ML092390460: Difference between revisions

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| number = ML092390460
| number = ML092390460
| issue date = 09/01/2009
| issue date = 09/01/2009
| title = ME1717 - Letter Audit of Entergy'S Management of Regulatory Commitments
| title = ME1717 - Letter Audit of Entergys Management of Regulatory Commitments
| author name = Vaidya B
| author name = Vaidya B
| author affiliation = NRC/NRR/DORL/LPLI-1
| author affiliation = NRC/NRR/DORL/LPLI-1
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=Text=
=Text=
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:0 r:;                     September 1, 2009
September 1, 2009
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          ****-li' Vice President, Operations Entergy Nuclear Operations, Inc.
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James A. FitzPatrick Nuclear Power Plant P.O. Box 110 Lycoming, NY 13093
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****-li' Vice President, Operations Entergy Nuclear Operations, Inc.
James A. FitzPatrick Nuclear Power Plant P.O. Box 110 Lycoming, NY 13093  


==SUBJECT:==
==SUBJECT:==
JAMES A. FITZPATRICK NUCLEAR POWER PLANT - AUDIT OF ENTERGY'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME1717)
JAMES A. FITZPATRICK NUCLEAR POWER PLANT - AUDIT OF ENTERGY'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME1717)  


==Dear Sir or Madam:==
==Dear Sir or Madam:==
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the U.S. Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the U.S. Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.
The NRC's Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory commitments are being effectively implemented.
The NRC's Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory commitments are being effectively implemented.
The NRC's staff performed an audit of the James A. FitzPatrick Nuclear Power Plant (JAFNPP) commitment management program at JAFNPP, which is located near Oswego, New York, on August 17 through August 20, 2009, and reviewed commitments made by JAFNPP in the past 3 years since the previous audit on May 31 and June 1,2006. The NRC staff concludes, based on the audit, that (1) JAFNPP has implemented NRC commitments for JAFNPP on a timely basis; and (2) JAFNPP has implemented an effective program for managing NRC commitment changes at JAFNPP. Details of the audit are set forth in the enclosed audit report.
The NRC's staff performed an audit of the James A. FitzPatrick Nuclear Power Plant (JAFNPP) commitment management program at JAFNPP, which is located near Oswego, New York, on August 17 through August 20, 2009, and reviewed commitments made by JAFNPP in the past 3 years since the previous audit on May 31 and June 1,2006. The NRC staff concludes, based on the audit, that (1) JAFNPP has implemented NRC commitments for JAFNPP on a timely basis; and (2) JAFNPP has implemented an effective program for managing NRC commitment changes at JAFNPP. Details of the audit are set forth in the enclosed audit report.  


V. P. Operations                             -2 If you have questions, please contact me at (301 )-415-3308.
V. P. Operations  
Sincerely,
- 2 If you have questions, please contact me at (301)-415-3308.
                                              ~~
Sincerely,  
Bhalchandra K. Vaidya, Project Manager Plant Licensing Branch 1-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-333
~~
Bhalchandra K. Vaidya, Project Manager Plant Licensing Branch 1-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-333  


==Enclosure:==
==Enclosure:==
Audit Report cc w/encl: Distribution via Listserv


Audit Report cc w/encl: Distribution via Listserv
UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555-0001 AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULATION LICENSEE MANAGEMENT OF REGULATORY COMMITMENTS JAMES A. FITZPATRICK NUCLEAR POWER PLANT DOCKET NO. 50-333  
 
UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555-0001 AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULATION LICENSEE MANAGEMENT OF REGULATORY COMMITMENTS JAMES A. FITZPATRICK NUCLEAR POWER PLANT DOCKET NO. 50-333
 
==1.0      INTRODUCTION AND BACKGROUND==


==1.0 INTRODUCTION AND BACKGROUND==
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the U.S. Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.
In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the U.S. Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.
The NRC's Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory commitments are being effectively implemented.
The NRC's Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory commitments are being effectively implemented.
NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC.
NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC.
NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generic letters, etc.). The audit is to be performed every 3 years.
NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generic letters, etc.). The audit is to be performed every 3 years.
2.0     AUDIT PROCEDURE AND RESULTS The NRC staff performed an audit of the James A. FitzPatrick Nuclear Power Plant (JAFNPP) commitment management program at JAFNPP, which is located near Oswego, New York, on August 17 through August 20, 2009, and reviewed commitments made by Entergy Nuclear Operations, Inc. (Entergy or the licensee) in the past 3 years since the previous audit on May 31 and June 1, 2006. Entergy is the licensee for JAFNPP. The Entergy commitment management system is described in the Entergy corporate procedure EN-L1-11 0, "Commitment Management Program," Rev. 1, dated December 27, 2007. EN-L1-110 is based on and implements the recommendations of !\lEI 99-04, "Guidelines for Managing NRC Commitment Changes," Rev. O.
2.0 AUDIT PROCEDURE AND RESULTS The NRC staff performed an audit of the James A. FitzPatrick Nuclear Power Plant (JAFNPP) commitment management program at JAFNPP, which is located near Oswego, New York, on August 17 through August 20, 2009, and reviewed commitments made by Entergy Nuclear Operations, Inc. (Entergy or the licensee) in the past 3 years since the previous audit on May 31 and June 1, 2006. Entergy is the licensee for JAFNPP. The Entergy commitment management system is described in the Entergy corporate procedure EN-L1-11 0, "Commitment Management Program," Rev. 1, dated December 27, 2007. EN-L1-110 is based on and implements the recommendations of !\\lEI 99-04, "Guidelines for Managing NRC Commitment Changes," Rev. O.
Enclosure
Enclosure  


                                                    -2 The audit consisted of two major parts: (1) verification of the licensee's implementation of NRC commitments that have been completed and (2) verification of the licensee's program for managing changes to NRC commitments.
- 2 The audit consisted of two major parts: (1) verification of the licensee's implementation of NRC commitments that have been completed and (2) verification of the licensee's program for managing changes to NRC commitments.
2.1     Verification of Licensee's Implementation of NRC Commitments The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licensing actions/activities in accordance with the NRC guidance and approved plant procedures. For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation.
2.1 Verification of Licensee's Implementation of NRC Commitments The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licensing actions/activities in accordance with the NRC guidance and approved plant procedures. For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation.
2.1.1   Audit Scope Before the audit, the NRC staff searched Agencywide Documents Access and Management System (ADAMS) for a sampling of the licensee's licensing actions dated within the past 3 years, since the previous audit on May 31 and June 1, 2006, and selected a representative sample for verification. Table 1 lists the licensee's commitments which were audited.
2.1.1 Audit Scope Before the audit, the NRC staff searched Agencywide Documents Access and Management System (ADAMS) for a sampling of the licensee's licensing actions dated within the past 3 years, since the previous audit on May 31 and June 1, 2006, and selected a representative sample for verification. Table 1 lists the licensee's commitments which were audited.
The list of the selected regulatory commitments for JAFNPP was provided to the site licensing group with a request to provide plant documentation used to track each individual commitment.
The list of the selected regulatory commitments for JAFNPP was provided to the site licensing group with a request to provide plant documentation used to track each individual commitment.
Also, the site personnel were requested to provide status and a copy of the revised documents (plant procedures, Updated Final Safety Analysis Report (UFSAR), Technical Specifications (TSs), etc.) for verification, if the required actions had already been completed. The regulatory commitments were reviewed against the plant documents to verify if the commitment had been implemented satisfactorily in accordance with the approved plant procedures.
Also, the site personnel were requested to provide status and a copy of the revised documents (plant procedures, Updated Final Safety Analysis Report (UFSAR), Technical Specifications (TSs), etc.) for verification, if the required actions had already been completed. The regulatory commitments were reviewed against the plant documents to verify if the commitment had been implemented satisfactorily in accordance with the approved plant procedures.
The audit addressed a sample of commitments made during the review period. The audit focused on regulatory commitments (as defined above) made in writing to the NRC as a result of past licensing actions (amendments, exemptions, etc.) or licensing activities (bulletins, generic letters, etc.). Commitments made in Licensee Event Reports or in response to Notices of Violation may be included in the sample, but the review will be limited to verification of restoration of compliance, not the specific methods used.
The audit addressed a sample of commitments made during the review period. The audit focused on regulatory commitments (as defined above) made in writing to the NRC as a result of past licensing actions (amendments, exemptions, etc.) or licensing activities (bulletins, generic letters, etc.). Commitments made in Licensee Event Reports or in response to Notices of Violation may be included in the sample, but the review will be limited to verification of restoration of compliance, not the specific methods used.
The audit excluded the following types of commitments that are internal to licensee processes:
The audit excluded the following types of commitments that are internal to licensee processes:
(1)     Commitments made on the licensee's own initiative among internal organizational components.
(1)
(2)     Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed.
Commitments made on the licensee's own initiative among internal organizational components.
(3)     Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, TSs, and UFSARs. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements.
(2)
Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed.
(3)
Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, TSs, and UFSARs. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements.  


