ML17321A289

Rev 1 to General Procedure 15.1, Noncompliance & Corrective Action.

ML17321A289
Person / Time
Site:	Cook
Issue date:	10/24/1984
From:	KROEGER R F INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
Shared Package
ML17321A286	List: ML17321A285 ML17321A289
References
15.1, NUDOCS 8411280300
Download: ML17321A289 (38)

Text

,FaN'N'.aaasAMERfCAECTRfCPOWERSERVfCECO RATONGENERALPROCEDURE CHANGESHEETCHANGESHEETNO.PROCEDURE NQ15.1TITLE:REVISIONNO.AconPREPAREDBY:REVIEWEDBY:M.P.AlexichCONCURRENCE i<AAPPFIOVED BY.JohnE.OolanDATE~4DATE:DATE'ATE'ATE'ATE'ATE:

so.G.1OF1TYPEOFCHANGEQPERMANENT CITEMPORARY EFFECTIVE DATE:11~9~84EXPIRATION DATE'ESCRIPTION OFCH'ANGEAddedPara.3.5settinolicontICRcancellation.

AddedPara.3.6settinoliconreortinofElectrical Equipment Environmental 1ficaiondeficiencies.

Renumbered existed.ara.3.5&3.6ndfiienciestolistofticalrr1'anes.REASON(S)

FORCHANGEToestablish aoliconcancellation ofNCRs,andescalation ofconcernsifthey2.3.Toestablish amechanism forcompliance with10CFR50.49.h RevisedPara.6.1.1toaddEquipment gualification deficiencies tolistoftypical,>liance.INSTRUCTIONS FORINCORPORATING CHANGEPae1&2insertace1&2C.S.l.S.3&Pae4insertPae3C.S.4&Pae4iai.-:>+<>>Bpga<>'4%12'L"":",,

)PDg,ADOCK 7588(584)IAEFORMNO.GE38AMERICANELECTRICPOWERSERVICECORPORATION GEN~LPROCEDURE CHANGESHENDEXAEPSCGENERALPROCEDURE NO.151REV.NO.1CHANGESHEETNO.NO.OFPGS.PROCEDURE SECTIONSAFFECTEDTEMP.PERM.TYPEOFCHANGDATEEXPIRATION EFFECTIVE DATE5.1,9.09.0,Attachment No.2X09/T5/8410/11/846.1.15),6.2.33.5(flew),3.o(New)6.1.111NewX10/5/84X11/9/84'PONISSUEOFNEXTREVISiONOFTHESUBJECTPROCEDURE AEPSCGE5t>ALPROCEDURE NO.15.1NCNCCMPLIANCE ANDCCK&TIVEACTION1.0PKPQSE~4Thisprocedure establishes thepolicyandadministrative activities for(1)reporting, (2)corrective and(3)establishing measurestoprecludetherecusance ofnoncompliance identified withinAEPSC.2.02.12.22'.3Thisprocedure appliestononcanpliances withtheQAProgramthimplenanting activities areunderthedirectcontrolandresponsibility ofAEPSC.Managerrant appraisals/evaluations/reviews whichidentifyintra-division findingsareexludedfromthereporting requireneats ofthisprocedure unlessthefindingidentifies anapparentdiscrepancy inthedesignofasystem,caiponent orstructure whichwouldpreventordegradesystems,ccmgonents orstructures franperformingtheirdesignfunctions.

-'Nonccmpli.an'ces identified'by'audits conducted inaccordance'with "GeneralProcedure 18.1areexcludedfromthereporting requirements ofthisprocedure exceptasnotedtherein.3.03.1Anyactivityknownorsuspected tocontainanoncompliance shallbeproperlyidentified, reportedandcorrected, throughtheuseoftheNoncompliance Report(NCR).3.23.3Anynoncompliance, identified byAEPSCpersonnel whileattheDonaldC.CookNuclearPlant,shallbereportedinaccordance withestablished Plantprocechmes.

Theintentofthisprocedure istoprovidethebasicre~xsnents anddirections fornoncanpliances identified withinAEPSC.Itshallbeincunhent upontheinvolvedMPSCDivisionManagertoreviewthisprocedure andtoassurethat,whennecessary, additional procedures aredeveloped fortherespective Divisiontofullyimplerrent the3.4Anyindividual inAEPSCcanoriginate anNCR.Ifamemberofasec-tionistheoriginator, theSectionManagershallsigntheNCRtoauthorize itsissuanceandconfirmthattheappropriate personisbeingassignedthecorrective action.Nheretheoriginator istheSectionManager,onlythisManager's signature isreguum2forissuing~AEPSCGeneralProcedure No.15.1-Rev.1Page1of11 3.5OnceanNCRhasbeeninitiated, itcannotandshallnotbecancelled withoutduecause.,Suchcauseshallbedocumented eitherontheNCR.itself,orinaseparatememo,andacopyofsaiddocumentation for-wardedtotheAEPSCManagerofQualityAssurance.

TheOriginator ofacancelled NCRhastheobligation andrighttoescalatehisconcerntosuccessive levelsofmanagement ifhefeelsthataqualityrelatedproblemstillexists,afterNCRcancellation.

CS43.6Deficiencies inelectrical equipment environmental qualification shallbedocumented viaanNCRwithamandatory responsedue30daysfromdateofNCRissue.Whenapplicable, suchdeficiencies shallbereportedtotheNRCwithinsixtydaysofdiscovery per10CFR50.49h.

CS43.7AllAEPSCPersonnel shareequallyintheobligation andresponsibil-itytoreportandidentifynoncompliances.

3.8Departures fromthisprocedure shallnotbemadewithouttheexpresswzittenconsentoftheAEPSCViceChairman, Engineering andConstruction.

4.0 DEFINITIONS

4.1.doesnotprovide'suitable

'direction tomee'testabli'shed'requKze-

"'ents.Deficiencies occurwheredocumentation isnonexistent, in-adequateorincorrect.

4.24.3Deviation

-Aninadequacy intheimplementation ofanestablished procedure.

Deviations occurwheredocumentation iscorrect,ade-quateandacceptable buttheimplementing organization doersnotadheretothespecified directions.

furtherevaluation.

4.4procedure ormethod;oradiscrepancy inthedesignofasystem,component orstructuze whichwouldpreventordegradesystems,components orstructures fromperforming theirdesignfunctions.

4.5Commitment List-AlistofpromisedactionsbyAEPSCorganizations/

personnel thatispreparedandmaintained inaccordance withGeneralPzocedure No.2.2.4.6noncompliance.

4.7~Resender-PersontowhomaNoncompliance Report(NCR)isaddressed and/orwhorepliestotheNCRoriginator.

4.8Software-Documentation orpaperwork.

AEPSCGeneralProcedure No.15.1-Rev.1C.S.4Page2of11 5.05.15.25.35.4HESPCNSXSILITIES f~'1"!thecaapleteprocessing ofanNCR,including notification toaffectedorganizations, inaccordance withthisprocedure.

Qriinator'sSectionManaer-ConfirmstheneedtoproceedandassuresNCRisassignedtoappropriate individual ororganization.

