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#REDIRECT [[IR 05000333/1988020]]
{{Adams
| number = ML20151Q788
| issue date = 07/12/1988
| title = Insp Rept 50-333/88-20 on 880523-0603.No Violations Noted. Major Areas Inspected:Emergency Operating Procedures
| author name = Haughney C, Konklin J, Vandenburgh C
| author affiliation = NRC OFFICE OF NUCLEAR REACTOR REGULATION (NRR)
| addressee name =
| addressee affiliation =
| docket = 05000333
| license number =
| contact person =
| document report number = 50-333-88-200, NUDOCS 8808110288
| package number = ML20151Q780
| document type = INSPECTION REPORT, NRC-GENERATED, INSPECTION REPORT, UTILITY, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 24
}}
See also: [[see also::IR 05000333/1988020]]
 
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                                  U.S. NUCLEAR REGULATOP.Y COMMISSION
          OFFICE OF NUCLEAR REGULATORY REGULATION
          Division of Reactor Inspection and Safeguards                            .
                                                                                    .
          Report No..          50-333/88200
          Docket No.:          50-333
          Licensee:            Power Authority of the State of New York
                                123 Main Street
                              White Plains, New York 10601
          Inspection At:      James A. Fitzpatrick Nuclear Power Plant
          Inspection Conducted:      May 23 through June 3, 1988.
        Team Leader:      Mh      .'                                      T-n-t'I
                        C.A.VanDenbufgh,TeamLeader                      Date Signed
        Consultants:    J. D. Wilcox, Jr., Prisuta-Beckman Associates
                        D. Schultz, Comex, Inc.
                        D. Jarrell, Battelle-Pacific Northwest Labs
                        0. Meyer, EG&G-Idaho
        Other NRC Personnel Attending Exit Meet .gs: C. J. Haughney, Chief, RSIB, NRR;
        J. Konklin, Section Chief, NRR; D. Langford, Project Engineer, NRR; J. Johnson,
        Section Chief, RI; A. J. Luptak, Senior Resident Inspector; R. A. Plasse,
        Resident Inspector.
        Reviewed By:                                                    7// 2./T7
                          ames E. Konklin, Chief                        Date S'igned
                    /SpecialTeamSupport
                        & Integration Section, NRR
        Approved By:                        1
                        ~*
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                                          SUMMARY OF RESULTS
          Scope:
          On May 23 througn June 3, 1988 an NRC inspection team conducted an inspection
          of the James A. Fitzpatrick Nuclear Power Plant (JAFNPP) Emergency Operating
          Procedures (EOPs). JAFNPP is a BWR-4 with a Mark I containment. The
          objectives of the inspection were to determine whether the E0Ps are technically
          correct, whether the E0Ps can be physically carried out in the plant, and
          whether the E0Ps can be correctly performed by the plant staff.
          The team accomplished the inspection by performing a comp"            ' the BWR
          Owners Group Emergency Procedure Guidelines (EPGs) to the Pa..< Specific
          Technical Guidelines (PSTGs); a comparison cf the PSTGs te 'ne E0Ds; a review
          of the calculations performed to develop the plant specific curves, values, and
          setpoints utilized in the E0Ps; a plant walkdown of all the E0Ps and the
          Abnormal Operating Procedures (A0Ps) referenced by the E0Ps; a simulation of
          two emergency scenarios using a full size control room mock-up; a human factors
          review of the procedures and plant operations, including interviews of nine
          licensed and non-licensed personnel who utilize the E0Ps and A0Ps; a detailed
          review of the containment venting procedures; and a review of your on-going
          program for evaluation of E0Ps. The inspection was primarily focused on the
          adequacy of the end prcduct and not on a review of the process to develop the
          E0Ps.
          Results:
          Based on a review of the E0Ps and supporting calculations, the inspection team
          concluded that although the PSTGs have not been controlled and maintained
          up-to-date as a design basis document, the E0Ps are a technically accurate
          incorporation of the EPGs.    The plant walkdowr.3, operator interviews and tne
          simulated E0P scenario identified several minor deficiencies; however, the team
          concluded that the E0Ps can be accurately accomplished using the existing
          controls, instruments, and equipment. Based on the human factors review of the
          E0Ps, Writer's Guide implementation, plant walkdowns, and the E0P simulation,
          the team concluded that the E0Ps and associated procedures have the useability
          to provide the operators with an effective accident mitigation tool and can be
          correctly performed by the plant staff.
          Several concerns were identified which will require further licensee action to
          resolve. The most sigr.ificant concerns were:
          1.) The E0Ps and the PSTGs had not been maintained a.c a design basis document
                and theref ore have not been maintained up-to-date and appropriately
                controlled. This resulted in several discrepancies between the PSTGs and
                the E0Ps.  (Section 3.a and 3.2)
          2.) Plant process computer setpoints did not correspond to the E0P entry
                conditions and potential confusion existed in the measurement and indica-
                tion methodology of suppression pool level. In addition, outstanding
                validation comments concerning the suppression pool level measurement
                methodology had not been satisfactorily documented. (Section 4.a)
i        3.)  In a few instances, information or e uipment necessary for the performance
                of the E0Ps had not been provided.      Section 4.b)
                                                    i
m
 
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    *
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                                                                                                      I
        4.) The E0P simulation adequately demonstrated that the minimum shift crew
            described by Technical Specifications was sufficient to accomplish the
            required actions of the E0Ps. However the team could not conclude that
            sufficient personnel would be available to accomplish all of the actions                j
            required in an emergency, such as implementation of the Emergency Plan or                l
            activation of the Fire Brigade., coincidental with implementati6n of the                  l
            E0Ps. In addition, a method of placekeeping was not used by the-operators                i
            during the performance of the E0Ps.        Placekeeping methods have not been            l
            utilized during periodic training and were not supported by the                          ,
            procedures.    [Section 5.c.1 and 5.c.3)
        5.) A response to the Safety Evaluation incorrectly indicated that action                    ,
            statements would not be carried over from one page to another.        (Section
                                                                                                      '
            6.1.c)
        6.) Sufficient guidance was not provided in the E0P for Primary Containment
            Control to describe the calculation of the Heat Capacity Temperature
            Limit.    (Section 6.2.c)
        7.) An evaluation had not been performed to demonstrate the capability of the
            Standby Gas Treatment System to operate under the anticipated accident
            conditions of hign pressure and temperature during containment venting.
            (Section 7)
                                                                                                      !
                                                                                                      !
                                                                                                      !
                                                                                                      !
                                                    11
                                            . _ - -                    ._    _    ___
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                                      TABLE OF CONTENTS
        EMERGENCY OPERATING PROCEDURE INSPECTION at
        James A. FitzPatrick Nuclear Power Station
        (Inspection Report 50-333/88200)                                        .        ;
                                                                                  '-Page
        1.  IhSPECTION 06JECTIVE.........................................            1
        2.  BACKGROUN0...................................................            1
        3.  PROCEDURE REVIEW.............................................            2
            S.1 EPG/PSTG REVIEW.........................................            3
            3.2 PSTG/EOP REVIEk.........................................            3
            3.3 CALCULATION REVIEW......................................            4
        4.  PLANT WALKD0WNS..............................................            5
        5.  E0P SIMULATION USING CONTROL ROOM M0CK-UP............      .......      9
        6.  HUMAN FACTORS REVIEW AND INTERVIEWS..........................          12
            6.1 WRITER'S GU!DE  IMPLEMENTATION...........................          12
            6.2 OPERATOR  INTERVIEWS.....................................          13
        7.  CONTAINMENT  VENTING..........................................          16
        8.  Oh-GOING EVALUATION 0F E0FS..................................          18
        9.  EXIT  MEETING.................................................          19
        10.  REFERENCES
            10.1 PERSONNEL  CONTACTE0.....................................          19
            10.2 PROCEDURES  REVIEWED.....................................          20
                                                                                        1
                                        .                                              I
                                                                                        1
                                                                                        I
 
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        1.    INSPECTION OBJECTIVE
        The inspection team reviewed the licensee's Emergency Operating Procedures      l
        (EOPs), operator training and plant systems to accomplish the following
        objectives in accordance with NRC Temporary Instruction (TI) 2515/92:
        (1) Determine whether the E0Ps conformed to the vendor generic guidelines and
              were' technically correct for the James A. Fitzpatrick Nuclear Power
              Station.
        (2) Assess whether the E0Ps can be physically carried out in th! olant using
              existing equipment, controls, and instrumentation, under tre expected
              environmental conditions.
        (3) Evaluate whether the plant staf f has been adequately trainto to perform
              the E0P functions in the time available.
        2.    BACKGROUND
        Following the Three Mile Island (TMI) accident, the Office of Nuclear Reactor
        Regulation developed the "TMI Action Plan," (NUREG-0660 and NUREG-0737) which
        required licensees of operating plants to reanalyze transients and accidents
        and to upgrade Emergency Operating Procedures (E0Ps) (Item I.C.1).    The plan
        also required the NRC staff to develop a long-term plan that integrated and
        expanded efforts in the writing, reviewing, and monitoring of plant procedures
        (Item I.C.9). NUREG-0899, "Guidelines for the Preparation of Emergency Opera-
        ting Procedures,' represents the NRC staff's long-term program for upgrading
        E0Ps, and descr40es the use of a Procedures Generation Package (PGP) to prepare
        E0Ps.
        The licensees formed four vendor owner's groups corresponding to the four major
        reactor types ir. the United States: Westinghouse, General Electric, Babcock &
        Wilcox, and Combustion Engineering. Working with the vendor company and the
        NRC, these owner's groups developed generic procedures that set forth the
        desired accident mitigation strategy. For General Electric plants, the generic
        guidelines are referred t.o as Emergency Procedure Guidelines (EPGs). These
        EPGs were to be used by licensees in developing their PGPs. Submittal of the
        PGP was made a requirement for the James A. Fitzpatrick Nuclear Power Plant by
        Confirmatory Order dated June 12, 1984. Generic Letter 82-33, "Supplement I to
        NUREG-0737 - Requirements for Emergt.nty Response Capability" required each
        licensee to submit to the NRC a PGP wnich includes:
        (1) Plant Specific Technical GuidElires (PSTGs) with justification for safety
              significant ditterences from tne EPG.
        (2) A Plant Specific Writer's Guide (PSWG).
        (3) A cescriptico of the program to be used for the verification and
              validation of E0Ps.
                                                                                        l
        (4) A description of the training program for the upgraded E0Ps.
                                                                                        '
                                                                                        l
                                                -1-                                    '
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                                                                                        l
 
, ,
    Plant specific E0Ps were to have been developed that would provide the operator
    with directions to mitigate the consequences of a broad range of accident and
    multiple equipment failures.
    For various reasons, there were long delays in achieving NRC approval of many
    of the PGPs. Nevertheless, the licensees have all implemented their E0Ps. To
    determine the success of this implementation, a series of NRC inspections are
    being performed to examine the final product of the program: the E0Ps. A
    representative sample of each of the four vendor types has been selected for
    review by four inspection teams from Regions 1, II, III and IV.
    An additional 13 inspections have been scheduled at f acilities with General
    Electric Nark I type containments. The latter inspections are being conducted
    by the Office of Nuclear Reactor Regulation and include a detailed review of
    the containment venting provisicns of the E0Ps. This inspection at the James
    A. Fitzpatrick Nuclear Power Plant is the first of the 13 Mark I inspections.
    3.    PROCEDURE REVIEW
    This portion of the inspection was performed to determine whether the JAFNPP
    E0Ps have been prepared in accordance with the current Procedures Generation
    Package (PGP) and the Plant Specific Technical Guidelines (PSTGs). The
    inspection team compared Revision 3 of the BWR Owners Group Emergency Procedure
    Guidelines (EPGs) to the PSTGs, and the PSTGs to the E0Ps. All differen m
    were identified and reviewed to ensure that safety significant deviations were
    identified in the PGP and that a documented basis existed for all deviations.
    A review of selected calculations was performed to ensure that plint specific
    values utilized in the E0Ps are correct and have been performed 1. accordance
    with a documented engineering analysis.      Section 10.2 of this report lists the
    procedures reviewed,
    a.    Reccrd Control
          in the process of reviewing the PSTGs and the E0Ps, the team identified
          that the original copies of the E0Ps, EPG Calculations (Appendix C)
        and the Plant Specific Technical Guidelines (PSTGs) were all being
          temporarily stored in the Operations Department Administrative Office as
        uncontrolled documents and were not being upgraded and maintained
        up-to-date.    HUREG-0899, "Guidelines for the Preparation of Emergency
        Procedure Guioelines" indicates, in paragraph 4.4, that the PSTGs are the
          primary basis for plant E0Ps and, as such, should be subject to examina-
          tion under the plant's Quality Assudance (QA) Program, and are also
          required to be accurate and up-to-date.    Further licensee action is          l
        necessary to upgrade and maintain tne PSTGs as required.                        ;
                                                                                          i
        A review of Administrative Procedure F-AP-1.4. "Control of Plant                l
        Procedures," Plant Standing Order PS0-4, "Quality Assurance and Plant            '
        Operating Records," and JAFHPP Records Retention / Turnover Schedule, Rev.
        3.1 indicated that the location and length of storage of the PSTGs and
        supporting records were not in accordance with the plant's administrative
        requirements. The QA Department had identified similar concerns with
        record storage and the timeliness of turnover in QA Audit No. 584 dated
        February 20, 1987 and QA Audit No. 646 dated April 22, 1988. However, at
                                                                                          .
                                                                                          !
        the time of the inspection, noce of the E0P records had been turned over        l
                                                                                          l
                                                                                          1
                                            -2-                                          \
                                    _. ._          _  . _,                ._        __
 
                                                                                          - _ - _ .
  .  .
    *
.
              to Document Control.  The initial upgraded (symptomatic) E0Ps were issued
              on December 29, 1984.  Further licensee action is necessary to maintain
              and control these records as required.
        3.1 EPG/PSTG Review                                                    ,
        Four minor differences were identifieo between the EPGs and the PSTGs,'as
        detailed below. The team concluded, based on a review of the PSTGs and the
        differences identified, that significant discrepancies did not exist and that
        there were no adverse affects on the adequacy of the JAFNPP E0Ps.    Further
        action should be taken to ensure that future revisions or upgrades of the E0Ps
        correct these discrepancies,
        a.    The selection of 1090 psig as the lowest Safety Relief Valve (SRV)
              pressure in PSTG step RC/P-2 did not consider the setpoint tolerances of
              the SRVs. The EPG basis (Appendix B) indicates that the intent of RC/P-2
              is to establish a control band for pressure control of the reactor at
              which the SRVs will not cycle. The use of the lowest SRV setpoint
              pressure without consideration of the setpoint tolerance of the SRV could
              result in cycling the SRV if the reactor pressure is controlled at 1090
              psig. Additional operator guidance such as a lower pressure control band
              would ensure that reactor pressure is controlled below the pressure at
              which the SRV would lift.
        b.    Other steam driven equipment available at JAFNPP such as Reactor Feed Pump
              (RFP) turbines, RFP drains, steam seals, steam jet air ejectors and off
              gas heaters have not been incorporated into PSTG step RC/P-2.
        c.    Amplifying information for Group 1 Isolation signals, such as initiating
              conditions and isolation valve identification, has not been provided in
              PSTG step RC/L-1.
        a.    Alternate injection systems which are available at JAFNPP, such as
              demineralized water transfer to the Standby Liquid Control test tank, have
              not been incorporated into PSTG contingency Cl-1, "Level Restoration."
                                                                                                    1
        3.2 PSTG/EOP Review
                                                                                                    1
        Six minor differences were identified between the PSTGs and the E0Ps, as
        detailed below. The team identified that in each example the E0P w6s correct                ;
        and concluded that the discrepancies were the result of not maintaining the                l
        PSTGs up-to-date as required. No conditions which wculd adversely affect the
        performance of the E0Ps were noted. Further action is necessary to correct
                                                                                                    ,
                                                                                                    l
        these deficiencies and to control and maintain the PSTGs appropriately.                    I
        a.    F-E0P-1, "E0P Cautions," Caution No. 6 had a different Reactor Pressure
              Vessel (RPV) water level specified than the PST6 Caution #6, because tne
              E0P was revised af ter an evaluation identified that the drywell tempera-
              ture referenced in the PSTG was incorrect.
        b.    F-EOP-2. "RPV Control (Boron Injection Not Required)," specified 335 psig
              for the nigh/ intermediate RPV pressure region vice 300 psig as specified            l
              in PSTG Contingency Cl-E, because the E0P was revised after the PSTG was
              developed.                                                                            '
                                                  -3-
 
