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{{Adams
#REDIRECT [[IR 05000333/1985098]]
| number = ML20207S813
| issue date = 03/13/1987
| title = SALP Rept 50-333/85-98 for Dec 1985 - Nov 1986
| author name =
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
| addressee name =
| addressee affiliation =
| docket = 05000333
| license number =
| contact person =
| document report number = 50-333-85-98, NUDOCS 8703200292
| package number = ML20207S799
| document type = SYSTEMATIC ASSESSMENT OF LICENSEE PERFORMANCE, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 51
}}
See also: [[see also::IR 05000333/1985098]]
 
=Text=
{{#Wiki_filter:-
  .  i
        <
                                          ENCLOSURE
                                      SALP BOARD REPORT
                          U.S. NUCLEAR REGULATORY COMMISSION
                                          REGION I
                      SYSTEMATIC ASSESSMENT OF LICENSEE PERFORMANCE
                                SALP REPORT 50-333/85-98-
                                NEW YORK POWER AUTHORITY
                        JAMES A. FITZPATRICK NUCLEAR POWER PLANT
                ASSESSMENT PERIOD: DECEMBER 1, 1985 - NOVEMBER 30,~1986
                          BOARD MEETING DATE, FEBRUARY 13, 1987
    8703200292 870313
    gDR  ADOCK 05000333
                    PDR
 
  .. ,
,                                            TABLE OF CONTENTS
                                                                                              Page
        .I.    INTRODUCTION    ........................                                          1
              A.  Purpose and Overview      ..................                                -1
              B.  SALP Board Members ..............                                    ....    1
              C.  Background .......................                                          2
        II. CRITERIA . . . . . . . . . . . . . . . . . . . . . .                        ....    4
        III . SUMMARY OF RESU LTS . . . . . . . . . . . . . . . . . . . . . .                  6
              A.  Overall Facility Evaluation . . . . .              ..........                6
              B.  Facility Performance      ..................                                7
        IV.  PERFORMANCE ANALYSIS . . . . . . . . . . . . . . . . . . . . .                    8
              A.  Plant Operations    ....................                                    8
              B.  Radiological Controls . . . . . . . . . . . . . . . . . .                  11
              C.  Maintenance . .      ....................                                  15
              D.  Surveillance ......................                                        18
              E.  Emergency Preparedness      . . . . . . . . . . . . . . . . .            20
              F.  Security and Safeguards . . . . . . . . . . . . . . . . .                  22
              G.  Outage Management and Engineering Support .                  .......      25
              H.  Licensing Activities ..................                                    27
              I.  Training and Qualification Effectiveness                ........          30
              J.  Assurance of Quality ..................                                    33
        V.    SUPPORTING DATA AND SUMMARIES        ................                          36
              A.  Investigation and Allegation Review . . . . . . . . . . .                  36
              B.  Escalated Enforcement Action          ..............                      36
              C.  Management Conferences      .................                            36
              D.  Licensee Event Reports      .................                            36
              E.  Licensing Actions . . . . . . . . . . . . . . . . . . . .                  37
        TABLES
      ' Table 1 Inspection Report Activities          ...............                        39
        Table 2 Inspection Hours Summary        ................                              41
        Table 3 Tabular Listing of LERs by Functional Area                  ........          42
        Table.4 LER Synopsis .......................                                          43
        Table 5 Enforcement Summary . ...................                                      45
        Table 6 Reactor Trips and Plar.t Shutdowns . . . . . . . . . . . . .                  47
        Figure 1 Number of Days Shutdown . . . . . . .                ..........              49
 
                                                                                  a
  ,
..
                                          1
    I. INTRODUCTION
        A.  Purpose and Overview
            The Systematic Assessment of Licensee Performance (SALP) is an inte-
            grated NRC staff effort to collect the available observations and
            data on a periodic basis and to evaluate licensee performance based
            upon this information. SALP is supplemental to normal regulatory
            processes used to ensure compliance to NRC rules and regulations.
            SALP is intended to be sufficiently diagnostic to provide a rational
            basis for allocating NRC resources and to provide meaningful guidance
            to the licensee's management to promote quality and safety of plant
            operation.
            A NRC SALP Board, composed of the staff members listed below, met on
            February 13, 1987 to review the collection of performance observa-
            tions and data to assess the licensee performance in accordance with
            the guidance in NRC Manual Chapter 0516, " Systematic Assessment of
            Licensee Performance." A summary of the guidance and evaluation cri-
            teria is provided in Section II of this report.
            This report is the SALP Board's assessment of the licensee's safety
            performance at James A. FitzPatrick Nuclear Power Plant for the peri-
            od December 1, 1985 to November 30, 1986.
        B.  SALP Board Members
            Chairman:
            W. F. Kane, Director, Division of Reactor Projects (DRP)
            Members:
            D. R.. Muller, Director, BWR Project Directorate No. 2, NRR
            T. T. Martin, Director, Division of Radiation Safety and Safeguards
                            (DRSS) (part-time)
            W. V. Johnston, Deputy Director, Division of Reactor Safety (DRS),
                              (part-time)
            R. M. Gallo, Chief, Projects Branch 2, DRP
            J. C. Linville, Chief, Projects Section 2C, DRP
            A. J. Luptak, Senior Resident Inspector, FitzPatrick, DRP
            H. Abelson, Licensing Project Manager, BWR Project Directorate No.2,
                          NRR
            Other Attendees:
            P. W. Eselgroth, Chief, Test Program Section, DRS (part-time)
            R. R. Keimig, Chief, Safeguards Section, DRSS (part-time)
            G. W. Meyer, Project Engineer, RPS 2C, DRP
            N. S. Perry, Reactor Engineer, RPS 2C, DRP
 
,  i-
                                      2
      C.  Background
        -1.    Licensee Activities
              The facility operated at or near full power from December 1,
                1985 until March 13, 1986 when the plant was shut down for a
                scheduled maintenance outage which lasted until March 28, 1986.
              During this outage, the licensee replaced 16 control rod drive
              mechanisms, conducted preventive and corrective maintenance ac-
                tivities, and completed several modifications. The plant re-
              turned to power operation on March 31, 1986.
              From this maintenance outage until the next scheduled mainte-
              nance outage, normal power operatior, was interrupted by three
              unscheduled outages lasting between one and three days. On
              April 4, -1986 the reactor tripped from 88% power during main
              turbine stop valve testing caused by an improper valve position
              indication. On May 15, 1986, the plant was shut down as re-
              quired by Technical Specifications due to an inoperable Recircu-
              lation Loop Discharge Bypass Valve. On July 3,1986, the
              reactor tripped from full power when a failure occurred in the
              protective relaying circuit for the outgoing electrical trans-
              mission lines.
              The facility was shut down from September 27, 1986 until October
              9,1986 for another scheduled maintenance outage which involved
              the replacement of ten control rod drive mechanisms, turbine
              blade inspection, preventive and corrective maintenance, and
              modification insta11'ation. Following the completion of the
              maintenance outage, the plant again operated at near full power
              until November 1, 1986 when a plant coast down began for the
              refueling outage scheduled for Jr.nuary 1987. The plant was
              continuing to coast down at the end of the assessment period.
              Table 6 provides a description, including our classification of
              the cause of all reactor trips and unscheduled plant shutdowns
              during this assessment period.
          2.  Inspection Activities
              One NRC resident inspector was assigned to the James A.
              FitzPatrick Nuclear Power Plant for this assessment period. The
              total NRC inspection effort for the period was 1920 hours with a
              distribution in the appraisal functional areas as shown in Table
              2.
              During the assessment period, an NRC team evaluated the annual
              emergency preparedness exercise conducted on September 26, 1985.
              Tabulations of Inspection and Enforcement Activities are pre-
              sented in Tables 1 and 5, respectively.
.
                                                                  . . -  -    - ,
 
    .. ...
          '                                3
                    This report also discusses " Training and Qualification Effec-
                    tiveness" and " Assurance of Quality" as separate functional ar-
                    eas. Although these topics are used in the.other functional
                    areas as evaluation criteria, they are being addressed separate-
                    ly to provide'an overall assessment of their effectiveness. For
                    example, quality assurance effectiveness is assessed on a day-
                    to-day basis by resident inspectors and as an integral aspect'of
                    each specialist inspection. Although quality of work is the
                    responsibility of every employee, one of the management tools to
                    measure this effectiveness is reliance on inspections and au-
                    dits. 0ther n.afor factors that influence quality, such as in -
                    volvement of first line supervision, safety committees, and
                    worker attitudes, are discussed in each area, as appropriate.
                    Fire Protection was not evaluated as a separate functional area
                    since extensive new information on performance, such as when an
                    Appendix R team inspection has occurred, was not generated dur-
                    ing this assessment period.
i
  -          . , . .                                      - - - - , . - . , . . , . . . , . . , - , . , . . . - - . -
 
. .
              -                              4
    ~II. CRITERIA.
          Licensee performance is assessed in selected functional areas, depending
        on whether the facility,is in the construction, preoperational, or operat-
          ing phase. Each. functional area normally represents areas significant to
        nuclear safety and the environment, and are normal programmatic areas.
        Special areas may be added to highlight significant observations.
        The following evaluation criteria were used, where appropriate, to assess
        each functional area.
        1.      Management involvement and control in assuring quality.
        2.      Approach to resolution of_ technical issues from a safety standpoint.
        3.      Responsiveness to NRC initiatives.
        4.      Enforcement history.
        5.      Reporting and analysis of reportable events.
        6.      ' Staffing (including management)
        7.      Training and qualification effectiveness.
        Based upon the SALP Board assessment each functional area evaluated is
        classified into one of three performance categories. The definitions of
        these performance categories are:
        Category 1
        Reduced NRC attention may be appropriate.      Licensee management attention
        and involvement are aggressive and oriented toward nuclear safety;
        licensee resources are ample and effectively used so that a high level of
        performance with respect to operational safety is being achieved.
        Category 2
        NRC attention should be maintained at normal levels. Licensee management
        attention and involvement are evident and are concerned with nuclear safe-
        ty; licensee resources are adequate and reasonably effective so that sat-
        isfactory performance with respect to operational safety is being
        achieved.
        Category 3
        Both NRC and licensee attention should be increased.      Licensee management
        attention or involvement is acceptable and considers nuclear safety, but
        weaknesses are evident; licensee resources appear to be strained or not
        effectively used so that minimally satisfactory performance with respect
        to operational safety is being achieved.
                      _.
                              -        . __ -
 
