ML20133E737: Difference between revisions

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                      p re;g                                     UNITED STATES
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                  /j         #
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                              'o.                   NUCLEAR REGULATORY COMMISSION
p re;g
                ["               n                                  REGION 11
UNITED STATES
                g
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                *
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                              -j                         101 MARIETTA STREET, N.W.
NUCLEAR REGULATORY COMMISSION
                                's                         ATLANTA GEORGIA 30323
["
  .
REGION 11
      .
#
                \...../
n
                  Report Nos.:         50-348/85-25 and 50-364/85-25
g
                  Licensee: Alabama Power Company
- j
                                  600 North 18th Street
101 MARIETTA STREET, N.W.
                                ' Birmingham, AL 35291
*
                  Docket Nos.: '50-348 and 50-364                             License Nos.: NPF-2 and NPF-8
's
                  Facility Name:         Farley Nuclear Plant
ATLANTA GEORGIA 30323
                  Inspection Conducted: June 3 - 7, 1985
\\...../
                  Inspection at Farley site near Dothan, Alabama
.
                  Inspector:         ,        hou u                                            7 IS   06
.
                                M. F. Run9a#       [                                             Date Signed
Report Nos.:
                  Accompanying Personnel:         M.-A. Scott, Region II
50-348/85-25 and 50-364/85-25
                  Approved by:         MM M/                       [                                 J   f
Licensee: Alabama Power Company
                                    C.-M. Upright,ycti         ' Chief                           Date $1gned
600 North 18th Street
                                  -Division of Reactor afety
' Birmingham, AL 35291
        ^
Docket Nos.: '50-348 and 50-364
                                                                    SUMMARY
License Nos.:
                  Scope: This routine, unannounced inspection entailed 68 inspector-hours on site
NPF-2 and NPF-8
                  in the areas of surveillance testing and calibration control program, measuring
Facility Name:
                  and test equipment. program, and licensee action on previously identified inspec-
Farley Nuclear Plant
                ' tion findings.
Inspection Conducted: June 3 - 7, 1985
                  Results: ' Four violations were identified - Failure to Perform Evaluation of
Inspection at Farley site near Dothan, Alabama
                  Out-of-Tolerance Measuring and Test Equipment, Failure to Establish Environmental
Inspector:
                  Controls for Calibration of Measuring and Test Equipment, Failure to Confirm
houu
                  Adequacy of Calibration Frequency of Measuring and Test Equipment, Failure to
7 IS 06
                  Control Access and Assure Accountability of Measuring and Test Equipment.
,
M. F. Run9a#
[
Date Signed
Accompanying Personnel:
M.-A. Scott, Region II
Approved by: MM M/
[
J
f
C.-M. Upright,ycti
' Chief
Date $1gned
-Division of Reactor afety
^
SUMMARY
Scope: This routine, unannounced inspection entailed 68 inspector-hours on site
in the areas of surveillance testing and calibration control program, measuring
and test equipment. program, and licensee action on previously identified inspec-
' tion findings.
Results: ' Four violations were identified - Failure to Perform Evaluation of
Out-of-Tolerance Measuring and Test Equipment, Failure to Establish Environmental
Controls for Calibration of Measuring and Test Equipment, Failure to Confirm
Adequacy of Calibration Frequency of Measuring and Test Equipment, Failure to
Control Access and Assure Accountability of Measuring and Test Equipment.
!
!
!
!
                                B508080004 850718
B508080004 850718
                                PDR     ADOCK 05000348
PDR
                                G                     PDR   .5 ;
ADOCK 05000348
G
PDR
.5 ;


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                                                                                          )
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                                        REPORT DETAILS
REPORT DETAILS
    1.   Persons Contacted
1.
          Licensee Employees
Persons Contacted
          B. Badham, Safety Audit and Engineering Review (SAER) Staff
Licensee Employees
          *T. Cherry, I&C Supervisor
B. Badham, Safety Audit and Engineering Review (SAER) Staff
          *R. Coleman, Systems Support Supervisor
*T. Cherry, I&C Supervisor
          L. Enfinger, Administrative Superintendent
*R. Coleman, Systems Support Supervisor
          T. Esteve, Planning Supervisor-
L. Enfinger, Administrative Superintendent
          *H. Garland, Maintenance Superintendent
T. Esteve, Planning Supervisor-
          C. Hanks, I&C Control Technician
*H. Garland, Maintenance Superintendent
          D. Heartline, Generating Plant Supervisor
C. Hanks, I&C Control Technician
          *R. Hill, Operations Superintendent
D. Heartline, Generating Plant Supervisor
          D. Morey, Ass'stant Plant Manager, Operations
*R. Hill, Operations Superintendent
          *C. Nesbitt, Technical Superintendent
D. Morey, Ass'stant Plant Manager, Operations
          J. Odom, Unit 1 Supervisor, Operations
*C. Nesbitt, Technical Superintendent
        '*W. Shipman, Assistant Plant Manager, Support
J. Odom, Unit 1 Supervisor, Operations
          'J. Stutchman, I&C_ Planner
'*W. Shipman, Assistant Plant Manager, Support
          L. Ward, Maintenance Superintendent
'J.
          *W. Ware, SAER Supervisor
Stutchman, I&C_ Planner
          L. Wiger, I&C Engineer
L. Ward, Maintenance Superintendent
          *J. Woodard, Plant Manager
*W. Ware, SAER Supervisor
          Other licensee employees contacted included technicians and office
L. Wiger, I&C Engineer
          personnel.
*J. Woodard, Plant Manager
          NRC Resident Intoector
Other licensee employees contacted included technicians and office
personnel.
NRC Resident Intoector
.
.
          *W. Bradford, Senfor Resident Inspector
*W. Bradford, Senfor Resident Inspector
          * Attended exit in ;erview
* Attended exit in ;erview
                                                                                        '
'
    2.     Exit Interview
2.
          The inspection scope and findings were summarized on June 7,1985, with
Exit Interview
          those persons indicated in paragraph 1 above. The licensee did not identify
The inspection scope and findings were summarized on June 7,1985, with
          as proprietary any of the materials provided to or reviewed by the
those persons indicated in paragraph 1 above. The licensee did not identify
            inspectors during this inspection.     The inspector described the areas
as proprietary any of the materials provided to or reviewed by the
            inspected and discussed in detail the inspection findings listed .below.
inspectors during this inspection.
                Violation:   Failure to Perform Evaluations of Out-of-Tolerance
The inspector described the areas
                Measuring and Test Equipment, paragraph 5.a.
inspected and discussed in detail the inspection findings listed .below.
                The licensee accepted the failure to evaluate mechanical equipment
Violation:
                found out of tolerance but did not agree that similar evaluations were
Failure to Perform Evaluations of Out-of-Tolerance
                required for permanently installed plant instrumentation found out of
Measuring and Test Equipment, paragraph 5.a.
                calibration.
The licensee accepted the failure to evaluate mechanical equipment
found out of tolerance but did not agree that similar evaluations were
required for permanently installed plant instrumentation found out of
calibration.


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                                              2
2
              Violation: Failure to Establish Environmental Controls for Calibration
Violation: Failure to Establish Environmental Controls for Calibration
              of Measuring and Test Equipment, paragraph 5.b.
of Measuring and Test Equipment, paragraph 5.b.
              Violation:   Failure to Confirm Adequacy of Calibration Frequency of
Violation:
              Measuring and Test Equipment, paragraph 5.c.
Failure to Confirm Adequacy of Calibration Frequency of
              Violation:   Failure to Control Access and Assure Accountability of
Measuring and Test Equipment, paragraph 5.c.
              Measuring and Test Equipment, paragraph 5.d.
Violation:
            ' Inspector Followup Item: Certification of Individuals Qualified to
Failure to Control Access and Assure Accountability of
              Calibrate Measuring and Test Equipment, paragraph 5.e.
Measuring and Test Equipment, paragraph 5.d.
    3. Licensee Action on Previous Enforcement Matters
' Inspector Followup Item:
        This subject was not addressed in the inspection.
Certification of Individuals Qualified to
    4. Surveillance Testing and Calibration Control (61725)
Calibrate Measuring and Test Equipment, paragraph 5.e.
        References:     (a) 10 CFR 50, Appendix B, Quality Assurance Criteria for
3.
                              Nuclear Power Plants and Fuel Reprocessing Plants
Licensee Action on Previous Enforcement Matters
                        (b) Regulatory Guide     1.33, Quality Assurance Program
This subject was not addressed in the inspection.
                              Requirements (Operation)
4.
                        (c) ANSI N18.7-1972, Administrative Controls and Quality
Surveillance Testing and Calibration Control (61725)
                              Assurance for the Operational Phase of Nuclear Power
References:
                              Plants
(a)
                        (d) Technical Specifications, Section 4
10 CFR 50, Appendix B, Quality Assurance Criteria for
        The inspectcr reviewed the licensee surveillance testing and calibration
Nuclear Power Plants and Fuel Reprocessing Plants
        control program required by references (a) through (d) to verify that the
(b) Regulatory Guide
        program had been established in accordance with regulatory requirements,
1.33,
        industry guides and standards, and Technical Specifications. The following
Quality Assurance Program
        criteria were used during this review to determine the overall acceptability
Requirements (Operation)
        of the established program:
(c) ANSI N18.7-1972, Administrative Controls and Quality
        -
Assurance for the Operational Phase of Nuclear Power
              A master schedule for surveillance testing and calibration delineated
Plants
              test frequency, current status, and responsibilities for performance.
(d) Technical Specifications, Section 4
        -
The inspectcr reviewed the licensee surveillance testing and calibration
              The master schedule reflected the latest revisions of the Technical
control program required by references (a) through (d) to verify that the
              Specifications and operating license.
program had been established in accordance with regulatory requirements,
        -
industry guides and standards, and Technical Specifications. The following
              Responsibilities were assigned to maintain the master schedule up-to-
criteria were used during this review to determine the overall acceptability
              date and to ensure that required tests were performed.
of the established program:
        -
A master schedule for surveillance testing and calibration delineated
              Detailed procedures with appropriate acceptance criteria had been
-
              approved for all surveillance testing requirements.
test frequency, current status, and responsibilities for performance.
                                                                                    }
The master schedule reflected the latest revisions of the Technical
-
Specifications and operating license.
Responsibilities were assigned to maintain the master schedule up-to-
-
date and to ensure that required tests were performed.
Detailed procedures with appropriate acceptance criteria had been
-
approved for all surveillance testing requirements.
}