                                                                                              _ ..
    p  .
      '
; -                                                                                                ;
                                                                                                  1
1
l
          c.    F-E0P-4, "Primary Containment Control," step 2.3 indicated that the
                suppression pool scram temperature is 100 degrees F vice 110 degrees F as
l              specified in PSTG SP/T-3 cue to a typographical error.
1
i        d.    F-EOP-5, "Secondary Containment Control," Table F-E0P-5.1 listed dif ferent
I
                instruments and setpoints than specified in PSTG Table 1, because.
                Subsequent plant modifications were not incorporated into the PSTGs.
          e.    F-EOP-5, "Secondary Containment Control," did not have an entry conoition
                for Unit Cooler Temperature above 104 degrees F as specified in the
                secondary containment control guidelines of the PSTG, because subsequent
                plant modifications were not incorporated into the PSTG.
          f.    F-E0P-7, "RPV Flooding," did not utilize the Residual Heat Removal (RHR)
                Keep Fill System to maintain RPV water level as specified in PSTG C6-4,
                because the Keep Fill System had not been made operable at JAFNPP.
          3.3 Calculation Review
          Specific values from the E0Ps were selected for review to determine if the
          values were correctly calculated based on the plant specific differences and
          the guioance of the EPGs. The team identified that the calculations were
          clear, orderly and performed in accordance with the guidance of the EPGs. Any
          deviations were noted and substantiated. The calculations were observed to
          include values for each of the cautions, steps and curves. However, as noted
          in Section 3.a, the calculations have not been controlled as a plant basis
          document in accordance with the requirements and guidance of NUREG-0899. The
          following calculations were reviewed:
          a.    Hot Shutdown Boron Weight - This calculation was performed to support tne
                values incorporated as part of F-E0P-3, "RPV Control," and documented in
                Section 24, Appendix C, page C24-1 of the EPG Calculations.
          b.  Minimum Alternate RPV Flooding Pressure - This calculation was performed
                to support tne values incorporated as part of F-E0P-3, "RPV Control (Boron
                Injection Required)," and F-E0P-7, "RPV Flooding," and documented in
                Section 21, Appendix C, page C21-1 of the EPG Calculations.
          c.  Suppression Pool Load Limit - This calculation was performed to support
                tne values incorporated as part of F-E0P-2, "RPV Control (Boron injection
              Not Required)," F-E0P-3, "RPV Control (Boron injection Required)," and
              F-EOP-4, "Primary Containment Control," ano documented in Section 4,
              Appendix C, page C4-1 of the EPG Calculations.
          d.  Heat Capacity Temperature Limit for the Suppressior Pool - This calcula-
                tion was performed to support the values incorporated as part of F-EOP-4,
                "Primary Containment Control," and documented in Section 3.3, Appendix C,
              page C3-1 of the EP6 Calculations.
          e.  Maximum Drywell Spray Flow Rate Limit - This calculation was performed to
              ensure that the evaporative cooling pressure drop was less than t'
              permissible design to support a drywell spray flow rate of 10,000 gallons          1
                per minute.                                                                        l
                                                                                                  l
                                                      -4-
                                        _      . - -    .-  _ ,. ._-        .      .    _
 
    , .
                                                                                          1
  '
'
                                                                                          I
                                                                                          1
        f.    Drywell Spray Initiation Limit - This curve was developed to determine the '
              pressure limit wnen spraying at the maximum drywell spray flow rate to
              ensure that the reactor building to containment design negative pressure  l
              differential limit is not exceeded by initiation of drywell or wetwell
              sprays.                                                          -
        9      Maximum Primary Containment Water Level Limit - This calculatio'n~
              determined that the maximum containment water level was based on the
              highest primary containment vent elevation as opposed to the design
              hydrostatic loading at the most limiting containment location.
        4.    PLANT WALK 00WNS
        in order to assure that the E0Ps can be successfully accomplished, the team
        performed in-plant walkdowns for all the E0Ps and referenced A0Ps. The team
        verified that E0P instrument and control designations were consistent with the
        installed equipment and that indicators, annunciators, and controls referenced
        by the E0Ps were available to the operators. The location and control of E0Ps
        in the Control Room was verified. With the assistance of licensed operators,
        the team physically verified that activities which would occur outside of the
        Control Room during an accident scenario could be physically accomplished and
        that tools, jumpers, and test equipment were available to the operators. The
        post accident radiation survey map was reviewed to ensure that remote
        operations were not prohibited by environmental conditions. The procedures
        reviewed are listed in Section 10.2.
        During the performance of the plant walkoowns, the team identified a specific
        strength in that, general area and equipment cleanliness was exceptional. The
        plant walkdowns also identified several discrepancies which are broken down
        into the following six areas.
        a.    E0P Entry Conditions
              The team reviewed the entry conditions and associated instrumentation for
              F-E0P-4, "Primary Containment Control," and identified the following
              methods for determining suppression pool water level in the control room:
              1.    Utilizing the Safety Parameter Display System (SPDS) which indicates
                    13.95 feet normal torus water level at 100% power.
              2.    Utilizing the plant process computer which indicates level in Wide
                    Range (+72 in to '-72 in) and harrow Range (+6 in to -6 in).
              3.    Utilizing instruments at Main Control Board Panel 09-3, which
                    iacicctes approximately 14 feet normal torus water level at 100%
                    power.
            The team no;ed that a narrow range level instrument which was not
              referenced by the E0P was available.on Standby Gas Treatment System Panel
            09-75, which is located in the back of the control room. However an
            audible local or control room supervisory alarm was not available.
            As a result of the review, the team identified that if the SPDS were not
            available as inferred by NUREG-0737, Item 4.1.c, the operator's ability to
                                                  -5-
                                                                                  - -
                                                .    -    _ .
 
  ,  .
    '
.
            identify entry conditions would be hampered because the plant process
            computer alarm setpoints were +2.5 and -2.5 inches vice the E0P entry
            conditions of 0.0 and -1.5 inches. The team also noted that E0P-4,
            "Primary Containment Control," Section A, Item 6 listed drywell average
            temperature above 135 degrees F as a condition for entry into the E0P.
          Again, if the SPDS were net available as NUREG-0737 Item 4.1.c i_nfers, the
          operator's ability to detect E0P entry conditions would be hampered
          because the alarm setpoints for plant process computer points M085 and
          M086 were 65 degrees F above the E0P entry condition of 135 degrees F
            (i.e. 200 degrees F) and the 09-75 Panel did not have a audible local
          alarm or a sur ervisory alarm in the control room. Further action is
          necessary to revise the computer alarm setpoints to values which support
            the E0P entry conditions,
            in addition, the team identified a human engineering deficiency which had
            the potential for cperator confusion with respect to the indication of
          torus water level. Technical Specifications 3.7.A.1.a and 3.7.A.1.b
          specify maximum and minimum vent submergence levels of 53 and 51.5 inches
          respectively as the Limiting Conditions for Operation (LCO). However, the
          E0P entry conditions were specified as 0.0 and -1.5 inches. Although
          engineering correlatien exists between the TS LC0 (53.0 to 51.5 inches)
          and the parameters monitored by the plant process computer and Panel 09-75
          (0.0 to -1.5 inches) and SPOS (13.95 feet), the indication of torus water
            level in different units and methods is confusing. Interviews with opera-
          ting staff confirmed that the correlation was not immediately apparent.
          The licensee has indicated that this deficiency will be resolved with the
          implementation of Revision 4 of the EPGs at wnich time all references to
          torus water level will be in feet of water in the torus. Additional
          action is necessary in the interim to ensure that operator confusion does
          not exist.
          The team attempted to determine whether inadequacies in the licensee's
          program of E0P validation may have contributed to the above discrepanc)
          related to tne torus water level.    The plant specific validation of the
          JAFNPP E0Ps was performed in December 1984 by a shift supervisor in the      j
          control room. The validation criteria of F-AP-2.2, "Procedures for
          Emergency Operating Procedures," Appendix 0, "EOP Validation Checklist,"
          were used to perform the validation.    The completed checklist included
          reference to the inconsistencies concerning the suppression pool level        i
          instrumentation, however objective evidence in the form of written            I
          resolution to the validation comment was not available in the licensee's
          records.    The team determined that val 106 tion comments of a typographical
          nature were incorporated into the E0Ps; however, the resolution of coments
          requiring engineering resolutions was not apparent. Future action is          i
          necessary to resolve this discrepancy as well as any other unresolveo        '
          validation comments,
        b. Lack of Equipment or Inf ormation which could Af tect Performance of the
          Procedure
          F-E0P-4, "Primary Containment Control," Step 4.7, required the operators
          to vent the containment in accordance with F-A0P-35, "Post Accident
          Venting of Containment," to maintain pressure below the limits of Figures
          F-E0P-4.6a and F-EOP-4.6b. The curves were specifically applicable to
                                              -6-
 
  ,  .
    '
.
          pressure instruments MENS 0R 16-1-PIT-104 and 27-PT-101A/B respectively.
          Figure F-E0P-4.6a was not provided in Procedure F-A0P-35. Therefore, the
          possibility for operator confusion existed, in that both pressure instru-
          ments and their respective figures were not provided for use in F-A0P-35.
          The licensee indicated that F-A0P-35 will be modified to control contain-
          ment pressure using MENS 0R 16-1-PIT-104.                        _
          During the walkdown of F-A0P-34, "Alternate Control Rod Insertion," the
          team identified that tool cabinets containing the tools and equipment
          required to perform the control rod withdraw line venting portion of the
          procedure did not contain the necessary equipment for handling the venting
          components in the anticipated accident environment. Alternate control rod
            insertion is accomplished by venting the Hydraulic Control Unit (HCU) vent
          valves with a flexible stainless steel hose. Venting even relatively
          small flow rates of high temperature primary water would result in a
          dangerous two-phase steam-water mixture through the flexible hose. A
          caution in the procedure did not appear adequate in view of the potential
          adverse impact on the performance of the procedure. As a result of this
          concern, the licensee took immediate action to provide safety equipment
          (i.e. welder's gloves) in the cabinets. The team also identifieo that the
          venting procedure directed the tlexible hose discharge to a floor drain
          and that no provision existed for securing the discharge end of the hose
          against the reaction loading during venting. The licensee indicated that
          a modification has been initiated to fabricate and install permanent drain
          connections for this vent procedure.
          During the walkdown of F-A0P-43, "Plant Shutdown From Outside the Control
          Room," a potential deficiency in the performance of the procedure was
          identifiec, in that a delay was experienced when the remote shutdown panel
          could not be opened using the on-shift key ring. Subsequent investigation
          identified that the necessary key was in the previously opened, staged
          equipment box. The inspection team questioned the benefit of using a
          separate key for the remote shutdown panel, in that no additional
          protection is provided and the potential for confusion is increased.
          Further licensee action is necessary to resolve this deficiency.
          F-A0P-43, also required the operation of various Emergency Diesel
          Generator (EOG) controls. Step D.2.2, which required the verification of
          control power availability by checking the indicator lights, did not
          indicate which lights would be energized to indicate that control power
          was available to the EDG synchronization circuits. The location of the
          inoicating lights was not apparent and should be clarified to prevent
          confusion,
        c. Uncontrolled Operator Aids
          As a result of verifying that operator aids posted on plant instrumenta-
          tion and control panels were the latest revision ano administratively
          controlled, the team identified that Operations Department Standing Order
          No. 21, "Posting of Operator Aids," paragraph 7.7, required an annual
          review of all operator aids.    The licensee was unable to demonstrate that
          this review had been performed in 1967 and 1988 and as corrective action
          initiated an immediate verification. As a result of this verification,
          six operator aids were identified which required revision.    None of these
                                              -7-
                                                                            . _ , _ -  . . _
                                                          .  . _ .    ._  _
 
  r *
,
          aids could have resulted in performing the E0P actions 'ncorrectly. The
            licensee indicated that the audit of operator aids will be incorporated
          into a new surveillance procedure to ensure the audit is accomplished as
          required,
      d.  Referencing Errors in Procedures
          The following discrepancies in referencing were identified during the
          review and walkdown of the E0Ps. Based on a review of the context and
          effect of these deficiencies, the team concluded that their effect on the
          ability to adequately perform the E0Ps was minor.
          1.    F-E0P-5, "Secondary Containment Control," Table F-E0P-5.1,
                  incorrectly identified area temperature instruments, 23-MTU-202A and
                  23-MTU-202B (located at Panels 09-95 and 09-96 in the Reactor
                  Building) as 23-MTU-201C and 23-MTU-2010.
          2.      F-A0P-15, "Recovery from an Isolation," Paragraph I.C.2, incorrectly
                  identified the location of alarming Reactor Building radiation
                monitors as Panel 09-12. The correct location for the alarmine
                  function is Panel 09-3.
          3.    F-A0P-36, "Stuck Open Relief Valve (50RV)," Paragraph A.6,
                  incorrectly indicated in the last parenthetical note that the
                symptoms of a stuck open reliet valve are four energized solenoid
                  indicating lights.    A single energized indicating light is the
                correct symptom.
          4.    F-EOP-4,"Primary Containment Control," Step 5.2, incorrectly referred
                  to F-EOP-2, "RPV Control (Boron Injection fiot Required)," Step 4 for
                emergency depressurization. The correct reference is Step 4.8 and
                4.9. A similar reference occurred in Step 5.3.1 of F-E0P-4.
          5.    F-E0P-2, "RPV Control (Boron Injection flot Required)," Table
                F-E0P-2,1, incorrectly referenced step 4 in the third action item
                under pressure high / level decreasing. The correct reference is to
                Steps 4.8 and 4.9.
                                        A similar reference existed for the fourth action
                item in the same section of Table F-E0P-2.1, in that the reference      j
                should hve been to Steps 4.6 and 4.7 vice Step 4.                        I
      e.  Incorrect / Inadequate labelling
          The following minor examples or incorrect or inadequate labelling were
          identitied. The team concluded that these examples did not adversely
                                                                                          .
                                                                                          l
          affect the performance cf the E0Ps.                                            l
          1.    F-A0P-36, "Stuck Open Relief Valve (50RV)," required the removal of      l
                fuses at Panel 09-47 in the Relay Room. Four fuses were not labelled
                and eight fuses were labelled with temporary marking (i.e. Dynotape).
                The licensee indicated that the fuse location prevents permanent
                marking of the fuses and that further action would be taken to remove
                the temporary markings and ensure that the fuses are adequately
                identified by an cperotor aid.
                                                -8-
 