Responder

-ThepersontowhomtheNCRissent.Thispersonisresponsible forthepreparation ofaneaningful, clearresponsetotheQriginator aswellasaccarplishing othertaslmdefinedinthispvxxKlure oRender'sSectionManaer-Authorities corrections tobemade.5.55.6NS&L-Responsible forindicating reportability ofNCRfindingandforperforming reporting functions whenapplicable.

QualitAssurance

-Responsible formaintaining Camnitment List;auditingAEPSCOHox~zation forcaapliance withthisprocedure; andverifying thatpreventive measureshavesucceeded.

6.0'C5CCHPLIANCE'RCCEDURE"

'~~6.16.1.16.1.2Noncanpliances, typically, include:(1)failuretoperformprescribed verification activities; (2)departure.

orinacbn~nt omissionfranapprovedprocedure specifications,

drawings, etc.;(3)calculational logicortechnical docunanterror;(4)errorinprocedural docunant; (5)failuretohaveadequateorrequiredprocedures;

{6)failuretotranscribe activities affecting qualityintowrittendocunents.

(7)agroupofnonconformances thats~atrendrequiring correction; P(9)erroneous entryinsupplier's docunantation'10) documentation incomplete, missingorillegible.

{11)equipment qualification deficiencies Agraphicpresentation ofthenoncompliances cycleisshowninAttache1.[cssAEPSCGeneralProcechxre No.15.1-Rev.1-C.S.4Page3of11 6.1.36.26.2.16.2.2Noncompliances identified withinAEPSCshallbeprocessed j.naccordance withthisprocedure exceptnoncompliances identi-fieldatasupplier.

Suppliernoncompliances shallbepro-cessedundertheAEPapprovedSupplierQAprogram.AEPSC'sinvolvement shallbelimitedtothecontractual agreements established intheprocurement document.

ReortinandDocumentin aNoncompliance (Oriinator)Noncompliances shallbedocumented andreportedinatimelymanner.Noncompliances shallbeidentified andprocesses onAEPSCformGE-60,"Noncompliance Report"(NCR)andprocessed inaccordance withtheinstruction onitsreverseside.(Ref.Attachment 2).TheNCRnumbexconsists'offourpartsasfollows:~'IRQA-81-49-1W"-l"isalwaysusedinthepreparation ofanNCR.The-1designation willbe.changedonlyafteroneoxmore'commitments aremadeinresponsetotheNCR.Ifonecommitment ismade,thispartofthenumberchangesto"Cl"from"-1".Iftwoormorecommitments aremade,eachisassignedtoitsownnumberi.e.Cl,C2,etc.indicates seauential numberofNCRswrittenfortheyearinaspecificAEPSCorgani-zation.indicates theyearinwhichtheNCRwaswritten.indicates aReport(NCR)originated byQuality,Assurance.

TocreatethispartoftheNCRnumberalwaysstartwiththeletter"R"thenaddtheappropriate suffixfromthelistingbelow.AEPSCGeneralProcedure.

No.15.1-Rev.1Page4ofll FoA4N(kGE35758584IAEAMERICAECTRtCPOWERSERVlECORATtNGENERALPROCEDURE CHANGESHEETCHANGESHEETNO.PROCEDURE NO.TITLE'EVISION NO.A'onPG1OF1PREPAREDBY:~FREVIEWEDBYM.P.AlexichCONCURRENCE'PPROVED BY:DATE:DATE:DATE:DATE:DATE'ATE'ATE.

I0TYPEOFCHANGEQPERMANENT ClTEMPORARY EFFECTIVE DATE11/9/84EXPIRATION DATE"'DESCRIPTION'O'F CHA'NGEAddedPara.3.5settinoliconWCRcanc'ellation.

AddedPara.3.6settinoliconreortinofElectrical Equipment Environmental 1'fication deficiencies.

Renumbered existedara.3.5&3.6'dfiienciestolistofticalilianes.REASON(S)

FORCHANGEToestablish aolicyoncancellation ofNCRs,andescalation ofconcernsifthey2.3.Toestablish amechanism forcompliance with10CFR50.49.h RevisedPara.6.1.1toaddEquipment

(}ualification deficiencies tolistoftypicalmoliances.

INSTRUCTIONS FORINCORPORATING CHANGEPae&2insertace1&2C.S.1.S.3&Pae4insertPae3C.S.4&Pae4 758@584)IAEFORMNO.GK38AMERICANELECTRICPOWERSERVICECORPORATION GENaLPROCEDURE CHANGESHENDEXAEPSCGENERALPROCEDURE NO.151REV.NO.1CHANGESHEETNO.NO.OFPGS.PROCEDURE SECTIONSAFFECTEDTYPEOFCANGTEMP.PERM.DATEEFFECTIVE EXPIRATIONDATE5.1,9.09.0,Attachment No.2X09/15/8410/11/846.1.15),6.2.33.5(IIew),3.6(Hew)6.1.111I'IewX10/5/84ll/9/84~~'PONISSUEOFNEXTREVISIONOFTHESUBJECTPROCEDURE MK'SCGENERALPROCEDURE NO.15.1XNKTAtXZ1.0PURPOSEThisprocedure establishes thepolicyandadministrative activities for(1)reporting, (2)conativeand(3)establishing measurestoprecludetherecurrence ofnoncompliance identified withinAEPSC.2.02.12.2Thisprocedure appliestononccmpliances withtheQAProgrammquirenents ofM~CGeneralProcedure No.2.1whiletheimplementing activities areunderthedirectcontrolandresponsibility ofAEPSC.Management appraisals/evaluations/reviews whichidentifyintra-division findingsareexludedfromthereporting requirements ofthisprocedure unlessthefindingidentifies anapparentdiscrepancy inthedesignofasystem,cm~nentorstructure whichwouldpreventordegradesystems,components orstructures franperformingtheirdesignfunctions.

2;3"'Noncanpli'ances identified byaudits"conduct&

in'ccordance with'.GeneralProcedure 18.1areexclu~fromthereporting requiremntsofthisprocedure exceptasnotedtherein.3.03.1Anyactivityknownorsuspected tocontainanoncompliance shallbeproperlyidentified, reportedandcorrected, throughtheuseoftheNoncanpliance Report(NCR).3.2Anynoncompliance, identified byAEPSCpersonnel whileattheDonaldC.CcokNuclearPlant,shallbereportedinaccordance withestablished Plantprocedures.

3.3Theintentofthisprocedure istoprovidethebasicrequirements anddirections fornoncanpliances identified withinAEPSC.Itshallbeincumbent upontheinvolvedAEPSCDivisionManagertoreviewthisprocedure andtoassurethat,whennecessary, additional procedures aredeveloped fortherespective Divisiontofullyimplement theI3.4Anyindividual inAEPSCcanoriginate anNCR.Ifanemberofasec-tionistheoriginator, theSectionManagershallsigntheNCRtoauthorize itsissuanceandconfirmthattheappropriate personisbeingassignedthecorrective action.Wheretheoriginator istheSectionManager,onlythisManager's signature isrequiredfor3.SSQLIlg,AEPSCGeneralProcedure No.15.1-Rev.1Page1of11 3.5OnceanNCRhasbeeninitiated, itcannotandshallnotbecancelled withoutduecause.Suchcauseshallbedocumented eitherontheNCRitself,orinaseparatememo,andacopy.ofsaiddocumentation for-CS4wardedtotheAEPSCManagerof.QualityAssurance.