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                                            3
3
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            The program defined responsibilities for the evaluation of surveillance
The program defined responsibilities for the evaluation of surveillance
            test data as well as the method of reporting deficiencies and
test data as well as the method of reporting deficiencies and
            malfunctions.
malfunctions.
      The inspector also verified that similar controls had been established for
The inspector also verified that similar controls had been established for
      calibration of instruments used to verify safety functions but not
calibration of instruments used to verify safety functions but not
      specifically identified in the Technical Specifications. The documents
specifically identified in the Technical Specifications.
      listed below were reviewed to verify that these criteria had been incor-
The documents
      parated into the surveillance testing and calibration control program:
listed below were reviewed to verify that these criteria had been incor-
            QAM, Chapter 5       Instructions, Procedures, and Drawings, Revision 22
parated into the surveillance testing and calibration control program:
            QAM, Chapter 10     Inspection, Revision 22
QAM, Chapter 5
            QAM, Chapter 11     Test Control, Revision 22
Instructions, Procedures, and Drawings, Revision 22
            QAM, Chapter 16     Corrective Action, Revision 22
QAM, Chapter 10
            QAM, Appendix A     Q-List, Revision 20
Inspection, Revision 22
            AP-5                 Surveillance Program Administrative Control,
QAM, Chapter 11
                                  Revision 7
Test Control, Revision 22
            AP-11               Control and Calibration of Test Equipment, Test
QAM, Chapter 16
                                  Instrumentation, and Plant Instrumentation,.
Corrective Action, Revision 22
                                  Revision 5
QAM, Appendix A
            AP-15               Maintenance Conduct of Operations, Revision 8
Q-List, Revision 20
            AP-51               Instrumentation and Control Group Conduct of
AP-5
                                  Operations, Revision 6
Surveillance Program Administrative Control,
            AP-57               Preservice and Inservice Inspections, Revision 3
Revision 7
      The following site audit reports were' reviewed to identify those areas in
AP-11
      which the licensee had discovered problems with the surveillance testing and
Control and Calibration of Test Equipment, Test
      calibration program:
Instrumentation, and Plant Instrumentation,.
            84-15, Maintenance STPs, June 12, 1984
Revision 5
            84-17, Operations STPs, July 11, 1984
AP-15
            84-21, Health Physics STPs, October 5, 1984
Maintenance Conduct of Operations, Revision 8
            84-22, Chemistry STPs, October 19, 1984
AP-51
            84-24, Systems Performance STPs, January 2, 1985
Instrumentation and Control Group Conduct of
            85-06, Inservice Inspection - Unit 2, April 23, 1985
Operations, Revision 6
            85-08, Technical Group STPs, May 2, 1985
AP-57
      The more significant problems were identified as noncompliances while those
Preservice and Inservice Inspections, Revision 3
      of lesser importance were addressed as comments by the QA staff. Among the
The following site audit reports were' reviewed to identify those areas in
      types of noncompliances of greatest concern were:
which the licensee had discovered problems with the surveillance testing and
      -
calibration program:
            Failure to comply with notes or line items in the TS.
84-15, Maintenance STPs, June 12, 1984
                                                                                        l
84-17, Operations STPs, July 11, 1984
                                                                                        l
84-21, Health Physics STPs, October 5, 1984
84-22, Chemistry STPs, October 19, 1984
84-24, Systems Performance STPs, January 2, 1985
85-06, Inservice Inspection - Unit 2, April 23, 1985
85-08, Technical Group STPs, May 2, 1985
The more significant problems were identified as noncompliances while those
of lesser importance were addressed as comments by the QA staff. Among the
types of noncompliances of greatest concern were:
Failure to comply with notes or line items in the TS.
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:
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Procedural errors while performing surveillance tests.
            Procedural errors while performing surveillance tests.
-
      -
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            Certification   of qualification expired for persons performing
Certification
            surveillance tests.
of qualification expired for persons performing
      Corrective action on these and other items appeared to be complete and
surveillance tests.
      expedient. Several of the comments appeared to be borderline noncompliances
Corrective action on these and other items appeared to be complete and
      but the inspector determined that corrective action was satisfactory in
expedient. Several of the comments appeared to be borderline noncompliances
      these cases.
but the inspector determined that corrective action was satisfactory in
      To verify implementation of the surveillance test program, the master test
these cases.
      schedule was reviewed. This schedule was broken into two parts; Schedule A
To verify implementation of the surveillance test program, the master test
      for test frequencies greater than one month, and Schedule B for monthly and
schedule was reviewed. This schedule was broken into two parts; Schedule A
      more frequent tests. .These manual schedules were updated monthly and sent
for test frequencies greater than one month, and Schedule B for monthly and
      to the control room where test scheduling and compliance was monitored.
more frequent tests. .These manual schedules were updated monthly and sent
      Test completion was documented on the schedules which were returned to the
to the control room where test scheduling and compliance was monitored.
      Planning Group at the end of the month.       This was a unique but apparently
Test completion was documented on the schedules which were returned to the
      effective system for ensuring that all required tests were performed as
Planning Group at the end of the month.
      prescribed by the TS.     The schedules were randomly checked against the TS
This was a unique but apparently
      for test inclusion and scheduling frequency as well as proper use of grace
effective system for ensuring that all required tests were performed as
      periods.
prescribed by the TS.
      The following surveillance test procedures and packages which include
The schedules were randomly checked against the TS
      inservice pump tests were reviewed for completeness and adequacy:
for test inclusion and scheduling frequency as well as proper use of grace
            FNP-1-STP-215.3B     Main Feedwater FT-486 Functional Test, performed
periods.
                                  October 8, 1984
The following surveillance test procedures and packages which include
            FNP-1-STP-416       Baron Concentration Determination of the Refueling
inservice pump tests were reviewed for completeness and adequacy:
                                  Water Storage Tank, performed July 9, 1984
FNP-1-STP-215.3B
            FNP-1-STP-408       Dissolved Oxygen Determination for the Reactor
Main Feedwater FT-486 Functional Test, performed
                                  Coolant System, performed August 24, 1984
October 8, 1984
            FNP-1-STP-121       Power Range Axial Offset Calibration, performed
FNP-1-STP-416
                                  March 9, 1985
Baron Concentration Determination of the Refueling
            FNP-2-STP-121       Power Range Axial Offset Calibration, performed
Water Storage Tank, performed July 9, 1984
                                  December 12, 1984
FNP-1-STP-408
            FNP-2-STP-23.5       Component Cooling Water Pump 2B Annual Inservice
Dissolved Oxygen Determination for the Reactor
                                  Test, performed November 22, 1983
Coolant System, performed August 24, 1984
            FNP-2-STP-23.4       Component Cooling Water Pump 2A Annual Inservice
FNP-1-STP-121
                                  Test, performed March 2, 1985
Power Range Axial Offset Calibration, performed
            FNP-2-STP-4.4       Charging Pump _2A Annual Inservice Test, performed
March 9, 1985
i                                 February 20, 1985
FNP-2-STP-121
Power Range Axial Offset Calibration, performed
December 12, 1984
FNP-2-STP-23.5
Component Cooling Water Pump 2B Annual Inservice
Test, performed November 22, 1983
FNP-2-STP-23.4
Component Cooling Water Pump 2A Annual Inservice
Test, performed March 2, 1985
FNP-2-STP-4.4
Charging Pump _2A Annual Inservice Test, performed
i
February 20, 1985
i
i
FNP-2-STP-4.1
Charging
Pump
2A
Inservice Test,
performed
'
'
            FNP-2-STP-4.1        Charging    Pump 2A  Inservice Test,  performed
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January 14, 1985
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                                          5
5
          FNP-1-STP-201.18B   Reactor   Coolant System TE-412A and TE-412D
FNP-1-STP-201.18B
                              Functional Test, performed November 25, 1984
Reactor
          FNP-1-STP-215.3A     Main Feedwater FT-486 Loop Calibration, performed
Coolant System TE-412A and TE-412D
                              October 8, 1984
Functional Test, performed November 25, 1984
          FNP-1-STP-201.18A   Reactor Coolant System TE-412A and TE-412D Loop
FNP-1-STP-215.3A
                              Calibration, performed November 25, 1984
Main Feedwater FT-486 Loop Calibration, performed
    Reference values for pump differential pressure and component vibration
October 8, 1984
    datum (Pr and Vr, respectively) established during design and preoperational
FNP-1-STP-201.18A
    testing in accordance with Sections III and XI of the ASME Boiler and
Reactor Coolant System TE-412A and TE-412D Loop
    Pressure Vessel Code were not found in the surveillance tests examined.
Calibration, performed November 25, 1984
    These values are an integral part of component test acceptance criteria. Pr
Reference values for pump differential pressure and component vibration
    and Vr values were indicated as being located in the surveillance test data
datum (Pr and Vr, respectively) established during design and preoperational
    book in the control room. Existing site procedures did not identify use,
testing in accordance with Sections III and XI of the ASME Boiler and
    control, or alteration of the surveillance test data book.
Pressure Vessel Code were not found in the surveillance tests examined.
    In reviewing the test data package for surveillance test FNP-2-STP-23.5
These values are an integral part of component test acceptance criteria. Pr
    (performed November 22, 1983), it was identified that new post repair
and Vr values were indicated as being located in the surveillance test data
    baselines for Pr and Vr were established for component cooling water pump
book in the control room.
    (CCWP) 28. The Inservice Test Program Manual, FNP-2-M-019, and the             l
Existing site procedures did not identify use,
    Inservice Plan for Pump and Valve Testing Manual, FNP-2-M-008, reference
control, or alteration of the surveillance test data book.
    Section XI of the ASME Boiler and Pressure Code but do not contain all of
In reviewing the test data package for surveillance test FNP-2-STP-23.5
    the testing and testing time requirements of Section XI.       Although site
(performed November 22, 1983), it was identified that new post repair
    procedures do not contain the specific 96-hour retest requirement for new
baselines for Pr and Vr were established for component cooling water pump
    baseline of Article IWP-3000 of Section XI, CCWP 2B was retested during the
(CCWP) 28.
    time allowed.
The Inservice Test Program Manual, FNP-2-M-019, and the
    The licensee is required to establish a calibration program for installed
l
    process instrumentation associated with safety-related systems or functions.
Inservice Plan for Pump and Valve Testing Manual, FNP-2-M-008, reference
    The calibration of these instruments was controlled within the preventive
Section XI of the ASME Boiler and Pressure Code but do not contain all of
    maintenance program.   The following plant instruments were chosen at random
the testing and testing time requirements of Section XI.
    from several surveillance test procedures to verify their inclusion in the
Although site
    calibration program:
procedures do not contain the specific 96-hour retest requirement for new
          Charging Pump 2B
baseline of Article IWP-3000 of Section XI, CCWP 2B was retested during the
                Charging Flow       FI-122
time allowed.
                Suction Pressure     PI-152A
The licensee is required to establish a calibration program for installed
                Discharge Pressure PI-152B
process instrumentation associated with safety-related systems or functions.
          RHR Pump 2A
The calibration of these instruments was controlled within the preventive
                Flow                 FI-605A
maintenance program.
                Suction Pressure     PI-601A
The following plant instruments were chosen at random
                Discharge Pressure PI-600A
from several surveillance test procedures to verify their inclusion in the
          Auxiliary Feedwater Pump 2B
calibration program:
                Suction Pressure     PI-3211BB
Charging Pump 2B
                Discharge Pressure PI-3213BB
Charging Flow
FI-122
Suction Pressure
PI-152A
Discharge Pressure PI-152B
RHR Pump 2A
Flow
FI-605A
Suction Pressure
PI-601A
Discharge Pressure PI-600A
Auxiliary Feedwater Pump 2B
Suction Pressure
PI-3211BB
Discharge Pressure PI-3213BB


