krsek, Region III K. Barclay, Region III ADAMS ACCESSION NUMBER ML101550684 OFFICE LPL3-1/PM LPL3-1/LA LPL3-1/PM LPL3-1/BC NAME KFeintuch BTuily IRSola for PTam RPascarelli DATE 04/08/11 04/08/11 04/08/11 04/11/11 OFFICIAL RECORD}}
ML101550684 OFFICE         LPL3-1/PM         LPL3-1/LA             LPL3-1/PM         LPL3-1/BC NAME           KFeintuch           BTuily IRSola for   PTam               RPascarelli DATE           04/08/11           04/08/11             04/08/11           04/11/11}}

Latest revision as of 22:39, 11 March 2020

Letter and Audit Report, Covering Licensee Regulatory Commitments Made in Period Summer 2007 to Summer 2010
ML101550684
Person / Time
Site: Kewaunee Dominion icon.png
Issue date: 04/11/2011
From: Feintuch K
Plant Licensing Branch III
To: Heacock D
Dominion Energy Kewaunee
Tam P
Shared Package
ML110900569 List:
References
TAC ME3804
Download: ML101550684 (30)


Text

",-",R REG(f{ UNITED STATES

,p'" '1>

~ 01> NUCLEAR REGULATORY COMMISSION S

ot

~0 WASHINGTON, D.C. 20555-0001 I- s:

'" l'

~ i; April 11, 2011

~ ~

~I] ~o Mr. David A. Heacock President and Chief Nuclear Officer Dominion Nuclear Dominion Energy Kewaunee, Inc.

Innsbrook Technical Center 5000 Dominion Boulevard Glen Allen, VA 23060-6711

SUBJECT:

KEWAUNEE POWER STATION - AUDIT OF THE LICENSEE'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME3804)

Dear Mr. Heacock:

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document, NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments. Licensees are encouraged to use NEI 99-04 guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.

The NRC Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented. Accordingly, an audit was performed on the Kewaunee Power Station site on December 6-9, 2010, approximately 3 years from the last audit.

Based on the audit, the NRC staff concludes that (1) Dominion Energy Kewaunee, Inc. (the licensee) has implemented, or is tracking future implementation of, regulatory commitments made to the NRC; and (2) the licensee had implemented an effective program to manage regulatory commitment changes. Details of the audit are set forth in the enclosed audit report.

This completes the NRC staffs efforts on this issue.

Sincerely, 7U:1~

Karl Felntuch, Project Manager Plant Licensing Branch 111-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-305

Enclosure:

Audit Report cc w/encl: Distribution via ListServ

UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555*0001 AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULAliON (NRR)

REGULATORY COMMITMENTS MADE BY THE LICENSEE TO THE NUCLEAR REGULATORY COMMISSION (NRC)

KEWAUNEE POWER STATION (KPS)

DOCKET NO. 50-305

1.0 INTRODUCTION AND BACKGROUND

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21,2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.

The NRC Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented.

NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC.

NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generiC letters, etc.). The audit is to be performed every 3 years.

2.0 AUDIT PROCEDURE AND RESULTS Since the last audit was completed 3 years ago (see audit report dated September 15, 2007, Agencywide Documents Access and Management System (ADAMS) Accession No. ML071860074), the NRC staff defined the period covered by this audit to be approximately the summer of 2007, to summer of 2010. The audit was performed onsite at KPS on December 6-9, 2010, using an audit sample derived from the period of interest. The audit sample consisted of 19 items. Each item was assigned the corresponding sample number as an identifier and to facilitate the collecting and collating audit results data.

-2 The KPS system is capable of separating a single regulatory commitment into separately managed actions, each with their own path to completion and with their own change history. By this mechanism the audit sample was enlarged when samples Nos. 11, 16, 17, and 19 became 11a, b, c; 16a, b; 17a, b, c; and 19a, b; respectively. Audit sample 15 was deleted after consultation with the project manager who assembled the original sample when it was determined that it yielded no additional information not obtained from the other samples, and its contribution to the audit did not justify the special handling needed because of proprietary information. Consequently, the sample size increased by a net of 24.

The audit consisted of two major parts: (1) verification of the licensee's implementation of commitments made to NRC that have been completed; and (2) verification of the licensee's program for managing changes to commitments made to NRC.

The audit was conducted to exercise the full management system including information retrieval and interpretation by assigned personnel. The Dominion Energy Kewaunee, Inc. (DEK) person directly supporting this audit was MaryJo Haese, one of three persons of comparable knowledge who routinely support the management system. Ms. Haese demonstrated fluency in retrieval of information and interpretation of it. It was concluded that DEK had sufficient infrastructure to maintain regulatory commitment management system performance should attrition occur among cognizant personnel.

2.1 Verification of Licensee's Implementation of Commitments Made to the NRC The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licenSing actions/activities. For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation.