TheOriginator ofacancelled NCRhastheobligation andrighttoescalatehisconcerntosuccessive levelsofmanagement ifhefeelsthataqualityrelatedproblemstillexists,afterNCRcancellation.

3.6Deficiencies inelectrical equipment environmental qualification shallbedocumented viaanNCRwithamandatory responsedue30daysfromdateofNCRissue.Whenapplicable, suchdeficiencies shallbereportedtotheNRCwithinsixtydaysofdiscovery per10CFR50.49h.

CS43.73.8AllAEPSCPersonnel shareequallyintheobligation andresponsibil-itytoreportandidentifynoncompliances.

hDepartures fromthisprocedure shallnotbemadewithouttheexpresswrittenconsentoftheAEPSCViceChairman, Engineering andConstruction.

4.0 DEFINITIONS

.4..1h4.2doesnotprov'ide"suieable direction tomeetestablished require-ments.Deficiencies occurwheredocumentation isnonexistent, in-adequateorincorrect.

Deviation

-Aninadequacy intheimplementation ofanestablished procedure.

Deviations occurwheredocumentation iscorrect,ade-quateandacceptable buttheimplementing organization doesnotadheretothespecified directions.

furtherevaluation.

4,4Noncomoliance'-

Adeviation from,ordeficiency in,anapprovedprocedure ormethod;oradiscrepancy inthedesignofasystem,component orstructure whichwouldpreventordegradesystems,components orstructures fromperforming theirdesignfunctions.

4.5Commitment List-AlistofpromisedactionsbyAEPSCorganizations/

personnel thatispreparedandmaintained inaccordance withGeneralProcedure No.2.2.4.6noncompliance.

4'~Resender-PersontowhomaNoncompliance Report(NCR)isaddressed and/orwhorepliestotheNCRoriginator.

4.8Software-Documentation orpaperwork.

AEPSCGeneralProcedure No.15.1-Rev.1C.S.4Page2ofll 5.0.5.1thecompleteprocessing ofanNCR,including notification toaffectedorganizations, inaccordance withthisprocedure.

5.25.3Oriinator'sSectionMana-ConfirmstheneedtoproceedandassuresNCRisassignedtoappropriate individual ororganization.

IResider-ThepersontowhomtheNCRissent.'1M.spersonisresponsible forthepreparation ofameaningful, clearresponsetotheOriginator aswellasaccarplishing othertasksdefinedinthisprocedure.

5.4Render'sSectionManaer-Authorities corrections tobemade.5.5NSSZ-Responsible forindicating reportability ofNCRfindingandforperfoxming reporting functions whenapplicable.

5.66.0QualitAssurance

-Responsible formaintair~g Gxmitment List;auditingAKPSCCHorganization forccxnpliance withthisprocedure; andverifying thatpreventive measureshavesucceechd.

NCNCCN?LIAl'KZ'RCCEOUBE 6.16.1.16.1.2GeneralNoncanpliances, typically, include:(1)failuretoperformprescribed verification activities; (2)departure orinadvertent omissionfranapprovedprocedure specifications,

• drawings, etc.;(3)calculational logicortechnical doc+renterror;(4)errorinprocedural docunent; (5)failuretohaveadequateorrequiredpxocedures; (6)failuretotranscxibe activities affecting qualityintowrittendonm~ts;(7)agroupofnonconfoxmances thatshowatrendrequiring correction; (8)supplier's reportdoesnotaddressrequirements; (9)erroneous entryinsupplier's documentation'10) documentation inccxnplete, missingorillegible.

(11)equipnent qualification deficiencies Agraphicpresentation ofthenoncompliances cycleisshowninAttachnent 1.[cszAEPSCGeneralPxocedure No.15.1-Rev.1-C.S.4Page3of11 6.1.36.26.2.16.2.2Noncompliances identified withinAEPSCshallbeprocessed inaccordance withthisprocedure exceptnoncompliances identi-fieldatasupplier.

Suppliernoncompliances shallbepro-cessedundertheAEPapprovedSupplierQAprogram.AEPSC'sinvolvement shallbelimitedtothecontractual agreements established intheprocurement document.

ReortinandDocumentin aNoncomliance(Oriinator)Noncompliances shallbedocumented andreportedinatimelymanner.Noncompliances shallbeidentified andprocesses onAEPSCformGE-60,"Noncompliance Report"(NCR)andprocessed inaccordance withtheinstruction onitsreverseside.(Ref.Attachment 2).TheNCRnumberconsistsoffourpartsasfollows:RQA-81-,49-1~"-l"isalwaysusedintheptepasation ofanNCR.The-1designation willbechangedonlyafteroneormorecommitments aremadeinresponsetotheNCR.Xfonecommitment ismade,thispartofthenumberchangesto"Cl"from"-1".Iftwoormorecommitments aremade,eachisassignedtoitsownnumberi.e.Cl,C2,etc.indicates seauential numberofNCRswrittenfortheyearinaspecificAEPSCorgani-zation.indicates theyearinwhichtheNCRwaswritten.indicates aReport(NCR)originated byQualityAssurance.

TocreatethispartoftheNCRnumberalwaysstartwiththeletter"R"thenaddtheappropriate suffixfromthelistingbelow.AEPSCGeneralProcedur~

No.15.1-Rev.1Page4ofll 7589(S841IAEFORMNO.OE35AMERlCALECTRICPOWERSERY)CECOORATIONGENERALPROCEDURE CHANGESHEETCHANGESHEETNO.PROCEDURE NO.151TITLE:REVISIONNO1AionPG.1OF1PREPAREDBY:FREVIEWEDBY:CONCURRENCE.

iIAAPPROVEDBY:DATE'ATE'ATE'ATE'ATE:

DATE:DATE:IoTYPEOFCHANGEQPERMANENT CITEMPORARY EFFECTIVE DATE:EXPIRATION DATE:DESCRIPTION OF'CHANGE

'ddedPara.3.5settinoliconNCRcancellation.

AddedPara.3.6settinoliconreortinofElectrical Equipment Environmental 1ficationdeficiencies.

Renumbered existedara.3.5&3.6ndfiienciestolistoftical11lancs.REASON{S)

FORCHANGEToestablish a:oliconcancellation oftICRs,andescalation ofconcernsifthey2.3~Toestablish amechanism forcompliance with10CFR50.49.h RevisedPara.6.1.1toaddEquipment gualification deficiencies tolistoftypicaln.1ol'ances.

