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{{Adams
#REDIRECT [[IR 05000445/1989032]]
| number = ML20245E076
| issue date = 06/19/1989
| title = Insp Repts 50-445/89-32 & 50-446/89-32 on 890503-0606. Violations Noted.Major Areas Inspected:Actions on Previous Insp Findings,Followup on Violations/Deviations,Action on 10CFR50.55(e) Deficiencies & Preoperational Testing Audits
| author name = Bitter S, Hale C, Livermore H, Mckernon T
| author affiliation = NRC OFFICE OF NUCLEAR REACTOR REGULATION (NRR)
| addressee name =
| addressee affiliation =
| docket = 05000445, 05000446
| license number =
| contact person =
| document report number = 50-445-89-32, 50-446-89-32, IEC-80-22, IEIN-85-024, IEIN-85-24, NUDOCS 8906270319
| package number = ML20245E072
| document type = INSPECTION REPORT, NRC-GENERATED, INSPECTION REPORT, UTILITY, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 31
}}
See also: [[see also::IR 05000445/1989032]]
 
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L                                                    APPENDIX B
            '
                                    U..S.-NUCLEAR REGULATORY COMMISSION
  't                              OFFICE OF NUCLEAR REACTOR REGULATION-
                .NRC iaspection Report:          50-445/89-32        Permits: CPPR-126
                                                  50-446/89-32                  CPPR-127
                Docketsr. 50-445                                      Category: A2
                            50-446
                                                              Construction Permit
                                                              Expiration Dates:
                                                              Unit 1: August 1, 1991
                                                              Unit 2: August 1, 1992
                Applicant:      TU Electric
                                Skyway Tower
                                400 North Olive Street
                                Lock Box 81
                                Dallas, Texas        75201
                Facility Name:. . Comanche Peak.Steaut Electric Station (CPSES),
                                    Units 1 & 2
                Inspection At: . Comanche Peak' Site, Glen Rose, Texas
                Inspection' Conducted:          May.3-through June 6, 1989
                Inspectors:                ,      d      V                            T    9
                                C.J.        e,i Reactor Inspector                  Date
                                    (pa    raphs 8, 11 and 14)
                                  6 . D. M %                                        &/n/99
                                S. D. Bitter, Resident Inspector                    Date
                                    (paragrap s.6 and 10)
                                  0            '
                                                        Q    -
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                                T. O. ycKernon, Reactor /14hpector                  D&te
                                    (pa m;raphs 9 and 12)
              8906270319 890619              r
              gDR      ADOCK 05000445        b
                                  PNU
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                                              *
                                                                2..
            .
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                  " C'onsultantsi  .'J. Birmingham, RTS
          1
i
                    -
                                                                (paragraphs 2,3,4,5,7,8
                                                                              '
L'.                                                      ..        and'14)
(U '                                - J. - Dale, 'EG&G :(paragraph 13);
                                                  .
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                                            '
                                                      AAr h ' Nth                lo ~ Ik- h ~
                                          '
                      Reviewed by:.
                                                                                            '
                                    H..H..Livermore, Lead Senior Inspector          Date
      s
 
,_                  _ - _ _ - _ _ _              . _ _
                                ..                                                                      /
                                      -                                                                  1
      ,*                                                                                                  l
              .                                                                                          1
                                                                        3
                                                                                                          l
                                    Inspection Summary:                                                  l
                                    Inspection Conducted: May 3 through June 6, 1989 (Report
                                    50-445/89-32; 50-446/89-32)
                                    Areas Inspected: Unannounced, resident safety inspection of
                                    applicant's actions on previous inspection findings; follow-up on
                                    violations /deviatiors; action on 50.55(c) deficiencies; the
                                    operations quality programs for preoperational testing audits and
                                    surveillance, quality verification function, audits, document
                                    control, maintenance, surveillance testing and calibration control,  ,
                                    records, tests and experiments, and measuring and test equipment;  J
                                    and applicant meetings.
                                    Results: Within the areas inspected, one violation was identified.
                                    During a startup test, a procedural step was not performed and the  j
                                    startup test engineer did not initiate a deficiency report or      ;
                                    procedure change. This error was noted by surveillance personnel    ;
                                    but no deficiency was issued (paragraph 5).                        )
                                                                                                        ,
                                    One strength and two weaknesses were noted. The Plant Evaluation
                                    Group has made significant improvements in their program for
                                    identifying and preventing plant operations problems (paragraph 6).
                                    The internal audit program continues to have difficulty in timely
                                    issuance of reports (paragraph 5). The distribution of revised
                                    documents to controlled locations is not tinely (paragraph 8) .
                                                                                                          1
l                                                                                                        1
                                                                                                          l
                                                                                                          l
                                                                                                          1
  _ _ _ _ _ _ _ _____ __ __.__.________                                                                J
 
          ..,
      .*
        .
                                              4
                                                                                    1
                                        DETAILS
                                                                                  1
            1.  Persons Contacted
                *M. Axelrad, Newman and Holtzinger
                *D. P. Barry, Senior., Manager, Engineering, SWEC
                *D. Bize, License Support, TU Electric
                *H. D. Bruner, Senior Vice President, TU Electric
                *W. J. Cahill, Executive Vice President, Nuclear, TU Electric
                *H. M. Carmichael, Senior QA Program Manager, CECO
                *J. T. Conly, APE-Licensing, SWEC
                *W. G. Counsil, Vice Chairman, Nuclear, TU Electric
                *S. Ellis, Performance and Testing, TU Electric
                *F. E. Halstead, QC Manager, TU Electric
                *C. B. Hogg, Engineering Manager, TU Electric
                *R. T. Jenkins, Manager, Mechanical Engineering, TU Electric
                *J. J. Kelley, Manager, Plant Operations, 'U Electric
                *J. J. LaMarca, Electrical Engineering Manager, TU Electric
                *0. W. Lowe, Director of Engineering, TU Electric
                *S. G. McBee, NRC Interface, TU Electric
                *B. Packo, Licensing Engineer, TU Electric
                *S. S. Palmer, Project Manager, TU Electric
                *P. Raysircar, Deputy Director, Unit 2, CECO
                *D. Real, Dallas Morning News
                *D. M. Reynerson, Director of Construction, TU Electric
                *J. C. Smith, Plant Operations Staff, TU Electric
                *R. L. Spence, TU/QA Senior Advisor, TU Electric
                *J. F. Streeter, Director, QA, TU Electric
                *C. L. Terry, Unit 1 Project Manager, TU Electric
                The NRC inspectors also interviewed other applicant employees  ,
                during this inspection period.
                * Denotes personnel present at the June 6, 1989, exit meeting.
            2.  Applicant Action on Previous Inspection Findings (92701)
                a.  (Closed) Open Item (445/8716-O-04; 446/8713-O-03): This
                      open item concerned the overall review of field deficiency
                      reports (FDRs) for proper use and closure, and the
                      specific review of those test deficiency reports (TDRs)
                      that received an engineering disposition. This open item    l
                      was issued since Comanche Peak Response Team results and
                      other sources indicated that these documents may have been
                      used inappropriately to document and disposition
                      nonconforming conditions.
                      The applicant has addressed the above issues and has
                      performed a review of FDRs and TDRs. The NRC inspector
                      reviewed the following information relative to these
                      issues.
_______                                                                          J
 
..                                                    ,
                                                                  __        - - - _ - - - __ . _ _ _ . __ _ _ _ _ _ _ _ _ _
                    ..
                      ,
! ;.
            .
                                                    5
,
                            In regard to the use of FDRs, the NRC inspector reviewed
                            office memorandunt QQD-909, which documents the review of
                            FDRs performed by Quality Engineering. The review was
                            performed on all known FDRs to determine those cases where
                            the FDRs were improperly used or closed. Discrepant
                            conditions were then transferred to a nonconformance
                            report (NCR) or deficiency report (DR).
                            The NRC inspector had previously performed'a sample review
                            of the FDRs and based on that review concurs with the
                            applicant's approach,and resolution of this issue. Since
                            the use of FDRs was discontinued in 1982 and the current
                            program for control of nonconformances and deficiencies
                            appears adequate, the NRC inspector feels that no other
                            preventive action regarding FDRs is required.
                            In regard to the review of TDRs for adequate engineering
                            dispositions, the NRC inspector reviewed engineering
                            memorandum NE-26068 which documents the method used to
                            review TDRs. NE-26068 documents that approximately
                            700 TDRs were identified that received engineering
                            dispositions. These 700 TDRs were then evaluated to
                            determine the adequacy of the engineering dispositions.
                            This evaluation resulted in Engineering Assurance issuing
                            one deficiency and three observations.
                            Based upon inspection of the checklist used to perform the
                            engineering assurance evaluation, the NRC inspector deems
                            that an adequate review of those TDRs has been performed.
                            In October 1987, Procedure CP-SAP-16, " Deficiency and
                            Nonconformance Reporting," was revised to require that
                            Design Change Authorizations.(DCAs) be used to request
                            engineering assistance for TDR dispositions. This
                            requirement was included in the startup procedure to
                            assure proper involvement of engineering in TDR
                            dispositions. Since those TDRs with engineering                                                  !
                            dispositions have been evaluated and the revision to
                            CP-SAP-16 provides preventive action for this problem,
                            this open item'is closed.                                                                        ;
                                                                                                                              i
                            Although not included as part of this open item, an                                              i
                            evaluation of those TDRs that did not receive an                                                  l
                            engineering disposition was also performed by the
                            applicant. That evaluation was performed as part of the
                            resolution of SDAR-CP-87-109.  NRC inspection of the                                          .;'
                            applicant's actions for SDAR-CP-87-109 appears in
                            paragraph 4. of this report.
                        b. (Closed) open Item (445/8810-0-10; 446/8808-0-10): This
                            item was opened for NRC review of a TU Electric procedure
                            that would provide the controls to assure that the prior
- - _ _ _ _ - _ _ _
 
