ML20137C062: Difference between revisions

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#REDIRECT [[IR 05000346/1985028]]
{{Adams
| number = ML20137C062
| issue date = 11/21/1985
| title = Insp Rept 50-346/85-28 on 850903-1031.Violation Noted:No Procedures Provided for Fabrication,Installation & Insp of Boot Seals
| author name = Guldemond W, Holmes J, Maura F, Ulie J
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
| addressee name =
| addressee affiliation =
| docket = 05000346
| license number =
| contact person =
| document report number = 50-346-85-28, NUDOCS 8511260421
| package number = ML20137C005
| document type = INSPECTION REPORT, NRC-GENERATED, INSPECTION REPORT, UTILITY, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 22
}}
See also: [[see also::IR 05000346/1985028]]
 
=Text=
{{#Wiki_filter:. .
                                U.S. NUCLEAR REGULATORY COMMISSION
                                              REGION III
                                                                                            .
      Report No. 50-346/85028(DRS)
      Docket No. 50-346'                                                License No. NPF-3
      Licensee: Toledo Edison Company
                    Edison Plaza
                    300 Madison Avenue
                    Toledo, OH '43652
      Facility Name: Davis-Besse 1
      Inspection At: Oak Harbor, OH                          .
      Inspection Conducted:      September 3 thorugh October 31, 1985
                                    -
                                          SM                              pl.g/p-
      Inspectors:        .  olm            '
                                                                        ~Date
                          . Ma a                                          llvkl
                                                                        Date
                          . U11                                                M[
      Approved By:      .G.      emond, Chie                          f/u/p/
                        Operations Program Section                      Date ~
        Inspec_ti_on
        n          Suninary
        Inspection on September 3 through Octobe_r 31,1985(R_eportNo. 50-346/85028
        (DRS)) Areas _ Inspected: ~EutTn'e,
                                        t    announced inspection to assess the tei:YnTEal
      status of outstanding fire protection issues including a review of the fire
                      _
        protection program as it relates to the outstanding issues, and a review of
        allegations received by the NRC relative to penetration seals. In addition,
        leak testing of containment purge valves was reviewed. The inspection involved
        a total of 138 inspector-hours onsite and in-office review by three NRC
        inspectors including 17 inspector-hours onsite during off-shifts.
        Results: In the four areas inspected, no apparent violations were identified
        in three areas; one apparent violation was identified in the remaining area (no
        procedure (s) existed which provided for the fabrication, installation, and
        inspection of the plant flexible boot seals - Paragraph 4).
      8511260421 851122
      PDR    ADOCK 05000346
      9                    PDR
u
 
  .
    .
                                          DETAILS
      1. Persons Contacted
        Toledo Edison Company
        *B. Beyer, Nuclear Projects Director
        *W.  Connor, Assistant Plant Manager Operations
        *T. Hart, Fire Protection Engineer
.
"
        *J. Helle, Nuclear Facility Engineer-Director
        *J. Kapser, Mechanical Superintendent
          D. Missig, Plant Engineer
        *D. Momivez, Quality Assurance Supervisor
        *M.  Murtla, Fire Protection Engineer
        *T. Myers, Nuclear Safety and Licensing Director
          W. Nissia, Fire Protection Coordinator
        *S. Quennoz, Group Director Nuclear Engineer
        *L. Storz, Plant Manager
        *A. VanDenabele, Project Manager
        *S. Wideman, Senior Licensing Specialist
        *J. Williams, Senior Vice-President
        *J. Wood, General Superintendent-Facility Engineer
        Cygna
        *J. Haverly, Licensing Support
        USNRC
        *D. Kosloff, Resident Inspector
        *W.  Rogers, Senior Resident Inspector
        The inspectors also contacted other plant personnel.                            ,
        * Denotes persons attending the exit meeting of September 6, 1985.
      2. Action On Previous Inspection Findings
        During the period July 11-29, 1983, the NRC conducted a special safety
        inspection of the licensee's implementation of the requirements of
i
        10 CFR 50,' Appendix R (Sections III.G, J, L, and 0) and the fire pro-
        tection program. Numerous deficiencies were identified during that
        inspcction as documented in Part I of Inspection Report No. 50-346/83016.
        Upon review of these deficiencies, the NRC concluded that certain issues
        had to be resolved prior to plant restart.    During September 1983, a
        followup inspection was conducted to establish the status of those issues
        identified as restart prereouisites. As identified in Part II of
        Inspection Report No. 50-346/83016, all restart issues were satisfactorily
        resolved; however, they were administrative 1y left open pending receipt of
        a formal response from the licensee on those issues.
,
                                            2
                                                                                          ,
                          .                  .  -.      . .. --    - - - .  -      -
                                                                                      _,
 
. .
    During the period September 3 through October 31, 1985, a followup
    inspection was performed by Region III inspectors to revisit a number
    of issues identified in Inspection Report No. 50-346/83016: remaining
    open. The status of those issues is discussed below.
    a.    (0 pen) Violation (346/83016-01A): The alternative shutdown capa-
          bility for the control room and cable spreading room did not meet
          the requirements of 10 CFR 50, Appendix R in that the initial
          conditions assumed were not consistent with the range of fires which
          could be postulated, interaction of circuits of concern was not
          addressed, it failed to uniquely address loss of offsite power, it
          failed to adequately address the use of pressurizer heaters, it was
          not totally independent of the control room and cable spreading room,
          it failed to provide for achieving cold shutdown in 72 hours, and the
          alternate shutdown panels lacked indications of neutron flux and plant
          temperature. The licensee has re-evaluated the station level of com-
          pliance with the requirements of 10 CFR 50, Appendix R, Sections III,
          G, J, L, and O.    The results of this review were submitted to the NRC
          in September 1984 as the Appendix R Compliance Assessment Report
          (CAR). The CAR identifies the licensee's impression of their specific
          degree of compliance with Appendix R, identifies the procedural or
          physical modifications required to bring the plant into compliance
          with the regulation, and, in specific areas, requests exemptions from
          specific requirements of Sections III, G, J, L and O.      While the NRC
          has not acted yet on the CAR, the licensee is proceeding with the
          implementation of the corrective actions described in the report.
          The inspection of this item involved a review of specific items as
          described in the CAR, station procedures, and different tracking
          systems being used by the licensee to ensure that procedural and
          physical corrective actions are carried out. During this review, it
          was noted that the documents did not generally agree with each other.
          The licensee stated that since the CAR was issued, additional analyses
          have been completed which are reflected in the summary of fire protec-
          tion activities report, but that the tracking systems only reflect
          Revision 0 of the CAR. The licensee agreed to, by March 6, 1986,
          submit to the NRC a revised CAR and Fire Hazards Analysis Report
          (FHAR) identifying all analysis work required to ensure compliance
          with 10 CFR 50, Appendix R and any other commitments in the area of
          safe shutdown and fire protection and to update all tracking mechan-
          isms to correctly reflect all modifications required to bring the
          plant into compliance as stated in the revised CAR and FHAR.
          With respect to the specific findings identified as part of violation
          346/83016-01A, the following findings were made:
          (1) As indicated in Part II of Inspection Report No. 50-346/83-16,
                the licensee developed procedure AB 1203.26, Serious Control
                Room Fire, to address the necessary actions to achieve hot
                standby and subsequent cold shutdown in the event of a fire
                                          3
 
    m
                                                                          >
    s .
                                                            s
( '
              resulting in total loss of the control room or cable spreading
              room accompanied with loss of offsite power. The procedure is
            considered " interim" since it contains a number of repair acti-
            vtties required to achieve hot standby, pending satisfactory
            completion of the modifications required to meet Appendix R.
            This portion of this item remains open.
        (2) The CAR has identified that, in a majority of the fire areas,
              the pressurizer heaters remain available for pressure control;
            however, in five specific areas where both trains of pressurizer
            heaters could be lost as a result of a fire, the plant would
            proceed to cold shutdown as directed by procedure AB 1203.02,
            Serious Station Fire. As a result, the licensee does not con-
              sider the pressurizer heaters as a required safe shutdown
            component. The inspector reviewed procedure AB 1203.02 for two
            (A and D) of the five fire areas identified in the CAR where the
            heaters could be lost and noted that the procedure for fire
            area A (Attachment 16.35 to AB 1203.02) "RCS System", identifies
            the heaters as equipment affected, but does not require the
            operators to proceed to cold shutdown. The licensee had stated
            earlier, that all procedural changes required by the CAR had
            been completed. As a result, the licensee will re-review all
              the procedural changes required by the CAR to ensure they have
*
            been performed.    This portion of the item remains open.
        (3) During the July 1983 inspection, it was determined that for a
            control room / cable spreading room fire with loss of offsite
            power, the licensee was not capable of achieving cold shutdown
            within the required 72 hours. On September 30, 1983, the
              licensee requested an exemption from the 72 hour requirement of
            Appendix R, Section III.L.1. The NRC granted the exemption on
            August 20, 1984; therefore, this issue is resolved and this
            portion of this item is closed.
        (4) With respect to the missing process variables necessary to
            perform and control reactor shutdown from outside the control
              room, the licensee plans to provide source range flux and
              reactor coolant temperature (Th and Tc for both loops) indica-
              tion outside the control room. Specific completion dates for
              these modifications have not been established. Inspection
              Report No. 50-346/83-16, Part II, describes the NRC accepted
              interim measures being used to compensate for the present lack
            of these process variables. This portion of the issue remains
            open.
        Violation 346/83016-01A remains open pending completion of all
        procedural and physical modifications required to bring the plant
        in compliance with Appendix R, NRR acceptance of the licensee's pro-
        posed resolutions including all requested exemptions in this area,
        and a satisfactory reinspection to ensure compliance with the
        regulation.
                                        4
 
  .
    b. (0 pen) Violation (346/83016-01B):  Failure to perform a spurious
      signal analysis for valves in the service water discharge line, the
      pressurizer Power Operated Relief Valve (PORV) and block valve, and
      the letdown cooler isolation valves. Prior to restart after the
      July 1983 inspection, the inspectors verified that the licensee had
      taken procedural actions to ensure that at least one of the four
      service water discharge valves is normally open and de-energized to
      assure a service water flow path regardless of fire location, and that
      the PORV block valve (RC-11) and the letdown isolation valve (MU2B)
      would be closed prior to control room evacuation. This was documented
      in Part II of Inspection Report No. 50-346/83016.
      In the case of the service water discharge valves, these actions
      provide a permanent acceptable fix.
      The CAR addresses the concern of spurious signals activating any of
      these valves. In the case of the PORV and its block valve, RC-11,
      the analysis showed that a single fire in one area, Area U, could
      cause the PORV to open and simultaneously prevent closure of RC-11,
      thereby producing an unisolable leakage path from the reactor coolant
      system. The licensee has proposed wrapping cable tray 1CJM with
      a one hour fire barrier to ensure the operability of valve RC-11.
      The licensee had scheduled this activity for completion prior to
      startup following the next refueling outage; however, Region III has
      recommended to NRR that completion of this modification be made a
      condition for startup from the current outage.
      In the case of the letdown coolers' inlet and outlet isolation valves,
      the analysis indicates that a fire in containment could disable both
      valves; however, isolation capability can be provided by a third
      isolation valve (MUO3) downstream of the other two valves for either
      cooler. Valve MUO3 is a normally open air operated valve which fails
      closed on loss of power. Its circuits are not within containment.
      The inspector verified that procedure AB 1203.02, Serious Plant Fires,
      Attachment No. 43 addresses the closing of MUO3 if the primary isola-
      tion valves for the letdown coolers are affected; however, it was
      noted that there is a lack of guidance available to the operator to
      make the determination that the isolation valves for either letdown
      cooler have remained open.
      This item will remain open pending a revision to procedure AB 1203.02
      to adecuately reflect operation of valve MUO3, and satisfactory
      resolution of the concerns related to simultaneous spurious operation
      of the PORV and its block valve.
    c. (Closed) Violation (346/83016-07): Reactor coolant pump cil collec-
      tion systems not capable of holding the entire lubricating oil system
      inventory. On September 30, 1983, the licensee requested an exemption
      from the requirements of 10 CFR 50, Appendix R, Section III.O. to have
      a reactor coolant pump oil collection system large enough to hold the
      entire lubricating oil system inventory. On August 20, 1984, the NRC
      granted the exemption, resolving this issue.
                                      5
b
 