                                                                                                - _ _ _ _ - _ _ _ _ _ _ _ -
    1  0
      '
  .                                                                                                                            :
                                                                                                                              l
l
'
                2.    F-0P-37, "Nitrogen Ventilation and Purge; Containment Atmosphere
                      Dilution (CAD); Containment Vacuum Relief and Containment Differ-
l                    ential Pressure Systems," Section G.1.b.4, required operation of the
                      27-M0V-121 valve on Panel 27PCP in the Relay Rocm.      The valve switch
                      was labeled. "Bypass Valve", however the correct name is ' Purge
                      Exhaust fan Bypass Valve."                                      _
                                                                                                                              l
                3.    Several additional minor examples of informal marking (i.e. use of
                      black markers) and temporary labelling (i.e. adhesive labels) were
                      ioentifieo during the plant walkdowns. The team observed that
                      specific actions have been undertaken to upgrade the equipment
                      labelling throughout the plant. Although no examples were identified
                      which would prevent the procedures from being accurately performed,
                      further actions are necessary to upgrade the labelling of instruments
                      ano components.    In particular, the Hydraulic Control Unit (HCU) vent
                      valves used in F-A0P-34, "Alternate Control Rod Insertion," shoulo be
                      permanently labelled. These valves were identified witn temporary
                      marking (i.e. magic markers).
          5.    E0P SIMULATION USING CONTROL ROOM M0CK-UP
          To ensure that the E0Ps could be correctly implemented under emergency
          cer.ditions, two accident scenarios were developed and conoucted in a 6-hour
          session utilizing licensed operators.        The accident scenarios were accomplished
          to determine whether the E0Ps provide the operators with sufficient guidance
          such that their required actions during an emergency were clearly outlined; to
          verify whether the E0Ps could cause the operators to physically interfere with
          each other; to verify that the procedures did not duplicate operator actions
          unless required; and to verify that transitions from one E0P to another or to
          other procedures were accomplished satisfactorily,
          a.    Control Room Mock-Up
                Because JAFNPP does not have a site specific simulator and the plant was
                operating at full power thereby making extensive control room access
                difficult, a full scale photographic mock-up of the control room was
                utilized for tne scenario. To ensure a realistic test of the E0Ps using
                the control room mock-up, the following provisions were verified:
                1.    The photographic reproduction replicated the actual control room with
                      enough fidelity 50 as not to cause confusion or detract measurably
                      from the ability of the operating crew. To ensure fidelity, the
                      mock-up was examined by the team and the licensee.      Although mincr
                      differences were identified, the team concluded that the simulation
                      would not be excessively impaired.
                2.    Realistic scenarios which preserved a true time line were required to
                      be developed and executed in a believable manner.      The licensee
                      supported these efforts by providing a reactor analyst who assisted
                      the NRC operator examiner to produce two scenarios based on an
                      integrated analysis of computer generated transients. The time
                      response of the reactor, primary, and secondary parameters were
                      caref ully followed. The scenarios were then examined by tne                                            i
                      licensee's training staff to confirm the adequacy and accuracy of the                                    l
                                                      9
                                                                                        -                                  _-
 
  >  *
    '
.
                  system responses.    To implement and control the scenario, a certified
                  training staff member and the NRC operator examiner functioned as
                  controllers, providing data input as required by the operators in
                  accordance with the timed and scripted accident scenarios.
            3.    Licensed operators were required to simulate actions and responses
                  based on inputs from the controllers.  The shift crew was requested
                  and fully supported the mock-up requirements to simulate obtaining
                  data from the appropriate instrumentation and locations.    Three NRC  l
                  team members were used to monitor the operators' response and imple-    l
                  mentation of the E0Ps. Based on the operators' actions and the
                  te6m's review, the use of the mock-up was determined to be a adequate  l
                  simulation for performance evaluation of the E0Ps.                      l
                                                                                          l
        b.  Scenario Description
            The team developed two simulated accident scenarios. Both were selected      i
            to exercise parallel E0P paths and contingency procedures, with a special
            emphasis on reaching and utilizing the containment venting procedure. The
            specific paths were designed to invoke PRA-based risk significant operator
            actions as a means to demonstrate E0P adequacy.
            The first scenario involved the loss of the main condenser with an            )
            anticipated transient without scram (ATWS) and delayed Standby Liquid
            Control System (SLC) actuation. The transient was initiated with an
            unrecoverable failure of the main condenser. The ATWS condition was then
            required to develop sufficient internal energy in the primary to produce a
            containment venting situation later in the scenario. The workability of
            the text-type E0Ps in a multiple path sequence was demonstrated by
            requiring the operators to simultaneously follow F-EOP-2, "Reactor
          Pressure Vessel (RPV) Control," for reactor power, reactor pressure, and
            reactor level control. As alternate rod insertion techniques were being
          pursued, primary containment precedures and later SLC injection (with
          SQUIB valve failure) were entered due to increases in torus temperature.
          Power control with vessel level was then utilized to minimize power while
          alternate SLC injection methods were tried. On approaching the
          containment venting pressure, alternate rod insertion (withdraw line
          venting) and CR0 boron injection were successfully implemented to allow
          reactor shutdown and plant recovery. Following containment venting,
          shutdcwn cooling was established and the scenario was terminated.
          The second scenario involved an unisolable LOCA in the Secondary
          Containment.    This sequence postulated that the inboard isolation valve in
          the secondary containment portion of the Reactor Water Cleanup (RWCU)
          system f t 51ed to close. No alarms sounced initially, but parametric
          values indicative of a 0.1 square f oot breach of the primary system were
          given to the operators.    This condition was intended to initiate a problem
          solving mcde (i.e. an event based evolution) prior to any E0P entry            ;
          c/ dition. Area high temperature, and high radiation alarms were used to      )
          e. ;ablish secondary containment and radiation control E0P entry with
          feergency Plan actions. Secondary containment conditions were severe
          enough that emergency depressurization was required to minimize the
          radioactive release. Rapid plant shutdown and cooldown proceeded with all      l
          plant components operating normally.                                          l
                                              -10-
                                                              _-
 
  o -
.
      c. Observations and Conclusions
        The operators' cooperation under the difficult simulation circumstances
          involving the control room mock-up was excellent. Cornmunications between
        crew members during the evolution were clear, and overall response to the
        scenario situations resulted in moving through a very complex scenario
        without any significant procedural errors. The scenario timeline was
        maintained with a deviation of less than five minutes at the one hour
        point, which resulted in a realistic event sequence. Under these real
        time conditions, the useability of tne E0Ps was demonstrated to be satis-
        factory. The shif t from event based (i.e. abnormal operating parameters)
        to condition based E0Ps in the second scenario was made smoothly, com-
        pletely and without hesitation, as was the transition from secondary
        containment centrol to the emergency depressurization sequence. Although
        no significant procedural errors were evident, the following concerns were
        identified by the team.
        1.    Placekeeping Method - The team was concerned with the method utilized
              for placekeeping curing the performance of the E0Ps. The operators
              used multiple loose leaf copies of the procedures to follow the
              multiple paths required. Through direct observation and interviews,
              the team determined that loose leaf procedures would not be used in
              the control room. The control room copies are of a "lay flat" design
              and two copies of the E0Ps are maintained to support multiple entry
              conditions. Although the operators did not lose their place in the
              procedure during either scenario, the team was concerned that the
              Plant Specific Writer's Guide, Operating Department Standing Order s,
              operator training and the E0Ps themselves did not provide or support
              a preferred method of placekeeping. Further action should be taken
              to evaluate and identify a preferred method of placekeeping. This
              method should be procedurally supported and trained on a periodic
              basis.
        2.    Use of Cautions - The team was concerned that at no time during the    l
              performarice of the scenario were the operators observed to review
              F-EOP-1, "EOP Cautions." This E0P contained 23 Cautions, whicn were    '
              referenced throughout the E0Ps. Specific reference to these cautions
              were made by numeric and abbreviated reference. Althougn none of the    l
              specific requirements of this E0P were violated or overlooked during  l
              the scenario demonstrations, the team remained concerned that the
              collection of all cautior.s into one location outside the normally
              performed flow path of the E0Ps could result in overlooking a
              significant caution.
        3.    Minimum Snif t Staf fing - Corwnunications outsioe the control room
              Tdispatener, plant o.anagement, NRC, and Emergency Plan notifications)
              were not simulated in the first scenario due to the circumstances of
              the control room mock-up. Corrcunications were adequately simulated
              in the second scenario, and crew communication was excellent. The
              Emergency Plan was not available at the simulator, but was called for
              by the operators. The E0P simulation demonstrated that the minimum
              shift crew could imGement all steps nf the E0Ps. However, the team
              was concerned that sufficient control room personnel might not be
              available to concurrently perform all required actions, including
                                            -11-
                                                                          -_      _
 
,
    .
  .
                                                                                        l
                                                                                        l
                                                                                        l
                  implementation of the Emergency Plan and activation of the Fire
                  Brigade.
                                                                                        l
                  The operatnrs confirmed that their.first responsibility was to
                  perform the E0Ps and that additional actions would be required to be
                  performed by personnel not specified in the minimum shift _ crew (i.e. ;
                  security guards). In addition, the operator interviews (discussed in  l
                  Section 6.2.a) indicated that the operators believed that the present
                  staffing levels were adequate. The team remained concerned that all
                  actions required to be performed in an emergency would not be able to
                  be accomplished by tne minimum shift crew defined in Technical
                  Specifications. Further licensee and NRC action is required to
                  resolve this concern.
      6.    HUMN FACTORS REVIEW AND INTERVIEWS
      In order to determine the adequacy of the E0Ps witn respect to the guidance
      provided in NUREG-0899, "Guidelines for the Preparation of the Emergency
      Operating Procedures," a review of the Plant Specific Writer's Guide (PSKG) and
      tne E0Ps was performed to determine the extent to which the PSWG nas been
      implemented. In addition, structured interviews were conducted with    relevant
      JAFNPP personnel. The results of these efforts are detailed below.
      6.1 Writer's Guide Implementation
      Administrative Procedure F-AP-2.2, "Writer's Guice," was reviewed to ensure
      that the human factor's guidance provided was incorporated during the develop-
      ment of the E0Ps. Two specific strengths and four weaknesses were noted:
      a.    Paragraph 4.3, page 27, provided concise, distinctive specifications for
            the content of Cautions and Notes which was similar to the guidance of
            paragraph 5.7.9 of NUREG-0899. This application of human factors
            principles was used by JAFNPP to transform Cautions #4, 5 and 10 of the
            EPGs into either Notes er Action statements in the E0Ps. This reduction
            in the total number of cautions creates a reduction in the eperator's
            buroen and is considered an improvement in the clarity of the E0Ps.
      b.    Tne use of miniature figures within the body of the E0Ps was identified as
            an innovative method to minimize branching outside the procedure withcut
            reducing the technical adequacy of the references. As identified in
            Section 6.2.e, the operator interviews confirmed that whenever extrapola-
            tions were required, the full sized figures attached to the E0Ps were
            used.
                                                                                        l
      C.    JAFhPP's response to comment B.1 of tne Interim Safety Evaluation dated      l
            September 11, 1985 states that an action step will be completed on tne      l
            page where it begins. A review of tne E0Ps identifleo that operator          '
            action statemer,ts were oftEN Continued from one page to another witn no
            consister4 in format. This practice sometimes resulted in part of a          l
            logic statement on the first page and the remainder on the second page.      '
            For example, F-E0P-4, step 4.4 (pages 21-23), step 4,6 (pages 23-25) and
            step 5.3.1 (pages 31-35) each contained examples or three different
            formats. Beseo on the response to the safety evaluation and t;ie operator
            ccncerns retarding continuity and placekeeping identified in Section
                                                -12-
                                        _  _ _
 
  .  ,
    '
.
              6.2.g    the Writer's Guide shculd be revised to provide a human factored
                format for the continuation of action statements to the following page
              when completion of the action statement on the first page is not possible.
                In addittoa, the incorrect response to the SER comment should be
                identifieo and resolved.                                        .
        d.    Paragraph 4.8, page 29, specified that capitalization will be use'd for
              emphasis in specifted instances.    A review of the E0Ps indicated that the
              term "upper case type" is prob'bly meant instead of "capitalization" in
              the Writer's Guide and only the action statements within the contingency
              statements were to be in upper case type.    Tne Writer's Guide should be
              clarified to provide consistent guidance,    in addition, Caution No. 22 of
              F-EOP-1, "EOP Cautions," should be changed to conform to the requirements
              of paragraphs 4.2 and 4.8, such that the "if" logic term is in upper case
              and is located at the beginning of the logical condition.
        e.    Paragraph 4.6, page 28, concerning the referencing and branching to other
              procedures or steps, provided no guidance as to how referencing or
              branching to Abnormal Operating Procedures (A0Ps) or Operating Procedures
              (ops) should be handled. The review of the E0Ps identified that the prac-
              tice utilized within the E0Ps was not consistent, in that the A0Ps or ops
              were not always referenced by both procedure number and name.      NUREG-0899,
              paragraph 5.2.2 indicates that the specific system procedures should be
              referenced in the E0Ps.
        t.    Paragraph 4.7, page 26, indicated that the equipment names referenced in
              the E0Ps may not always match the engraved names on the panels, but will
              be complete and in operator language. Althougn there were several minor
              examples identified ouring the plant walkdcwns in which equipment names
              did not match their labels, on-going labelling efforts, identified in
              Section 4.e. are anticipated to correct this discrepancy. Further action
              should be taken to revise the Writer's Guide to reflect the current
              labelling philosophy.
        6.2 Operator Interviews
        interviews 'were conducted by the human factors member of the team with
        individual' members of the plant staff as classified below:
                    ifob Classification (License)                Number
                    $nift Supervisors (SRO)                        2
                    Asst. Shift Supervisors (SRO)                  3                          t
                    Senior Nuclear Operators (RO)                  1
                    Nuclear Control Operator (k0)                  1
                    Auxiliary Operator (unlicensed)                1
                    Training Coordinator (SR0 certifieo)            1
                                                                                              l
        A four page interview guide with 8 major topics was used for each interview and        l
        was reviewed by both parties. Discussions were open-ended, in that the
        licensee representative was encouraged to volunteer comments which were
        relevant. Each person was advised that the objective of the interview was to
        develop information on the effectiver.ess of the E0Ps and not to examine the.
        qualifications of the individual. The length of the individual interviews were
                                                -13-
                                                                                              l
 