    .  >
                                                      5
                - The SALP Board 'also assesses functional areas to compare the licensee's.
-
                performance during the last part of the assessment period to that during the
                entire period (normally one year) in order to determine the recent trend for
                functional areas as appropriate. The SALP trend categories are as follows:
                      Improving: Licensee performance has generally improved over the last
                      part of the SALP assessment period.
                      Declining:  Licensee performance has generally declined over the last
                      part of the SALP assessment period.
                A trend is assigned only when, in the opinion of the SALP board, the trend is
                significant enough to be considered indicative of a likely change in the
                performance category in the near future. For example, a classification of
                " Category 2, Improving" indicates the clear potential for " Category 1"
                performance in the next SALP period.
.
3
1
  e
  '
i
1
      , - - . ._        .              , .
                                                    y    .-      . , , - - - . - - - - - -
 
                                                  -  .
, .
                                            6
    III. SUMMARY OF RESULTS
          A.  Overall Facility Evaluation
                                  '
              Management attention has resulted in noticeable improvement through-
              out the facility and in particular the areas of plant operations and
              assurance of quality. Although the functional area ratings have
              remained the same, this does not reflect the general, overall improve-
              ment observed in site activities. The number of operational events
              has significantly decreased during this assessment period with two
              reactor trips from power. Neither was caused by operator error.
              Plant management, and in particular the Resident Manager and Quality
              Assurance Superintendent, have demonstrated a philosophy oriented
              toward nuclear safety and have been influential in. improving the
              overall plant performance. The New York Power Authority (NYPA) has
              been effective in fostering an improved attitude towards safety,
              accountability, and pride in workmanship. Plant personnel now dis-
              play a greater degree of attention to detail in day-to-day
              activities. With the exceptions discussed in the licensing area,
              Plant management is cooperative and responsive to NRC concerns and
              initiatives.
              Although an overall improving trend was evident, several areas previ-
              ously noted as deficient warrant additional management attention.
              These include, procedural adherence, follow-up of commitments, and
              instilling a questioning attitude within the organization.
                                                                                    .
 
-.
  s'      o''
                                              7
              B. Facility Performance
                                                  CATEGORY  CATEGORY
                                                  LAST      THIS      RECENT
                    FUNCTIONAL AREA              PERIOD *  PERIOD ** TREND
                  1.  Plant Operations            2          2      Improving
                  2.  Radiological Controls        2          2
                  3.  Maintenance                  2          2
                  4.  Surveillance                2          2
                  5.  Fire Protection              1          N/A
                  6.  Emergency Preparedness      1          1
                  7.  Security & Safeguards        1          1
                  8.  Outage Management and        2          2
                        Engineering SLpport
                  9.  Licensing Activities        2          2      Declining
      9
      '
                  10.  Training and Qualification 2            2
        i
                        Effectiveness
            '
                  11. Assurance of Quality          2          2      Improving
                    * July 1, 1984 to November 30, 1985 (17 months)
                  ** December 1, 1985 to November 30, 1986 (12 months)
 
  . .
              .                                              8
      IV. PERFORMANCE ANALYSIS
          A.      Plant Operations                  (775 Hours, 40.3%)
                                                    '
                    1.  Analysis
                          During the previcus assessment period, this functional area was
                          rated as Category 2 with an overall decline in performance. A
                          number of personnel errors and inconsistent review of opera-
                          tional events and root cause analysis were noted as
                        deficiencies.
                        During this assessment period, the plant operators were deter-
                        mined to be knowledgeable and conducted themselves in a profes-
                          sfonal manner. They exhibit a positive attitude toward
                        operating the plant in a safe manner. During operational events
                        .and routine evolution, the operators demonstrated their ability
                        to respond quickly and efficiently. Also, their ability to con-
                        duct three normal reactor shutdowns and five reactor startups in
                        a controlled manner without causing a reactor trip is commend-
                        able. Several isolated cases occurred where operators did not
                        fully investigate or were not aware of.off-normal conditions.
                        These included annunciators, control room ventilation fan
                        operability, tripping of overloads on a motor operated valve,
                        and systems affected by a level switch failure. Although these
                        conditions were of minor safety significance, continued emphasis
                        should be placed on understanding and identifying off-normal
                        conditions.
                        One noteworthy improvement during this assessment period was the
                        absence of a significant number of personnel errors. Two plant
                        trips occurred from power and neither was directly attributed to
                        personnel error. One of nine trips which took place while the
                        plant was shut down was attributed to operator error; however,
                        this occurred while the operator was taking necessary actions to
                        isolate a leak in the feedwater system while in the process of
                        lowering reactor vessel level. In addition, no plant transient
                        or equipment inoperability occurred as a result of personnel
                        error.
                        As a result of the unusually large number of trips which oc-
                        curred during the previous assessment period, a Scram Review Team
                        conducted a comprehensive evaluation of the trips and the cir-
                        cumstances surrounding them. As a result of that review, about
>
                        66 recommendations were given to improve overall plant
                        performance and reduce the number of trips. These recommenda-
                        tions, their resolution, and their implementation are tracked by
                        the licensee using a formal system. Although no single signifi-
                        cant root cause existed for the reactor trips, each recommenda-
                        tion improved the way plant management conducts operations. In
't
                ,y  .    , , , , . ..y _ . , . _ _  _
                                                                    ,    y __ _ _ _ . - _ , _ . - , _ _ _ _ _ - _ - - _ _ , _ _ _ _ . _
 
  .. .-
                                            9
            the.short term, the management continues to work to instill a
          positive attitude and pride in workmanship among its employees,
          which has resulted in a reduction of personnel errors and the
          ability to correct deficiencies quickly and correctly.      Further
          assessment of the long term recommendations is required.
          Administrative controls, procedures and procedural adherence are
          generally strong, but minor exceptions have been noted that re-
          quire plant management attention. Exceptions include not comply-
            ing with the procedure for securing the high pressure coolant
          injection turbine during surveillance testing, using data sheets
          to perform testing instead of the procedure, and skipping steps
          of a procedure during testing. These examples are not of major
          significance' and are considered isolated events. Plant manage-
          ment is aware of this concern and is stressing improvement in
          this area.
          Plant management continues to stress professionalism and to
          improve the cor. trol room environment, as noted by the removal of
          the Secondary Alarm Station from the control room, installation
          of curtains to limit traffic in the control room, and continued
          improvements in establishing an effective work control center.
          In addition, plant management has placed emphasis on reducing
          the number of continuously lighted annunciators. Although plant
          management has made progress in this area, continued attention
          is warranted. The Operations Superintendent conducts weekly
          meetings with each shift to review events and stress the need
          for improvements. Additional improvements noted were the in-
          creased use of formal critiques to review events and a more com-
          prehensive post-trip review procedure. Senior plant management
          takes an active role in the plant operations area as indicated
          by daily control room reviews, which include log reviews, panel
          walkdowns and discussions with operators. Plant management
          stresses safety and emphasizes a methodical approach to plant
          evolutions. There is consistent evidence of a commitment to
          plant betterment and timely, effective corrective actions.
          Corrective actions for a violation for a failure to comply with
          10 CFR 50.72 reporting requirements did not prevent a second
          violation. The second instance occurred nine months after the
          first occurrence. Plant management failed to take adequate
          measures to prevent recurrence. In addition, the licensee had
          not implemented all of the corrective actions committed to fol-
          lowing the first occurrence, even though they had exceeded the
          commitment date by several months. At the time of the second
          instance, a formal tracking program was in the process of being
          implemented. The tracking program follows items on which action
          is scheduled and highlights those which are commitments.
          Although improvements were noted in the review of operational
I
        --          -
                        ,  --      - - - -
 
                                                                                                I
    .
  ,.
      .                                    10
            events and root cause analysis, some deficiencies have been not-
            ed as discussed in Section C, Maintenance. A marked improvement
            has been noted in the FitzPatrick Licensee Event Report (LER)
            submittals.        ,
            The LERs presented a clear understanding of the event, its
            cause, and corrective action taken or committed to be taken.
            Further improvement can still be made by consistently discussing
            the safety implication of the event and identifying the manufac-
            turer and model of failed components.
            Housekeeping at the facility has improved. Senior plant manage-
            ment makes weekly tours of the facility to review cleanliness
            conditions and continues to emphasize plant cleanliness. Al-
            though cleanliness has generally been good, occasional lapses
            have occurred in material storage, such as ladders left stand-
            ing,' gas bottles improperly stored, and small items adrift.
            In summary, plant operations is a strength as indicated by the
            high unit availability and significant improvements. Plant
            Management attention has resulted in a significant reduction in
            operator related events.
        2. Conclusion
            Rating: 2
            Trend:        Improving
        3. Board Recommenaations
            None
l
!
l
l
l
,
              , ,., - - .  ,y      v. , .-    ,-,e  + .. --  --,--~r- - ~ - , - - - *- - - - *
 
-
    . .
                                            11
  +
          B. -Radiological Controls        (392 Hours, 20.4%)
              1.  Analysis
                  During the previous SALP period this area was rated as Category
                  2.  Weaknesses included delayed responses?to NRC findings and
                  lack of management attention relative to conforming to radiation
                  protection procedures. This functional area will be discussed
                  in terms of radiological protection,- radioactive waste transpor-
                  tation, and effluent monitoring and control. There were six
                  inspections conducted by radiation specialistsoin this area, two
                  in radiological protection, one in radioactive waste transporta-
                  tion, and three in effluent monitoring and control. The resi-
                  dent inspector also monitored tne implementation of the
                  radiation protection program.
                  RADIOLOGICAL PROTECTION
                  The licensee showed consistent performance relative to the pre-
                  vious assessment period, with no major weakness identified and
                  no major program improvements. Several minor instances of per-
                  sonnel-failing to follow procedures occurred during this assess-
                  ment period as in the previous assessment period.
                  The Radiological Protection Program is staffed with qualified
                  personnel. However, it should be noted that the Health Physics
                  General Supervisor left FitzPartick in the last month of the
                  assessment period and that the station Radiation Protection
                  Manager has been temporarily acting in this position. When a
                  new General Supervisor is selected, increased management atten-
                  tion will be needed to assure a smooth transition.
                  The ALARA program is strong and effective with good management
                  support and represents a program strength. ALARA reviews for
                  planned work, completed work, and continuous evaluation of work
                  in progress are good. During the course of several inspections
                  in this rating period, the ALARA program was examined and found
                  to be of consistently high quality.
                  The licensee's ALARA person-rem goal for the site was 600 per-
                  son-rem for 1986, a non-refueling year, based on a calculated
                  exposure estimate of 575 person-rem. With the accumulated ex-      '
                  posure at the end of the assessment period,'the exposure for
                  1986 was not expected to exceed 400 person-rem. While this ex-
                  posure reflects well on the ALARA program, it shows the goal set
                  for the 1986 calendar year was not aggressive.
                  The program for external and internal exposure control reflects
                  an adequate commitment to safety. In this SALP assessment peri-
                  od, as in the previous assessment period, no overexposures oc-
                  curred and no individuals received an uptake that required
        .            .      -                            .
 