2.1.1 Audit Scope The audit addressed the bulk of commitments made by the licensee during the review period.

The audit focused on regulatory commitment (as defined above) made in writing to the NRC as a result of past licenSing actions (amendments, exemptions, reliefs, etc.) or licensing activities (response to bulletins, generic letters, etc.). Commitments made in licensee event reports or in response to notices of violation were not included in this audit since those are addressed under the NRC's inspection program. Before the audit, the NRC staff searched the official Agency record system for licensee submittals conveying commitments, and has included in the audit most of the commitments found (see Table 1) by means of the sample, as expanded.

The audit excluded the following types of commitments that are internal to licensee processes:

(1) Commitments made on the licensee's own initiative among internal organizational components.

(2) Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed. Good examples of this type of commitments are those made in DEK's letter dated May 8,2008 (ADAMS Accession No. ML081300282).

-3 (3) Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, technical specifications, and the Updated Safety Analysis Report. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements.

Since the management system performed well with the sample size of 24, there is confidence that it would have performed well in a longer audit deliberately selecting some of the excluded types of commitments. Therefore, the audit appears to be adequate in time (4 days), in sample size (24 items) and in sample type (refer to the above discussion in Section 2.1.1) to make conclusions about regulatory commitment management at KPS.

2.1.2 Audit Results The NRC staff reviewed reports generated by the licensee's tracking programs for the commitments listed in Table 1 to evaluate the status of completion. The NRC staff found that the licensee's commitment tracking programs had captured all the regulatory commitments that were identified by the NRC staff before the audit, and that the licensee had implemented the commitments on a timely basis. Table 1 summarizes what the NRC staff observed as the current status of licensee commitments.

2.2 Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for managing and changing commitments. The process used at KPS is set forth in procedure LI-AA-110, Rev. 0, "Commitment Management," which is used to manage regulatory commitments and GNP-03.01.01, Rev. 41, when data was collected and Rev. 42, when this report was prepared, "Directive, Implementing Document, and Procedure Administrative Controls," which governs tracing the effect of regulatory commitments on procedures. Based on review of these two cited documents, the NRC staff concludes that the licensee's procedures follow closely the guidance of NEI-99-04 in that they set forth the need for identifying, tracking, and reporting commitments, and they provide a mechanism for changing commitments.

The effectiveness of a procedure can be indicated by the products that are produced by the procedure. As set forth in Section 2.1.1 and Table 1 of this report, the NRC staff found that the licensee had properly addressed the regulatory commitments selected for this audit. As a result of review of the licensee's information, the NRC staff found no reason to differ from the licensee's reported status of the audited commitments. Thus, the NRC staff concludes that the procedure used by the licensee to manage commitments is appropriate and effective.

3.0 CONCLUSION

Based on the above audit, the NRC staff concludes that (1) the licensee has implemented or is tracking future implementation of regulatory commitments made to the NRC; and (2) the licensee has implemented an effective program to manage regulatory commitment changes.

Further the licensee retains the processes and personnel to continue to do so for the next period of interest.

-4 4.0 INFORMATION TABLES SUPPORTING THIS REPORT Table 1 - "Summary Table" contains a description of each sample and its disposition at the time of the audit, as well as a judgement of whether the sample was managed effectively. Table 1 is sorted by sample number.

Table 2 - "Detailed Audit Data" contains detailed information, data and notations gathered from the audit. The most efficient means of relating Tables 1 and 2 are to cross-match the audit sample numbers in each column 1. Table 2 is sorted by sample number.

Table 3 - "Notes and Legend" contains notes from the audit experience; any abbreviations used in Tables 1,2, or the audit report; and any comments, findings, observations, or suggestions. Table 3 was used to reduce the space consumed by Table 2 in compiling and organizing the audit data. Table 3 is sorted alphabetically by the first column.

4.0 LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT The licensee person who supported this audit was MaryJo Haese.

Principal Contributors: Karl Feintuch and Peter Tam Date: April 11, 2011

TABLE 1 (4 pages)

KEWAUNEE POWER STATION (KPS)

AUDIT OF WRITTEN LICENSEE COMMITMENTS

SUMMARY

TABLE 1 2 - DEK Submittal 3 - NRC TAC No. 4 - NRC Issuance 5 - Summary of commitment 6 - Licensee Audit 1mplementation Sample Status An updated description of the station blackout alternate alternating current source.

including the quality assurance program requirements for the Complete 4/18/2008; technical support center diesel NC generator as defined in the 10129/2007 Closed in a timely Dominion Nuclear Facility Quality 1 07-0436B None None Assurance Program Description.

manner ML073100354 will be incorporated into the KPS NC = not changed Updated Safety Analysis Report wherever it appears (USAR) and provided to the Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e).