    -
-
  .
.
                                              6
6
              Containment Spray Pump 28
Containment Spray Pump 28
                    Suction Pressure     PI-946A
Suction Pressure
                    Discharge Pressure PI-946B
PI-946A
        The above instruments were included in the program. Scheduled calibration
Discharge Pressure PI-946B
        frequencies appeared consistent with good engineering practice.
The above instruments were included in the program. Scheduled calibration
        Within this area, no violations or deviations were identified.
frequencies appeared consistent with good engineering practice.
      5. Measuring and Test Equipment (M&TE) Program (61724)
Within this area, no violations or deviations were identified.
        References:     (a) 10 CFR 50, Appendix B, Quality As:urance Criteria for
5.
                              Nuclear Power Plants and Fuel Reprocessing Plants
Measuring and Test Equipment (M&TE) Program (61724)
                          (b) Regulatory Guide     1.33, Quality Assurance Program
References:
                              Requirements (Operations)
(a)
                          (c) ANSI N18.7-1972, Administrative Controls and Quality
10 CFR 50, Appendix B, Quality As:urance Criteria for
                              Assurance of the Operational Phase of Nuclear Power
Nuclear Power Plants and Fuel Reprocessing Plants
                              Plants
(b) Regulatory Guide
                          (d) Regulatory Guide 3.30, Quality Assurance Requirements
1.33,
                              for the Installation, Inspection, and Testing of
Quality Assurance Program
                              Instrumentation and Electric Equipment, August 11, 1972
Requirements (Operations)
                          (e) ANSI N45.2.4-1972, IEEE Standard, Installation, Inspec-
(c) ANSI N18.7-1972, Administrative Controls and Quality
                              tion, and Testing Requirements for Instrumentation and     '
Assurance of the Operational Phase of Nuclear Power
                              Electric Equipment During the Construction of Nuclear
Plants
                              Power Generating Stations
(d) Regulatory Guide 3.30, Quality Assurance Requirements
        The inspector reviewed the M&TE program required by references (a) through
for the Installation, Inspection, and Testing of
        (e) to verify that the program had been established in accordance with
Instrumentation and Electric Equipment, August 11, 1972
        regulatory requirements and industry guides and standards. The following
(e) ANSI N45.2.4-1972, IEEE Standard, Installation, Inspec-
        criteria were used during this review to determine the overall acceptability
tion, and Testing Requirements for Instrumentation and
        of the established program:
'
        -
Electric Equipment During the Construction of Nuclear
              Responsibility was delegated and criteria established to assign and
Power Generating Stations
              adjust calibration frequency for each type of M&TE.
The inspector reviewed the M&TE program required by references (a) through
        -
(e) to verify that the program had been established in accordance with
              An equipment inventory list identified all M&TE used on safety-related
regulatory requirements and industry guides and standards. The following
              components, the calibration frequency and standard, and the calibration
criteria were used during this review to determine the overall acceptability
              procedure.
of the established program:
          -
Responsibility was delegated and criteria established to assign and
              Formal requirements existed for marking the latest calibration date on
-
              each piece of equipment.
adjust calibration frequency for each type of M&TE.
        -
An equipment inventory list identified all M&TE used on safety-related
              The program assured that each piece of equipment was calibrated on or
-
!             before the date required or stored in a location separate from
components, the calibration frequency and standard, and the calibration
              inservice M&TE.
procedure.
                                      ,         -                                   -.
Formal requirements existed for marking the latest calibration date on
-
each piece of equipment.
The program assured that each piece of equipment was calibrated on or
-
!
before the date required or stored in a location separate from
inservice M&TE.
,
-
-.


                                                                                    l
l
  *
*
.
.
                                          7
7
    -
Written requirements prohibited the use of M&TE which had not been
        Written requirements prohibited the use of M&TE which had not been
-
        calibrated within the prescribed frequency.
calibrated within the prescribed frequency.
    -
-
        When M&TE was found out of calibration, the program required documented
When M&TE was found out of calibration, the program required documented
          evaluations to determine the cause of the out-of-calibration condition
evaluations to determine the cause of the out-of-calibration condition
          and_the acceptability of items previously tested.
and_the acceptability of items previously tested.
    -
The program assured that new M&TE was added to the inventory lists and
          The program assured that new M&TE was added to the inventory lists and
-
          calibrated prior to use.
calibrated prior to use.
    The documents listed below were reviewed to verify that these criteria had
The documents listed below were reviewed to verify that these criteria had
    been incorporated into the M&TE program:
been incorporated into the M&TE program:
          FNP FSAR, Section 17.2.12       Control of Measuring and Test Equipment
FNP FSAR, Section 17.2.12
        QAM, Chapter 12                   Control of Measuring and Test Equipment,
Control of Measuring and Test Equipment
                                          Revision 22
QAM, Chapter 12
        QAM, Chapter 16                   Corrective Action, Revision 22
Control of Measuring and Test Equipment,
        AP-11                             Control and Calibration of Test
Revision 22
                                          Equipment, Test Instrumentation,
QAM, Chapter 16
                                          and Plant Instrumentation, Revision 5
Corrective Action, Revision 22
        AP-15                             Maintenance Conduct of Operations,
AP-11
                                          Revision 8
Control and Calibration of Test
        AP-51                             Instrumentation and Control Group
Equipment, Test Instrumentation,
                                          Conduct of Operations, Revision 6
and Plant Instrumentation, Revision 5
    The inspector reviewed site audit report 84-18, Control of Meastring and
AP-15
    Test Equipment, July 23, 1984, to identify problems the licensee had found
Maintenance Conduct of Operations,
    with their program. The findings included improper storage of instruments,
Revision 8
    not marking contaminated tools, a test procedure not requiring the recording
AP-51
    of test equipment used and calibration due date, and the test equipment
Instrumentation and Control Group
    master schedule'not containing the calibration procedure number or the last
Conduct of Operations, Revision 6
    calibration date.     It appeared that the licensee had corrected these
The inspector reviewed site audit report 84-18, Control of Meastring and
    deficiencies.
Test Equipment, July 23, 1984, to identify problems the licensee had found
    Implementation of the licensee's M&TE program was assessed in the I&C and
with their program. The findings included improper storage of instruments,
    Mechanical calibration labs. In the I&C lab, the following items of M&TE
not marking contaminated tools, a test procedure not requiring the recording
    were selected randomly to determine the adequacy of storage and the
of test equipment used and calibration due date, and the test equipment
    effectiveness of documentation accounting for the equipment:
master schedule'not containing the calibration procedure number or the last
          FNP-IRD-6003   Vibration Meter
calibration date.
          FNP-LNRS-0150 Ratio Test Set
It appeared that the licensee had corrected these
          FNP-FDM-1139   DVM Fluke 8020A
deficiencies.
          FNP-LNK-3030   . Kelvin Bridge L&N
Implementation of the licensee's M&TE program was assessed in the I&C and
          FNP-LNC-3055   Control Loop Tester
Mechanical calibration labs.
          FNP-GRS-5000   Strobotac
In the I&C lab, the following items of M&TE
were selected randomly to determine the adequacy of storage and the
effectiveness of documentation accounting for the equipment:
FNP-IRD-6003
Vibration Meter
FNP-LNRS-0150 Ratio Test Set
FNP-FDM-1139
DVM Fluke 8020A
FNP-LNK-3030
. Kelvin Bridge L&N
FNP-LNC-3055
Control Loop Tester
FNP-GRS-5000
Strobotac