          .  .                  .    .          .  -  -- -.                  . - - . .-
1 x .: >
            .                              12
r
                                                    '
                -assessment or any further actions.      Radiation Work Permits were
                  effectively used to control work within the Restricted Area. As
                  -in past years, NYPA is implementing an adequate whole body
.
                  counting program.
~
                  However, there are areas where improvement is necessary in the
  .
                Linternal'and external exposure control program. Minor problems
*
                  1nclude failure'to follow procedures and insufficient middle
'
                  management attention to detail to provide oversight in the area
                'of-external exposure control. Instances of failure to follow
,              ' procedures included failure to maintain survey instrument.cali-            i
>
                  bration records and failure to perform alpha surveys on arriving
                  new fuel shipments. . Additional middle management attention to
                .the-supervision and assessment of day-to-day radiological con-
                  trols activities is needed to improve self-identification and
,
                  correction of. program weaknesses.
                  The re'spiratory protection program is of state-of-the-art
                  q'uali ty.  The licensee has placed a high priority on this pro-
1                gram as evidenced by effective respirator selection, issue, use,
                  and maintenance practices.
L                Radiological survey instrument controls were weak. Specifical-
*
                .ly, the storage, maintenance, and calibration facilities for
                  portable survey instruments needed improvement. Furthermore,
                  survey equipment availability during the October 1986 outage was
                  limited, which indicated poor control of equipment inventory.
                  Personnel frisking practices were inferior to industry stan-
,
                  dards, in that high background count rates potentially precluded
                  effective detection of personnel contamination. Compounding
i--              this problem were poor frisking; techniques by station personnel.
                  Regarding both the survey instrument control and frisking prob-          l
:                1 ems, middle management within the radiological controls group          t
                  appeared unaware of these problems until informed by the NRC,
>
                                                                                            ~
                despite the seemingly obvious nature of the problems. It was
..
'                unclear whether the lack of awareness was due to the failure to
                  personally inspect field activities, poor communications with              '
,
                  personnel in the field, or low standards of work.                          F
l                Corporate management is frequently involved in the activities
.
                  providing guidance and consultation to FitzPatrick Station man-
                agement.    For example, Corporate and Standard Audits were per-
                  formed of the Rad ution Protection Program. However, most
                Standard Audits, while timely, were superficial and of limited
.
'
                  scope due to a lack of audit personnel qualified or trained in            ;
                health physics and chemistry. This weakness was identified by
                corporate management late in the SALP assessment period. Corpo-
>
                                                                                            *
,
                  rate management indicated that their audit personnel, qualified
:
s
4
 
..    .            ',              !
                      ,
                    '
                                      13
    4*                        ..,
              in HP and Chemistry, would be made available to augment the
  '
              Standard Audit program.
              RADI0 ACTIVE WASTE TRANSPORTATION
        '
            An inspection of radioactive waste transportation-found this
              area to be generally good. While a concern was identified
              regarding the circumvention of the receipt inspection system for
              transport packages, the corrective actions were timely and
              thorough. In addition, when concerns were identified regarding
              the adequacy and effectiveness of the audit program for trans-
              port packages, QA/QC involvement in this area was promptly in-
            creased.
            EFFLUENT MONITORING AND CONTROL'
            During the previous assessment period the Radiological Effluent
            Technical Specifications (RETS) were implemented. Inspections
            during this period found no significant problems in RETS imple-            l
            mentation, and the licensee was effective in correcting the
            minor problems which occurred. An inspection of the environ-
            mental monitoring program found a problem with implementation of
            a calibration procedure. However, this problem appeared to be
            an isolated instance due to a lack of attention to detail rather
            than a programmatic breakdown. With this exception, the envi-
            ronmental monitoring program was effectively implemented with
            respect to Technical Specification requirements for sampling
            frequencies, types of measurements, analytical sensitivity, and
            reporting schedules.
            'An inspection of the nonradiological chemistry program found it
            to be generally effective. Minor deficiencies were identified
            in several of the chemical analysis procedures, but the licensee
            response was prompt and thorough. With a few exceptions, all of
            the analyses of chemical standards agreed with the analyses of
            the split samples. The reasons for the few disagreements were
            determined and resolved.
            An inspection of effluent and process radiation monitor calibra-
            tion and surveillance testing, and in place filter testing found
            these areas to be acceptable.
            Summary
            The established programs for radiological protection, radioac-
            tive waste transportation, environmental monitoring, and
            nonradiological chemistry are sound and effective. The day-to-
            day implementation of these programs must be managed and super-
            vised to achieve the results of which the programs are capable
            and to prevent the minor problems experienced during this peri-
            od. A more probing and effective quality assurance review of
            these programs would aid in assuring proper implementation.
          ,
                        -
                                        , - - - -                    - , - , , . - . -n
 
      -                                                                  . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
  . .
              .                                                                                                                                                                                              14
                2. Conclusion
                    Rating: Category 2
                                                                      ,
                3. Board Recommendations
                    None
.
        . .
            ..          - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _                                                                                                                                            _
 
  . .
                                              15
            C. Maintenance        (159 Hours, 8.3%)
              1.    Analysis
                      During the previous assessment period, this functional area was
                      rated as Category 2. Although FitzPatrick management continued
                      to implement several improvement programs, progress was slow and
                      had loosely defined completion schedules. Also, several per-
                      sonnel errors resulted in reactor trips or plant shutdowns.
                    During this period, this area was frequently reviewed by the
                      resident inspector.    In addition, specialist inspections re-
                    viewed the maintenance of the recirculation pump trip system and
                      the equipment qualification of Limitorque valve operators. No
                  .sp'rogrammatic inspection of maintenance was conducted during the
                    ' current assessment period.
                    During this assessment period, plant management became more ac-
                    tively involved in implementing the improvement programs, and
                    progress was generally good. A program to control vendor tech-
                    nical manuals was begun by developing a computerized index and
                    reviewing the manuals maintained by each department. However,
                    there have been delays in implementing the program in the Main-
                    tenance Department. Implementation of the Planned Maintenance
                    Program continued with some minor delays. The development of
                    the Master Equipment List progressed with component classifica-
                    tions. Improvements were made in tool control, and a vibration
                    analysis test program began.
                    Improvements were noted in the maintenance area during this pe-
                    riod. Most noteworthy was the absence of a significant number
                    of personnel errors. Maintenance personnel were well qualified
                    and conscientious, and exhibited a proper safety perspective
                    concerning their potential impact on plant operations. The ad-
                    ministrative control of preventive and corrective maintenance
                    work was good. Based on this, it appeared that maintenance
                    training programs were effective. Also, personnel turnover rate
                    was low. Supervisory involvement was evident and effective in
                    the timely resolution of equipment problems.
                    During this assessment period, nine reactor trips occurred while
:                    the plant was shutdown with all rods fully inserted.            Six of
                    these trips were caused by spiking of the "G" IRM during under
                    vessel work. A broken connector was later found on the IRM, and
                    it was determined that minimal contact by maintenance personnel
                    caused the spike. Based on the nature of under-vessel work and
                    an abnormal condition of one channel of RPS deenergized for
                    other modifications, these trips are of minimal concern. The
                    three remaining trips while shut down were unrelated and are
                    discussed in Table 6.
      . - -                          . _ .        -                -_    _ _ _ _ - ,    .
 
    _ _ _ - _ _ _ _ _ _ _ _ - _ - _ _
. .
                                                                    16
                                      Regarding the Recirculation Pump Trip System, preventive mainte-
                                      nance was properly controlled and documented, and corrective
                                      maintenance was timely and adequate. In addition, the engineers
                                      and supervisors were technically competent and knowledgeable of
                                      past system problems. Management involvement was evident in the
                                      effort to modify a failed breaker and to pursue modifications
                                      for the same breakers in other applications.
                                      A concern was identified regarding examples of personnel not
                                      following maintenance procedures. These involved not applying
                                      thread sealant during assembly of a pressure transmitter conduit
                                      connection as required by the technical manual, missing a step
                                      during assembly of a control rod drive mechanism, and incorrect
                                      torque setting for pressure transmitter mounting bolts. The
                                      last two examples were identified by Quality Control personnel
                                      observing these activities. These are considered to be individ-
                                      ual errors and are not indicative of a widespread disregard for  ,
                                      procedures. Although these examples are of minor safety signif-
                                      icance, plant management attention to prevent more significant
                                      problems is warranted.
                                      The licensee has taken a more aggressive approach to correct
                                      several recurring equipment problems, including the Low Pressure
                                      Coolant Injection Independent Power Supplies, the Containment
                                      Atmosphere Analyzer, and the transmitters in the Analog Trans-
                                      mitter Trip System. However, plant management failed to estab-
                                      lish the root cause of other problems such as the Main Steam
                                      Isolation Valve limit switch failures, recirculation loop bypass
                                      valve packing leakage, and the Turbine Stop Valve Limit Switch
                                      failure.
                                      Specifically, failure to establish the root cause of a limit
                                      switch failure on a Turbine Stop Valve subsequently contributed
                                      to a ceactor trip during surveillance testing. The limit switch
                                      had ralfunctioned numerous times in the six months prior to the
                                      trip but was not properly evaluated and repaired. Following the
                                      determination that the limit switch was involved in the reactor
                                      trip, plant management conducted extensive testing to determine
                                      the exact cause of the failure. However, maintenance managers
                                      neglected to review the past failures of the limit switch, which
                                      indicated that a change in the valve stroke was occurring. In
                                      addition, during the reactor startup following the trip, when
                                      maintenance managers identified that the valve stroke had
                                      changed, no detailed review of the cause of the stroke change
                                      was considered until several days after the startup. Subsequent
                                      inspection found that loose bolts had allowed the valve stroke
                                      to change. Apparently, the bolts became loose due to a failure
                                      to apply proper torque.
                                      The environmental qualification (EQ) program for Limitorque
                                      valve operators was generally effective. Management involvement
                                        _ - _ _ _ _ _ _ - _ _ _ __
 