                                                -3 2.1.2   Audit Results The NRC staff reviewed the commitments listed in Table 1 to ensure that the selected commitments are included in the plant database used to track the commitments and evaluate the status of completion of each commitment. The NRC staff found that the licensee's commitment tracking program had captured the regulatory commitments that were identified by the NRC staff before the audit.
- 3 2.1.2 Audit Results The NRC staff reviewed the commitments listed in Table 1 to ensure that the selected commitments are included in the plant database used to track the commitments and evaluate the status of completion of each commitment. The NRC staff found that the licensee's commitment tracking program had captured the regulatory commitments that were identified by the NRC staff before the audit.
The NRC staff also reviewed plant procedures and other design bases documents that had been revised as a result of commitments made by the licensee to NRC. These procedures and documents are identified in the right-hand column of Table 1. The NRC staff review indicated that:
The NRC staff also reviewed plant procedures and other design bases documents that had been revised as a result of commitments made by the licensee to NRC. These procedures and documents are identified in the right-hand column of Table 1. The NRC staff review indicated that:
: 1.     All the regulatory commitments selected for the audit were being tracked.
: 1.
: 2.     Review of the plant documents for the completed commitments indicated that the commitments selected for the review were implemented as committed.
All the regulatory commitments selected for the audit were being tracked.
: 2.
Review of the plant documents for the completed commitments indicated that the commitments selected for the review were implemented as committed.
Table 1 (Item Nos. 1 through 10 and 14 through 22), summarizes what the NRC staff observed as the current status of licensee commitments reviewed during the audit.
Table 1 (Item Nos. 1 through 10 and 14 through 22), summarizes what the NRC staff observed as the current status of licensee commitments reviewed during the audit.
2.2     Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for managing and changing commitments. The process used at JAFNPP is contained in the Entergy corporate procedure, EN-L1-11 0, "Commitment Management Program," Rev. 1 dated December 27, 2007. The audit reviewed a sample of commitment changes that included changes that were or will be reported to the NRC, and changes that were not or will not be reported to the NRC. The audit also verifies that the licensee's commitment management system includes a mechanism to ensure traceability of commitments following initial implementation. This ensures that licensee personnel are able to recognize that future proposed changes to the affected design features or operating practices require evaluation in accordance with the commitment change control process.
2.2 Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for managing and changing commitments. The process used at JAFNPP is contained in the Entergy corporate procedure, EN-L1-11 0, "Commitment Management Program," Rev. 1 dated December 27, 2007. The audit reviewed a sample of commitment changes that included changes that were or will be reported to the NRC, and changes that were not or will not be reported to the NRC. The audit also verifies that the licensee's commitment management system includes a mechanism to ensure traceability of commitments following initial implementation. This ensures that licensee personnel are able to recognize that future proposed changes to the affected design features or operating practices require evaluation in accordance with the commitment change control process.
The NRC staff reviewed the licensee's procedure EN-L1-11 0, "Commitment Management Program," Revision 1, against I\IEI 99-04 guidelines. In particular, in regards to managing a change or deviation from a previously completed commitment, Section 1.0 specifically states that the procedure is based on and implements the recommendations of NEI 99-04. Section 5.5 of EN-L1-110 defines the process for making changes to a commitment. In general, EN-L1-110 follows closely the guidance of NEI-99-04; it sets forth the need for identifying, tracking and reporting commitments, and it provides a mechanism for changing commitments.
The NRC staff reviewed the licensee's procedure EN-L1-11 0, "Commitment Management Program," Revision 1, against I\\IEI 99-04 guidelines. In particular, in regards to managing a change or deviation from a previously completed commitment, Section 1.0 specifically states that the procedure is based on and implements the recommendations of NEI 99-04. Section 5.5 of EN-L1-110 defines the process for making changes to a commitment. In general, EN-L1-110 follows closely the guidance of NEI-99-04; it sets forth the need for identifying, tracking and reporting commitments, and it provides a mechanism for changing commitments.
The NRC staff reviewed the reported revisions to the docketed commitments as permitted per NEI-99-04, from the licensee to the NRC during 2005,2006,2007, and 2008. These were included in the Entergy letter JAFP-07-0065 dated May 15, 2007, and JAFP-09-0060, dated
The NRC staff reviewed the reported revisions to the docketed commitments as permitted per NEI-99-04, from the licensee to the NRC during 2005,2006,2007, and 2008. These were included in the Entergy letter JAFP-07-0065 dated May 15, 2007, and JAFP-09-0060, dated  


                                                  -4 May 11, 2009. The NRC staff has no comments on these revisions, but may inspect them in more detail at a later time.
- 4 May 11, 2009. The NRC staff has no comments on these revisions, but may inspect them in more detail at a later time.
2.2.1   Audit Results As set forth in Section 2.1.2 above, the NRC staff found that the licensee had properly addressed all the regulatory commitments selected for this audit. As a result of the review of the licensee's information, as well as information from other sources, the NRC staff found the licensee's reported status of the audited commitments to be acceptable. Thus, the NRC staff finds that the procedure used by the licensee to manage commitments is appropriate and effective.
2.2.1 Audit Results As set forth in Section 2.1.2 above, the NRC staff found that the licensee had properly addressed all the regulatory commitments selected for this audit. As a result of the review of the licensee's information, as well as information from other sources, the NRC staff found the licensee's reported status of the audited commitments to be acceptable. Thus, the NRC staff finds that the procedure used by the licensee to manage commitments is appropriate and effective.
However, the NRC staff noted that the computer software systems used by the licensee to enter and track the regulatory commitments, called "ACT/LRS" systems, are very complicated, the development of the user's manual/instructions for the LRS system is not complete, and the process used by the licensee to manage commitments could be more effective and user friendly. Therefore, the NRC staff would like to make the following recommendations for improvements:
However, the NRC staff noted that the computer software systems used by the licensee to enter and track the regulatory commitments, called "ACT/LRS" systems, are very complicated, the development of the user's manual/instructions for the LRS system is not complete, and the process used by the licensee to manage commitments could be more effective and user friendly. Therefore, the NRC staff would like to make the following recommendations for improvements:
: 1. For the commitments requiring "Continuous Compliance" for periodic implementations such as training, in-coming testing, etc., the licensee keeps the commitment "Open" until the end of the license period (2034). However, there is no history of implementations in the commitment Tracking System (LRS), unless one searches other documents such as Training Records, Test Records, etc. The NRC staff recommends that in such cases, either a) the LRS should reflect the implementation history, or b) "close" the current commitment and "open" a new commitment for next implementation.
: 1. For the commitments requiring "Continuous Compliance" for periodic implementations such as training, in-coming testing, etc., the licensee keeps the commitment "Open" until the end of the license period (2034). However, there is no history of implementations in the commitment Tracking System (LRS), unless one searches other documents such as Training Records, Test Records, etc. The NRC staff recommends that in such cases, either a) the LRS should reflect the implementation history, or b) "close" the current commitment and "open" a new commitment for next implementation.
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: 3. In some cases (Item 3), the commitment should have been closed and the "incoming testing" tracked by some other documentation/process.
: 3. In some cases (Item 3), the commitment should have been closed and the "incoming testing" tracked by some other documentation/process.
: 4. The licensee also indicated that it does not enter the commitments until the licensee's request is proved by the NRC staff, such as issuance of an amendment, approval of the relief request, or exemptions, etc. If the request is withdrawn by the licensee or not approved by the NRC, the commitments made remain "Publicly Available" in the NRC's ADAMS. This would make the licensee vulnerable to the questions from the interveners. The NRC staff recommends that the licensee enter all the commitments in the systems as when they are made via submissions to the NRC and close them either because they have been implemented or have been withdrawn or the licensing request was not approved by the NRC.
: 4. The licensee also indicated that it does not enter the commitments until the licensee's request is proved by the NRC staff, such as issuance of an amendment, approval of the relief request, or exemptions, etc. If the request is withdrawn by the licensee or not approved by the NRC, the commitments made remain "Publicly Available" in the NRC's ADAMS. This would make the licensee vulnerable to the questions from the interveners. The NRC staff recommends that the licensee enter all the commitments in the systems as when they are made via submissions to the NRC and close them either because they have been implemented or have been withdrawn or the licensing request was not approved by the NRC.
The above recommendations by the NRC staff have been discussed with the licensee during the audit.
The above recommendations by the NRC staff have been discussed with the licensee during the audit.  


                                            -5 Table 1 (Item Nos. 11 through 13), summarizes what the NRC staff observed as the current status of licensee commitments reviewed during the audit.
- 5 Table 1 (Item Nos. 11 through 13), summarizes what the NRC staff observed as the current status of licensee commitments reviewed during the audit.  
 