                                                                                          l
l
      *
*
    .
.
                                              8
8
                FNP-BFM-5141   2.5 gpn Flowmeter
FNP-BFM-5141
                FNP-FDM-1155   DVM Fluke 8600A
2.5 gpn Flowmeter
                FNP-ATTG-8345 100 psi Gauge
FNP-FDM-1155
          The above equipment was either properly stored or documented as being
DVM Fluke 8600A
          checked out or at another location with the exception of the 100 psi gauge.
FNP-ATTG-8345 100 psi Gauge
          This piece of- equipment was listed as missing. This appeared to be an         ,
The above equipment was either properly stored or documented as being
          isolated case.
checked out or at another location with the exception of the 100 psi gauge.
  J
This piece of- equipment was listed as missing.
          The following calibration procedures were reviewed:
This appeared to be an
                IMP-021   Fluke 8600A DMM Calibration Check, Revision 3
,
                IMP-007~ Heise Gauge Calibration, Revision 0
isolated case.
                IMP-012   Hickok 3300 Digital Multimeter, Revision 0
J
                IMP-031   Keithley Picoampere Source Model 261 Calibration Check,
The following calibration procedures were reviewed:
                          Revision 2
IMP-021
                IMP-061   Wallace and Tiernan FA-187 Precision Manometer Calibration,
Fluke 8600A DMM Calibration Check, Revision 3
                          Revision 1
IMP-007~
          The above calibration procedures appeared adequate in that they clearly
Heise Gauge Calibration, Revision 0
          defined a step-by-step procedure and criteria by which to determine the
IMP-012
        . acceptability of the device. . A problem concerning test conditions for
Hickok 3300 Digital Multimeter, Revision 0
          calibration is discussed as a violation below.
IMP-031
          The licensee is required to evaluate previous tests performed with M&TE
Keithley Picoampere Source Model 261 Calibration Check,
        - later found out of tolerance during calibration. The following evaluations
Revision 2
          were reviewed:
IMP-061
                                                            Date Found       Evaluation
Wallace and Tiernan FA-187 Precision Manometer Calibration,
                ID No.         Instrument Type           Out-of-Tolerance   Completed
Revision 1
                HTG-8501       Heise Test Gauge               9/18/84         1/18/85
The above calibration procedures appeared adequate in that they clearly
                ATG-8573       Ashcroft Gauge                 1/25/85         4/08/85
defined a step-by-step procedure and criteria by which to determine the
                HTG-8507       Heise Test Gauge               1/27/85         5/08/85
. acceptability of the device. . A problem concerning test conditions for
                HTG-8096       Heise Test Gauge               4/02/85         Open
calibration is discussed as a violation below.
                HTG-8586       Heise Test Gauge               5/12/85         Open
The licensee is required to evaluate previous tests performed with M&TE
          The timeliness of conducting these reviews is discussed as a portion of a
- later found out of tolerance during calibration. The following evaluations
          violation described below.
were reviewed:
          A similar inspection was performed in the Mechanical Tool Room where the
Date Found
          following tools were randomly selected from the master index:
Evaluation
ID No.
Instrument Type
Out-of-Tolerance
Completed
HTG-8501
Heise Test Gauge
9/18/84
1/18/85
ATG-8573
Ashcroft Gauge
1/25/85
4/08/85
HTG-8507
Heise Test Gauge
1/27/85
5/08/85
HTG-8096
Heise Test Gauge
4/02/85
Open
HTG-8586
Heise Test Gauge
5/12/85
Open
The timeliness of conducting these reviews is discussed as a portion of a
violation described below.
A similar inspection was performed in the Mechanical Tool Room where the
following tools were randomly selected from the master index:
I
I
SMI6760
Outside Micrometer
'
'
                SMI6760        Outside Micrometer
BSD6301
                BSD6301        Dial Indicator
Dial Indicator
                BSJB6216       Jo Block
BSJB6216
Jo Block
i
i
i_                                                                                         J
i_
J


                                                                                  .___
.___
  *
*
.
.
                                          9
9
          SDG6209         Depth Gauge
SDG6209
          BCT6726-       Crimping Tool
Depth Gauge
          STW6420         Torque Wrench
BCT6726-
          PDT6700         Power Dyne Torque Wrench
Crimping Tool
    Storage of the above equipment appeared adequate and items not located in
STW6420
    the shop were well documented as to their status.       Calibration stickers
Torque Wrench
    agreed with the information provided on the master index.     The following
PDT6700
    calibration procedures were reviewed:
Power Dyne Torque Wrench
          GMP-33.0 Torque Tester, Model TT-7045 Calibration Check Instructions,
Storage of the above equipment appeared adequate and items not located in
                    Revision 1
the shop were well documented as to their status.
          GMP-33.1 Torque Tester, Model TT-7085 Calibration Check Instructions,
Calibration stickers
                    Revision 0
agreed with the information provided on the master index.
          GMP-34.1 Calibration Check for Metric Dial Indicators (Strain Gauge),
The following
                    Revision 0
calibration procedures were reviewed:
          GMP-35.0 Calibration Check of Outside Micrometers and Micrometer
GMP-33.0 Torque Tester, Model TT-7045 Calibration Check Instructions,
                    Depth Gauges, Revision 1
Revision 1
          GMP-35.1 Calibration Check of Inside Micrometers, Revision 0
GMP-33.1 Torque Tester, Model TT-7085 Calibration Check Instructions,
          GMP-36.0 Torque Wrench Calibration Check Instructions, Revision 0
Revision 0
    These procedures appeared adequate to control the quality of calibration
GMP-34.1 Calibration Check for Metric Dial Indicators (Strain Gauge),
    activities with the exception of environmental controls as discussed in a
Revision 0
    violation below.
GMP-35.0 Calibration Check of Outside Micrometers and Micrometer
    Within this area, four violations and one inspector followup item were
Depth Gauges, Revision 1
    identified and are discussed in the following paragraphs.
GMP-35.1 Calibration Check of Inside Micrometers, Revision 0
    a.   Failure to Perform Evaluations of Out-of-Tolerance Measuring and Test
GMP-36.0 Torque Wrench Calibration Check Instructions, Revision 0
          Equipment
These procedures appeared adequate to control the quality of calibration
          The licensee is committed to ANSI N45.2.4-1972. Section 2.5.2 states
activities with the exception of environmental controls as discussed in a
          that when inspection and testing equipment are found out of calibra-
violation below.
          tion, an evaluation shall be made of the validity of previous
Within this area, four violations and one inspector followup item were
          inspection or test results and of the acceptability of items previously
identified and are discussed in the following paragraphs.
          inspected or. tested.   The following areas of noncompliance with this
a.
          requirement were identified and are discussed in the following
Failure to Perform Evaluations of Out-of-Tolerance Measuring and Test
          paragraphs:
Equipment
              Required evaluations are not typically performed for mechanical
The licensee is committed to ANSI N45.2.4-1972. Section 2.5.2 states
              equipment   such as torque wrenches and micrometers.       The
that when inspection and testing equipment are found out of calibra-
              controlling procedure AP-11, Control and Calibration of Test
tion, an evaluation shall be made of the validity of previous
              Equipment, Test Instrumentation and Plant Instrumentation,
inspection or test results and of the acceptability of items previously
              Revision 5, only requires evaluations as such to be performed by
inspected or. tested.
The following areas of noncompliance with this
requirement were identified and are discussed in the following
paragraphs:
Required evaluations are not typically performed for mechanical
equipment
such as
torque wrenches and micrometers.
The
controlling procedure AP-11, Control and Calibration of Test
Equipment,
Test
Instrumentation
and Plant Instrumentation,
Revision 5, only requires evaluations as such to be performed by


3
r-
r-
                                                                                    3
-
      -
..
  ..
10
                                          10
the I&C Group.
                the I&C Group.     AP-15, Maintenance Conduct of Operations,
AP-15, Maintenance Conduct of Operations,
                Revision 8, Section 7.4, mentions the requirement to perform the
Revision 8, Section 7.4, mentions the requirement to perform the
                evaluation but does not provide guidance or a format for their
evaluation but does not provide guidance or a format for their
                performance.   As a result, evaluations were only occasionally
performance.
                performed and they were not maintained as quality records.
As a result, evaluations were only occasionally
                Evaluations are not performed when an installed process instrument
performed and they were not maintained as quality records.
                is found out of tolerance. In this case, an installed instrument
Evaluations are not performed when an installed process instrument
                used to verify acceptance criteria for a safety-related surveil-
is found out of tolerance. In this case, an installed instrument
                lance test is performing the same function as a portable item of
used to verify acceptance criteria for a safety-related surveil-
                M&TE and subject to this requirement. As an example, if a pump
lance test is performing the same function as a portable item of
                discharge pressure gauge is found out of tolerance, the validity
M&TE and subject to this requirement. As an example, if a pump
                of the last pump operability test is in question and an evaluation
discharge pressure gauge is found out of tolerance, the validity
                is required to determine whether the test should be re performed.
of the last pump operability test is in question and an evaluation
                Test results derived from installed process instrumentation
is required to determine whether the test should be re performed.
                determined to be out of tolerance could, when reevaluated,
Test results derived from installed process instrumentation
                identify an unsafe condition which requires further action in
determined to be out of tolerance could, when reevaluated,
                accordance with 10 CFR 50 regulations or TS requirements.
identify an unsafe condition which requires further action in
                Measures have not been established to assure that out-of-tolerance
accordance with 10 CFR 50 regulations or TS requirements.
                evaluations are completed within a reasonable time period. Though
Measures have not been established to assure that out-of-tolerance
                ANSI N45.2.4 does not specify timeliness of evaluations, this is
evaluations are completed within a reasonable time period. Though
                an important consideration because invalid settings, test data, or
ANSI N45.2.4 does not specify timeliness of evaluations, this is
                calibrations could invoke TS limiting conditions for operation.
an important consideration because invalid settings, test data, or
                The I&C Control Technician in charge of the lab has determined on
calibrations could invoke TS limiting conditions for operation.
                his own that these evaluations should be completed in three weeks.
The I&C Control Technician in charge of the lab has determined on
                However, this time limit is not in a procedure and the istue has
his own that these evaluations should be completed in three weeks.
                not been evaluated by higher levels of management. Also, this
However, this time limit is not in a procedure and the istue has
                informal time constraint is often exceeded as several evaluations
not been evaluated by higher levels of management. Also, this
                were observed to have taken approximately three months to
informal time constraint is often exceeded as several evaluations
                complete.   Some plants have established a seven-day . limit which
were observed to have taken approximately three months to
                has been generally accepted as a reasonable time to screen
complete.
                out-of-calibration M&TE results to determine prior use and
Some plants have established a seven-day . limit which
                immediate action needed en safety-related components.
has been generally accepted as a reasonable time to screen
          Failure to perform and control evaluations of out-of-tolerance M&TE is
out-of-calibration M&TE results to determine prior use and
          identified as violation 348, 364/85-25-01.
immediate action needed en safety-related components.
        b. Failure to Establish Environmental Controls for Calibration of
Failure to perform and control evaluations of out-of-tolerance M&TE is
          Measuring and Test Equipment
identified as violation 348, 364/85-25-01.
          10 CFR 50, Appendix B, Criterion II, states that activities affecting
b.
          quality shall be accomplished under suitable environmental conditions.
Failure to Establish Environmental Controls for Calibration of
          For the calibration of certain items of M&TE, vendor manuals specify
Measuring and Test Equipment
          conditions under which calibration activities should take place.
10 CFR 50, Appendix B, Criterion II, states that activities affecting
          However, in the I&C and the maintenance calibration facilities,
quality shall be accomplished under suitable environmental conditions.
          measures had not been established to assure proper environmental
For the calibration of certain items of M&TE, vendor manuals specify
          controls for calibration.
conditions under which calibration activities should take place.
However, in the I&C and the maintenance calibration facilities,
measures had not been established to assure proper environmental
controls for calibration.