. .
    .                            17
        'was evident'by the number of management personnel who actively
          participated in the EQ program, the high degree of organization
          of EQ documents, and the prompt performance of EQ related activ-
          ities. Further evidence of commendable performance included the
          thorough resp'onse to NRC Information Notice 86-03, including a
          100% inspection of.Limitorque valve operators requiring EQ and.
          the licensee's decision to upgrade the Limitorque valve control
          wiring, even though qualification data was available for the
          existing control wires. However, some implementation problems
          were identified within the general EQ program, which will be
          evaluated during the pending inspection of the plant EQ program.
          Overall, the plant maintenance program has improved from the
          previous assessment period. The absence of significant per-
          sonnel errors and the proficiency in properly completing work is
          noteworthy. Continued emphasis should be placed on. timely com-
          pletion of improvement programs, procedure compliance, and root
          cause analysis to prevent recurring problems.
      2.  Conclusion
          Rating: 2
      3.  Board Recommendations
          None
                                                                        .
 
                                                                  .
. ..
  -
                                          18
    D.    Surveillance        (194 Hours, 10.1%)
          1.  Analysis
                During the previous assessment period, this functional area was-
                rated as Category 2, primarily due to repeated problems in es-
                tablishing an effective Inservice Testing (IST) Program.
                During the current assessment period, the surveillance, calibra-
                tion, and IST programs were reviewed. The resident inspector
                also examined surveillance testing during the routine inspection
                program.
              The licensee improved the IST Program by including all required
                valves, rewriting procedures to include acceptable values, and
                assuring that the operators do a thorough review of data follow-
                ing the tests. However, the previous SALP Report noted problems
                regarding the review of test data by operations and plant per-
                formance personnel. During this period, operations department
                reviews of the data were adequate and timely, but-the subsequent
                review of the data by plant performance personnel was, at times,
              excessively slow (up to several weeks). This review is relied
                upon to determine trends and notify Operations to increase test
                frequency when components exhibit undesirable trends.
              Surveillance tests are performed by the responsible department,
              with the majority of testing completed by the following depart-
              ments: Instrument and Control, Operations, Maintenance, and
              Radiological and Environmental Services. Each depar_tment
              maintains its own system for scheduling, tracking and performing
                surveillances. The completed surveillance tests were well docu-
              mented utilizing detailed procedures, data forms, and acceptance
              criteria. Overall, personnel performing the tests were know1-
              edgeable, responsible, and well trained. Procedure use and ad-
              herence was good in general with exceptions noted in Section A,
              Operations. No plant trips or shutdowns were the direct result
              of testing errors.
              However, three surveillance tests were either performed late or
              missed as follows:
              --
                      A monthly test of the APRM flow bias network was missed for
                      eight months when it was not placed on the schedule follow-
                      ing a shutdown period.
              --
                      A quarterly test of the diesel fire pump was performed 18
                      days beyond the grace period due to a lack of management
                      oversight of the maintenance department surveillance
                      program.
              --
                      A chemistry sample during startup was about one hour late
                      due to personnel error.
                                            .        _. - . _ _ _  _  _        _,
        ._        -
                        _ . -
 
      *-
  ...
                                      19
              NYPA took prompt actions to strengthen its administrative re-
              quirements associated with the surveillance test program to pre-
              vent recurrence. No surveillance tests were missed in the last
              six months of,the period.
            Although no surveillance tests were missed during the previous
            assessment period, there had been numerous missed surveillance
              tests in the period preceding it.      It appears that the recurring
            problem of missed surveillance tests is symptomatic of the unco-
            ordinated approach that the surveillance program has taken. The
              lack of an overall responsibility for surveillance testing be-
            yond the individual departments and the minimal coordination
                                                                    -
            between departments appear to hamper the long term resolution of
              surveillance testing problems.
"
            The NRC identified that not all safety-related instruments were
            being periodically calibrated, nor was there an adequat_e sur-
            veillance test to verify that they are functioning within the
            required ranges. The licensee immediately calibrated those
            instruments identified and was further evaluating the remaining
.
            safety related instruments for periodic calibration. Also, the
            delayed implementation of calibration program improvements rec-
            ommended by a 1983 QA audit reflected poorly on management's
            interest in implementation high quality program.
            Improvements were made in the storage and control of measuring
            and test equipment, including a computerized system for tracking
            the location, status, and restrictions regarding all measuring
            and test equipment.
            In summary, the surveillance test program is adequate. One
            strength noted was in the area of conduct of the surveillance
            tests, as aidenced by the lack of personnel errors during test-
            ing. However, increased management attention is warranted in
            the area of program administration and coordination.
          2. Conclusion
            Rating:          2
i
,
          3. Board Recommendations
            None
                                        ,_.                      . --        -    - - - -
                    _ _ _ - -  - - .        - . . .    .
 
  . '.
          .                              20
      E.  Emergency Preparedness        (110 Hours, 5.7%)
            1.    Analysis
                  During the pr'evious assessment period this functional area was
                  rated as Category 1. This assessment was based upon a good dem-
                  onstration of emergency response capability during two annual
                  exercises, responsiveness to weaknesses identified in these ex-
                  ercises and a clear management commitment to the emergency pre-
                  paredness program.
                The current assessment period included observation of one
                partial-scale exercise conducted'in June 1986. The exercise
                demonstrated a high degree of proficiency which appears to re-
                  sult from a strong training program. Emergency response person-
                nel are quite knowledgeable and dedicated. Only one minor
                deficiency was identified during the exercise. This exercise
                  showed improvement from the previous year's exercise, which had
                only minor discrepancies.
                The licensee staff is active in maintaining and improving the
                emergency response program.      Program weaknesses are promptly
                  identified and corrected.      NYPA and others have taken the init-
                iative to jointly study the local effects of Lake Ontario on
                atmospheric dispersion. The information gained will help quan-
                tify the local lake effect and improve capabilities overall in
                protective action decision making for the central New York lake
                region. The licensee recently incorporated the use of a " Lag-
                rangian Puff" model for dose assessment.
                The emergency preparedness training and qualification program
              . continues to make a positive contribution to plant safety, com-
                mensurate with procedures and staffing which have been consis-
                tently good.
                The licensee has developed and maintains a good rapport with the
                local government (Oswego County) and the State (New York) regard-
                ing emergency preparedness. They met on a regular basis (quar-
                terly) to discuss, plan and address issues related to emergency
,
                response. Also, in a joint initiative with Niagara Mohawk Power
                Corp., NYPA plans to install a siren verification system.
                In summary, continued commitment to a high quality emergency
                preparedness program was demonstrated by excellent performance
                during the exercise, thorough preparation in procedures and
                training, and improvements in program and facilities.
            2.  Conclusion
                Rating: Category 1
                ...                      . .. -                  - . -
 
~
  c. .
                                21
      3. Board Recommendations
          None
 
y -.
                                    22
    F. Security and Safeguards        (140 Hours, 7.3%)
        1.  Analysis
            During this a'ssessment period, only one physical security in-
              spection was conducted because the licensee's performance during
              the two previous assessment periods was rated as Category 1.
            Routine resident inspections of the security program were per-
            formed throughout the assessment period. One material control
            and accounting inspection was conducted.
            The licensee continued to review the effect!veness of the secu-
            rity program and the adequacy of related facilities during the
            period. As a result, the licensee plans to move the security
            administrative offices into new office facilities and has al-
            ready moved the secondary alarm station (SAS) into new facili-
            ties that provide more space and efficiency of operation.
            Additionally, as a result of recommendations resulting from sur-
            veys of the security program performed by outside contractors, a
            new computerized security system and new card readers were in-
            stalled, along with the new search equipment that was installed
            at the end of the last assessment period. The licensee's com-
            mitment to a high quality security program is evident by the
            continued support, in terms of capital resources for program
            upgrades, and the continued excellent interface among security
            and other corporate and site functions.
            The supervisory staff is well experienced and continued to dem-
            onstrate their knowledge of and ability to meet NRC security
            performance objectives.
            The security training program is now managed by one full-time
            training instructor with assistance from several part-time in-
            structors who have expertise in specific areas. While this is a
            reduction of one full-time instructor from the previous assess-
            ment period, the assistance of the part-time instructors has
            compensated for the reduction and no adverse impact on the
            training program has thus far been apparent. The licensee has
            excellent training facilities that, in addition to modern class-
            rooms and physical fitness facilities, include an indoor firing
            range. Contingency plan drills are conducted regularly as a
            . supplement to the training program. Critiques of the drills are
            conducted and documented, with feedback into the training pro-
            gram. This has proven to be a very effective training aid. The
            effectiveness of the training program is apparent by the lack of
            performance related events during the assessment period, and
            this performance, as well as the appearance and morale of the
            security force, reflect favorably on both the training program
            and security management.
 