==3.0    CONCLUSION==


==3.0 CONCLUSION==
The NRC staff concludes, based on the above audit, that (1) the licensee has implemented or is tracking for future implementation, NRC commitments on a timely basis, and (2) the licensee has implemented an effective program for managing NRC commitment changes.
The NRC staff concludes, based on the above audit, that (1) the licensee has implemented or is tracking for future implementation, NRC commitments on a timely basis, and (2) the licensee has implemented an effective program for managing NRC commitment changes.
4.0     LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT E. Dorman
4.0 LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT E. Dorman  


==Attachment:==
==Attachment:==
Table 1, Audit Summary - Audited Written Commitments and Related Information (June 2006 through August 2009)
Table 1, Audit Summary - Audited Written Commitments and Related Information (June 2006 through August 2009)
Principal Contributors: B. Vaidya J. Kim Date: September 1, 2009
Principal Contributors: B. Vaidya J. Kim Date: September 1, 2009  


TABLE 1 AUDIT  
TABLE 1 AUDIT  


==SUMMARY==
==SUMMARY==
AUDITED: WRITTEN COMMITMENTS AND RELATED INFORMATION (June 2006 THROUGH August 2009)
AUDITED: WRITTEN COMMITMENTS AND RELATED INFORMATION (June 2006 THROUGH August 2009)
CA =Corrective Action, LO = Learning Organization, LAR = Licensing Action Request, LRS = Licensing Research System (Current System), ACT =(Old System), LO-LAR = System used during Transition Item Licensee's   Commitmen   Licensee's Submittal           NRC TAC No.1 Subject /Summary of           Scheduled     Licensee No. Commitment   tType                                       Commitment,                               Implementation Implementation Tracking No.                                                                                         Date (If       Status Required) 1     A-18334       Continuing   JAFP-07-0004, 01/11/2007,       MD0613-MD4533 1 B.5.b                     06/30/2007    Open Compliance  Response Providing Information Regarding          Revise the Severe Accident Management Implementation Details for the  Guide (SAMG) like procedure for Damage Phase 2 and 3 Mitigation        to Large Areas of the Plant to include the Strateqies                      viable strategies as considerations for resolving equipment problems. (Technical Support Guidelines (TSG)-10 and TSG-12) 2     A-18339       Continuing   JAFP-07-0004,01/11/2007,                                                   12/31/2007    Open MD0613-MD4533 1 B.5.b Compliance  Response Providing                                                                        Commitment Information Regarding           Provide training on B.5.b Phase 2 and 3                   Record does not Implementation Details for the strategies and enhancements to                            show history of Phase 2 and 3 Mitigation       appropriate personnel.                                   implementation.
CA =Corrective Action, LO =Learning Organization, LAR =Licensing Action Request, LRS =Licensing Research System (Current System), ACT =(Old System), LO-LAR =System used during Transition Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject /Summary of Scheduled Licensee No.
Strateqies Attachment
Commitment tType Commitment, Implementation Implementation Tracking No.
Date (If Status Required) 1 A-18334 Continuing Compliance JAFP-07-0004, 01/11/2007, Response Providing Information Regarding Implementation Details for the Phase 2 and 3 Mitigation Strateqies MD0613-MD4533 1B.5.b Revise the Severe Accident Management Guide (SAMG) like procedure for Damage to Large Areas of the Plant to include the viable strategies as considerations for resolving equipment problems. (Technical Support Guidelines (TSG)-10 and TSG-12) 06/30/2007 Open 2
A-18339 Continuing Compliance JAFP-07-0004,01/11/2007, Response Providing MD0613-MD4533 1B.5.b 12/31/2007 Open Commitment Information Regarding Provide training on B.5.b Phase 2 and 3 Record does not Implementation Details for the Phase 2 and 3 Mitigation Strateqies strategies and enhancements to appropriate personnel.
show history of implementation.
Attachment  


                                                              - 2 Item Licensee's   Commitmen Licensee's Submittal         NRC TAC No.1 Subject I Summary of         Scheduled     Licensee No. Commitment   t Type                                 Commitment,                               Implementation Implementation Tracking No.                                                                                  Date (If       Status Required) 3                                                                                                   60 days after  Open LO-LAR     One-Time JAFP-08-0086,06/27/2008,     MD79271 Amendment                          receipt of 2009-00046  Action    Response to RAI Re:                                                                   Commitment Obtain test equipment and develop a test  approved CA-00003              Amendment Request to         procedure for water and sediment testing  amendment      was revise TSs Regarding Diesel in accordance with ASTM-D1796 or                          implemented by CA-00019                                                                                                      making the test Fuel Oil, Lube Oil, and     ASTM-D2709 Starting Air Consistent with                                                           equipment TSTF-501 and Diesel Fuel Oil                                                           available and Testing Program Consistent                                                             developing the with TSTF-374                                                                         test procedure.
- 2 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.
Commitment Tracking No.
t Type Commitment, Implementation Date (If Required)
Implementation Status 3
LO-LAR 2009-00046 CA-00003 CA-00019 One-Time Action JAFP-08-0086,06/27/2008, Response to RAI Re:
Amendment Request to revise TSs Regarding Diesel Fuel Oil, Lube Oil, and Starting Air Consistent with TSTF-501 and Diesel Fuel Oil Testing Program Consistent with TSTF-374 MD79271 Amendment Obtain test equipment and develop a test procedure for water and sediment testing in accordance with ASTM-D1796 or ASTM-D2709 60 days after receipt of approved amendment Open Commitment was implemented by making the test equipment available and developing the test procedure.
This should have been closed and the actual testing should be tracked by other process.
This should have been closed and the actual testing should be tracked by other process.
10/11/2008 4                                                       MD7828 1 GL 2008-01 LO-WT-HQN  One-Time JAFP-08-0092, 09/12/2008,                                                             Closed 2008-00153  Action    Extension Request for       JAF will submit a 9-month response to GL                 (JAFP-08-0107)
4 LO-WT-HQN 2008-00153 CA-00009 LO-LAR 2009-00057 CA-00002 One-Time Action JAFP-08-0092, 09/12/2008, Extension Request for Response to GL 2008-01 MD7828 1GL 2008-01 JAF will submit a 9-month response to GL 2008-01, including a description of the results of the systems evaluated prior to the R18 refueling outage, a description of the corrective actions required based upon the preliminary plant review of ASS Consulting analysis, a statement regarding which corrective actions have been completed, a schedule for completing any remaining corrective actions and the basis for the schedule.
CA-00009              Response to GL 2008-01      2008-01, including a description of the results of the systems evaluated prior to the R18 refueling outage, a description of LO-LAR                                            the corrective actions required based upon 2009-00057                                          the preliminary plant review of ASS CA-00002                                            Consulting analysis, a statement regarding which corrective actions have been completed, a schedule for completing any remaining corrective actions and the basis for the schedule.
10/11/2008 Closed (JAFP-08-0107)


