IR 05000244/1986012: Difference between revisions

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{{Adams
{{Adams
| number = ML20207P240
| number = ML20215H049
| issue date = 01/07/1987
| issue date = 10/09/1986
| title = Ack Receipt of 861119 Ltr Informing NRC of Steps Taken to Correct Violations Noted in Insp Rept 50-244/86-12
| title = Emergency Preparedness Insp Rept 50-244/86-12 on 860826-29. Violation Noted Re Ability to Fully Staff & Augment Emergency Response Organization in Timely Manner
| author name = Martin T
| author name = Conklin C, Lazarus W, Thomas W
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
| addressee name = Kober R
| addressee name =  
| addressee affiliation = ROCHESTER GAS & ELECTRIC CORP.
| addressee affiliation =  
| docket = 05000244
| docket = 05000244
| license number =  
| license number =  
| contact person =  
| contact person =  
| document report number = NUDOCS 8701150283
| document report number = 50-244-86-12, NUDOCS 8610210389
| document type = CORRESPONDENCE-LETTERS, NRC TO UTILITY, OUTGOING CORRESPONDENCE
| package number = ML20215H040
| page count = 2
| document type = INSPECTION REPORT, NRC-GENERATED, INSPECTION REPORT, UTILITY, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 7
}}
}}


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=Text=
=Text=
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U.S. NUCLEAR REGULATORY COMMISSION


JAN 0 71987
==REGION I==
.6 Docket No. 50-244 Rochester Gas and Electric Corporation ATTN: Mr. Roger W. Kober Vice President-Electric and Steam Production 49 East Avenue Rochester, New York 14649 Gentlemen:
Report N /86-12 Docket N License N DPR-18  Priority -
Subject: Inspection 50-244/86-12 This refers to your letter dated November 19, 1986 in response to our letter dated October 15, 1986.
Category -
Licensee: Rochester G:s & Electric Corporation 49 East Avenue Rochester, New York 14649 Facility Name: R. E. Ginna Nuclear Power Plan Inspection At: Ontario and Rochester, New York Inspection Conducte - August 26-29, 1986 Inspectors: . W W.~ Thomas, TeamM 4ader, EPS, EP&RPB
      /0 / d
      'dat/e DRSS, RI, N C
  &
C. Conk)in, EP Specialist, EPS dr/n date Approved by: h    /4 9 [$
V. .)# Lalaffs, Chief, Emergency  date PreparedneYs Section, DRSS, RI, NRC Inspection Summary: _
Inspection on August 26-29, 1986, (Report N /86-12)
Areas Inspected: Routine announced emergency preparedness irspection to follow-up on licensee action regarding findings identified during previous emergency preparedness inspections and exercises, and the examination of the licensee's emergency preparedness program related to: shift staffing and augmentation; knowledge and performance of duties (training); public information program; licensee audits; and administration of the emergency preparedness program.


Thank you for informing us of the corrective and preventive actions documented in your letter. These actions will be examined during a future inspection of your licensed program.
. Results: One violation concerning the ability to fully staff and atgment the emergency' response organization in a timely manner was identified by the license PDR ADOCK 05000244 G  PDR
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Your cooperation with us is appreciated.
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Details Persons Contacted
**D. Burke, Corporate Emergency Planner
**B. Snow, Superintendent of Nuclear Production
* B. Quinn, Corporate Health Physicist
* P. Wilkins, Manager of Nuclear Engineering & Licensing R. Morrill, Training Manager
**R. Kober, Vice President Electric & Steam Production J. Jennejahn, Alternate News Center Manager
**S. Spector, Plant Superintendent
* denotes those at the' exit interview on August 29, 198 ** denotes those present at the September 11, 1986 meetin . Follow-up on Previous Inspection Findings (Closed)(81-21-02): Several procedural deficiencies exist in SC-1.1A Ginna Station Event Evaluation, and Classificatio The Site Contingency procedures have been completely revised and renum-bered. Emergency classification is now contained in SC-100, Ginna Station Event Evaluation and Classification; SC-201, Unusual Event; SC-202, Alert; SC-203, Site Emergency; and SC-204, General Emergency. All procedures are reviewed by Quality Assurance prior to the review by the Plant Operating Review Committee (PORC). Administrative Procedure A-205 covers review, revision, and distribution of the Plan and Procedures. The inspector re-viewed current copies of the Implementing Procedures and found no deft-ciencies affecting classificatie As a result of the above findings, this item is close (Closed) (81-22-26): Evaluate the need for maintaining a supply of se-lected damage control and corrective action equipment and supplies, and for positioning the same so that it will be accessible for use during emergencie The inspector reviewed the licensee's evaluation of this item and deter-mined that the actions taken are appropriate. SC-312, Manning the Opera-tional Support Center, dated June 5,1983, assures that appropriate personnel for performance of corrective actions are available to the Plant Assessment Manager. SC-235, Repair and Corrective Action Guidelines Dur-ing Emergency Situations, dated July 12, 1983, Section 3.7 instructs the Plant Maintenance Assessment Manager to determine with the Repair / Corrective Action Team members involved, the tools, spare parts, or equipment needed for the corrective action including where they can be obtained. Since Repair / Corrective Action Team members are drawn from the normal plant maintenance staff they will have ready and knowledgeable ac-
, cess to any equipment and supplies needed during an emergency for repair / corrective action .


