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{{Adams | |||
| number = ML20205P116 | |||
| issue date = 03/09/1987 | |||
| title = Insp Repts 50-348/87-03 & 50-364/87-03 on 870126-30. Violation Noted:Failure to Follow Procedures in Measuring & Test Equipment Program | |||
| author name = Belisle G, Scott M | |||
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) | |||
| addressee name = | |||
| addressee affiliation = | |||
| docket = 05000348, 05000364 | |||
| license number = | |||
| contact person = | |||
| document report number = 50-348-87-03, 50-348-87-3, 50-364-87-03, 50-364-87-3, NUDOCS 8704030179 | |||
| package number = ML20205P053 | |||
| document type = INSPECTION REPORT, NRC-GENERATED, INSPECTION REPORT, UTILITY, TEXT-INSPECTION & AUDIT & I&E CIRCULARS | |||
| page count = 9 | |||
}} | |||
See also: [[see also::IR 05000348/1987003]] | |||
=Text= | |||
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\ UNITED STATES - | |||
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-[ ' o REGION 11 , ,, | |||
3 . ,, j 101 M,ARIETTA STREET,N.W. | |||
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Report Nos.: 50-348/87-03 and 50-364/87-03 L | |||
Licensee: Alabama Power Company 3 | |||
600 North 18th Street ' | |||
. .. | |||
Birmingham, AL' 35291-0400 ',, , | |||
Docket Nos.: 50-348 and 50-364 License Nos.: NPF-2 and NPF-8 | |||
Facility Name: Farley 1 and 2 | |||
Inspection Conducted: January 26- , 1987 | |||
Inspector: Ne | |||
M. A. Scott | |||
d, | |||
-~ | |||
" | |||
. | |||
3~b~ | |||
Date Signed | |||
Approveo by: d a . t-N | |||
u | |||
Cf 3--9-47 | |||
G. A. Belisle, Chief Date Signed | |||
Quality Assurance Programs Section' ~ | |||
Division of Reactor Safety | |||
SUMMARY | |||
Scope: This routine, unannounced inspection was in the areas of licensee actions | |||
on previous enforcement matters, corrective action, and actions on previously | |||
identified inspection findings. | |||
Results: One violation was identified - Failure to follow procedures in the | |||
measuring and test equipment (M&TE) program, Paragraph 5. | |||
, | |||
C | |||
, | |||
4 | |||
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REPORT DETAILS | |||
1. Persons Contacted | |||
: | |||
Licensee Employees | |||
' | |||
J. Brantley, Compliance Engineer | |||
, | |||
C. Buck, Plant Modification Department (PMD) Supervisor | |||
*T. Cherry, Instrument and Control (I&C) Supervisor | |||
*M. Coleman, System Performance Supervisor | |||
H. Erbskorn, Maintenance Foreman | |||
H. Garland, Mechanical Maintenance Supervisor | |||
J. Hancock, Mechanical Maintenance Foreman | |||
C. Hanks, I&C Calibration Lab Supervisor | |||
*R. Hill, Operations Manager | |||
H. Mahan, System Performance Engineer | |||
R. Martin, Safety Audit and Engineering Review (SAER) Auditor | |||
V. Murphy, SAER Auditor | |||
i J. Odom, Unit Supervisor | |||
i *J. Osterholtz, SAER Supervisor | |||
D. Sherer, Maintenance Planner | |||
*L. Stinson, PMD Manager | |||
J. Thomas, System Performance Supervisor | |||
W. Van Landingham, Unit Supervisor | |||
*L. Wtrd, Maintenance Manager - | |||
R. Wiggins, Operations Training Supervisor | |||
*J. Woodard, Plant Manager | |||
i Other licensee employees contacted included engineers, technicians, | |||
mechanics, security force members, and office personnel. | |||
' | |||
NRC Resident Inspectors | |||
W. Bradford | |||
*B. Bonser | |||
* Attended exit interview | |||
2. Exit Irterview | |||
The inspection scope and findings were summarized on January 30, 1987, with | |||
those persons indicated in paragraph 1 above. The inspector described the | |||
' | |||
areas inspected and discussed in detail the inspection findings. | |||
Violation, Failure to Follow Procedures in the Measuring and Test | |||
; | |||
Equipment Program, paragraph 5. | |||
The licensee had a dissenting comment on one example of the violation. This | |||
comment is addressed in paragraph 5. | |||
i | |||
l | |||
d | |||
; | |||
T. | |||
2 | |||
The licensee did not identify as proprietary any of the materials provided | |||
to or reviewed by the inspector during this inspection. | |||
3. Licensee Action on Previous Enforcement Matters (92702) | |||
a. (Closed) Violation (348,364/85-21-01): Failure To Li st Persons | |||
Contacted During Auditing Activ".ies. | |||
The inspector reviewed correspondence on the subject violation. The | |||
licensee denied the violation in his letter of June 19, 1985. In | |||
subsequent telephone conversations between Region II NRC staff and.the | |||