                                                                - 3 Item Licensee's   Commitmen Licensee's Submittal         NRC TAC No./Subject / Summary of             Scheduled       Licensee No. Commitment   tType                                 Commitment,                                 Implementation   Implementation Tracking No.                                                                                    Date (If         Status Required)
- 3 Item Licensee's Commitmen Licensee's Submittal NRC TAC No./Subject / Summary of Scheduled Licensee No.
One-Time JAFP-08-0092, 09/12/2008, 5    LO-LAR                                            MD7828 1 GL 2008-01                          03/31/2009      Closed Action    Extension Request for 2009-00057 Response to GL 2008-01       JAF will submit a supplemental response                       (JAFP-09-0037)
Commitment Tracking No.
CA-00001                                            to GL 2008-01, including a description of the results of the systems evaluated, a description of the corrective actions required, a statement regarding which corrective actions have been completed, a schedule for completing the remaining corrective actions, the basis for the schedule and the means by which any long term actions determined necessary will be tracked for implementation.
tType Commitment, Implementation Date (If Required)
One-Time JAFP-08-0099,09/26/2008,     MD9780 1 Relief Request RR-7 6    LO-LAR                                                                                          14 days after    Closed Action    James A. FitzPatrick Request 2008-00244                                                                                      completing the for Relief (RR-7) - Proposed A discussion of any repairs to the weld                       (JAFP-09-0109) final ultrasonic CA-00002              Alternative to ASME Code    overlay material andlor base metal and the examinations of Requirements for Weld        reason for the repairs.
Implementation Status 5
the completed Overlay Repairs weld overlays One-Time JAFP-08-0102,10/01/2008,     MD97801 Relief Request RR-7 1 7    LO-LAR                                                                                          14 days after    Closed Action    Request for Relief (RR-7 2008-00244                                                                                      completing the Revision 1) - Proposed      Disposition of indications using the                         (JAFP-09-0109) final ultrasonic CA-00002              Alternative to ASME Code    standards of ASME Section XI, Subsection examinations of Requirements for Weld        IWB-3514-2 andlor IWB-3514-3 criteria the completed Overlay Repairs              and, if possible, the type and nature of the weld overlays.
LO-LAR 2009-00057 CA-00001 One-Time Action JAFP-08-0092, 09/12/2008, Extension Request for Response to GL 2008-01 MD7828 1GL 2008-01 JAF will submit a supplemental response to GL 2008-01, including a description of the results of the systems evaluated, a description of the corrective actions required, a statement regarding which corrective actions have been completed, a schedule for completing the remaining corrective actions, the basis for the schedule and the means by which any long term actions determined necessary will be tracked for implementation.
indications One-Time JAFP-08-0107, 10/14/2008,   MD7828 1 GL 2008-01 8    LO-LAR                                                                                          04/29/2009      Closed Action    Nine-Month Response to 2008-00020 NRC Generic Letter 2008-01, Revise the UFSAR to add a statement that CA-00011              "Managing Gas Accumulation  the subject systems are kept sufficiently in Emergency Core Cooling,  filled with water to ensure that system Decay Heat Removal, and      remains operable and performs properly.
03/31/2009 Closed (JAFP-09-0037) 6 LO-LAR 2008-00244 CA-00002 One-Time Action JAFP-08-0099,09/26/2008, James A. FitzPatrick Request for Relief (RR-7) - Proposed Alternative to ASME Code Requirements for Weld Overlay Repairs MD9780 1 Relief Request RR-7 A discussion of any repairs to the weld overlay material andlor base metal and the reason for the repairs.
Containment Spray Systems"
14 days after completing the final ultrasonic examinations of the completed weld overlays Closed (JAFP-09-0109) 7 LO-LAR 2008-00244 CA-00002 One-Time Action JAFP-08-0102,10/01/2008, Request for Relief (RR-7 Revision 1) - Proposed Alternative to ASME Code Requirements for Weld Overlay Repairs MD97801 Relief Request RR-7 1 Disposition of indications using the standards of ASME Section XI, Subsection IWB-3514-2 andlor IWB-3514-3 criteria and, if possible, the type and nature of the indications 14 days after completing the final ultrasonic examinations of the completed weld overlays.
Closed (JAFP-09-0109) 8 LO-LAR 2008-00020 CA-00011 One-Time Action JAFP-08-0107, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01, "Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Revise the UFSAR to add a statement that the subject systems are kept sufficiently filled with water to ensure that system remains operable and performs properly.
04/29/2009 Closed


                                                                - 4 Item Licensee's   Commitmen Licensee's Submittal         NRC TAC No.1 Subject I Summary of           Scheduled     Licensee No. Commitment   t Type                                 Commitment,                                 Implementation Implementation Tracking No.                                                                                    Date (If       Status Required)
- 4 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.
One-Time   JAFP-08-0107, 10/14/2008,   MD7828 1 GL 2008-01 9    LO-LAR                                                                                          04/29/2009    Closed Action    Nine-Month Response to 2008-00020 NRC Generic Letter 2008-01, Revise system operating procedures to CA-00015                "Managing Gas Accumulation   ensure each section of piping is filled and in Emergency Core Cooling,   vented.
Commitment Tracking No.
Decay Heat Removal, and Containment Spray Systems" One-Time   JAFP-08-0107, 10/14/2008,   MD7828 1 GL 2008-01 10  LO-LAR                                                                                          04/30/2009    Open Action    Nine-Month Response to 2008-00020                                                                                                      Program NRC Generic Letter 2008-01, Develop a program to monitor and trend CA-00019                "Managing Gas Accumulation  gas accumulation in ECCS systems within                   development in Emergency Core Cooling,  the scope of this report. The program                     com pleted via Decay Heat Removal, and      intent would be to conduct monitoring and                 "Program Containment Spray Systems"  could be suspended if trending indicates                   Notebook." Left no issues have developed in the specific                   open due to the systems.                                                  aspect of "Monitorinq."
t Type Commitment, Implementation Date (If Required)
JAFP-08-01 07, 10/14/2008,   MD7828 1 GL 2008-01 11  CCR-09-001  Commitment                                                                          A-5408 was    Closed.
Implementation Status 9
Nine-Month Response to Change                                                                              implemented.
LO-LAR 2008-00020 CA-00015 One-Time Action JAFP-08-0107, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01, "Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Revise system operating procedures to ensure each section of piping is filled and vented.
LO-LAR                NRC Generic Letter 2008-01 , Revise Licensing Commitment A-5408 to 2008-00020              "Managing Gas Accumulation  reflect the use of manual vent valves in CA-00012                in Emergency Core Cooling,  conjunction with the motor operated valves Decay Heat Removal, and      on the RHR HX and inlet header CA-00015                Containment Spray Systems"  confiquration.
04/29/2009 Closed 10 LO-LAR 2008-00020 CA-00019 One-Time Action JAFP-08-0107, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01, "Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Develop a program to monitor and trend gas accumulation in ECCS systems within the scope of this report. The program intent would be to conduct monitoring and could be suspended if trending indicates no issues have developed in the specific systems.
04/30/2009 Open Program development com pleted via "Program Notebook." Left open due to the aspect of "Monitorinq."
11 CCR-09-001 LO-LAR 2008-00020 CA-00012 CA-00015 Commitment Change JAFP-08-01 07, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01,  
"Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Revise Licensing Commitment A-5408 to reflect the use of manual vent valves in conjunction with the motor operated valves on the RHR HX and inlet header confiquration.
A-5408 was implemented.
Closed.  


                                                                  -5 Item Licensee's   Commitmen Licensee's Submittal           NRC TAC No.1 Subject I Summary of           Scheduled       Licensee No. Commitment   t Type                                   Commitment,                                 Implementation Implementation Tracking No.                                                                                        Date (If       Status Required)
- 5 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.
JAFP-07-0004, 01/11/2007, 12  CCR-08-001  Commitment                                MD0613-MD4533/ B.5.b                         Not Applicable  Closed Response Providing Change A-18330                Information Regarding          FROM: Develop and proceduralize a           Need for Implementation Details for the strategy to provide makeup water to the     Revision Phase 2 and 3 Mitigation      Hotwell via the waterbox access doors       determined Strateqies                    using firewater supplied from either an     during internal fire header standpipe or using the implementation.
Commitment Tracking No.
portable pump.                               Revised commitment TO: Develop and proceduralize a strategy     was to provide makeup water to the Hotwell via   implemented the 18 inch manway using firewater supplied from either an internal fire header standpipe or using the portable pump.
t Type Commitment, Implementation Date (If Required)
13   CCR-08-002   Commitment JAFP-07-0004,01/11/2007,       MD0613-MD4533/ B.5.b                         Not Applicable Closed Change     Response Providing A-18329                                                FROM: Develop and proceduralize a           Need for Information Regarding strategy for supplying power to energize     Revision Implementation Details for the the Safety Relief valves from the outside   determined Phase 2 and 3 Mitigation containment junction box to depressurize     during Strateqies the RPV. (As described in the strategy the   implementation.
Implementation Status 12 CCR-08-001 A-18330 Commitment Change JAFP-07-0004, 01/11/2007, Response Providing Information Regarding Implementation Details for the Phase 2 and 3 Mitigation Strateqies MD0613-MD4533/ B.5.b FROM: Develop and proceduralize a strategy to provide makeup water to the Hotwell via the waterbox access doors using firewater supplied from either an internal fire header standpipe or using the portable pump.
intent was to modify 25-ASP and initiate     Revised the strategy from the ASP.)                 commitment was TO: Develop and proceduralize a strategy     implemented for supplying power to energize the Safety Relief valves from the outside containment junction box to depressurize the RPV. (As developed and implemented through TSG 12 the strategy is implemented from a junction box located near the containment wall.
TO: Develop and proceduralize a strategy to provide makeup water to the Hotwell via the 18 inch manway using firewater supplied from either an internal fire header standpipe or using the portable pump.
Not Applicable Need for Revision determined during implementation.
Revised commitment was implemented Closed 13 CCR-08-002 Commitment JAFP-07-0004,01/11/2007, MD0613-MD4533/ B.5.b Not Applicable Closed A-18329 Change Response Providing Information Regarding Implementation Details for the Phase 2 and 3 Mitigation Strateqies FROM: Develop and proceduralize a strategy for supplying power to energize the Safety Relief valves from the outside containment junction box to depressurize the RPV. (As described in the strategy the Need for Revision determined during implementation.
intent was to modify 25-ASP and initiate the strategy from the ASP.)
TO: Develop and proceduralize a strategy for supplying power to energize the Safety Relief valves from the outside containment junction box to depressurize the RPV. (As developed and implemented through TSG 12 the strategy is implemented from a junction box located near the containment wall.
Revised commitment was implemented