Sincerely, 5ieinni Sicned E78 Qf omas T. Martin, Director Division of Radiation Safety and Safeguards CC:
  .
Harry H. Voigt, Esquire Central Records (4 copies)
Director, Power Division
  .Public Document Room (PDR)
Local Public Document Room (LPDR)
Nuclear Safety Information Center (NSIC)
NRC Resident Inspector State of New York bcc:
Region I Docket Room (with concurrences)
Management Assistant, DRMA (w/o enc 1)
DRP Section Chief Robert J. Bores, DRSS bg 0FFICIAL RECORD COPY RL GINNA - 0001.0.0 y4 l'
8701150283 87o107  01/06/87 gDR ADOCK 05000244    (
PDR


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Rochester Gas and Electric Corporation    2
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As a result of the above findings, this item is close (Closed) (81-22-35): Link offsite dose projections to EPA recommended protective action guide The inspector reviewed SC-420, Estimating Offsite Doses, dated June 21, 1985, and determined that offsite dose projections are in accor-dance with EPA-520, Manual of Protective Action Guides and Protective Ac-tions for Nuclear Incidents, dated February 198 As a result of the above finding, this item is close (Closed) (81-22-57): Revise existing procedure SC 1.148 to include spe-cific and detailed instructions for establishing the rescue team, communi-cations, radiation protection equipment, and interface with offsite medical treatment facilitie This item was reviewed in Inspection Report No. 85-11, dated August 18, 1986. Procedure SC-1.14B has been rewritten as SC-233, Search and Rescue Operation. The inspector also reviewed Revision No. 4, dated October 16, 1984, and concurs that the initial concerns have been ade-quately addresse As a result of the above findings, this item is close (Closed) (84-08-05): ' Amend the Ginna Technical Specifications to include
" Meteorological Monitoring" which is a safety related' program. The stan-dard limiting conditions for operation and surveillance requirements for this program are shown in NUREG-9452, " Standard Technical Specifications for Westinghouse Pressurized Water Reactors".


          ,
The inspector reviewed the licensee's response to this item in a letter to Thomas T. Martin, dated July 20, 1984, and determined that the response is appropriate. The NRC's Safety Evaluati'on report, dated September 28, 1983, concludes that the Ginna provisions for the Radiolog-ical Effluent Technical Specifications. (RETS) as implemented by Technical Specification Amendment No. 57, including the meteorological monitoring program, meets the requirements of 10 CFR 50 Appendix I and NUREG-0472 Rev. 2, dated February 1, 1980. The inspector agrees that the meteorolog-ical monitoring instrumentation is not required to be incorporated into the Ginna Technical Specification As a result of the above findings, this item is close (Closed) (84-08-08): Include a procedure for implementing the currently available, refined dose model and describe the technical bases and justi-fication used for selection of the MIDAS dose assessment mode The inspector reviewed the licensee's actions taken in response to this open item, as described in a letter to Thomas T. Martin, dated September 10, 1984 and determined that the actions and response are appropriate. This item is closed.
              '
  .T


yb RI:DF    RI:DR  RI:DRSS      i Conkl(>n i    Laza s  Bellamy      :
.
I      t 12/}/86
  $
1 t/ /86 M/7/86