licensee which are indicated in NRC correspondence dated July 23, 1985, | |||
to the licensee, the NRC stated that the violation did occur as stated | |||
in the original Notice of Violation dated May 21, 1985. | |||
The inspector examined licensee audit activities as part of a | |||
corrective action implementation review. The inspector reviewed | |||
tabulations of persons contacted in 'the following composite audit | |||
reports: | |||
Report No. 86-25, dated December 30, 1986, (Contained eight | |||
audits issued in December) | |||
Report No. 86-24, dated December 13, 1986, (Contained two | |||
audits issued in December) | |||
Report No. 86-23, dated December 2, 1986, (Contained four | |||
audits issued in November) | |||
The reports listed all site personnel required for the various audits. | |||
No general staffing groups were indicate:1. | |||
The inspector concluded that the licensee had determined the full | |||
extent of the violation, taken action to correct current conditions, | |||
and developed corrective actions needed to preclude recurrence of | |||
similar problems. Corrective actions stated in the licensee | |||
correspondence have been implemented. | |||
b. (Closed) Violation (348, 364/86-25-01, b and c): Failure To Perform | |||
Evaluation Of Out-of-Tolerance Measuring And Test Equipment (M&TE). | |||
The inspector reviewed the following correspondence on the subject | |||
violation. This correspondence also addressed violations indicated in | |||
paragraphs c and d: | |||
Initiator Date Comment | |||
NRC Region II July 18, 1985 Notice of Violation | |||
Licensee August 16, 1985 Denial Letter for | |||
three of the four | |||
Violations | |||
. . | |||
3 | |||
NRC Region II October 1, 1985 Clarification / | |||
response to licensee | |||
denial | |||
*NRC Region II December 27, 1985 Meeting Summary | |||
between NRC and | |||
licensee | |||
Licensee January 15, 1986 Statement of | |||
acceptance of | |||
certain violations | |||
NRC Region II. February 13, 1986 Acknowledgement | |||
letter | |||
*This letter also addressed the violation of paragraph ~e. | |||
The licensee's final response on the subject violation was considered | |||
acceptable by Region II. | |||
The inspector reviewed the site's programmatic controls involving | |||
out-of-tolerance M&TE. Procedural controls which included AP-11 and | |||
AP-15 appeared to be adequate in their content to close the violation. | |||
However, site personnel were not following these procedures which is | |||
addressed in paragraph 5. | |||
c. (Closed) Violation (348,364/85-25-02): Failure To Establish | |||
Environmental Controls For Calibration Of Measuring And Test Equipment. | |||
The inspector reviewed the licensee's response to the violatiun as | |||
indicated in paragraph b. The response was considered acceptable by | |||
Region II. | |||
The inspector examined the programmatic controls that establish | |||
environmental conditions for the calibration of M&TE. The procedures | |||
appeared to be adequate. However, site personnel were not following | |||
the procedures which is addressed in paragraph 5. | |||
d. (Closed) Violation (348, 364/85-25-03): Failure To Confirm Adequacy | |||
Of Calibration Frequency Of Measuring And Test Equipment. | |||
The inspector reviewed the licensee's response to the violation as indicated | |||
in paragraph b. The response was considered acceptable by Region II. | |||
Site procedures had been revised to indicate a two year review cycle | |||
regarding the adequacy of calibration frequency for M&TE. In | |||
discussions with the licensee, M&TE calibration intervals had been | |||
reviewed during the initial corrective action (December 1985). The I&C | |||
second review had occurred just prior to this inspection. Mechanical | |||
maintenance indicated that their second and subsequent review is | |||
scheduled via the preventive maintenance program. | |||
-_ __ | |||
. _ . . | |||
_ | |||
4 | |||
The inspector concluded that the . licensee had determined the full | |||
extent of the violation, taken action to correct conditions, and | |||
developed corrective actions needed to preclude recurrence of similar | |||
problems. Corrective actions stated in the licensee response have | |||
been implemented. | |||
e. Closed) Violation (348,364/85-32-02): Special ' Test Program | |||
Non-compliance With Technical Specification. | |||
The licensee's response dated October 21, 1985, for this violation was | |||
