ML17292B688

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Quality Dept Audit Rept for WNP-2 Emergency Preparedness Program.
ML17292B688
Person / Time
Site: Columbia Energy Northwest icon.png
Issue date: 04/15/1999
From:
WASHINGTON PUBLIC POWER SUPPLY SYSTEM
To:
Shared Package
ML17292B686 List:
References
299-007, 299-7, NUDOCS 9906110217
Download: ML17292B688 (21)
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Text

QUALITYDEPARTMENT AUDITREPORTWNP-2EMERGENCY PREPAREDNESS PROGIUAlAudit299-007April15,1999AuditDates:February10-March17,1999EntranceMeeting:February10,1999ExitMeeting:March17,1999990bii0217 9'POb01PDRADOCK05000397FPDR QuetiAuditReport299-007TABLEOFCONTENTSEXECUTIVE SUMMARY.............

~~~~~~~~1PURPOSEANDSCOPE.REPORTDETAILS3Section1.0Emergency PlanandImplementing Procedures..................~...........

3Section2.0Section3.0Section4.0Section5.0Section6.0Section7.0Section8.0Emergency ResponseOrganization Training.

~~~~~~~~~~~~~~~~~~~~~~6Readiness Testing(DrillObservations)

Equipment andFacilities

~~~~~~~~~~~~~~~~~~~~~~~9ProblemIdentification andResolution

~~~~~~~~~~~~~~~~~~10IDoseAssessment Capabilities

................................................

11Personnel Qualifications.............

.12Interfaces withStateandLocalGovernments................................

9Section9.0StaffingLevelsEmergency ResponseOrganization

.......................

13Section10,0FSARReview14AppendixAAppendixBAppendixCReferences

.16SummaryofQualityRecommendations, andFindings...................

18Personnel Contacted duringtheAudit...........~...........................

15

~QualityAuditReport299-007~EXECUTIVESUMMARY Anindependent auditoftheWNP-2Emergency Preparedness (EP)Programisperformed atleastonceevery12monthsasrequiredbyTitle10oftheCodeofFederalRegulations (CFR),Part50.54(t)andOperational QualityAssurance ProgramDescription (OQAPD)AppendixIII,Additional QualityProgramRequirements.

TheauditteamassessedspecificareasasrequiredbyNUREG0654,"Criteria forPreparation andEvaluation ofRadiological Emergency ResponsePlansandPreparedness inSupportofNuclearPowerPlants."Theauditteam'seffortswerecomplimented bytheparticipation fromthreeoutsidespecialists.

AnEPspecialist fromWolfCreekNuclearOperating StationandanEPtrainingspecialist fromDiabloCanyonNuclearFacilityservedtobroadenth'eoverallexperience baseoftheteam.Aswell,arepresentative fromtheOregonStateOfficeofNuclearEnergyprovidedstateagencyexpertise.

Theteam'sacknowledgement andthanksareextendedtotheseindividuals fortheiroverallcontribution.

Theresultsoftheauditfoundthatactivities associated withtheWNP-2Emergency Preparedness Programareimplemented inaccordance withgoverning regulations andarecapableofprotecting thehealthandsafety"ofthepublicintheeventofanemergency.

Theteamnotedimprovements inEmergency ResponseOrganization (ERO)teamstaffinglevelsandoverallmaintenance ofpersonnel qualifications.

Also,thecurrentannualrefresher-trainingformatwasrecognized asapositiveelement.TheEmergency Preparedness Organization demonstrates strongprogramownership, isproactive intheidentification andresolution ofproblems, andhasestablished effective communication withoff-siteagencypersonnel.

AlthoughtheEPprogramisstrong,someareasforimprovement wereidentified.

TheteamfoundtheEROdrillperformance

adequate, however,'inconsistencies indrillperformance werenoted.Also,somerecurring areasforimprovement identified indrillplayhavenotshownimproving trends.Additionally, theteamdiscovered someminorprocedural discrepancies primarily associated with.theimplementing procedures.

Clarification ofourLicenseBasisDocument(LBD)commitments relativetothestation's meteorological capabilities isrequired.

Overall,sevenProblemEvaluation Requests(PERs)wereinitiated toaddresstheseissues.NineQualityRecommendations wereofferedtocorrectinappreciable errorsintheimplementing procedures orassuggested programenhancements.

~QualityAuditReport299-007~IInaddition, sixgoldcardswereissuedduringthecourseoftheauditforcommendable individual performance.