    ,
:
  .
      approximately one hour.      Two majo changes were in progress at JAFNPP which the
      operators anticipate will have a positive impact on the effectiveness of the
      E0Ps.    The first is the stort-up of a site specific training simulator late in
      1988 and the second ;s the change to a flow chart E0P format in 1989. However,
                                                                                              ,
                                                                                              I
      the interviews were confined tc the context of the presently implemented E0Ps.
      The results of this process are identified below.                      -
      a.    Role / Task Definition - There was an established, uniform practice for the
              conduct of plant operaticns during the execution of E0Ps. These
            operations were governed by Operations Department Standing Order No. 2,
              "Operating Principles ano Philosophy," and further developed during
              control room crew team training during simulator and on-the-job training
              (0JT). Ef fective execution of the E0Ps was also aided by crew stability
              (typically crew membership has been the same for 3 years) and by a
              recently initiated training program on effective oral communications. The
            control room task assignments were well defined. The consensus of
            opinions was that the current control room staffing level achieved the
            proper balance between assuring adequate staffing and avoiding confusion.
            At JAFNPP an off duty control room crew was assigned to "standby" and may
            be called to the site upon the declaration of an Unusual Event. However
              the avail 6bility of off duty personnel does not resolve the team's concern
            with the minimum shift crew manning as discussed in Section 5.c.3.
      b.    Use of E0Ps - The control room resources for use of the EUPs were
            considered adequate. Two sets of E0Ps were kept ir he control room. A
            space was assigned for the lay-down of the "open-fl ' E0P manuals. A
            cart was provided for abnormal and normal operating procedures, Technical
            Specifications, Emergency Plan, etc.
      c.    Technical Adequacy - Concerns were expressed about the ability to reliably
            execute, under accident conditions, Step 5.2 of F-EOP-4, "Primary Contain-
            ment Control," which required the combined use of Figure F-E0P-4.1, "Heat
            Capacity Temperature Limit," and Figure F-E0P-4.7, "Heat Capacity Level
            Limit." There was no explicit direction in Step 5.2, or in the E0Ps
            overall, as to how to obtain the value of the abscissa for Figure
            F-EOP-4.7.    Paragraphs 5.6.9 and 5.7.8 of NUREG-0899, "Guidelines for the
            Preparation of Emergency Operating Procedures," provide guidance which
            suggests that step-by-step direction should be added to F-EOP-4, Step 5.2,
            for the proper combined use of the two curves. This direction would
            improv[ethehumanreliabilityassociatedwiththeoperationofthesafety
            systems affected by Step 5.2.
            Concerns were expressed about the ability within the time available to
            bypass the low RPV water level Main Steam Isolation Valve (HSIV) isolation
            interlocks in accordance with F-A0P-38, "EOP isolation / Interlock
            Overrides," when directed by step 2.2.2 of F-E0P-3, " RPV Control (Boron
            injection Required)." The operators suggested that F-EOP-3, "RPV Control
            (Boron Injection Required)," should specify controlling RPV water level at
            e control pcint above the automatic MSIV isolation setpoint to prevent
            unnecessary isolation of the RPV (and loss of the ultimate heat sink)
            during the installation of override jumpers.
      d.    Use of Cautions - The responses of the persons interviewed indicated that        l
            the first three cautions of F-E0P-1, "EOP Cautions," were not readily            !
                                                -14-
                                                                  __                _      __
 
                                                                                      .
  .  .
    '
.
            recalled and were therefore not fulfilling their intended function.
            F-EOP-1, contained all cautions applicable directly to the E0Ps. The
            cautions were listed by serial number and consisted of a title ano text.
          Numbers and titles of the cautions were used throughout the E0Ps when
            reference to the specific caution was required, however the first three
            cautions were applicable to all E0Ps and were consequently not referenced
          within the texts of otner E0Ps. These cautions required the operators tc
          monitor overall plant conditions, nicnitor multiple indications and to
          confirm safety functions of automatic equipment. This concern is not to
            st6te ''that the requirements of the cautions would not be applied by the
          operators in the performance of the E0Ps, however the effectiveness of the
          use of a separate volume of cautions (as discussed in Section 5.b.2) is
          questionable.
          The effectiveness of the E0P Cautions would be enhanced if the texts on
          some of the associated figures were more explicit. For example, label the
          cross-hatched areas as "Prohibited Region," or label the figures associa-
          ted with Caution # 8 with a directly worded caution such as "Do not
          operate pumps unless..." instead of the non-specific, "Observe NPSH
          Limits...".
          There was a general concern among the operators over the number of
          cautions. The PSTGs must be observeo with respect to the incorporation of
          tecnnical restrictions into the E0Ps, however application of human factors
          guidelines has reduced the burden on the operator of several technical
          restrictions (as discussed in Section 6.1). As previously identified,
          Cautions # 4, 5 and 10 of the EPGs were not incorporated as caution
          statements into the E0Ps because they did not meet the criteria for
          cautions in NUREG-0899, paragraph 5.7.9.    Similar further application of
          the criteria of accuracy, conciseness, and consistency, could reduce the
          impact of a large number of cautions,
        e. Miniature Figures - The interviews confirmed that the use of Miniature
          figures within tne E0Ps were used by the operators to the extent that the
          figures can be safely interp-eted. If the small size of the figures          ,
          caused any doubt, the full size figures of the E0Ps were used. The
                  ~
                                                                                        !
          miniature figures did not appear to create any additional possible error
          mechariism and the operators considered them useful aids,
                                                                                        l
        f. Need for a Basis Document - The interviews identified the operator's
          desire to add the basis for the opEdating limits of the E0Ps into the        l
          procedures. Although the addition of this information would generally        '
          interfere with the clarity of the operating instructions and is therefore
          rot recommenced, the need for this information in some form is apparent.
          The basis of the operating limits were supported by operator training,
          nowever the identification of a neea for a "basis document" underscores
          the requirements (identified in Section 3.a) for a reference document
          which is traceable ar,d maintained up-to-date,
        g. Transitions and Placekeeping Methods - The interviews indicated that the
          metnoa of hanaling transitions witnin the E0Ps as well as place-keeping
          within the E0Ps and the reliability of the metnods utilized has been
          receiving considerable attention by the JAFNPP staff. A standard method
          of placekeeping has not been developeo or trained. Each crew was free to
                                              -15-
                                                                                    -
                                                                              .  .
 
                                                                                              '
  ,  ,
    '
.
              implement its own method of placekeeping.      The use of separate binders and
              color ccding of the E0Ps, as well as the "lay flat" capability were the
              operator aids in use.    Based on the suggestions for additional methods,
              the activity involved to improve tnis ability, and the concerns identified
              in Section 5.c.1, further consioeration should be given to revising the
              E0Ps to include support for check-off spaces and the adoption of- a
              practice of writing directly in the action copy of the E0Ps.
        h.    Communication - The interviews indicated that the present communications
              methods were adequate both within the control room and to the local
              stations, but that a recent program for improving communications w;s
              appropriate and productive.    Expectations for improvements in
              communications training due to the use of the site specific simulator were        !
              also noted.
                                                                                                I
        i.    Contro! Rocm Environraert - The interviews identifieo that the provisions        l
              for lignting witnin the control room and at local stations in the event of
              a station blackout and the provisions for control room habitability in the
              event of an on-site raoiation release or in the event of smoke or toxic          j
              gasses in the control room have been difficult to incorporate into 0JT            l
              training and that further training with the site specific simulator should        I
              be pursued.                                                                      '
        j.    Balance of Plant / Local Control Stations - The interviews identified the        i
              use of an "operator aids" program wnicn produced validation and                  ;
              improvement of the human f6ctors at local stations including significant        i
              efforts to upgrade the labelling of components. In summary, the
              implementation of E0P operations at local control stations was considered
              adequate.
        k.    Validation and Verification - The interviews indicated that the operators
              were includeo to a limited extent in the process of developing, verifying,
              and validating the E0Ps. Operators were aware that there was a procedure
              for initiating suggested upgrades to the E0Ps and that training exercises
              were expected to help identify possible discrepancies. However, operators
              were unclear as to their personal responsibilities for initiating
              resolutions of possible discrepancies as evidenced by several instances in
              which potential discrepancies identified by the operators in the interview
              had not been formally identified by the operator for resolution. Further
              action is necessary to clarify the operator's role in E0P upgrades.
        7.    CONTAINMENT VENTING
        The team reviewed the EPCs and the Appendix C, Calculation Procedure No. 14,
        "Primary Containment Pressure Limit," to determine if the PST6 values were
        computed correctly. The team also reviewed tne method, flow path, and feasib1-
        lity of the containment venting procedure.
                                                  -16-
                                        ..    .
                                                                          __
                                                                                .
 
  *      .
        *
.
            The attributes of the vent paths are detailed in Calculation Procedure No. 14
            "Primary Containment Pressure Liniit," and are summarized as follows:
                                      Suppression Chamber Vent Paths
                                                                                    ,
                        Path                  A(v?)        P(oi)    P(ci)  E(vi)    --
                      27-A0V-117,118          0.736        79.3      79.3    29.5
                      27-MOV-117,123          0.021        56.0      56.0    29.5
                                              Drywell Vent Paths
                        Path                  A(vi)        P(oi)    P(ci)  E(vi)
                      27-A0V-113,114          0.697        9.2      9.2    105
                      27-MOV-113,122          0.021        56.0      56.0    105
                        A(vi) - Minimum vent path area (f t2)
                        P(oi) - Maximum containment pressure the vent valve can open
                                  against(psi)
                        P(ci) - Maximum containment pressure the vent valve can
                                  close against (psi)
                        E(vi) - Elevation of the vent patn containtnent penetration
                                  referenced to torus bottom (ft)
            From the above information, JAFhPP determined that the suppression chamber vent
            path via A0V-117 and A0V-118, is the only path capable of operating at the
            design pressure of the containment and meeting the criteria of removing decay
            heat.
            Venting of the containment was controlled by F-A0P-35, "Post Accident Venting
            of the Primary Containment." Two flow paths are possible: a small bore path
            and a large bore path. Containment venting would be initiated via the small
            bore path, and if not effective in restoring pressure to less than the limit,
            venting would be continued througn the large bore path. The initial path is
            via valves MOV-117, M0V-123 and M0V-121. Due to piping and valve size and a
            flow restricter between valves MOV-117 and MOV-123, this flow path will not
            control the containment pressure under accident conditions.
            The large bore path is via valves A0V-117, A0V-118, and MOV-120. Valves
            A0V-117 and A0V-116 are 20 inch valves that discharge tc a 30 inch carbon steel
            header. Valves M0V-121 anc h0V-120 are 6 inch and 12 inch valves respectively
            which discharge in parallel through a 24 inch carbon steel header to one of two
            Stacdby Gas Treatment Systein (SBGT) trains. Tne SBGT trains are tested at 1
            psig, and have a working pressure of 0.5 psig. The vent patn starts near the
            top of the torus. When torus level increases to 29.5 feet, the vent path
            becomes unusable due to flooding. An alternate path from the drywell air space
            is not available under hign pressure conditions because isolation valves in
        " potential vent paths are not able to be stroked (closed) under high
            differential pressure conditions.
            The team confirmed that figure F-E0P-4.6, "Primary Containment Pressure
            Limits," was a result of considering the maximum constant pressure condition
            during the air purge and during tne steam vent. During air purge, constant
                                                    -17-
  ,. _            -.                    -      -
                                                      - ~_      . .  --          .--    - - - - .
 
      ..
                                                                                              _
  o .      .
.
        -
                                                                                                l
                                                                                                l
                                                                                                1
                                                                                                l
                                                                                                l
            pressure is the result of volumetric air flow out of the vent being equal to      ;
            the volumetric addition of steam generated by decay heat. During the steam          I
            vent, the steady-state condition exists where energy out of the vent is equal      i
            to energy generated by decay heat. The limiting structural component in the
            primary containment is the 48 inch manway to the torus. For any conditions of
            vacuum that may develop in the torus or drywell, vacuum breakers are-provided
            between tne torus and the drywell and between the torus and the reactor
            building.
            Calculations were not included as part of the EPG calculations to determine the
            pressure which the SBGT system would be subjected t under venting conditions.
            The SBGT filter units are located in an enclosure adjacent to the reactor
            building and 1solated from the environment by a non-seismically qualified door
            with ventilation louvers. Without further procedura l precautions or hardware
            modifications, it is possible that the SBGT train would rupture due to the high
            pressure steam being vented. In the event of a f ailure, the vent path would
            then release into the environment via this unmonitored path througn the SBGT
            room. Further evaluation is required to ensure that the SEGT train is not
            anticipated to rupture under the postulated pressures and temperatures
            associated with the containment venting sequence.
            The vent paths discussed above pass through readily iccessible portions of the
            secondary containment. Although venting would result in increased radiation
            levels, the team concluded that the operators could carry out other duties
            simultaneously with venting.
            F-A0P-35 woulo be clearly implemented by control room operators without further
            direction after the accident mitigation strategies of the E0Ps have failed.        ;
            The operators were directed by the procedure to vent, "... irrespective of
            radioactive release." Appropriate cautions were included concerning
            implementation of the Emergency Plan ano Dose Assessment.    The team identified
            one concern with the implementation of the containment venting procedures, in
            that a Special Procedure, F-SP-02, "Post LOCA Venting of Containment &
            Operation of the Main Steam Leakage Collection System," was identified to be an
            active plant procedure.    The vent paths described in F-SP-02 were identical to
            those specified in F-A0P-35, however the initiation pressure for containment
            venting was approxim6tely 45 psig lower than the pressure specified in
            F-A0P-35. The licensee indicated that the containment venting portion of this      '
            procedure was based on old event-based operating procedures and was                l
            inadsertently issued during the last revision of the section applicable to the
            operation of the Main Steam Leakage Collection System. During the inspection
            period, F-SP-02 was withdrawn and revised to remove tne non-applicable portions    1
            of containment venting.
                                                                                                l
            8.    ON-G0ING EVALUATION OF E0Ps
            hUREG-0899 Paragraph 6.2.3, indicates that licensees should establish a program
            for on-going evaluation of the E0Ps. This program should include: evaluations
            cf the technical adequacy of the E0Ps in light of operational experience and        ,
            use, training experience, and any simulator exercises and control room              '
            walk-throughs; evaluation of the organization, format, style and content as a
            result of using the procedures during cperations, training, simulator
            exercises, and walk-throughs; and evaluation of staffing and staff
            qualifications relevant to using the E0Ps.
                                                                                                I
                                                    -18-
                                                                                                ,
                                                                -    ,  - ,
 