                                                        -6 Item licensee's   Commitmen licensee's Submittal NRC TAC No.1 Subject I Summary of         Scheduled     licensee No. Commitment   t Type                         Commitment,                               Implementation Implementation Tracking No.                                                                           Date (If       Status Required) 14A A-14539     Continuing CNRO-2006-00030,     MD17381 Request for Use of Weighting     During         Open (ACT-06     Compliance 05/16/2006           Factors for External Exposure             monitoring Procedures 68016)
- 6 Item licensee's Commitmen licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled licensee No.
: 1) Entergy will monitor the part of the                 completed but whole body within each compartment                       kept open (and/or composite compartment) that                     because of the receives the highest dose. Entergy is                   monitoring developing a fleet wide Nuclear                         aspect of the Management Manual procedure EN-RP                       commitments 204, "Special Monitoring Requirements,"
Commitment t Type Commitment, Implementation Implementation Tracking No.
Date (If Status Required) 14A A-14539 Continuing CNRO-2006-00030, MD17381 Request for Use of Weighting During Open (ACT-06 68016)
Compliance 05/16/2006 Factors for External Exposure
: 1) Entergy will monitor the part of the monitoring Procedures completed but whole body within each compartment (and/or composite compartment) that receives the highest dose. Entergy is developing a fleet wide Nuclear Management Manual procedure EN-RP 204, "Special Monitoring Requirements,"
for determining dosimeter selection and placement. This procedure guidance will be consistent with that found in NRC Inspection Procedure 71121.01, Issue date 03/06/02.
for determining dosimeter selection and placement. This procedure guidance will be consistent with that found in NRC Inspection Procedure 71121.01, Issue date 03/06/02.
kept open because of the monitoring aspect of the commitments


                                                        -7 Item Licensee's   Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of           Scheduled       Licensee No. Commitment   t Type                         Commitment,                                 Implementation   Implementation Tracking No.                                                                            Date (If         Status Required) 14B A-14540     Continuing CNRO-2006-00030,     MD1738 1 Request for Use of Weighting       During           Open (ACT-06     Compliance 05/16/2006           Factors for External Exposure               monitoring Procedures 68017)                                                                                                    completed but
- 7 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.
: 2) Based on the NRC's approval of this request, Entergy will account for dose                       kept open consistent with the guidance of the                          because of the standard as follows:                                         monitoring aspect of the The DDE for each compartment will be                         commitments determined from dosimeters worn at that location. When no dosimeter is worn at a particular compartment, the DDE will be determined from the dosimeter positioned where the exposure is judqed to be similar.
Commitment Tracking No.
t Type Commitment, Implementation Date (If Required)
Implementation Status 14B A-14540 Continuing CNRO-2006-00030, MD1738 1Request for Use of Weighting During Open (ACT-06 68017)
Compliance 05/16/2006 Factors for External Exposure
: 2) Based on the NRC's approval of this monitoring Procedures completed but request, Entergy will account for dose consistent with the guidance of the standard as follows:
The DDE for each compartment will be determined from dosimeters worn at that location. When no dosimeter is worn at a particular compartment, the DDE will be determined from the dosimeter positioned where the exposure is judqed to be similar.
The assigned EDE will be the sum of each DDE measurement multiplied by its appropriate compartment factor.
The assigned EDE will be the sum of each DDE measurement multiplied by its appropriate compartment factor.
The assigned fens dose equivalent (LDE) will be the higher of the head or chest dosimeters. The assigned shallow dose equivalent (SDE) will be the highest of any whole body dosimeter.
The assigned fens dose equivalent (LDE) will be the higher of the head or chest dosimeters. The assigned shallow dose equivalent (SDE) will be the highest of any whole body dosimeter.
15   A-14546     Continuing CNRO-2006-00021,     MD1748 1 Request for Use of Delta           prior to the use Open through A  Compliance 05/16/2006          Protection's Mururoa V4F1 R" Suits         of the Suit     procedures 14551                                                                                                    developed but ALL 7 COMMITMENTS                                            commitment (ACT-06 kept open 68024 through 68029)
kept open because of the monitoring aspect of the commitments 15 A-14546 through A 14551 (ACT-06 68024 through 68029)
Continuing Compliance CNRO-2006-00021, 05/16/2006 MD1748 1Request for Use of Delta Protection's Mururoa V4F1 R" Suits ALL 7 COMMITMENTS prior to the use of the Suit Open procedures developed but commitment kept open  


                                                          -8 Item Licensee's   Commitmen     Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled       Licensee No. Commitment   t Type                             Commitment,                       Implementation  Implementation Tracking No.                                                                        Date (If         Status Required) 16   A-14546       Continuing   CNRO-2006-00034,     MD1748 1 Request for Use of Delta prior to the use Open through A   Compliance   07/1312006           Protection's Mururoa V4F1 R" Suits of the Suit     procedures 14551                                                                                                developed but ALL 6 COMMITMENTS                                  commitment (ACT-06 kept open 68024 through 68029) 17   A-18388       Not           CNRO-2006-00020,     MD1823 1 Request for Use of Delta Not Applicable. Closed through      Applicable. 05/19/2006          Protection's "Mururoa BLU" Suits   Superseded by Superseded                                                            the A-18394 by the                                                               commitments in Entered in    commitment                                                            item 18.
-8 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.
ALL COMMITMENTS the system as s in item 18.
Commitment Tracking No.
a part of the implementati on ofCR JAF-2009 02770 18  A-18395      Continuing   CNRO-2006-00035,     MD18231 Request for Use of Delta   prior to the use Closed through      Compliance    07/13/2006          Protection's "Mururoa BLU" Suits   of the Suit A-18402                                          ALL 8 COMMITMENTS Entered in the system as a part of the implementati on ofCR JAF-2009 02770
t Type Commitment, Implementation Date (If Required)
Implementation Status 16 A-14546 Continuing CNRO-2006-00034, MD1748 1Request for Use of Delta prior to the use Open through A 14551 Compliance 07/1312006 Protection's Mururoa V4F1 R" Suits of the Suit procedures developed but (ACT-06 68024 through 68029)
ALL 6 COMMITMENTS commitment kept open 17 A-18388 through A-18394 Entered in the system as a part of the implementati on ofCR JAF-2009 02770 Not Applicable.
Superseded by the commitment s in item 18.
CNRO-2006-00020, 05/19/2006 MD1823 1 Request for Use of Delta Protection's "Mururoa BLU" Suits ALL COMMITMENTS Not Applicable.
Superseded by the commitments in item 18.
Closed 18 A-18395 through A-18402 Entered in the system as a part of the implementati on ofCR JAF-2009 02770 Continuing Compliance CNRO-2006-00035, 07/13/2006 MD18231 Request for Use of Delta Protection's "Mururoa BLU" Suits ALL 8 COMMITMENTS prior to the use of the Suit Closed


                                                            -9 Item Licensee's   Commitmen Licensee's Submittal     NRC TAC No.1 Subject I Summary of           Scheduled       Licensee No. Commitment   t Type                             Commitment,                                 1mplementation Implementation Tracking No.                                                                                 Date (If       Status Required) 19   A-14535     Continuing ENOC-2006-00013,         MD4533/ B.5.b                               Next Refueling  Closed (ACT-06    Compliance 04/26/2006                                                            Outage (RFO) 68012)                                          ONE COMMITMENT                               after Procedure changes for the industry           06/30/2006, proposed fuel dispersal strategy will be     RFO-17 effective for use during the next refueling beginning after June 30, 2006.
- 9 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.
20   A-14397     One-Time   JAFP-04-0159,09/27/2004 MD6136 / GL 2003-01 Control Room             12/31/2004     Closed (ACT-04    Action                              Habitability 67792)
Commitment t Type Commitment, 1mplementation Implementation Tracking No.
ONE COMMITMENT ENO commits to creating a preventive maintenance surveillance procedure to annually inspect the Relay Room and components located inside the CRE to ensure CRE unfiltered inleakage vulnerability is maintained as leak tight as possible.
Date (If Status Required) 19 A-14535 (ACT-06 68012)
21   A-18340     One-Time   ENOC-09-00009,04/27/2009 ME1200 / Amendment to Adopt TSTF-511         10/1/2009      Open Action ONE COMMITMENT                               Concurrent with implementation Removal of the plant-specific Technical     of Fatigue Rule Specification requirements will be performed concurrently with the implementation of the 10 CFR 26, Subpart I requirements. This commitment will be completed no later than October 1, 2009.
Continuing Compliance ENOC-2006-00013, 04/26/2006 MD4533/ B.5.b ONE COMMITMENT Procedure changes for the industry proposed fuel dispersal strategy will be effective for use during the next refueling beginning after June 30, 2006.
Next Refueling Outage (RFO) after 06/30/2006, RFO-17 Closed 20 A-14397 (ACT-04 67792)
One-Time Action JAFP-04-0159,09/27/2004 MD6136 / GL 2003-01 Control Room Habitability ONE COMMITMENT 12/31/2004 Closed ENO commits to creating a preventive maintenance surveillance procedure to annually inspect the Relay Room and components located inside the CRE to ensure CRE unfiltered inleakage vulnerability is maintained as leak tight as possible.
21 A-18340 One-Time Action ENOC-09-00009,04/27/2009 ME1200 / Amendment to Adopt TSTF-511 ONE COMMITMENT Removal of the plant-specific Technical Specification requirements will be performed concurrently with the implementation of the 10 CFR 26, Subpart I requirements. This commitment will be completed no later than October 1, 2009.
10/1/2009 Concurrent with implementation of Fatigue Rule Open