              . .        .    - . ,          -.            - -    -                .        . ~  - .              -            .        -. ..
__
          4
1
      ;.            .
          ~
                      v
                      a
      .
            '
                                                                    23.
.
        ,                                  Staffing of the security force appears.to be adequate with occa
                                        . sional overtime being used to meet unforeseen operational needs.
                                          This use of overtime has had no adverse effects on:the perfor-
                                          mance of the force. In preparation for an upcoming outage that
,
                                          has the potential for taxing the existing' force, security man-
  ,                                      agement developed and implemented a training program to qualify
                                          additional watch persons to supplement the force. This advance
                                          planning.is characteristic of the licensee's security management
                                          and 'is .further evidence of their desire to implement an effec-
;                                          tive and high quality program.-
I
"
                                          Security management.is actively involved in the Region I Nuclear
                                        . Security Organization and other organizations involved in nucle-
i                                        ar power plant security. The licensee maintains an. excellent
                                          relationship with law enforcement agencies and periodically-in -
                                          vites key members of these agencies to the site for orientation
                                          in response procedures, plant layout and other matters involved
                                          with the protection of a nuclear power plant, and to discuss
;
                                          recent developments and innovations, in general. This is1 fur-
i
''
                                          ther evidence of the licensee's. interest in providing an effec-
                                          tive security program.
                                                                                                '
                                                                                                                                                *
i
:                                        There were no security events that required reporting under 10                                        :
:                                        CFR 73;71 during the assessment period._ This is attributed to
:                                        the effective training program that resulted in excellent per-
                                          formance from the members of the security force and to the pro-
'
                                          gram implemented by the licensee to maintain its security
L                                        systems'and equipment in good working order, which includes mon-
L                                        itoring of and planning to replace aging' equipment and replace-
                                        ment of equipment before it became a source of problems.                                                ,
                                        During the assessment period, the licensee submitted'two changes
i.                                      to the NRC approved Security Plan in accordance with the provi-
!                                        sions of 10 CFR 50.54(p). These plan ~ changes were reviewed and
i
'
                                        considered acceptable. The changes were clearly described and
                                        the plan pages were marked'to facilitate review. The changes
:-                                      were made to accommodate modifications to existing site facili-
,                                        ties and, as with plans for similar modifications since that
l'                                      time, the licensee discussed its plans beforehand with regional
                                        personnel to ensure a clear understanding of NRC security pro-
-
                                        gram objectives. This demonstrated the licensee's' interest in
1.                                      maintaining a high quality program.
F
                                        A material control and accounting inspection identified that two
j                                        neutron fission detectors had not been physically accounted for
!                                        during a 1985 inventory of special nuclear material (SNM). The
:                                        inventory was promptly reconciled. However, the failure to
t
                                        physically account for all SNM during an inventory and a misin-
:                                      terpretation of an NRC requirement regarding the conduct of
l                                        physical inventories of SNM, also raised during that inspection,
;
i
1
4
    - ,        4, c%.,    -- y    % ,.      e,_e._%_.-wm    m,      .-.o__~,.,
                                                                          -
                                                                                    -_m__m,          ,_m,.,.mm_..  ,.,,.,..,___-,_._.m.
 
  . o
                                              24
                      demonstrate the need for increased management attention to the
                      accounting of SNM.
                      In summary, the continued good performance of the security
                      force, coupled with the associated attention to facilities and
                      equipment, training, staffing, and involvement with other secu -
                      rity organizations, demonstrated the security area to be a
                      strength within the FitzPatrick organization.
                    2. Conclusion
                      Rating: Category 1
                    3. Board Recommendations
                      None
9
1
b
I
                                                                                                            1
      .. _ _ _. _ ,            .  ,_--____ _.        . _ . . . _ _ _ _ . - -_ - _ . . . _ _ , - _ . . _ _ .
 
. .
                                              25
    G. Outage Management and Engineering Support                (152 Hours, 7.9%)
        1.      Analysis
                During the previous assessment period, this functional area was
                rated as Category 2. Performance had declined due to inadequate
                planning, poor control of activities, and personnel errors.
                During this period, no refueling outage took place, but two
                short scheduled maintenance outages, totaling 24 days, cccurred.
                During these outages major work included replacement of control
                rod drive mechanisms, installation of several modifications, and
                preventive and corrective maintenance. The resident inspector
                reviewed these activities, and a specialist inspector reviewed
                radiological controls during one of the outages.
                In January, 1986, the licensee established a new Planning and
                Contract Services Department to plan, schedule, and manage out-
                age and contractor activities. In addition to a full time plann-
                ing department, this action provided more direct plant manage-
                ment control of outage activities by replacing the contractor
                supervisors with licensee supervisors and eliminating the con-
                tractors.
                During both maintenance outages the licensee exhibited good con-
                trol of outage activities. Daily meetings brought problems to
                the appropriate level of attention and led to timely resolut-
                ions. The newly organized Work Control Center also contributed
                by better controlling work activities. Detailed critiques of
                both outages examined methods of improving future outage activit-
                ies. Despite an ambitious schedule and unforeseen required main-
                tenance, the licensee was able to complete the outages with only
                a day delay for each outage. Based on the above, both the
                Planning and Contract Services Department and the Work Control
                Center improved the control of the outages that were conducted.
                The plant Technical Services Department supplied engineering
                support for the review and design of modifications, resolved
                plant engineering problems, administered the environmental qual-
                ification program onsite, and reviewed all safety-related pur-
                chase orders.    Significant modifications included installation
                of a new plant computer system including SPDS, Appendix R modi-
                fications, installation of a second level of undervoltage pro-
                tection, and installation of new drywell sump level t'rans-
                mitters. The engineers were knowledgeable and competent, and
                were actively involved throughout the installation and testing
                of the modifications. However, due to the significance of their
                functions, the department's potential to impact other plant
                departments and the fluctuating work loads between modifications
                and plant ent'neering problems, the Technical Services Depart-
                ment will require continuing plant management review to assure
      __ . _ _          _ . _ _
                                  . _ _ _ _ _    ~ . _ _ _ , _      _ _--      _ - - -
                                                                                        -
 
                                          --
                                                        r
      '
  :
    f
        .                              26
              proper oversight'of the department's activities.    It appeared
              that this oversight was inadequate.on occasion based on the
            .following examples:                              '
              --
                    ~ The ongo'ing program to inspect all safety-related pipe sup-
                    ports was placed on hold in November 1985 following funding
                      shortages which prevented the Architect Engineer (AE) from
'
                    performing further evaluations. The licensee believed at
                    the time that-the fifty items waiting evaluation by the AE
                    did not affect support or system operability. In April
                    1986 after.the funding became available, the AE determined
                    a support in the Core Spray system identified on November
                    7, 1985 as having a discrepancy was inoperable. Subsequent
                    evaluation concluded the inoperable support did not affect
                    the system operability. The delay in recognizing the inop-
                    erable support was caused by the Pipe Support Field Engi-
                    neer's (PSFE), a contract engineer, failure to make the
                    operability determination upon discovering the discrepan-
                    cies_as expected. On November 15, 1985, when the PSFE left
                    the site permanently, the Pipe Support Program Manager was
                    not informed of the problem by the PSFE, and no formal re-
                    view of the support packages was conducted when.the PSFE
                    departed.
              --
                    An installation deficiency caused by inadequate design
                    change review on a valve motor operator resulted in a Re-
                    circulation Loop Discharge Bypass Valve being inoperable
                    due to mechanical interference following piping thermal
                    expansion. .During installation of the new operator, the
                    orientation of the operator had been changed due o dif-
                    ferent clearance requirements. This event resulted in a
                    plant shutdown required'by Technical Specifications.
              In summary, outage management was well organized and effective
              in planning and managing the two short outages. The dedicated
              outage planning staff has been instrumental in upgrading the
              planning for the upcoming refueling outage. With the exception
              noted, the engineering support group performed well in assuring
              the technical adequacy of modifications, but upper plant and
              corporate management review of their activities should be in-
              creased.
          2.  Conclusion
              Rating: 2
          3. Board Recommendations
            None
                  <
 
m
i
~
  , *.
                                        27
        H. Licensing Activities
          1.  Analysis
                During the previous assessment period, this functional area was
                rated as Category 2. Performance had improved as evidenced by
                the reduction in the backlog of licensing actions.
                A reorganization of the headquarters staff took effect at the
                beginning of this rating period. In the new configuration, the
                licensing staffs for both FitzPatrick and Indian Point 3 report
                to the same Vice-President. Notwithstanding the differences in
                the respective reactor designs, this change has resulted in an
                improved exchange of information between the two-licensing
                staffs and should result in more uniform interactions with NRR.
                Interaction between headquarters management and NRR was at a
                comparatively reduced level during this rating period due to
                elimination of a large backlog of licensing actions during the
                previous rating period and the absence of any major outages.
                Nevertheless, management interest and involvement in licensing
                activities was evident. A case in point was the attendance of
                licensee senior level management at a counterparts working meet-
                ing between BWR Project Directorate #2 staff and licensing man-
;              agers of utilities assigned to that directorate, held in April
                1986. Increased management attention to the quality of Sholly
'
i              evaluations and licensing correspondence has also been evident
                during this rating period and is responsive to a recommendation
                made in the previous SALP evaluation.
,-
                Licensee management, however, has not directed sufficient atten-
                tion towards correcting and revising the Technical Specifica-
                tions (TS) to ensure that the current, as-built configuration of
                the plant is reflected, that errors are eliminated, and that
                wording clearly reflects the intent of the TS. A case in point
                is Table 3.7-1 regarding containment isolation valves.      Inaccu-
;              racies have existed in this table for years, and the table does
l              not reflect the current configuration of the plant, yet the
                licensee has not, to date, proposed revisions. The TS pertain-
                ing to recirculation bypass valves illustrates a case where
l              wording is not consistent with intent. Although this TS was
'
                subsequently deleted, no effort was made to revise the wording
i              during a 6-month period from the time this TS led to a plant
i              shutdown to the time the deletion was requested.
l              Licensee efforts towards the resolution of safety issues is evi-
l              dent by its active participation and close contact with various
!              industry groups involved in the identification and resolution of
                safety issues. These groups include the BWR Owners Group, the
                Institute for Nuclear Power Operations, the Seismic Qualifica-
                tion Utility Group, the Nuclear Utilities Fire Protection Group,
f
 