                                                                                          _ _ _ _
                                                                                                  ~
o s .
                                                                                                    1
                                                                                                    l
                                                                                                    1
                                                                                                    I
                                                                                                    l
      The team reviewed the Administrative Procedures which control the use of                      l
      procedures at JAFNPP. F-AP-1.4, "Control of Plant Procedures," established the
                                                                                                    )
      requirements for initiation, review, approval, revision, temporary change,                    I
      withdrawal, and control of procedures and was applicable to all operational                  i
      procedures.    F-AP-1.2, "Plant Operating Review Comiittee," specified a schedule
      for periodic review of procedures, which included a biennial review of EOPs.
      Plant Standing Order No. 28, described the procedure by which internally and
      externally generated operating experience is evaluated, reviewed and, if
      necessary, incorpcrated into plant procedures or design changes. Although each
      of these progran.s or procedures was considered to be applicable to tne E0Ps, a
      specific program for the on-going evaluation of the E0Ps did not exist. As a
      future upgrade of the E0Ps, the licensee is in the process of upgrading the
      E0Ps to Revision 4 of the Vendor's EPGs and has scheduled verification and
      implementation of flow chart E0Ps by July 1989.
      9.    EXIT MEETING
      The inspection team conducted an exit meeting on June 3,1988, with licensee
      management to identify the inspection fir. dings and provide the licensee with an
      opportunity to question the observations.        The scope of the inspection was
      discussed and the licensee was informe' of the conclusions identified in the
      course of the inspection. Mr. C. J. Haughney, branch Chief, Special Inspec-
      tions Branch, NRR, and Mr. Jon Johnson, Section Chief, Division of Reactor
      Projects, Region I represented NRC management at the final exit meeting.
      10.  REFERENCES
      10.1 Personnel Contacted
      A large number of personnel were contacted during the inspection.        The
      following is a list of the JAFNPP personnel involved:
            *R. Converse, Resident Manager
            "W.  Fernandez, Superintendent of Power
            *D. Lindsey, Operations Superintendent
            *0. Burch, Reactor Analyst Supervisor
            *R. Patch, Quality Assurance Superintendent
            *V. Walz, Technical Services Superintendent
            *0. Simpson, Training Superintendent
            *J. Catella, liuclear Training Manager
            P. Brozenich, Shift Supervisor
            R. Pike, Asst. Shif t Supervisor
            G. Davis, Reactor Operator
            L. Shaffer, Reactor Operator
            G. Frank, Training Department
            D. Jonnson, Waste fianagement General Supervisor
            J. Lazarus, Assoc. Plant Engineer
            K. Moody, Plant Engineer                                                              .
            0. Ruddy, Plant Engineer Supervisor                                                    l
            G. Tasick, Quality Assurance Supervisor                                                l
            B. Robinson, Quality Assurance Engineer                                                l
            J. Prokop Jr., Quality Assurance Engineer                                              .
            O. Squires, Shitt Supervisor                                                          '
                                                  -19-
                                            .-..          _
                                                                  . - -                -
 
    e r,  o
        *
  .
                                                                                                  I
                                                                                                  l
                  R. Thomas, Assistant Shift Supervisor
                  W. Hendricks, Reactor Operator
                  * Denotes those present at the Exit Meeting on June 3, 1988.
                                                                                        .
            10.2 Procedures Reviewed                                                      _
                  F-EOP-1, "E0P Cautions," Revision 3
                  F-EOP-2, "RPV Control (Boron Injection Not Required)," Revision 1
                  F-EOP-3, "RPV Control (Boron Injection Required)," Revision 1
                  F-EOP-4, "Primary Containment Control," Revision 1
                  F-EOP-5, "Secondary Containment Control," Revision 1
                  F-EOP-6, "Radioactivity Release Control," Revision 1
                  F-E0P-7, "RPV Flooding," Revision 1
                  F-AP-1.4, "Control of Plant Procedures," Revision 7
                  F-A0P-15, "Recovery from an isolation," Revision 9
                  F-A0P-33, "Alternate Shutdown Cooling," Revision 0
                  F-A0P-34, "Alternate Control Rod Insertion," Revision 0
                  F-A0P-35, "Post Accident Venting of the Primary Containment,"
                            Revision 0
                  F-A0P-36, "Stuck Open Relief Valve," Revision 3
                  F-A0P-37, "Boron Injection Using the CRD System," Revision 0
                  F-A0P-38, "E0P Isolation / Interlock Overrides," Revision 3
                  F-A0P-43, "Plant Snutdown from Outside the Control Room,"
                            Revision 8
                  F-AP-1.2, "Plant Operating Review Committee", Revision 4
                  F-AP-1.4, "Control of Plant Procedures", Revision 4
                  F-AP-2.2, "Procedure for Emergency Operating Procedures,"
                            Revision 5
                  F-SP-2, "Post LOCA Venting cf Containment & Operation of the Main
                            Steam Leakage Collection System," Revision 8
                  JAFNPP Records Retention / Turnover Schedule, Revision 3.1
                  JAfhPP Emergency Procedure Guide, Revision 3
                  0050-2, "Operating Principles and Philosophy," Revision 3
                  0050-4, "Posting of Operator Aids," Revision 1
                  P50-4, "Quality Assurance & Plant Operating Records," Revision 3
                                                                                                  l
.                                                  -20-
l
                                                        -
                                                              ,              _ _ - . ___    - _ .
}}

Latest revision as of 03:12, 18 December 2020

Insp Rept 50-333/88-20 on 880523-0603.No Violations Noted. Major Areas Inspected:Emergency Operating Procedures
ML20151Q788
Person / Time
Site: FitzPatrick Constellation icon.png
Issue date: 07/12/1988
From: Haughney C, Konklin J, Vandenburgh C
Office of Nuclear Reactor Regulation
To:
Shared Package
ML20151Q780 List:
References
50-333-88-200, NUDOCS 8808110288
Download: ML20151Q788 (24)


See also: IR 05000333/1988020

Text

, ,

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U.S. NUCLEAR REGULATOP.Y COMMISSION

OFFICE OF NUCLEAR REGULATORY REGULATION

Division of Reactor Inspection and Safeguards .

.

Report No.. 50-333/88200

Docket No.: 50-333

Licensee: Power Authority of the State of New York

123 Main Street

White Plains, New York 10601

Inspection At: James A. Fitzpatrick Nuclear Power Plant

Inspection Conducted: May 23 through June 3, 1988.

Team Leader: Mh .' T-n-t'I

C.A.VanDenbufgh,TeamLeader Date Signed

Consultants: J. D. Wilcox, Jr., Prisuta-Beckman Associates

D. Schultz, Comex, Inc.

D. Jarrell, Battelle-Pacific Northwest Labs

0. Meyer, EG&G-Idaho

Other NRC Personnel Attending Exit Meet .gs: C. J. Haughney, Chief, RSIB, NRR;

J. Konklin, Section Chief, NRR; D. Langford, Project Engineer, NRR; J. Johnson,

Section Chief, RI; A. J. Luptak, Senior Resident Inspector; R. A. Plasse,

Resident Inspector.

Reviewed By: 7// 2./T7

ames E. Konklin, Chief Date S'igned

/SpecialTeamSupport

& Integration Section, NRR

Approved By: 1

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8808110288 880802 ~

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_ _ _ _ _

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.

.

SUMMARY OF RESULTS

Scope:

On May 23 througn June 3, 1988 an NRC inspection team conducted an inspection

of the James A. Fitzpatrick Nuclear Power Plant (JAFNPP) Emergency Operating

Procedures (EOPs). JAFNPP is a BWR-4 with a Mark I containment. The

objectives of the inspection were to determine whether the E0Ps are technically

correct, whether the E0Ps can be physically carried out in the plant, and

whether the E0Ps can be correctly performed by the plant staff.

The team accomplished the inspection by performing a comp" ' the BWR

Owners Group Emergency Procedure Guidelines (EPGs) to the Pa..< Specific

Technical Guidelines (PSTGs); a comparison cf the PSTGs te 'ne E0Ds; a review

of the calculations performed to develop the plant specific curves, values, and

setpoints utilized in the E0Ps; a plant walkdown of all the E0Ps and the

Abnormal Operating Procedures (A0Ps) referenced by the E0Ps; a simulation of

two emergency scenarios using a full size control room mock-up; a human factors

review of the procedures and plant operations, including interviews of nine

licensed and non-licensed personnel who utilize the E0Ps and A0Ps; a detailed

review of the containment venting procedures; and a review of your on-going

program for evaluation of E0Ps. The inspection was primarily focused on the

adequacy of the end prcduct and not on a review of the process to develop the

E0Ps.

Results:

Based on a review of the E0Ps and supporting calculations, the inspection team

concluded that although the PSTGs have not been controlled and maintained

up-to-date as a design basis document, the E0Ps are a technically accurate

incorporation of the EPGs. The plant walkdowr.3, operator interviews and tne

simulated E0P scenario identified several minor deficiencies; however, the team

concluded that the E0Ps can be accurately accomplished using the existing

controls, instruments, and equipment. Based on the human factors review of the

E0Ps, Writer's Guide implementation, plant walkdowns, and the E0P simulation,

the team concluded that the E0Ps and associated procedures have the useability

to provide the operators with an effective accident mitigation tool and can be

correctly performed by the plant staff.

Several concerns were identified which will require further licensee action to

resolve. The most sigr.ificant concerns were:

1.) The E0Ps and the PSTGs had not been maintained a.c a design basis document

and theref ore have not been maintained up-to-date and appropriately

controlled. This resulted in several discrepancies between the PSTGs and

the E0Ps. (Section 3.a and 3.2)

2.) Plant process computer setpoints did not correspond to the E0P entry

conditions and potential confusion existed in the measurement and indica-

tion methodology of suppression pool level. In addition, outstanding

validation comments concerning the suppression pool level measurement

methodology had not been satisfactorily documented. (Section 4.a)

i 3.) In a few instances, information or e uipment necessary for the performance

of the E0Ps had not been provided. Section 4.b)

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4.) The E0P simulation adequately demonstrated that the minimum shift crew

described by Technical Specifications was sufficient to accomplish the

required actions of the E0Ps. However the team could not conclude that

sufficient personnel would be available to accomplish all of the actions j

required in an emergency, such as implementation of the Emergency Plan or l

activation of the Fire Brigade., coincidental with implementati6n of the l

E0Ps. In addition, a method of placekeeping was not used by the-operators i

during the performance of the E0Ps. Placekeeping methods have not been l

utilized during periodic training and were not supported by the ,

procedures. [Section 5.c.1 and 5.c.3)

5.) A response to the Safety Evaluation incorrectly indicated that action ,

statements would not be carried over from one page to another. (Section

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6.) Sufficient guidance was not provided in the E0P for Primary Containment

Control to describe the calculation of the Heat Capacity Temperature

Limit. (Section 6.2.c)

7.) An evaluation had not been performed to demonstrate the capability of the

Standby Gas Treatment System to operate under the anticipated accident

conditions of hign pressure and temperature during containment venting.

(Section 7)

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TABLE OF CONTENTS

EMERGENCY OPERATING PROCEDURE INSPECTION at

James A. FitzPatrick Nuclear Power Station

(Inspection Report 50-333/88200) .  ;

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1. IhSPECTION 06JECTIVE......................................... 1

2. BACKGROUN0................................................... 1

3. PROCEDURE REVIEW............................................. 2

S.1 EPG/PSTG REVIEW......................................... 3

3.2 PSTG/EOP REVIEk......................................... 3

3.3 CALCULATION REVIEW...................................... 4

4. PLANT WALKD0WNS.............................................. 5

5. E0P SIMULATION USING CONTROL ROOM M0CK-UP............ ....... 9

6. HUMAN FACTORS REVIEW AND INTERVIEWS.......................... 12

6.1 WRITER'S GU!DE IMPLEMENTATION........................... 12

6.2 OPERATOR INTERVIEWS..................................... 13

7. CONTAINMENT VENTING.......................................... 16

8. Oh-GOING EVALUATION 0F E0FS.................................. 18

9. EXIT MEETING................................................. 19

10. REFERENCES

10.1 PERSONNEL CONTACTE0..................................... 19

10.2 PROCEDURES REVIEWED..................................... 20

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1. INSPECTION OBJECTIVE

The inspection team reviewed the licensee's Emergency Operating Procedures l

(EOPs), operator training and plant systems to accomplish the following

objectives in accordance with NRC Temporary Instruction (TI) 2515/92:

(1) Determine whether the E0Ps conformed to the vendor generic guidelines and

were' technically correct for the James A. Fitzpatrick Nuclear Power

Station.

(2) Assess whether the E0Ps can be physically carried out in th! olant using

existing equipment, controls, and instrumentation, under tre expected

environmental conditions.

(3) Evaluate whether the plant staf f has been adequately trainto to perform

the E0P functions in the time available.

2. BACKGROUND

Following the Three Mile Island (TMI) accident, the Office of Nuclear Reactor

Regulation developed the "TMI Action Plan," (NUREG-0660 and NUREG-0737) which

required licensees of operating plants to reanalyze transients and accidents

and to upgrade Emergency Operating Procedures (E0Ps) (Item I.C.1). The plan

also required the NRC staff to develop a long-term plan that integrated and

expanded efforts in the writing, reviewing, and monitoring of plant procedures

(Item I.C.9). NUREG-0899, "Guidelines for the Preparation of Emergency Opera-

ting Procedures,' represents the NRC staff's long-term program for upgrading

E0Ps, and descr40es the use of a Procedures Generation Package (PGP) to prepare

E0Ps.

The licensees formed four vendor owner's groups corresponding to the four major

reactor types ir. the United States: Westinghouse, General Electric, Babcock &

Wilcox, and Combustion Engineering. Working with the vendor company and the

NRC, these owner's groups developed generic procedures that set forth the

desired accident mitigation strategy. For General Electric plants, the generic

guidelines are referred t.o as Emergency Procedure Guidelines (EPGs). These

EPGs were to be used by licensees in developing their PGPs. Submittal of the

PGP was made a requirement for the James A. Fitzpatrick Nuclear Power Plant by

Confirmatory Order dated June 12, 1984. Generic Letter 82-33, "Supplement I to

NUREG-0737 - Requirements for Emergt.nty Response Capability" required each

licensee to submit to the NRC a PGP wnich includes:

(1) Plant Specific Technical GuidElires (PSTGs) with justification for safety

significant ditterences from tne EPG.

(2) A Plant Specific Writer's Guide (PSWG).

(3) A cescriptico of the program to be used for the verification and

validation of E0Ps.

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(4) A description of the training program for the upgraded E0Ps.

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Plant specific E0Ps were to have been developed that would provide the operator

with directions to mitigate the consequences of a broad range of accident and

multiple equipment failures.

For various reasons, there were long delays in achieving NRC approval of many

of the PGPs. Nevertheless, the licensees have all implemented their E0Ps. To

determine the success of this implementation, a series of NRC inspections are

being performed to examine the final product of the program: the E0Ps. A

representative sample of each of the four vendor types has been selected for

review by four inspection teams from Regions 1, II, III and IV.

An additional 13 inspections have been scheduled at f acilities with General

Electric Nark I type containments. The latter inspections are being conducted

by the Office of Nuclear Reactor Regulation and include a detailed review of

the containment venting provisicns of the E0Ps. This inspection at the James

A. Fitzpatrick Nuclear Power Plant is the first of the 13 Mark I inspections.

3. PROCEDURE REVIEW

This portion of the inspection was performed to determine whether the JAFNPP

E0Ps have been prepared in accordance with the current Procedures Generation

Package (PGP) and the Plant Specific Technical Guidelines (PSTGs). The

inspection team compared Revision 3 of the BWR Owners Group Emergency Procedure

Guidelines (EPGs) to the PSTGs, and the PSTGs to the E0Ps. All differen m

were identified and reviewed to ensure that safety significant deviations were

identified in the PGP and that a documented basis existed for all deviations.

A review of selected calculations was performed to ensure that plint specific

values utilized in the E0Ps are correct and have been performed 1. accordance

with a documented engineering analysis. Section 10.2 of this report lists the

procedures reviewed,

a. Reccrd Control

in the process of reviewing the PSTGs and the E0Ps, the team identified

that the original copies of the E0Ps, EPG Calculations (Appendix C)

and the Plant Specific Technical Guidelines (PSTGs) were all being

temporarily stored in the Operations Department Administrative Office as

uncontrolled documents and were not being upgraded and maintained

up-to-date. HUREG-0899, "Guidelines for the Preparation of Emergency

Procedure Guioelines" indicates, in paragraph 4.4, that the PSTGs are the

primary basis for plant E0Ps and, as such, should be subject to examina-

tion under the plant's Quality Assudance (QA) Program, and are also

required to be accurate and up-to-date. Further licensee action is l

necessary to upgrade and maintain tne PSTGs as required.  ;

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A review of Administrative Procedure F-AP-1.4. "Control of Plant l

Procedures," Plant Standing Order PS0-4, "Quality Assurance and Plant '

Operating Records," and JAFHPP Records Retention / Turnover Schedule, Rev.