                                                          - 10 Item Licensee's   Commitmen Licensee's Submittal     NRC TAC No.1 Subject I Summary of Scheduled         Licensee No. Commitment   t Type                             Commitment,                       Implementation   Implementation Tracking No.                                                                       Date (If         Status Required) 22   A-18403       One-Time JAFP-09-0072, 06/06/2009 ME1404/ Emergency Amendment Re:   Prior to entering Closed.
- 10 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.
through    A Action                            Extension of AOT for EDG-C       extended AOT Implemented 18416                                                                              and maintained ALL 14 COMMITMENTS                                  via checklist.
Commitment t Type Commitment, Implementation Implementation Tracking No.
for the duration Entered in of the AOT the system during the audit.
Date (If Status Required) 22 A-18403 through A
18416 Entered in the system during the audit.
One-Time Action JAFP-09-0072, 06/06/2009 ME1404/ Emergency Amendment Re:
Extension of AOT for EDG-C ALL 14 COMMITMENTS Prior to entering extended AOT and maintained for the duration of the AOT Closed.
Implemented via checklist.  


V. P. Operations                                   -2 If you have questions, please contact me at (301 )-415-3308.
V. P. Operations  
- 2 If you have questions, please contact me at (301)-415-3308.
Sincerely, IRA!
Sincerely, IRA!
Bhalchandra K. Vaidya, Project Manager Plant Licensing Branch 1-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-333
Bhalchandra K. Vaidya, Project Manager Plant Licensing Branch 1-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-333  


==Enclosure:==
==Enclosure:==
Audit Report cc w/encl: Distribution via Listserv DISTRIBUTION:
Audit Report cc w/encl: Distribution via Listserv DISTRIBUTION:
PUBLIC                                 LPL 1-1 RtF                            RidsNrrDorlLPL 1-1 RidsNrrPMBVaidya (paper copy)           RidsNrrLASLittle (paper copy)         RidsOgcRp RidsAcrsAcnwMailCenter                  RidsRgn1 MailCenter S. Meighan, DORLITA                    M. Grey, Region 1/BC G. Hunegs, SRI                          RidsOGCMailCenter ADAMS ACCESSION No.: ML092390460                         NRR-106 OFFICE     LPL 1-1\PM         LPL 1-1\LA         LPL 1-1\BC       LPL1-1\PM NAME       B. K. Vaidya       SLittie             NSalgado         B. K. Vaidya DATE       8/31/09           8/31/09             9/01/09           9/01/09 Official Record Copy}}
PUBLIC RidsNrrPMBVaidya (paper copy)
RidsAcrsAcnwMailCenter S. Meighan, DORLITA G. Hunegs, SRI LPL1-1 RtF RidsNrrLASLittle (paper copy)
RidsRgn1 MailCenter M. Grey, Region 1/BC RidsOGCMailCenter RidsNrrDorlLPL1-1 RidsOgcRp ADAMS ACCESSION No.: ML092390460 NRR-106 OFFICE LPL1-1\\PM LPL1-1\\LA LPL1-1\\BC LPL1-1\\PM NAME B. K. Vaidya SLittie NSalgado B. K. Vaidya DATE 8/31/09 8/31/09 9/01/09 9/01/09 Official Record Copy  
..}}

Latest revision as of 09:37, 14 January 2025

ME1717 - Letter Audit of Entergys Management of Regulatory Commitments
ML092390460
Person / Time
Site: FitzPatrick Constellation icon.png
Issue date: 09/01/2009
From: Bhalchandra Vaidya
Plant Licensing Branch 1
To:
Entergy Nuclear Operations
vaidya b k
References
TAC ME1717
Download: ML092390460 (19)
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        • -li' Vice President, Operations Entergy Nuclear Operations, Inc.

James A. FitzPatrick Nuclear Power Plant P.O. Box 110 Lycoming, NY 13093

SUBJECT:

JAMES A. FITZPATRICK NUCLEAR POWER PLANT - AUDIT OF ENTERGY'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME1717)

Dear Sir or Madam:

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the U.S. Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.

The NRC's Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory commitments are being effectively implemented.

The NRC's staff performed an audit of the James A. FitzPatrick Nuclear Power Plant (JAFNPP) commitment management program at JAFNPP, which is located near Oswego, New York, on August 17 through August 20, 2009, and reviewed commitments made by JAFNPP in the past 3 years since the previous audit on May 31 and June 1,2006. The NRC staff concludes, based on the audit, that (1) JAFNPP has implemented NRC commitments for JAFNPP on a timely basis; and (2) JAFNPP has implemented an effective program for managing NRC commitment changes at JAFNPP. Details of the audit are set forth in the enclosed audit report.

V. P. Operations

- 2 If you have questions, please contact me at (301)-415-3308.

Sincerely,

~~

Bhalchandra K. Vaidya, Project Manager Plant Licensing Branch 1-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-333

Enclosure:

Audit Report cc w/encl: Distribution via Listserv

UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555-0001 AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULATION LICENSEE MANAGEMENT OF REGULATORY COMMITMENTS JAMES A. FITZPATRICK NUCLEAR POWER PLANT DOCKET NO. 50-333

1.0 INTRODUCTION AND BACKGROUND

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the U.S. Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.

The NRC's Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and that regulatory commitments are being effectively implemented.

NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC.

NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generic letters, etc.). The audit is to be performed every 3 years.

2.0 AUDIT PROCEDURE AND RESULTS The NRC staff performed an audit of the James A. FitzPatrick Nuclear Power Plant (JAFNPP) commitment management program at JAFNPP, which is located near Oswego, New York, on August 17 through August 20, 2009, and reviewed commitments made by Entergy Nuclear Operations, Inc. (Entergy or the licensee) in the past 3 years since the previous audit on May 31 and June 1, 2006. Entergy is the licensee for JAFNPP. The Entergy commitment management system is described in the Entergy corporate procedure EN-L1-11 0, "Commitment Management Program," Rev. 1, dated December 27, 2007. EN-L1-110 is based on and implements the recommendations of !\\lEI 99-04, "Guidelines for Managing NRC Commitment Changes," Rev. O.

Enclosure

- 2 The audit consisted of two major parts: (1) verification of the licensee's implementation of NRC commitments that have been completed and (2) verification of the licensee's program for managing changes to NRC commitments.

2.1 Verification of Licensee's Implementation of NRC Commitments The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licensing actions/activities in accordance with the NRC guidance and approved plant procedures. For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation.

2.1.1 Audit Scope Before the audit, the NRC staff searched Agencywide Documents Access and Management System (ADAMS) for a sampling of the licensee's licensing actions dated within the past 3 years, since the previous audit on May 31 and June 1, 2006, and selected a representative sample for verification. Table 1 lists the licensee's commitments which were audited.

The list of the selected regulatory commitments for JAFNPP was provided to the site licensing group with a request to provide plant documentation used to track each individual commitment.

Also, the site personnel were requested to provide status and a copy of the revised documents (plant procedures, Updated Final Safety Analysis Report (UFSAR), Technical Specifications (TSs), etc.) for verification, if the required actions had already been completed. The regulatory commitments were reviewed against the plant documents to verify if the commitment had been implemented satisfactorily in accordance with the approved plant procedures.

The audit addressed a sample of commitments made during the review period. The audit focused on regulatory commitments (as defined above) made in writing to the NRC as a result of past licensing actions (amendments, exemptions, etc.) or licensing activities (bulletins, generic letters, etc.). Commitments made in Licensee Event Reports or in response to Notices of Violation may be included in the sample, but the review will be limited to verification of restoration of compliance, not the specific methods used.

The audit excluded the following types of commitments that are internal to licensee processes:

(1)

Commitments made on the licensee's own initiative among internal organizational components.

(2)

Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed.

(3)

Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, TSs, and UFSARs. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements.

- 3 2.1.2 Audit Results The NRC staff reviewed the commitments listed in Table 1 to ensure that the selected commitments are included in the plant database used to track the commitments and evaluate the status of completion of each commitment. The NRC staff found that the licensee's commitment tracking program had captured the regulatory commitments that were identified by the NRC staff before the audit.

The NRC staff also reviewed plant procedures and other design bases documents that had been revised as a result of commitments made by the licensee to NRC. These procedures and documents are identified in the right-hand column of Table 1. The NRC staff review indicated that:

1.

All the regulatory commitments selected for the audit were being tracked.

2.

Review of the plant documents for the completed commitments indicated that the commitments selected for the review were implemented as committed.