0FFICIAL RECORD COPY RL GINNA - 0002.0.0 12/30/86
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  (Closed)(84-28-01): The inspectors noted that no written tests were give to determine if personnel had attained the level of knowledge necessary to perform the assigned emergency dutie The inspector reviewed Section 7.0 of the Emergency Plan, Maintaining Emergency Preparedness, and Administrative Procedure A-103.8, which con-tains details of the training progra In addition, selected emergency plan training program lesson plans, class attendance records, and exams were reviewed. The inspector noted that written exams are now required to demonstrate the attained level of knowledge necessary to perform the as-signed emergency dutie As a result of the above findings, this item is close (Closed)(P3-20-01): There was some question as to the required event classification regarding the ATWS among control room operator SC-100, Gf nna Station Event Evaluation and Classification, Rev. 7, dated January 6, 1986 was rewritten to include ATWS events. Additionally all control room operators have received training.on this procedure and have demonstrated proficiency in classifying ATWS event As a result of the above finding, this item is close . Shift Staffing and Augmentation The licensee's program was examined to determine its adequacy'in regard to
  . .-.- . . ~ - . . . . . - - - - , . - - . . - . . - . - . - . - , - . . - - . - - . - - , _ . - - . . . _ , - . . . . . . . _ . . . . . , - . . _ . _ . - , -
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the staffing of key emergency positions (depth of personnel) and the time-liness of augmentation of emergency response personnel. The following documents were reviewed: SC-600, Emergency Plan Qualification and Notifi-cation; ESP 2/1, Nuclear Emergency Offsite Response Corporate EOF / Recovery Manager Checklist; ESP 16/4, Nuclear Emergency Offsite Response EOF /Re-covery Center Continuous Manning: ESP 4/1, Nuclear Emergency Offsite Re-sponse Nuclear Operations Manager Checklist; ESP 5/1, Nuclear Emergency Offsite Response EOF Dose Assessments Checklist; and Off Hours Telephone-Alert Test of August 9, 198 A review of key positions in the TSC and EOF revealed that there were at least two people assigned to each position. However, many people were jned to more than one positio Specific examples include: the pri-f Plant Assessment Manager is also the backup to Nuclear Assessment;
  . backup Plant Assessment Manager is also the primary Plant Operations
'sessment Manager; the primary Plant Maintenance Assessment Manager is Also the backup Plant Technical Assessment Manager; the backup Plant Main-tenance Assessment Manager is also the primary to Mechanical / Hydraulic System Assessment; the primary Plant Technical Assessment Manager is also the primary Administrative Communications Manager; and the backup Recovery Manager is also the primary Nuclear Operations Manager. A review of the
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ROCHESTER GAS AND ELECTRIC CORPORATION e 89 EAST AVENUE, ROCHESTER, N.Y. 14649-0001 ROGER W. MOBER
    '
Z'cO'ML w.    ..ocooT."No.27oo November 19, 1986 Dr. Thomas E. Murley, Regional Administrator U.S. Nuclear Regulatory Commission Region I 631 Park Avenue King of Prussia, Pennsylvania 19406 Subject: It:spection Report No. 50-244/86-12 R.E. Ginna Nuclear Power Plant Docket No. 50-244


==Dear Dr. Murley:==
.
,
call-in procedures indicate that off-shift personnel are notified by tele-phone call-outs. There is no specified duty roster or team assignments and 'staffino is accomplished by calling individuals until someone is reached for each position. Several key positions have call-out lists that are very large and could result in unacceptable response delays for cer-tain positions. A review of the results of the Off-hours Telephone Alert Test conducted on August 9, 1986 indicated that the licensee was unable to contact most members of TSC staff and unable to contact several key mem-bers of the EOF staf Based on this performance we are concerned as to the licensee's ability to staff the emergency response organization in a timely manner. Since this item was self-identified, and short-term corrective action has been taken, it was not cited as a violation (50-244/86-12-01).
Inspection Report 50-244/86-12 was sent to RG&E with a letter from Mr. Thomas T. Martin. The inspection report concerned an inspection conducted August 26-29, 1986, to review Emergency Planning. A response was requested within 30 days to address a concern noted in the letter even though no violations were issued. The concern is addressed as follows:
As stated in the ' Inspection Report; "The licensee's program was examined to determine its adequacy in regard to the ataffing of key emergency positions (depth of personnel) and the timeliness of augmentation of emergency response person-nel..."
  "A review of key positions in the TSC and EOF revealed that there were at least two people assigned to each position.