.
  d. (Closed) Open Item (346/83016-08):    Failure of procedures to address
    spurious actuation of decay heat isolation valves. Prior to restart
    following the July 1983 inspection, the licensee revised procedure
    SP 1104.04 to require deenergizing one of the two motor operated
    valves, DH-11 or DH-12, in the decay heat removal system. This is
    documented in Part II of Inspection Report No. 50-346/83016, and is
    considered an acceptable permanent resolution to this issue.
  e. (0 pen) Open Item (346/83016-09):    Failure to perform an analysis to
    determine the level of Gaitronics Communication system operability
    that would remain after a control room / cable spreading room fire. At
    the conclusion of the September 1983 inspection, prior to plant
    restart, (Inspection Report 50-346/83016, Part II), the inspectors
    determined that the licensee had developed procedures to ensure an
    adequate alternate means of communications using portable handheld
    VHF radios. The CAR addresses the communications problem, identi -
    fies the need for a sound powered phone system, and the need to
    determine if additional equipment is required after the communication
    needs for shutting dcwn the plant are identified. The installation
    of the sound powered phone system was completed in May 1984. The
    licensee stated that an informal field verification test was performed
    to ensure that adequate communication systems were available for
    the implementation of safe shutdown procedures (AB 1203.02 and
    AB 1203.26). The licensee agreed to perform and document a formal
    verification test.
    Pending the completion of the formal test to verify that adequate
    communication systems are available to implement AB 1203.02 and
    AB 1203.26, this item remains open.
  f. (0 pen) Unresolved Item (346/83-16-14): Automatic sprinklers not
    installed in accordance with Chapter 4 of NFPA 13 in 19 areas
    containing equipment required for safe shutdown. Specifically,
    the systems do not appear to adequately accommodate ceiling
    congestion.
    Applicable requirements include Section 4-2.5 of NFPA 13 (1978) whit.n
    requires that a minimum of 18 inches clearance be maintained between
    the top of storage and ceiling sprinkler deflectors. Section 4-3 of
    NFPA 13 (1978) requires that deflectors of sprinklers be located not
    less than 1 inch or more than 22 inches from ceilings. Section 4-4.13
    of NFPA 13 (1978) permits the installation of sprinklers beneath ducts
    over four feet wide if ceiling sprinklers cannot be spaced in
    accordance with Table 4-2.4.6 and Section 4.3 of NFPA 13.
    A review of the NRC's correspondence to the licensee (J. F. Stolz-NRC
    to L. E. Roe-TED) dated October 3, 1978, identified that the NRC
    apparently endorsed the installation of sprinkler systems below
    obstructions in heavily congested ceilings in certain areas.      It is
    not clear that this correspondence also endorsed not installing
    sprinklers above the obstructions as required by NFPA 13. The
    licensee is committed to NFPA 13 by Paragraph 6 of Section 2.1 of the
                                    6
                                                                            i
 
.
  fire protection SER for Davis-Besse dated July 26, 1979, which states
  in part, " Automatic sprinkler systems...are designed to the require-
  ments of NFPA Standard 13."    Additionally, Section 9.5.1.2.1 of the
  Updated Safety Analysis Report (U.S.A.R.) Revision 0, dated July 1982,
  does not identify any deviations from NFPA 13. Thus, prior to the
  inspection documented in Inspection Report No. 50-346/83016, the
  licensee had not formally identified to the NRC that sprinkler system
  design did not conform to NFPA 13.
  A May 18, 1979 correspondence to the licensee from their Architect-
  Engineering (AE) firm (M. Malcolm of Bechtel to J. Balfour, Jr. of
  TED) identified that the sprinkler installations deviated from the
  requirements of Chapter 4 of NFPA 13 because the ceiling spaces are
  heavily congested with large diameter steel piping, rigid steel
  conduits, and steel cable trays with solid bottoms. The justifications
  provided by the AE firm for the deviations were that:
  (1) The Nuclear Regulatory Commission (NRC) has requested that the
        sprinkler heads be placed in such a manner that they will
        adequately control and extinguish any fire that could initiate
        on the floor and cause an exposure to equipment required for
        safe shutdown.
  (2) The ceiling spaces of the various rooms which are to be
        sprinklered, are heavily congested with large diameter steel
        piping, rigid steel conduits, and steel cable trays with solid
        metal bottoms. The cabling in the cable trays has been fire
        tested and has proved to be a non propagating fire retardant
        type. The tops of the cable trays are enclosed with a 2 inch
        thick Kaowool thermal blanket which has a fire resistive rating
        of 1/2 hour. Hence, the equipment located within the ceiling
        spaces is considered to be non-combustible.
  (3) With the sprinkler heads located near the ceiling slab,
        inadequate sprinkler water distribution and accessibility
        to the heads for inspection and replacement would exist.      ,
  (4) The heavy congestion of piping, cable trays, and conduits in the
        ceiling space c. eates a false ceiling effect, which in turn
        creates an area of heat collection below the lowest level of
        cable trays and conduits, thereby ensuring timely actuation of
        the sprinkler system.
  As noted above, this was not officially brought to the attention of
  the NRC prior to the inspection documented in report 50-346/83016.
  In response to the findings of inspection report 50-346/83016, the
  licensee provided justification for the deviations from the
  requirements of NFPA 13, in their September 13, 1983 submittal to
  the NRC (R. P. Crouse-TED to D. G. Eisenhut-NRC, Serial No. 986).
  Additional information on this subject was provided in an August 28,
  1984 letter from the licensee to the NRC. In both submittals, in
  addition to the justification provided by the AE, the licensee makes
  reference to a Union Carbide test that was conducted for the NRC.
                                7
 
, .
        The inspectors noted that this test was conducted to determine the
        feasibility of installing sprinklers three feet below the ceiling, not
        as much as approximately fifteen feet below the ceiling as is the
        case in some configurations at Davis-Besse. Although some of the
        sprinkler configurations tested resulted in acceptable actuation
        times for fast developing fires, the test summary points out that
        not all fires envisioned in the test occupancy would begin as rapidly
        as the test fire. Any slow buildup of heat due to smaller fires would
        result in a delay of sprinkler actuation.      Figure II of the test
        report indicates that in some of the tested sprinkler configurations,
        delayed sprinkler actuation averaged more than seven minutes. More
        significant is the fact that the room or enclosure configuration used
        in the test had a three foot wide opening in the ceiling running the
        length of the enclosure which created a chimney effect. The inspec-
        tors did not observe this type of room or enclosure configuration at
        the Davis-Besse facility. The complexity of piping, fixtures, and
        structural interferences that initiated the Union Carbide test was
        not described in the test report; therefore, there is no clear
        correlation between the configuration at Davis-Besse and that of
    -
        the Union Carbide test.
        Because of the apparent inconsistencies discussed above, it is not
        clear that the NRC has formally accepted the licensee's justification
        for this deviation from NFPA 13. During this inspection, the licensee
        indicated that although their position is that NRR approved this
        deviation, an independent fire protection consultant has been employed
        to provide a documented technical evaluation of the sprinkler
        installations in question, which will include recommendations
        concerning adequacy.    Purchase Order No. 035-F-87391-A-MB verified
        the licensee's procurement of the fire protection consulting firm's
        services for this purpose.
        This item will remain open pending NRC review of the licensee's
        reevaluation of system adequacy.
      g. (0 pen) Unresolved Item (346/83-16-17): The post indicator valves and
        fire hydrants throughout the plant yard are accessible to mechanical
        damage from vehicular traffic. No permanently affixed physical
        barriers (concrete or steel post) are installed to protect these fire
        protection features from such damage as required by National Fire
        Protection Association (NFPA) Standard 24.
        The licensee provided additional information in letter Serial No. 986,
        dated September 13, 1983, and in the " Fire Protection Activities
        Summary," dated September 3, 1984, and concluded that hydrants
        identified during the 10 CFR 50 Appendix R audit are located within
        the protected area where vehicular traffic is held to a minimum.      In
        addition, all post indicating valves and hydrants are of the breakaway
        type.
                                        8
 
. .
        In a telephone conversation between Regian III and NRR during the
      week of October 14, 1985, NRR indicated that permanent affixed
      physical barriers should be installed to protect the post indicator
        valves and fire hydrants as required by NFPA 24.
      Also during the week of October 14, 1985, the licensee was notified
        of the results of the telephone call between Region III and NRR
        regarding the physical barriers for the post indicating valves and
        fire hydrants.
        In a telephone conversation on October 31, 1985, between the
        licensee and Region III, it was discussed that the licensee
        consnitted to installing physical barriers for the post indicating
        valves and fire hydrants and that the work is presently in
        progress.
        This unresolved item will remain open pending verification of
        installed physical barriers for the post indicating valves and
        fire hydrants.
    h.  (0 pen) Unresolved Item (346/83-16-18): Approved pressure reducing
        devices on standpipe hose station outlets are required where the
        water pressure exceeds 100 psig according to Chapter 4, Section 4-7
        of NFPA 14      The inspectors observed the static pressure on automatit:
        sprinkler and standpipe hose stations to be at or above 150 psig.
        Examination of hose stations indicated there were no pressure reducers
        installed on standpipe hose stations throughout the plant as required
        by NFPA 14.
        As discussed with the licensee, pressure reducing devices should be
        installed. As an alternative. solution, the licensee could train the
        fire brigade on the maximum pressure that will be encountered when
        utilizing fire hose stations. Additionally, the licensee would have
        to clearly indicate to all employees that the fire hose stations are
      -for use by the trained fire brigade only. Finally, signs indicating
        that the fire hose is for fire brigade use only, would have to be
        located at the fire hose station.
                                                                  ~
        In a telephone conversation on October 31, 1985 between the
        licensee and Region III, the licensee conunitted to utilizing the
        alternative solution.
        This unresolved item will remain open pending review of licensee's
        actions by Region III.
    i.  (0 pen)OpenItem(346/83-16-19): Technical Specification 3.3.3.8
        specifies, "With the number of operable fire detection instrument (s)
        less than the minimum of operable requirement of Table 3.3.14...."
        Throughout the licensee's FSAR and FHA, the coninitment was made
        to install fire detectors in accordance ..th NFPA 72D. NFPA 72D
        requires that fire detectors be installed in accordance with NFPA 72E.
        NFPA 72E specifies minimum installation and spacing requirements for
        fire detectors.
                                        9
 
                                                                                  - _-. _
    .
      .
I
I
          In the " Fire Protection Activities Summary" dated September 3,1985,
          the licensee indicated that the rationale as to why the minimum number
l          of detectors in Table 3.3-14 of the Technical Specifications is less
!          than the total number of detectors required for some zones is the
          conservative design approach which was used in their layout. The
          design exceeded the minimum spacing requirements of NFPA 72E-1978,
          which created areas of overlapping protection. This overlapping pro-
          tection is why one or more detectors, as long as no two are adjacent,
          can be out of service and still provide protection to the zone being
          protected.
          In discussions with the iicensee, it appeared that several areas did
          not have adequate coverage with the minimum number of fire detectors
          operable as indicated in the Technical Specification 3.3.3.8, because
l          of the pocket beam criteria, it was also discussed that when two
          adjacent detectors are out of service, adequate detection may not be
          provided even though the minimum number of fire detectors as indi-
          cated in Technical Specification LC0 3.3.3.8 has been achieved.
          In a telephone conversation on October 31, 1985 between the
          licensee and Region III, the licensee coomitted to review each fire
l
          area against NFPA 72E and revise the Technical Specification that
'
          when the minimum number of detectors are out of service, adequate
          detection will be available.
          This item will remain open pending Region III's review of the
          licensee's actions.
;      j.  (0 pen)OpenItem(346/83-16-20): The 1980 Fire Protection Audit by
l          Professional Loss Control Inc., Section 3.3.3, identified the possi-
          bility of cold soldering of sprinkler heads due to water curtain and
          sprinklers installed at elevation 657 feet in the heater bay area.
            (Cold soldering occurs when water from one sprinkler cools down the
          heat sensitive element in another sprinkler which prevents operation
          of the sprinkler being wetted.)
          The licensee's " Fire Protection Activities Summary", dated
          September 3,1985, stated that the suppression at the 657 foot
          elevation is comprised of two independent systems. The first system
          has its sprinkler heads located between the roof's beams near the
            roof underside surface. The second system has its sprinkler heads
          uniformly distributed under the roof's beams to provide coverage of
            the area of interest below.
          This type of design is described in NFPA 13-1978 under Section 4-2.3.
          which gives permissible locations of sprinkler heads either under
            beams or under a roof or ceiling. A combination of these two posi-
            tions is permissible provided the clearance and positions outlined
            in Section 4-2.4 and 4-3 are followed. In addition, the licensee's
            internal memorandum of August 20, 1981, Item 5, indicates that
            Grinnell Fire Protection Systems Company, Inc., performed a design
l
<
                                            10
l
  -
                                                          . _ _ _ - . , _
 