considered acceptable by Region II. | |||
The inspector exanined site r,rocedures and final signature authority on | |||
current Special Test and Experiments (STE). Revision 19 of FNP-0-AP-1, | |||
Development, Review and Approval of Plant Procedures, indicated that | |||
the plant manager authorized STE. Site compliance indicated that three | |||
STEs had been performed in 1986. The inspector reviewed two STEs and | |||
identified that the plant manager had authorized both STEs. | |||
The inspector concluded that the licensee had determined the full | |||
extent of the violation, taken action to correct conditions, and | |||
developed corrective actions needed to preclude recurrence of similar | |||
problems. Corrective actions stated in the licensee's response have been | |||
implemented. | |||
f. (Closed) Unresolved Item (343, 364/85-25-06): Perform Evaluation of | |||
Installed Process Instrumentation When Found Out-of-Calibration | |||
This item was closed since process instrumentation out of-calibration | |||
events during the performance of technical specification required that | |||
surveillance tests would be identified. Although no regulatory | |||
guidance requires process instrument evaluation and current site | |||
procedures do not directly require deficient instrument evaluation, | |||
many site procedures such as FNP-0-AP-11 and site practices will | |||
capture process instrumentation related problems (NRC reference: | |||
Report Number 348,364/85-25-01). | |||
g. (0 pen) Unresolved Item, (343, 364/85-32-01): Design Changes Caused by | |||
Plant Activities / Work Items | |||
The item was left open pending issue of a new revision to FNP-0-AP-8, | |||
Design Modification Control, and review of its implementation. | |||
4. Unresolved Items | |||
Unresolved items were not identified during this inspection. | |||
. | |||
- - . _ . _ . _ . . _ | |||
. . | |||
5 | |||
5. Corrective Action (92720) | |||
i In reviewing implementation aspects of the site corrective actions for | |||
violations addressed in paragraph 3, the inspector identified examples of | |||
site personnel failing to follow procedures. The two examples are as | |||
follows: | |||
a. FNP-0-AP-11, Control and Calibration of Test Equipment, Test | |||
Instrumentation and Plant Instrumentation (Revision 6, issued | |||
February 7,1986), prescribed environmental conditions for calibration | |||
of M&TE. Paragraph 4.11.1 of the procedure states, in part, that if | |||
environmental conditions are not specified by the vendor, a relative | |||
humidity of less than 70 percent and a temperature of 70110* F will be | |||
used. The inspector found in excess of ten calibration data sheets | |||
for I&C M&TE that had no temperature and humidity recorded. Examples | |||
, of the M&TE were: | |||
Identification Type of Date | |||
Number M&TE Calibrated | |||
FNP-HTG-8024 0-4000 psig 8/13/86 | |||
gauge | |||
FNP-HTG-8516 0-500 psig 8/8/86 | |||
1 | |||
gauge | |||
FNP-HTG-8097 0-1500 psig 8/13/86 | |||
gauge , | |||
; FNP-HTG-8514 0-500 psig 8/12/86 | |||
gauge | |||
A note was typically annotated on the sheet indicating that Rad-Side; | |||
Humidity / Temperature controls were not in place. In discussions with the | |||
licensee, no portable temperature and humidity indicators were taken to | |||
the Radiological Control Area (RCA/ Rad-Side) where the subject M&TE | |||
were calibrated. It was stated by the licensee that there was air | |||
conditioning present in the RCA space, but the unit does not work | |||
sometimes and its humidity and temperature parameters are not routinely | |||
checked, | |||
b. Paragraph 4.8.1 of FNP-0-AP-11 prescribed evaluations for M&TE found | |||
out-of-tolerance. The paragraph states, in part, that such evaluations | |||
' | |||
shall be performed promptly to determine if safety-related activities | |||
were involved and in all cases should be completed within 30 days. | |||
The licensee stated that the "should" verb used in the above sentence | |||
is interpreted to mean manditory/ imperative which was in agreement | |||
; with the statements made in their corrective action documentation | |||
(Corrective Action Request 1041). After the calibration lab checks and | |||
finds a piece of M&TE out-of-tolerance, the I&C lab personnel filled | |||
, | |||
. _. | |||
I | |||
, | |||
6 | |||
L | |||
out a Test- Equipment Deficiency Report (TEDR) and routed it to the | |||
user of the out-of-tolerance M&TE for evaluation. Paragraph 4.8.3 of | |||
* | |||