However, many people were assigned to more than one posi-tion. ... A review of the call-in procedures indicate that off-shift personnel are notified by telephone call-outs.
4. Knowledge and Performance of Duties (Training)
The licensee's program was examined to determine the adequacy of th3 training program and to determine if required training has been performe The following documents were reviewed: ESP 15/1, Nuclear Emergency Offsite Response Emergency Operations Facility Training Program; EOF Training Records; A 103.8, Emergency Plan Training Program; Simulator In-structor Guide Lesson Plans; and various individual onsite training record The inspectors verified that a training program is in place for onsite and offsite personnel, which includes several training modules with associated quizzes. As a result of this review it was determined that minimum train-ing requirements for each emergency response position are not identifie It was also noted that the present EOF training records system is cumber-some to use making it very difficult to verify that all required training has been performe As a result of the above review, the licensee should define the mini-mum training requirements for each EOF position and should evaluate the present training records systems to ensure that verification of required training can be accomplished (50-244/86-12-02).


There is no specified duty roster or team assignments and staffing is accomplished by calling individuals until someone is reached for each position. Several key positions have call-out lists that are very large and could result in unacceptable response delays for certain positions. A review of the results of the Off-hours Telephone Alert Test conducted on August 9, 1986 indicated that the licensee was unable to contact most members of TSC staff and unable to contact several key members of the EOF staff. j
5. Public Information Program The licensee's public information program was examined to determine the adequacy of information disseminated to the public and the timeliness of distribution. The following documents were reviewed: Nuclear Emergency Response Plan: R. E. Ginna Nuclear Power Plant Emergency Planning Infor-mation Calendar for Monroe and Wayne Counties; the NYNEX Telephone Direc-tory for Wayne County; and the Rochester Telephone Directory for Monroe Count The inspector determined that the information contained in the above docu-ments was correct and distributed. A call to the licensee telephone num-ber listed in the brochures provided adequate assurance that additional
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November 19, 1986        Page  2
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i Based on this performance,  we are concerned as to the    '
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licensee's ability to staff the emergency response organiza-tion in a timely manner. Since this item was self-identified, and short-term corrective action has been taken, it was not cited as a violation (50-244/86-12-01) ."
Following investigation of the concern related to telephone      -
alert tests, it was determined that the procedure for implementing such call-in tests was deficient in that it (1) placed too much burden on key personnel who had to acke several calls and (2) did not contain specific instructions indicating the need to continue the notification process to confirm filling key positions at Plant and Corporate Emergency Response Facilities (ERF's).
 
,
An additional concern was that there was no demonstration of depth of qualified individuals to fill key positions in the Emergency Response Organization. A comprehensive review of available personnel qualified to fill these positions was conduc-tad. As a result, lists for each key position have been increased to provide greater depth.
 
Corrective actions have been implemented to alleviate these deficiencies by making more qualified people available to fill the ERF positions and by revising the notification procedures.


j  The phone calls necessary to fill key positions have been redistri-buted to persons not required to report to ERF's under immediate i  notification conditions. This distribution will free up the Recovery Manager to begin his analysis of conditions in preparation
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for activating the Emergency Operations Pacility (EOF) . Attachment i
  ..
I illustrates how notification of key positions is currently
information or assistance would be provided. The licensee regularly in-terfaces with Wayne and Monroe County officials on the content and adequa-cy of the documents. In addition, the licensee has contracted with a transportation and evacuation consultant to provide continuing program updates based upon changing population and highway condition No inadequacies were identifie . Licensee Audits The licensee's program was examined to determine the adequacy of the annu-al independent audits performed. The following documents were reviewed:
,  made. In addition, procedures have been revised to include more t
Audit of Nuclear Emergency Response Plans / Procedures and related Utiliza-tion, and Audit Reports 86-23A:JB and 86-23B:JB dated July 1, 1986 with associated QA audit-checklist The Licensee QA department conducted a detailed audit of the emergency preparedness plans and procedures in May of 1986, The audit included a review of plans and implementing procedures, state and local interfaces, drills and exercises, training, personnel interviews and corrective ac-tions.taken. The QA audit is detailed, however, it failed to identify the basic staffing and augmentation problems identified during this inspectio As a result of the above review, the licensee QA audit process should be evaluated for its effectiveness in identifying deficiencies in the the Emergency Preparedness Program (50-244/86-12-03). This item is unresolved and will be reviewed in a subsequent inspectio . Organization and Management Control The licensee's program was examined to determine the adequacy of adminis-trative controls, specifically related to maintenance of emergency pre-paredness and the Corporate Emergency Planne The following documents were reviewed: Nuclear Emergency Response Plan, sections 7 and As a result of this review the inspectors determined that the Corporate Emergency Planner is responsible for the overall implementation of he onsite and offsite emergency plans and implementing procedures. Specific duties include all EOF training, EOF facilities and equipment maintenance ano drill / exercise scenario coordination. The onsite Training Manager is responsible for all onsite emergency preparedness training and documenta-tion. The Health Physics / Chemistry Manager is responsible for onsite equipment inventories and telephone checks. It was noted, however, that several of the onsite responsibilities are not delineated in the Pla Additionally, there is no formal established review protocal for the Cor-porate Emergency Planner to verify onsite actions and initiate / follow-up corrective actions due to the fact that he has no direct authority over,
i detailed instruction for callers to assure that key positions are filled. A pager system is available to aid in the notification process.           ;
,
A training matrix is being developed to enhance qualification of the personnel listed to fill each EOF key position.       The training will include class instruction, participation in table top drills, read-and-acknowledge transmittals and participation in drills or exercises.