. .
        review of these systems and the design was modified to eliminate the
        possibility of cold soldering of sprinkler heads. The licensee also
        has a contract with Professional Loss Control to provide an evaluation
        on the effects of cold soldering and develop recommendations (Toledo
        Edison Purchase Order 035-F-87391A-MB). This item will remain open
      .pending review of the documentation of an evaluation on the effects
        of cold soldering.
    k.  (0 pen) Violation (346/83-16-22): Failure to Develop Adequate
      . Surveillance Test Procedures, Administrative Controls and Quality
        Assurance.
        (1) (0 pen) Noncompliance (346/83-16-22a):      Fire pump testing
              procedures are inadequate.
              (a) The electric and diesel annual fire pump flow test
                  procedures for 1980, 1981, 1982, and 1983, did not specify
                  a " shutoff" (no flow) test as required by NFPA 20.
                  The licensee has incorporated the " shut-off" test as
                  required by NFPA 20 in the Ciesel Fire Pump Annual Flow
                  Test Surveillance Procedure ST 5016.12 (Davis-Besse
                  Temporary Modification Request dated July 3, 1985) and
                  in the Electric Fire Pump Annual Flow Test Procedure
                  ST 5016.03 (Revision 5 dated April 2, 1984). This part
                  of the item is considered closed based on the licensee's
                  corrective actions.
              (b) The electric fire pump annual flow test procedure did not
                  specify measurement of vibration at peak load conditions
                  (150 percent of rated capacity) as required by NFPA 20.
                  Electric Fire Pump Annual Flow Test (Surveillance Test
                  5016.08) Section 5.3 states, " Maintenance personnel are
                  available to record vibration data on the pump at all
                  levels of flow during the test (i.e., 1250, 2500,
                  3750 gpm)." This part of the item is considered closed
                  based on the licensee's corrective action.
              (c) The diesel fire pump annual flow test procedure for 1980,
                  1981, 1982, and 1983, did not specify measurement of pump
                  speed (rpm), flow to 150 percent of rated capacity at
                  65 percent of rated head, or measurement of vibration at
                  peak load conditions as required by NFPA 20.
                  Diesel Fire Pump Flow Capacity Test (Sheets 1, 2, 3 of
                  Enclosure II), of the Diesel Fire Pump Annual Flow Test
                  (Surveillance Test 5016.12.5) includes measurements for
                  pump speed (rpm) and flow to 150 percent of rated capacity
                  at 65 percent of rated head; however, there is no provi-
                  sion or specific requirement in the surveillance test to
                                        11
 
                                          _        ._      _.              - - _ . .-
  . .
                    take measurements of vibration at peak load conditions as
                    required by NFPA. As previously identified in Report
                    50-346/83016, the licensee should specify measurement of
                    vibration at peak load conditions as required by NFPA.
                  This portion of this item remains open.
            (d) The diesel and electric fire pump test results for 1980,
                    1981, and 1982 were not properly evaluated to determine
                    their acceptability. No characteristic curve was plotted
                    from the test result to compare with the original
                  manufacturer's certified shop test curve and acceptance
                    test curve.
                  The licensee has submitted characteristic curves developed
                    from the 1980, 1981, and 1982 diesel fire pump test;
                    however, it is unclear how the curves were developed since
                    the data sheet did not include pump speed (rpm), pressure
                  corrections, or suction head.
                  The licensee provided the inspector with the August 22,
                    1984 diesel fire pump test results which included a
                    characteristic curve; however, it is also unclear in this
                    test how the characteristic curve was developed because it
                  does not appear that the corrections for pump speed or
                    suction head were included. This portion of this item will
'
                    remain open pending review of the licensee's corrective
                    actions.
      (2) (0 pen) Noncompliance (346/83-16-22b): Contrary to the NRC
            Supplemental guidance, entitled " Nuclear Plant Fire Protection
            Functional Responsib111 ties Administrative Controls and Quality
            Assurance" (supplemental guidance), surveillance test procedure
            5016.09 did not specify verifying fire protection system valve
            operability weekly, monthly, and annually as required by NFPA 26.
            The licensee's " Fire Protection Activities Summary" dated
            September 3, 1985 stated, "NFPA 26, 1976, Chapter 3, allows a
            monthly inspection if valves in the fire system flow path are
            locked or sealed open."
            The inspectors reviewed NFPA 26, 1976, Chapter 3 which states
'
            "A systematic weekly inspection (or monthly in the case of
            locked-open valves) of each valve should be made, and a report
!            form used to record the condition of each valve." The licensee
            is requested to conduct weekly inspections if seals are to be
            utilized or monthly inspections if valves are to be locked open
            as required by NFPA. This part of the Violation (346/83-1G-22)                ,
            will remain open pending review and acceptance of the licensee's
            submittal.
                                                                                            I
                                        12
                                                                                        -__
 
,                                                -        -_      -                  - - - - - - - - - - . . - - - - - _ - - - - - - _ _ - - - - - - - . _ - - - - _ - - - _ - - - - - - - - _ _ - - - -            - - - - - -
    .              .
                                                                                                                                                                                                                ,
                                                                                                                                                                                                                                  ,
                                                                                                                                                                                                                    ;,
                                                                                                                                                                                                                                                ,
                                                  (3) (Closed) Noncompliance (346/83-16-22c): Automatic sprinkler
                                                      system test results for 1980,1981, and 1982, did not verify
                                                      simulation of actuation of the most remote sprinkler head by
                                                      opening the inspector's test valve on the system as required by
                                                      the surveillance test procedure. According to the licensee's '                                                                                                                            *
                                                      staff, this test is not performed as required b'y NFPA 13A.
                                                      Instead only a two inch drain test is perfornied at the-base
                                                      of the sprinkler system riser.
                                                      During this inspection, the licensee indicated that the
                                                      inspector's test for the wet sprinkler systems has been
                                                      conducted since 1980 and that the previous information given
                                                      to the inspector was incorrect. The licensee explair.ed that
                                                      the individual that provided the previous inspector with the
                                                      information was not familiar with the inspector's test. The
                                                      inspector was provided with Surveillance. Test Procedure
                                                      ST 5016.07 entitled " Fire Protection System Automatic Sprinkler                                                                                                                      '
                                                      Syrtem" which requires the inspector's test to be conducted on
                                                      the wet sprinkler system. In addition, the inspector was
                                                      provided with the 1981, 1982, and 1985 inspector's tests for                                                                                                                        '
                                                      the wet sprinkler system. The licensee indicated that the 1980
                                                      inspector's test was conducted; however, test ro ults could not
                                                      be located. The upgraded procedures were reviewed and it was
                                                      verified that the inspector's test is currently being conducted                                                                                                                      ,
                                                      and also that the inspector's test has been conducted since at
                                                                                                                                                                                                                                          '
                                                      least 1981. This portion of the item is close'd.,
                                                  (4) (Closed) Noncompliance (346/83-16-22): Contrary to the NRC                                                                                                                            )"
                                                      supplemental guidance, surveillance test procedure ST 50.16.06,                                                                                                                  '
                                                      did not specify measurements of sensitivity, periodid clCaning,                                                                                                                      -
                                                      and adjustment of photo electric fire detectors as required by                                                                                                            -
                                                      NFPA 72D and NFPA 72E. The test proceduro specified an unsafe
                                                      practice in that it required use of an "open flame" to test fire                                                                                          ,
                                                      detectors rather than a " puff" test as specified by NFPA 72E.
                                                        (a) Fire Protection Activities Sumary dated September 3,1985,
                                                              indicated that Surveillance Test Procedure ST 5016.06,
                                                            Fire Detector Functional Test, allows the issuance of a
                                                            Maintenance Work Order in conjunction with the conduct of
                                                              this test to document and correct any deficiencies found
                                                            while performing this test such as needed cleaning or
                                                            adjustment. This is adequate to ensure that cleaning and,                                                                                                              ~.,
                                                              adjustment of detectors occurs. This part of violation N
                                                              (346/83-16-22d)isconsideredclosed.                                                                                                              -        ,
                                                        (b) Fire Protection Activities Summary, dated September 3, 1985,
                                                              indicates that the test procedures specified an unsafe
                                                              practice in that they specified use of an "open flame" to
                                                              test fire detectors rather than a " puff" test as specified
                                                              by NFPA 72E. The reference to the use of an "open flame"
                                                                                                                                                                                                                    m
                                                                                                                                                                                                            9
                                                                                    13
                                                                                                                                                                                                          1
  -
      . - - - ---__.___----_.-_ _ ______--._____                                _-
 
                  to test fire detectors has been removed from ST 5016.06.
                  In addition, the licensee further indicates that an "open
                  flame" has never been used at Davis-Besse to test any
                  detectors.
.          This part of the violation (346/83-16-22) is considered closed.
      (5) (Closed) Noncompliance (346/83-16-22e): Periodic Test procedure
            PT 5112.01 did not specify quarterly surveillance of emergency
    '
            lighting units, or an 8-hour discharge test and periodic
            replacement of batteries in accordance with the manufacturer's
            recommendations. The inspector reviewed Revision 8 of Periodic
            Test Procedure PT 5112.01 titled, " Emergency Lighting System
            Test," and determined that the surveillance checks noted above
  ..
            have been incorporated into the current procedure. The current
            procedure includes a monthly, quarterly, and annual surveillance
            test of each individual eight hour emergency lighting unit,
            having the integral batteries tested on a staggered frequency.
            This is to prevent a total blackout should an emergency occur.
            The licensee's emergency lighting surveillance test program, as
            verified by the inspector, also incorporates the lighting unit
            manufacturer's recommendations. The licensee provided documenta-
            tion showing that 23 new emergency lighting batteries were
            installed in February 1984, replacing previously installed
            batteries as part of the licensee's corrective action in main-
            taining the emergency lighting units.
      (6) (Closed) Noncompliance (346/83-16-22f): Contrary to the NRC
            supplemental guidance, Administrative Procedure AD 1828-20, " Fire
            Brigade Training," does not specify the minimum physical
            requirements for fire brigade members as required by NFPA 27.
            Interviews with the licensee's staff indicated that no separate
            physical examinations are required for fire brigade members at
            Davis-Besse Nuclear Power Station; however, Step 5.2.3 of
            procedure AD 1810.00 Revision 7 indicates that fire brigade
            members shall have completed the respiratory protection plan in
            accordance with procedure HP 1605.02. Step 6.4 of procedure
            HP 1605.02, Revisions 11 and 12, dated November 8, 1984, revised
            since the July 1983 inspection, requires that each individual
            being certified to wear respiratory protection equipment shall
            have an initial physical examination, the results of which will
            be reviewed by a physician who will, and annually thereafter,
            review each certified individual's medical status. The physician
            will make the recommendation in writing. The procedure identi-
            fled 13 clinical conditions which the physical examination covers.
            These requirements are acceptable.
      (7) (Closed) Noncompliance (346/83-16-22g): Contrary to the NRC
            supplemental guidance noted above, Administrative Procedure
            AD 1810-01 did not specify fire watch training, or that the fire
            watch remain on the work site while the work is performed, and
                                        14
m
 
                    .      -        -  .-      .    .          .
                                                                        . .        -  . ,-
A
    s
      . .
'
                      .
r        -
                    remain in the area for at least 30 minutes after the work.is
t                  completed. NFPA 51 and 518 require that a fire watch be trained
  !
                    and equipped to prevent and combat fires, and that the fire watch--
                    remain on the. work site for at least 30 minutes after the work
b                  is completed to check for smoldering fires. -The licensee's staff
                    provided no documented evidence that contractor personnel per-
                  . forming fire watch duty.are required. to be-trained in the use of
3                  ffire protection equipment and fire prevention.
                    The current Administrative Procedure' covering the Fire Watch
                    Qualification Program is AD.'1828.19, Revision 2, dated
                    December 19, 1984. Steps 4 and.5 now include the minimum
                    instruction.an individual contractor and onsite personnel are
k                  to receive to. qualify as a fire watch during open flame, welding,
                    grinding, and cutting. operations. This instruction consists of
;                .both classroom training and practical training in the use of
                    fire extinguishers.      Fire watch requalification is required on
                    an annual basis. Based on the above, the inspector determined
                                                                                            *
                    the licensee to be meeting their commitment to NFPA SIB. In
                  -addition, TED has' incorporated a second type of fire watch given
                    the title of " Fire Barrier Watch," defined as an individual
                    trained in the> formal process for notification of the security
,                  force'and Shift ~ Supervisor that.a fire' exists. This individual
                    will be trained through General Orientation Training in the use
                    and operation of plant communication systems. The sole purpose
r                  of this individual:is to monitor potentially degraded fire doors,
j                  -dampers, barriers, and other items which degrade the adequacy
{                  of the fire protection program.
,
                    Step 4.4 of Administrative Procedure AD 1844.07, Revision 2,
'
                    dated April 22, 1983, includes the necessary responsibilities
                    of personnel performing activities associated with open flame,
1-                -welding, grinding, and cutting operations as described by NRC
                    supplemental guidance documents and NFPA SIB, including having
                    the fire watch remain at the work area for a minimum of thirty
,                  minutes after the work activity is completed to check for
                    smoldering fires.
                                                                                          a
!            (8) -'(Closed) Noncompliance (346/83-16-22h): . Backup fire fighting
                    capability from offsite fire departments. The previous inspector
                    verified in Report 83016 that by letter dated-August 31, 1985,
                  ;the Assistant Fire Chief of Carroll Township. Emergency Medical _      ,
                    and Fire' Service, Incorporated, had agreed to provide-fire pro-
j ''                tection in accordance with the Davis Besse Emergency Plan. The
'
                    licensee had prepared Revision 7 (not. Revision 5 as previously
                    identified in Report 83016) to the Emergency Plan which indicated
                                            ~
                  .that when answering to a call for assistance in fighting fires,
                    the offsite fire 3 department will operate under'the direction of.
                    the licensee's fire brigade. The licensee committed to complete
'
                    the. revision by November 1, 1983.
                                                                          *
;
'
                                                      t
i
                                                15
.                                                                                          -
                                                        .
 