S.A.oynton,anager,Qualityunter,ActingSupervisor, QualityServicesM.S.Collins,AuditTeamLeader(ATL)MSCollinsJWEngbarthMKLaudisioJCLattaSABoyntonDBirkMSnyderDMiggsAuditTeamLeaderQualityProgramsQualityServicesQualityServicesQualityWolfCreekDiabloCanyonORStateOfficeofEnergy

~QualityAuditReport299-007~PURPOSEANDSCOPEAnindependent auditoftheWNP-2Emergency Preparedness Programisrequiredeverytwelvemonthsby10CFR50.54(t)andtheOQAPDAppendixIII,Section2.2.8(f).Specificareasassessedaredescribed in10CFR50AppendixEandNUREG0654,SectionII.P.9andincludethefollowing:

~Emergency PlanandImplementing Procedures

~Emergency ResponseOrganization Training~Readiness Testing-(Drillobservation)

~Equipment andFacilities

~Interfaces withStateandLocalGovernments Inaddition, thefollowing areaswereincludedinthescopeofthisaudit:~ProblemIdentification andResolution/Self Assessments

~DoseAssessment

~Personnel Qualifications

~StaffingLevels(Emergency ResponseOrganization)

MPORTDETAILSSECTION1.0Emergency PlanandImplementing Pr0cedures Areviewwasconducted todetermine iftheEmergency Plan(E-Plan)Implementing Procedures (Volume13ofthePlantProcedure Manual)satisfytherequirements oftheWNP-2E-Plan.Additionally, thereviewverifiedthattherequirements of10CFR50AppendixEandNUREG0654werecontained intheE-Plan.Thereviewconcluded thattheWNP-2Emergency Preparedness Programsatisfies theregulatory requirements.

TheE-Planrequiresaninternalreviewoftheplanandanindependent auditoftheplanandimplementing procedures every12months.Anevaluation ofthereviewprocessdetermined thattheE-Planhasbeenupdatedasneededfortheperiodsreviewed, E-Planchanges(twoin1995,twoin1996,onein1997,andtwoin1998)wereverifiedfromRevision15tocurrentRevision21.Thesechangesareinaccordance withtheguidanceinPlantProcedure Manual(PPM)1.3.43,"Licensing BasisImpactDetermination,"

regarding changestotheE-Plan.Areviewofpreviousauditreportsconcluded thatappropriate areaswereassessed, theauditswereindependent ofEmergency Preparedness (EP)personnel, andtheauditswereperformed within12months.AppendixEof10CFR50states;"Licensees whoareauthorized tooperateanuclearpowerfacilityshallsubmitanychangestotheE-Planorprocedures totheCommission, asspecified inSection50.4,within30daysofsuchchanges."

Theauditteamfoundrecordsoftransmittal QualityAuditReptttt299-007~forallreviewedE-PlanchangesinPlantFileswiththeexception ofRevision18.Althoughrelatedcorrespondence showedthattheNRChadreceivedthisrevisionoftheE-Plan,norecordoftransmittal orassignedLicensing numbercouldbefound.Theauditteamreviewedthesubmittal processasdescribed intheAdministrative HandbookandAdministrative ServiceInstructions (ADSQ,"Manual/Revision PackageProcessing andDistribution."

Theteamfoundthatthecurrentprocessdescribed forsubmittal oftheE-Planisnotbeingfollowed.

Thesesubmittal discrepancies resultedinaQualityinitiated PER.QualityFinding(PER299-0517)

Currentprocessforsubmitting revisedE-PlantotheNuclearRegulatory Commission (NRCJisnotbeingfollowed.

UnabletolocateRevision18submittal letterinPlantFiles,AreviewoftheWNP-2E-Planfoundthat,althoughtheE-Plandiscusses theorganizations requiredtorespondtoanemergency, itdoesnotstatewhenafacilityisactivated, whatconstitutes activation orwhatisnecessary todeclarethefacilityactivated.

Theimplementing procedures directthemanagerstoactivatethecenterswhenthemainresponsibilities canbeperformed, buttheE-Plandoesnotdescribewhattheseresponsibilities are.Non-specific information onfacilityactivation couldresultinareduction ineffectiveness ifimplementing procedures arechanged.Aprocedure changetoreducethenumberofpersonsrequiredtoactivatethefacility, whichwouldnotaffecttheE-Planaswritten,couldbeviewedasareduction ineffectiveness.

Asaresult,theteamoffersthefollowing:

QualityRecommendation AU299-007-A

-Assignedto:TCMessersmith DueDate:June14,1999AddwordstotheE-Planonactivation topreventapossiblereduction of.effectiveness.

TheteamreviewedtheE-Plantoverifytheassigneddutiesandcommitted staffingresources wereinalignment.

Theteamfoundnodiscrepancies withtherequirements oftheE-Plan,however,apotential concernwasidentified.