Prior to use of nonwelded valves with end connections other than flanges at KPS, procedures will be developed for installation of nonwelded valves with end connections other than flanges that address operating experience of NRC Information 11/9/07 Letter of 2125/08 Notices 92-15,84-55 and 84-55, Complete 1/212008; NC 2 07-0416A MD6144 granting relief. Supplement 1. The specific Closed in a timely ML073106750 ML080240029 provisions include: a) not mixing manner the parts from one manufacturer to another, b) following manufacturer's recommended instructions for installing compression fittings. and c) the training or familiarity with the procedure(s) for personnel doing this work.

Notify the NRC when the 11/9/07 Amend. No. 200, Complete 6/12/08; NC modifications to the auxiliary 3 07-0352 MD7300 11120/08.

building (AB) crane to make it Closed in a timely ML073170705 ML082971079 manner sinQle-failure proof are complete All heavy load lifts in or around the spent fuel pool made using the upgraded AB crane lifting system will meet the guidance in NUREG-0612, Section 5.1.6, as follows:

  • Special lifting devices. as 11/9/07 Amend. No. 200, defined in American National Complete 1/16/09; NC 4 07-0352 MD7300 11/20/08, Standards Institute (ANSI) N14.6 Closed in a timely ML073170705 ML082971079 will meet the guidance in manner NUREG-0612. Section 5.1.6(1 lea) and ANSI N14.6-1993, as clarified in Attachment 5 to this license amendment request (LAR) .
  • Lifting devices not specially designed will meet the guidance

in NUREG-0612, Section 5.1.6(1 )(b) and American Society of Mechanical Engineers (ASME)

B30.9-2003, as clarified in Attachment 5 to this LAR.

  • The AB crane will meet the guidance in NUREG-0612, Section 5.1.6(2) and NUREG 0554 as clarified in Attachments 5 and 6 to this LAR
  • Interfacing lift points will meet the guidance in NUREG-0612, Section 5.1.6(3), as clarified in Attachment 5 to this LAR.

Complete 12/15/08 11/9107 Amend. No. 200, Crane operator training will meet Closed in a timely 5 07-0352 MD7300 11/20108, the guidance in ASME B30.2 manner ML073170705 ML082971079 2005. Closed in a timely manner 11/9/07 Amend. No. 200, Crane maintenance and Complete 1/16/09, NC 6 07-0352 MD7300 11/20108, inspections will meet the Closed in a timely ML073170705 ML082971079 Quidance in ASME B30.2-1976. manner 11/9/07 Amend. No. 200, Revise USAR Section 9.5.2 to Complete 1/15/09: NC 7 07-0352 MD7300 11/20108, remove the dropped cask Closed in a timely ML073170705 ML082971079 analysis from the USAR. manner After LAR approval and relocation of TS 3.8.a.7 to the Technical Requirements Manual 11/9/07 Amend. No. 200, (TRM) is authorized, add to the Complete 1/16/09; NC 8 07-0352 MD7300 11/20108, TRM required actions to take if Closed in a timely ML073170705 ML082971079 the AB crane lifting system is manner found not to meet the TRM requirements during a heavy load lift.

NC, design change recorded as completed DEK will complete required Letter of 5/9/08 on 5/5/08 according to modifications to the AB crane 1119/07 (ML081150741), tTrack LAR bridge girder to end-tie 9 07-0465 MD7301 notice of withdrawal connections and confirm bolting ML073180499 ML073180499 of application for withdrawn by letter material as described in Section amendment dated 4/11/08 4.2.2.9 of this LAR.

Closed in a timely manner The KPS USAR will be modified 2/812008 In progress; NC upon final resolution of GSI-191 10 08-0017 MC4691 Review is ongoing and response to Generic Letter Open and being ML080650314 adequately maintained 2004-02.

1. DEK will place a restriction in the Kewaunee procedure governing the use of the AB 6/2/08 Amend. No. 200, Complete 1/16/09, NC crane prohibiting the use of 11a 08-0113 MD7300 11/20108, synthetic slings for heavy load Closed in a timely M L081550342 ML082971079 manner lifts with the AB crane when this crane is in the "Cask Handling" or "Override" modes of operation.
2. For the AB crane bridge welds whose failure could result in a drop of the critical load, DEK will 6/2/08 Amend. No. 200, Complete 1/16/09, NC perform nondestructive 11b 08-0113 MD7300 11/20/08, examinations at least once every Closed in a timely ML081550342 ML082971079 manner four years following completion of initial cold proof load testing of the AB crane.
3. DEK will not perform a heavy 6/2/08 Amend. No. 200, Complete 1/27/09, NC lift greater than 50 tons using the 11c 08-0113 MD7300 11/20108, AB crane. This commitment will Closed in a timely ML081550342 ML082971079 manner be superseded when a seismic

analysis, using NRC-approved methods, demonstrates acceptable results are achieved for the AB crane and establishes a new limit based on lifting heavy loads greater than 50 tons.