INSTRUCTIONS FORINCORPORATIN'G CHANGEPae1&2insertoaoe1&2C.S.1.S.3&Pae4insertPae3C.S.4&Pae4 7580584)IAEFORMNO.QB38AMERICANELECTRICPOWERSERVICECORPORATION GENLPROCEDURE CHANGESHEL.NDEXAEPSCGENERALPROCEDURE NO.15.1REV.NO.ICHANGESHEETNO.NO.OFPGS.PROCEDURE SECTIONSAFFECTEDTYPEOF=CHANGTEMP.PERM.DATEEFFECTIVE EXPIRATION DATE5.1,9.0X09/15/849.0,Attachment No.210/11/846.1.1(5),

6.2.33.5(I'ew),3.6(New)6.1.111I'Iew10/5/84X11/9/84~~'PONISSUEOFNEXT.REVISIONOFTHESUBJECTPROCEDURE AEPSCGENERALPEKCEDUHE NO.15.1NCNCCM?LIANCE ANDCCK~ZVEACTICN1.0PURPOSEThisprocedure establishes thepolicyandachunistrative activities for(1)reporting, (2)corrective and(3)establishing measurestoprecludetherectu~ceofnoncampliance identified withinAEPSC.2.0APPLICABILITY 2.1Thisprocedure appliestononcaapliances withtheQAPxogram!!.,M!!'implenenting activities azeunderthedirectcontroland'esponsibility ofAEPSC.2.2Management appraisals/evaluations/reviews whichidentifyintra-division findingsareexludedfromthereporting xequi~nents ofthisprocedure unlessthefindlingidentifies anapparentdiscrepancy inthedesignofasystem,cmponentorstructure whichwouldpreventordegradesystems,ccxaponents orstructures franperformingtheirdesignfunctions.

2.3'Non'ccxrpliances'.

identified byaudi.tsconducted in:acco69ahce'ith

!~Wofthisprocedure exceptasnotedtherein.~~~3.03.1Anyactivityknownorsuspected tocontainanoncompliance shallbeproperlyidentified, reportedandcorrected, throughtheuseoftheNoncanpliance Report(NCR).3.2Anynonccmpliance, identified byAEPSCpersonnel whileat.theDonaldC.CookNuclearPlant,shallbereportedinaccordance withestablished Plantprocedures.

3.3Theintentofthisprocedure istoprovidethebasicrequirements anddirections fornoncampliances identified withinAEPSC.Itshallbeincumbent upontheinvolvedAEPSCDivisionManagertoreviewthisprocedure andtoassurethat,whennecessaxy, additional procedures aredeveloped fortherespective Divisiontofullyimplement therequirements ofthisprocedure.

3.4Anyindividual inAEPSCcanoriginate anNCR.Ifamanberofasec-tionistheoriginator, theSectionManagershallsigntheNCRtoauthorize itsissuanceandconfirmthattheappropriate personisbeingassignedthecorrective action.Nheret1aoriginator istheSectionManager,onlythisManager's signature isrequiredfor1SSllkllg.

AEPSCGeneralProcedure No.15.1-Rev.1Page1of11 3.5OnceanNCRhasbeeninitiated, itcannotandshallnotbecancelled withoutduecause.Suchcauseshallbedocumented eitherontheNCRitself,orinaseparatememo,andacopyofsaiddocumentation for-CS4wardedtotheAEPSCManagerofQualityAssurance.

TheOriginator ofacancelled NCRhastheobligation andrighttoescalatehisconcerntosuccessive levelsofmanagement ifhefeelsthataqualityrelatedproblemstillexists,afterNCRcancellation.

3.6Deficiencies inelectrical equipment environmental qualification shallbedocumented viaanNCRwithamandatory responsedue30daysfromdateofNCRissue.Whenapplicable, suchdeficiencies shallbeCS4reportedtotheNRCwithinsixtydaysofdiscovery per10CFR50.49h.

3.7AllAEPSCPersonnel shareequallyintheobligation andresponsibil-itytoreportandidentifynoncompliances.

3.8Departures fromthisprocedure shallnotbemadewithouttheexpresswrittenconsentoftheAEPSCViceChairman, Engineering andConstruction.

4.0 DEFINITIONS

~4..1.Deficienc

.-,Aninadequacy,,

ina.procedure oritsmethodology.

whichoesnotprovidesuitabledi'r'ection tomeetestablished require-ments.Deficiencies occurwheredocumentation isnonexistent, in-adequateorincorrect.

4.2Deviation

-Aninadequacy intheimplementation ofanestablished procedure.

Deviations occurwheredocumentation iscorrect,ade-quateandacceptable buttheimplementing organization doesnotadheretothespecified directions.

4,3furtherevaluation.

4.4*procedure ormethod;oradiscrepancy inthedesignofasystem,component orstructure whichwouldpreventordegradesystems,components orstructures fromperforming theirdesignfunctions.

4.5Commitment List-AlistofpromisedactionsbyAEPSCorganizations/

personnel thatispreparedandmaintained inaccordance withGeneralProcedure No.2.2.4.6noncompliance.

4'~Resender-PersontoshornaNoncompliance Report(NCR)lsaddressed and/orwhorepliestotheNCRoriginator.

4.8Software-Documentation orpaperwork.

AEPSCGeneralProcedure No.15.1-Rev.1C.S.4Page2of11 5.05.15.2RESPONSIBILITIES w9>>tldthecanpleteprocessing ofanNCR,including notification toaffectedorganizations, inaccordance withthisprocedure.

Oriinator'sSectionMana-ConfirmstheneedtoproceedandassuresNCRisassignedtoappropriate individual ororganization.

5.35.4MsSxinder

-ThepersontowhcxntheNCRissent.Thispersonisresponsible forthepreparation ofaaeaningful, clearresponsetotheOriginator aswellasacccaplishing othertasksdefinedinthisprocedure.

Render'sSectionManaer-Authorities corrections tobemade.5.5NSaL-Responsible forindicating reportability ofNCRfindingandforperforming reporting functions whenapplicable.

5.6QualitAssurance

-Responsible formaintair~

Caanitment List;auditingAEPSCOHorganization forcanpliance withthisprocedure; andverifying thatpreventive neasureshavesucceeded.

6.0'CNCCbPL'IANCE'RCC{K)URE

'eneral6.1.1Noncanpliances, typically, include:6.1.2(1)failuretoperformprescribed verification activities; (2)departure orinadvertent omissionfranapprovedprocedure specifications,

drawings, etc.;(3)calculational logicortechnical documenterror;(4)errorinprocedural docunent; (5)failuretohaveadequateorrequiredprocedures; (6)failuretotranscribe activities affecting qualityintowrittendocungnts;

'7)agroupofnonconformances thatshowatrendrequiring correction; (8)supplier's reportdoesnotaddressrequirements; (9)erroneous entryinsupplier's documentation'10) docunentation incanplete, missingorillegible.

(11)equipnent qualification deficiencies Agraphicpresentation ofthenonccmpliances cycleisshowninAttachment 1.[cs~AEPSCGeneralProcechxre No.15.1-Rev.1-C.S.4Page3of11 6.1.36.26.2.16.2.2Noncompliances identified withinAEPSCshallbeprocessed inaccordance withthisprocedure exceptnoncompliances identi-fieldatasupplier.

Suppliernoncompliances shallbepro-cessedundertheAEPapprovedSupplierQAprogram.AEPSC'sinvolvement shallbelimitedtothecontractual agreements established intheprocurement document.