FNP-0-AP-11 allowed the user and/or foreman ten days from receipt of | |||
the TEDR to complete the evaluation. The inspector reviewed completed | |||
TEDRs and found in excess of ten TEDRs that had the limits exceeded. | |||
The following is a sample of the deficient M&TE identified on the | |||
t TEDRs: | |||
: Identification TEDR Evaluation | |||
Number Initial Date Review Date | |||
' | |||
FNP-WTC-8156 | |||
- | |||
04/08/86 06/30/86 | |||
FNP-HTG-8510 07/02/86 08/08/86 | |||
FNP-ATG-8573 07/21/86 08/11/86 | |||
FNP-ATG-8467 04/12/86 07/02/86 | |||
The deficient TEDRs exceeded the limits from a few days to greater than | |||
60 days. The deficient I&C TEDRs were marked serially as repeat | |||
re-issues to the user for evaluation. The earliest deficient TEDR | |||
observed was from April 1986, and they continued through to the period | |||
i of the inspection. It was found in reviewing the mechanical group | |||
' | |||
TEDRs that none of these exceeded similar limits. The licensee stated | |||
< | |||
that management was aware of the problem and had a draft FNP-0-AP-11 in | |||
routing which was stated to extend the time limit to 40 days total (20 | |||
2 days for user evaluation) and would require a tickle copy of the tardy | |||
TEDR to I&C Supervisor for additional action. | |||
During the exit interview, the licensee stated that they would probably | |||
object to this example of the violation based on the existence of the | |||
draft procedure. Due to the following, the inspector let the enmple | |||
stand: | |||
(1) The length of time that deficient TEDRs had _been occurring (at | |||
least nine months) | |||
' | |||
(2) The fact that the mechanical group TEDRs were being evaluated | |||
within similar time limits | |||
* | |||
(3) The fact that the draft procedure proposed time limit would not | |||
have captured the more tardy of the deficient TEDRs | |||
; (4) The fact the deficient condition did not meet the regairements of | |||
10 CFR Part 2, Appendix C.V.A, for licensee identified | |||
deficiencies | |||
: The above two examples constitute violation 348, 364/87-03-01, Failure | |||
' | |||
to Follow Procedure. | |||
1 | |||
e | |||
1 | |||
. . | |||
7 | |||
6. Licensee Actions on Previously Identified Inspection Findings (92701) | |||
a. (Closed) Inspector Followup Item (348, 364/85-21-02): Cheater Bar | |||
Usage | |||
The licensee issued FNP-0-SOP-0, General Instructions to Operations | |||
Personnel, Revision 19, which provided instructions on the use of | |||
cheater bars (manual torque multipliers) on manual valves. The | |||
procedure required that a work request be written on the valves that | |||
would require torque which could not be explained or was questionable. | |||
The work request would be the vehicle for a valve evaluation. The | |||
licensee stated that operations would request System Performance | |||
perform the evaluation. Operations had received training on the | |||
procedure. | |||
b. (Closed) Inspector Followup Item (348, 364/85-21-03): 10 CFR 21 | |||
Reporting | |||
The inspector reviewed FNP-0-AP-62, Evaluations of Defects and | |||
Noncompliances Potentially Reportable Under 10 CFR 21, Revision 2. The | |||
revision incorporated all the comments indicated in report number | |||
50-348, 364/85-21. | |||
c. (0 pen) Inspector Followup Item (348, 364/85-25-05): Certification of | |||
Individuals Qualified to Calibrate Measuring and Test Equipment | |||
This item will remain open pending NRC review of maintenance training | |||
at a later date. | |||
d. (Closed) Inspector Followup Item (348, 364/85-30-01): Review Process | |||
to Determine Safety Operating Plant Based on System Availability | |||
The inspector examined safety-related pump test program changes in | |||
light of FSAR (paragraph 13.5.4.2) and regulatory requirements. | |||
FNP-0-AP-63, Conduct of Operations - System Performance Group, Revision | |||
2, had been changed to upgrade and clarify the program. The Systems | |||
Performance Group (SPG) is more involved in trending and evaluating | |||
pump performance. The SPG has altered how data is analyzed and has | |||
upgraded the data acquisition methodology. The SPG, in conjunction | |||
with plant maintenance and operations is developing new techniques in | |||
vibration analysis. The inspector reviewed tabulated / computerized data | |||
on pump performance and found some minor errors that were corrected by | |||
the SPG during the inspection. | |||
e. (Closed) Inspector Followup Item (348, 364/85-30-02): Pump Vibration | |||