1. DEK will submit the results of the analyses performed using the nonlinear seismic analysis methodology described in this LAR.
2. DEK will perform a "push" test to provide empirical data documenting the force required 7/7/08 to induce crane trolley and bridge 08-0211 drive wheel rolling with the ML081930317 is a brakes applied. The results of resubmittal of an the test will be provided to the Complete 7/15/10; NC amendment request NRC.

Amend. No, 205, [All 3 managed as one from 11/9/07. (Le.,

12 Audit Sample #12 is a MD9221 4/30/09,

3. DEK will have an independent kdf]

ML090570710 Closed in a timely pickup from #9 with peer review performed of the manner supplements dated nonlinear structural model and 9/19/08 and 3/17/09) outputs of the nonlinear analysis to confirm the methodology is Note 12-2 appropriate for the application and provide a summary of the review to the NRC.

[The three items are managed as one. The 4th regulatory commitment (RgCm) in the 9/19/09 supplement was not selected for the audit sample kdf]

DEK commits to administratively control the amount of fuel oil in each fuel oil storage tank such that a minimum usable amount of Letter approving 1/27/09 32,858 gallons (including the day Complete 6/10/09; NC notice of enforcement 13 09-061 ME0435 discretion, 1/29/09, tanks) is available to supply each Closed in a timely ML090510149 emergency diesel generator manner ML090291061 (EDG) (without reliance on a portable transfer pump), for the duration of the enforcement discretion.

The installation of EDG exhaust 6/1/09 duct insulation (SAMA 160) will In progress; NC 14 09-291 MD9408 Review ongoing be further evaluated as part of Open and being ML091600037 DEK's ongoing performance adequately maintained improvement programs.

Sample deleted at request of Project Sample results not 15 Sample deleted MD9408 Manager making the See Note 15-5 used.

selection ..

1. Additional information will be included in the USAR Supplement (License Renewal Application, Appendix A),

including license renewal 8/17/09 commitments identified in Table In progress; NC License renewal 16a 09-469 MD9408 review ongoing A6.0-1, as applicable. These Open and being ML092320093 USAR Supplement changes will adequately maintained be consistent with the responses to Requests for Additional Information (RAls) B2.1.13-5, B2.1.14-3, B2.1.15-1, B2.1.18-1, B2.1.21-1, B.2.1.31-1, and B3.1

1, are proposed to support approval of the renewed operating license, and may change during the NRC review period,

2. The response to RAI B3.2-2 Complete and will be provided following 8/17/09 transferred for action by License renewal reevaluation of the environmental 16b 09-469 MD9408 review ongoing effects of fatigue for the LA001848 ML092320093 Change was NUREG/CR-6260-required adequately managed.

evaluations that used stress-based fatigue monitoring.

(The following commitments are selected from Attachment 5) rrhree of nine commitments were selected for audit - kdf]

9/24/09 Conversion to In progress; NC 17a 09491 ME2139 Improved TS review

2. DEK will establish the Open and being ML092440398 ongoing adequately maintained Technical Specification Bases for Limiting Condition for Operation (LCO) 3.0.8, as adopted, with the applicable license amendment.
7. DEK will have written procedures available describing
  • compensatory measures to be 9/24/09 i taken in the event of an Conversion to Complete 1216110; NC intentional or unintentional entry 17b 09-491 ME2139 Improved TS review into LCO 3.7.12, Auxiliary Closed in a timely ML092440398 ongoing manner Building Special Ventilation (ASV) System, Condition B, "Two ASV trains inoperable due to inoperable ASV boundary."
8. DEK will add procedural direction to perform an extent of condition evaluation and perform additional testing for plausible 9/24/09 Conversion to Withdrew 12/6/10; NC common failure modes 17c 09-491 ME2139 Improved TS review associated with the reactor Closed in a timely ML092440398 ongoing manner protection system and the engineered safety features actuation system instrument analog channels.

The revised Work Control 9/25/09 Process program will be In progress; NC License renewal 18 09-597 MD9408 review ongoing developed and implemented prior Open and being ML092710045 to the period of extended adequately maintained operation.

The completion dates for the following two commitments have been revised from October 1, 2009, to October 15, 2009. rrhis RgCm was managed as two Complete (This RgCm separate items - kdf]

10/15/09 was changed from Letter of 4/1/10, 19a 09-645 MD7838 ML100880212 1. DEK will revise current fill and 1011/09 to 10/15/09)

ML092890560 Change was vent procedures to provide a adequately managed.

means and acceptance criteria to ensure that piping is sufficiently full after system fill and vent. This may include confirmation by UT or other appropriate means.

2. DEK will revise current Complete (This RgCm 10/15/09 inservice test procedures to was changed from Letter of 411/1 0, 19b 09-645 MD7838 ML100880212 provide dynamic sweeping as 10/1/09 to 10/15/09)

ML092890560 part of the filling of the systems Change was where needed to ensure systems adequately managed.

are sufficientlv full.

Table 2

  • Kewaunee Power Station RgCm Data Table* Detailed Audit Data Page 1 t'o ,,~ >.