  . .
            In the letter dated November 16, 1983 from R. Crouse, TED to
            J. Keppler, R-III, the Approved Modification Request to the
          -Emergency Plan concerning the offsite fire department support
            was provided for commitment completion verification. This item
            is considered. closed based on the corrective actions documented
            in the previous letter.
      (9) (0 pen) Noncompliance (346/83-16-221): Specific qualifications
            and responsibilities for individuals responsible for implementing
          - the fire protection program are specified in Table 4-1 (Sheet 1)
          -of'the licensee's'FSAR for Davis-Besse, and in Section 2.0 of
            NRC supplemental guidance document.
            The following discrepancies existed in the licensee's personnel
            qualification requirements for fire protection / prevention
            program implementation:
            (a)    Interviews with the licensee staff disclosed that only the
                  fire protection coordinator has direct responsibility for
                  the fire protection program at the site. Other licensee
                ' staff are periodically assigned various fire protection
                  responsibilities a small percentage of.the time. Sufficient-
                  documentation was not available at the time of the inspec-
                  tion, including a TED Table of organization, showing the
                  responsible fire protection personnel'and their interface
                  to the fire protection program. This portion of the item
                                                                          -
                  will remain open pending further review of the licensee's
                  commitment and other related information.
            (b) The fire protection coordinator and the-fire marshal are
                  the same individual, whose demonstrated knowledge of fire
                  protection-is vested in his training and experience as a
                  volunteer firefighter. Attachment No. 1 of the NRC supple-
                  mental guidance document describes the responsibilities of
                  the fire protection organition including the onsite position
                  commonly referred to as either the plant " fire protection
                  coordinator" or plant " fire marshal." According to the
                  guidance document, the onsite position (s) responsibilities
                  include. implementing periodic fire protection inspections,
                  training, assisting in the critique-of all fire drills,
                  review of proposed work activities for transient fire loads,
                          .
;                  implementation of a program for contractor personnel in
;                  administrative procedures, and instruction of personnel on
                  other related fire protection topics.
                  According to the licensee, three individuals now hold the
:                  position of." fire protection coordinator". Subsequent to
                  the inspection the licensee provided copies of these indi-
L                  viduals resumes to the inspector for review. The following
i                  information was derived from each individual's resume:
                  (1) Individual No. I currently has twelve years of combined
4
k
i
                                      16
 
  .- .
      5
              nuclear fire protection experience attaining " reactor
              operator" status and-lead fire protection responsibility
              including emergency medical experience. Further, this
              individual has attended numerous fire protection seminars
              totaling in excess of six hundred and seventy five hours;
            '(2)-Individual No. 2 currently has ten years of combined
              nuclear fire protection experience attaining " auxiliary
              operator" status, advancing through the operator qualifi-
              cation program and also lead fire protection responsibility.
              This individual has attended some. twenty-five fire
              protection related seminars since 1975; and (3) Individual
              No. 3 currently has in excess of eight years fire protection
              experience including nuclear experience and an extensive
              emergency medical and fire training background. This
              individual has also attended numerous fire safety seminars
              and is a certified Ohio firefighter satisfying the required
              two hundred hour training program. According to the
              resumes, each of these individuals utilize their talents
              towards nuclear fire safety as part of their responsibili-
              ties at Davis-Besse. Based on the above, the inspector
              concluded that these individuals' academic and work experi-
              ence satisfy NRC guidelines "equired of licensee fire
              protection personnel. This portion of the item is
              considered closed.
        (c) There is no qualified fire protection engineer who is a
              graduate of an engineering curriculum of accepted standing
              in fire protection engineering on the licensee's staff or.
              onsite as a consultant. During an NRC Fire Protection
              inspection conducted during June 1984, the licensee's
              position was that a qualified fire protection engineer is
              on the TED staff at the Davis-Besse site. According to the
              NRC supplemental guidance document, the qualifications of a
              fire protection engineer should include one who is a
              graduate of an engineering curriculum of accepted standing,
              and who shall have completed not less than six years of
              engineering competency and achievement, three of which
              shall have been in responsible charge of fire protection
'
              engineering work. These requirements are the eligibility
              requirements as a member in the Society of Fire Protection
              Engineers.
              At the time of the Appendix R Fire Protection / Safe Shutdown
              inspection (July 1983), the individual on the licensee's
              staff in the position of fire protection engineer was not a
              member of the Society of Fire Protection Engineers (SFPE)
              and therefore had not had his academic and work history
              evaluated to be qualified as a " member" grade in the SFPE.
              Additionally, this individual was'not devoted full time to
              the area of fire protection.
                                  17
 
.. .
                        Since the Appendix R, Fire Protection / Safe shutdown
                        inspection, this individual has had his academic and work
                        history evaluated by SFPE's and was qualified as a " member"
                        grade in the SFPE in October 1983. The inspector also met
                        with the General Supervsior-Facility Engineer to discuss
                        the present scope of the fire protection engineer's job
                        responsibilities. The inspector was assured that since
                        July 1983 the fire protection engineer's sole responsibility
                        was fire protection and that all other non-related responsi-
                        bilities have been reassigned to other personnel.
                        This individual is a member of the Fire Task Group Team and
                        has been since its inception.
                        Further, since the June 1984 inspection, an additional fire
                        protection engineer as described in NRC criteria has been
                        added to the TED staff in the Nuclear Facility Engineering
                        Department. This portion of the item in considered closed.
            (10) (0 pen) Noncompliance (346/83-16-13 and 346/83-16-22j):      Failure
                  to establish a fire watch on inoperable fire dampers and an
                  inadequate surveillance test procedure. In the Report 346/83-16,
                  section entitled " Details - Part II" (pg 43), it states, "The
                  inspector verified that procedure ST 5016-11 had been revised
                  and its implementation was observed by the inspector on
                  September 8, 1983 and found acceptable". This portion of the
                  Open Item is closed.
                  The open item previously discussed also states "Due to the high
                  failure rate that occurred during the fire damper surveillance
                  retests, the licensee has committed to an on going testing
                  program of all dampers until the confidence level increases.
                  This program, plus the schedule completion date for the
                  remaining fire dampers yet to be tested, will be submitted to
                  Region III by November 30, 1983 after an engineering analysis
                  is performed on locating and evaluating any necessary work
                  needed to perform the surveillance test. As discussed on
                  October 31, 1985, the licensee committed to provide Region III
                  a summary or history of events and corrective actions regarding
                  this portion of the Item. This item will remain open pending
                  Region III review and acceptance of the licensee's submittal.
    3. Containment Purge Valves
        The containment inlet and outlet purge valves (4) were inspected, and the
        general local leak rate testing method was discussed with the licensee to
        ensure that no possible leakage paths were being bypassed by the testing
        methods in use.
        No violations or deviations were identified.
                                              18
                                                                                      J
 
    .      .
              4.      Review of Allegations Concerning BISCO Penetration Seals
                      The NRC received three generic (not specifically mentioning the Davis-
                      Besse Plant) allegations regarding Bisco penetration seals indicating that:
                      (1) test data to support the penetration seals' fire resistance capability
                      did not exist including test data to show that the 6 inch silicone foam
                      fire barrier penetration seals are rated for three hours, (2) penetration
                      pressure seals were installed with a 2 inch overlap on the seal boot
                      instead of the required 3 inch overlap, and (3) Bisco procedures SP504,
                      SP505, SP505-1, SP505-2, and SP505-3 were deficient.
                      The licensee provided a comprehensive package of information pertaining
                      to Bisco penetration seals including NRC correspondence on this subject,
                      penetration seal specifications, Bisco procedures covering flexible boot
                      seals, TED procedures covering the Dow Corning silicone foam penetration
                      fire seals, and test reports of penetration seals.      Resolution of the
                      allegations was pursued through inspector review of the documentation
                      provided by the licensee; a visual inspection and penetration seal
                      walkdown of several flexible boots and silicone penetration fire seals;
                      and discussions between the licensee's staff, resident inspectors and the
                      inspector to determine whether the allegations could be substantiated. As
                      a result of these activities the following findings and conclusions were
                      made,
                      a.    Allegation No. RIII-83-A-0029-01: Test data to support the
                            penetration seals' fire resistance capability did not exist
                            including test data to show that the six inch silicone foam fire
                            barrier penetration seals are rated for three hours.      In response
                            to this allegation the inspector reviewed two Bisco Fire Test
                            Reports numbered 748-57, dated November 6, 1981, and 748-42, dated
                            July 29, 1981, noting the test standard criteria being utilized,
                            penetration seal fabrication, type, and design configuration including
                            any penetrating items, test observations and the conclusions of the
                            fire test.    Both tests showed that the material used as the fire seal
                            was Bisco SF-150NH (High Density Silicone Foam) installed to a nominal
                            depth of 12 inches and utilizing cable tray and conduit design config-
                            urations. The inspector determined that the fire seal systems tested
                            in the two tests met NRC guidelines and therefore are acceptable.
                            Section 7.2.4.e of Specification No. 7749-M-25500, dated August 11,
                            1983, indicates for fire barriers using low density silicone foam
                            that a minimum final fill depth of 11 inches is required and for
                            high density silicone sealant material 12 inches is required.
                            The test reports reviewed by the inspector regarded only the high
                            density silicone sealant material; however, the licensee did provide
                            a letter (Serial No. 284) from L. Roe, TED, to J. Stolz, NRR, dated
                            May 25, 1977, regarding a fire equivalency test for low density
                            silicone foam (SF-20 verst.s Dow Corning 3-6548). The purpose of the
                            letter was to inform NRR that TED planned on substituting the SF-20
                            product with the Dow Corning 3-6548 product due to the discontinued
                                                                                                    '
                                                          19
L_ - _ _ _ _    _ _.                                                              _              1
 
,
  , .
          manufacture of the SF-20. The TED letter also indicated that a
          three-hour fire exposure test had been performed at the Fire Research
          Laboratory of the Portland Cement Association in Skokie, Illinois on
          April 12, 1977. A 12 inch thick concrete slab was prepared containing
          four one-foot square blockouts. Two of the blockouts were filled
          with SF-20 and two with Dow Corning 3-6548 silicone foam. The report
          further stated that, "Each blockout was filled to the full depth of
i        12 inches, which is the minimum depth used as a fire barrier at
          Davis-Besse Unit 1."
          Documentation was not available at the time of the inspection to
          support the specification statement of having low density silicone
          foam configurations (previously installed SF-20 or more recently
          installed Dow Corning 3-6548) using a fill depth of 11 inches. This
          is considered an open item (346/85028-01) pending inspector review
          of test documentation demonstrating the adequacy of installed low
          density silicone foam with a fill depth of 11 inches. As part of
!        this open item the inspector requested the licensee to provide
l        adequate assurance that no penetration fire seal located in a fire
          area boundary barrier was less than 11 inches in depth. As this
'
[        assurance could not be provided during the inspection, this allegation
          remains open. On October 18, 1985, in a telephone call between
          Region III management and TED management, it was discussed that this
          assurance would be required as one of the items to be closed prior to
          plant restart from the current outage.
          Three maintenance procedures numbered MP 1405.03.1 (Step 8.3.1),
!        MP 1405.04.3 (Step 6.3.1), and MP 1405.08.0 (Step 8.3.a) each
l        Indicate that the minimum depth of foam to be installed is 11 inches
'
          for low density silicone foam or 12 inches for high density silicone
l        foam in any penetration conduit through a wall or floor, except where
          the wall or floor thickness is less, then the depth is to be equal to
          the thickness of the wall or floor.
!
l
'
          The three maintenance procedures do not differentiate between fire
          barrier walls and floors and non-fire barrier walls and floors when
          mentioning the amount of sealant material to install as does
          Section 7.2.4.e of Specification No. 7749-M-255Q.
          This is considered an open item (346/85028-02) pending inspector
          review of the procedural revisions to the three maintenance proce-    ,
          dures to reflect Section 7.2.4.e of Specification No. 7749-M-255Q.
,      b. Allegation No. RIII-83-A-0029-02 and 03: (02) Penetration seals
I
          were installed with a 2 inch overlap on the seal boot instead of
          the required 3 inches. (03) Bisco Company procedures SP504, SP505,
,        SP505-1, SP505-2, and SP505-3 were deficient. The inspector
          determined that these two allegations were interrelated and as
          such they are discussed together.
l
                s
              ,
!                    a                  20
 