For the longer term, a Task Force has been established with an objective to optimize the Emergency Plan notification process.
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The current revised procedures will assure an adequate response but potential improvements will be examined. Options which will
:  be reviewed include revised call lists to further reduce the
;
 
number of calls one individual must make to minimize the total notification times and the investigation of automatic dialing systems.
 
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November 19, 1986    Page 3 The inspection report also requested that a schedule be provided to establish when the corrective actions will be complate.
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Short term actions have been completed by virtue of the revised lists of qualified personnel and revised procedures. Long term actions to enhance our response capability and to ensure a continued high level of performance will be completed before the next annual exercise. A full training cycle which documents the qualification of all emergency response personnel will have been completed by that time. The task force review of notification method options is expected to be completed by April 1, 1987 and testing of those options will be completed by June 1, 1987. The implementation schedule of any enhancement  options will ha dependent upon the options chosen.


Va  truly yours,
or feedback from those managers responsible for their parts of this progra As a result of the above review, the licensee should clearly establish all onsite maintenance responsibilities in the plan and evaluate a formal re-view process to ensure the Corporate Emergency Planner is cognizant of onsite actions (50-244/86-12-04).
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Roger W. Kober Attachment
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8. Exit Meeting On August 29, 1986, the inspectors met with those individuals identified in Section 1 and discussed inspection findings as detailed in this repor ; A second meeting was held on-site on September 11, 1986 to discuss correc-tive actions for the concerns identified regarding staffing and augmenta-tion (detail 3). At no time during this inspection was written material provided to any licensee personnel by the inspector r
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ROCHESTER GAS AND ELECTRIC CORPORATION GINNA NOTIFICATION PROCESS    .
CONTROL ROOM GAS  TELEPHONE  RECOVERY EMERGENCY SECURITY COORDINATOR  DISPATCHER SERVICE  MANAGER
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MANAGEMENT  -
DOSE ASSESSMENT
      - Obb5MANAGER CORPORATE SPOKE 5 PERSON ENGINEERING SUPPORT l
l OPERATIONS  HEALTH PHYSICSI l
I  ASSESSMENT
    ~
    ~ CHEMISTRY
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kE LANNER PUBLIC INFORMATION TECHNICAL  ~
HEALTH PHYSICS / ~
TECHNICIANS    - SECURITY
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ASSES $ MENT I
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FACILITIES AND PERSONNEL MAINTENANCE COMMUNICATIONS
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!  ASSESSMENT
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OFFSITE AGENCY LIAISON I  COMMUNICATIONS  -
        - RECEPTIONIST
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ADVISORY l      SUPPORT SURVEY CENTER  _
        - SEC, REC. MANAGER MANAGER
        ,
        - FAX OPERATIONS
      - COMMUNICATORS
          >
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COPIER y OPERATIONS >
PLANT COMPUTER l          z i
OPERATORS
        - COURIERS E-e
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STATUS 80ARD
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      * KEEPERS ncs po os
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Revision as of 09:01, 19 April 2021