                                                                                  )
)
    -
-
  .
.
                                        11
11
,
,
        In the I&C calibration lab, two examples of vendor calibration
In the I&C calibration lab, two examples of vendor calibration
        requirements were given for the Fluke 8600A and 8120A digital
requirements were given for the Fluke 8600A and 8120A digital
        multimeters. Calibration test conditions were 23 5 degrees C at less
multimeters. Calibration test conditions were 23 5 degrees C at less
        than 80-percent humidity and 25 5 degrees C at less than 70 percent
than 80-percent humidity and 25 5 degrees C at less than 70 percent
        humidity, respectively.     Although temperature and humidity were
humidity, respectively.
        continuously measured on a strip chart recorder, administrative limits
Although temperature and humidity were
        had not been established and personnel who perform calibrations do not
continuously measured on a strip chart recorder, administrative limits
        check or record conditions while performing calibrations. On at least
had not been established and personnel who perform calibrations do not
        one occasion in the last year, humidity exceeded 70 percent in the lab.
check or record conditions while performing calibrations. On at least
        Though Fluke test conditions were almost always met based on strip
one occasion in the last year, humidity exceeded 70 percent in the lab.
        chart records, measures had not been established to preclude calibra-
Though Fluke test conditions were almost always met based on strip
        tion in the event that they were not met. Also, there may be other
chart records, measures had not been established to preclude calibra-
        pieces of equipment that were sensitive to temperature and humidity and
tion in the event that they were not met. Also, there may be other
        which may require conditions not currently being provided. A complete
pieces of equipment that were sensitive to temperature and humidity and
        review of all potentially affected equipment should be completed as
which may require conditions not currently being provided. A complete
        well as the establishment of administrative limits to control
review of all potentially affected equipment should be completed as
        environmental conditions during calibration.
well as the establishment of administrative limits to control
        In the maintenance shop, the same problem existed with the exception
environmental conditions during calibration.
        that temperature and humidity indication was not provided. Provisions
In the maintenance shop, the same problem existed with the exception
        had not been established to control temperature for the calibration of
that temperature and humidity indication was not provided. Provisions
        precision measuring equipment nor were requirements in place to ensure
had not been established to control temperature for the calibration of
        that the internal temperature of the field instrument and shop standard
precision measuring equipment nor were requirements in place to ensure
        had stabilized and equalized prior to calibration.         In addition,
that the internal temperature of the field instrument and shop standard
        calibration was performed in three separate locations each with its own
had stabilized and equalized prior to calibration.
        environmental   characteristics.     Failure to control   environmental
In addition,
        conditions for the calibration of M&TE is identified as violation 348,
calibration was performed in three separate locations each with its own
        364/85-25-02.
environmental
      c. Failure to Confirm Adequacy of Calibration Frequency of Measuring and
characteristics.
        Test Equipment
Failure to control
        The licensee is committed to ANSI N18.7-1972 which states in Section
environmental
        5.3.6 that procedures shall be provided for proper control and periodic
conditions for the calibration of M&TE is identified as violation 348,
        calibration and adjustment of measuring and test equipment to maintain
364/85-25-02.
        accuracy within necessary limits, and to confirm the adequacy of
c.
        calibration frequency.     Procedure AP-11, Section 4.6.2.2, states that
Failure to Confirm Adequacy of Calibration Frequency of Measuring and
        equipment data obtained from calibration checks shall be analyzed to
Test Equipment
        optimize calibration check intervals. This implies that calibration
The licensee is committed to ANSI N18.7-1972 which states in Section
        records should be examined periodically to determine whethar items of
5.3.6 that procedures shall be provided for proper control and periodic
        M&TE should be calibrated more frequently or, in the case where
calibration and adjustment of measuring and test equipment to maintain
        failures are very rare, less frequently. The licensee had failed to
accuracy within necessary limits, and to confirm the adequacy of
        established measures to assure the performance of this function in a
calibration frequency.
        systematic or effective manner. The calibration history of a device
Procedure AP-11, Section 4.6.2.2, states that
        was not compiled tabularly and calibration records were scattered
equipment data obtained from calibration checks shall be analyzed to
        throughout the document control system. A method of analyzing calibra-
optimize calibration check intervals.
        tion history was not prescribed and, as a result, calibration trend
This implies that calibration
        analysis was not performed.       A specific example of this problem
records should be examined periodically to determine whethar items of
        involves the Keithley Picoampere Source Model 261. The vendor manual
M&TE should be calibrated more frequently or, in the case where
failures are very rare, less frequently. The licensee had failed to
established measures to assure the performance of this function in a
systematic or effective manner.
The calibration history of a device
was not compiled tabularly and calibration records were scattered
throughout the document control system. A method of analyzing calibra-
tion history was not prescribed and, as a result, calibration trend
analysis was not performed.
A specific example of this problem
involves the Keithley Picoampere Source Model 261. The vendor manual


                                                                                        q
      -
r
r
    *
-
  ..
q
!                                             12
*
            informs the user to calibrate this device every three months. The
..
            licensee changed the frequency to every six months _in 1978, evidently
!
            because it had to be sent off site for a month to be calibrated. Thus,
12
            -by increasing the time between calibrations, it had a higher use
informs the user to calibrate this device every three months. The
            factor. However, the licensee did not have a technical evaluation or
licensee changed the frequency to every six months _in 1978, evidently
            trend analysis to support this change. The inspector reviewed the
because it had to be sent off site for a month to be calibrated. Thus,
            following calibration certificates for Kiethley Model 261 M&TE:
-by increasing the time between calibrations, it had a higher use
                Serial No.       Calibration Date           As Found Condition
factor.
                86962                   4/03/80             Out of tolerance
However, the licensee did not have a technical evaluation or
                86962                 10/20/80             Wires burned open
trend analysis to support this change.
                86962                 10/22/82             Out of tolerance
The inspector reviewed the
                4028                   07/16/84             In tolerance
following calibration certificates for Kiethley Model 261 M&TE:
            Although this was a small sample of the total (six calibrations were
Serial No.
            performed on three sources yearly), it clearly indicated that a
Calibration Date
            six-month frequency may not be acceptable.       Failure to confirm the
As Found Condition
            adequacy of calibration frequency of M&TE is identified as violation
86962
            348, 364/85-25-03.
4/03/80
        d. Failure to Control Access and Assure Accountability of Measuring and -
Out of tolerance
            Test Equipment
86962
            10 CFR 50, Appendix B, Criterion XII, states that measures shall be
10/20/80
            . established to assure that measuring and testing devices used in
Wires burned open
            activities affecting quality are properly controlled.         In the I&C
86962
            calibration lab, access control is not provided. As a result,
10/22/82
l           reliability of equipment documentation and shop standard security were
Out of tolerance
;            not assured. The lab was unlocked around the clock and staffed by I&C
4028
l            personnel only periodically on the day shift. The lab is located in an
07/16/84
In tolerance
Although this was a small sample of the total (six calibrations were
performed on three sources yearly), it clearly indicated that a
six-month frequency may not be acceptable.
Failure to confirm the
adequacy of calibration frequency of M&TE is identified as violation
348, 364/85-25-03.
d.
Failure to Control Access and Assure Accountability of Measuring and -
Test Equipment
10 CFR 50, Appendix B,
Criterion XII, states that measures shall be
. established to assure that measuring and testing devices used in
activities affecting quality are properly controlled.
In the I&C
calibration lab, access control is not provided.
As a result,
l
reliability of equipment documentation and shop standard security were
;
;
            area where visitors and contractor personnel had unescorted access.
not assured. The lab was unlocked around the clock and staffed by I&C
            This created several situations that could be adverse to quality.
l
personnel only periodically on the day shift. The lab is located in an
;
area where visitors and contractor personnel had unescorted access.
This created several situations that could be adverse to quality.
Equipment checkout documentation was vulnerable to an honor system
,
,
            Equipment checkout documentation was vulnerable to an honor system
which may be violated by plant personnel or by personnel working for
!
!
            which may be violated by plant personnel or by personnel working for
'
'
            another organization. When equipment was found out of calibration, the
another organization. When equipment was found out of calibration, the
            licensee does not have assurance that every prior use of that equipment
licensee does not have assurance that every prior use of that equipment
            was identified which is needed for the required evaluation. Extremely
was identified which is needed for the required evaluation. Extremely
            sensitive shop calibraticn standards were left unattended on desk tops
sensitive shop calibraticn standards were left unattended on desk tops
            without any security against potential tampering.         Tampering with a
without any security against potential tampering.
              shop standard, whether advertently or not, may not be known for several
Tampering with a
            years depending on the calibration frequency.       A countless number of
shop standard, whether advertently or not, may not be known for several
              flawed calibrations of field equipment may occur and seriously degrade
years depending on the calibration frequency.
            the safety of the plant. M&TE could be removed from the lab without
A countless number of
            being signed out and used after exceeding its calibration interval
flawed calibrations of field equipment may occur and seriously degrade
            without a means of locating it. Failure to control access and assure
the safety of the plant. M&TE could be removed from the lab without
            accountability of M&TE is identified as violation 348, 364/85-25-04.
being signed out and used after exceeding its calibration interval
without a means of locating it.
Failure to control access and assure
accountability of M&TE is identified as violation 348, 364/85-25-04.