,.      . .                _                , _              -  .- - -_      - - - _ , _
                                          "'
        < +1,
  :.,<
    ,
      w
                                                6
                      education and experience of TU Electric employees
                      performing work at CPSES would be confirmed. This open
                      item was identified during an NRC inspection of
                      engineering qualifications relative to the corrective
                      ' Action Program. The results of that. inspection determined
                      that.TU Electric had been performing appropriate actions
                      to confirm the prior education and experience.of
                      TU Electric engineers. 'Those actions, however, had not
                      been placed under procedural control. Since the NRC
                      inspector was informed at that time that a procedure to
                      control this activity was pending, the inspector issued an
                      open item to review the procedure when issued.
                      Personnel Procedure PERS-02, " Confirmation of Education
                      and Experience Background for Personnel Performing Work at
                      or for CPSES," has been issued and is currently at
                      Revision 1.- The procedure provides for verification of
                      education and experience backgrounds of personnel hired by
                      TU Electric to' perform quality related work at or for
                      CPSES prior to the performance: of that quality related
                      work. The NRC inspector determined that PERS-02 meets the
                      intent of NRCLIE Circular 80-22, " Confirmation of Employee
                      Qualifications," and provides assurance that personnel
                      performing quality related work have appropriate education
                      and experience backgrounds; accordingly, this item is
                      closed.
            -3. Follow-up on Violations / Deviations (92702)
                (Closed) Violation-(445/8718-V-02): .This violation concerned:
                (1) contrary to the requirements of NCR M-2320, the material
                identity of certain shims installed on the Units 1 and 2 steam
                generators was'not provided with the NCR, and (2) contrary to
                the requirements of NCR M-2320,-certain shims and associated
                bandings.were missing or improperly installed on the Unit 2
                steam generators.
                The applicant provided the following information relative to
                the shims installed on the Unit 1 steam generators: (1) all
                shims installed under NCR'M-2320 on the Unit 1 steam generators
                were 'less than 1/8 inch in thickness; (2) as regards supports,            ;
                                                                                            '
                the site is committed to the 1974 edition, winter addendum of
                the ASME Boiler and Pressure Vessel Code which does not address            '
                the issue of material identity of shims; (3) the 1980 edition
                aof the ASME Boiler and Pressure Vessel Code, Section III,
                Division I does address the use of shim material in component
L                supports except that material identity of shim material less
                                                                                            i
                than 1/4 inch is not required providing certain requirements of
                paragraph NF-2121 are met; (4) the shim material used to
                implement the disposition of NCR M-2320 for Unit 1 steam
,
'
                generators meets the requirement of' paragraph NF-2121 and
                therefore,-material identity of the shim material is not a Code
L
,
                                                                                            i
 
                                                              __ -____    _ - - - _
;
      'i.
  ..
    .
                                          7
            requirement; and (5) reinspectic of the applicable bolting on
            the Unit 1 steam generator supp-ses verified that the gap
            between the bolts and the lower support ring were within design
            criteria.
I
            The NRC inspector reviewed the above data including the
            applicable sections of the ASME Code and the NCRs that document
            the_ reinspection of the bolting. The NRC inspector agrees with
            the applicant's conclusion that material identity for the
            Unit I steam generators is not required and that based on the
            inspection of the bolting installed on the lower support rings,
            the gaps meet design requirements; accordingly, this violation
            is closed for Unit 1 only.
            Corrective actions for  the Unit 2 steam generators have not, as
            yet, been performed by  the applciant. NRC inspection of the
            corrective actions for  the Unit 2 steam generators will be
            performed and reported  when those actions are completed.
        4.  Action on 10 CFR Part 50.55(e) Deficiencies Identified by the
            Applicant (92700)
            (Closed) SDAR CP-87-109, " Inappropriate Deficiency
            Documentation": This item, determined by the applicant to be
            reportable, involved numerous types of documentation that may
            have been used to: (1) improperly identify deficient
            conditions, (2) inappropriately change the design, or
            (3) incorporate design changes without a proper design review
            being performed.  Examples of such documents were the Request          i
                                                                                      ~
            for Information/ Clarification (RFIC), Item Substitution Request
            (ISR), and Alternate Hanger Detail (AHD).
          <
            Initially, a review of all known historical type documents for
            which engineering was involved was conducted by comanche Peak
            Engineering (CPE).  CPE performed this review utilizing office
            memorandum NE-14126, " Guidance to be Used for Review of
            Requests for Engineering Services." As a result of this
            review, 15 document types were identified. Corrective Action
            Request (CAR) 87-73 was then initiated to provide a 100% review
            of those 15 document types having engineering involvement.
            During implementation of CAR 87-73, additional document types
            were identified and reviewed. Discrepant conditions identified
            by these reviews were addressed on NCRs, DRs, or DCAs as
            appropriate.
            The NRC inspector has revicwed NE-14126, CAR 87-73, and other
            associated documentation. Based on those re 'iews, it appears
            that the applicant has performed an appropriately detailed
            review of those document types determined to have been used
            improperly and has taken appropriate corrective actions for
            identified deficiencies. Preventive actions for each type of
            documentation determined to have been misused is d.etailed in
 
c
'
          _ _.                  _        _ _.  ..          _    _        _    _ - __
                                                                                        i
        .i
l
L \;
                                              8
                CAR 87-73.  The NRC inspector has reviewed the preventive              ;
                                                                                        '
                actions and concurs that most of the. discrepant document types
                were historical and that current procedures should prevent
                similar discrepancies from occurring; accordingly, this SDAR is          l
                                                                                        '
                closed.
        5.    Preoperational Testing Audits and Surveillance (35301)
                This NRC inspection was performed to ascertain: (1) that the            I
                applicant has developed an audit and surveillance program for          I
                assuring that preoperational test activities are consistent
                with the CPSES FSAR and regulatory requirements, and (2) that
                the applicant's audit and surveillance program for                    i
              .preoperational test activities is satisfactorily implemented.        {
                The NRC inspector reviewed the applicant's procedural controls
                for the performance of audits and surveillance. These
                controls were found to be contained in Procedures NQA 3.07,
                " Quality Assurance Audit Program," and NQA 3.23, " Surveillance
                Program." Each of these procedures provided appropriate
                controls to establish audits and surveillance of
                preoperational test activities. A review of the audit and
                surveillance schedules indicated that audits and surveillance
                of preoperational testing activities were scheduled and
                performed within required frequencies.                                ,
                                                                                      !
                To assess the implementation of the audits and surveillance,
                the NRC inspector reviewed two audits and three surveillance.
                Audits reviewed by the NRC inspector were TUG-88-23 on
                operations testing and EFE-89-01 concerning design data
                utilization during preopero ional testing. Both of these
                audits were determined to .e 4: sed on appropriate design and
                procedural requirements. Furtaer, the checklists and evidence
                observed supported the conclusions drawn by the auditors. The        !
                NRC inspector found the audit portion of the QA program to be
                satisfactorily implemented.
                The NRC inspector reviewed preoperational test surveillance:
                (1)'0S-89-0041 performed for Preoperational Test
                1CP-PT-44-01 SFT, " Steam Generator Blowdown Valve Functional
                checks," (2) OS-89-0057 performed for Preoperational Test
                1CP-PT-37-01 SFT, " Auxiliary Feedwater System," and
u              (3) 0S-89-0033 performed for Preoperational Test
                1CP-PT-64-02 SFT, " Reactor Protection System Operational
t              Checks." These three surveillance were determined to be
{              adequately prepared, with appropriate preoperational test
                witness or hold points assigned. Further, the narrative
                discussion provided by the QA test log indicated that the
                surveillance personnel were alert and cognizant of test
                objectives. Typically, the issued surveillance report properly
                documented the test results and identified any noted
                surveillance deficiencies.    Surveillance Report 05-89-0041,
1
1
    ___
 