ReortinandDocumentin aNoncompliance (Oriinator)Noncompliances shallbedocumented andreportedinatimelymanner.Noncompliances shallbeidentified andprocesses onAEPSCformGE-60,"Noncompliance Report"(NCR)andprocessed inaccordance-with theinstruction onitsreverseside.(Ref.Attachment 2).TheNCRnumberconsistsoffourpartsasfollows:~~RQA-81-49-1M"-l"isalwaysusedinthepreparation oranNCR.The-1designation willbe.chaggedl~~~~onlyafteroneormorec'ommit'ments aremadeinresponsetotheNCR.Ifonecommitment ismade,thispartofthenumberchangesto"Cl"from"-1".Iftwoormorecommitments aremade,,eachisassignedtoitsownnumberi.e.Cl,C2,etc.indicates seauential numberofNCRswrittenfortheyearinaspecificAEPSCorgani-zation.indicates theyearinwhichtheNCRwaswritten.indicates aReport(NCR)originated byQualityAssurance.

TocreatethispartoftheNCRnumberalwaysstartwiththeletter"R"thenaddtheappropriate suffixfromthelistingbelow.AEPSCGeneralProcedure-'o.

15.1-Rev.1Page4ofll

~V8>>MVI>>~Y>>EY~4/8tCONTROLLO DOCUMENTTRANSMITTAL ACIIIILEDGEMENT TO:NRC,BethesdagAFILENO>>.'G00002 PATE10/05/84CONTROLLED COPYNO.:THISISTOACKNOWLEOGK RECEIPTOFTHECONTROLLED OOCUMKNTISSUEPACKAGECONSISTING OFTHEFOLLOWING:

DOCUMENTTITLEnralProedureChaneSheetNo.3forG.P.15.1Noncompliance andCorrective ActionCDAL:REY.NO.---DATE:08-16-83THISISSUEIS:QORIGINALISSUEdIPARTIALREVISIOKQRE~ISSUEOFCOMPLETEDOCUMENTWITHREVISIONS QA-10-84:~5:002:,.4<<:08.2884QA-10-84OCN:G00002qAFILENO:G00002DOCUMENTTITLEI4TRISISSUEIS:QORIGINALISSUEQPARTIALREVISIONQRE>>ISSUKOFCOMPLETKOOCUMEHTWITHREVISIONS REY.NO.DATE:~OCN:CORAR:REVNO.DATE:COAL:REY>>NO.DATE:OCN'AFILENO'OCUMENT TITLETHISISSUEIS>>QORIGINALISSUEQPARTIALREVISIONQRE>>ISSUEOFCOMPLETEDOCUMENTWITHREVISIONS REY.NO.DATE:COAL:REY.NO.DATE:OCN'CN:CORAR:REV..NO.DATE:gAFILENO:RECEIPTACKNOWLEDGEMENT SIGNATURE:

DATE:REGISTERED HOLDERRETURNTO:~DierlRiverside PlezeORIGINATOR ROOMNO:20thEloor(AEPSCQh) 1~4y"Ir

>>Q~'~g"AMERICELECTRICPOWERSERVICECORATINGENERALPROCEDURE CHANGESHEETCHANGESHFETNO.3PROCEDURE NO.TITLE'REPARED BY:REVIEWEDBY:CONCURRENCE'PPROVED BY:'RF'<roeerREVISIONNO.DATE'ATE'ATE'ATE'ATE'ATE'ATE'G.1 OF1TYPEOFCHANGEKPERMANENT CITEMPORARY EFFECTIVE DATE'XPIRATION DATE;DESCRIPTION OFCHANGECorrecttorahicalerrorinsection6.1.1(5)ChangeSheetNo.1Riection6.2.3torovideoranizational codesfortheNSDRCSubcommittee andcorrectfororanizational chanes.REASON(S)

FORCHANGEINSTRUCTIONS FORINCORPORATING CHANGE04fC.S.3Removeae5and6of11 7554554RAEFORMNO.GE38AMERICELECTRICPOWERSERVICECORPORATION GENERALPROCEDURE CHANGESHEINDEXAEPSCGENERALPROCEDURE NO.151REV.NO.1CHANGESHEETNO.NO.OF.PGS.PROCEDURE SECTIONSAFFECTEDTYPEOFCHANGETEMP.PERM.DATEEFFECTIVE EXPIRATION DATE5.1,9.09.0,Attachment t~o.209/15/8410/11/846.1.15),6.2.310/5/84'PONISSUEOFNEXTREVISIONOFTHESUBJECTPROCEDURE 5.0RESPONSI8ILITIES5.15.25.35.4Oriinator-Responsible forthedetermination oftheneedforandtecompeteprocessing ofanNCR,including notification toaffectedorganizations, inaccordance withthisprocedure.

Oriinator'sSectionManaer-Confirmstheneedtoproceedandassures>sassignetoappropriate individual ororganization.

Resonder-ThepersontowhomtheNCRissent.Thispersonisresponseleforthepreparation ofameaningful, clearresponsetotheOriginator aswell'saccomplishing othertasksdefinedinthisprocedure.

Resonder'sSectionManaer-Authorities corrections tobemade.5.55.6NS&L-Responsible forindicating reportability ofNCRfindingand7orperforming reporting functions whenapplicable.

ualitAssurance

-Responsible formaintaining Commitment List;auitingEPSCHorganization forcompliance withthisprocedure; andverifying thatpreventive measureshavesucceeded.

'6.0NONCOMPLIANCE'PROCEDURE

"'.1General6.1.1Noncompliances, typically, include:(1)failuretoperformprescribed verification activities; (2)departure orinadvertent omissionfromapprovedprocedure specifications,

drawings, etc.;(3)calculational logicortechnical documenterror;(4)errorinprocedural document; (5)failuretohaveadequateorreouiredprocedures; (6)failuretotranscribe activities affecting qualityintowrittendocuments; (7)agroupofnonconformances thatshowatrendrequiring correction; (8)supplier's reportdoesnotaddressrequirements; (9)erroneous entryinsupplier's documentation' 10)documentation incomplete, missingorillegible.

Agraphicpresentation ofthenoncompliances cycleisshowninAttachment 1.AEPSCGeneralProcedure No.15.1-Rev.1-C.S.3Page3of11 6.1.36.2~16.2.2Noncompliances identified withinAEPSCshallbeprocessed inaccordance withthisprocedure exceptnoncompliances identi-fieldatasupplier.

Suppliernoncompliances shallbepro-.cessedundertheAEPapprovedSupplierQAprogram..

AEPSC'sinvolvement shallbelimitedtothecontractual agreements established intheprocurement document.

ReortinandDocumentin aNoncompliance (Oriinator)Noncompliances shallbedocumented andreportedinatimelymanner.Noncompliances shallbeidentified andprocesses onAEPSCformGE-60,"Noncompliance Report"(NCR)andprocessed inaccordance withthein'struction onitsreverseside.(Ref.Attachment 2).TheNCRnumberconsistsoffourpartsasfollows:~~RQA-81-49-1~"-1"isalwaysusedinthepreparation ofanNCR.The-1designation willbechanged'"'onl'y"afterone or'or'"commitments aremadeinresponsetotheNCR.Ifonecommitment ismade,thispart,ofthenumberchangesto"Cl"from"-1".Iftwoormorecommitments aremade,eachisassignedtoitsownnumberi.e.Cl,C2,etc.indicates seauential numberofNCRswrittenfortheyearinaspecificAEPSCorgani-zation.indicates theyearinwhichtheNCRwaswritten.indicates aReport(NCR)originated byQualityAssurance.