                                                                                          'l
'l
    ,
o
      o
,
                                                13
13
          e.   Certification of Individuals Qualified to Calibrate Measuring and Test
e.
                Equipment
Certification of Individuals Qualified to Calibrate Measuring and Test
                The licensee could not demonstrate a qualification program or formal
Equipment
                training for personnel who routinely calibrate M&TE.       In the I&C lab,
The licensee could not demonstrate a qualification program or formal
                journeymen perform the calibrations by using procedures and by
training for personnel who routinely calibrate M&TE.
                observing others. In the mechanical lab, any mechanic was assumed to
In the I&C lab,
                be qualified to calibrate M&TE. This informal approach to training and
journeymen perform the calibrations by using procedures and by
                qualification may not be sufficient to assure the repeatability and
observing others. In the mechanical lab, any mechanic was assumed to
                .acctracy of M&TE calibrations. The licensee acknowledged this concern
be qualified to calibrate M&TE. This informal approach to training and
                and provided the following response to the inspector following the
qualification may not be sufficient to assure the repeatability and
                inspection:
.acctracy of M&TE calibrations. The licensee acknowledged this concern
                      Intracompany   correspondence,   FNP-85-0624, Certification and
and provided the following response to the inspector following the
                      Re-Certification of Personnel Performing Calibration of Equipment
inspection:
                      or Instruments, dated June 12, 1985. This response stated that
Intracompany
                      personnel performing calibrations meet the Level II Qualification
correspondence,
                      requirements of FNP-0-AP-31 and are certified to perform
FNP-85-0624,
                      activities associated with their respective classification,
Certification and
                      including calibrating or establishing the validity of calibration
Re-Certification of Personnel Performing Calibration of Equipment
                      of measuring equipment.     The response further stated that
or Instruments, dated June 12, 1985. This response stated that
                      calibration activities performed by these personnel fall well
personnel performing calibrations meet the Level II Qualification
                      within the skills of the classification; therefore, no periodic
requirements of FNP-0-AP-31 and are certified to perform
                      training is necessary.
activities associated with their respective classification,
                Until the qualification requirements of FNP-0-AP-31 are reviewed and
including calibrating or establishing the validity of calibration
                are observed to be adequate, the item is identified as Inspector
of measuring equipment.
                Followup Item 348, 364/85-25-05.
The response further stated that
        7. Licensee Action On Previously Identified Inspection Findings (92701)
calibration activities performed by these personnel fall well
          (0 pen) Inspector Followup Item 348, 364/85-21-02:     Cheater Bar Usage.
within the skills of the classification; therefore, no periodic
                At the time of this inspection, a composite audit report had been
training is necessary.
                issued with the cheater bar noncompliance identified as an open item.
Until the qualification requirements of FNP-0-AP-31 are reviewed and
                The appropriate corporate and site personnel had not responded.
are observed to be adequate, the item is identified as Inspector
          (0 pen) Inspector Followup Item 348, 364/85-21-03:     10 CFR 21 Requirements.
Followup Item 348, 364/85-25-05.
                Administrative Procedure 62 had been amended to incorporate the
7.
                necessary changes.   The procedure is at the corporate office for
Licensee Action On Previously Identified Inspection Findings (92701)
                approval.
(0 pen) Inspector Followup Item 348, 364/85-21-02:
Cheater Bar Usage.
At the time of this inspection, a composite audit report had been
issued with the cheater bar noncompliance identified as an open item.
The appropriate corporate and site personnel had not responded.
(0 pen) Inspector Followup Item 348, 364/85-21-03:
10 CFR 21 Requirements.
Administrative Procedure 62 had been amended to incorporate the
necessary changes.
The procedure is at the corporate office for
approval.
.
.
  -
-
}}
}}

Latest revision as of 08:37, 12 December 2024

Insp Repts 50-348/85-25 & 50-364/85-25 on 850603-07. Violations Noted:Failure to Evaluate out-of-tolerance Test & Measuring Equipment & Failure to Establish Environ Controls & Confirm Adequacy of Calibr of Subj Equipment
ML20133E737
Person / Time
Site: Farley  Southern Nuclear icon.png
Issue date: 07/15/1985
From: Runyan M, Upright C
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20133E731 List:
References
50-348-85-25, 50-364-85-25, NUDOCS 8508080004
Download: ML20133E737 (14)


See also: IR 05000348/1985025

Text

-

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.

.

p re;g

UNITED STATES

/j

'o.

NUCLEAR REGULATORY COMMISSION

["

REGION 11

n

g

- j

101 MARIETTA STREET, N.W.

's

ATLANTA GEORGIA 30323

\\...../

.

.

Report Nos.:

50-348/85-25 and 50-364/85-25

Licensee: Alabama Power Company

600 North 18th Street

' Birmingham, AL 35291

Docket Nos.: '50-348 and 50-364

License Nos.:

NPF-2 and NPF-8

Facility Name:

Farley Nuclear Plant

Inspection Conducted: June 3 - 7, 1985

Inspection at Farley site near Dothan, Alabama

Inspector:

houu

7 IS 06

,

M. F. Run9a#

[

Date Signed

Accompanying Personnel:

M.-A. Scott, Region II

Approved by: MM M/

[

J

f

C.-M. Upright,ycti

' Chief

Date $1gned

-Division of Reactor afety

^

SUMMARY

Scope: This routine, unannounced inspection entailed 68 inspector-hours on site

in the areas of surveillance testing and calibration control program, measuring

and test equipment. program, and licensee action on previously identified inspec-

' tion findings.

Results: ' Four violations were identified - Failure to Perform Evaluation of

Out-of-Tolerance Measuring and Test Equipment, Failure to Establish Environmental

Controls for Calibration of Measuring and Test Equipment, Failure to Confirm

Adequacy of Calibration Frequency of Measuring and Test Equipment, Failure to

Control Access and Assure Accountability of Measuring and Test Equipment.

!

!

B508080004 850718

PDR

ADOCK 05000348

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PDR

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)

.

.

REPORT DETAILS

1.

Persons Contacted

Licensee Employees

B. Badham, Safety Audit and Engineering Review (SAER) Staff

  • T. Cherry, I&C Supervisor
  • R. Coleman, Systems Support Supervisor

L. Enfinger, Administrative Superintendent

T. Esteve, Planning Supervisor-

  • H. Garland, Maintenance Superintendent

C. Hanks, I&C Control Technician

D. Heartline, Generating Plant Supervisor

  • R. Hill, Operations Superintendent

D. Morey, Ass'stant Plant Manager, Operations

  • C. Nesbitt, Technical Superintendent

J. Odom, Unit 1 Supervisor, Operations

'*W. Shipman, Assistant Plant Manager, Support

'J.

Stutchman, I&C_ Planner

L. Ward, Maintenance Superintendent

  • W. Ware, SAER Supervisor

L. Wiger, I&C Engineer

  • J. Woodard, Plant Manager

Other licensee employees contacted included technicians and office

personnel.

NRC Resident Intoector

.

  • W. Bradford, Senfor Resident Inspector
  • Attended exit in ;erview

'

2.

Exit Interview

The inspection scope and findings were summarized on June 7,1985, with

those persons indicated in paragraph 1 above. The licensee did not identify

as proprietary any of the materials provided to or reviewed by the

inspectors during this inspection.

The inspector described the areas

inspected and discussed in detail the inspection findings listed .below.

Violation:

Failure to Perform Evaluations of Out-of-Tolerance

Measuring and Test Equipment, paragraph 5.a.

The licensee accepted the failure to evaluate mechanical equipment

found out of tolerance but did not agree that similar evaluations were

required for permanently installed plant instrumentation found out of

calibration.

r-

-

.

2

Violation: Failure to Establish Environmental Controls for Calibration

of Measuring and Test Equipment, paragraph 5.b.

Violation:

Failure to Confirm Adequacy of Calibration Frequency of

Measuring and Test Equipment, paragraph 5.c.

Violation:

Failure to Control Access and Assure Accountability of

Measuring and Test Equipment, paragraph 5.d.

' Inspector Followup Item:

Certification of Individuals Qualified to

Calibrate Measuring and Test Equipment, paragraph 5.e.

3.

Licensee Action on Previous Enforcement Matters

This subject was not addressed in the inspection.

4.

Surveillance Testing and Calibration Control (61725)

References:

(a)

10 CFR 50, Appendix B, Quality Assurance Criteria for

Nuclear Power Plants and Fuel Reprocessing Plants

(b) Regulatory Guide 1.33,

Quality Assurance Program

Requirements (Operation)

(c) ANSI N18.7-1972, Administrative Controls and Quality

Assurance for the Operational Phase of Nuclear Power

Plants

(d) Technical Specifications, Section 4

The inspectcr reviewed the licensee surveillance testing and calibration

control program required by references (a) through (d) to verify that the

program had been established in accordance with regulatory requirements,

industry guides and standards, and Technical Specifications. The following

criteria were used during this review to determine the overall acceptability

of the established program:

A master schedule for surveillance testing and calibration delineated

-

test frequency, current status, and responsibilities for performance.

The master schedule reflected the latest revisions of the Technical

-

Specifications and operating license.

Responsibilities were assigned to maintain the master schedule up-to-

-

date and to ensure that required tests were performed.

Detailed procedures with appropriate acceptance criteria had been

-

approved for all surveillance testing requirements.

}

l

-

.

3

-

The program defined responsibilities for the evaluation of surveillance

test data as well as the method of reporting deficiencies and

malfunctions.

The inspector also verified that similar controls had been established for

calibration of instruments used to verify safety functions but not

specifically identified in the Technical Specifications.

The documents

listed below were reviewed to verify that these criteria had been incor-

parated into the surveillance testing and calibration control program:

QAM, Chapter 5

Instructions, Procedures, and Drawings, Revision 22

QAM, Chapter 10

Inspection, Revision 22

QAM, Chapter 11

Test Control, Revision 22

QAM, Chapter 16

Corrective Action, Revision 22

QAM, Appendix A

Q-List, Revision 20

AP-5

Surveillance Program Administrative Control,

Revision 7

AP-11

Control and Calibration of Test Equipment, Test

Instrumentation, and Plant Instrumentation,.