                                            _      _      -.  - - . --    .- _ _ _ . _ _ _
,
        ..                                                                                    i
      *
          ''
                                                                                              )
  .-                                                                                          1
                                                                                                l
                                          9
                                                                                                1
                                                                                                l
            however, noted that certain steps of Test Procedure                              f
            ICP-PT-44-02 SFT could not be performed as written. For                            I
            example, step 7.9.13 of the test procedure required a position
            change of valve 1HV-2397A by " momentarily" placing the                            q
            controlling handswitch 1HS-2397A to "open." When this step                        i
            could not be completed as written, the STE apparently                              !
            instructed the reactor operator to hold the handswitch as                        1'
            "open" until the valve changed to the desired position. The
            surveillance report stated that "The abnormality will be
            included in the test report," indicating that the STE would                        )
            include the occurrence in the summary of the preoperational
            test report. Since the STE did not properly document the
            unsatisfactory condition, the surveillance technician should                    .
            have documented the condition as a surveillance deficiency in                    l
            accordance with'Section 6.4 of NQA 3.23. The NRC inspector
            considers this item to be a violation (445/8932-V-01).
            In summary, the NRC inspector determined that an adequate audit
            and surveillance program exists to assure that preoperational
            testing activities are performed in accordance with regulatory
            requirements. Further, with the exception of the above
            violation, the QA program appears to be satisfactorily
            implemented.
        6.  Quality Verification Function (35702)
            The purpose of this inspection was to assess the effectiveness
            of the applicant's quality verification organizations in
            identifying technical issues and problems having safety
            significance and in following up to ensure that issues and
            problems are resolved in a timely manner.
            CPSES has numerous organizations that verify quality. These
            include but are not limited to Quality Assurance, Quality
            Control, Engineering Assurance, Station Operations Review
            Committee (SORC), the offsite Operations Review Committee
            (ORC), and Plant Evaluation. The activities of most of these
            groups have been evaluated, directly or indirectly, in numerous
            NRC inspection reports. One group, however, has not been
            inspected to the same degree as the others. Furthermore, this
            group, Plant Eva2uation, plays a unique role in the quality
            verification process. The Plant Evaluation group is designed
            to monitor and assess plant operations and maintenance
            activities, review and assess nuclear industry operating
            experience, identify emerging regulatory issues, and develop
            and critique site-specific emergency exercises. The purpose of
            the group is to. identify precursors to potential problems and
            to advise the Vice President, Nuclear Operations of areas that
            need improvement.
            The Plant Evaluation group is divided into numerous sections
            that cover the following programs (areas):
..                                                                                            1
 
p          -
,
        -
          t'
, ;. +
  -,.
U-                                                  10
                                                                                      -l
                    .~    Trip reduction program.                                        '
                    .    Emergency exercise scenario development, and exercise        i
                          control and evaluation.
                    .    Industry operating experience review program.
                    .    . Human performance evaluation.
                    .    Reporting of operations performance indicators.
                                                  -
                    .    Tracking of NRC open items for Nuclear Operations.          l
                                                                                        l
                    .    Nuclear Network.                                            l
                    Personnel working in these programs (areas) are trained in root  a
                    cause and event analysis techniques and are sensitive to          i
                    recognizing related operating experiences and emerging trends.    )
                    By conducting in-depth special' studies and evaluations, the-      I
                    . Plant: Evaluation group can make specific recommendations
                    directly to the Vice President, Nuclear Operations.    Then, the
                    vice president can direct various department managers to
                  ' implement action plans to prevent incidents and events. The
                    Plant Evaluation group follows-up on these action plans and
                    tracks them to completion. The Manager, Plant. Evaluation,
                    reports directly to the Vice President, Nuclear Operations.
                  'This ensures that Plant Evaluation group recommendations
                    receive more than a cursory review by the applicable department
                    manager. Furthermore, this reporting arrangement ensures that
                    the Manager, Plant Evaluation, is seldom placed in the position
                    of directly criticizing his supervisor.
L                  Inputs to the evaluation process come from many sources not
                    directly related to any single quality verification                  ,
                    organization. Examples of these inputs include:
                    .    Industry operating experience reports - These include
                          USNRC Notices and Bulletins, INPO Significant Event
                          Reports (SERs) and Significant Operating Event Reports
                          (SOE2s), and various vendor technical' bulletins.
                    .    In-house operating experience - This is gathered            j
                          extensively from Plant Incident Reports and Licensee Event    j
                          Reports.                                                      I
                                                                                        I
                  -.    Regulatory issues 'These include generic letters, USNRC      ]'
                          Office for Analysis and Evaluation of Operational Data
                          (AEOD) reports, and reports from industry groups such as
                          EPRI and Nuclear Safety Analysis Center.
                                                                                        l
                    .    Nuclear Network - This is basically an information            )
                                                                                      1
                          exchange system that CPSES can sccess to learn of industry
m=  ____ _ _ _ = -                                                                    I
 
                                            '
              :is.
]                'qL*f.
              .                          >
. .g#              s    _
  < #
g    ,                4
                                                                          11~
                                                events.- Essentially,'the network serves as a means for
L                                                nuclear utilities to communicate with one another
                                                concerningl areas of-industry interest.
                                            .    Monitoring ^of plant activities - This is accomplished by
,                                              direct observation of plant activities by performance
                                                assessment specialists.. These individuals have specific.
                                                experience in the areas of' electrical and mechanical
                                                maintenance,. instrumentation and-control, chemistry,        f
                                                radiation protection, and operations.                        j
                                            Once these inputs are received, they are analyzed from a plant
                                            performance perspective; i.e., are.they indicative of'past,
                                            present, .or future plant problems? LIf so, then recommendations
                                            to correct or avert problems can be formulated.
                                            The performance analysis activities take many, forms:
                                            .    The Independent Safety.' Evaluation Group'(ISEG) can conduct
                                                a' nuclear safety issue review. From this,.the ISEG can-
                                                make specific recommendations. ISEG activities and the
                                                status of ISEG' recommendations are addressed in a monthly
                                                activity status report.
                                            .-  The Human Performance Review group can conduct a human
                                                performance evaluation. This entails performing a            i
                                                root-cause analysis using INPO guidelines. .'From the
                                                evaluation,-specific recommendations are made. The
                                                results of the evaluation together with the-
                                                recommendations'are fed back to the INPO data base as well
                                                as directly to CPSES.
                                            .    Industry' Operating-Experience Reviews (IOERs)'can be
                                                conducted. From these reviews, " lessons learned" can be
                                                extracted and specific recommendations can be'made to
                                                address the given issues. 'Mcreover, feedback from the
                                                reviews is made available to CPSES personnel by means of a
                                                monthly report and a " video magazine." Review results are
                                                also put into the Industry Operational Experience Report
                                                data base.                                                    ,
                                                                                                                )
                                            .    Data is collected on NRC, INPO, and CPSES performance        l
                                                indicators. This. data is reported monthly in the Nuclear      l
  ,
                                                Operations Monthly Report on performance indicators.
                                            .    Plant Trip Reduction reviews are conducted as a part of
                                                the effort to improve plant reliability. Performing
                                                single-point failure analyses is one aspect of these          ;
                                                reviews.                                                      i
                                                                                                              l
                                                                                                              "
B                                            .  All NRC open items that are assigned to nuclear operations
                                                are tracked and statused on a regular basis. This ensures    ]
L                                                                                                              l
                                                                                                                1
                                                                                                                !
                                                      .
W      -__-_____w.        - _ _ _ _ _ _
 
          - -                                                      _-    _ _ _ . _ _ _ _ _ _
                                                                                              _ _ - _
          -..
              .,
-
    ;. .
r    ..
                                                12
                                                                                                        1
                                                                                                      1
                                                                                                      )
                      that the items are reviewed in a timely manner to
                      determine their readiness for presentation to the NRC for
                      closure.                                                                          j
                                                                                                        !
                  The NRC inspector performed a detailed analysis of selected                        #
                  issues.  In doing so, his aim was to understand the issues, to
                  determine why the issues did or did not lead to plant problems,                        !
                  and to determine what roles the Plant Evaluation group and                          i
                  CPSES upper management. played in addressing the issues. The                          j
                  issues are discussed in detail in the following paragraphs.                          l
                                                                                                      ,
                  a.  Failure of protective coatings in pipes and heat
                      exchangers: This issue is an example of a situation in                        ;
                      which the applicant failed to relate the significance of a
                      particular industry event to CPSES. This issue arose from
                      an INPO SER (68-83). This SER identified a pipe-coating                        .
                      failure at the Palo Verde Nuclear Station. The applicant                      ]
                      received the SER, performed an IOER review, and resolved                      '
                      the issue as not being a problem at CPSES. The
                      justification for this stemmed from an architect-engineer
                      opinion for which no sound technical basis was provided.
                      Moreover, the applicant missed another opportunity to
                      appreciate the significance of the issue. This
                      opportunity occurred during the applicant's review of NRC
                      Information Notice 85-24, " Failure of Protective Coatings
                      in Pipes and Heat Exchangers." Essentially, the applicant
                      relied merely on the earlier resolution of the initiating
                      report, SER 68-83.
                      The NRC, in inspection report 50-445/88-34; 50-446/88-30,
                      documented these shortcomings in the Plant Evaluation
                      group's evaluation process.as an open item (445/8834-0-02;
                      446/8830-0-02). The applicant resolved the open item by
                      raising the Plant Evaluation group's standards to demand
                      technical bases instead of accepting opinions.
                      Furthermore, the applicant rereviewed more than 750 NRC
                      Information Notices to ensure.that they were addressed to
                      the new standards. Based on a review of these two
                      actions, the open item was closed in NRC Inspection Report
                      50-445/88-47; 50-446/88-42.
                  b.  Loss of decay heat removal problems: This is an example
                      of 9 situations in which the applicant identified
                      potential operational problems involving decay heat                              l
                      removal before the decay heat removal issue required                          ]
                      regulatory response. The applicant initially became                              l
                      concerned when a series of five SERs involving operation                          !
                      at reduced reactor vessel level was received between 1981                        l
                      and 1984. Simultaneously, two SERs were received in 1981                          l
                      and 1984 that detailed events involving RHR pump damage                          j
                      due to inadvertent closures of RHR pump suction valves.                          I
                      These seven SERs became a major part of the input for an
                                                                                                        l
                                                                                                      1
%m--      _mmi_.      _
 