TocreatethispartoftheNCRnumbeialwaysstartwiththeletter"R"thenaddtheappropriate suffixfromthelistingbelow.AEPSCGeneralProceduzNo.15.1-Rev.1Page4ofll 6.2.3/Codesforotherorganizations areasfollows:CE-CivilEngineering Div.CH-ChemicalEngineeringSec.00-DesignDiv.DA-00/Architectural Sec.DC-DD/Control ServicesSec.DE-00/Electrical Sec.DM-DD/Mechanical Sec.DS-00/Structural Sec.EE-Electrical Engin.EV-Environmental Div.FP-FireProtection HP-HeatEx.&PumpsHV-HeatingandVenti1.IC-Instru.andControlME-.Mechanical Eng.StaffMH-Materials HandlingSec.NC-NSDRCNE-NuclearOperations Div.NF-NuclearMaterials

&FuelManagement Sec.NL-NuclearSafety&Licensing NO-NuclearOperations Sec.NR-Radiological SupportSec.PR-Purchasing Department PV-PipingandValvesSec.gA-gualityAssurance SA-Subcommittee onAuditSC-Subcom.onProposedChangesSE-Subcom.onSecurity&Emergency PlanSO-Subcom.onCorp.&PlantOccurrences TB-TurbineSection6.2.4EachAEPSCorganization shallestablish themethodstocontroluniqueassignment ofnumberstoeachNCRprepared.

6.3'Evaluation

'esonder:6.4Anevaluation sha11beconducted bytheResponder todetermine thecauseofthenoncompliance.

ThecauseshallbeenteredontheNCR.Theevaluation shallbeofsufficient depthsoastodevelopmeaningful corrective andpreventive measuresbasedonthecause.Classification (Resonder)6.4.1TheNoncompliance shallbeclassified fortwodifferent features:

TypeofNoncompliance (deficiency/deviation);

andReportability ofNoncompliance.

TypeofNoncompliance:

TheResponder shalldetermine ardindicateontheNCRthetypeofNoncompliance basedontheevaluation performed inparagraph 6.3above.Thenoncompliance shallbeeitheradeficiency ordeviation asdefinedinsection4.0above.6.4.2Reportabi lityofNoncompliance:

TheResponder shallinterface withtheNuclearSafetyandLicensing SectionoftheNuclearEngineering Division(NS&L)andobtaina'lassification ofreportabi lityforthenoncompliance.

TheNS&Lassignedclassifier shallinitiateAEPSCGeneralProcedure No.15.1-Rev.1C.S.3Page5of11 4.4.2(continued)

~reporting activities asrequired, independent ofanyactionrelatedtotheNCRbeingprocessed asfollows:(1)LER/SPECIAL REPORT-NotifyDonaldC.CookNuclearPlant,PlantManagerimmediately bytelephone and-followupbysendingacopyofNCRtothePlantManager.(2)10CFRPart21-Directtheresponder, byletter,toinitiateaPart21Packageinaccordance withGeneralProcedure No.31.FollowupbysendingacopyoftheNCRandlettertotheAEPSCManagerofQAforinclusion ofthisdirection asacommitment ontheAEPSCCommit-6.56.5II()6.56,56.5mentList.(3)OTHER-Initiate, coordinate andperformtheactionnecessary toassurethatappropriate reporting require-..,.......:ments

.are,.fulfil.led,Disposition (Responder)

TheResponder shallidentifymeasurestoboth:(a)removethenoncompliance; and(b)precluderecurrence ofthenoncompliance.

.1Removalofadeficiency typenoncompliance shallbeaccom-plishedbyrevisingtheassociated document(s) orcreatinganewdocument(s).

.2Removalofadeviation typenoncompliance shallbeaccom-plishedbytheimplementing organization enforcing existingdocumentation and,wherenecessary, byadditionofspecialmeasures(e.g.additional surveillance activities; addi-tionaland/ormorefrequentinspections; personnel training; etc.)..3,Preventing recurrence shallbeaccomplished byremovingthe.identified causeofthenoncompliance.

.4TheResponder's supervisor shallapprovethedisposition toauthorize itsimplementation.

AEPSCGeneralProcedure No.15.1-Rev.1Page6of11 755'84fAEFoRANN(kGE35AMERICELECTRIC POWERSERVIECORATINGENERALPROCEDURE CHANGESHEETCHANGESHEETNO.3PROCEDURE NO.TITLE:'REVISIONNO.PG.1OF1PREPAREDBY:REVIEWEDBY:CONCURRENCE APPROVEDBY:R.F.'<roeerDATE'ATE'ATE'ATE'ATE'ATE:

PATEFX58'+TYPEOFCHANGEKlPERMANENT CITEMPORARY EFFECTIVE DATE'XPIRATION DATE.DESCRIPTION OFCHANGECorrecttorahicalerroriasection.6.1..1(5)

ChangeSheetl<o.1isection6.2.3torovideoranizational codesfortheNSDRCSubcommittee andcorrectfororanizational chanes.oREASON(S)

FORCHANGEINSTRUCTIONS FORINCORPORATING CHANGEn4fC.S.3ReIaoveae5and6of11 755%554)IAEFOAMNO.QEQdAMERICELECTRICPOWERSERVICECOPORATIONGENERALPROCEDURE CHANGESHEINDEXAEPSCGENERALPROCEDURE NO.151REV.NO.1CHANGESHEETNO.NO.OF~PGS,PROCEDURE SECTIONSAFFECTEDTEMP.PERM.TYPEOFCHANGEDATEEFFECTIVEEXPIRATION" DATE5.1,9.09.0,Attachment No.209/15/8410/ll/8416.1.1(5),

6.2.310/5/84EUPONISSUEOFNEXTREVISIONOFTHESUBJECTPROCEDURE

5.0 RESPONSIBILITIES

5.15.25.35.4Oriinator-Responsible forthedetermination oftheneedforandtecompeteprocessing ofanNCR,including notification toaffectedorganizations, inaccordance withthisprocedure.

Oriinator'sSectionNanaer-Confirmstheneedtoproceedandassuresssasssgnetoappropriate individual ororganization.

Resonder-ThepersontowhomtheNCRissent.Thispersonisresponseleforthepreparation ofameaningful, clearresponsetotheOriginator aswellasaccomplishing othertasksdefinedinthisprocedure.

Resonder'sSectionManaer-Authorities corrections tobemade.5.55.6'6.0NShL-Responsible forindicating reportability ofNCRfindingand7orperforming reporting functions whenapplicable.

ualitAssurance

-Responsible formaintaining Commitment List;auitingPSCHorganization forcompliance withthisprocedure; andverifying thatpreventive measureshavesucceeded.

'NONCOMPLIANCE'PROCEOURE

6.1General6.1.16.'1.2Noncompliances, typically, include:(1)failuretoperformprescribed verif'.cation activities; (2)departure orinadvertent omissionfromapprovedprocedure specifications,

drawings, etc.;(3)calculational logicortechnical documenterror;(4)errorinprocedural document; (5)failuretohaveadequateorrequiredprocedures; (6)failuretotranscribe activities affecting qualityintowrittendocuments; (7)agroupofnonconformances thatshowatrendrequiring correction; (8)supplier's reportdoesnotaddressrequirements; (9)erroneous entryinsupplier's documentation'10) documentation incomplete, missingorillegible.