Testing | |||
The inspector reviewed pump vibration testing program changes since | |||
the last inspection in this area. Site personnel are changing how | |||
vibration analysis is now being performed. As stated by the licensee, | |||
_ . _ - - - _ - _ _ . - _ . | |||
. _ , _ | |||
8 | |||
permanent vibration monitoring points have been attached to pumps which | |||
were under analysis. Although retraining has not occurred for the | |||
4 unit operators, pump vibration data error has dropped significantly | |||
with these fixed data collection points. In reviewing the_ data, the | |||
inspector identified what appeared to be a data collector error which | |||
was spurious but did not void the test results. The noted error was | |||
probably caused by the use of hand held probes which could cause | |||
trending problems. The licensee stated that new, more sophisticated | |||
vibration gear is being integrated into the program which will | |||
.: | |||
eventually replace the hand held probes. | |||
f. (Closed) Inspector Followup Item (348,364/85-32-03): Section | |||
Instructions for the Plant Modification and Maintenance Support Group | |||
The inspector reviewed section instructions and other documents used by | |||
the Plant Modification Department (PMD) to close this item. The | |||
guidances varied from a letter on lubricants to typed checklists. The | |||
guidance was stated to be controlled within PMD and the loose leaf | |||
l | |||
binders containing the guidance were given to each PMD engineer. Three | |||
of the eight documents reviewed were dated or had revision numbers. | |||
The PMD manager indicated that dating the remainder of the guidance | |||
would occur. The primary instructions ET-001 and ET-002 (Design Change | |||
Engineering Evaluation Preparation, Revision 0, and Engineering | |||
Completion Reviews, dated January 20, 1986, respectively) had been | |||
issued since the last inspection this area. | |||
<, | |||
i | |||
l | |||
l | |||
i | |||
-v- ,. , , , - - n | |||
- - | |||
yn,- | |||
}} |
Latest revision as of 00:38, 20 December 2021
ML20205P116 | |
Person / Time | |
---|---|
Site: | Farley |
Issue date: | 03/09/1987 |
From: | Belisle G, Michael Scott NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
To: | |
Shared Package | |
ML20205P053 | List: |
References | |
50-348-87-03, 50-348-87-3, 50-364-87-03, 50-364-87-3, NUDOCS 8704030179 | |
Download: ML20205P116 (9) | |
See also: IR 05000348/1987003
Text
- ' * '
.
l k ? l
-
, ,
' '
\ UNITED STATES -
[kurt
.-
'o NUCLEAR REGULATORY COMMISSION - ,
~' ' '
-[ ' o REGION 11 , ,,
3 . ,, j 101 M,ARIETTA STREET,N.W.
' '
3
'
o, g < ATLANTA, GEORGIA 30323 4
. .,
% 4
0 >
4.... ; . t ,
y -
x,. -
Report Nos.: 50-348/87-03 and 50-364/87-03 L
Licensee: Alabama Power Company 3
600 North 18th Street '
. ..
Birmingham, AL' 35291-0400 ',, ,
Docket Nos.: 50-348 and 50-364 License Nos.: NPF-2 and NPF-8
Facility Name: Farley 1 and 2
Inspection Conducted: January 26- , 1987
Inspector: Ne
M. A. Scott
d,
-~
"
.
3~b~
Date Signed
Approveo by: d a . t-N
u
Cf 3--9-47
G. A. Belisle, Chief Date Signed
Quality Assurance Programs Section' ~
Division of Reactor Safety
SUMMARY
Scope: This routine, unannounced inspection was in the areas of licensee actions
on previous enforcement matters, corrective action, and actions on previously
identified inspection findings.
Results: One violation was identified - Failure to follow procedures in the
measuring and test equipment (M&TE) program, Paragraph 5.
,
C
,
4
h
- .
t ,
!
4
1
..
,
F
- (
REPORT DETAILS
1. Persons Contacted
Licensee Employees
'
J. Brantley, Compliance Engineer
,
C. Buck, Plant Modification Department (PMD) Supervisor
- T. Cherry, Instrument and Control (I&C) Supervisor
- M. Coleman, System Performance Supervisor
H. Erbskorn, Maintenance Foreman
H. Garland, Mechanical Maintenance Supervisor
J. Hancock, Mechanical Maintenance Foreman
C. Hanks, I&C Calibration Lab Supervisor
- R. Hill, Operations Manager
H. Mahan, System Performance Engineer
R. Martin, Safety Audit and Engineering Review (SAER) Auditor
V. Murphy, SAER Auditor
i J. Odom, Unit Supervisor
i *J. Osterholtz, SAER Supervisor
D. Sherer, Maintenance Planner
J. Thomas, System Performance Supervisor
W. Van Landingham, Unit Supervisor
- L. Wtrd, Maintenance Manager -
R. Wiggins, Operations Training Supervisor
- J. Woodard, Plant Manager
i Other licensee employees contacted included engineers, technicians,
mechanics, security force members, and office personnel.