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    i!0 E z updated description of t station blackout alternate alternating current source, including the quality assurance program requirements for the TSC DG as defined in the IDominion Nuclear Facility No ML#, 10/29/2007 USAR Quality Assurance Program complete since no Description, will be LCOOO111. U' 8.2.4.3, I ~~~~~~mr~ NA INA None 4/18/2008; separate 8 ... 2 4 12 , 8 .2 none LAOOO697 incorporated into the KPS NC response to Reference Updated Safety Analysis Report (USAR) and to the Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e). Table 2 ~ Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 2 c --! ~.!!:!; 1" til =. til - I: ill .!!z 1: 2<' -§iII_<' 'ii I o I: § ill 0 IGz ~.a.s I: Z d iii d ill "0,, 'II: til a. ~:;:; 0 0..J .. ill Cl.l) ~ ill ""0 Ez = l:T o I:TZ i ~ z ""IG I: ,2!,s8, .5 'II: I: IG 0Z .!C " Cl.tII -8z IG_ "IG 0 z 0 0 ~ E J:I = 0 ~ 0 - ~ = til til 0 0 0 S!J: o.r til I: Cl.tIIlG til 0 ..lI:a. ""<I: \!o_ I-o 'It .! E 0 "III .- I: !2>'0$ J:I '0'11: l~ '0ill ""0 III til I: J:IG .-E >ill E-: ~! til til .- III E(':. 0'0 .2! ...... ~~ E til ",""2! ~ C'IG:' IX i til'S w IX 1:1:'0 a.o .2 0til !c tj'O til III IX I: IX" = Q Z Z o .- 8, ~..J _ lIi III '0 E '08, <I: .., §  :;:; I: I: "" III 5"" ~ . "" :Ill::' I: iIIc 'iii III IG C') - 0 > till: ~ I: IG N .t~.2! III o "" o 0 <I: ~ .§ oCI.._IG .2! E 0 ... <1:<1: z 0 e;) Q .'0 W <I: Ll . .5 e;)
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    0 with end connections than flanges at KPS. Iprocedures will be develoDe.J 142. LA000741 ('LA type"soluti on was 11/9/07 incorrect. Letter of 2/25/08 2 -0416A 44 Igranting relief. complete IData entry U* L0731 06750 1/212008; NC ML080240029 W 1
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    o z " Special lifting devices, as in American Nationa Standards Institutes (ANSI) N14.6 wilt meet the guida in NUREG-0612, Section 5.1.6(1 )(a) and ANSI N1 1993, as clarified in At+~,-h~onf 5 to this license request (LAR). 4 1119/07 11/20/08, 'I" . No. 200 Lifting devices not specially IcomPlete designed will meet the 1116109; NC ILCOOO141 '1~~n'r~lIo,j LAOOO135 Rev 0, 3.8.1 L082971 079 auidance in NUREG-0612, 1115/09. 5.1.6{1 )(b) and " The AS crane will meet the nee in NUREG-0612, 5.1.6(2) and NU as ciarified in .rna"f~ 5 and 6 to this c.n 1
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    requirements 11/9/07 end. No. 200 Imanual (TRM) is authorized, 8 MD7300 111120/08. ' ad~ to the TRM required complete ILC000141, LI* ne NA ML082971079 actions to take if the AS 1/16/09; NC LAOOO735 Ir.." ..;r.........nt.. during a heavy NC, design change DEK will complete required recorded as modifications to the AS cra completed girder to end-tie 5/5/08 9 (connections and confirm LC000141, Li/??tna. D7301 LA000732 bolting material as in Section 4.2.2.9 of this LAR. 9 withdrawn by letter dated 4111 Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 9 I" III 1: ,,. 1: --! 111_ ...410 -....* en .!z >. !<i' 'i ...~0 1il.!~ C c l.(/1 .Q .t ~ c .2... ~~ E";: .- 41 E~ ~~ (II
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    (/1 lS c <<.'Il() .- .2 IXl () C) 0 w o 41 ~.§ 41 C Q. . o.::!EftI C C .2 E 10 <<<< 0 Q u.. C) .5  ::c () z USAR 10 1:-:: .:.:~.:. ___ .4 IMC4691 IReVi~w is onoolno Imodified upon final resolutiolln progress; ILC000181'INone to NRCILI* of GSI-191 and response to NC LAOO0907 USA" .'2'9',C"'"" Request lare planned t (UCR) R21 INA _~NA Letter 2004-02. be changed. 108 dated 9/08. Changed lete ILC000141 procedure l1a MD7300 1/16/09, NC LA000997'INone to NRCILl* none NA GNP 08.12.02 Preventive For the AS crane bridge whose failure could (PM) Task in a drop of the critical PM 53065. DEK will perform . 1comPIete LCOOO141. "~.~ ..... ~ ILI* EXaminations none 11 b 07300 In~ndestructive examinations 1/16/09, NC LA000998 Maintenance lAW AWS least once every four year Program. 1.1-1994. Inwing completion of initial RE89105 proof load testing of the Amend. Referenced. Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 10 ('. ~<" e --! UI lflc e ~z !<" i ~U til ~ ~~~ o c ~....I C c IlIZ  !<" Q fii til ;1:: ~~.s 'II: c.. 0
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    3. DEK will not perform a heavy lift greater than 50 using the AS crane. This None to commitment will be NRC; superseded when a seismic chan{