Agraphicpresentation ofthenoncompliances cycleisshowninAttachment I.Ic.s.3AEPSCGeneralProcedure No.15.1-Rev.1-C.S.3Page3of11 6.1.6.26,2~3Noncompliances identified withinAEPSCshallbeprocessed inaccordance withthisprocedure exceptnoncompliances identi-fieldatasupplier.

Suppliernoncompliances shallbepro-.cessedundertheAEpapprovedSupplierQAprogram.AEPSC'sinvolvement shallbelimitedtothecontractual agreements established intheprocurement document.

ReortinandDocumentin aNoncompliance (Oriinator)1Noncompliances shallbedocumented andreportedinatimelymanner.Noncompliances shallbeidentified andprocesses onAEPSCformGE-60,"Noncompliance Report"(NCR)andprocessed inaccordance withtheinstruction onitsreverseside.(Ref.Attachment 2).6.2.2TheNCRnumberconsistsoffourpartsasfollows:RQA-81-49-1~"-1"isalwaysusedinthepreparation of~anNCR.The-1designation willbechangedonlyafter'neormorecommitments aremadeinresponsetotheNCR.Efonecommitment ismade,thispartofthenumberchangesto"Cl"from"-1".Eftwoormorecommitments aremade,eachisassignedtoitsownnumberi.e.Cl,C2,etc.indicates seauential numberofNCRswrittenfortheyearinaspecificAEPSCorgani-zation.indicates theyearinwhichtheNCRwaswritten.indicates aReport(NCR)originated byQualityAssurance.

TocreatethispartoftheNCRnumberalwaysstartwiththe'let'ter "R"thenaddtheappropriate suffixfromthelistingbelow.AEPSCGeneralProcedurNo.15.1-Rev.1Page4ofll 6.2.3Codesforotherorganizations areasfollows:CE-CivilEngineering Div.CH-ChemicalEngineering Sec.OD-DesignDiv.OA-00/Architectural Sec.OC-00/Control ServicesSec.DE-00/Electrical Sec.DM-DD/Mechanical Sec.DS-DD/Structural Sec.EE-Electrical Engin.EV-Environmental Div.FP-FireProtection HP-HeatEx.&PumpsHV-HeatingandVentil.?C-Instru.andControlME-Mechanical Eng.StaffMH-Materials HandlingSec.NC-NSORCNE-NuclearOperations Div.NF-NuclearMaterials

&FuelManagement Sec.NL-NuclearSafety&Licensing NO-NuclearOperations Sec.NR-Radiological SupportSec.PR-Purchasing Department PY-PipingandValvesSec.gA-gualityAssurance SA-Subcommittee onAuditSC-Subcom.onProposedChangesSE-Subcom.onSecurity&Emergency PlanSQ-Subcom.onCorp.&PlantOccurrences T8-TurbineSection6.2.46.'3"6.4EachAEPSCorganization shallestablish themethodstocontroluniqueassignment ofnumberstoeachNCRprepared.

'fialuation

'(ResohderAnevaluation shallbeconducted bytheResponder todetermine thecauseofthenoncompliance.

ThecauseshallbeenteredontheNCR.Theevaluation shallbeofsufficient depthsoastodevelopmeaningful corrective andpreventive measuresbasedonthecause.Classification (Resonder)6.4.1TheNoncompliance shallbeclassified fortwodifferent features:

TypeofNoncompliance (deficiency/deviation);

andReportability ofNoncompliance.

TypeofNoncompliance:

TheResponder shalldetermine andindicateontheNCRthetypeofNoncompliance basedontheevaluation performed inparagraph 6.3above.Thenoncompliance shallbeeitheradeficiency ordeviation asdefinedinsection4.0above..6.4.2Reportabi lityofNoncompliance:

TheResponder shallinterface withthe'uclear SafetyandLicensing SectionoftheNuclearEngineering Division(NS&L)andobtainaclassification ofreportability forthenoncompliance.

TheNS&Lassignedclassifier shallinitiateAEPSCGeneralProcedure No.15.I-Rev.1C.S.3Page5ofll 6.4.I(continued) 656.5.16.5.26.5.36.5a4reporting activities asrequired, independent ofanyactionrelatedtotheNCRbeingprocessed asfollows:(1)LER/SPEC1AL REPORT-NotifyDonaldC.CookNuclearPlant,PlantManagerimmediately bytelephone andfollowupbysendingacopyofNCRtothePlantManager.(2)10CFRPart21-Directtheresponder, byletter,toinitiateaPart21Packageinaccordance withGeneralProcedure No.31.FollowupbysendingacopyoftheNCRandlettertotheAEPSCManagerofQAforinclusion ofthisdirection asacommitment ontheAEPSCCommit-mentList.(3)OTHER-Initiate, coordinate andperformtheactionnecessary toassurethatappropriate reporting require-mentsarefulfilled.Disposition (Responder)

TheResponder shallidentifymeasurestoboth:(a)removethenoncompliance; and(b)precluderecurrence ofthenoncompliance.

Removalofadeficiency typenoncompliance shallbeaccom-plishedbyrevisingtheassociated document(s) orcreatinganewdocument(s).

Removalofadeviation typenoncompliance shallbeaccom-plishedbytheimplementing organization enforcing existingdocumentation and,wherenecessary, byadditionofspecialmeasures(e.g.additional surveillance activities; addi-tionaland/ormorefrequentinspections; personnel training; etc.).Preventing recurrence shallbeaccomplished byremovingtheidentified causeofthenoncompliance.

TheResponder's supervisor shallapprovethedisposition toauthorizeitsimp1ernentation.'EPSC GeneralProcedure No.15.1-Rev.1Page6of11 FOR4N3.GE357589584IAEAMERICELECTRICPOWERSERVICECORATIONGENERALPROCEDURE CHANGESHEETCHANGESHEETNO.3PROCEDURE NO.TITI.E:indrrREVISIONNO.PG.1OF1PREPAREDBY:REVIEWEDBY:CONCURRENCE:

APPROVEDBYR.F.'<roeerDATEDATE'ATE'ATE'ATE'ATE'ATE'YPE OFCHANGEKlPERMANENT 0TEMPORARY EFFECTIVE DATE+458EXPIRATION DATE,',.DESCRIPTIOM OF'CHANGE.

":Correcttorahicalerrorinsection6.1.1{5)'Change SheetNo.1~Riesection6.2.3torovideoranizational codesforthe'NSDRC Subcommittee andcorrectfororanizational chanes.REASON(S)

FORCHANGEINSTRUCTIONS FORINCORPORATING CHANGEnd4fC.S.3'emove ae5and6ofll 7588(584)IAEFOAMNO.GE38AMERIC+ELECTRIC POWERSERVICECQQPORATION GENERALPROCEDURE CHANGESHEETINDEXAEPSCGENERALPROCEDURE NO.15.1REV.NO.CHANGESHEETNO.NO.OFPGS.PROCEDURE SECTIONSAFFECTEDTYPEOFCHANGETEMP.PERM.DATEEFFECTIVE EXPIRATION DATE5.1,9.009/)5/SC19.0,Attachment Vio.210/ll/8416.1.1(5),

6.2.310/5/a4'PONISSUEOFNEXTREVISIONOFTHESUBJECTPROCEDURE

5.0 RESPONSIBILITIES

5.15.25.35.4Oriinator-Responsible forthedetermination oftheneedforandtecompeteprocessing ofanNCR,including notification toaffectedorganizations, inaccordance withthisprocedure.