                                                                                              _ .
  .  .
                  The flexible Boot Seal is designed for use as a pressure barrier.
                  According to the licensee, procedures SP505-1, SP505-2, and SP505-3
                  were not being used at the Davis-Besse site. As such, that portion
                  of the allegation is not applicable to Davis-Besse.
                  Bisco's flexible boot seal fabrication procedure (SP504), step 5.3.3,
                  and Bisco's Installation procedure (SP5051), step 7.3, both state
                                              -
                  that, "A bead of the Bisco RTV Sealant is applied to the inside of
                  the overlap seam and spread to a minimum width of 3 inches." The
                  Davis-Besse site installer of flexible boot seals (installation of
                  the flexible boot seals is performed on an infrequer.t basis)
                  interpreted the two steps noted above to mean that the minimum
                  overlap seam is to be 3 inches.
I
                  Subsequently, the licensee, through Bechtel, contacted Bisco personnel
                  who indicated that the overlap axial seam criteria was to be based on
                  the diameter of the pipe penetration being sealed. The inspector
                  requested the licensee to provide documentation to support the
                  vendor's position regarding the overlap seam criteria. This is
                  considered on open item (346/85028-03) pending inspector review of
                  this documentation.
                  The inspector performed an inspection of seven flexible boot seals
                  including measurement of overlap axial seams with assistance from the
                  licensee's staff. Of the seven boot seals inspected, two failed to
                  meet the acceptance criteria as given by the Bisco personnel and five
                  boot seals failed to meet the acceptance criteria as given by the
                  plant installer. As such, this portion of allegation (02) remains
                  open.
                  The Bisco Fabrication and Installation procedures also indicate that
                  the RTV sealant material should be allowed to cure for a minimum of
                  sixteen hours before any further work is performed. No TED procedure
                  existed for the responsible Quality Assurance inspector on when to
                  inspect the boot seals' final installation so as to verify that no
                  slippage of the overlap seam had occurred.
                  The TED procedure (s) established for the installation, and fabrication
                  of the flexible boot seals were inadequate in that these procedures
                  failed to provide clear and concise installation, fabrication and
                  inspection instructions. The inadequacies in the flexible boot seal
                  procedures is considered a violation of 10 CFR 50, Appendix B,
                  Criterion V (346/85028-04).
        5. Open Items
          Open items are matters which have been discussed with the licensee, which
          will be reviewed further by the inspector, and which involve some action
          on the part of the NRC or licensee or both. Open items disclosed during
          the inspection are discussed in Paragraph 4.
I
                                                  21
                                                                                                  l
                                                                                                  l
    -          --      -                            - - _ . .      .__ .    - __ _    _ - -
 
      .
    .  ..
          6. Exit Interview
              The inspectors met with licensee representatives (denoted in Paragraph 1)
              at the conclusion of the onsite inspection on September 6, 1985, and summarized
  4
              the scope and findings of the inspection. The licensee acknowledged the
_            statements made by the inspector. The inspector also discussed the
              likely informational content of the inspection report with regard to
              documents reviewed by the inspector during the inspection. The licensee
  f
              did not identify any of the documents as proprietary.
              In a telephone conversation on October 18, 1985 between Region III and
              the licensee, it was discussed that (0 pen) Violation (346/83016-018)
              regarding the operability of the PORV and its block valve (Paragraph 2.b.)
              and Open Item (346/85028-01) regarding the adequacy of the low density
              foam (Paragraph 4.a.) would be resolved prior to restart.
              Also, in a telephone conversation conducted between Region III and the
              licensee on October 31, 1985, items 83-16-17, 83-16-18, 83-16-20 and
              83-16-22 (a, b, c, d, h, j) were discussed and are documented in this
              report.
l
r
1
!
                                                  22
}}

Latest revision as of 18:22, 14 January 2021

Insp Rept 50-346/85-28 on 850903-1031.Violation Noted:No Procedures Provided for Fabrication,Installation & Insp of Boot Seals
ML20137C062
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 11/21/1985
From: Guldemond W, Holmes J, Maura F, Ulie J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20137C005 List:
References
50-346-85-28, NUDOCS 8511260421
Download: ML20137C062 (22)


See also: IR 05000346/1985028

Text

. .

U.S. NUCLEAR REGULATORY COMMISSION

REGION III

.

Report No. 50-346/85028(DRS)

Docket No. 50-346' License No. NPF-3

Licensee: Toledo Edison Company

Edison Plaza

300 Madison Avenue

Toledo, OH '43652

Facility Name: Davis-Besse 1

Inspection At: Oak Harbor, OH .

Inspection Conducted: September 3 thorugh October 31, 1985

-

SM pl.g/p-

Inspectors: . olm '

~Date

. Ma a llvkl

Date

. U11 M[

Approved By: .G. emond, Chie f/u/p/

Operations Program Section Date ~

Inspec_ti_on

n Suninary

Inspection on September 3 through Octobe_r 31,1985(R_eportNo. 50-346/85028

(DRS)) Areas _ Inspected: ~EutTn'e,

t announced inspection to assess the tei:YnTEal

status of outstanding fire protection issues including a review of the fire

_

protection program as it relates to the outstanding issues, and a review of

allegations received by the NRC relative to penetration seals. In addition,

leak testing of containment purge valves was reviewed. The inspection involved

a total of 138 inspector-hours onsite and in-office review by three NRC

inspectors including 17 inspector-hours onsite during off-shifts.

Results: In the four areas inspected, no apparent violations were identified

in three areas; one apparent violation was identified in the remaining area (no

procedure (s) existed which provided for the fabrication, installation, and

inspection of the plant flexible boot seals - Paragraph 4).

8511260421 851122

PDR ADOCK 05000346

9 PDR

u

.

.

DETAILS

1. Persons Contacted

Toledo Edison Company

  • B. Beyer, Nuclear Projects Director
  • W. Connor, Assistant Plant Manager Operations
  • T. Hart, Fire Protection Engineer

.

"

  • J. Helle, Nuclear Facility Engineer-Director
  • J. Kapser, Mechanical Superintendent

D. Missig, Plant Engineer

  • D. Momivez, Quality Assurance Supervisor
  • M. Murtla, Fire Protection Engineer
  • T. Myers, Nuclear Safety and Licensing Director

W. Nissia, Fire Protection Coordinator

  • S. Quennoz, Group Director Nuclear Engineer
  • L. Storz, Plant Manager
  • A. VanDenabele, Project Manager
  • S. Wideman, Senior Licensing Specialist
  • J. Williams, Senior Vice-President
  • J. Wood, General Superintendent-Facility Engineer

Cygna

  • J. Haverly, Licensing Support

USNRC

  • D. Kosloff, Resident Inspector
  • W. Rogers, Senior Resident Inspector

The inspectors also contacted other plant personnel. ,

  • Denotes persons attending the exit meeting of September 6, 1985.

2. Action On Previous Inspection Findings

During the period July 11-29, 1983, the NRC conducted a special safety

inspection of the licensee's implementation of the requirements of

i

10 CFR 50,' Appendix R (Sections III.G, J, L, and 0) and the fire pro-

tection program. Numerous deficiencies were identified during that

inspcction as documented in Part I of Inspection Report No. 50-346/83016.

Upon review of these deficiencies, the NRC concluded that certain issues

had to be resolved prior to plant restart. During September 1983, a

followup inspection was conducted to establish the status of those issues

identified as restart prereouisites. As identified in Part II of

Inspection Report No. 50-346/83016, all restart issues were satisfactorily

resolved; however, they were administrative 1y left open pending receipt of

a formal response from the licensee on those issues.

,

2

,

. . -. . .. -- - - - . - -

_,

. .

During the period September 3 through October 31, 1985, a followup

inspection was performed by Region III inspectors to revisit a number

of issues identified in Inspection Report No. 50-346/83016: remaining

open. The status of those issues is discussed below.

a. (0 pen) Violation (346/83016-01A): The alternative shutdown capa-

bility for the control room and cable spreading room did not meet

the requirements of 10 CFR 50, Appendix R in that the initial

conditions assumed were not consistent with the range of fires which

could be postulated, interaction of circuits of concern was not

addressed, it failed to uniquely address loss of offsite power, it

failed to adequately address the use of pressurizer heaters, it was

not totally independent of the control room and cable spreading room,

it failed to provide for achieving cold shutdown in 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br />, and the

alternate shutdown panels lacked indications of neutron flux and plant

temperature. The licensee has re-evaluated the station level of com-

pliance with the requirements of 10 CFR 50, Appendix R, Sections III,

G, J, L, and O. The results of this review were submitted to the NRC

in September 1984 as the Appendix R Compliance Assessment Report

(CAR). The CAR identifies the licensee's impression of their specific

degree of compliance with Appendix R, identifies the procedural or

physical modifications required to bring the plant into compliance

with the regulation, and, in specific areas, requests exemptions from

specific requirements of Sections III, G, J, L and O. While the NRC

has not acted yet on the CAR, the licensee is proceeding with the

implementation of the corrective actions described in the report.

The inspection of this item involved a review of specific items as

described in the CAR, station procedures, and different tracking

systems being used by the licensee to ensure that procedural and

physical corrective actions are carried out. During this review, it

was noted that the documents did not generally agree with each other.

The licensee stated that since the CAR was issued, additional analyses

have been completed which are reflected in the summary of fire protec-

tion activities report, but that the tracking systems only reflect

Revision 0 of the CAR. The licensee agreed to, by March 6, 1986,

submit to the NRC a revised CAR and Fire Hazards Analysis Report

(FHAR) identifying all analysis work required to ensure compliance

with 10 CFR 50, Appendix R and any other commitments in the area of

safe shutdown and fire protection and to update all tracking mechan-

isms to correctly reflect all modifications required to bring the

plant into compliance as stated in the revised CAR and FHAR.

With respect to the specific findings identified as part of violation

346/83016-01A, the following findings were made:

(1) As indicated in Part II of Inspection Report No. 50-346/83-16,

the licensee developed procedure AB 1203.26, Serious Control

Room Fire, to address the necessary actions to achieve hot

standby and subsequent cold shutdown in the event of a fire

3

m

>

s .

s

( '

resulting in total loss of the control room or cable spreading

room accompanied with loss of offsite power. The procedure is

considered " interim" since it contains a number of repair acti-

vtties required to achieve hot standby, pending satisfactory

completion of the modifications required to meet Appendix R.

This portion of this item remains open.

(2) The CAR has identified that, in a majority of the fire areas,

the pressurizer heaters remain available for pressure control;

however, in five specific areas where both trains of pressurizer

heaters could be lost as a result of a fire, the plant would

proceed to cold shutdown as directed by procedure AB 1203.02,

Serious Station Fire. As a result, the licensee does not con-

sider the pressurizer heaters as a required safe shutdown

component. The inspector reviewed procedure AB 1203.02 for two

(A and D) of the five fire areas identified in the CAR where the

heaters could be lost and noted that the procedure for fire

area A (Attachment 16.35 to AB 1203.02) "RCS System", identifies

the heaters as equipment affected, but does not require the

operators to proceed to cold shutdown. The licensee had stated

earlier, that all procedural changes required by the CAR had

been completed. As a result, the licensee will re-review all

the procedural changes required by the CAR to ensure they have

been performed. This portion of the item remains open.

(3) During the July 1983 inspection, it was determined that for a

control room / cable spreading room fire with loss of offsite

power, the licensee was not capable of achieving cold shutdown

within the required 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br />. On September 30, 1983, the

licensee requested an exemption from the 72 hour8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br /> requirement of

Appendix R,Section III.L.1. The NRC granted the exemption on

August 20, 1984; therefore, this issue is resolved and this

portion of this item is closed.

(4) With respect to the missing process variables necessary to

perform and control reactor shutdown from outside the control

room, the licensee plans to provide source range flux and

reactor coolant temperature (Th and Tc for both loops) indica-

tion outside the control room. Specific completion dates for

these modifications have not been established. Inspection

Report No. 50-346/83-16, Part II, describes the NRC accepted

interim measures being used to compensate for the present lack

of these process variables. This portion of the issue remains

open.

Violation 346/83016-01A remains open pending completion of all

procedural and physical modifications required to bring the plant

in compliance with Appendix R, NRR acceptance of the licensee's pro-

posed resolutions including all requested exemptions in this area,

and a satisfactory reinspection to ensure compliance with the

regulation.

4

.

b. (0 pen) Violation (346/83016-01B): Failure to perform a spurious

signal analysis for valves in the service water discharge line, the

pressurizer Power Operated Relief Valve (PORV) and block valve, and

the letdown cooler isolation valves. Prior to restart after the

July 1983 inspection, the inspectors verified that the licensee had

taken procedural actions to ensure that at least one of the four

service water discharge valves is normally open and de-energized to

assure a service water flow path regardless of fire location, and that

the PORV block valve (RC-11) and the letdown isolation valve (MU2B)

would be closed prior to control room evacuation. This was documented

in Part II of Inspection Report No. 50-346/83016.

In the case of the service water discharge valves, these actions

provide a permanent acceptable fix.

The CAR addresses the concern of spurious signals activating any of

these valves. In the case of the PORV and its block valve, RC-11,

the analysis showed that a single fire in one area, Area U, could

cause the PORV to open and simultaneously prevent closure of RC-11,

thereby producing an unisolable leakage path from the reactor coolant

system. The licensee has proposed wrapping cable tray 1CJM with

a one hour fire barrier to ensure the operability of valve RC-11.

The licensee had scheduled this activity for completion prior to

startup following the next refueling outage; however, Region III has

recommended to NRR that completion of this modification be made a

condition for startup from the current outage.

In the case of the letdown coolers' inlet and outlet isolation valves,

the analysis indicates that a fire in containment could disable both

valves; however, isolation capability can be provided by a third

isolation valve (MUO3) downstream of the other two valves for either

cooler. Valve MUO3 is a normally open air operated valve which fails

closed on loss of power. Its circuits are not within containment.