    11c 1:-:-: ~~ ::::___ .. ML082971079 1 ' ' ' ",'0' IMD7300 111/20/08,No. 200 , approved methods, NRC. demonstrates acceptable complete 1/27/09, NC LC000141, GNP procedure LAOO0999 08.12.02, U* Chnged procedure GNP Inane ~i~i~~NA INA results are achieved for the "Control for 08.12.02 AS crane and establishes a new limit based on lifting heavy loads greater than 50 tons. Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 11 -I: 41 .s 41 iI: IUtI C' o III 111_ 8!.. til I: e ..,~ ,,<i' .sz 1: ]~ !z "iii IU
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    (J z 1 . DEK will submit the of the analyses performed using the nonlinear seismic analysis methodology described in this LAR.
    2. DEK will perform a "push" to provide empirical documenting the force required to induce crane and bridge drive rolling with the brakes applied. The results ofthe will be provided to the NRC. Push Test 12 r,"_*,Audit . IMD9221 3. DEK will have an Inm\lirl"'rI in none Sample #12 IS a Ml090570710 independent peer review pickup from #9 performed of the nonlinear with structural model and outputs supplements of the nonlinear analysis to dated 9119/08 confirm the methodology is and 3/17/09) appropriate for the applicatiod and provide a summary of Note 12-2 review to the NRC.
    [The three items are managed as one. The 4th (RgCm) Regulatory Requirement in the 9/19/09 supplement was not selecte the audit sample - kdf) Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 12 1:: --2 ';.!1; "" CII CII_ ~jI.. 01 1:: ~ ,,;;( ~~ li;;( -> 'ii nI i C/) c ~...I C § nlZ :Ie( 0 ~~.s ~ i~ :1 'O'"z -E '#: 0. 0 ... ~ U Z iii t: 0 ~ U "0,, 01 ~;: Q.'O 0 '0'"0 ~z ~- ~ 'E Z c .!.5.g, .S '#: C ~ C/)z 11:: " Q.CII ~ nI_ nI 0 2!~ Q. nI .x 0. E J:I. (.) ~
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    (.) Z DEK commits to control the Ich fue 1at a Letter approving minimum usable amount of 1 IUSAR Rev 22 1/27/09 09-061 I rotice of ME0435 e~for~ment 32.858 gallons (including the day tanks) is available to complete LC000315 (No LA number None to NRC U' 6/30/10 13 IML090510149 discretion, supply each emergency 6/10109; NC pg8.2-18, one item 1/29/09, diesel generator (EDG) Section only) ML090291061 (without reliance on a 8.2.3.1 portable transfer pur the duration ofthe discretion. 14 'ML091600037 ust duct insulation (SAMA 160) will be further MD9408 I Review ongoing levaluated as part of DEKs In progress; NC ILC000345, LAOO1560 INone to NRCIU' Note 14-E Not yet ined "nn"inn performance programs. mple deleted request of 15 deleted IMD9408 IProject Manager results not Iresults not Lt' not not the used. used Table 2- Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 13 CCII E QI-~ 76~~ ('0. en e III 111_ CII
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    (.) 1.1 C!) 0 Q ."t:I w << u.. o I'll .:E I'll I'll .c E (.) z° C!) 1 . Additional information will be included in the USAR Supplement (License Renewal Application, A), including license renewal identified in Table A6.0-1, as 8/17/09 09-469 I I applicable. These USAR IsuPPlement changes will be MD9408 Li~nse ren~wal consistent with the In progress; Reportable LCOO0343, through Ill- lexoected to bEinone INA 16a IML092320093 review ongoing responses to Requests for NC LAOO1541 USAR Additional Information (RAls) change 82.1.13-5,82.1.14-3, 82.1.15-1. 82.1 .18-1 , 82.1.21-1.8.2.1.31-1. and 83.1-1, are proposed to support approval of the renewed operating license, and may change during the NRC review period. Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 14 ('.  :., "O~ e --.c Oi en en e ~Z
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    ."0 w <C ~.§ o.::E'" .c E <C<C on o C u.. (!) .5 J: Z The response to RAI 83. No change to will be provided following RgCm. luation of the Letter SN 10- IChange was 033 dated MD9408 ILicense renewal tTrack to nsferred dated 212/10 16b IML092320093 review ongoing for action by (responded to from LA001848 RAI83.2-2) LA001542to LAOOl848 [Three of nine mmitments were selected for audit - kdf] Conversion to Tech Spec In progress; LC000407, ME2139 I Improved TS to N LI* Bases LCO none 17a IML092440398 2. DEK will establish the INC LA001897 review ongoing 3.0.8 Technical Specification 8ases for Limiting Condition for Operation (LCO) 3.0.8, adopted, with the applicable license amendment. Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 15 ('0. >. "iii III 'tl~ >. Qj --.c 'C CIIZ 'C ~- $~ "iii~ ...o~ Ol .!!.!!:: e 'C ~ ... L o ra ra 0