s D
    .                            28
        the Nuclear Utility Group on Station Blackout, IDCOR, the Nucle-
        ar Utility Management and Resource Committee, the Atomic Indus-  .
        trial Forum, and the American Nuclear Society.
        With a few ex'ceptions, safety evaluations submitted by the
        licensee in support of proposed TS changes or to resolve techni-
        cal issues have been clear and substantive. One exception was
        the documentation (a contractor report) submitted to support a
        TS revision to lower the MSIV isolation water level setpoint.
        Better screening of contractor outputs, for clarity as well as
        technical content, will reduce the NRR resources required for
        review, with attendant reduction in cost-'tc the licensee.
        Licensee responsiveness to NRC initiatives was noted in the pre-
        vious two SALP evaluations as an attribute for which improved
        performance was sought. No improvement in the licensee's over-
        all spirit of cooperation, however, was evident during this
        rating period.    Encompassed here is the licensee's responsive-
        ness to requests for information, both verbal and written, de-
        lays in submittal or resubmittal of documentation (often of a
        routine or simple nature), and the general reluctance to provide
        definitive schedules. All of these factors represent impedi-
        ments to conducting day-to-day business. Examples include poor
        responsiveness to requests for additional information concerning
        the following reviews: SpDS (isolation devices), Salem ATWS
        Item 1.2, an Appendix R exemption related to safe shutdown, and
        the ISI program review. In addition, delays were experienced in
        the resubmittal of amendment requests concerning NUREG-0737 TS
        (a problem area identified in the previous SALP evaluation) and
        transfer of reserve power (returned to the licensee because of
        an inadequate Sho11y analysis). Delays in the submittal of TS
        needed to support plant modifications, in accordance with 10 CFR
        50.59, have also been evident. Cases in point are the TS re-
        lated to second level undervoltage protection modifications, the
        analog transmitter trip system installation, and containment
        isolation valve additions.
        In view of i.he previous elimination of a large backlog of li-
        censing actions, and the increase in size of the licensing
        staff, improvement was possible during this rating period but
        was not achieved.    In summary, the licensee needs to improve
        communications as well as its spirit of cooperation with the
        HRC in the area of licensing activities.
      2. Conq1usion
        Rating: 2
        Trend:    Declining
 
                                    ,
  ,s o                            l
                                    )
                                29
        3. Board Recommendations
          None
l
!
!
.
I
!
l
t
 
F
            -
    3
  y      :p  r
      .e            .
                                          '
                                                    30
                                                                                                    ,
                                                                                  '
                I'.  ~ Training and Qualification Effectiveness (NA)
                      1.    Analysis
                            The.various a'spects of this functional area have been considered
                                                  -
                                                                                                  .
                          .and discussed as an integral part of other functional areas and
                            the respective inspection hours have'been included in each one.
                          - Consequently, this discussion is a synopsis of the assessment's-
                            related to training conducted-in other areas. Training effec -
                            tiveness has been. measured primarily by the observed performance
                            of licensee personnel and,,to a lesser degree, as a review of
                            program adequacy. The discussion below addresses three princi-
                            ple areas: licensed operator training, nonlicensed staff
                            training, and the status of INP0 training accreditation.
                            In the previous assessment period, this-functional area was rat-
                            ed as Category 2. FitzPatrick management displayed a strong
                            commitment to training, shown by several programs for the im-
                            provement of the technical knowledge of both licensed and non-
                            licensed personnel. A declining trend had been noted in lic-
                            ensed operator examination results. This was attributed to in-
                            adequate screening of the candidates.
                            During this assessment period, one set of replacement operator
                          . licensing examinations was administered, and a requalification
                            training program inspection was also conducted by NRC. Region I.
                            A total of six candidates were given written and oral examina-
                            tions for initial licenses in July 1986. The two (2) Senior
                            Reactor Operators (SRO) candidates-and the Instructor Certifi-
                            cation candidate passed the examination. Of the three (3).Reac-
                            tor Operators (RO) candidates, one passed, one failed the oral
                            examination,'and one failed both the. oral and written            ,
                            examinations.
                            During this assessment period, several deficiencies were noted
                            in the administration of the licensed operator training program.    '
                          'As noted above, two of the three Reactor Operator license candi-
                            dates failed the examinaticn given this period. Over the past;
                            two years, four of six Reactor Operator candidates have failed
                            the examination. This poor performance has been attributed to
                            inadequate screening of NR'J examination candidates and not poor
                          -training practices. This conclusion is based on the performance
                            of the-Reactor Operator and Senior Reactor Operators who have
                            passed the examinations and the fact that both the Senior Reac-
                            tor Operators and Reactor Operators are trained together in one
                            classroom.
                          An inspection of the FitzPatrick requalification training pro-
                            gram identified significant weaknesses. The utility training
 
  ,
  ;;    x
      <      -
                    6
e                  .                              31
          ~
                          staff ' submitted 20% of.both the _SRO and R0 written requalifi-
            -
                          cation ~ examinations given, including the answer keys,.to.the NRC
                          for parallel grading.    A' comparison of results revealed signifi--
                        . cant differences between the licensee and the NRC grading, with
                          the NRC grade's being lower in allicases. A review of the grad-
                          ing techniques revealed that many questions were not graded
                          strictly'to the answer key, and grading between the examinations
                g.        wa. ' ansistent.
                          Oth      weaknesses identified during the requalification training
                          program inspection included poor: lectures, poor attendance,
                                                                            ~
                          missed required reading assignments, missed oral examinations,
                          and overall weak program supervision. Some of these problems
                          can be attributed to the temporary reassignment of the requaliff-
                          cation program administrator,.who attended advanced technical
                          training for eight months. In his absence,.the as;igned program
                          administrator did not adequately. implement the requalification
                          program and the licensee management failed to properly. oversee
                          the program. However, many of these weaknesses' existed before
                      4 the reassignment and are attributed'to overall poor management-
                          oversight of the program.
                          Although weaknesses were noted in the administration of the
                          requalification program, these weaknesses did not appear to
                          have a' direct-impact.on the day-to-day operations of the plant,
                          as evidenced by the 'small number of personnel errors and opera-
                          tional events. A positive. initiative,.which was-begun during
                          this assessment period by the Operations Department, was an
                          on-shift operator training program. This program, implemented
                          to improve operator knowledge, includes auxiliary operator
                        walkthroughs, scenario walkthroughs with the entire shift,
                        written examinations, and incident discussions.
                        The training programs for nonlicensed personnel continue'to be
                          strong and effective as evidenced by the absence of personnel
                          errors and improvement in performance. The stcte' accredited
                          training program has been implemented and well received. Con-
    *
                          tinued. improvements are being made in the area of nonlicensed
                        . operator training program as evidenced by the implementation
                        of a formal remediation program. In addition, FitzPatrick main-
                        'tained strong and effective training programs for maintenance,
                          radiation protection, and security personnel.
                          FitzPatrick received training program accreditation from INP0 in
                          the areas of Reactor Operators, Senior Reactor Operators and
                        auxiliary operators. The self-evaluation reports for the remain-
                          ing seven programs have been submitted and the Accreditation
                        Team visit to review these programs is scheduled for February
                          1987. The simulator and new training facility are scheduled for
                        completion in mid-1988.
 
                                                . .
  oc      ..:
'
                                                                                                                                                                                                l
                                                                                32
                                    In summary, the training programs for nonlicensed operators,
                                    maintenance workers, radiation protection technicians, and
                                    security personnel were strong and effective. Problems occurred
                                    in the screening of initial operator license candidates and the
                                  - administration of the requalification training of ifcensed oper-
                                    ators, but FitzPatrick management belatedly found the problems
                                    (concurrently with NRC inspections)-and corrective action is.
                                    being taken regarding the requalification program. In spite of
                                    the problems there is no evidence that they adversely affected
                                    plant operations.
                          2.        Conclusions
<
                                    Rating:          2
                          3.        Board Recommendations
                                  None
i-
*
4
4
      =cv,    . - ,.v.-.    ,y--,    - , , , ,    e . , . _ .c-- .. . - _ - .    -~.m ,-, _ , - , .. . . , , _ - - , - .. . . , , , . . . . - - , , . _ , . . . . . ,,,4.. ~ . . ..-._--.. ,_
 
  , s.                                    n
                                              33
          J.    Assurance of Quality
                1.  Analysis
                    Assurance of Quality is a summary assessment of management over-
                      sight and effectiveness in implementation of the quality assur-
                    ance program and administrative controls affecting quality.
                    Activities affecting the assurance of quality as they apply spe-
                    cifically to a functional area are addressed under each of the
                      separate functional areas. Further, this functional area is not
                    merely an assessment of the Quality Assurance Department alone,
                    but is an overall evaluation of management's initiatives, pro-
                    grams, and policies which affect or assure quality.
                    During the previous assessment period, this functional area was
                    rated as a Category 2. The Quality Assurance (QA) Department
                    was actively involved in startup testing, maintenance and modi-
                    fication activities. Weaknesses noted were in the scope of au-
                    dits and involvement in surveillance testing.
                    During this assessment period, the weaknesses noted above have
                    been corrected. With the exception of Radiation Protection Pro-
                    grams, audits were found generally to be of sufficient depth.
                    The QA departmeat also utilizes surveillances to review activi-
                    ties in progress. The QA department expanded their involvement
                    in the surveillance test area.
                    A review of the quality assurance program found the QA depart-
                    ment to be adequately staffed. The QA personnel receive train-
                    ing in the department and at the Training Center. The QA depart-
                    ment is part of the corporate organization, but frequent meet-
                    ings of the QA Superintendent, the Resident Manager and the
                    Superintendent of Power are held to discuss QA/QC concerns.
.
'
                    Thus QA issues are brought to the attention of appropriate. plant
                    management in a timely fashion.
                    A maintenance program for items in storage was lacking and re-
                    sulted in a pump being improperly maintained. The lack of such
                    a program was brought to the licensee's attention in 1983, 1984
                    and during the course of inspection 86-11. The licensee has
                    initiated corrective action in the form of a material equipment
                    list which is scheduled for completion in January 1987 and for
                    full implementation by late 1988. The list is intended to
                    identify all the maintenance requirements for each item. Cor-
                    rective actions in this area have been slow.
                    The licensee has recognized a need for improvement in the per-
                    formance of receipt inspections by QC inspectors and is develop-
                    ing an upgraded receipt inspection instruction.    The instruction
                    will delineate receipt inspection requirements, and provide
      .
        ,    ._
                        .,,--r----=
                          -
                                    = - ~
                                          v-    -
                                                          v            e    -      e-- -w -
                                                                                            --es- - -+ - - . -- - - -
 