                                                                            _ - _ _ _ _ _ _ .
L      .<
          .
  ,.. +
    e
                                        13
              INPO study (SOER 85-4) on the loss of RHR capability in
              pressurized water reactors. Based on this study, the
              applicant decided to review operations, maintenance, and
              surveillance procedures for RHR conditions related to
              mid-loop operations. Furthermore, the applicant added an
              alarm to indicate RHR suction valve closure.
              Meanwhile, in 1984 CPSES experienced two events involving
              the RHR system: "RHR Pump Damage Due to Suction Valve
              Closed," Problem Report (PR) 84-495; and " Failed - Open
              RER Relief Valve During the 1984 HFT Program," PR 84-428.
              These two in-house events spurred the applicant to perform
              an ISEG review (85-96) that dealt with overpressure
              protection during RHR operation. From this review, five
              recommendations were issued and implemented.
              Later, in 1986, numerous SERs'were received that detailed
              more events dealing with operation at reduced reactor
              vessel level. These were documented by the NRC in
              Inspection and Enforcement Notice (IEN) 86-100, " Summary
              of Loss of RHR Events Due to Loss of Fluid Level in
              Reactor Coolant Systems." Shortly thereafter, NUREG 1269,
              "Diablo Canyon Loss of RHR Event, April 1987," was issued
              by the NRC. This NUREG identified the possibility of
              sudden core uncovery during mid-loop operation. The
              applicant used the input from this NUREG and from
              IEN 86-101 in conducting ISEG review 87-01. This ISEG
              review studied the applicant's control of reactor vessel
              level during shutdown. From it came fifteen
              recommendations.  These recommendations addressed
              training, procedures, level indication, temperature                            i
                                                                                              ~
              indication, and RHR system performance monitoring.
              Therefore, when the NRC issued Generic Letter (GL) 87-12,
              which requested information from licensees on mid-loop
              operation practices, the applicant was ready with a
              response. Shortly after the GL was issued, the NRC issued
              another IEN (88-36). It notified licensees of the
              possibility for sudden loss of RCS inventory during low
              coolant level operations. By the time GL 88-17 was
              issued, which set forth NRC requirements for actions on
              loss of decay heat removal, the applicant had already
              determined that improved level instrumentation and a
              correlation of vessel level with loss of pump suction were
              needed. Following the 1989 HFT program, the applicant
              completed an RHR vortexing test to correlate the vessel
              level with pump suction indications. The timeliness with
              which the applicant performed the vortexing test can be
              attributed to the applicant's prompt reaction to the
              RHR-related events.
            c. Instrument air system problems: This issue is an example
              of a situation in which the applicant successfully
                                            __.        ._. .___________________-_-___N
 
                                                                                  _ - -
                    .
    ,
            w +-
                e-
  l-                                            14
                        resolved a significant issue. This issue arose from
                        numerous prs that documented a variety of instrument air
                        system problems, numerous industry events (including the
                        TMI accident), and two previously conducted ISEG reviews
                        (one dealing with loss of cooling from the refueling
                        cavity and the other dealing with the loss of feedwater).
                        Based on these inputs, an ISEG review, " Instrument Air
                        System Reliability Review" 86-01 was initiated. This
                        review quantitatively identified the contributors to the
                        unreliability of the instrument air system. The review
                        concluded that the surveillance, testing, and maintenance
                        activities on the instrument air system had not been
                        sufficient to maintain reliable system operation. The          [
                        review also concluded that the expertise and coordination
                        necessary to ensure reliability had not been effectively
                        applied to the system.  Finally, the review recommended
                        specific corrective actions:
l
'
                        ..  Assigning overall responsibility' and accountability
                            for instrument air system reliability to a single
!                            individual or group.
                        .    Repairing / calibrating specific components.
                        .    Installing additional air receiver capacity in the
                                                                                        '
                            plant.
                        .    Modifying specific portions of the system.
                        .    Making numerous program and practice changes.
                        These recommendations were sent to the Vice President,
                        Nuclear Operations. After consulting with all affected
                        managers, the vice president ensured that each
                        recommendation was resolved. In all cases, each
                        recommendation was specifically implemented or an
                        acceptable alternate course of action was taken.
I
'
                        The manner in which this issue was resolved has resulted
                        in a significantly more reliable instrument air system.
                        This is evident from the greatly reduced number of plant
                        incident reports dealing with the system and from the fact
(                      that the 1989 HFT program was completed without the system        ,
                        delaying testing.  It is significant that the Manager,        i
                                                                                          I
                        Plant Evaluation, attributes the improved system
                        reliability mainly to the establishment of the system
                        engineer as the central point of responsibility for system
                        reliability.
                        By interviewing the Manager, Plant Evaluation, and by            l
                                                                                          '
                        reviewing plant records, the NRC inspector has concluded
                        that the quality verification process has greatly improved
                                                                                          i
                                                                                          !
    _ _ _ - - _      -
 
        _i                                                                    }
          .s
                                                                                .
  4.  %
  ..-
                                              15
                    over the.last several' years.  The Manager, Plant
                    Evaluation, attributes this mainly to a greater management i
                    awareness of the quality verification process. Basically,.  4
                    this greater awareness has resulted in a major change in
                    philosophy in how plant management deals with
                    recommendations. No longer are recommendations issued-      '
                                                                                  .
                    directly to individual line managers; instead, they are
                    issued directly to the Vice President, Nuclear Operations.
                    Also, over the last several years, the individual line
                    managers have increasingly recognized and supported the
                    role of the Plant Evaluation group. This has resulted in
                    a more rapid resolution and implementation of
                    recommendations made by the Plant Evaluation group.
                It is significant that'as the nuclear industry's view of the
                role of independent evaluation groups has matured,.the
                applicant has made changes to the Plant Evaluation program to
                maintain its effectiveness.- One exarple of a change to the
                Plant Evaluation group was the removal of the ISEG from direct
                control of the Plant Evaluation group.- The ISEG now reports to
                the Director of Technical Interface. This individual, in turn,
                reports to the Vice President, Nuclear Engineering. This
                change should further strengthen the independent overview
                capability of the ISEG.
                In summary, the NRC' inspector has concluded that the
                applicant's quality verification process at the Plant
                Evaluation level has improved significantly over the last
                several years. Again, this conclusion was reached without a    J
                reexamination of the other " quality" groups. Those groups have
                been the subject of previous NRC inspection reports.
                No violations or deviations were identified in this area of the
                inspection.
            '7. Audit Program for Operations (35741)
                The purpose of this NRC inspection was to ascertain whether the
                applicant has developed and begun the implementation of a
                program for auditing operations activities that is in
                conformance with regulatory requirements. This objective was
                accomplished by the review of site procedures for controlling
                audits related to these activities, audit schedules,
                qualifications of audit personnel, and a detailed review of two
                recently completed audits.
                The NRC inspector reviewed Section 17.2.18 of the CPSES FSAR
                and Section 6 of the CPSES proposed technical specifications.
                The FSAR p:tovided commitments consistent with the applicable
                portions cf Regulatory Guide 1.33 and ANSI N45.2.12. The CPSES
                technical specifications, while still under NRC review,
                appeared to provide appropriate commitments for the audit of
__
 