The inspector verified that procedure AB 1203.02, Serious Plant Fires,

Attachment No. 43 addresses the closing of MUO3 if the primary isola-

tion valves for the letdown coolers are affected; however, it was

noted that there is a lack of guidance available to the operator to

make the determination that the isolation valves for either letdown

cooler have remained open.

This item will remain open pending a revision to procedure AB 1203.02

to adecuately reflect operation of valve MUO3, and satisfactory

resolution of the concerns related to simultaneous spurious operation

of the PORV and its block valve.

c. (Closed) Violation (346/83016-07): Reactor coolant pump cil collec-

tion systems not capable of holding the entire lubricating oil system

inventory. On September 30, 1983, the licensee requested an exemption

from the requirements of 10 CFR 50, Appendix R, Section III.O. to have

a reactor coolant pump oil collection system large enough to hold the

entire lubricating oil system inventory. On August 20, 1984, the NRC

granted the exemption, resolving this issue.

5

b

.

d. (Closed) Open Item (346/83016-08): Failure of procedures to address

spurious actuation of decay heat isolation valves. Prior to restart

following the July 1983 inspection, the licensee revised procedure

SP 1104.04 to require deenergizing one of the two motor operated

valves, DH-11 or DH-12, in the decay heat removal system. This is

documented in Part II of Inspection Report No. 50-346/83016, and is

considered an acceptable permanent resolution to this issue.

e. (0 pen) Open Item (346/83016-09): Failure to perform an analysis to

determine the level of Gaitronics Communication system operability

that would remain after a control room / cable spreading room fire. At

the conclusion of the September 1983 inspection, prior to plant

restart, (Inspection Report 50-346/83016, Part II), the inspectors

determined that the licensee had developed procedures to ensure an

adequate alternate means of communications using portable handheld

VHF radios. The CAR addresses the communications problem, identi -

fies the need for a sound powered phone system, and the need to

determine if additional equipment is required after the communication

needs for shutting dcwn the plant are identified. The installation

of the sound powered phone system was completed in May 1984. The

licensee stated that an informal field verification test was performed

to ensure that adequate communication systems were available for

the implementation of safe shutdown procedures (AB 1203.02 and

AB 1203.26). The licensee agreed to perform and document a formal

verification test.

Pending the completion of the formal test to verify that adequate

communication systems are available to implement AB 1203.02 and

AB 1203.26, this item remains open.

f. (0 pen) Unresolved Item (346/83-16-14): Automatic sprinklers not

installed in accordance with Chapter 4 of NFPA 13 in 19 areas

containing equipment required for safe shutdown. Specifically,

the systems do not appear to adequately accommodate ceiling

congestion.

Applicable requirements include Section 4-2.5 of NFPA 13 (1978) whit.n

requires that a minimum of 18 inches clearance be maintained between

the top of storage and ceiling sprinkler deflectors. Section 4-3 of

NFPA 13 (1978) requires that deflectors of sprinklers be located not

less than 1 inch or more than 22 inches from ceilings. Section 4-4.13

of NFPA 13 (1978) permits the installation of sprinklers beneath ducts

over four feet wide if ceiling sprinklers cannot be spaced in

accordance with Table 4-2.4.6 and Section 4.3 of NFPA 13.

A review of the NRC's correspondence to the licensee (J. F. Stolz-NRC

to L. E. Roe-TED) dated October 3, 1978, identified that the NRC

apparently endorsed the installation of sprinkler systems below

obstructions in heavily congested ceilings in certain areas. It is

not clear that this correspondence also endorsed not installing

sprinklers above the obstructions as required by NFPA 13. The

licensee is committed to NFPA 13 by Paragraph 6 of Section 2.1 of the

6

i

.

fire protection SER for Davis-Besse dated July 26, 1979, which states

in part, " Automatic sprinkler systems...are designed to the require-

ments of NFPA Standard 13." Additionally, Section 9.5.1.2.1 of the

Updated Safety Analysis Report (U.S.A.R.) Revision 0, dated July 1982,

does not identify any deviations from NFPA 13. Thus, prior to the

inspection documented in Inspection Report No. 50-346/83016, the

licensee had not formally identified to the NRC that sprinkler system

design did not conform to NFPA 13.

A May 18, 1979 correspondence to the licensee from their Architect-

Engineering (AE) firm (M. Malcolm of Bechtel to J. Balfour, Jr. of

TED) identified that the sprinkler installations deviated from the

requirements of Chapter 4 of NFPA 13 because the ceiling spaces are

heavily congested with large diameter steel piping, rigid steel

conduits, and steel cable trays with solid bottoms. The justifications

provided by the AE firm for the deviations were that:

(1) The Nuclear Regulatory Commission (NRC) has requested that the

sprinkler heads be placed in such a manner that they will

adequately control and extinguish any fire that could initiate

on the floor and cause an exposure to equipment required for

safe shutdown.

(2) The ceiling spaces of the various rooms which are to be

sprinklered, are heavily congested with large diameter steel

piping, rigid steel conduits, and steel cable trays with solid

metal bottoms. The cabling in the cable trays has been fire

tested and has proved to be a non propagating fire retardant

type. The tops of the cable trays are enclosed with a 2 inch

thick Kaowool thermal blanket which has a fire resistive rating

of 1/2 hour. Hence, the equipment located within the ceiling

spaces is considered to be non-combustible.

(3) With the sprinkler heads located near the ceiling slab,

inadequate sprinkler water distribution and accessibility

to the heads for inspection and replacement would exist. ,

(4) The heavy congestion of piping, cable trays, and conduits in the

ceiling space c. eates a false ceiling effect, which in turn

creates an area of heat collection below the lowest level of

cable trays and conduits, thereby ensuring timely actuation of

the sprinkler system.

As noted above, this was not officially brought to the attention of

the NRC prior to the inspection documented in report 50-346/83016.

In response to the findings of inspection report 50-346/83016, the

licensee provided justification for the deviations from the

requirements of NFPA 13, in their September 13, 1983 submittal to

the NRC (R. P. Crouse-TED to D. G. Eisenhut-NRC, Serial No. 986).

Additional information on this subject was provided in an August 28,

1984 letter from the licensee to the NRC. In both submittals, in

addition to the justification provided by the AE, the licensee makes

reference to a Union Carbide test that was conducted for the NRC.

7

, .

The inspectors noted that this test was conducted to determine the

feasibility of installing sprinklers three feet below the ceiling, not

as much as approximately fifteen feet below the ceiling as is the

case in some configurations at Davis-Besse. Although some of the

sprinkler configurations tested resulted in acceptable actuation

times for fast developing fires, the test summary points out that

not all fires envisioned in the test occupancy would begin as rapidly

as the test fire. Any slow buildup of heat due to smaller fires would

result in a delay of sprinkler actuation. Figure II of the test

report indicates that in some of the tested sprinkler configurations,

delayed sprinkler actuation averaged more than seven minutes. More

significant is the fact that the room or enclosure configuration used

in the test had a three foot wide opening in the ceiling running the

length of the enclosure which created a chimney effect. The inspec-

tors did not observe this type of room or enclosure configuration at

the Davis-Besse facility. The complexity of piping, fixtures, and

structural interferences that initiated the Union Carbide test was

not described in the test report; therefore, there is no clear

correlation between the configuration at Davis-Besse and that of

-

the Union Carbide test.

Because of the apparent inconsistencies discussed above, it is not

clear that the NRC has formally accepted the licensee's justification

for this deviation from NFPA 13. During this inspection, the licensee

indicated that although their position is that NRR approved this

deviation, an independent fire protection consultant has been employed

to provide a documented technical evaluation of the sprinkler

installations in question, which will include recommendations

concerning adequacy. Purchase Order No. 035-F-87391-A-MB verified

the licensee's procurement of the fire protection consulting firm's

services for this purpose.

This item will remain open pending NRC review of the licensee's

reevaluation of system adequacy.

g. (0 pen) Unresolved Item (346/83-16-17): The post indicator valves and

fire hydrants throughout the plant yard are accessible to mechanical

damage from vehicular traffic. No permanently affixed physical

barriers (concrete or steel post) are installed to protect these fire

protection features from such damage as required by National Fire

Protection Association (NFPA) Standard 24.

The licensee provided additional information in letter Serial No. 986,

dated September 13, 1983, and in the " Fire Protection Activities

Summary," dated September 3, 1984, and concluded that hydrants

identified during the 10 CFR 50 Appendix R audit are located within

the protected area where vehicular traffic is held to a minimum. In

addition, all post indicating valves and hydrants are of the breakaway

type.

8

. .

In a telephone conversation between Regian III and NRR during the

week of October 14, 1985, NRR indicated that permanent affixed

physical barriers should be installed to protect the post indicator

valves and fire hydrants as required by NFPA 24.

Also during the week of October 14, 1985, the licensee was notified

of the results of the telephone call between Region III and NRR

regarding the physical barriers for the post indicating valves and

fire hydrants.

In a telephone conversation on October 31, 1985, between the

licensee and Region III, it was discussed that the licensee

consnitted to installing physical barriers for the post indicating

valves and fire hydrants and that the work is presently in

progress.

This unresolved item will remain open pending verification of

installed physical barriers for the post indicating valves and

fire hydrants.

h. (0 pen) Unresolved Item (346/83-16-18): Approved pressure reducing

devices on standpipe hose station outlets are required where the

water pressure exceeds 100 psig according to Chapter 4, Section 4-7

of NFPA 14 The inspectors observed the static pressure on automatit:

sprinkler and standpipe hose stations to be at or above 150 psig.

Examination of hose stations indicated there were no pressure reducers

installed on standpipe hose stations throughout the plant as required

by NFPA 14.

As discussed with the licensee, pressure reducing devices should be

installed. As an alternative. solution, the licensee could train the

fire brigade on the maximum pressure that will be encountered when

utilizing fire hose stations. Additionally, the licensee would have

to clearly indicate to all employees that the fire hose stations are

-for use by the trained fire brigade only. Finally, signs indicating

that the fire hose is for fire brigade use only, would have to be

located at the fire hose station.

~

In a telephone conversation on October 31, 1985 between the

licensee and Region III, the licensee conunitted to utilizing the

alternative solution.

This unresolved item will remain open pending review of licensee's

actions by Region III.

i. (0 pen)OpenItem(346/83-16-19): Technical Specification 3.3.3.8

specifies, "With the number of operable fire detection instrument (s)

less than the minimum of operable requirement of Table 3.3.14...."

Throughout the licensee's FSAR and FHA, the coninitment was made

to install fire detectors in accordance ..th NFPA 72D. NFPA 72D

requires that fire detectors be installed in accordance with NFPA 72E.

NFPA 72E specifies minimum installation and spacing requirements for

fire detectors.

9

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.

.

I

I

In the " Fire Protection Activities Summary" dated September 3,1985,

the licensee indicated that the rationale as to why the minimum number

l of detectors in Table 3.3-14 of the Technical Specifications is less

! than the total number of detectors required for some zones is the

conservative design approach which was used in their layout. The

design exceeded the minimum spacing requirements of NFPA 72E-1978,

which created areas of overlapping protection. This overlapping pro-

tection is why one or more detectors, as long as no two are adjacent,

can be out of service and still provide protection to the zone being

protected.

In discussions with the iicensee, it appeared that several areas did

not have adequate coverage with the minimum number of fire detectors

operable as indicated in the Technical Specification 3.3.3.8, because

l of the pocket beam criteria, it was also discussed that when two

adjacent detectors are out of service, adequate detection may not be

provided even though the minimum number of fire detectors as indi-

cated in Technical Specification LC0 3.3.3.8 has been achieved.

In a telephone conversation on October 31, 1985 between the

licensee and Region III, the licensee coomitted to review each fire

l

area against NFPA 72E and revise the Technical Specification that

'

when the minimum number of detectors are out of service, adequate

detection will be available.

This item will remain open pending Region III's review of the

licensee's actions.

j. (0 pen)OpenItem(346/83-16-20)
The 1980 Fire Protection Audit by

l Professional Loss Control Inc., Section 3.3.3, identified the possi-

bility of cold soldering of sprinkler heads due to water curtain and

sprinklers installed at elevation 657 feet in the heater bay area.

(Cold soldering occurs when water from one sprinkler cools down the

heat sensitive element in another sprinkler which prevents operation

of the sprinkler being wetted.)

The licensee's " Fire Protection Activities Summary", dated

September 3,1985, stated that the suppression at the 657 foot

elevation is comprised of two independent systems. The first system

has its sprinkler heads located between the roof's beams near the

roof underside surface. The second system has its sprinkler heads

uniformly distributed under the roof's beams to provide coverage of

the area of interest below.