  y  4
        .                        34
-
      .
          guidance to inspectors. Without the instruction, inspectors
          must rely on their experience, which can result in inconsistent
            inspection results.
          The Quality A'ssurance Department plays an active role in assur-
            ing quality at the plant. There are excellent lines of communi-
          catior, between the QA department, plant management and each
          department. The QA department has also contributed significantly
          by their involvement in the Scram Reduction Program, Technical
          Specification Matrix, Master Equipment List, procedural reviews,
          and surveillance of plant activities. The QA Superintendent
          emphasizes _ quality on the front-end and not after-the-fact. He
          accomplishes this by making sure that in process inspections
          and evaluations receive high priority and paperwork audits are
          placed in proper perspective. In addition, the QA department
          conducted a review of vendor QA programs and facilities when
          problems arose with Containment Atmosphere Analyzes and
          Rosemount transmitters.
          Corporate and station management are actively involved in plant
          activities. Senior plant management exhibits an excellent
          attitude toward plant safety and have focused their efforts on
          reducing personnel errors and instilling a pride of workmanship.
          These efforts appeared to be effective, based upon the small
          number of personnel errors and high plant availability. First
          line supervision is actively involved in monitoring work activ-
          ities to assure a quality product. NYPA's work force is stable,
          experienced, knowledgeable, and dedicated, and represents a
          strength. NYPA has demonstrated a quality attitude by imple-
          menting the Scram Reduction Program, newly organized work con-
          trol center, and revised work activity control procedures. They
          also maintain an effective program of establishing and tracking
  _.      management goals and objectives. The goals provide an extensive
          data base of information for monitoring NYPA's performance and,
          in many cases, are compared to a management goal.
          Improvements have been noted in the Plant Operations Review Com-
          mittee (PORC). The PORC has generally displayed a more inquisi-
          tive nature in reviewing events. One exception was the review
          following a reactor trip discussed in Section C, Maintenance.
          The PORC utilizes a formal system to track resolution of issues
          or questions and corrective actions.
          One overall weakness noted was the sinw or ineffective resolu-
          tion to previously_ identified problems which included: mainten-
          ance of stored items, calibration program weaknesses identified
          in a 1983 audit, and failures to make required Emergency Notifi-
          cation System reports discussed in Section A, Operations.
          In summary, the Quality Assurance Department plays an active
          role in assuring quality at FitzPatrick. The plant management
 
.. -.
                                  35
        generally displays an aggressive attitude for improvement of
        quality at the facility, as evidenced by establishing and imple-
        menting improvement programs noted above. However, some pro-
        grams are still slow in developing and lapses have occurred in
        implementing some corrective actions, performing root cause
        analysis, implementation of the requalification training pro-
        gram, and procedural adherepce. These issues require continued-
        management attention.
      2. Conclusions
        Rating: 2
        Trend:  Improving
      3. Board Recommendations
        None
 
    .                  _    _-      ____-_      . _ _ _ _  _ _ _ _ _ .
  . .
                                            36.
      V. SUPPORTING DATA AND SUMMARIES
        A.  Investigation and Allegation
                                '
              None
        B.  Escalated Enforcement Actions
              None
        C.  Management Conferences
            Two management meetings were held during the assessment period. One
            was held April 25, 1986, to discuss the last SALP report. The second
            was held August 5, 1986, this was to discuss NYPA's progress on the
            Scram Reduction. Program as recommended in the last SALP.
        D.  Licensee Event Reports
            Twenty LERs were submitted during this assessment period. The LERs
            are listed in Table 3. The following is a tabular listing of the
            results of the causal analysis of the LERs.
            A.    Personnel Error..................        5
            B.    Design / Man./Construc./ Install....      6
            C.    External Cause....................        O
            D.    Defective Procedures.............        3
            E.    Component Failure................        3
            X.    0ther............................        3
                                                Total 20
            Causal Analysis
            The following sets of common mode events were identified:
            Inadvertent RPS Actuations
            Five LERs (86-04, 86-06, 86-10, 86-13, and 86-17) reported reactor
            trips. The analysis of these events is delineated in Table 6.
            Inadvertent ESF Actuations
l            Three LERs (85-28, 86-05, and 86-15) reported isolations of either
            the High Pressure Coolant Injection System or Reactor Core Isolation
            Cooling Injection System. These were due to different causes includ-
            ing component failure, design deficiencies and inadequate procedures.
l
l
!
l
1
 
. 4.
                                    37
        Inoperable ESF Systems
        Three LERs (86-03, 86-12, and 86-14) report the High Pressure Coolant
        Injection System inoperable. The causes varied but all were due to
        inoperable motor o'perated valves. In one case, the failure was due
        to corrosion. caused by a steam leak, another due to procedural inade-
        quacies, and the third, design deficiencies.
        Surveillance Testing
        Three LERs (86-01, 86-02, and 86-09) reported missed or late surveil-
        lance tests. Two were caused by inadequate program administration
        and the third due to personnel error.
    E. Licensing Activities
        1.  NRC/ Licensee Meetings / Site Visits
            Site Visits: March 18, May 16, June 26-27, October 22, 1986
            Meetings: February 10, 1986: Discussed licensing action status
            March 18, 1986: Discussed Sholly preparation
            April 10, 1986: Licensing counterparts meeting
                              (BWD#2)
            April 25, 1986: SALP management meeting
            May 16, 1986: Discussed licensing action status
            July 31, 1986: Discussed Technical Specifications
                              related to control room habitability
            September 11, 1986: Discussed licensing action status
        2.  Commission Briefings
            None
        3.  Schedular Extensions Granted
            None
        4.  Relief Granted
            April 18, 1986; Certain inservice inspection requirements
        5.  Exemptions Granted
            April 30, 1986; certain requirements of Appendix R
            September 15, 1986; certain requirements of Appendix R
        6.  License Amendments Issued
            Amendment No. 98, issued May 6, 1986; revises TS regarding sin-
            gle loop operation
 
_ - -
      , -..
                                      38
              Amendment No. 99, issued June 20, 1986; revises TS to clarify
              responsibility of Plant Operating Review Committee
              Amendment No. 100, issued June 20, 1986; revises TS regarding
              composition of Safety Review Committee
              Amendment No. 101, issued October 24, 1986; revises TS regarding
              enriched bundles stored in spent fuel pool.
              Amendment No. 102, issued October 31, 1986; revises TS to impose
              more restrictive leakage limit and increased surveillance re-
              quirements (NUREG-0313)
            7. Emergency / Exigent Technical Specifications
              None
            8. Orders Isse'ed
              None
            9. NRR/ Licensee Management Conferences
              None
                                                              s
 
  - -
    . 4-
              ,                          39
                                      TABLE 1
                          INSPECTION REPORT ACTIVITIES
          Report / Dates  Inspec' tor    Hours        Area Inspected
              85-31      Resident          76        Routine Resident
        12/1/85 - 1/17/86                              Inspection
              86-01      Resident        109        Routine Resident
        1/18/86 - 3/10/86                              Inspection
              86-02      Specialist        26        Routine Security
        1/13/86 - 1/16/86
                                                                              '
              86-03      Specialist        47        Routine Transportation
        1/28/86 - 1/31/86
              86-04      Resident        227        Routine Resident
        3/11/86 - 5/9/86                              Inspection
              86-05      Resident        128        Routine Resident
        5/10/86 - 6/20/86                              Inspection
              86-06      Specialist        74        Routine Dosimetry
        5/19/86 - 5/23/86                              Program
              86-07      Specialist      110        Emergency Preparedness
        6/17/86 - 6/19/86                              and Observation of
                                                        Emergency Exercise
              86-08        Specialist        72        Surveillance Program
        6/2/86 - 6/6/86
              86-09        Specialist        N/A        Operator Examination
        7/28/86 - 7/31/86                              Report
              86-10        Resident        153        Routine Resident
        6/21/86 - 8/8/86                              Inspection
,
              86-11        Specialist        46        Routine Quality
        7/14/86 - 7/18/86                              Assurance Program
              86-12        Specialist        36        Radiological
        7/21/86 - 7/25/86                              Environmental
                                                        Monitoring Program
,
'
              86-13        Resident        123        Routine Resident
        8/9/86 - 9/29/86                              Inspection
 
E-
  . . , - e
[                                            40
                  86-14-        Specialist      57 Environmental
            8/25/86 - 8/28/86                    Qualification of
                                                  Limitorque Valve
                                      ,
                                                  Wiring
                  86-15-        Specialist    130  Requalification
            9/16/86 - 9/18/86                    Training Program
                  86-16        Specialist    38  Maintenance
!
            9/22/86 - 9/26/86                    Surveillance Testing.
                                                  & ISI Programs
                  86-17        Specialist    126  Routine Radiation
            9/29/86 - 10/3/86                    Protection' Program
                  86-18        Resident      171  Routine Resident
            9/30/86 - 11/24/86                    Inspection
!
                  86-19        Specialist    56  Special Nuclear
            10/21/86 - 10/23/86                    Material Control Program
l
                  86-20        Specialist    27  Routine
l          10/21/86 - 10/23/86                    Norradiological
i                                                  Chemistry Program
                  86-21        Specialist    56  Routine Effluent
i          11/17/86 - 11/21/86                    Monitoring Program
                  86-22        Specialisc    32  Routine Security
l
            11/24/86 - 11/26/86
i
l
!
!
                                          .
 