Oriinator'sSectionManaer-ConfirmstheneedtoproceedandassuresRisassignetoappropriate individual ororganization.

Resonder-ThepersontowhomtheNCRissent.Thispersonisresponsileforthepreparation ofameaningful, clearresponsetotheOriginator aswellasaccomplishing othertasksdefinedinthisprocedure.

Resonder'sSectionManaer-Authorities corrections tobemade.5.55.6'6.0'SKL-Responsible forindicating reportability ofNCRfindingandVorperforming reporting functions whenapplicable.

ualitAssurance

-Responsible formaintaining Commitment List;auditingEPSCHorganization forcompliance withthisprocedure; andverifying thatpreventive measureshavesucceeded.

NONCOMPLIANCE PROCEDURE 6.16.1.16.1.2GeneralNoncompliances, typically, include:(1)failuretoperformprescribed verification activities; (2)departure orinadvertent omissionfromapprovedprocedure specifications,

drawings, etc.;(3)calculational logicortechnical documenterror;(4)errorinprocedural document; (5)failuretohaveadequateorrequiredprocedures; (6)failuretotranscribe activities affecting qualityintowrittendocuments; (7)agroupofnonconformances thatshowatrendrequiring correction; (8)supplier's reportdoesnotaddressrequirements; (9)erroneous entryinsupplier's documentation' 10)documentation incomplete, missingorillegible.

Agraphicpresentation ofthenoncompliances cycleisshowninAttachment 1.[c.s.sAEPSCGeneralProcedure No.15.1-Rev.1-C.S.3Page3of11 6.1.36.26.2.16.2.2Noncompliances identified withinAEPSCshallbeprocessed inaccordance withthisprocedure exceptnoncompliances identi-fieldatasupplier.

Suppliernoncompliances shallbepro-,cessedundertheAEPapprovedSupplierQAprogram.AEPSC'sinvolvement shallbelimitedtothecontractual agreements established intheprocurement document.

ReortinandDocumentin aNoncompliance (Oriinator)Noncompliances shallbedocumented andreportedinatimelymanner.Noncompliances shallbeidentified andprocesses onAEPSCformGE-60,"Noncompliance Report"(NCR)andprocessed inaccordance withtheinstruction onitsreverseside.(Ref.Attachment 2).TheNCRnumberconsistsoffourpartsasfollows:RQA-81-49-1~"-1"isalwaysusedinthepreparation ofanNCR.The-1designation willbe.changed~)onlyafteron'eormorecommitments aremadeinresponsetotheNCR.Ifonecommitment ismade,thispartofthenumberchangesto"Cl"from"-1".Iftwoormorecommitments aremade,eachisassignedtoitsownnumberi.e.Cl,C2,etc.indicates seauential numberofNCRswrittenfortheyearinaspecificAEPSCorgani-zation.indicates theyearinwhichtheNCRwaswritten.indicates aReport(NCR)originated byQualityAssurance.

TocreatethispartoftheNCRnumberalwaysstartwiththeletter"R"thenaddtheappropriate suffixfromthelistingbelow.AEPSCGeneralProcedur~

>No.15.1-Rev.1Page4ofll 6.2.3Codesforotherorganizations areasfollows:CE-CivilEngineering Div.CH-ChemicalEngineering Sec.00-DesignDiv.DA-DD/Architectural Sec.OC-00/Control ServicesSec.DE-DD/Electrical Sec.DM-DD/Mechanical Sec.DS-00/Structural Sec.EE-Electrical Engin.EV-Environmental Div.FP.-FireProtection HP-HeatEx.&PumpsHV-HeatingandVentil.IC-Instru.andControlME-Mechanical Eng.StaffMH-Materials HandlingSec.NC-NSDRCNE-NuclearOperations Div.NF-NuclearMaterials

&FuelManagement Sec.NL-NuclearSafety&Licensing NO-NuclearOperations Sec.NR-Radiological SupportSec.PR-Purchasing Department PV-PipingandValvesSec.QA-QualityAssurance SA-Subcommittee onAuditSC-Subcom.onProposedChangesSE-Subcom.onSecurity&~Emergency PlanSO-Subcom.onCorp.&PlantOccurrences TB-TurbineSection6.2.46.36.46.4.1EachAEPSCorganization shallestablish themethodstocontroluniqueassignment ofnumberstoeachNCRprepared.

",~Evaluati.on ResonderAnevaluation shallbeconducted bytheResponder todetermine thecauseofthenoncompliance.

ThecauseshallbeenteredontheNCR.Theevaluation shallbeofsufficient depthsoastodevelopmeaningful corrective andpreventive

.measures basedonthecause.Classification (Resonder)TheNoncompliance shallbeclassified fortwodifferent features:

TypeofNoncompliance (deficiency/deviation);

andReportability ofNoncompliance.

TypeofNoncompliance:

TheResponder shalldetermine andindicateontheNCRthetypeofNoncompliance basedontheevaluation performed inparagraph 6.3above.Thenoncompliance shallbeeitheradeficiency ordeviation asdefinedinsection4.0above.6.4.2Reportability ofNoncompliance:

TheResponder shallinterface withtheNuclearSafetyandLicensing SectionoftheNuclearEngineering Division(NS&L)andobtainaclassification ofreportability Forthenoncompliance.

TheNS&Lassignedclassifier shallinitiateAEPSCGeneralProcedure No.15.I-Rev.IC.S.3Page5of11 6.4.2(continued)

N44~reporting activities asrequired, independent ofanyactionrelatedtotheNCRbeingprocessed asfollows:(1)LER/SPECIAL REPORT-NotifyDonaldC.CookNuclearPlant,plantManag(rimmediately bytelephone andfollowupbysendingacopyofNCRtothePlantManager.(2)lQCFRPart21-Directtheresponder, byletter,toinitiateaPart21Packageinaccordance withGeneralProcedure No.31.FollowupbysendingacopyoftheNCRandlettertotheAEPSCManagerofQAforinclusion ofthisdirection asacommitment ontheAEPSCCommit-mentList.TheResponder shallidentifymeasurestoboth:(a)removethenoncompliance; and(b)precluderecurrence ofthenoncompliance.

1Removalofadeficiency typenoncompliance shallbeac'com-plishedbyrevisingtheassociated document(s) orcreatinganewdocument(s).

2Removalofadeviation typenoncompliance shallbeaccom-plishedbytheimplementing organization enforcing existingdocumentation and,wherenecessary, byadditionofspecialmeasures(e.g.additional surveillance activities; addi-tionaland/ormorefrequentinspections; personnel training; etc.).3Preventing recurrence shallbeaccomplished byremovingtheidentified causeofthenoncompliance.

4TheResponder's supervisor shallapprovethedisposition toauthorize itsimplementation.

6.5.6.5.6.5.6.5.(3)OTHER-Initiate, coordinate andperformtheactionnecessary toassurethatappropriate reporting require-ments're

".fulfilled'.

"'.5Disposition (Resonder)AEPSCGeneralProcedure No.15.1-Rev.1Page6of11