Emergency Preparedness Insp Rept 50-244/86-12 on 860826-29. Violation Noted Re Ability to Fully Staff & Augment Emergency Response Organization in Timely Manner
ML20215H049
Person / Time
Site: Ginna Constellation icon.png
Issue date: 10/09/1986
From: Conklin C, Lazarus W, Thomas W
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML20215H040 List:
References
50-244-86-12, NUDOCS 8610210389
Download: ML20215H049 (7)


Text

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U.S. NUCLEAR REGULATORY COMMISSION

REGION I

Report N /86-12 Docket N License N DPR-18 Priority -

Category -

Licensee: Rochester G:s & Electric Corporation 49 East Avenue Rochester, New York 14649 Facility Name: R. E. Ginna Nuclear Power Plan Inspection At: Ontario and Rochester, New York Inspection Conducte - August 26-29, 1986 Inspectors: . W W.~ Thomas, TeamM 4ader, EPS, EP&RPB

/0 / d

'dat/e DRSS, RI, N C

&

C. Conk)in, EP Specialist, EPS dr/n date Approved by: h /4 9 [$

V. .)# Lalaffs, Chief, Emergency date PreparedneYs Section, DRSS, RI, NRC Inspection Summary: _

Inspection on August 26-29, 1986, (Report N /86-12)

Areas Inspected: Routine announced emergency preparedness irspection to follow-up on licensee action regarding findings identified during previous emergency preparedness inspections and exercises, and the examination of the licensee's emergency preparedness program related to: shift staffing and augmentation; knowledge and performance of duties (training); public information program; licensee audits; and administration of the emergency preparedness program.

. Results: One violation concerning the ability to fully staff and atgment the emergency' response organization in a timely manner was identified by the license PDR ADOCK 05000244 G PDR

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

_ --_ .

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Details Persons Contacted

    • D. Burke, Corporate Emergency Planner
    • B. Snow, Superintendent of Nuclear Production
  • B. Quinn, Corporate Health Physicist
  • P. Wilkins, Manager of Nuclear Engineering & Licensing R. Morrill, Training Manager
    • R. Kober, Vice President Electric & Steam Production J. Jennejahn, Alternate News Center Manager
    • S. Spector, Plant Superintendent
  • denotes those at the' exit interview on August 29, 198 ** denotes those present at the September 11, 1986 meetin . Follow-up on Previous Inspection Findings (Closed)(81-21-02): Several procedural deficiencies exist in SC-1.1A Ginna Station Event Evaluation, and Classificatio The Site Contingency procedures have been completely revised and renum-bered. Emergency classification is now contained in SC-100, Ginna Station Event Evaluation and Classification; SC-201, Unusual Event; SC-202, Alert; SC-203, Site Emergency; and SC-204, General Emergency. All procedures are reviewed by Quality Assurance prior to the review by the Plant Operating Review Committee (PORC). Administrative Procedure A-205 covers review, revision, and distribution of the Plan and Procedures. The inspector re-viewed current copies of the Implementing Procedures and found no deft-ciencies affecting classificatie As a result of the above findings, this item is close (Closed) (81-22-26): Evaluate the need for maintaining a supply of se-lected damage control and corrective action equipment and supplies, and for positioning the same so that it will be accessible for use during emergencie The inspector reviewed the licensee's evaluation of this item and deter-mined that the actions taken are appropriate. SC-312, Manning the Opera-tional Support Center, dated June 5,1983, assures that appropriate personnel for performance of corrective actions are available to the Plant Assessment Manager. SC-235, Repair and Corrective Action Guidelines Dur-ing Emergency Situations, dated July 12, 1983, Section 3.7 instructs the Plant Maintenance Assessment Manager to determine with the Repair / Corrective Action Team members involved, the tools, spare parts, or equipment needed for the corrective action including where they can be obtained. Since Repair / Corrective Action Team members are drawn from the normal plant maintenance staff they will have ready and knowledgeable ac-

, cess to any equipment and supplies needed during an emergency for repair / corrective action .

.

.

.