            ___
  .
        .<
        -.-
    .s'
    *.
                                              16
                operation's activities. The audit program is further
                delineated'in Section 18.0 of the TU Electric Quality Assurance
                Manual (QAM) and lower tier procedures.
                For this inspection, the NRC inspector reviewed the following
                documents: (1) the TU Electric QAM; (2) Procedure NEO 3.07,
                " Management Response to Audit Deficiencies"; (3) Procedure
                NQA 3.07, " Quality Assurance Audit Program," and (4) Procedure
                NQA 1.16, " Indoctrination, Training and Certification of
                Auditors and Lead Auditors." These procedures were determined
                to provide appropriate requirements and methods for a
                comprehensive audit program. This audit program was required
                to be performed by trained and qualified auditors and lead
                auditors who were sufficiently independent of the activity      j
                                                                                '
                being audited. Further, these procedures provided that the
                audits be performed utilizing prepared checklists and that
                written reports of audit results be issued to the management of
                the audited organizations. Deficiencies identified during the
                performance of audits were required to be communicated to
                management at post audit meetings and documented as audit
                deficiencies in the audit report.
                Written response from the audited organization is procedurally
                required unless the audit deficiency was determined to have
                been adequately addressed during the audit. The NRC inspector
                determined that the above requirements, and the designation of
                personnel responsible for the performance of the above
                requirements, were adequately delineated in the procedures.
                To verify proper implementation of the above requirements, the
                NRC inspector reviewed: the audit schedule for 1989,
                documentation relative to two recently completed audits, and
                evidence of the lead auditor's qualifications for each of the
                two audits.
                Review of the 1989 audit schedule showed that an annual audit
                schedule was issued that included audits of all areas required
                by the QA program. Further, the audit schedule is updated
                quarterly to assess the need for additional or supplemental
                audits.  Review of the audit schedule also indicated that
                audits were completed in accordance with the schedule, or as in
                the case of three TAP audits, were rescheduled due to
                insufficient progress in the area to be audited.
                Procedure NQA 3.07, " Quality Assurance Audit Program,"
                Revision 1, provides for the auditing of those areas
                specifically required by Section 6 of the proposed CPSES
                Technical Specifications. The NRC inspector considers this
                provision to be adequate; howcVer, discussion with audit          '
                personnel indicates that the applicant is considering a more
                comprehensive program for the assurance of conformance to the
l
l
 
  !.
    -
            . .
  '
              .                                                                    ,
  ,...    -                                                                      1
    ..
                                              17                                4
                technical specifications.- If implemented, such a change should
                enhance the current program.
                The two audits selected for review by the NRC inspector were
                audit TUG-88-22 on nonconformance and deficiency reports, and
                audit TUG-88-23 on test control and operations testing. The
                NRC inspector determined from review of applicable
                documentation that: (1) each of the audits had been performed
                by lead auditors and auditors qualified to the requirements of
                ANSI N45.2.23 (1978),-(2) audit checklists were sufficiently
                detailed and addressed compliance with applicable regulatory
                requirements as well as procedural compliance, and (3) audit
                TUG-88-22 was completed and issued in a timely manner.          ,
                Correspondence and closeout of the one audit deficiency for      !
                TUG-88-22 was also timely.
                During the NRC inspector's review of the above audits, two
                deficient conditions were noted. Contrary to the requirements
                of NQA 3.07: (1) signed receipt acknowledgement forms were not
                being obtained from all audited organizations. and (2) the
                audit report for TUG-88-23 was not issued wit: :n 30 days of the
                post audit meeting.
                The NRC inspector discussed the failure to obtain signed
                receipt acknowledgement forms with the QA audit supervisor.
                The supervisor provided the following information: (1) as shown
                by'the distribution list, copies of the audit report were sent
                to each audited organization; (2) signed receipt
                acknowledgement forms were obtained from those organizations
                with deficient conditions; and (3) an office memorandum had
                been issued by the audit department to address this issue. The
                NRC inspector reviewed the' distribution list and'the office
                memorandum and agreed that the issue appeared to be adequately
                addressed.
                Regarding the failure to issue the audit report for TUG-88-23
                in a timely manner, the NRC inspector determined the following:
                (1) the lead auditor is normally responsible for preparation of
                the audit report, (2) the lead auditor for TUG-88-23 had been
                transferred from the audit department prior to the audit report
;              being issued, (3) Deficiency Report (DR) C-89-0049, issued in
j              February 1989, noted that issuance of audit report TUG-88-23
j              and 11 other audit reports were delinquent, and (4) that audit
                report TUG-88-23 was ismaed May 2, 1989. The NRC inspector      j
r
                reviewed the corrective actions and actions to prevent
L
                recurrence specified by DR C-89-0049. Those actions included
                providing more time between audits for preparation of reports
,
                and issuing a memorandum to the audit staff reemphasizing the
l              need to comply with the time requirements of NQA 3.07. The NRC
                inspector deems those actions to have been appropriate;
                however, the NRC inspector believes a significant weakness in
                the audit program may still exist in that the audit report for
l
l
        ._
 
          .
    -,
,4
  .-
                                              18
                TUG-88-23 was still not issued for over two months after being
                identified as delinquent in DR C-89-0049.
                In summary, with the exception of the untimely issuance of          j
                audit report TUG-88-23, it appeared that the applicant had          4
                established and implemented an adequate audit program.
                No violations or deviations were noted during this inspection.
            8. Document Control for Operations (35742)
                During this inspection period, the NRC inspector performed a
                review of the CPSES QA program to ascertain whether
                administrative controls for the control, issuance, and
                maintenance of required documents had been established and that
                those controls were being implemented.
                As reported in NRC Inspection Report 50-445/88-27;
                50-446/88-23, the NRC had inspected in detail the CPSES program
                for the control of manuals and procedures.  Also, the applicant
                is currently reviewing the maintenance and control of
                procedures and manuals under CAR 89-02. Therefore, the NRC
                inspector focused this inspection on the program for control,
                issua.;ce, and maintenance of those drawings routinely used by
                plant operations organizations.
                The NRC inspector reviewed such documents as the CPSES FSAR,
                the proposed technical specifications, and the TU Electric QA
                manual to verify.that the applicant had provided for the
                establishment of a document control program that was in
                conformance with regulatory requirements. The NRC inspector
                determined that the applicant had provided for the
                establishment of a document control program that was in
                conformance with the requirements of Appendix B of 10 CFR
                Part 50, Regulatory Guide 1.33, and industry standard ANSI
                N18.7 (1976). These documents require that measures be
                established to control the approval, issuance, distribution,
                and, as necessary, revision of documents affecting quality.
                Further, these docuTrnts require that such documents be
                available and used at the location where prescribed activities
                are. performed. The details of the applicant's document control
                program for the operations phase are currently contained in
                STA-306, "liuclear Operations Document Control," PC 2.13-02,
                " Distribution Control," and NEO 5.15, " Control of Vital Station
                Drawings." Other procedures such as ECE 2.13-01, " Document
                Control Instructions," and ECE 2.13-02, " Processing of Field
                Det.ign Changes," provide requirements and methods by which
                engineering provides approved drawing revisions or design        '
                changes to the document control group for distribution.
                The NRC inspector reviewed these procedures and determined that
                they provided adequate delineation of the responsibilities and
        _-
 
                . -          -                          - - _ _
          .
          .- G                                                                          i
    A4    .+                                                                            '
    7n*.
      ..                                                                                ;
                                                                                        s
l''                                                19                                  j
                                                                                        i
t
'
                                                                                        (
                    the methods by which approved drawing' revisions and design        i
                    changes are:'(1) entered into the CPSES document control data      l
                    base;-(2). issued, as needed, to work groups and updated when      i
                    design changes or revisions affect the issued document; and
                    (3) distributed and maintained at locations such as the            !
  i                . operations control room and'the maintenance department.    To
                    assess'that the~ documents maintained at these locations were
l                  ' current, the NRC inspector' reviewed four aperture cards and      1
L
'
                    26. drawings.  These drawings and aperture cards had been issued
                    to eight different control locations.- Four of these controlled
                    locations-were located-in maintenance and four were in the
                    : control room, lDf the 30 documents inspected, the NRC inspector
                    found one aperture card and six drawings that were not at the
                    current revision. .This: condition was discussed with personnel
                    from.the operations' document control. center (Operations DCC)
                    and the'following information was provided.    In accordance with
                    STA-306, the operations'DCC11s responsible to maintain all
                    drawings and design changes in a timely manner. Vital station
                    . drawings, those drawings determined by Nuclear Operations as
                                .
                    being vital to safe plant operation are required to be
                    maintained.within two days of' receipt of drawing. revisions or
                    design: changes.  Further, prior to3using the controlled
                    drawings issued to' the maintenance (n: control room groups, the
                    user is required to verify the status of the drawing by
                    accessing the Field Design" Change and-Review Status Log
                    (FDCRSL) data base. 'This.last requirement-is included in
                    STA-306 to~ assure that the user will be informed of the most
                    current status of the drawing and if'there are any outstanding
                    DCAs against the drawing. The NRC inspector then reviewed the
                    six drawings and the one aperture card against the recorded
                    date when Operations DCC had received the documents, all had
                    .been distributed within the two day' time requirement of
                    STA-306. .A weakness was noted in this area.- Of the seven
                    documents identified above, all were released or issued by
                    engineering at least seven days before being received by
                    Operations DCC for distribution.
                    The applicant has established a document control program for
                    Operations that meets regulatory requirements and the
                    -implementation of the program appears satisfactory. On this
                    basis, . the NRC inspector determined: that the applicant's
                    document control program for Operations was satisfactory for
                    the area of drawing and design change control.
                    No violations or deviations were identified during this
                    inspection.
              9.    Maintenance Program for Operation (35743)                          l
                    This portion of the inspection involved a maintenance program
                    review to ascertain whether the applicant has developed and
                                                                      ~
                    implemented a quality assurance program that is in conformance
_
 