                                                                                                                                      _
o          <                                                        .
                                                                                        -
    f:,          n,        ,          .                                                41
      '
  3,
            ?                  ,
                                                                                                                                        l
                            [        '
                                                      ,
                                                                                  TABLE 2
                                                                INSPECTION HOURS SUMMARY
                                                  - JAMES A. FITZPATRICK NUCLEAR POWER PLANT
                      TIME                                                                                            HOURS % OF TIME
                      A.          Plant    Operations...........................                                    773    40.3      i
                >                                                                                                                      ,
                  _
                '. B.              Radiological        Controls......................                                  392    20.4
                      C.          Maintenance................................                                        159      8.2
        ,
                      D.          Surveillance...............................                                        194    10.1
                                            l
                      E.          Emergency Preparedne s s. . . . . . . . . . . . . . . . . . . . .                  110      5.7
                                          +
                                    i
                      F.          Sec,uri ty and Safegua rds. . . . . . . . . . . . . . . . . . . .                  140      7.3
                      G.          Outage Managemert and Engineering Support..                                        152      7.9
                      H.          Licen sing Activi ti es . . . . . . . . . . . . . . . . . . . . . . . .              *        *
                      I.          Training and Qualification..................                                        **      **
                                  Effectiveness
                                            /
                    J.          , A s s u ra n c e . o f Q ua l i tyl . . . . . . . . . . . . . . . . . . . . . . . **          **
                  ,          t,
                        ,y0 '. ( 9  )
                                                                          Total                                    1920        100%
              I          f.,,  d
                        'liours expended in facility license activities and operator license
                        activities not included with direct inspection effort statistics.
                    ** Hours expended in the areas of training and quality assurance are included in
                    other functional areas, therefore, no direct inspection hours are given for
p                  ,these areas.
              !                                                          1
                                                                                                                    ,
.l.-
                                                                  .5    i
                                                                        >
                        t
                      a
          t          n
                        }
                '                                                                              .
                                                                                                e
                                                    f                h
                                                                t'                                      !
                                                          ...                    .-
 
, e
                                                                    '
              .                            42
                                        TABLE 3
                        LISTING OF LERs BY FUNCTIONAL AREA
                                  '
                                      CAUSE CODES
    AREA                        A    !    C    D    {    X TOTAL
    Operations                  1    3    0    0    1    1  6
    Radiological / Controls    0    0    0    0    0    0  0
    Maintenance                0    2    0    2    1    0  5
    Surveillance                3    0    0    1    0    1  5
    Emergency Prep              0    0    0    0    0    0  0
    Sec/ Safeguards            0    0    0    0    0    0  0
    Outage Management          0    1    0    0    1    0  2
    Training                    0    0    0    0    0    0  0
    Licensing                  0      0    0    0    0    0  0
    Assurance of Quality        1    0    0    0    0    1  2
        TOTALS                5      6    0    3    3    3  20
    Cause Codes: A - Personnel Error
                  B - Design, Manufacturing, Construction or
                      Installation Error                            -
                  C - External Cause
                  D - Defective Procedures
                  E - Component Failure
                  X - Other
 
. ~
                                  43
                            TABLE 4
                          LER SYN 0PSIS
    LER Number Event Date Cause Code    Description
      85-27*    11/22/85        E        Inoperable Main Steam
                                        Isolation Valves found
                                        during testing.
      85-28    12/13/85        E        High Pressure Coolant
                                        Injection System Isolation
                                        due to faulty trip unit.
      86-01      3/3/86        A        Failure to perform APR.:
                                        surveillance at required
                                        frequency.
      86-02      3/3/86        A        Failure to perform
                                        Diesel Fire Pump
                                        Surveillance at required
                                        frequency.
      86-03      3/12/86      X        Inoperable containment
                                        isolation valve on High
                                        Pressure Coolant Injection
                                        system.
      86-04      3/15/86      D        Reactor Trip while
                                        shutdown performing post
                                        work testing.
    86-05      4/4/86        B        Reactor Core Isolation
                                        Cooling isolation due to
                                        loose lead.
    86-06      3/25/86.      A        Reactor Trip while
                                        shutdown due to low vessel
                                        level.
    86-07      3/23/86      A        Failure to meet
                                        Environmental
                                        Qualification requirements
                                        for 4 valve operators
                                        inside containment.
    86-08      3/27/86        X        Setpoint drift of ASCO
                                        pressure switches.
                                                            . _ _ .
 
  a. .
                                            44
        86-09          3/28/86            A            Late chemistry
                                                        surveillance during
                                                        startup.
        86-10          4/4/86            B          Reactor trip while
                                                      conducting turbine stop
                                                      valve testing.
        86-11          5/15/86            B          Failure of
                                                      recirculation 'oop
                                                      discharge byp.tzs valve to
                                                      operate.
        86-12          5/25/86            B          High Pressure Coolant
                                                      Injunction inoperable due
                                                      to breaker tripping when
                                                      wetted.
        86-13          7/3/86            B          Reactor trip due to
                                                      protective relay test
                                                      block failure.
        86-14          9/3/86            D          High Pressure Coolant
                                                      Injection valve failure
,                                                    due to procedural
                                                      inadequacies.
        86-15          9/4/86            D          Reactor Core Isolation
                                                      Cooling isolation due to
                                                      inadequate venting of
                                                      transmitter.
        86-16          9/9/86            X          Use of incorrect
.
                                                      Minimum Critical Power
                                                      Ratio calculation.
        86-17          9/30/86            E          7 Reactor Trips while
                                                      shutdown due to neutron
                                                      instrument spikes.
        86-18        10/15/86            B          Potential common mode
                                                      failure of circuit
      *
                                                      breakers.
,
        Event occurred during previous assessment period
,
I
i
 
a -
                                            45
                                        TABLE 5
                      ENFORCEMENT SUMMARY 12/1/85 - 11/30/86
                      JAMES A. FITZPATRICK NUCLEAR POWER PLANT
    A.    Number and Severity Level                    Level of Violations
              Severity Level I                                    0
              Severity Level II                                  0
              Severity Level III                                  0
              Severity Level IV                                  4
              Severity Level V -                                  2
              Deviation                                          0
                    TOTAL                                        ~6
    B.    Violation vs. Functional Area
                                    SEVERITY LEVEL
    FUNCTIONAL AREA            1      2    3    4    5    DEV.      TOTAL
    Operations                                          2                  2
    Radiological Controls                                1                  1
    Maintenance                                          1                  1
    Surveillance                                  1                        1
    Emergency Prep.                                                        O
    Sec/ Safeguards                                                        0
    Refueling and Outage
    Management                                                              0
    Training                                                                0
    Licensing                                                              0
    Assurance of Quality                          1                        1
                              _      _    _    _    _                  _
                  TOTALS                          2    4                  6
 
, ,, .
                  .                            46
                                  TABLE 5 (CONTINUED)
                                  ENFORCEMENT SUMMARY
                                    .
        Inspection                    Violation    Functional-
          Report      Requirement      Level          Area      Violation
              85-31      10CFR50.72        5        Operations  Failure to report
        12/1/85-1/17/86                                          High Pressure
                                                                  Conlant Injection
                                                                  System Isolations
                                                                  and Inoperability.
            86-01        Tech Spec          4    Surveillance  Failure to perform
      '1/18/86-3/10/86    4.0.8.                                surveillances
                                                                  within required
                                                                  frequency.
            86-11        10CFR50            4    Assurance of  Failure to properly
        7/14/86-7/18/86 APP. B(XIII)              Quality        care for items in
                                                                  storage.
            86-12      Tech Spec            5    Rad Control  -Failure to
        7/21/86-7/25/86    7.2                                    properly implement
                                                                  procedure for
                                                                  calibration of Alpha
                                                                  Beta counter.
            86-13      Tech Spec            5    Maintenance /  Failure to
        8/9/86-9/29/86    6.8(A)                  Rad. Control  properly implement
                                                                  procedures for
                                                                  installing a pressure
                                                                  transmitter and survey
                                                                  new fuel shipments.
            86-13      10CFR50.72            5    Operations    Failure to make
        8/9/86-9/29/86                                            ENS report for reactor
                                                                  core isolation cooling
                                                                  system isolation.
 
  .,.a.
                                                47
                                                TABLE 6
                            REACTOR TRIPS AND UNPLANNED PLANT SHUTDOWNS
        The reactor trips occurring 'during this assessment period fall into three cate-
        gories. These categories included personnel error, procedural deficiency, and
        equipment malfunction. This section assesses the root cause of each trip with-
        in each category from the NRC's perspective.
                        Power                                                      Functional
                Date  Level Description            Cause                            Area
        1.      3/15/86    SD Reactor trip due to Personnel Error:                Assurance
                              post-work testing    An inadequate review of a        of
                              on RPS. (LER 86-04) procedure change resulted      Quality
                                                    in energizing one
                                                    of the backup scram
                                                    solenoids causing the scram.
        2.      3/25/86    SD Reactor trip due to Personnel Error:                Operations
                              reactor vessel low Inadequate control of
                              level . (LER-86-06)  activities in the control
                                                    room caused the trip when
                                                    the operator's attention was
                                                    diverted to stop a feedwater
                                                    leak while purposely lowering
                                                    vessel level.
                3/28/86      Start-up
        3.      4/4/86  88% Reactor trip during Procedural Deficiencies:          Maintenance
                              turbine stop valve    Loose bolts on turbine stop
                              testing due to        valve, which were apparently
                              faulty valve          not torqued, allowed a stroke
                              position indication change causing faulty position
                              (LER 86-10)          indication.
                4/6/86        Start-up
!
l      4.      5/15/86      Shutdown required    Equipment Failure:            Engineering
                              by Technical Spect- Inadequate design change        Support
                              fications due to      review resulted in valve
                              inoperable            inoperability due to thermal
                              Recirculation loop growth.
                              discharge bypass
                              valve (LER 86-11)
                5/18/86      Start-up
l
I
 
. - . . .
    .
                                            '48
          5.    7/3/86  100% Reactor Trip.due to Equipment Failure -            Maintenance
                            Turbine trip          Random: A failure in
                            (LER 86-13)          protective relay test
                                                  circuit caused a turbine trip.
                7/4/86      Start-up
          6.    9/30/86 ~ SD Reactor Trip due to Equipment Failure -            Maintenance
                            neutron monitoring Random: A wet connector
                            instrument failure caused the LPRM to fail
                            (LER 86-17)          upscale.
          7-12. 10/1/86  SD- Seven reactor trips Equipment Failure:              Maintenance
                10/3/86    due to neutron        During under-vessel work,
                10/4/86    monitoring            maintenance personnel
                            instrument spiking    bumped "G" IRM connector
                            (LER 86-17)          which was later found to'                  l
                                                  have a broken connector.
                10/9/86    Start-up
 
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