As a result of the above findings, this item is close (Closed) (81-22-35): Link offsite dose projections to EPA recommended protective action guide The inspector reviewed SC-420, Estimating Offsite Doses, dated June 21, 1985, and determined that offsite dose projections are in accor-dance with EPA-520, Manual of Protective Action Guides and Protective Ac-tions for Nuclear Incidents, dated February 198 As a result of the above finding, this item is close (Closed) (81-22-57): Revise existing procedure SC 1.148 to include spe-cific and detailed instructions for establishing the rescue team, communi-cations, radiation protection equipment, and interface with offsite medical treatment facilitie This item was reviewed in Inspection Report No. 85-11, dated August 18, 1986. Procedure SC-1.14B has been rewritten as SC-233, Search and Rescue Operation. The inspector also reviewed Revision No. 4, dated October 16, 1984, and concurs that the initial concerns have been ade-quately addresse As a result of the above findings, this item is close (Closed) (84-08-05): ' Amend the Ginna Technical Specifications to include

" Meteorological Monitoring" which is a safety related' program. The stan-dard limiting conditions for operation and surveillance requirements for this program are shown in NUREG-9452, " Standard Technical Specifications for Westinghouse Pressurized Water Reactors".

The inspector reviewed the licensee's response to this item in a letter to Thomas T. Martin, dated July 20, 1984, and determined that the response is appropriate. The NRC's Safety Evaluati'on report, dated September 28, 1983, concludes that the Ginna provisions for the Radiolog-ical Effluent Technical Specifications. (RETS) as implemented by Technical Specification Amendment No. 57, including the meteorological monitoring program, meets the requirements of 10 CFR 50 Appendix I and NUREG-0472 Rev. 2, dated February 1, 1980. The inspector agrees that the meteorolog-ical monitoring instrumentation is not required to be incorporated into the Ginna Technical Specification As a result of the above findings, this item is close (Closed) (84-08-08): Include a procedure for implementing the currently available, refined dose model and describe the technical bases and justi-fication used for selection of the MIDAS dose assessment mode The inspector reviewed the licensee's actions taken in response to this open item, as described in a letter to Thomas T. Martin, dated September 10, 1984 and determined that the actions and response are appropriate. This item is closed.

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(Closed)(84-28-01): The inspectors noted that no written tests were give to determine if personnel had attained the level of knowledge necessary to perform the assigned emergency dutie The inspector reviewed Section 7.0 of the Emergency Plan, Maintaining Emergency Preparedness, and Administrative Procedure A-103.8, which con-tains details of the training progra In addition, selected emergency plan training program lesson plans, class attendance records, and exams were reviewed. The inspector noted that written exams are now required to demonstrate the attained level of knowledge necessary to perform the as-signed emergency dutie As a result of the above findings, this item is close (Closed)(P3-20-01): There was some question as to the required event classification regarding the ATWS among control room operator SC-100, Gf nna Station Event Evaluation and Classification, Rev. 7, dated January 6, 1986 was rewritten to include ATWS events. Additionally all control room operators have received training.on this procedure and have demonstrated proficiency in classifying ATWS event As a result of the above finding, this item is close . Shift Staffing and Augmentation The licensee's program was examined to determine its adequacy'in regard to

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the staffing of key emergency positions (depth of personnel) and the time-liness of augmentation of emergency response personnel. The following documents were reviewed: SC-600, Emergency Plan Qualification and Notifi-cation; ESP 2/1, Nuclear Emergency Offsite Response Corporate EOF / Recovery Manager Checklist; ESP 16/4, Nuclear Emergency Offsite Response EOF /Re-covery Center Continuous Manning: ESP 4/1, Nuclear Emergency Offsite Re-sponse Nuclear Operations Manager Checklist; ESP 5/1, Nuclear Emergency Offsite Response EOF Dose Assessments Checklist; and Off Hours Telephone-Alert Test of August 9, 198 A review of key positions in the TSC and EOF revealed that there were at least two people assigned to each position. However, many people were jned to more than one positio Specific examples include: the pri-f Plant Assessment Manager is also the backup to Nuclear Assessment;

. backup Plant Assessment Manager is also the primary Plant Operations

'sessment Manager; the primary Plant Maintenance Assessment Manager is Also the backup Plant Technical Assessment Manager; the backup Plant Main-tenance Assessment Manager is also the primary to Mechanical / Hydraulic System Assessment; the primary Plant Technical Assessment Manager is also the primary Administrative Communications Manager; and the backup Recovery Manager is also the primary Nuclear Operations Manager. A review of the

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call-in procedures indicate that off-shift personnel are notified by tele-phone call-outs. There is no specified duty roster or team assignments and 'staffino is accomplished by calling individuals until someone is reached for each position. Several key positions have call-out lists that are very large and could result in unacceptable response delays for cer-tain positions. A review of the results of the Off-hours Telephone Alert Test conducted on August 9, 1986 indicated that the licensee was unable to contact most members of TSC staff and unable to contact several key mem-bers of the EOF staf Based on this performance we are concerned as to the licensee's ability to staff the emergency response organization in a timely manner. Since this item was self-identified, and short-term corrective action has been taken, it was not cited as a violation (50-244/86-12-01).