This type of design is described in NFPA 13-1978 under Section 4-2.3.

which gives permissible locations of sprinkler heads either under

beams or under a roof or ceiling. A combination of these two posi-

tions is permissible provided the clearance and positions outlined

in Section 4-2.4 and 4-3 are followed. In addition, the licensee's

internal memorandum of August 20, 1981, Item 5, indicates that

Grinnell Fire Protection Systems Company, Inc., performed a design

l

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. _ _ _ - . , _

. .

review of these systems and the design was modified to eliminate the

possibility of cold soldering of sprinkler heads. The licensee also

has a contract with Professional Loss Control to provide an evaluation

on the effects of cold soldering and develop recommendations (Toledo

Edison Purchase Order 035-F-87391A-MB). This item will remain open

.pending review of the documentation of an evaluation on the effects

of cold soldering.

k. (0 pen) Violation (346/83-16-22): Failure to Develop Adequate

. Surveillance Test Procedures, Administrative Controls and Quality

Assurance.

(1) (0 pen) Noncompliance (346/83-16-22a): Fire pump testing

procedures are inadequate.

(a) The electric and diesel annual fire pump flow test

procedures for 1980, 1981, 1982, and 1983, did not specify

a " shutoff" (no flow) test as required by NFPA 20.

The licensee has incorporated the " shut-off" test as

required by NFPA 20 in the Ciesel Fire Pump Annual Flow

Test Surveillance Procedure ST 5016.12 (Davis-Besse

Temporary Modification Request dated July 3, 1985) and

in the Electric Fire Pump Annual Flow Test Procedure

ST 5016.03 (Revision 5 dated April 2, 1984). This part

of the item is considered closed based on the licensee's

corrective actions.

(b) The electric fire pump annual flow test procedure did not

specify measurement of vibration at peak load conditions

(150 percent of rated capacity) as required by NFPA 20.

Electric Fire Pump Annual Flow Test (Surveillance Test

5016.08) Section 5.3 states, " Maintenance personnel are

available to record vibration data on the pump at all

levels of flow during the test (i.e., 1250, 2500,

3750 gpm)." This part of the item is considered closed

based on the licensee's corrective action.

(c) The diesel fire pump annual flow test procedure for 1980,

1981, 1982, and 1983, did not specify measurement of pump

speed (rpm), flow to 150 percent of rated capacity at

65 percent of rated head, or measurement of vibration at

peak load conditions as required by NFPA 20.

Diesel Fire Pump Flow Capacity Test (Sheets 1, 2, 3 of

Enclosure II), of the Diesel Fire Pump Annual Flow Test

(Surveillance Test 5016.12.5) includes measurements for

pump speed (rpm) and flow to 150 percent of rated capacity

at 65 percent of rated head; however, there is no provi-

sion or specific requirement in the surveillance test to

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take measurements of vibration at peak load conditions as

required by NFPA. As previously identified in Report

50-346/83016, the licensee should specify measurement of

vibration at peak load conditions as required by NFPA.

This portion of this item remains open.

(d) The diesel and electric fire pump test results for 1980,

1981, and 1982 were not properly evaluated to determine

their acceptability. No characteristic curve was plotted

from the test result to compare with the original

manufacturer's certified shop test curve and acceptance

test curve.

The licensee has submitted characteristic curves developed

from the 1980, 1981, and 1982 diesel fire pump test;

however, it is unclear how the curves were developed since

the data sheet did not include pump speed (rpm), pressure

corrections, or suction head.

The licensee provided the inspector with the August 22,

1984 diesel fire pump test results which included a

characteristic curve; however, it is also unclear in this

test how the characteristic curve was developed because it

does not appear that the corrections for pump speed or

suction head were included. This portion of this item will

'

remain open pending review of the licensee's corrective

actions.

(2) (0 pen) Noncompliance (346/83-16-22b): Contrary to the NRC

Supplemental guidance, entitled " Nuclear Plant Fire Protection

Functional Responsib111 ties Administrative Controls and Quality

Assurance" (supplemental guidance), surveillance test procedure

5016.09 did not specify verifying fire protection system valve

operability weekly, monthly, and annually as required by NFPA 26.

The licensee's " Fire Protection Activities Summary" dated

September 3, 1985 stated, "NFPA 26, 1976, Chapter 3, allows a

monthly inspection if valves in the fire system flow path are

locked or sealed open."

The inspectors reviewed NFPA 26, 1976, Chapter 3 which states

'

"A systematic weekly inspection (or monthly in the case of

locked-open valves) of each valve should be made, and a report

! form used to record the condition of each valve." The licensee

is requested to conduct weekly inspections if seals are to be

utilized or monthly inspections if valves are to be locked open

as required by NFPA. This part of the Violation (346/83-1G-22) ,

will remain open pending review and acceptance of the licensee's

submittal.

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, - -_ - - - - - - - - - - - . . - - - - - _ - - - - - - _ _ - - - - - - - . _ - - - - _ - - - _ - - - - - - - - _ _ - - - - - - - - - -

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(3) (Closed) Noncompliance (346/83-16-22c): Automatic sprinkler

system test results for 1980,1981, and 1982, did not verify

simulation of actuation of the most remote sprinkler head by

opening the inspector's test valve on the system as required by

the surveillance test procedure. According to the licensee's ' *

staff, this test is not performed as required b'y NFPA 13A.

Instead only a two inch drain test is perfornied at the-base

of the sprinkler system riser.

During this inspection, the licensee indicated that the

inspector's test for the wet sprinkler systems has been

conducted since 1980 and that the previous information given

to the inspector was incorrect. The licensee explair.ed that

the individual that provided the previous inspector with the

information was not familiar with the inspector's test. The

inspector was provided with Surveillance. Test Procedure

ST 5016.07 entitled " Fire Protection System Automatic Sprinkler '

Syrtem" which requires the inspector's test to be conducted on

the wet sprinkler system. In addition, the inspector was

provided with the 1981, 1982, and 1985 inspector's tests for '

the wet sprinkler system. The licensee indicated that the 1980

inspector's test was conducted; however, test ro ults could not

be located. The upgraded procedures were reviewed and it was

verified that the inspector's test is currently being conducted ,

and also that the inspector's test has been conducted since at

'

least 1981. This portion of the item is close'd.,

(4) (Closed) Noncompliance (346/83-16-22): Contrary to the NRC )"

supplemental guidance, surveillance test procedure ST 50.16.06, '

did not specify measurements of sensitivity, periodid clCaning, -

and adjustment of photo electric fire detectors as required by -

NFPA 72D and NFPA 72E. The test proceduro specified an unsafe

practice in that it required use of an "open flame" to test fire ,

detectors rather than a " puff" test as specified by NFPA 72E.

(a) Fire Protection Activities Sumary dated September 3,1985,

indicated that Surveillance Test Procedure ST 5016.06,

Fire Detector Functional Test, allows the issuance of a

Maintenance Work Order in conjunction with the conduct of

this test to document and correct any deficiencies found

while performing this test such as needed cleaning or

adjustment. This is adequate to ensure that cleaning and, ~.,

adjustment of detectors occurs. This part of violation N

(346/83-16-22d)isconsideredclosed. - ,

(b) Fire Protection Activities Summary, dated September 3, 1985,

indicates that the test procedures specified an unsafe

practice in that they specified use of an "open flame" to

test fire detectors rather than a " puff" test as specified

by NFPA 72E. The reference to the use of an "open flame"

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to test fire detectors has been removed from ST 5016.06.

In addition, the licensee further indicates that an "open

flame" has never been used at Davis-Besse to test any

detectors.

. This part of the violation (346/83-16-22) is considered closed.

(5) (Closed) Noncompliance (346/83-16-22e): Periodic Test procedure

PT 5112.01 did not specify quarterly surveillance of emergency

'

lighting units, or an 8-hour discharge test and periodic

replacement of batteries in accordance with the manufacturer's

recommendations. The inspector reviewed Revision 8 of Periodic

Test Procedure PT 5112.01 titled, " Emergency Lighting System

Test," and determined that the surveillance checks noted above

..

have been incorporated into the current procedure. The current

procedure includes a monthly, quarterly, and annual surveillance

test of each individual eight hour emergency lighting unit,

having the integral batteries tested on a staggered frequency.

This is to prevent a total blackout should an emergency occur.

The licensee's emergency lighting surveillance test program, as

verified by the inspector, also incorporates the lighting unit

manufacturer's recommendations. The licensee provided documenta-

tion showing that 23 new emergency lighting batteries were

installed in February 1984, replacing previously installed

batteries as part of the licensee's corrective action in main-

taining the emergency lighting units.

(6) (Closed) Noncompliance (346/83-16-22f): Contrary to the NRC

supplemental guidance, Administrative Procedure AD 1828-20, " Fire

Brigade Training," does not specify the minimum physical

requirements for fire brigade members as required by NFPA 27.

Interviews with the licensee's staff indicated that no separate

physical examinations are required for fire brigade members at

Davis-Besse Nuclear Power Station; however, Step 5.2.3 of

procedure AD 1810.00 Revision 7 indicates that fire brigade

members shall have completed the respiratory protection plan in

accordance with procedure HP 1605.02. Step 6.4 of procedure

HP 1605.02, Revisions 11 and 12, dated November 8, 1984, revised

since the July 1983 inspection, requires that each individual

being certified to wear respiratory protection equipment shall

have an initial physical examination, the results of which will

be reviewed by a physician who will, and annually thereafter,

review each certified individual's medical status. The physician

will make the recommendation in writing. The procedure identi-

fled 13 clinical conditions which the physical examination covers.

These requirements are acceptable.

(7) (Closed) Noncompliance (346/83-16-22g): Contrary to the NRC

supplemental guidance noted above, Administrative Procedure

AD 1810-01 did not specify fire watch training, or that the fire

watch remain on the work site while the work is performed, and

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remain in the area for at least 30 minutes after the work.is

t completed. NFPA 51 and 518 require that a fire watch be trained

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and equipped to prevent and combat fires, and that the fire watch--

remain on the. work site for at least 30 minutes after the work

b is completed to check for smoldering fires. -The licensee's staff

provided no documented evidence that contractor personnel per-

. forming fire watch duty.are required. to be-trained in the use of

3 ffire protection equipment and fire prevention.

The current Administrative Procedure' covering the Fire Watch

Qualification Program is AD.'1828.19, Revision 2, dated

December 19, 1984. Steps 4 and.5 now include the minimum

instruction.an individual contractor and onsite personnel are

k to receive to. qualify as a fire watch during open flame, welding,

grinding, and cutting. operations. This instruction consists of

.both classroom training and practical training in the use of

fire extinguishers. Fire watch requalification is required on

an annual basis. Based on the above, the inspector determined

the licensee to be meeting their commitment to NFPA SIB. In

-addition, TED has' incorporated a second type of fire watch given

the title of " Fire Barrier Watch," defined as an individual

trained in the> formal process for notification of the security

, force'and Shift ~ Supervisor that.a fire' exists. This individual

will be trained through General Orientation Training in the use

and operation of plant communication systems. The sole purpose

r of this individual:is to monitor potentially degraded fire doors,

j -dampers, barriers, and other items which degrade the adequacy

{ of the fire protection program.

,

Step 4.4 of Administrative Procedure AD 1844.07, Revision 2,

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dated April 22, 1983, includes the necessary responsibilities

of personnel performing activities associated with open flame,

1- -welding, grinding, and cutting operations as described by NRC

supplemental guidance documents and NFPA SIB, including having

the fire watch remain at the work area for a minimum of thirty

, minutes after the work activity is completed to check for

smoldering fires.

a

! (8) -'(Closed) Noncompliance (346/83-16-22h): . Backup fire fighting

capability from offsite fire departments. The previous inspector

verified in Report 83016 that by letter dated-August 31, 1985,

the Assistant Fire Chief of Carroll Township. Emergency Medical _ ,

and Fire' Service, Incorporated, had agreed to provide-fire pro-

j tection in accordance with the Davis Besse Emergency Plan. The

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licensee had prepared Revision 7 (not. Revision 5 as previously

identified in Report 83016) to the Emergency Plan which indicated

~

.that when answering to a call for assistance in fighting fires,

the offsite fire 3 department will operate under'the direction of.

the licensee's fire brigade. The licensee committed to complete

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the. revision by November 1, 1983.

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In the letter dated November 16, 1983 from R. Crouse, TED to

J. Keppler, R-III, the Approved Modification Request to the

-Emergency Plan concerning the offsite fire department support

was provided for commitment completion verification. This item

is considered. closed based on the corrective actions documented

in the previous letter.

(9) (0 pen) Noncompliance (346/83-16-221): Specific qualifications

and responsibilities for individuals responsible for implementing

- the fire protection program are specified in Table 4-1 (Sheet 1)

-of'the licensee's'FSAR for Davis-Besse, and in Section 2.0 of

NRC supplemental guidance document.

The following discrepancies existed in the licensee's personnel

qualification requirements for fire protection / prevention

program implementation:

(a) Interviews with the licensee staff disclosed that only the

fire protection coordinator has direct responsibility for

the fire protection program at the site. Other licensee

' staff are periodically assigned various fire protection

responsibilities a small percentage of.the time. Sufficient-

documentation was not available at the time of the inspec-

tion, including a TED Table of organization, showing the

responsible fire protection personnel'and their interface

to the fire protection program. This portion of the item

-

will remain open pending further review of the licensee's

commitment and other related information.