          _-
        .;
        +
  9  %
    .
                                          20
E
            with proposed technical. specifications, regulatory
            requirements, industry standards, and written commitments.
            During the inspection, the NRC inspector reviewed the following  i
                                                                              '
            procedures and maintenance work packages:
            .    Procedure STA-623, Revision 3, " Post Work Testing," dated
                  September 15, 1988.
.
'
            .    Procedure STA-731, Revision 0, "ASME Section XI, Repair
                  and Replacement Activities," dated September 7, 1988.
            .    Procedure STA-711, Revision 2, "ASME Section XI, Pump and
                  Valve Inservice Testing," dated April 6, 1988.
            .-  Procedure STA-605, Revision 6, " Clearance and Safety
                  Tagging," dated June 22, 1988.
            .    Procedure STA-606, Revision 9, " Work Requests and Work
E                Orders," dated November 21, 1988.
            .    Procedure CP-SAP-6, Revision 15, " Control of Work on
                  Station Components After Release From Construction to
                  Startup," dated November 20, 1988.
            .    Operations Department Administrative Manual ODA-308,
                  Revision 0, "LCO Tracking Log," dated September 27, 1988.
            .    Electrical Maintenance Manual EMP-210, Revision 0,          $
                  " Troubleshooting Guidelines," dated December 31, 1987.
            .    Surveillance Test Procedure INC-7757A, Revision 4, " Analog
                  Channel Operational Test and Channel Calibration - Reactor
                  Coolant System Wide Range Temperature, Cold
                  Overpressurization System and Wide Range Pressure
                  Channels 413B, 423B, 433A, 443A, and 403," dated August 3,
                  1988.
            .    Mechanical Maintenance Procedure MSM-CO-6843, Revision 0,
                  "Limitorque SMB-000 w/HBC Maintenance," dated January 30,
                  1989, with Work Order C880001416, dated March 23, 1988.
            .    Mechanical Maintenance Procedure MMI-811, Revision 0,
                  " Fisher Globe Control Valve Rework," dated February 4,
                  1985, with Work Order C890000546, dated January 25, 1989.
            Review of the above procedures and work packages by the NRC
            inspector verified that procedures for initiating requests for
            routine and emergency maintenance have been established.
            Criteria for review and approval of maintenance requests, the
            basis for designating the work as safety /nonsafety related, and
            requirements for inspection activities have been established.
            Furthermore, provisions for designating quality control
                                                                              l
 
                                                                                      ~~
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                                                  21
I                    inspection hold points have been proceduralized along with the
                    methods and responsibilities for postmaintenance functional
                    testing.  In addition, administrative controls for maintenance
                    activities requiring maintenance records to be prepared,
                    assembled,.and reviewed prior to transferring to storage have
                    been established. Procedures and responsibilities for review
                    of completed maintenance work packages have been assigned along
                    with responsibilities for the identification of deficiencies,
                    trending, and problem analysis. Controls for equipment release
                    during maintenance activities have been implemented such that
                    technical specifications are reviewed and sole responsibility
                    for release control resides with the shift supervisor.
                    Provisions and procedures for tagging equipment and independent
                    verification inspections have been established and implemented.
                    Furthermore, the applicant has provided detailed instructions
  ,                for the control of special processes, cleanliness, and
                    housekeeping.                                                        j
                    During the above review, the NRC inspector noted that the
                    applicant's procedural requirements for ASME Section XI repair
                    and replacement activities require the completion of ASME
                    Section XI Form.NIS-2 subsequent to work accomplishment. The
                    applicant's procedures for preparing the periodic ASME
                    Section XI summary report require identifying the quality
                    control inspector that witnessed the specific
                    repair / replacement activities; however, the NIS-2 form does not
                    presently require identifying the QC inspector. Revising the
                    NIS-2 form to include the QC inspector would simplify the
                    summary report preparation process. This observation was
                    presented to the applicant for consideration.
                    In addition, the NRC inspector reviewed procedures related to
                    post work testing and a recent audit TUG-88-23. The NRC
                    inspector concluded that the applicant's present measures for
                    post work test report (PTR) tracking may not fully and
                    adequately address the complete dispositions of PTRs. As noted
                    in audit TUG-88-23, the applicant identified a number of
                    specific PTRs for which documentary evidence could not be
                    substantiated. The resolution of these PTRs and measures for
                    adequate and effective tracking of PTRs shall remain an open
                    item (445/8932-0-02).
                10. Surveillance' Testing and Calibration Control Program for
                    Operation (35745)-
                    The purpose.of this inspection was to determine whether the
                    applicant has developed programs for the control and evaluation
                    of:
                                                                                          (
                    .    surveillance activities (testing, calibration, and              !
                          inspection) required by Section 4.0 of the CPSES Technical
                          Specifications.
 
                                                                                  _
          , , . .
              . .
    ,
      + ..
    ~4
                                                22
                  .    Calibration of safety-related instrumentation not
                      specifically controlled by Technical Specifications.
                  .    Inservice inspection of pumps and valves as described in
                      10 CFR Part 50.55a(g).
                  During this inspection, the NRC inspector determined that the
                  applicant uses a computer program (data base), the Managed
                  Maintenance Computer Program (MMCP), to store, track, retrieve,
                  and update data related to surveillance testing, calibrations,
                  and in-service inspections. Using this program, the applicant
                  generates numerous status reports and schedules for these
                  activities,
                  a.  Inspection of the surveillance test program: For
  ;
                      surveillance test program purposes, in addition to the
                      various reports and schedules generated by the MMCP, the
                      applicant uses a controlled document, the Master
                      Surveillance Test List (MSTL), as a line-by-line listing
                      of each of the Technical Specifications, Section 4.0,
                      surveillance requirements. For each listing, the required
                      frequency, applicable procedures, and applicable plant
                      modes are stated.
                      For tracking, scheduling, and statusing the surveillance
                      requirements, three different reports are generated from
                      the MMCP. These reports are described below.
                        .    Surveillance. Activity Verification Report. This
                            report lists, by procedure number, the surveillance
                            requirement, the required frequency, the
                            applicability (Plant mode), and the responsible plant
                            group.
                        .    Surveillance Activity Monitoring Report. This report
                            serves as a "look-ahead" schedule for those
                            surveillance activities that are scheduled for the
                            next six weeks. This schedule lists a due date, the
                            date the activity is to be performed, and the
                            extended date due (considering the time tolerance
                            permitted).
                        .    Surveillance Activity Applicability Report. This
                            report is used to ensure that prior to changing plant
                            modes, all required surveillance activities have been
                            completed.
                      The inspector reviewed the three reports described above
                      and the procedure that establishes the requirements for
                      the surveillance test program, STA-702, " Surveillance Test
                      Program," Revision 7. In the review, the inspector
i                      concluded that the applicant has:
                                                                                    {
l                                                                                    {
!                                                                                    I
 