3.1 indicated that the location and length of storage of the PSTGs and

supporting records were not in accordance with the plant's administrative

requirements. The QA Department had identified similar concerns with

record storage and the timeliness of turnover in QA Audit No. 584 dated

February 20, 1987 and QA Audit No. 646 dated April 22, 1988. However, at

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to Document Control. The initial upgraded (symptomatic) E0Ps were issued

on December 29, 1984. Further licensee action is necessary to maintain

and control these records as required.

3.1 EPG/PSTG Review ,

Four minor differences were identifieo between the EPGs and the PSTGs,'as

detailed below. The team concluded, based on a review of the PSTGs and the

differences identified, that significant discrepancies did not exist and that

there were no adverse affects on the adequacy of the JAFNPP E0Ps. Further

action should be taken to ensure that future revisions or upgrades of the E0Ps

correct these discrepancies,

a. The selection of 1090 psig as the lowest Safety Relief Valve (SRV)

pressure in PSTG step RC/P-2 did not consider the setpoint tolerances of

the SRVs. The EPG basis (Appendix B) indicates that the intent of RC/P-2

is to establish a control band for pressure control of the reactor at

which the SRVs will not cycle. The use of the lowest SRV setpoint

pressure without consideration of the setpoint tolerance of the SRV could

result in cycling the SRV if the reactor pressure is controlled at 1090

psig. Additional operator guidance such as a lower pressure control band

would ensure that reactor pressure is controlled below the pressure at

which the SRV would lift.

b. Other steam driven equipment available at JAFNPP such as Reactor Feed Pump

(RFP) turbines, RFP drains, steam seals, steam jet air ejectors and off

gas heaters have not been incorporated into PSTG step RC/P-2.

c. Amplifying information for Group 1 Isolation signals, such as initiating

conditions and isolation valve identification, has not been provided in

PSTG step RC/L-1.

a. Alternate injection systems which are available at JAFNPP, such as

demineralized water transfer to the Standby Liquid Control test tank, have

not been incorporated into PSTG contingency Cl-1, "Level Restoration."

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3.2 PSTG/EOP Review

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Six minor differences were identified between the PSTGs and the E0Ps, as

detailed below. The team identified that in each example the E0P w6s correct  ;

and concluded that the discrepancies were the result of not maintaining the l

PSTGs up-to-date as required. No conditions which wculd adversely affect the

performance of the E0Ps were noted. Further action is necessary to correct

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these deficiencies and to control and maintain the PSTGs appropriately. I

a. F-E0P-1, "E0P Cautions," Caution No. 6 had a different Reactor Pressure

Vessel (RPV) water level specified than the PST6 Caution #6, because tne

E0P was revised af ter an evaluation identified that the drywell tempera-

ture referenced in the PSTG was incorrect.

b. F-EOP-2. "RPV Control (Boron Injection Not Required)," specified 335 psig

for the nigh/ intermediate RPV pressure region vice 300 psig as specified l

in PSTG Contingency Cl-E, because the E0P was revised after the PSTG was

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c. F-E0P-4, "Primary Containment Control," step 2.3 indicated that the

suppression pool scram temperature is 100 degrees F vice 110 degrees F as

l specified in PSTG SP/T-3 cue to a typographical error.

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i d. F-EOP-5, "Secondary Containment Control," Table F-E0P-5.1 listed dif ferent

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instruments and setpoints than specified in PSTG Table 1, because.

Subsequent plant modifications were not incorporated into the PSTGs.

e. F-EOP-5, "Secondary Containment Control," did not have an entry conoition

for Unit Cooler Temperature above 104 degrees F as specified in the

secondary containment control guidelines of the PSTG, because subsequent

plant modifications were not incorporated into the PSTG.

f. F-E0P-7, "RPV Flooding," did not utilize the Residual Heat Removal (RHR)

Keep Fill System to maintain RPV water level as specified in PSTG C6-4,

because the Keep Fill System had not been made operable at JAFNPP.

3.3 Calculation Review

Specific values from the E0Ps were selected for review to determine if the

values were correctly calculated based on the plant specific differences and

the guioance of the EPGs. The team identified that the calculations were

clear, orderly and performed in accordance with the guidance of the EPGs. Any

deviations were noted and substantiated. The calculations were observed to

include values for each of the cautions, steps and curves. However, as noted

in Section 3.a, the calculations have not been controlled as a plant basis

document in accordance with the requirements and guidance of NUREG-0899. The

following calculations were reviewed:

a. Hot Shutdown Boron Weight - This calculation was performed to support tne

values incorporated as part of F-E0P-3, "RPV Control," and documented in

Section 24, Appendix C, page C24-1 of the EPG Calculations.

b. Minimum Alternate RPV Flooding Pressure - This calculation was performed

to support tne values incorporated as part of F-E0P-3, "RPV Control (Boron

Injection Required)," and F-E0P-7, "RPV Flooding," and documented in

Section 21, Appendix C, page C21-1 of the EPG Calculations.

c. Suppression Pool Load Limit - This calculation was performed to support

tne values incorporated as part of F-E0P-2, "RPV Control (Boron injection

Not Required)," F-E0P-3, "RPV Control (Boron injection Required)," and

F-EOP-4, "Primary Containment Control," ano documented in Section 4,

Appendix C, page C4-1 of the EPG Calculations.

d. Heat Capacity Temperature Limit for the Suppressior Pool - This calcula-

tion was performed to support the values incorporated as part of F-EOP-4,

"Primary Containment Control," and documented in Section 3.3, Appendix C,

page C3-1 of the EP6 Calculations.

e. Maximum Drywell Spray Flow Rate Limit - This calculation was performed to

ensure that the evaporative cooling pressure drop was less than t'

permissible design to support a drywell spray flow rate of 10,000 gallons 1

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f. Drywell Spray Initiation Limit - This curve was developed to determine the '

pressure limit wnen spraying at the maximum drywell spray flow rate to

ensure that the reactor building to containment design negative pressure l

differential limit is not exceeded by initiation of drywell or wetwell

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9 Maximum Primary Containment Water Level Limit - This calculatio'n~

determined that the maximum containment water level was based on the

highest primary containment vent elevation as opposed to the design

hydrostatic loading at the most limiting containment location.

4. PLANT WALK 00WNS

in order to assure that the E0Ps can be successfully accomplished, the team

performed in-plant walkdowns for all the E0Ps and referenced A0Ps. The team

verified that E0P instrument and control designations were consistent with the

installed equipment and that indicators, annunciators, and controls referenced

by the E0Ps were available to the operators. The location and control of E0Ps

in the Control Room was verified. With the assistance of licensed operators,

the team physically verified that activities which would occur outside of the

Control Room during an accident scenario could be physically accomplished and

that tools, jumpers, and test equipment were available to the operators. The

post accident radiation survey map was reviewed to ensure that remote

operations were not prohibited by environmental conditions. The procedures

reviewed are listed in Section 10.2.

During the performance of the plant walkoowns, the team identified a specific

strength in that, general area and equipment cleanliness was exceptional. The

plant walkdowns also identified several discrepancies which are broken down

into the following six areas.

a. E0P Entry Conditions

The team reviewed the entry conditions and associated instrumentation for

F-E0P-4, "Primary Containment Control," and identified the following

methods for determining suppression pool water level in the control room:

1. Utilizing the Safety Parameter Display System (SPDS) which indicates

13.95 feet normal torus water level at 100% power.

2. Utilizing the plant process computer which indicates level in Wide

Range (+72 in to '-72 in) and harrow Range (+6 in to -6 in).

3. Utilizing instruments at Main Control Board Panel 09-3, which

iacicctes approximately 14 feet normal torus water level at 100%

power.

The team no;ed that a narrow range level instrument which was not

referenced by the E0P was available.on Standby Gas Treatment System Panel

09-75, which is located in the back of the control room. However an

audible local or control room supervisory alarm was not available.

As a result of the review, the team identified that if the SPDS were not

available as inferred by NUREG-0737, Item 4.1.c, the operator's ability to

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identify entry conditions would be hampered because the plant process

computer alarm setpoints were +2.5 and -2.5 inches vice the E0P entry

conditions of 0.0 and -1.5 inches. The team also noted that E0P-4,

"Primary Containment Control," Section A, Item 6 listed drywell average

temperature above 135 degrees F as a condition for entry into the E0P.

Again, if the SPDS were net available as NUREG-0737 Item 4.1.c i_nfers, the

operator's ability to detect E0P entry conditions would be hampered

because the alarm setpoints for plant process computer points M085 and

M086 were 65 degrees F above the E0P entry condition of 135 degrees F

(i.e. 200 degrees F) and the 09-75 Panel did not have a audible local

alarm or a sur ervisory alarm in the control room. Further action is

necessary to revise the computer alarm setpoints to values which support

the E0P entry conditions,

in addition, the team identified a human engineering deficiency which had

the potential for cperator confusion with respect to the indication of

torus water level. Technical Specifications 3.7.A.1.a and 3.7.A.1.b

specify maximum and minimum vent submergence levels of 53 and 51.5 inches

respectively as the Limiting Conditions for Operation (LCO). However, the

E0P entry conditions were specified as 0.0 and -1.5 inches. Although

engineering correlatien exists between the TS LC0 (53.0 to 51.5 inches)

and the parameters monitored by the plant process computer and Panel 09-75

(0.0 to -1.5 inches) and SPOS (13.95 feet), the indication of torus water

level in different units and methods is confusing. Interviews with opera-

ting staff confirmed that the correlation was not immediately apparent.

The licensee has indicated that this deficiency will be resolved with the

implementation of Revision 4 of the EPGs at wnich time all references to

torus water level will be in feet of water in the torus. Additional

action is necessary in the interim to ensure that operator confusion does

not exist.

The team attempted to determine whether inadequacies in the licensee's

program of E0P validation may have contributed to the above discrepanc)

related to tne torus water level. The plant specific validation of the

JAFNPP E0Ps was performed in December 1984 by a shift supervisor in the j

control room. The validation criteria of F-AP-2.2, "Procedures for

Emergency Operating Procedures," Appendix 0, "EOP Validation Checklist,"

were used to perform the validation. The completed checklist included

reference to the inconsistencies concerning the suppression pool level i

instrumentation, however objective evidence in the form of written I

resolution to the validation comment was not available in the licensee's

records. The team determined that val 106 tion comments of a typographical

nature were incorporated into the E0Ps; however, the resolution of coments

requiring engineering resolutions was not apparent. Future action is i

necessary to resolve this discrepancy as well as any other unresolveo '

validation comments,

b. Lack of Equipment or Inf ormation which could Af tect Performance of the

Procedure

F-E0P-4, "Primary Containment Control," Step 4.7, required the operators

to vent the containment in accordance with F-A0P-35, "Post Accident

Venting of Containment," to maintain pressure below the limits of Figures

F-E0P-4.6a and F-EOP-4.6b. The curves were specifically applicable to

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pressure instruments MENS 0R 16-1-PIT-104 and 27-PT-101A/B respectively.

Figure F-E0P-4.6a was not provided in Procedure F-A0P-35. Therefore, the

possibility for operator confusion existed, in that both pressure instru-

ments and their respective figures were not provided for use in F-A0P-35.

The licensee indicated that F-A0P-35 will be modified to control contain-

ment pressure using MENS 0R 16-1-PIT-104. _

During the walkdown of F-A0P-34, "Alternate Control Rod Insertion," the

team identified that tool cabinets containing the tools and equipment

required to perform the control rod withdraw line venting portion of the

procedure did not contain the necessary equipment for handling the venting

components in the anticipated accident environment. Alternate control rod

insertion is accomplished by venting the Hydraulic Control Unit (HCU) vent

valves with a flexible stainless steel hose. Venting even relatively

small flow rates of high temperature primary water would result in a

dangerous two-phase steam-water mixture through the flexible hose. A

caution in the procedure did not appear adequate in view of the potential

adverse impact on the performance of the procedure. As a result of this

concern, the licensee took immediate action to provide safety equipment

(i.e. welder's gloves) in the cabinets. The team also identifieo that the

venting procedure directed the tlexible hose discharge to a floor drain

and that no provision existed for securing the discharge end of the hose

against the reaction loading during venting. The licensee indicated that

a modification has been initiated to fabricate and install permanent drain

connections for this vent procedure.

During the walkdown of F-A0P-43, "Plant Shutdown From Outside the Control

Room," a potential deficiency in the performance of the procedure was

identifiec, in that a delay was experienced when the remote shutdown panel

could not be opened using the on-shift key ring. Subsequent investigation

identified that the necessary key was in the previously opened, staged

equipment box. The inspection team questioned the benefit of using a

separate key for the remote shutdown panel, in that no additional

protection is provided and the potential for confusion is increased.

Further licensee action is necessary to resolve this deficiency.

F-A0P-43, also required the operation of various Emergency Diesel

Generator (EOG) controls. Step D.2.2, which required the verification of

control power availability by checking the indicator lights, did not

indicate which lights would be energized to indicate that control power

was available to the EDG synchronization circuits. The location of the

inoicating lights was not apparent and should be clarified to prevent

confusion,

c. Uncontrolled Operator Aids

As a result of verifying that operator aids posted on plant instrumenta-

tion and control panels were the latest revision ano administratively

controlled, the team identified that Operations Department Standing Order

No. 21, "Posting of Operator Aids," paragraph 7.7, required an annual

review of all operator aids. The licensee was unable to demonstrate that

this review had been performed in 1967 and 1988 and as corrective action

initiated an immediate verification. As a result of this verification,

six operator aids were identified which required revision. None of these

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aids could have resulted in performing the E0P actions 'ncorrectly. The

licensee indicated that the audit of operator aids will be incorporated

into a new surveillance procedure to ensure the audit is accomplished as

required,

d. Referencing Errors in Procedures

The following discrepancies in referencing were identified during the

review and walkdown of the E0Ps. Based on a review of the context and

effect of these deficiencies, the team concluded that their effect on the

ability to adequately perform the E0Ps was minor.

1. F-E0P-5, "Secondary Containment Control," Table F-E0P-5.1,

incorrectly identified area temperature instruments, 23-MTU-202A and

23-MTU-202B (located at Panels 09-95 and 09-96 in the Reactor

Building) as 23-MTU-201C and 23-MTU-2010.

2. F-A0P-15, "Recovery from an Isolation," Paragraph I.C.2, incorrectly

identified the location of alarming Reactor Building radiation

monitors as Panel 09-12. The correct location for the alarmine

function is Panel 09-3.

3. F-A0P-36, "Stuck Open Relief Valve (50RV)," Paragraph A.6,

incorrectly indicated in the last parenthetical note that the

symptoms of a stuck open reliet valve are four energized solenoid

indicating lights. A single energized indicating light is the

correct symptom.

4. F-EOP-4,"Primary Containment Control," Step 5.2, incorrectly referred

to F-EOP-2, "RPV Control (Boron Injection fiot Required)," Step 4 for

emergency depressurization. The correct reference is Step 4.8 and

4.9. A similar reference occurred in Step 5.3.1 of F-E0P-4.

5. F-E0P-2, "RPV Control (Boron Injection flot Required)," Table

F-E0P-2,1, incorrectly referenced step 4 in the third action item

under pressure high / level decreasing. The correct reference is to

Steps 4.8 and 4.9.