Revision 5

AP-15

Maintenance Conduct of Operations, Revision 8

AP-51

Instrumentation and Control Group Conduct of

Operations, Revision 6

AP-57

Preservice and Inservice Inspections, Revision 3

The following site audit reports were' reviewed to identify those areas in

which the licensee had discovered problems with the surveillance testing and

calibration program:

84-15, Maintenance STPs, June 12, 1984

84-17, Operations STPs, July 11, 1984

84-21, Health Physics STPs, October 5, 1984

84-22, Chemistry STPs, October 19, 1984

84-24, Systems Performance STPs, January 2, 1985

85-06, Inservice Inspection - Unit 2, April 23, 1985

85-08, Technical Group STPs, May 2, 1985

The more significant problems were identified as noncompliances while those

of lesser importance were addressed as comments by the QA staff. Among the

types of noncompliances of greatest concern were:

Failure to comply with notes or line items in the TS.

-

l

'

.

4

Procedural errors while performing surveillance tests.

-

-

Certification

of qualification expired for persons performing

surveillance tests.

Corrective action on these and other items appeared to be complete and

expedient. Several of the comments appeared to be borderline noncompliances

but the inspector determined that corrective action was satisfactory in

these cases.

To verify implementation of the surveillance test program, the master test

schedule was reviewed. This schedule was broken into two parts; Schedule A

for test frequencies greater than one month, and Schedule B for monthly and

more frequent tests. .These manual schedules were updated monthly and sent

to the control room where test scheduling and compliance was monitored.

Test completion was documented on the schedules which were returned to the

Planning Group at the end of the month.

This was a unique but apparently

effective system for ensuring that all required tests were performed as

prescribed by the TS.

The schedules were randomly checked against the TS

for test inclusion and scheduling frequency as well as proper use of grace

periods.

The following surveillance test procedures and packages which include

inservice pump tests were reviewed for completeness and adequacy:

FNP-1-STP-215.3B

Main Feedwater FT-486 Functional Test, performed

October 8, 1984

FNP-1-STP-416

Baron Concentration Determination of the Refueling

Water Storage Tank, performed July 9, 1984

FNP-1-STP-408

Dissolved Oxygen Determination for the Reactor

Coolant System, performed August 24, 1984

FNP-1-STP-121

Power Range Axial Offset Calibration, performed

March 9, 1985

FNP-2-STP-121

Power Range Axial Offset Calibration, performed

December 12, 1984

FNP-2-STP-23.5

Component Cooling Water Pump 2B Annual Inservice

Test, performed November 22, 1983

FNP-2-STP-23.4

Component Cooling Water Pump 2A Annual Inservice

Test, performed March 2, 1985

FNP-2-STP-4.4

Charging Pump _2A Annual Inservice Test, performed

i

February 20, 1985

i

FNP-2-STP-4.1

Charging

Pump

2A

Inservice Test,

performed

'

l

January 14, 1985

l

l

I

i

)

-

.

5

FNP-1-STP-201.18B

Reactor

Coolant System TE-412A and TE-412D

Functional Test, performed November 25, 1984

FNP-1-STP-215.3A

Main Feedwater FT-486 Loop Calibration, performed

October 8, 1984

FNP-1-STP-201.18A

Reactor Coolant System TE-412A and TE-412D Loop

Calibration, performed November 25, 1984

Reference values for pump differential pressure and component vibration

datum (Pr and Vr, respectively) established during design and preoperational

testing in accordance with Sections III and XI of the ASME Boiler and

Pressure Vessel Code were not found in the surveillance tests examined.

These values are an integral part of component test acceptance criteria. Pr

and Vr values were indicated as being located in the surveillance test data

book in the control room.

Existing site procedures did not identify use,

control, or alteration of the surveillance test data book.

In reviewing the test data package for surveillance test FNP-2-STP-23.5

(performed November 22, 1983), it was identified that new post repair

baselines for Pr and Vr were established for component cooling water pump

(CCWP) 28.

The Inservice Test Program Manual, FNP-2-M-019, and the

l

Inservice Plan for Pump and Valve Testing Manual, FNP-2-M-008, reference

Section XI of the ASME Boiler and Pressure Code but do not contain all of

the testing and testing time requirements of Section XI.

Although site

procedures do not contain the specific 96-hour retest requirement for new

baseline of Article IWP-3000 of Section XI, CCWP 2B was retested during the

time allowed.

The licensee is required to establish a calibration program for installed

process instrumentation associated with safety-related systems or functions.

The calibration of these instruments was controlled within the preventive

maintenance program.

The following plant instruments were chosen at random

from several surveillance test procedures to verify their inclusion in the

calibration program:

Charging Pump 2B

Charging Flow

FI-122

Suction Pressure

PI-152A

Discharge Pressure PI-152B

RHR Pump 2A

Flow

FI-605A

Suction Pressure

PI-601A

Discharge Pressure PI-600A

Auxiliary Feedwater Pump 2B

Suction Pressure

PI-3211BB

Discharge Pressure PI-3213BB

-

.

6

Containment Spray Pump 28

Suction Pressure

PI-946A

Discharge Pressure PI-946B

The above instruments were included in the program. Scheduled calibration

frequencies appeared consistent with good engineering practice.

Within this area, no violations or deviations were identified.

5.

Measuring and Test Equipment (M&TE) Program (61724)

References:

(a)

10 CFR 50, Appendix B, Quality As:urance Criteria for

Nuclear Power Plants and Fuel Reprocessing Plants

(b) Regulatory Guide 1.33,

Quality Assurance Program

Requirements (Operations)

(c) ANSI N18.7-1972, Administrative Controls and Quality

Assurance of the Operational Phase of Nuclear Power

Plants

(d) Regulatory Guide 3.30, Quality Assurance Requirements

for the Installation, Inspection, and Testing of

Instrumentation and Electric Equipment, August 11, 1972

(e) ANSI N45.2.4-1972, IEEE Standard, Installation, Inspec-

tion, and Testing Requirements for Instrumentation and

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Electric Equipment During the Construction of Nuclear

Power Generating Stations

The inspector reviewed the M&TE program required by references (a) through

(e) to verify that the program had been established in accordance with

regulatory requirements and industry guides and standards. The following

criteria were used during this review to determine the overall acceptability

of the established program:

Responsibility was delegated and criteria established to assign and

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adjust calibration frequency for each type of M&TE.

An equipment inventory list identified all M&TE used on safety-related

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components, the calibration frequency and standard, and the calibration

procedure.

Formal requirements existed for marking the latest calibration date on

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each piece of equipment.

The program assured that each piece of equipment was calibrated on or

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before the date required or stored in a location separate from

inservice M&TE.

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Written requirements prohibited the use of M&TE which had not been

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calibrated within the prescribed frequency.

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When M&TE was found out of calibration, the program required documented

evaluations to determine the cause of the out-of-calibration condition

and_the acceptability of items previously tested.

The program assured that new M&TE was added to the inventory lists and

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calibrated prior to use.

The documents listed below were reviewed to verify that these criteria had

been incorporated into the M&TE program:

FNP FSAR, Section 17.2.12

Control of Measuring and Test Equipment

QAM, Chapter 12

Control of Measuring and Test Equipment,

Revision 22

QAM, Chapter 16

Corrective Action, Revision 22

AP-11

Control and Calibration of Test

Equipment, Test Instrumentation,

and Plant Instrumentation, Revision 5

AP-15

Maintenance Conduct of Operations,

Revision 8

AP-51

Instrumentation and Control Group

Conduct of Operations, Revision 6

The inspector reviewed site audit report 84-18, Control of Meastring and

Test Equipment, July 23, 1984, to identify problems the licensee had found

with their program. The findings included improper storage of instruments,

not marking contaminated tools, a test procedure not requiring the recording

of test equipment used and calibration due date, and the test equipment

master schedule'not containing the calibration procedure number or the last

calibration date.

It appeared that the licensee had corrected these

deficiencies.

Implementation of the licensee's M&TE program was assessed in the I&C and

Mechanical calibration labs.

In the I&C lab, the following items of M&TE

were selected randomly to determine the adequacy of storage and the

effectiveness of documentation accounting for the equipment:

FNP-IRD-6003

Vibration Meter

FNP-LNRS-0150 Ratio Test Set

FNP-FDM-1139

DVM Fluke 8020A

FNP-LNK-3030

. Kelvin Bridge L&N

FNP-LNC-3055

Control Loop Tester

FNP-GRS-5000

Strobotac

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FNP-BFM-5141

2.5 gpn Flowmeter

FNP-FDM-1155

DVM Fluke 8600A

FNP-ATTG-8345 100 psi Gauge

The above equipment was either properly stored or documented as being

checked out or at another location with the exception of the 100 psi gauge.

This piece of- equipment was listed as missing.

This appeared to be an

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isolated case.

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The following calibration procedures were reviewed:

IMP-021

Fluke 8600A DMM Calibration Check, Revision 3

IMP-007~

Heise Gauge Calibration, Revision 0

IMP-012

Hickok 3300 Digital Multimeter, Revision 0

IMP-031

Keithley Picoampere Source Model 261 Calibration Check,

Revision 2

IMP-061

Wallace and Tiernan FA-187 Precision Manometer Calibration,

Revision 1

The above calibration procedures appeared adequate in that they clearly

defined a step-by-step procedure and criteria by which to determine the

. acceptability of the device. . A problem concerning test conditions for

calibration is discussed as a violation below.

The licensee is required to evaluate previous tests performed with M&TE

- later found out of tolerance during calibration. The following evaluations

were reviewed:

Date Found

Evaluation

ID No.

Instrument Type

Out-of-Tolerance

Completed

HTG-8501

Heise Test Gauge

9/18/84

1/18/85

ATG-8573

Ashcroft Gauge

1/25/85

4/08/85

HTG-8507

Heise Test Gauge

1/27/85

5/08/85

HTG-8096

Heise Test Gauge

4/02/85

Open

HTG-8586

Heise Test Gauge

5/12/85

Open

The timeliness of conducting these reviews is discussed as a portion of a

violation described below.