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        .*
          .
  .  g
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            .,                            23
                  .    Established a master schedule (via the MMCP data
                      base / reports) for tracking surveillance activities.
                      This schedule addresses required frequencies, plant
                      group responsibilities, and surveillance activity
                      status.  This schedule, comprised of the three
                      reports described above, is described in STA-702 and
                      STA-677, " Preventive Maintenance Program."
!
                  .    Assigned in writing the responsibilities for
                      maintaining the master surveillance test schedule
                      up-to-date. STA-702 states that the Surveillance
                      Test Coordinator is responsible for the day-to-day
                      coordination and oversight of the Surveillance Test
                      Program and ensuring compliance with the applicable
                      requirements.  STA-702 states, furtier, that the
                      individual Nuclear Operations managers are
                      responsible for schedule development, implementation,
                      and review / approval of surveillance test results.
                  .    Established formal requirements for conducting
                      surveillance' tests, calibrations, and inspections in
                      accordance.with approved procedures.    STA-702
                      requires each assigned department to develop
                      procedures required by the MSTL to meet the
                      requirements of the assigned surveillance.
                      Furthermore, STA-702 states'that each surveillance
                      activity shall be accomplished in accordance with the
                      applicable procedure.
                  .  Defined formal methods and responsibilities for
                      reviewing and evaluating surveillance test data.
                      Sections 6.5 and 6.7 of STA-702 address the
                      review / approval of surveillance activity results as
                      well as the failure to meet acceptance criteria or
                      the failure to perform surveillance activities.
                  .  Assigned responsibility for assuring that required
                      schedules for all activities are satisfied. These
                      responsibilities are addressed in Section 5.0 of
                      STA-702. Basically, the individual Nuclear
                      Operations managers are responsible for developing
                      and implementing the schedule. The surveillance Test
                      Coordinator is responsible for the day-to-day
                      coordination and oversight of the surveillance test
                      program and for ensuring compliance with the
                      applicable requirements,
              b. Inspection of calibration activities for those
                  safety-related components not identified in Technical
                  Specifications: Essentially, these components are
                  instruments used to meet the Technical Specifications      -
                  surveillance requirement. The applicant controls the        .
(
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      4 *
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    ..
                                                    24
                                                                                        l
                          calibration of these instruments by using Procedure          i
                          STA-677, " Preventive Maintenance Program," Revision O.
                          For the tracking and statusing of these calibrations, the
                          Instrumentation and Control (I and C) department uses a
                          report generated by the MMCP. This report describes the
                          instrumentation calibration requirements, lists the
                          required frequencies, describes the equipment status, and
                          lists the applicable procedure and responsible plant
                          group. For scheduling purposes, a report entitled
                          " Backlog Analysis Listing" is generated from the MMCP.
                          This report lists the instruments, by.name and tag number,
                          and gives a calibration due date. For statusing purposes,
                          the MMCP can generate a report that contains equipment
                          histories.
                          The NRC inspector reviewed Procedure STA-677 and the
                          various reports that the MMCP can generate. In this
                          review, the inspecror concluded that the applicant has:
                          .    Established a master schedule (via the MMCP data
                                base / reports) for the tracking of calibrations needed
                                for instrumentation used to meet CPSES Technical
                                Specification requirements. These reports, described
                                previously, call out the required calibration-
                                frequencies,.the plant groups responsible for
                                performing the calibration, and the calibration
                                status.
                          .    Assigned in writing the responsibility for
                                maintaining the master calibration schedule
                                up-to-date.  STA-677 states that the I and C manager
                                is responsible for scheduling, executing, and
                                documenting the completion of the instrument
                                celebrations. STA-677 states, further, that the
                                Results Engineering manager is responsible for
                                overall preventive maintenance (including instrument
                                calibration activities) program management.
                          .    Established formal requirements for performing
                                component calibrations in accordance with approved
                                procedures that include acceptance criteria.
                          .    Assigned responsibility for assuring that required
                                component calibration schedules are satisfied, for
                                which the I and C manager is responsible.
              c.          Inspection of the program for performing inservice
                          inspection of pumps and valves required by 10 CFR
                          Part 50.55a(g): The applicant uses the Inservice Test
                          (IST) program plan as a controlled document that lists the
                          Class 1, 2, and 3 pumps and valves that are subject to
                          inservice testing. This document contains the basic
a          -_    . - _ _ _      . - . .
 
          -
I,    .+
                ,
        -
. 'i
    '
  w
                                      25
              requirements, the required frequencies, and the
              requirements for relief-from-testing. In addition to this
              document, the applicant uses procedure STA-711, "ASME
              Section XI Pump and Valve Inservice Testing," Revision 2,
              to describe the implementation of tne ASME Section XI pump
              and valve IST program.
            -For tracking, scheduling, and statusing, the applicant
              uses reports and schedules generated by the MMCP. These
              reports and schedules describe the test requirements, list
              the required frequencies, list the applicable procedures
              and responsible groups, and give the due dates and the
              date the activity is to be performed.
            The NRC inspector reviewed Procedure STA-711 and the MMCP
              generated reports. In the review, the NRC inspector
            determined that the applicant has:
              .    Established a master schedule (via the MMCP data
                  base / reports) that' tracks inservice test activities.
                  The reports, described previously, call out the
                  required test frequencies, the plant groups
                  responsible for performing, and the test status.
              .    Assigned in writing the responsibility for
                  maintaining the master inservice test schedule
                  up-to-date. STA-711 states that the Results
                  Engineering manager shall appoint a Nuclear
                  Operations IST program coordinator (IST coordinator)
                  to implement the IST program in accordance with
                  Procedure STA-711. Furthermore, STA-711 states that
                  the Results Engineering manager is responsible for
                  ensuring that the IST program is controlled as part
                  of the Surveillance Test Program. Finally, STA-711
                  states that the IST program coordinator is
                  responsible for the implementation of the IST program
                  and is also responsible for developing and                    j
                  coordinating the input to schedule all required ASME          '
                  Section XI pump and valve tests.
              .    Established formal requirements for conducting
                  inservice tests in accordance with approved
                  procedures that include acceptance criteria. As
                  described in paragraph 10.a, above, STA-702,
                  " Surveillance Test Program," Revision 7, requires
                  that each assigned department develops the procedures          ,
                                                                                  '
                  required by the MSTL to meet the requirements of the
                  assigned surveillance. STA-702 also states that each
                  surveillance activity shall be accomplished in
                  accordance with the applicable procedures.
                  Therefore, because the IST program is controlled as a
                  portion of the surveillance test program (STP), the
                                                                          _ _ _
 
                                                                                        _ _ _ _ __
u,
          y '* :'
                .
                                                                                                    ,
                                                                                                    '
lf*
V :o                                                                                                l
            ,
                                                      26
      .
                                    applicant'has adequately established formal
                                  . requirements for conducting IST activities as well as
                                    surveillance activities in accordance with approved.
                                    procedures.that include acceptance criteria.
L                            .    Assigned responsibility for assuring that required
                                    schedules for all inservice activities are met.
                                  'Again, because the IST program is controlled as a
>
  '
                                    portion of the STP, the individual Nuclear Operations
t                                  managers are responsible for.IST schedule
                                    implementation. The IST program coordinator is
                                    responsible for overall implementation of the IST
                                    program.
                              In summary, no violations or deviations were identified in
                              the areas inspected. One minor weakness was, however,
                              identified by.the applicant during the inspection.      Catts
                              weakness involved the applicant's failure to adequately
                            Laddress the review of-technical specification-based
                              operator,. chemistry,.and. health physics logs in' Procedure
                              STA-702,1" Surveillance Test Program," Revision 7.
                              Basically, the applicant'had addressed only those
    14
                              surveillance activities that involved: surveillance work
    *
        .
                              orders. The applicant has corrected this by adding,.to
                              section 6.5'of STA-702, a. paragraph.that addresses the
                              review of operator, chemistry, and health physics logs.
                              Essentially, the logs will be reviewed by either
                              Operations engineering, or Results engineering. The.NRC
                              inspector is satisfied with the applicant's. resolution of
                              this weakness and:has no further concerns. It should be
                              noted that while this' inspection has dealt with the
                              control and evaluation of the surveillance safety-related
                              calibration, and inservice inspection programs,.the
                              implementation of these~ programs will be the subject of an
                              NRC inspection to occur within the first six-month period
                              of plant operation.
                  11.  Records Program for Operations (35748)
<
                        ThiF 2nspection WaS to verify that the applicant has
                        estat11shed a program for the control of records generated
                        during preop testing, startup, and plant operation. The
                        Records-Management Program (RMP), which is related to both
;.                      construction and operation records, has been previously
                        inspected by the NRC (Inspection Report 50-445/88-10;
                        50-446/88-08, and subsequent follow-up reports).      While '.his
                      , inspection is related more to operations, the facilities and              .
                      . procedures are the same.
                      .The types of records to be accumulated and maintained are
                        identified in the Operations Master Records Index. The types
                        of records listed in this index include those that would be
                  -    _-      __
 
            _ - _ _
          .*
          .
  ,
    *  e
    ..C
I                                          27
            generated during, and in support of, plant operations; e.g.,
            operating logs, recorder charts and computer printouts, plant
            modifications and changes, test results, reportable items and
            events, personnel documents, preop and startup tests, various
            committee meeting minutes, and special test experiment results.
            The Records Type List (RTL) described and presented in
            Section 2 of the Records Management Program Manual, is divided
            into nine major functional areas. .These functional areas are
            further subdivided such that all classifications of records can
            be uniquely identified using an alpha-numeric numbering system.
            The RTL provides a description of each record type, the
            organization releasing the record, the facility where the
            record is stored, the medium of the stored record (film, hard
            copy, etc.), the record retention time, and the requirements
            for retention. Each record in the Operations Master Record
            Index is cross referenced to the RTL, thus retention times are
            readily known.
            Procedures control the activities of.each organization that
            generates records. A section in each of these controlling
            procedures identifies the records that must be retained through
            implementation of the procedure. Within each organization, an
            individual is designated as the records turnover coordinator.
            In accordance with Procedure RMP 1.3.1, " Records Turnover
            Specifications and Turnover of Records," this coordinator
            prepares documents generated within their organization for
            transfer to RMP personnel. This process assures that the
            required records are captured and provided to the records
            program.
            As described in a previous NRC Inspection Report 50- 4 5/88-10;
            50-446/88-08, there are three records storage facilit.sr
            currently onsite: Operation Record Center (ORC), Project
            Records Center (PRC), and Engineering Records Center (ERC).
            Previous NRC inspections found the records centers to be in
            compliance with requirements and commitments. Each records
            center has a designated custodian. Those records generated by,
            or in support of, operations are retained in the ORC, together
            with some construction and engineering records. Radiographs
            and microfilm are stored in a room within the ORC that provides
            a temperature and humidity controlled environment. The ORC
            records custodian is responsible for the control and
            maintenance of the Operations Master Records Index.
            As with all records centers, the OFC restricts access to the
            storage area to RMP personnel. When necessary, others are
            permitted in the storage area, but only in the continuous
            presence of RMP personnel.
            The majority of the records are stored in open face rolling
            files.  The records are placed in folders in these files. An
                                                                            !
                                                                            4
 