'
NRC Resident Inspectors
W. Bradford
- B. Bonser
- Attended exit interview
2. Exit Irterview
The inspection scope and findings were summarized on January 30, 1987, with
those persons indicated in paragraph 1 above. The inspector described the
'
areas inspected and discussed in detail the inspection findings.
Violation, Failure to Follow Procedures in the Measuring and Test
Equipment Program, paragraph 5.
The licensee had a dissenting comment on one example of the violation. This
comment is addressed in paragraph 5.
i
l
d
T.
2
The licensee did not identify as proprietary any of the materials provided
to or reviewed by the inspector during this inspection.
3. Licensee Action on Previous Enforcement Matters (92702)
a. (Closed) Violation (348,364/85-21-01): Failure To Li st Persons
Contacted During Auditing Activ".ies.
The inspector reviewed correspondence on the subject violation. The
licensee denied the violation in his letter of June 19, 1985. In
subsequent telephone conversations between Region II NRC staff and.the
licensee which are indicated in NRC correspondence dated July 23, 1985,
to the licensee, the NRC stated that the violation did occur as stated
in the original Notice of Violation dated May 21, 1985.
The inspector examined licensee audit activities as part of a
corrective action implementation review. The inspector reviewed
tabulations of persons contacted in 'the following composite audit
reports:
Report No. 86-25, dated December 30, 1986, (Contained eight
audits issued in December)
Report No. 86-24, dated December 13, 1986, (Contained two
audits issued in December)
Report No. 86-23, dated December 2, 1986, (Contained four
audits issued in November)
The reports listed all site personnel required for the various audits.
No general staffing groups were indicate:1.
The inspector concluded that the licensee had determined the full
extent of the violation, taken action to correct current conditions,
and developed corrective actions needed to preclude recurrence of
similar problems. Corrective actions stated in the licensee
correspondence have been implemented.
b. (Closed) Violation (348, 364/86-25-01, b and c): Failure To Perform
Evaluation Of Out-of-Tolerance Measuring And Test Equipment (M&TE).
The inspector reviewed the following correspondence on the subject
violation. This correspondence also addressed violations indicated in
paragraphs c and d:
Initiator Date Comment
NRC Region II July 18, 1985 Notice of Violation
Licensee August 16, 1985 Denial Letter for
three of the four
Violations
. .
3
NRC Region II October 1, 1985 Clarification /
response to licensee
denial
- NRC Region II December 27, 1985 Meeting Summary
between NRC and
licensee
Licensee January 15, 1986 Statement of
acceptance of
certain violations
NRC Region II. February 13, 1986 Acknowledgement
letter
- This letter also addressed the violation of paragraph ~e.
The licensee's final response on the subject violation was considered
acceptable by Region II.
The inspector reviewed the site's programmatic controls involving
out-of-tolerance M&TE. Procedural controls which included AP-11 and
AP-15 appeared to be adequate in their content to close the violation.
However, site personnel were not following these procedures which is
addressed in paragraph 5.
c. (Closed) Violation (348,364/85-25-02): Failure To Establish
Environmental Controls For Calibration Of Measuring And Test Equipment.
The inspector reviewed the licensee's response to the violatiun as
indicated in paragraph b. The response was considered acceptable by
Region II.
The inspector examined the programmatic controls that establish
environmental conditions for the calibration of M&TE. The procedures
appeared to be adequate. However, site personnel were not following
the procedures which is addressed in paragraph 5.
d. (Closed) Violation (348, 364/85-25-03): Failure To Confirm Adequacy
Of Calibration Frequency Of Measuring And Test Equipment.
The inspector reviewed the licensee's response to the violation as indicated
in paragraph b. The response was considered acceptable by Region II.
Site procedures had been revised to indicate a two year review cycle
regarding the adequacy of calibration frequency for M&TE. In
discussions with the licensee, M&TE calibration intervals had been
reviewed during the initial corrective action (December 1985). The I&C
second review had occurred just prior to this inspection. Mechanical
maintenance indicated that their second and subsequent review is
scheduled via the preventive maintenance program.