A similar reference existed for the fourth action

item in the same section of Table F-E0P-2.1, in that the reference j

should hve been to Steps 4.6 and 4.7 vice Step 4. I

e. Incorrect / Inadequate labelling

The following minor examples or incorrect or inadequate labelling were

identitied. The team concluded that these examples did not adversely

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1. F-A0P-36, "Stuck Open Relief Valve (50RV)," required the removal of l

fuses at Panel 09-47 in the Relay Room. Four fuses were not labelled

and eight fuses were labelled with temporary marking (i.e. Dynotape).

The licensee indicated that the fuse location prevents permanent

marking of the fuses and that further action would be taken to remove

the temporary markings and ensure that the fuses are adequately

identified by an cperotor aid.

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2. F-0P-37, "Nitrogen Ventilation and Purge; Containment Atmosphere

Dilution (CAD); Containment Vacuum Relief and Containment Differ-

l ential Pressure Systems," Section G.1.b.4, required operation of the

27-M0V-121 valve on Panel 27PCP in the Relay Rocm. The valve switch

was labeled. "Bypass Valve", however the correct name is ' Purge

Exhaust fan Bypass Valve." _

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3. Several additional minor examples of informal marking (i.e. use of

black markers) and temporary labelling (i.e. adhesive labels) were

ioentifieo during the plant walkdowns. The team observed that

specific actions have been undertaken to upgrade the equipment

labelling throughout the plant. Although no examples were identified

which would prevent the procedures from being accurately performed,

further actions are necessary to upgrade the labelling of instruments

ano components. In particular, the Hydraulic Control Unit (HCU) vent

valves used in F-A0P-34, "Alternate Control Rod Insertion," shoulo be

permanently labelled. These valves were identified witn temporary

marking (i.e. magic markers).

5. E0P SIMULATION USING CONTROL ROOM M0CK-UP

To ensure that the E0Ps could be correctly implemented under emergency

cer.ditions, two accident scenarios were developed and conoucted in a 6-hour

session utilizing licensed operators. The accident scenarios were accomplished

to determine whether the E0Ps provide the operators with sufficient guidance

such that their required actions during an emergency were clearly outlined; to

verify whether the E0Ps could cause the operators to physically interfere with

each other; to verify that the procedures did not duplicate operator actions

unless required; and to verify that transitions from one E0P to another or to

other procedures were accomplished satisfactorily,

a. Control Room Mock-Up

Because JAFNPP does not have a site specific simulator and the plant was

operating at full power thereby making extensive control room access

difficult, a full scale photographic mock-up of the control room was

utilized for tne scenario. To ensure a realistic test of the E0Ps using

the control room mock-up, the following provisions were verified:

1. The photographic reproduction replicated the actual control room with

enough fidelity 50 as not to cause confusion or detract measurably

from the ability of the operating crew. To ensure fidelity, the

mock-up was examined by the team and the licensee. Although mincr

differences were identified, the team concluded that the simulation

would not be excessively impaired.

2. Realistic scenarios which preserved a true time line were required to

be developed and executed in a believable manner. The licensee

supported these efforts by providing a reactor analyst who assisted

the NRC operator examiner to produce two scenarios based on an

integrated analysis of computer generated transients. The time

response of the reactor, primary, and secondary parameters were

caref ully followed. The scenarios were then examined by tne i

licensee's training staff to confirm the adequacy and accuracy of the l

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system responses. To implement and control the scenario, a certified

training staff member and the NRC operator examiner functioned as

controllers, providing data input as required by the operators in

accordance with the timed and scripted accident scenarios.

3. Licensed operators were required to simulate actions and responses

based on inputs from the controllers. The shift crew was requested

and fully supported the mock-up requirements to simulate obtaining

data from the appropriate instrumentation and locations. Three NRC l

team members were used to monitor the operators' response and imple- l

mentation of the E0Ps. Based on the operators' actions and the

te6m's review, the use of the mock-up was determined to be a adequate l

simulation for performance evaluation of the E0Ps. l

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b. Scenario Description

The team developed two simulated accident scenarios. Both were selected i

to exercise parallel E0P paths and contingency procedures, with a special

emphasis on reaching and utilizing the containment venting procedure. The

specific paths were designed to invoke PRA-based risk significant operator

actions as a means to demonstrate E0P adequacy.

The first scenario involved the loss of the main condenser with an )

anticipated transient without scram (ATWS) and delayed Standby Liquid

Control System (SLC) actuation. The transient was initiated with an

unrecoverable failure of the main condenser. The ATWS condition was then

required to develop sufficient internal energy in the primary to produce a

containment venting situation later in the scenario. The workability of

the text-type E0Ps in a multiple path sequence was demonstrated by

requiring the operators to simultaneously follow F-EOP-2, "Reactor

Pressure Vessel (RPV) Control," for reactor power, reactor pressure, and

reactor level control. As alternate rod insertion techniques were being

pursued, primary containment precedures and later SLC injection (with

SQUIB valve failure) were entered due to increases in torus temperature.

Power control with vessel level was then utilized to minimize power while

alternate SLC injection methods were tried. On approaching the

containment venting pressure, alternate rod insertion (withdraw line

venting) and CR0 boron injection were successfully implemented to allow

reactor shutdown and plant recovery. Following containment venting,

shutdcwn cooling was established and the scenario was terminated.

The second scenario involved an unisolable LOCA in the Secondary

Containment. This sequence postulated that the inboard isolation valve in

the secondary containment portion of the Reactor Water Cleanup (RWCU)

system f t 51ed to close. No alarms sounced initially, but parametric

values indicative of a 0.1 square f oot breach of the primary system were

given to the operators. This condition was intended to initiate a problem

solving mcde (i.e. an event based evolution) prior to any E0P entry  ;

c/ dition. Area high temperature, and high radiation alarms were used to )

e. ;ablish secondary containment and radiation control E0P entry with

feergency Plan actions. Secondary containment conditions were severe

enough that emergency depressurization was required to minimize the

radioactive release. Rapid plant shutdown and cooldown proceeded with all l

plant components operating normally. l

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c. Observations and Conclusions

The operators' cooperation under the difficult simulation circumstances

involving the control room mock-up was excellent. Cornmunications between

crew members during the evolution were clear, and overall response to the

scenario situations resulted in moving through a very complex scenario

without any significant procedural errors. The scenario timeline was

maintained with a deviation of less than five minutes at the one hour

point, which resulted in a realistic event sequence. Under these real

time conditions, the useability of tne E0Ps was demonstrated to be satis-

factory. The shif t from event based (i.e. abnormal operating parameters)

to condition based E0Ps in the second scenario was made smoothly, com-

pletely and without hesitation, as was the transition from secondary

containment centrol to the emergency depressurization sequence. Although

no significant procedural errors were evident, the following concerns were

identified by the team.

1. Placekeeping Method - The team was concerned with the method utilized

for placekeeping curing the performance of the E0Ps. The operators

used multiple loose leaf copies of the procedures to follow the

multiple paths required. Through direct observation and interviews,

the team determined that loose leaf procedures would not be used in

the control room. The control room copies are of a "lay flat" design

and two copies of the E0Ps are maintained to support multiple entry

conditions. Although the operators did not lose their place in the

procedure during either scenario, the team was concerned that the

Plant Specific Writer's Guide, Operating Department Standing Order s,

operator training and the E0Ps themselves did not provide or support

a preferred method of placekeeping. Further action should be taken

to evaluate and identify a preferred method of placekeeping. This

method should be procedurally supported and trained on a periodic

basis.

2. Use of Cautions - The team was concerned that at no time during the l

performarice of the scenario were the operators observed to review

F-EOP-1, "EOP Cautions." This E0P contained 23 Cautions, whicn were '

referenced throughout the E0Ps. Specific reference to these cautions

were made by numeric and abbreviated reference. Althougn none of the l

specific requirements of this E0P were violated or overlooked during l

the scenario demonstrations, the team remained concerned that the

collection of all cautior.s into one location outside the normally

performed flow path of the E0Ps could result in overlooking a

significant caution.

3. Minimum Snif t Staf fing - Corwnunications outsioe the control room

Tdispatener, plant o.anagement, NRC, and Emergency Plan notifications)

were not simulated in the first scenario due to the circumstances of

the control room mock-up. Corrcunications were adequately simulated

in the second scenario, and crew communication was excellent. The

Emergency Plan was not available at the simulator, but was called for

by the operators. The E0P simulation demonstrated that the minimum

shift crew could imGement all steps nf the E0Ps. However, the team

was concerned that sufficient control room personnel might not be

available to concurrently perform all required actions, including

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implementation of the Emergency Plan and activation of the Fire

Brigade.

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The operatnrs confirmed that their.first responsibility was to

perform the E0Ps and that additional actions would be required to be

performed by personnel not specified in the minimum shift _ crew (i.e. ;

security guards). In addition, the operator interviews (discussed in l

Section 6.2.a) indicated that the operators believed that the present

staffing levels were adequate. The team remained concerned that all

actions required to be performed in an emergency would not be able to

be accomplished by tne minimum shift crew defined in Technical

Specifications. Further licensee and NRC action is required to

resolve this concern.

6. HUMN FACTORS REVIEW AND INTERVIEWS

In order to determine the adequacy of the E0Ps witn respect to the guidance

provided in NUREG-0899, "Guidelines for the Preparation of the Emergency

Operating Procedures," a review of the Plant Specific Writer's Guide (PSKG) and

tne E0Ps was performed to determine the extent to which the PSWG nas been

implemented. In addition, structured interviews were conducted with relevant

JAFNPP personnel. The results of these efforts are detailed below.

6.1 Writer's Guide Implementation

Administrative Procedure F-AP-2.2, "Writer's Guice," was reviewed to ensure

that the human factor's guidance provided was incorporated during the develop-

ment of the E0Ps. Two specific strengths and four weaknesses were noted:

a. Paragraph 4.3, page 27, provided concise, distinctive specifications for

the content of Cautions and Notes which was similar to the guidance of

paragraph 5.7.9 of NUREG-0899. This application of human factors

principles was used by JAFNPP to transform Cautions #4, 5 and 10 of the

EPGs into either Notes er Action statements in the E0Ps. This reduction

in the total number of cautions creates a reduction in the eperator's

buroen and is considered an improvement in the clarity of the E0Ps.

b. Tne use of miniature figures within the body of the E0Ps was identified as

an innovative method to minimize branching outside the procedure withcut

reducing the technical adequacy of the references. As identified in

Section 6.2.e, the operator interviews confirmed that whenever extrapola-

tions were required, the full sized figures attached to the E0Ps were

used.

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C. JAFhPP's response to comment B.1 of tne Interim Safety Evaluation dated l

September 11, 1985 states that an action step will be completed on tne l

page where it begins. A review of tne E0Ps identifleo that operator '

action statemer,ts were oftEN Continued from one page to another witn no

consister4 in format. This practice sometimes resulted in part of a l

logic statement on the first page and the remainder on the second page. '

For example, F-E0P-4, step 4.4 (pages 21-23), step 4,6 (pages 23-25) and

step 5.3.1 (pages 31-35) each contained examples or three different

formats. Beseo on the response to the safety evaluation and t;ie operator

ccncerns retarding continuity and placekeeping identified in Section

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6.2.g the Writer's Guide shculd be revised to provide a human factored

format for the continuation of action statements to the following page

when completion of the action statement on the first page is not possible.

In addittoa, the incorrect response to the SER comment should be

identifieo and resolved. .

d. Paragraph 4.8, page 29, specified that capitalization will be use'd for

emphasis in specifted instances. A review of the E0Ps indicated that the

term "upper case type" is prob'bly meant instead of "capitalization" in

the Writer's Guide and only the action statements within the contingency

statements were to be in upper case type. Tne Writer's Guide should be

clarified to provide consistent guidance, in addition, Caution No. 22 of

F-EOP-1, "EOP Cautions," should be changed to conform to the requirements

of paragraphs 4.2 and 4.8, such that the "if" logic term is in upper case

and is located at the beginning of the logical condition.

e. Paragraph 4.6, page 28, concerning the referencing and branching to other

procedures or steps, provided no guidance as to how referencing or

branching to Abnormal Operating Procedures (A0Ps) or Operating Procedures

(ops) should be handled. The review of the E0Ps identified that the prac-

tice utilized within the E0Ps was not consistent, in that the A0Ps or ops

were not always referenced by both procedure number and name. NUREG-0899,

paragraph 5.2.2 indicates that the specific system procedures should be

referenced in the E0Ps.

t. Paragraph 4.7, page 26, indicated that the equipment names referenced in

the E0Ps may not always match the engraved names on the panels, but will

be complete and in operator language. Althougn there were several minor

examples identified ouring the plant walkdcwns in which equipment names

did not match their labels, on-going labelling efforts, identified in

Section 4.e. are anticipated to correct this discrepancy. Further action

should be taken to revise the Writer's Guide to reflect the current

labelling philosophy.

6.2 Operator Interviews

interviews 'were conducted by the human factors member of the team with

individual' members of the plant staff as classified below:

ifob Classification (License) Number

$nift Supervisors (SRO) 2

Asst. Shift Supervisors (SRO) 3 t

Senior Nuclear Operators (RO) 1

Nuclear Control Operator (k0) 1

Auxiliary Operator (unlicensed) 1

Training Coordinator (SR0 certifieo) 1

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A four page interview guide with 8 major topics was used for each interview and l

was reviewed by both parties. Discussions were open-ended, in that the

licensee representative was encouraged to volunteer comments which were

relevant. Each person was advised that the objective of the interview was to

develop information on the effectiver.ess of the E0Ps and not to examine the.

qualifications of the individual. The length of the individual interviews were

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approximately one hour. Two majo changes were in progress at JAFNPP which the

operators anticipate will have a positive impact on the effectiveness of the

E0Ps. The first is the stort-up of a site specific training simulator late in

1988 and the second ;s the change to a flow chart E0P format in 1989. However,

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the interviews were confined tc the context of the presently implemented E0Ps.

The results of this process are identified below. -

a. Role / Task Definition - There was an established, uniform practice for the

conduct of plant operaticns during the execution of E0Ps. These

operations were governed by Operations Department Standing Order No. 2,

"Operating Principles ano Philosophy," and further developed during

control room crew team training during simulator and on-the-job training

(0JT). Ef fective execution of the E0Ps was also aided by crew stability

(typically crew membership has been the same for 3 years) and by a

recently initiated training program on effective oral communications. The

control room task assignments were well defined. The consensus of

opinions was that the current control room staffing level achieved the

proper balance between assuring adequate staffing and avoiding confusion.

At JAFNPP an off duty control room crew was assigned to "standby" and may

be called to the site upon the declaration of an Unusual Event. However

the avail 6bility of off duty personnel does not resolve the team's concern

with the minimum shift crew manning as discussed in Section 5.c.3.

b. Use of E0Ps - The control room resources for use of the EUPs were

considered adequate. Two sets of E0Ps were kept ir he control room. A

space was assigned for the lay-down of the "open-fl ' E0P manuals. A

cart was provided for abnormal and normal operating procedures, Technical

Specifications, Emergency Plan, etc.

c. Technical Adequacy - Concerns were expressed about the ability to reliably

execute, under accident conditions, Step 5.2 of F-EOP-4, "Primary Contain-

ment Control," which required the combined use of Figure F-E0P-4.1, "Heat

Capacity Temperature Limit," and Figure F-E0P-4.7, "Heat Capacity Level

Limit." There was no explicit direction in Step 5.2, or in the E0Ps

overall, as to how to obtain the value of the abscissa for Figure

F-EOP-4.7. Paragraphs 5.6.9 and 5.7.8 of NUREG-0899, "Guidelines for the

Preparation of Emergency Operating Procedures," provide guidance which

suggests that step-by-step direction should be added to F-EOP-4, Step 5.2,

for the proper combined use of the two curves. This direction would

improv[ethehumanreliabilityassociatedwiththeoperationofthesafety

systems affected by Step 5.2.