Table 1 (Item Nos. 1 through 10 and 14 through 22), summarizes what the NRC staff observed as the current status of licensee commitments reviewed during the audit.

2.2 Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for managing and changing commitments. The process used at JAFNPP is contained in the Entergy corporate procedure, EN-L1-11 0, "Commitment Management Program," Rev. 1 dated December 27, 2007. The audit reviewed a sample of commitment changes that included changes that were or will be reported to the NRC, and changes that were not or will not be reported to the NRC. The audit also verifies that the licensee's commitment management system includes a mechanism to ensure traceability of commitments following initial implementation. This ensures that licensee personnel are able to recognize that future proposed changes to the affected design features or operating practices require evaluation in accordance with the commitment change control process.

The NRC staff reviewed the licensee's procedure EN-L1-11 0, "Commitment Management Program," Revision 1, against I\\IEI 99-04 guidelines. In particular, in regards to managing a change or deviation from a previously completed commitment, Section 1.0 specifically states that the procedure is based on and implements the recommendations of NEI 99-04. Section 5.5 of EN-L1-110 defines the process for making changes to a commitment. In general, EN-L1-110 follows closely the guidance of NEI-99-04; it sets forth the need for identifying, tracking and reporting commitments, and it provides a mechanism for changing commitments.

The NRC staff reviewed the reported revisions to the docketed commitments as permitted per NEI-99-04, from the licensee to the NRC during 2005,2006,2007, and 2008. These were included in the Entergy letter JAFP-07-0065 dated May 15, 2007, and JAFP-09-0060, dated

- 4 May 11, 2009. The NRC staff has no comments on these revisions, but may inspect them in more detail at a later time.

2.2.1 Audit Results As set forth in Section 2.1.2 above, the NRC staff found that the licensee had properly addressed all the regulatory commitments selected for this audit. As a result of the review of the licensee's information, as well as information from other sources, the NRC staff found the licensee's reported status of the audited commitments to be acceptable. Thus, the NRC staff finds that the procedure used by the licensee to manage commitments is appropriate and effective.

However, the NRC staff noted that the computer software systems used by the licensee to enter and track the regulatory commitments, called "ACT/LRS" systems, are very complicated, the development of the user's manual/instructions for the LRS system is not complete, and the process used by the licensee to manage commitments could be more effective and user friendly. Therefore, the NRC staff would like to make the following recommendations for improvements:

1. For the commitments requiring "Continuous Compliance" for periodic implementations such as training, in-coming testing, etc., the licensee keeps the commitment "Open" until the end of the license period (2034). However, there is no history of implementations in the commitment Tracking System (LRS), unless one searches other documents such as Training Records, Test Records, etc. The NRC staff recommends that in such cases, either a) the LRS should reflect the implementation history, or b) "close" the current commitment and "open" a new commitment for next implementation.
2. The NRC staff noted that in some cases (Items 15 and 16), while entering the commitments in the System, the commitments, as made were combined. This made it difficult to track the commitments. The NRC staff recommends that in such cases, the notes should be added in the system to explain the manner in which the combination and/or alterations were done.
3. In some cases (Item 3), the commitment should have been closed and the "incoming testing" tracked by some other documentation/process.
4. The licensee also indicated that it does not enter the commitments until the licensee's request is proved by the NRC staff, such as issuance of an amendment, approval of the relief request, or exemptions, etc. If the request is withdrawn by the licensee or not approved by the NRC, the commitments made remain "Publicly Available" in the NRC's ADAMS. This would make the licensee vulnerable to the questions from the interveners. The NRC staff recommends that the licensee enter all the commitments in the systems as when they are made via submissions to the NRC and close them either because they have been implemented or have been withdrawn or the licensing request was not approved by the NRC.

The above recommendations by the NRC staff have been discussed with the licensee during the audit.

- 5 Table 1 (Item Nos. 11 through 13), summarizes what the NRC staff observed as the current status of licensee commitments reviewed during the audit.

3.0 CONCLUSION

The NRC staff concludes, based on the above audit, that (1) the licensee has implemented or is tracking for future implementation, NRC commitments on a timely basis, and (2) the licensee has implemented an effective program for managing NRC commitment changes.

4.0 LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT E. Dorman

Attachment:

Table 1, Audit Summary - Audited Written Commitments and Related Information (June 2006 through August 2009)

Principal Contributors: B. Vaidya J. Kim Date: September 1, 2009

TABLE 1 AUDIT

SUMMARY

AUDITED: WRITTEN COMMITMENTS AND RELATED INFORMATION (June 2006 THROUGH August 2009)

CA =Corrective Action, LO =Learning Organization, LAR =Licensing Action Request, LRS =Licensing Research System (Current System), ACT =(Old System), LO-LAR =System used during Transition Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject /Summary of Scheduled Licensee No.

Commitment tType Commitment, Implementation Implementation Tracking No.

Date (If Status Required) 1 A-18334 Continuing Compliance JAFP-07-0004, 01/11/2007, Response Providing Information Regarding Implementation Details for the Phase 2 and 3 Mitigation Strateqies MD0613-MD4533 1B.5.b Revise the Severe Accident Management Guide (SAMG) like procedure for Damage to Large Areas of the Plant to include the viable strategies as considerations for resolving equipment problems. (Technical Support Guidelines (TSG)-10 and TSG-12) 06/30/2007 Open 2

A-18339 Continuing Compliance JAFP-07-0004,01/11/2007, Response Providing MD0613-MD4533 1B.5.b 12/31/2007 Open Commitment Information Regarding Provide training on B.5.b Phase 2 and 3 Record does not Implementation Details for the Phase 2 and 3 Mitigation Strateqies strategies and enhancements to appropriate personnel.

show history of implementation.

Attachment

- 2 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.

Commitment Tracking No.

t Type Commitment, Implementation Date (If Required)

Implementation Status 3

LO-LAR 2009-00046 CA-00003 CA-00019 One-Time Action JAFP-08-0086,06/27/2008, Response to RAI Re:

Amendment Request to revise TSs Regarding Diesel Fuel Oil, Lube Oil, and Starting Air Consistent with TSTF-501 and Diesel Fuel Oil Testing Program Consistent with TSTF-374 MD79271 Amendment Obtain test equipment and develop a test procedure for water and sediment testing in accordance with ASTM-D1796 or ASTM-D2709 60 days after receipt of approved amendment Open Commitment was implemented by making the test equipment available and developing the test procedure.

This should have been closed and the actual testing should be tracked by other process.

4 LO-WT-HQN 2008-00153 CA-00009 LO-LAR 2009-00057 CA-00002 One-Time Action JAFP-08-0092, 09/12/2008, Extension Request for Response to GL 2008-01 MD7828 1GL 2008-01 JAF will submit a 9-month response to GL 2008-01, including a description of the results of the systems evaluated prior to the R18 refueling outage, a description of the corrective actions required based upon the preliminary plant review of ASS Consulting analysis, a statement regarding which corrective actions have been completed, a schedule for completing any remaining corrective actions and the basis for the schedule.

10/11/2008 Closed (JAFP-08-0107)

- 3 Item Licensee's Commitmen Licensee's Submittal NRC TAC No./Subject / Summary of Scheduled Licensee No.

Commitment Tracking No.

tType Commitment, Implementation Date (If Required)

Implementation Status 5

LO-LAR 2009-00057 CA-00001 One-Time Action JAFP-08-0092, 09/12/2008, Extension Request for Response to GL 2008-01 MD7828 1GL 2008-01 JAF will submit a supplemental response to GL 2008-01, including a description of the results of the systems evaluated, a description of the corrective actions required, a statement regarding which corrective actions have been completed, a schedule for completing the remaining corrective actions, the basis for the schedule and the means by which any long term actions determined necessary will be tracked for implementation.

03/31/2009 Closed (JAFP-09-0037) 6 LO-LAR 2008-00244 CA-00002 One-Time Action JAFP-08-0099,09/26/2008, James A. FitzPatrick Request for Relief (RR-7) - Proposed Alternative to ASME Code Requirements for Weld Overlay Repairs MD9780 1 Relief Request RR-7 A discussion of any repairs to the weld overlay material andlor base metal and the reason for the repairs.

14 days after completing the final ultrasonic examinations of the completed weld overlays Closed (JAFP-09-0109) 7 LO-LAR 2008-00244 CA-00002 One-Time Action JAFP-08-0102,10/01/2008, Request for Relief (RR-7 Revision 1) - Proposed Alternative to ASME Code Requirements for Weld Overlay Repairs MD97801 Relief Request RR-7 1 Disposition of indications using the standards of ASME Section XI, Subsection IWB-3514-2 andlor IWB-3514-3 criteria and, if possible, the type and nature of the indications 14 days after completing the final ultrasonic examinations of the completed weld overlays.