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The inspector concluded that the . licensee had determined the full
extent of the violation, taken action to correct conditions, and
developed corrective actions needed to preclude recurrence of similar
problems. Corrective actions stated in the licensee response have
been implemented.
e. Closed) Violation (348,364/85-32-02): Special ' Test Program
Non-compliance With Technical Specification.
The licensee's response dated October 21, 1985, for this violation was
considered acceptable by Region II.
The inspector exanined site r,rocedures and final signature authority on
current Special Test and Experiments (STE). Revision 19 of FNP-0-AP-1,
Development, Review and Approval of Plant Procedures, indicated that
the plant manager authorized STE. Site compliance indicated that three
STEs had been performed in 1986. The inspector reviewed two STEs and
identified that the plant manager had authorized both STEs.
The inspector concluded that the licensee had determined the full
extent of the violation, taken action to correct conditions, and
developed corrective actions needed to preclude recurrence of similar
problems. Corrective actions stated in the licensee's response have been
implemented.
f. (Closed) Unresolved Item (343, 364/85-25-06): Perform Evaluation of
Installed Process Instrumentation When Found Out-of-Calibration
This item was closed since process instrumentation out of-calibration
events during the performance of technical specification required that
surveillance tests would be identified. Although no regulatory
guidance requires process instrument evaluation and current site
procedures do not directly require deficient instrument evaluation,
many site procedures such as FNP-0-AP-11 and site practices will
capture process instrumentation related problems (NRC reference:
Report Number 348,364/85-25-01).
g. (0 pen) Unresolved Item, (343, 364/85-32-01): Design Changes Caused by
Plant Activities / Work Items
The item was left open pending issue of a new revision to FNP-0-AP-8,
Design Modification Control, and review of its implementation.
4. Unresolved Items
Unresolved items were not identified during this inspection.
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5. Corrective Action (92720)
i In reviewing implementation aspects of the site corrective actions for
violations addressed in paragraph 3, the inspector identified examples of
site personnel failing to follow procedures. The two examples are as
follows:
a. FNP-0-AP-11, Control and Calibration of Test Equipment, Test
Instrumentation and Plant Instrumentation (Revision 6, issued
February 7,1986), prescribed environmental conditions for calibration
of M&TE. Paragraph 4.11.1 of the procedure states, in part, that if
environmental conditions are not specified by the vendor, a relative
humidity of less than 70 percent and a temperature of 70110* F will be
used. The inspector found in excess of ten calibration data sheets
for I&C M&TE that had no temperature and humidity recorded. Examples
, of the M&TE were:
Identification Type of Date
Number M&TE Calibrated
FNP-HTG-8024 0-4000 psig 8/13/86
FNP-HTG-8516 0-500 psig 8/8/86
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FNP-HTG-8097 0-1500 psig 8/13/86
gauge ,
- FNP-HTG-8514 0-500 psig 8/12/86
A note was typically annotated on the sheet indicating that Rad-Side;
Humidity / Temperature controls were not in place. In discussions with the
licensee, no portable temperature and humidity indicators were taken to
the Radiological Control Area (RCA/ Rad-Side) where the subject M&TE
were calibrated. It was stated by the licensee that there was air
conditioning present in the RCA space, but the unit does not work
sometimes and its humidity and temperature parameters are not routinely
checked,
b. Paragraph 4.8.1 of FNP-0-AP-11 prescribed evaluations for M&TE found
out-of-tolerance. The paragraph states, in part, that such evaluations
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shall be performed promptly to determine if safety-related activities
were involved and in all cases should be completed within 30 days.
The licensee stated that the "should" verb used in the above sentence
is interpreted to mean manditory/ imperative which was in agreement
- with the statements made in their corrective action documentation
(Corrective Action Request 1041). After the calibration lab checks and
finds a piece of M&TE out-of-tolerance, the I&C lab personnel filled
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out a Test- Equipment Deficiency Report (TEDR) and routed it to the
user of the out-of-tolerance M&TE for evaluation. Paragraph 4.8.3 of
FNP-0-AP-11 allowed the user and/or foreman ten days from receipt of
the TEDR to complete the evaluation. The inspector reviewed completed
TEDRs and found in excess of ten TEDRs that had the limits exceeded.