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    . ~ _0 <;'~ 411 oQ. ..., .:E 01 c c nI .c E nI <<<<0 CI u.. ~ () '" z Q C!) .5 The revised Work Control Revised work . Process program will be LCOO0394. 18 I::: ::::.:._. __ ._ IMD9408 1License . renewalld . eve Iope d and'Impl td emen e In progress; LAOO1858 I Not closed Ill" Iproaram Inone review ongoing --or . t0 th e perlo . d 0f NC operation. 10/15/09 plete Leter SN 09 to RgCm LCOOO239. 645 dated 19a changed LAOO1178 9/15/09 to Note 19-E 10/1/09 NRC 10/15/09) 1
    • Audit Sample No.
    2
    • OEK Submittal 3
    4
    • NRC Issuance 5
    • Summary of Commitment o
    S: (j) c.. A - Action Completed (date) >>.c:: c.. Action in Prgress (no date) Not Changed I Changed to what? oIII or B - KPS Tracking # LC#"CAP# C - If closed, then KPS closeout information r D - Governed by KPS process document # (See Note LI*) E - Affected implementing <p document m F - Affected change document G
    • Closed RgCm implemented in timely manner (Yes I No INA)
    H
    • Open RgCm is adequately Maintained (Yes I No INA)
    I - Changed RgCm is adequately managed (Yes I No INA) Table 3 - Kewaunee Power Station RgCm Data Table Notes and Legend Page 1 Topic or Word I Symbol Note. legend or discussion ADAMS Agencywide Document Access and Management System Amd or Amend. amendment The Preventive Maintenance Program would be improved if the Comment field on the PM (preventive Audit observation (general) maintenance) Data Sheet informed the user that the sheet had a RgCm associated with it. Commitment management staff should consider preparing a Guideline to ensure consistent input to tTrack by Audit observation (training) stakeholders making infrequent use of tTrack. The ability to transfer tracking from one LC/LA set to another is demonstrated in Sample 16b. The rationale for Audit observation 16b-B the transfer is explained in LA001848: The NRC wanted more items for another purpose. KPS consolidated LA001542 with LA001848. CFR Code of Federal Regulations Column headings and cell Columns are labeled numbers 1 through 5 and letters A through I. Sample numbers are listed in column 1. designations Notes are designated as "Note (row) - (column)" Persons identified as making routine, standardized data entry into tTrack, identified as Noreen Wenborne, Commitment management staff MaryJo Haese, and Thomas Breene during the course of RgCm data collection. ECN Engineering Change Notice "Potential Impact of Debris Blockage on Emergency Recirculation during Design Bais Accidents at Pressurized-Generic Letter 2004-02 Water Reactors," September 13,2004 "Experimental Studies of Loss-of-Coolant Accident-Generated Debris Accumulation and Head Loss with GSI-191 Emphasis on the Effects of Calcium Silicate Insulation," May 2005 kdf Karl D. Feintuch (Mainly used in combination with brackets to indicate an auditor comment.) KPS Kewaunee Power Station LA Licensing Action;one or more LA can be associated with one LC LC Licensing Commitment In this report LI* represents LI-AA-110, Rev. 0, "Commitment Management," which governs the management of RgCm. In addition, GNP-03.01.01, Rev. 41 during RgCm Audit and Rev 42 when the Report was issued, LI* "Directive, Implementing Document, and Procedure Administrative Controls" (commonly referred to at KPS as the "Procedure on procedures") governs tracing the effect of RgCm on procedures. Therefore, the management of RgCm, when it affects procedures is controlled by a combination of these 2 procedures. "MLnnnnnnnnn" (I.e. ML followed by 9 digits) is the identifier used by the NRC to access documents and records ML# within its Agencywide Document Access and Management System (ADAMS) document control system. NC Not Changed (as used in column A) Table 3 - Kewaunee Power Station RgCm Data Table Notes and Legend Page 2 Topic or Word I Symbol Note legend or discussion A "Yes" in Column G, H, or I* indicates that the RgCm was successfully managed according to the description in the heading. Note 01-G, -H. -I (Le., headings in NA applies if the particilar column does not apply. As examples, for a closed RgCm, "open" is NA; for column G. H and I) unchanged RgCm. "changed" does not apply. Thus "No" would only appear in Columns G, H or I if the RgCm was not adequately managed. Note 03-C NRC notified via suubmitted document SN 08-0113 dated 6/2/08 ML081550342 The Technical Requirements Manual (TRM) is a licensee controlled document for managing requirements that Note 04-C the NRC has approved to be transferred from control by the Technical Specifications.