Closed (JAFP-09-0109) 8 LO-LAR 2008-00020 CA-00011 One-Time Action JAFP-08-0107, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01, "Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Revise the UFSAR to add a statement that the subject systems are kept sufficiently filled with water to ensure that system remains operable and performs properly.

04/29/2009 Closed

- 4 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.

Commitment Tracking No.

t Type Commitment, Implementation Date (If Required)

Implementation Status 9

LO-LAR 2008-00020 CA-00015 One-Time Action JAFP-08-0107, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01, "Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Revise system operating procedures to ensure each section of piping is filled and vented.

04/29/2009 Closed 10 LO-LAR 2008-00020 CA-00019 One-Time Action JAFP-08-0107, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01, "Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Develop a program to monitor and trend gas accumulation in ECCS systems within the scope of this report. The program intent would be to conduct monitoring and could be suspended if trending indicates no issues have developed in the specific systems.

04/30/2009 Open Program development com pleted via "Program Notebook." Left open due to the aspect of "Monitorinq."

11 CCR-09-001 LO-LAR 2008-00020 CA-00012 CA-00015 Commitment Change JAFP-08-01 07, 10/14/2008, Nine-Month Response to NRC Generic Letter 2008-01,

"Managing Gas Accumulation in Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems" MD7828 1GL 2008-01 Revise Licensing Commitment A-5408 to reflect the use of manual vent valves in conjunction with the motor operated valves on the RHR HX and inlet header confiquration.

A-5408 was implemented.

Closed.

- 5 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.

Commitment Tracking No.

t Type Commitment, Implementation Date (If Required)

Implementation Status 12 CCR-08-001 A-18330 Commitment Change JAFP-07-0004, 01/11/2007, Response Providing Information Regarding Implementation Details for the Phase 2 and 3 Mitigation Strateqies MD0613-MD4533/ B.5.b FROM: Develop and proceduralize a strategy to provide makeup water to the Hotwell via the waterbox access doors using firewater supplied from either an internal fire header standpipe or using the portable pump.

TO: Develop and proceduralize a strategy to provide makeup water to the Hotwell via the 18 inch manway using firewater supplied from either an internal fire header standpipe or using the portable pump.

Not Applicable Need for Revision determined during implementation.

Revised commitment was implemented Closed 13 CCR-08-002 Commitment JAFP-07-0004,01/11/2007, MD0613-MD4533/ B.5.b Not Applicable Closed A-18329 Change Response Providing Information Regarding Implementation Details for the Phase 2 and 3 Mitigation Strateqies FROM: Develop and proceduralize a strategy for supplying power to energize the Safety Relief valves from the outside containment junction box to depressurize the RPV. (As described in the strategy the Need for Revision determined during implementation.

intent was to modify 25-ASP and initiate the strategy from the ASP.)

TO: Develop and proceduralize a strategy for supplying power to energize the Safety Relief valves from the outside containment junction box to depressurize the RPV. (As developed and implemented through TSG 12 the strategy is implemented from a junction box located near the containment wall.

Revised commitment was implemented

- 6 Item licensee's Commitmen licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled licensee No.

Commitment t Type Commitment, Implementation Implementation Tracking No.

Date (If Status Required) 14A A-14539 Continuing CNRO-2006-00030, MD17381 Request for Use of Weighting During Open (ACT-06 68016)

Compliance 05/16/2006 Factors for External Exposure

1) Entergy will monitor the part of the monitoring Procedures completed but whole body within each compartment (and/or composite compartment) that receives the highest dose. Entergy is developing a fleet wide Nuclear Management Manual procedure EN-RP 204, "Special Monitoring Requirements,"

for determining dosimeter selection and placement. This procedure guidance will be consistent with that found in NRC Inspection Procedure 71121.01, Issue date 03/06/02.

kept open because of the monitoring aspect of the commitments

- 7 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.

Commitment Tracking No.

t Type Commitment, Implementation Date (If Required)

Implementation Status 14B A-14540 Continuing CNRO-2006-00030, MD1738 1Request for Use of Weighting During Open (ACT-06 68017)

Compliance 05/16/2006 Factors for External Exposure

2) Based on the NRC's approval of this monitoring Procedures completed but request, Entergy will account for dose consistent with the guidance of the standard as follows:

The DDE for each compartment will be determined from dosimeters worn at that location. When no dosimeter is worn at a particular compartment, the DDE will be determined from the dosimeter positioned where the exposure is judqed to be similar.

The assigned EDE will be the sum of each DDE measurement multiplied by its appropriate compartment factor.

The assigned fens dose equivalent (LDE) will be the higher of the head or chest dosimeters. The assigned shallow dose equivalent (SDE) will be the highest of any whole body dosimeter.

kept open because of the monitoring aspect of the commitments 15 A-14546 through A 14551 (ACT-06 68024 through 68029)

Continuing Compliance CNRO-2006-00021, 05/16/2006 MD1748 1Request for Use of Delta Protection's Mururoa V4F1 R" Suits ALL 7 COMMITMENTS prior to the use of the Suit Open procedures developed but commitment kept open

-8 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.

Commitment Tracking No.

t Type Commitment, Implementation Date (If Required)

Implementation Status 16 A-14546 Continuing CNRO-2006-00034, MD1748 1Request for Use of Delta prior to the use Open through A 14551 Compliance 07/1312006 Protection's Mururoa V4F1 R" Suits of the Suit procedures developed but (ACT-06 68024 through 68029)

ALL 6 COMMITMENTS commitment kept open 17 A-18388 through A-18394 Entered in the system as a part of the implementati on ofCR JAF-2009 02770 Not Applicable.

Superseded by the commitment s in item 18.

CNRO-2006-00020, 05/19/2006 MD1823 1 Request for Use of Delta Protection's "Mururoa BLU" Suits ALL COMMITMENTS Not Applicable.

Superseded by the commitments in item 18.

Closed 18 A-18395 through A-18402 Entered in the system as a part of the implementati on ofCR JAF-2009 02770 Continuing Compliance CNRO-2006-00035, 07/13/2006 MD18231 Request for Use of Delta Protection's "Mururoa BLU" Suits ALL 8 COMMITMENTS prior to the use of the Suit Closed

- 9 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.

Commitment t Type Commitment, 1mplementation Implementation Tracking No.

Date (If Status Required) 19 A-14535 (ACT-06 68012)

Continuing Compliance ENOC-2006-00013, 04/26/2006 MD4533/ B.5.b ONE COMMITMENT Procedure changes for the industry proposed fuel dispersal strategy will be effective for use during the next refueling beginning after June 30, 2006.

Next Refueling Outage (RFO) after 06/30/2006, RFO-17 Closed 20 A-14397 (ACT-04 67792)

One-Time Action JAFP-04-0159,09/27/2004 MD6136 / GL 2003-01 Control Room Habitability ONE COMMITMENT 12/31/2004 Closed ENO commits to creating a preventive maintenance surveillance procedure to annually inspect the Relay Room and components located inside the CRE to ensure CRE unfiltered inleakage vulnerability is maintained as leak tight as possible.

21 A-18340 One-Time Action ENOC-09-00009,04/27/2009 ME1200 / Amendment to Adopt TSTF-511 ONE COMMITMENT Removal of the plant-specific Technical Specification requirements will be performed concurrently with the implementation of the 10 CFR 26, Subpart I requirements. This commitment will be completed no later than October 1, 2009.

10/1/2009 Concurrent with implementation of Fatigue Rule Open

- 10 Item Licensee's Commitmen Licensee's Submittal NRC TAC No.1 Subject I Summary of Scheduled Licensee No.

Commitment t Type Commitment, Implementation Implementation Tracking No.

Date (If Status Required) 22 A-18403 through A

18416 Entered in the system during the audit.

One-Time Action JAFP-09-0072, 06/06/2009 ME1404/ Emergency Amendment Re:

Extension of AOT for EDG-C ALL 14 COMMITMENTS Prior to entering extended AOT and maintained for the duration of the AOT Closed.

Implemented via checklist.

V. P. Operations

- 2 If you have questions, please contact me at (301)-415-3308.

Sincerely, IRA!

Bhalchandra K. Vaidya, Project Manager Plant Licensing Branch 1-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-333

Enclosure:

Audit Report cc w/encl: Distribution via Listserv DISTRIBUTION:

PUBLIC RidsNrrPMBVaidya (paper copy)

RidsAcrsAcnwMailCenter S. Meighan, DORLITA G. Hunegs, SRI LPL1-1 RtF RidsNrrLASLittle (paper copy)

RidsRgn1 MailCenter M. Grey, Region 1/BC RidsOGCMailCenter RidsNrrDorlLPL1-1 RidsOgcRp ADAMS ACCESSION No.: ML092390460 NRR-106 OFFICE LPL1-1\\PM LPL1-1\\LA LPL1-1\\BC LPL1-1\\PM NAME B. K. Vaidya SLittie NSalgado B. K. Vaidya DATE 8/31/09 8/31/09 9/01/09 9/01/09 Official Record Copy

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