4. Knowledge and Performance of Duties (Training)

The licensee's program was examined to determine the adequacy of th3 training program and to determine if required training has been performe The following documents were reviewed: ESP 15/1, Nuclear Emergency Offsite Response Emergency Operations Facility Training Program; EOF Training Records; A 103.8, Emergency Plan Training Program; Simulator In-structor Guide Lesson Plans; and various individual onsite training record The inspectors verified that a training program is in place for onsite and offsite personnel, which includes several training modules with associated quizzes. As a result of this review it was determined that minimum train-ing requirements for each emergency response position are not identifie It was also noted that the present EOF training records system is cumber-some to use making it very difficult to verify that all required training has been performe As a result of the above review, the licensee should define the mini-mum training requirements for each EOF position and should evaluate the present training records systems to ensure that verification of required training can be accomplished (50-244/86-12-02).

5. Public Information Program The licensee's public information program was examined to determine the adequacy of information disseminated to the public and the timeliness of distribution. The following documents were reviewed: Nuclear Emergency Response Plan: R. E. Ginna Nuclear Power Plant Emergency Planning Infor-mation Calendar for Monroe and Wayne Counties; the NYNEX Telephone Direc-tory for Wayne County; and the Rochester Telephone Directory for Monroe Count The inspector determined that the information contained in the above docu-ments was correct and distributed. A call to the licensee telephone num-ber listed in the brochures provided adequate assurance that additional

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information or assistance would be provided. The licensee regularly in-terfaces with Wayne and Monroe County officials on the content and adequa-cy of the documents. In addition, the licensee has contracted with a transportation and evacuation consultant to provide continuing program updates based upon changing population and highway condition No inadequacies were identifie . Licensee Audits The licensee's program was examined to determine the adequacy of the annu-al independent audits performed. The following documents were reviewed:

Audit of Nuclear Emergency Response Plans / Procedures and related Utiliza-tion, and Audit Reports 86-23A:JB and 86-23B:JB dated July 1, 1986 with associated QA audit-checklist The Licensee QA department conducted a detailed audit of the emergency preparedness plans and procedures in May of 1986, The audit included a review of plans and implementing procedures, state and local interfaces, drills and exercises, training, personnel interviews and corrective ac-tions.taken. The QA audit is detailed, however, it failed to identify the basic staffing and augmentation problems identified during this inspectio As a result of the above review, the licensee QA audit process should be evaluated for its effectiveness in identifying deficiencies in the the Emergency Preparedness Program (50-244/86-12-03). This item is unresolved and will be reviewed in a subsequent inspectio . Organization and Management Control The licensee's program was examined to determine the adequacy of adminis-trative controls, specifically related to maintenance of emergency pre-paredness and the Corporate Emergency Planne The following documents were reviewed: Nuclear Emergency Response Plan, sections 7 and As a result of this review the inspectors determined that the Corporate Emergency Planner is responsible for the overall implementation of he onsite and offsite emergency plans and implementing procedures. Specific duties include all EOF training, EOF facilities and equipment maintenance ano drill / exercise scenario coordination. The onsite Training Manager is responsible for all onsite emergency preparedness training and documenta-tion. The Health Physics / Chemistry Manager is responsible for onsite equipment inventories and telephone checks. It was noted, however, that several of the onsite responsibilities are not delineated in the Pla Additionally, there is no formal established review protocal for the Cor-porate Emergency Planner to verify onsite actions and initiate / follow-up corrective actions due to the fact that he has no direct authority over,

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or feedback from those managers responsible for their parts of this progra As a result of the above review, the licensee should clearly establish all onsite maintenance responsibilities in the plan and evaluate a formal re-view process to ensure the Corporate Emergency Planner is cognizant of onsite actions (50-244/86-12-04).

8. Exit Meeting On August 29, 1986, the inspectors met with those individuals identified in Section 1 and discussed inspection findings as detailed in this repor ; A second meeting was held on-site on September 11, 1986 to discuss correc-tive actions for the concerns identified regarding staffing and augmenta-tion (detail 3). At no time during this inspection was written material provided to any licensee personnel by the inspector r

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