Concerns were expressed about the ability within the time available to

bypass the low RPV water level Main Steam Isolation Valve (HSIV) isolation

interlocks in accordance with F-A0P-38, "EOP isolation / Interlock

Overrides," when directed by step 2.2.2 of F-E0P-3, " RPV Control (Boron

injection Required)." The operators suggested that F-EOP-3, "RPV Control

(Boron Injection Required)," should specify controlling RPV water level at

e control pcint above the automatic MSIV isolation setpoint to prevent

unnecessary isolation of the RPV (and loss of the ultimate heat sink)

during the installation of override jumpers.

d. Use of Cautions - The responses of the persons interviewed indicated that l

the first three cautions of F-E0P-1, "EOP Cautions," were not readily  !

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recalled and were therefore not fulfilling their intended function.

F-EOP-1, contained all cautions applicable directly to the E0Ps. The

cautions were listed by serial number and consisted of a title ano text.

Numbers and titles of the cautions were used throughout the E0Ps when

reference to the specific caution was required, however the first three

cautions were applicable to all E0Ps and were consequently not referenced

within the texts of otner E0Ps. These cautions required the operators tc

monitor overall plant conditions, nicnitor multiple indications and to

confirm safety functions of automatic equipment. This concern is not to

st6te that the requirements of the cautions would not be applied by the

operators in the performance of the E0Ps, however the effectiveness of the

use of a separate volume of cautions (as discussed in Section 5.b.2) is

questionable.

The effectiveness of the E0P Cautions would be enhanced if the texts on

some of the associated figures were more explicit. For example, label the

cross-hatched areas as "Prohibited Region," or label the figures associa-

ted with Caution # 8 with a directly worded caution such as "Do not

operate pumps unless..." instead of the non-specific, "Observe NPSH

Limits...".

There was a general concern among the operators over the number of

cautions. The PSTGs must be observeo with respect to the incorporation of

tecnnical restrictions into the E0Ps, however application of human factors

guidelines has reduced the burden on the operator of several technical

restrictions (as discussed in Section 6.1). As previously identified,

Cautions # 4, 5 and 10 of the EPGs were not incorporated as caution

statements into the E0Ps because they did not meet the criteria for

cautions in NUREG-0899, paragraph 5.7.9. Similar further application of

the criteria of accuracy, conciseness, and consistency, could reduce the

impact of a large number of cautions,

e. Miniature Figures - The interviews confirmed that the use of Miniature

figures within tne E0Ps were used by the operators to the extent that the

figures can be safely interp-eted. If the small size of the figures ,

caused any doubt, the full size figures of the E0Ps were used. The

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miniature figures did not appear to create any additional possible error

mechariism and the operators considered them useful aids,

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f. Need for a Basis Document - The interviews identified the operator's

desire to add the basis for the opEdating limits of the E0Ps into the l

procedures. Although the addition of this information would generally '

interfere with the clarity of the operating instructions and is therefore

rot recommenced, the need for this information in some form is apparent.

The basis of the operating limits were supported by operator training,

nowever the identification of a neea for a "basis document" underscores

the requirements (identified in Section 3.a) for a reference document

which is traceable ar,d maintained up-to-date,

g. Transitions and Placekeeping Methods - The interviews indicated that the

metnoa of hanaling transitions witnin the E0Ps as well as place-keeping

within the E0Ps and the reliability of the metnods utilized has been

receiving considerable attention by the JAFNPP staff. A standard method

of placekeeping has not been developeo or trained. Each crew was free to

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implement its own method of placekeeping. The use of separate binders and

color ccding of the E0Ps, as well as the "lay flat" capability were the

operator aids in use. Based on the suggestions for additional methods,

the activity involved to improve tnis ability, and the concerns identified

in Section 5.c.1, further consioeration should be given to revising the

E0Ps to include support for check-off spaces and the adoption of- a

practice of writing directly in the action copy of the E0Ps.

h. Communication - The interviews indicated that the present communications

methods were adequate both within the control room and to the local

stations, but that a recent program for improving communications w;s

appropriate and productive. Expectations for improvements in

communications training due to the use of the site specific simulator were  !

also noted.

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i. Contro! Rocm Environraert - The interviews identifieo that the provisions l

for lignting witnin the control room and at local stations in the event of

a station blackout and the provisions for control room habitability in the

event of an on-site raoiation release or in the event of smoke or toxic j

gasses in the control room have been difficult to incorporate into 0JT l

training and that further training with the site specific simulator should I

be pursued. '

j. Balance of Plant / Local Control Stations - The interviews identified the i

use of an "operator aids" program wnicn produced validation and  ;

improvement of the human f6ctors at local stations including significant i

efforts to upgrade the labelling of components. In summary, the

implementation of E0P operations at local control stations was considered

adequate.

k. Validation and Verification - The interviews indicated that the operators

were includeo to a limited extent in the process of developing, verifying,

and validating the E0Ps. Operators were aware that there was a procedure

for initiating suggested upgrades to the E0Ps and that training exercises

were expected to help identify possible discrepancies. However, operators

were unclear as to their personal responsibilities for initiating

resolutions of possible discrepancies as evidenced by several instances in

which potential discrepancies identified by the operators in the interview

had not been formally identified by the operator for resolution. Further

action is necessary to clarify the operator's role in E0P upgrades.

7. CONTAINMENT VENTING

The team reviewed the EPCs and the Appendix C, Calculation Procedure No. 14,

"Primary Containment Pressure Limit," to determine if the PST6 values were

computed correctly. The team also reviewed tne method, flow path, and feasib1-

lity of the containment venting procedure.

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The attributes of the vent paths are detailed in Calculation Procedure No. 14

"Primary Containment Pressure Liniit," and are summarized as follows:

Suppression Chamber Vent Paths

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Path A(v?) P(oi) P(ci) E(vi) --

27-A0V-117,118 0.736 79.3 79.3 29.5

27-MOV-117,123 0.021 56.0 56.0 29.5

Drywell Vent Paths

Path A(vi) P(oi) P(ci) E(vi)

27-A0V-113,114 0.697 9.2 9.2 105

27-MOV-113,122 0.021 56.0 56.0 105

A(vi) - Minimum vent path area (f t2)

P(oi) - Maximum containment pressure the vent valve can open

against(psi)

P(ci) - Maximum containment pressure the vent valve can

close against (psi)

E(vi) - Elevation of the vent patn containtnent penetration

referenced to torus bottom (ft)

From the above information, JAFhPP determined that the suppression chamber vent

path via A0V-117 and A0V-118, is the only path capable of operating at the

design pressure of the containment and meeting the criteria of removing decay

heat.

Venting of the containment was controlled by F-A0P-35, "Post Accident Venting

of the Primary Containment." Two flow paths are possible: a small bore path

and a large bore path. Containment venting would be initiated via the small

bore path, and if not effective in restoring pressure to less than the limit,

venting would be continued througn the large bore path. The initial path is

via valves MOV-117, M0V-123 and M0V-121. Due to piping and valve size and a

flow restricter between valves MOV-117 and MOV-123, this flow path will not

control the containment pressure under accident conditions.

The large bore path is via valves A0V-117, A0V-118, and MOV-120. Valves

A0V-117 and A0V-116 are 20 inch valves that discharge tc a 30 inch carbon steel

header. Valves M0V-121 anc h0V-120 are 6 inch and 12 inch valves respectively

which discharge in parallel through a 24 inch carbon steel header to one of two

Stacdby Gas Treatment Systein (SBGT) trains. Tne SBGT trains are tested at 1

psig, and have a working pressure of 0.5 psig. The vent patn starts near the

top of the torus. When torus level increases to 29.5 feet, the vent path

becomes unusable due to flooding. An alternate path from the drywell air space

is not available under hign pressure conditions because isolation valves in

" potential vent paths are not able to be stroked (closed) under high

differential pressure conditions.

The team confirmed that figure F-E0P-4.6, "Primary Containment Pressure

Limits," was a result of considering the maximum constant pressure condition

during the air purge and during tne steam vent. During air purge, constant

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pressure is the result of volumetric air flow out of the vent being equal to  ;

the volumetric addition of steam generated by decay heat. During the steam I

vent, the steady-state condition exists where energy out of the vent is equal i

to energy generated by decay heat. The limiting structural component in the

primary containment is the 48 inch manway to the torus. For any conditions of

vacuum that may develop in the torus or drywell, vacuum breakers are-provided

between tne torus and the drywell and between the torus and the reactor

building.

Calculations were not included as part of the EPG calculations to determine the

pressure which the SBGT system would be subjected t under venting conditions.

The SBGT filter units are located in an enclosure adjacent to the reactor

building and 1solated from the environment by a non-seismically qualified door

with ventilation louvers. Without further procedura l precautions or hardware

modifications, it is possible that the SBGT train would rupture due to the high

pressure steam being vented. In the event of a f ailure, the vent path would

then release into the environment via this unmonitored path througn the SBGT

room. Further evaluation is required to ensure that the SEGT train is not

anticipated to rupture under the postulated pressures and temperatures

associated with the containment venting sequence.

The vent paths discussed above pass through readily iccessible portions of the

secondary containment. Although venting would result in increased radiation

levels, the team concluded that the operators could carry out other duties

simultaneously with venting.

F-A0P-35 woulo be clearly implemented by control room operators without further

direction after the accident mitigation strategies of the E0Ps have failed.  ;

The operators were directed by the procedure to vent, "... irrespective of

radioactive release." Appropriate cautions were included concerning

implementation of the Emergency Plan ano Dose Assessment. The team identified

one concern with the implementation of the containment venting procedures, in

that a Special Procedure, F-SP-02, "Post LOCA Venting of Containment &

Operation of the Main Steam Leakage Collection System," was identified to be an

active plant procedure. The vent paths described in F-SP-02 were identical to

those specified in F-A0P-35, however the initiation pressure for containment

venting was approxim6tely 45 psig lower than the pressure specified in

F-A0P-35. The licensee indicated that the containment venting portion of this '

procedure was based on old event-based operating procedures and was l

inadsertently issued during the last revision of the section applicable to the

operation of the Main Steam Leakage Collection System. During the inspection

period, F-SP-02 was withdrawn and revised to remove tne non-applicable portions 1

of containment venting.

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8. ON-G0ING EVALUATION OF E0Ps

hUREG-0899 Paragraph 6.2.3, indicates that licensees should establish a program

for on-going evaluation of the E0Ps. This program should include: evaluations

cf the technical adequacy of the E0Ps in light of operational experience and ,

use, training experience, and any simulator exercises and control room '

walk-throughs; evaluation of the organization, format, style and content as a

result of using the procedures during cperations, training, simulator

exercises, and walk-throughs; and evaluation of staffing and staff

qualifications relevant to using the E0Ps.

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The team reviewed the Administrative Procedures which control the use of l

procedures at JAFNPP. F-AP-1.4, "Control of Plant Procedures," established the

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requirements for initiation, review, approval, revision, temporary change, I

withdrawal, and control of procedures and was applicable to all operational i

procedures. F-AP-1.2, "Plant Operating Review Comiittee," specified a schedule

for periodic review of procedures, which included a biennial review of EOPs.

Plant Standing Order No. 28, described the procedure by which internally and

externally generated operating experience is evaluated, reviewed and, if

necessary, incorpcrated into plant procedures or design changes. Although each

of these progran.s or procedures was considered to be applicable to tne E0Ps, a

specific program for the on-going evaluation of the E0Ps did not exist. As a

future upgrade of the E0Ps, the licensee is in the process of upgrading the

E0Ps to Revision 4 of the Vendor's EPGs and has scheduled verification and

implementation of flow chart E0Ps by July 1989.

9. EXIT MEETING

The inspection team conducted an exit meeting on June 3,1988, with licensee

management to identify the inspection fir. dings and provide the licensee with an

opportunity to question the observations. The scope of the inspection was

discussed and the licensee was informe' of the conclusions identified in the

course of the inspection. Mr. C. J. Haughney, branch Chief, Special Inspec-

tions Branch, NRR, and Mr. Jon Johnson, Section Chief, Division of Reactor

Projects, Region I represented NRC management at the final exit meeting.

10. REFERENCES

10.1 Personnel Contacted

A large number of personnel were contacted during the inspection. The

following is a list of the JAFNPP personnel involved:

  • R. Converse, Resident Manager

"W. Fernandez, Superintendent of Power

  • D. Lindsey, Operations Superintendent
  • 0. Burch, Reactor Analyst Supervisor
  • R. Patch, Quality Assurance Superintendent
  • V. Walz, Technical Services Superintendent
  • 0. Simpson, Training Superintendent
  • J. Catella, liuclear Training Manager

P. Brozenich, Shift Supervisor

R. Pike, Asst. Shif t Supervisor

G. Davis, Reactor Operator

L. Shaffer, Reactor Operator

G. Frank, Training Department

D. Jonnson, Waste fianagement General Supervisor

J. Lazarus, Assoc. Plant Engineer

K. Moody, Plant Engineer .

0. Ruddy, Plant Engineer Supervisor l

G. Tasick, Quality Assurance Supervisor l

B. Robinson, Quality Assurance Engineer l

J. Prokop Jr., Quality Assurance Engineer .

O. Squires, Shitt Supervisor '

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R. Thomas, Assistant Shift Supervisor

W. Hendricks, Reactor Operator

  • Denotes those present at the Exit Meeting on June 3, 1988.

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10.2 Procedures Reviewed _

F-EOP-1, "E0P Cautions," Revision 3

F-EOP-2, "RPV Control (Boron Injection Not Required)," Revision 1

F-EOP-3, "RPV Control (Boron Injection Required)," Revision 1

F-EOP-4, "Primary Containment Control," Revision 1

F-EOP-5, "Secondary Containment Control," Revision 1

F-EOP-6, "Radioactivity Release Control," Revision 1

F-E0P-7, "RPV Flooding," Revision 1

F-AP-1.4, "Control of Plant Procedures," Revision 7

F-A0P-15, "Recovery from an isolation," Revision 9

F-A0P-33, "Alternate Shutdown Cooling," Revision 0

F-A0P-34, "Alternate Control Rod Insertion," Revision 0

F-A0P-35, "Post Accident Venting of the Primary Containment,"

Revision 0

F-A0P-36, "Stuck Open Relief Valve," Revision 3

F-A0P-37, "Boron Injection Using the CRD System," Revision 0

F-A0P-38, "E0P Isolation / Interlock Overrides," Revision 3

F-A0P-43, "Plant Snutdown from Outside the Control Room,"

Revision 8

F-AP-1.2, "Plant Operating Review Committee", Revision 4

F-AP-1.4, "Control of Plant Procedures", Revision 4

F-AP-2.2, "Procedure for Emergency Operating Procedures,"

Revision 5

F-SP-2, "Post LOCA Venting cf Containment & Operation of the Main

Steam Leakage Collection System," Revision 8

JAFNPP Records Retention / Turnover Schedule, Revision 3.1

JAfhPP Emergency Procedure Guide, Revision 3

0050-2, "Operating Principles and Philosophy," Revision 3

0050-4, "Posting of Operator Aids," Revision 1

P50-4, "Quality Assurance & Plant Operating Records," Revision 3

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