(b) The fire protection coordinator and the-fire marshal are

the same individual, whose demonstrated knowledge of fire

protection-is vested in his training and experience as a

volunteer firefighter. Attachment No. 1 of the NRC supple-

mental guidance document describes the responsibilities of

the fire protection organition including the onsite position

commonly referred to as either the plant " fire protection

coordinator" or plant " fire marshal." According to the

guidance document, the onsite position (s) responsibilities

include. implementing periodic fire protection inspections,

training, assisting in the critique-of all fire drills,

review of proposed work activities for transient fire loads,

.

implementation of a program for contractor personnel in
administrative procedures, and instruction of personnel on

other related fire protection topics.

According to the licensee, three individuals now hold the

position of." fire protection coordinator". Subsequent to

the inspection the licensee provided copies of these indi-

L viduals resumes to the inspector for review. The following

i information was derived from each individual's resume:

(1) Individual No. I currently has twelve years of combined

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nuclear fire protection experience attaining " reactor

operator" status and-lead fire protection responsibility

including emergency medical experience. Further, this

individual has attended numerous fire protection seminars

totaling in excess of six hundred and seventy five hours;

'(2)-Individual No. 2 currently has ten years of combined

nuclear fire protection experience attaining " auxiliary

operator" status, advancing through the operator qualifi-

cation program and also lead fire protection responsibility.

This individual has attended some. twenty-five fire

protection related seminars since 1975; and (3) Individual

No. 3 currently has in excess of eight years fire protection

experience including nuclear experience and an extensive

emergency medical and fire training background. This

individual has also attended numerous fire safety seminars

and is a certified Ohio firefighter satisfying the required

two hundred hour training program. According to the

resumes, each of these individuals utilize their talents

towards nuclear fire safety as part of their responsibili-

ties at Davis-Besse. Based on the above, the inspector

concluded that these individuals' academic and work experi-

ence satisfy NRC guidelines "equired of licensee fire

protection personnel. This portion of the item is

considered closed.

(c) There is no qualified fire protection engineer who is a

graduate of an engineering curriculum of accepted standing

in fire protection engineering on the licensee's staff or.

onsite as a consultant. During an NRC Fire Protection

inspection conducted during June 1984, the licensee's

position was that a qualified fire protection engineer is

on the TED staff at the Davis-Besse site. According to the

NRC supplemental guidance document, the qualifications of a

fire protection engineer should include one who is a

graduate of an engineering curriculum of accepted standing,

and who shall have completed not less than six years of

engineering competency and achievement, three of which

shall have been in responsible charge of fire protection

'

engineering work. These requirements are the eligibility

requirements as a member in the Society of Fire Protection

Engineers.

At the time of the Appendix R Fire Protection / Safe Shutdown

inspection (July 1983), the individual on the licensee's

staff in the position of fire protection engineer was not a

member of the Society of Fire Protection Engineers (SFPE)

and therefore had not had his academic and work history

evaluated to be qualified as a " member" grade in the SFPE.

Additionally, this individual was'not devoted full time to

the area of fire protection.

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Since the Appendix R, Fire Protection / Safe shutdown

inspection, this individual has had his academic and work

history evaluated by SFPE's and was qualified as a " member"

grade in the SFPE in October 1983. The inspector also met

with the General Supervsior-Facility Engineer to discuss

the present scope of the fire protection engineer's job

responsibilities. The inspector was assured that since

July 1983 the fire protection engineer's sole responsibility

was fire protection and that all other non-related responsi-

bilities have been reassigned to other personnel.

This individual is a member of the Fire Task Group Team and

has been since its inception.

Further, since the June 1984 inspection, an additional fire

protection engineer as described in NRC criteria has been

added to the TED staff in the Nuclear Facility Engineering

Department. This portion of the item in considered closed.

(10) (0 pen) Noncompliance (346/83-16-13 and 346/83-16-22j): Failure

to establish a fire watch on inoperable fire dampers and an

inadequate surveillance test procedure. In the Report 346/83-16,

section entitled " Details - Part II" (pg 43), it states, "The

inspector verified that procedure ST 5016-11 had been revised

and its implementation was observed by the inspector on

September 8, 1983 and found acceptable". This portion of the

Open Item is closed.

The open item previously discussed also states "Due to the high

failure rate that occurred during the fire damper surveillance

retests, the licensee has committed to an on going testing

program of all dampers until the confidence level increases.

This program, plus the schedule completion date for the

remaining fire dampers yet to be tested, will be submitted to

Region III by November 30, 1983 after an engineering analysis

is performed on locating and evaluating any necessary work

needed to perform the surveillance test. As discussed on

October 31, 1985, the licensee committed to provide Region III

a summary or history of events and corrective actions regarding

this portion of the Item. This item will remain open pending

Region III review and acceptance of the licensee's submittal.

3. Containment Purge Valves

The containment inlet and outlet purge valves (4) were inspected, and the

general local leak rate testing method was discussed with the licensee to

ensure that no possible leakage paths were being bypassed by the testing

methods in use.

No violations or deviations were identified.

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4. Review of Allegations Concerning BISCO Penetration Seals

The NRC received three generic (not specifically mentioning the Davis-

Besse Plant) allegations regarding Bisco penetration seals indicating that:

(1) test data to support the penetration seals' fire resistance capability

did not exist including test data to show that the 6 inch silicone foam

fire barrier penetration seals are rated for three hours, (2) penetration

pressure seals were installed with a 2 inch overlap on the seal boot

instead of the required 3 inch overlap, and (3) Bisco procedures SP504,

SP505, SP505-1, SP505-2, and SP505-3 were deficient.

The licensee provided a comprehensive package of information pertaining

to Bisco penetration seals including NRC correspondence on this subject,

penetration seal specifications, Bisco procedures covering flexible boot

seals, TED procedures covering the Dow Corning silicone foam penetration

fire seals, and test reports of penetration seals. Resolution of the

allegations was pursued through inspector review of the documentation

provided by the licensee; a visual inspection and penetration seal

walkdown of several flexible boots and silicone penetration fire seals;

and discussions between the licensee's staff, resident inspectors and the

inspector to determine whether the allegations could be substantiated. As

a result of these activities the following findings and conclusions were

made,

a. Allegation No. RIII-83-A-0029-01: Test data to support the

penetration seals' fire resistance capability did not exist

including test data to show that the six inch silicone foam fire

barrier penetration seals are rated for three hours. In response

to this allegation the inspector reviewed two Bisco Fire Test

Reports numbered 748-57, dated November 6, 1981, and 748-42, dated

July 29, 1981, noting the test standard criteria being utilized,

penetration seal fabrication, type, and design configuration including

any penetrating items, test observations and the conclusions of the

fire test. Both tests showed that the material used as the fire seal

was Bisco SF-150NH (High Density Silicone Foam) installed to a nominal

depth of 12 inches and utilizing cable tray and conduit design config-

urations. The inspector determined that the fire seal systems tested

in the two tests met NRC guidelines and therefore are acceptable.

Section 7.2.4.e of Specification No. 7749-M-25500, dated August 11,

1983, indicates for fire barriers using low density silicone foam

that a minimum final fill depth of 11 inches is required and for

high density silicone sealant material 12 inches is required.

The test reports reviewed by the inspector regarded only the high

density silicone sealant material; however, the licensee did provide

a letter (Serial No. 284) from L. Roe, TED, to J. Stolz, NRR, dated

May 25, 1977, regarding a fire equivalency test for low density

silicone foam (SF-20 verst.s Dow Corning 3-6548). The purpose of the

letter was to inform NRR that TED planned on substituting the SF-20

product with the Dow Corning 3-6548 product due to the discontinued

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manufacture of the SF-20. The TED letter also indicated that a

three-hour fire exposure test had been performed at the Fire Research

Laboratory of the Portland Cement Association in Skokie, Illinois on

April 12, 1977. A 12 inch thick concrete slab was prepared containing

four one-foot square blockouts. Two of the blockouts were filled

with SF-20 and two with Dow Corning 3-6548 silicone foam. The report

further stated that, "Each blockout was filled to the full depth of

i 12 inches, which is the minimum depth used as a fire barrier at

Davis-Besse Unit 1."

Documentation was not available at the time of the inspection to

support the specification statement of having low density silicone

foam configurations (previously installed SF-20 or more recently

installed Dow Corning 3-6548) using a fill depth of 11 inches. This

is considered an open item (346/85028-01) pending inspector review

of test documentation demonstrating the adequacy of installed low

density silicone foam with a fill depth of 11 inches. As part of

! this open item the inspector requested the licensee to provide

l adequate assurance that no penetration fire seal located in a fire

area boundary barrier was less than 11 inches in depth. As this

'

[ assurance could not be provided during the inspection, this allegation

remains open. On October 18, 1985, in a telephone call between

Region III management and TED management, it was discussed that this

assurance would be required as one of the items to be closed prior to

plant restart from the current outage.

Three maintenance procedures numbered MP 1405.03.1 (Step 8.3.1),

! MP 1405.04.3 (Step 6.3.1), and MP 1405.08.0 (Step 8.3.a) each

l Indicate that the minimum depth of foam to be installed is 11 inches

'

for low density silicone foam or 12 inches for high density silicone

l foam in any penetration conduit through a wall or floor, except where

the wall or floor thickness is less, then the depth is to be equal to

the thickness of the wall or floor.

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The three maintenance procedures do not differentiate between fire

barrier walls and floors and non-fire barrier walls and floors when

mentioning the amount of sealant material to install as does

Section 7.2.4.e of Specification No. 7749-M-255Q.

This is considered an open item (346/85028-02) pending inspector

review of the procedural revisions to the three maintenance proce- ,

dures to reflect Section 7.2.4.e of Specification No. 7749-M-255Q.

, b. Allegation No. RIII-83-A-0029-02 and 03: (02) Penetration seals

I

were installed with a 2 inch overlap on the seal boot instead of

the required 3 inches. (03) Bisco Company procedures SP504, SP505,

, SP505-1, SP505-2, and SP505-3 were deficient. The inspector

determined that these two allegations were interrelated and as

such they are discussed together.

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The flexible Boot Seal is designed for use as a pressure barrier.

According to the licensee, procedures SP505-1, SP505-2, and SP505-3

were not being used at the Davis-Besse site. As such, that portion

of the allegation is not applicable to Davis-Besse.

Bisco's flexible boot seal fabrication procedure (SP504), step 5.3.3,

and Bisco's Installation procedure (SP5051), step 7.3, both state

-

that, "A bead of the Bisco RTV Sealant is applied to the inside of

the overlap seam and spread to a minimum width of 3 inches." The

Davis-Besse site installer of flexible boot seals (installation of

the flexible boot seals is performed on an infrequer.t basis)

interpreted the two steps noted above to mean that the minimum

overlap seam is to be 3 inches.

I

Subsequently, the licensee, through Bechtel, contacted Bisco personnel

who indicated that the overlap axial seam criteria was to be based on

the diameter of the pipe penetration being sealed. The inspector

requested the licensee to provide documentation to support the

vendor's position regarding the overlap seam criteria. This is

considered on open item (346/85028-03) pending inspector review of

this documentation.

The inspector performed an inspection of seven flexible boot seals

including measurement of overlap axial seams with assistance from the

licensee's staff. Of the seven boot seals inspected, two failed to

meet the acceptance criteria as given by the Bisco personnel and five

boot seals failed to meet the acceptance criteria as given by the

plant installer. As such, this portion of allegation (02) remains

open.

The Bisco Fabrication and Installation procedures also indicate that

the RTV sealant material should be allowed to cure for a minimum of

sixteen hours before any further work is performed. No TED procedure

existed for the responsible Quality Assurance inspector on when to

inspect the boot seals' final installation so as to verify that no

slippage of the overlap seam had occurred.

The TED procedure (s) established for the installation, and fabrication

of the flexible boot seals were inadequate in that these procedures

failed to provide clear and concise installation, fabrication and

inspection instructions. The inadequacies in the flexible boot seal

procedures is considered a violation of 10 CFR 50, Appendix B,

Criterion V (346/85028-04).

5. Open Items

Open items are matters which have been discussed with the licensee, which

will be reviewed further by the inspector, and which involve some action

on the part of the NRC or licensee or both. Open items disclosed during

the inspection are discussed in Paragraph 4.

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6. Exit Interview

The inspectors met with licensee representatives (denoted in Paragraph 1)

at the conclusion of the onsite inspection on September 6, 1985, and summarized

4

the scope and findings of the inspection. The licensee acknowledged the

_ statements made by the inspector. The inspector also discussed the

likely informational content of the inspection report with regard to

documents reviewed by the inspector during the inspection. The licensee

f

did not identify any of the documents as proprietary.

In a telephone conversation on October 18, 1985 between Region III and

the licensee, it was discussed that (0 pen) Violation (346/83016-018)

regarding the operability of the PORV and its block valve (Paragraph 2.b.)

and Open Item (346/85028-01) regarding the adequacy of the low density

foam (Paragraph 4.a.) would be resolved prior to restart.

Also, in a telephone conversation conducted between Region III and the

licensee on October 31, 1985, items 83-16-17, 83-16-18, 83-16-20 and

83-16-22 (a, b, c, d, h, j) were discussed and are documented in this

report.

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