    -
    *
  ,+
  .
                                                  28
                    alpha-numeric system of filing is used throughout for ease of
                    retrieval. Only for justifiable reasons, and with management
                    approval. may records be removed from RMP control. When this
                    does occur, the records are inventoried prior to release, then
                    reinventoried and inspected when the records are returned.
                    Procedure RMP 1.2.4, " Destruction of Records Retention Time
                    Complete," describes the controls for the eventual destruction
                    of some records. When the required retention time for a record
                    has been satisfied, notice is given to all related
                    organizations of the intent to dispose of the record. All
                    organizations must approve before the record is destroyed. A
                    similar process is employed when such records are held by
                    others, a vendor for example.
                    The NRC inspector. selected 14 types of records for inspection.
                    The records selected included plant incident reports, deferred
                    test reports, safety review committee meeting minutes, startup
                    reports, deficiency reports, corrective action reports, and
                    special test reports. These records were properly classified,
                    readily retrievable, properly filed, and stored as required.
                    The NRC inspector found the program for accumulation and
                    storage of operations records to be in accordance with
                    requirements, technical specifications, and FSAR commitments.
                    No violations or deviations were identified during the
                    inspection of the implementation of this program.
                12. Tests and Experiments for Operations (35749)
                    This portion of the inspection involved the review of the
                    applicant's quality assurance program related to testing and
                    experiments. During the inspection, the NRC inspector reviewed
                    the following procedures:
                    .    STA-401, Revision 15, " Station Operations Review
                          Committee," dated March 16, 1989.
                    .    STA-418, Revision 0, " Joint Test Group," dated February 2,
                          1988.
                      .  STA-602, Revision 5, " Temporary Modifications," dated
                          April 3, 1989.
                      .  NEO 3.12, Revision 1, " Safety Evaluations," dated March 1,
                          1989.
                    During the review, the NRC inspector verified that the
l
                    applicant has established measures for the review of proposals
i
                    for conducting plant tests and experiments involving
                    safety-related components, systems or structures, and
,                    operational conditions which differ from those described in the
      _ _ _ _ .
 
I      g*
      e,
                                                                                  1
                                                                                '
,
                                              29
                                                                                I
              FSAR.  Test and experiment proposals are reviewed, approved and
              authorized by responsible plant managers and performed in
              accordance with approved written procedures. Adequate controls
              have been established to assure complete, comprehensive review,
              and approval of test procedures and the accomplishment of
              written safety evaluations pursuant to 10 CFR Part 50.59.
              Furthermore,_the applicant has assigned responsibilities for
              assemblage and conductance of the station operations review
              committee (SORC) and for periodic summary reporting of 10 CFR    1
              Part 50.59 type tests and experiments. During the above            I
              review, the NRC inspector noted that whereas Procedure STA-401,
              defines criteria which constitute a quorum of the SORC, the        .
              procedure did not specifically require that the responsible      j
                                                                                '
              discipline SORC member / alternate attend the SORC review (e.g.,
              the. electrical maintenance manager / alternate should be present
1              during 10 CFR Part 50.59 safety evaluation reviews involving
              electrical issues). This concern was noted to the applicant as
              an observation. In addition, the NRC inspector noted that the
              applicant's procedures involving 10 CFR Part 50.59 safety
              evaluations do not reflect the guidances set forth in the
              NUMARC/NSAC 10 CFR Part 50.59 guidance document. In d.iscussion
              with applicant personnel, this matter is under review and
              revisions to existing procedures will be made. Review of the
              revised procedures (e.g., STA-401, STA-602, NEO-312, et.al.)
              for adequacy and action concerning the SORC quorum will remain
              an open item (445/8932-0-03).
          13. Measuring and Test Equipment Program for Operations (35750)
              During this report period, the NRC inspector reviewed and
              verified that the QA program developed and implemented by the
              applicant relating to the control of measuring and test
              equipment (M&TE) is in conformance with reg?>1atory
              requirements, commitments (in the application) and industry
              standards.
              The NRC inspector reviewed the following TU Electric procedures
              developed to ccmply with the requirements of 10 CFR Part 50,
              Appendix B, Criterion XII, and described in Chapter 17 of the
              FSAR:
                    NEO-328, " Control of Measuring and Test Equipment."
                    NQA-3.28, " control of Measuring and Test Equipment."
                    STA-608, " Control of Measuring and Test Equipment."
              These procedures provide the required control of the facility's
              M&TE lab both during the construction phase and subsequent
              plant operation.  Included in these procedures were
              requirements for: identification for each item and the
              calibration status; traceability to a calibration source;
              as-found calibration data; identification of standards used;
              identification of calibration procedures used; limitations on
_ _ _
 
p
        s e] '
    o'c
    ^
\
j
(                                                30
l
  -
[                    use; date of calibration and next required calibration date;
!                    and name of individual performing calibration. The NRC
                    inspector verified the calibration standards used and their
                    traceability to nationally recognized standards. In all cases
                    reviewed by the NRC inspector, the instrument used as a
                    calibration standard had an error rate several times less than
                    the instrument being calibrated, controlled calibration
                    procedures were available, and records indicated a well
                    established calibration schedule. TU Electric personnel are
                    currently assimilating Brown and Root's M&TE responsibilities
                    and equipment into their program. This influx of equipment is
                    being entered on TU Electric's computer aided tracking system
                    which records (through bar code identification) the
                    log-in/ log-out of all M&TE equipment; limitations on use; the
                    identification of all end user personnel; and present status
                    (i.e., lost, stolen, out of calibration, etc.).
                    The NRC inspector-reviewed 12 M&TE packages and associated
                    equipment'and found them to be an accurate representation of
                    the above requirements; however, the NRC inspector did have a
                    question concerning the apparent failure of TU Electric to
                    issue M&TE equipment to only qualified and authorized
                    personnel. TU Electric explained that only authorized QC
                    inspector personnel could sign off those items requiring M&TE
                    equipment usage and that this is controlled by the appropriate
                    QC procedures. The NRC inspector reviewed QC procedures and
                    concurs with-this explanation. No violations or deviations
                    were identified in this inspection.
                14.  Applicant Meetings (92700)
                    The NRC inspectors attended applicant meetings concerning site
                    activities and implementation of various site programs.
                    Meetings attended during this reporting period included the QA
                    Overview Committee meeting and an exit meeting for audit EFE
                    89-04.
                    Audit EFE 89-04 dealt with the incorporation of validated
                    design data into the applicant's programs for testing and
                    maintenance. The audit team presented the results of their
                    audit by first establishing the design basis documents which
                    contain the validated design data and second reviewing the
                    applicable implementing test or procedure to determine that the
                    design data or requirements were properly included. The audit
                    covered approximately 15 review sheets originally prepared by
                    Stone and Webster Engineering during their EFE activities. The
                    .NRC inspector determined that the information provided at the
                    exit indicated that the audit had been performed to an
                    appropriate depth and the audit conclusions were proper.
                    No violations or deviations were identified.
      _
 
                                                                                                                                          _ _ _ _ _ _ _ _ _ _ _ _
            /.  6,    k '. <
                  . .e
E ;.i ;* 7
F
      -c-
    '
        '
;.                                                                                                        31
,
                        115. Lopen' Items
                                                                          open items are matters which have been' discussed with'the
                                                                          applicant, which.will be reviewed 1further by the inspector,'and
:
                      '
                                                                          which involveLsome action on the part.of the.NRC or applicant
                                                                          orEboth.. Two open items disclosed during the inspection are
                                                                          discussed.in. paragraphs 9 and 12.
                        -16.                                              Exit' Meeting (30703)
                                                                          An exit meeting was. conducted June 6, 1989, with the
                                                                            applicant's: representatives ~ identified in paragraph 1 of this
                                                                            report. No written material was'provided'to:the. applicant by
                                                                            the inspectors during this reporting. period. The applicant did
                                                                          not identify as proprietary any of the materials provided to or
                                                                            reviewed by the inspectors.during this. inspection. .'During this-                    l
                                                                          meeting, the NRC inspectors. summarized the scope'and findings
  "                '
                                                                          of the inspection.
I                i
                                                                                              1
  '/
                                                                                                                                                                      l
                                                                                                                                                                      l
                                                                                                                                                                    ,
                                                                                                                                                                      I
          . . . .          - _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ - . _ _ _ - . _
}}

Revision as of 21:15, 24 January 2022