(TS) Observation: Regarding the July 7,2008 application, the licensing group should define a closeout event at which to terminate its ownership of a RgCm intended for its doownstream stakeholders (i.e., Design. Operations, Training, as examples) Note 12-2, Audit Observation and Audit Finding: DEK lacks a documented instruction in LI-M-110, "Commitment Management." that the instructs Audit Finding the commitment management staff to review all incoming I outgoing correspondence for impact on existing RgCm. Heretofore, commitment management staff has been performing this action without a documented instruction, within LI-M-11 0, to do so. [Suggestion pertaining to on-going RgCm: Stakeholders should report completion plans to Licensing staff for Note 14-E tTrack entry and for future reference.- kdf] The sample contained proprietary information, an attribute not needed to assemble a valid audit sample. The audit results for the sample were consistent with results from other samples, and its removal did not change the Note 15-5 findings of the audit. Further, the sample population grew from the original 19 selections to a net population of 24 (1,2,3.4.5.6.7,8,9,10. 11a, 11b. 11c. 12, 13, 14, 15 omitted, 16a, 16b, 17a, 17b, 17c, 18, 19a, 19b) to track the management of separate RgCm parts. Affected procedures (21 documents, as indicated by separate serial numbers): OP-KW-NOP-RHR-001, -003 SP-34-099A, -099B Note 19-E OP-KW-NOP-SI-002 OP-KW-MOP-RHR-001A, -001 B, -002A, -002B, -003A, -005A, -0058, -006, -006A, -006B OP-KW-NOP-SI-001 [possible typo in KPS text: NOP should possibly be MOP - kdf], -002, -004 OP-KW-MOP-ICS-001, -002, -003 In this audit TS references are to the Custom Technical Specifications (CTS), which preceded the conversion to Note on references to TS Improved Technical Specifications (ITS) on February 2, 2011. RgCm items closed and remaining the same:; 1, 2, 3. 4, 5, 6, 7, 8, 9, 11 a, 11 b, 11 c, 12, 13, 17b, 17c (16 items) Note on sample characteristics for RgCm items changed and closed:; 16b, 19a, 19b (3 items) the sample size of 24, categorized RgCm items open and remaining the same:; 10,14, 16a, 17a, 18 (5 items) from audit results RgCm items open and changed none Table 3 - Kewaunee Power Station RgCm Data Table - Notes and Legend Page 3 Topic or Word I Symbol Note legend or discussion A discussion pertaining to Table 2, row number and column number, which is inserted in Table 3 due to space Note row-column limitation. (Example: Note 01-G, pertains to row 01, column G on Table 2. NRC Information Notice 84-55 "Seal Table Leaks at PWRs," July 6, 1984 NRC Information Notice 84-55, "Seal Table Leaks at PWRs," May 14, 1985 Supplement 1 NRC Information Notice 92-15 "Failure of Primary System Compression Fitting," February 24, 1992 NUREG/CR-6260 "Application of NUREG/CR-59999 Interim Fatigue Curves to Selected Nuclear Power Plant Components," 1995 NUREG-0554 "SinQle-Failure-Proof Cranes for Nuclear Power Plants," May 1979 NUREG-0612 "Control of Heavy Loads at Nuclear Power Plants: Resolution of Generic Technical Activity A-36," July 1980 Regulatory Commitment, as interpreted by NEI 99-04 (the industry document governing RgCm management) RgCm and LlC-105 (the NRC document QoveminQ RgCm audits) SAMA 160 is described in the license renewal submittal as "Insulate EDG Exhaust Ducts." The context is that SAMA 160 insulating the EDG exhaust ducts would reduce the heat load in thhe room and provide additional time to align alternate room cooling in the event that room cooling has failed. A comment by auditor kdf, not specific to a RgCm, but offered as a suggestion. No action or response is Suggestion expected. Suggestion (based on Audit Items [Commitment management staff should monitor processes that cause users to contact them for RgCm 11a, b, c) information and arrange to add RgCm information to relevant databases. - kdf] Supple Supplement Title 10 The section of the Code of Federal ReQulations pertaining to "Energy" Technical Requirements Manual - a licensee controlled document for managing plant specific technical TRM requirements. The TRM is incorporated by reference into the Updated Safety Analysis Report (USAR) TS Technical Specifications, as described in 10 CFR 50.36 tTrack Name of database used to track RgCm. UCR USAR Change Request USAR Updated Safety Analysis Report ML101550684 OFFICE LPL3-1/PM LPL3-1/LA LPL3-1/PM LPL3-1/BC NAME KFeintuch BTuily IRSola for PTam RPascarelli DATE 04/08/11 04/08/11 04/08/11 04/11/11