The following is a sample of the deficient M&TE identified on the
t TEDRs:
- Identification TEDR Evaluation
Number Initial Date Review Date
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FNP-WTC-8156
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04/08/86 06/30/86
FNP-HTG-8510 07/02/86 08/08/86
FNP-ATG-8573 07/21/86 08/11/86
FNP-ATG-8467 04/12/86 07/02/86
The deficient TEDRs exceeded the limits from a few days to greater than
60 days. The deficient I&C TEDRs were marked serially as repeat
re-issues to the user for evaluation. The earliest deficient TEDR
observed was from April 1986, and they continued through to the period
i of the inspection. It was found in reviewing the mechanical group
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TEDRs that none of these exceeded similar limits. The licensee stated
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that management was aware of the problem and had a draft FNP-0-AP-11 in
routing which was stated to extend the time limit to 40 days total (20
2 days for user evaluation) and would require a tickle copy of the tardy
TEDR to I&C Supervisor for additional action.
During the exit interview, the licensee stated that they would probably
object to this example of the violation based on the existence of the
draft procedure. Due to the following, the inspector let the enmple
stand:
(1) The length of time that deficient TEDRs had _been occurring (at
least nine months)
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(2) The fact that the mechanical group TEDRs were being evaluated
within similar time limits
(3) The fact that the draft procedure proposed time limit would not
have captured the more tardy of the deficient TEDRs
- (4) The fact the deficient condition did not meet the regairements of
10 CFR Part 2, Appendix C.V.A, for licensee identified
deficiencies
- The above two examples constitute violation 348, 364/87-03-01, Failure
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to Follow Procedure.
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6. Licensee Actions on Previously Identified Inspection Findings (92701)
a. (Closed) Inspector Followup Item (348, 364/85-21-02): Cheater Bar
Usage
The licensee issued FNP-0-SOP-0, General Instructions to Operations
Personnel, Revision 19, which provided instructions on the use of
cheater bars (manual torque multipliers) on manual valves. The
procedure required that a work request be written on the valves that
would require torque which could not be explained or was questionable.
The work request would be the vehicle for a valve evaluation. The
licensee stated that operations would request System Performance
perform the evaluation. Operations had received training on the
procedure.
b. (Closed) Inspector Followup Item (348, 364/85-21-03): 10 CFR 21
Reporting
The inspector reviewed FNP-0-AP-62, Evaluations of Defects and
Noncompliances Potentially Reportable Under 10 CFR 21, Revision 2. The
revision incorporated all the comments indicated in report number
50-348, 364/85-21.
c. (0 pen) Inspector Followup Item (348, 364/85-25-05): Certification of
Individuals Qualified to Calibrate Measuring and Test Equipment
This item will remain open pending NRC review of maintenance training
at a later date.
d. (Closed) Inspector Followup Item (348, 364/85-30-01): Review Process
to Determine Safety Operating Plant Based on System Availability
The inspector examined safety-related pump test program changes in
light of FSAR (paragraph 13.5.4.2) and regulatory requirements.
FNP-0-AP-63, Conduct of Operations - System Performance Group, Revision
2, had been changed to upgrade and clarify the program. The Systems
Performance Group (SPG) is more involved in trending and evaluating
pump performance. The SPG has altered how data is analyzed and has
upgraded the data acquisition methodology. The SPG, in conjunction
with plant maintenance and operations is developing new techniques in
vibration analysis. The inspector reviewed tabulated / computerized data
on pump performance and found some minor errors that were corrected by
the SPG during the inspection.
e. (Closed) Inspector Followup Item (348, 364/85-30-02): Pump Vibration
Testing
The inspector reviewed pump vibration testing program changes since
the last inspection in this area. Site personnel are changing how
vibration analysis is now being performed. As stated by the licensee,
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permanent vibration monitoring points have been attached to pumps which
were under analysis. Although retraining has not occurred for the
4 unit operators, pump vibration data error has dropped significantly
with these fixed data collection points. In reviewing the_ data, the
inspector identified what appeared to be a data collector error which
was spurious but did not void the test results. The noted error was
probably caused by the use of hand held probes which could cause
trending problems. The licensee stated that new, more sophisticated
vibration gear is being integrated into the program which will
.:
eventually replace the hand held probes.
f. (Closed) Inspector Followup Item (348,364/85-32-03): Section
Instructions for the Plant Modification and Maintenance Support Group
The inspector reviewed section instructions and other documents used by
the Plant Modification Department (PMD) to close this item. The
guidances varied from a letter on lubricants to typed checklists. The
guidance was stated to be controlled within PMD and the loose leaf
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binders containing the guidance were given to each PMD engineer. Three
of the eight documents reviewed were dated or had revision numbers.
The PMD manager indicated that dating the remainder of the guidance
would occur. The primary instructions ET-001 and ET-002 (Design Change
Engineering Evaluation Preparation, Revision 0, and Engineering
Completion Reviews, dated January 20, 1986, respectively) had been
issued since the last inspection this area.
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