A similar inspection was performed in the Mechanical Tool Room where the

following tools were randomly selected from the master index:

I

SMI6760

Outside Micrometer

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BSD6301

Dial Indicator

BSJB6216

Jo Block

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SDG6209

Depth Gauge

BCT6726-

Crimping Tool

STW6420

Torque Wrench

PDT6700

Power Dyne Torque Wrench

Storage of the above equipment appeared adequate and items not located in

the shop were well documented as to their status.

Calibration stickers

agreed with the information provided on the master index.

The following

calibration procedures were reviewed:

GMP-33.0 Torque Tester, Model TT-7045 Calibration Check Instructions,

Revision 1

GMP-33.1 Torque Tester, Model TT-7085 Calibration Check Instructions,

Revision 0

GMP-34.1 Calibration Check for Metric Dial Indicators (Strain Gauge),

Revision 0

GMP-35.0 Calibration Check of Outside Micrometers and Micrometer

Depth Gauges, Revision 1

GMP-35.1 Calibration Check of Inside Micrometers, Revision 0

GMP-36.0 Torque Wrench Calibration Check Instructions, Revision 0

These procedures appeared adequate to control the quality of calibration

activities with the exception of environmental controls as discussed in a

violation below.

Within this area, four violations and one inspector followup item were

identified and are discussed in the following paragraphs.

a.

Failure to Perform Evaluations of Out-of-Tolerance Measuring and Test

Equipment

The licensee is committed to ANSI N45.2.4-1972. Section 2.5.2 states

that when inspection and testing equipment are found out of calibra-

tion, an evaluation shall be made of the validity of previous

inspection or test results and of the acceptability of items previously

inspected or. tested.

The following areas of noncompliance with this

requirement were identified and are discussed in the following

paragraphs:

Required evaluations are not typically performed for mechanical

equipment

such as

torque wrenches and micrometers.

The

controlling procedure AP-11, Control and Calibration of Test

Equipment,

Test

Instrumentation

and Plant Instrumentation,

Revision 5, only requires evaluations as such to be performed by

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the I&C Group.

AP-15, Maintenance Conduct of Operations,

Revision 8, Section 7.4, mentions the requirement to perform the

evaluation but does not provide guidance or a format for their

performance.

As a result, evaluations were only occasionally

performed and they were not maintained as quality records.

Evaluations are not performed when an installed process instrument

is found out of tolerance. In this case, an installed instrument

used to verify acceptance criteria for a safety-related surveil-

lance test is performing the same function as a portable item of

M&TE and subject to this requirement. As an example, if a pump

discharge pressure gauge is found out of tolerance, the validity

of the last pump operability test is in question and an evaluation

is required to determine whether the test should be re performed.

Test results derived from installed process instrumentation

determined to be out of tolerance could, when reevaluated,

identify an unsafe condition which requires further action in

accordance with 10 CFR 50 regulations or TS requirements.

Measures have not been established to assure that out-of-tolerance

evaluations are completed within a reasonable time period. Though

ANSI N45.2.4 does not specify timeliness of evaluations, this is

an important consideration because invalid settings, test data, or

calibrations could invoke TS limiting conditions for operation.

The I&C Control Technician in charge of the lab has determined on

his own that these evaluations should be completed in three weeks.

However, this time limit is not in a procedure and the istue has

not been evaluated by higher levels of management. Also, this

informal time constraint is often exceeded as several evaluations

were observed to have taken approximately three months to

complete.

Some plants have established a seven-day . limit which

has been generally accepted as a reasonable time to screen

out-of-calibration M&TE results to determine prior use and

immediate action needed en safety-related components.

Failure to perform and control evaluations of out-of-tolerance M&TE is

identified as violation 348, 364/85-25-01.

b.

Failure to Establish Environmental Controls for Calibration of

Measuring and Test Equipment

10 CFR 50, Appendix B, Criterion II, states that activities affecting

quality shall be accomplished under suitable environmental conditions.

For the calibration of certain items of M&TE, vendor manuals specify

conditions under which calibration activities should take place.

However, in the I&C and the maintenance calibration facilities,

measures had not been established to assure proper environmental

controls for calibration.

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In the I&C calibration lab, two examples of vendor calibration

requirements were given for the Fluke 8600A and 8120A digital

multimeters. Calibration test conditions were 23 5 degrees C at less

than 80-percent humidity and 25 5 degrees C at less than 70 percent

humidity, respectively.

Although temperature and humidity were

continuously measured on a strip chart recorder, administrative limits

had not been established and personnel who perform calibrations do not

check or record conditions while performing calibrations. On at least

one occasion in the last year, humidity exceeded 70 percent in the lab.

Though Fluke test conditions were almost always met based on strip

chart records, measures had not been established to preclude calibra-

tion in the event that they were not met. Also, there may be other

pieces of equipment that were sensitive to temperature and humidity and

which may require conditions not currently being provided. A complete

review of all potentially affected equipment should be completed as

well as the establishment of administrative limits to control

environmental conditions during calibration.

In the maintenance shop, the same problem existed with the exception

that temperature and humidity indication was not provided. Provisions

had not been established to control temperature for the calibration of

precision measuring equipment nor were requirements in place to ensure

that the internal temperature of the field instrument and shop standard

had stabilized and equalized prior to calibration.

In addition,

calibration was performed in three separate locations each with its own

environmental

characteristics.

Failure to control

environmental

conditions for the calibration of M&TE is identified as violation 348,

364/85-25-02.

c.

Failure to Confirm Adequacy of Calibration Frequency of Measuring and

Test Equipment

The licensee is committed to ANSI N18.7-1972 which states in Section

5.3.6 that procedures shall be provided for proper control and periodic

calibration and adjustment of measuring and test equipment to maintain

accuracy within necessary limits, and to confirm the adequacy of

calibration frequency.

Procedure AP-11, Section 4.6.2.2, states that

equipment data obtained from calibration checks shall be analyzed to

optimize calibration check intervals.

This implies that calibration

records should be examined periodically to determine whethar items of

M&TE should be calibrated more frequently or, in the case where

failures are very rare, less frequently. The licensee had failed to

established measures to assure the performance of this function in a

systematic or effective manner.

The calibration history of a device

was not compiled tabularly and calibration records were scattered

throughout the document control system. A method of analyzing calibra-

tion history was not prescribed and, as a result, calibration trend

analysis was not performed.

A specific example of this problem

involves the Keithley Picoampere Source Model 261. The vendor manual

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informs the user to calibrate this device every three months. The

licensee changed the frequency to every six months _in 1978, evidently

because it had to be sent off site for a month to be calibrated. Thus,

-by increasing the time between calibrations, it had a higher use

factor.

However, the licensee did not have a technical evaluation or

trend analysis to support this change.

The inspector reviewed the

following calibration certificates for Kiethley Model 261 M&TE:

Serial No.

Calibration Date

As Found Condition

86962

4/03/80

Out of tolerance

86962

10/20/80

Wires burned open

86962

10/22/82

Out of tolerance

4028

07/16/84

In tolerance

Although this was a small sample of the total (six calibrations were

performed on three sources yearly), it clearly indicated that a

six-month frequency may not be acceptable.

Failure to confirm the

adequacy of calibration frequency of M&TE is identified as violation

348, 364/85-25-03.

d.

Failure to Control Access and Assure Accountability of Measuring and -

Test Equipment

10 CFR 50, Appendix B,

Criterion XII, states that measures shall be

. established to assure that measuring and testing devices used in

activities affecting quality are properly controlled.

In the I&C

calibration lab, access control is not provided.

As a result,

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reliability of equipment documentation and shop standard security were

not assured. The lab was unlocked around the clock and staffed by I&C

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personnel only periodically on the day shift. The lab is located in an

area where visitors and contractor personnel had unescorted access.

This created several situations that could be adverse to quality.

Equipment checkout documentation was vulnerable to an honor system

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which may be violated by plant personnel or by personnel working for

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another organization. When equipment was found out of calibration, the

licensee does not have assurance that every prior use of that equipment

was identified which is needed for the required evaluation. Extremely

sensitive shop calibraticn standards were left unattended on desk tops

without any security against potential tampering.

Tampering with a

shop standard, whether advertently or not, may not be known for several

years depending on the calibration frequency.

A countless number of

flawed calibrations of field equipment may occur and seriously degrade

the safety of the plant. M&TE could be removed from the lab without

being signed out and used after exceeding its calibration interval

without a means of locating it.

Failure to control access and assure

accountability of M&TE is identified as violation 348, 364/85-25-04.

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e.

Certification of Individuals Qualified to Calibrate Measuring and Test

Equipment

The licensee could not demonstrate a qualification program or formal

training for personnel who routinely calibrate M&TE.

In the I&C lab,

journeymen perform the calibrations by using procedures and by

observing others. In the mechanical lab, any mechanic was assumed to

be qualified to calibrate M&TE. This informal approach to training and

qualification may not be sufficient to assure the repeatability and

.acctracy of M&TE calibrations. The licensee acknowledged this concern

and provided the following response to the inspector following the

inspection:

Intracompany

correspondence,

FNP-85-0624,

Certification and

Re-Certification of Personnel Performing Calibration of Equipment

or Instruments, dated June 12, 1985. This response stated that

personnel performing calibrations meet the Level II Qualification

requirements of FNP-0-AP-31 and are certified to perform

activities associated with their respective classification,

including calibrating or establishing the validity of calibration

of measuring equipment.

The response further stated that

calibration activities performed by these personnel fall well

within the skills of the classification; therefore, no periodic

training is necessary.

Until the qualification requirements of FNP-0-AP-31 are reviewed and

are observed to be adequate, the item is identified as Inspector

Followup Item 348, 364/85-25-05.

7.

Licensee Action On Previously Identified Inspection Findings (92701)

(0 pen) Inspector Followup Item 348, 364/85-21-02:

Cheater Bar Usage.

At the time of this inspection, a composite audit report had been

issued with the cheater bar noncompliance identified as an open item.

The appropriate corporate and site personnel had not responded.

(0 pen) Inspector Followup Item 348, 364/85-21-03:

10 CFR 21 Requirements.

Administrative Procedure 62 had been amended to incorporate the

necessary changes.

The procedure is at the corporate office for

approval.

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