TheE-PlanstatesthatEquipment Operators performasdirectedbytheControlRoomSupervisor orFireBrigadeLeader.Table2-1oftheE-PlanhastheEmergency Notification System(ENS)dutiesassumedbyanEquipment Operatororotherindividual asdesignated bytheShiftManager.TheE-PlanhasnomentionoftheENSdutiesunderthepositionofEquipment Operator.

Toensuredutiesareproperlyidentified andalignedwithcommitted resources, theteammakesthefollowing recommendation:

QualityRecommendation AU299-007-B Assignedto:TCMessersmith DueDate:June14,1999ReviewthedutiesoftheEquipment Operators andensuretheassigneddutiescoincidewithE-Planrequirements.

~QualitAuditReport299-007~DuringareviewoftheE-Planandtheimplementing procedures, inconsistencies wereidentified inthereferences tothepositionofCorporate EPOfficer.TheE-Plandiscusses theCorporate Emergency Preparedness, SafetyandHealthOfficer(Corporate EPOfficer)inSection8.1,"Responsibilities forthePlanningEffort,"andPPM13.14.8,"DrillandExerciseProgram,"

discusses theCorporate Emergency Preparedness, Safety,andHealthOfficer.TheE-PlaninlatersectionsreferstothesamepositionastheCorporate EPOfficer.Duetotheinconsistent references tothisposition, theteamrecommends thefollowing:

QualityRecommendation AU299-007-C Assignedto:TCMessersmith DueDate:June14,1999RevisetheE-PlanandPPMsasnecessary toprovideaconsistent reference tothepositionofCorporate EPOfhcer.Theteam'sreviewoftheE-Planrequirements inconjunction withPPM13.14.8,founddiscrepancies intheprocesses forapprovalandnotifications ofdrillsandexercises.

E-Plan,Section8.6,"DrillsandExercises,"

states,"TheCorporate EPOfficerisresponsible fortheplanning, scheduling, andcoordination ofallemergency preparedness relateddrillsandexercises.

Allexercises aresubjecttotheapprovaloftheManager,Regulatory Affairs,thePlantGeneralManager,andtheVicePresident, NuclearOperations."

PPM13.14.8,directstheCorporate Emergency Preparedness, SafetyandHealthOfficertoscheduleandcoordinate theannualdrill/exercise programwiththefollowing:

SupplySystemWNP-2PlantGeneralManager;VicePresident, NuclearOperations; andVicePresident, Operations Support/Public Information Officer.Additionally, Section8.6states,"TheCorporate EPOfficerwillmakeeveryefforttonotifytheoffsiteemergency responseorganizations andagenciesatleast180daysinadvanceofthescheduled dateofthedrillorexercise."

PPM13.14.8,doesnotprovidethissamerequirement.

Theteamfoundevidencethisnotification wasbeingmadeasrequiredbytheE-Plan,however,theprocesswasinformalandnotadequately described intheimplementing procedure.

I'ollowing discussions withtheauditteamtheEPstaffdocumented theseprocedural discrepancies inaPER.QualityFinding(PER299-0442)

E-PlanImplementing Procedure 13.14.8doesnotaccurately reflectrequirements identiJtedintheE-Plan.TheauditteamreviewedPPM13.14.9,"Emergency ProgramMaintenance,"

whichidentifies theactivities necessary tomaintainthecurrentemergency preparedness programinaccordance withcommitments madeintheE-Plan.Attachment 5.1,part1.bstates"DOEiscontacted earlyinthereview/revision process(E-Plan)andthattheircommentsaresolicited

'andconsidered forinputintotheprocess.Documentthisportionofthereview."Theteamcouldnotfinddocumented evidenceofthisreview.Thisissuewasdiscussed withEPstaff,whichreviewedtheprocedure andidentified additional discrepancies regarding performance ofrequiredreviews.EPdocumented theseissuesintheinitiation ofPER299-0443.

5 QuetitAuditReport299-007~QualityFinding(PER299-0443)

Procedural requirements inPPM13.14.9relatingtotheE-Planreviewhavenotbeenmet.SECTION2.0Emergency ResponseOrganimtion TrainingAreviewoftheWNP-2E-Plan(Rev.21),theQualification Directory, theEmergency Preparedness TrainingCourseCatalog,andtheSite-Wide Procedure onEROconcluded thatappropriate trainingisofferedforeachidentified EROposition.

Thetrainingincludesfacility/ERO overviewlessonsaswellasgeneraltrainingrequirements forallEROpositions.

Additionally, positionspecificandprocesstrainingisofferedforsomeEROmembers.Therearealsoprovisions forannualrefresher training.

Annualrequalification trainingisprovidedforallEROpersonnel.

Thistrainingisprovidedbyseveralmeansincluding mail-outmaterial, classroom traininganddrills.Forannualrefresher

training, theentireteamisbroughtintotheauditorium andpresented withinformation regarding hardwareandprocedure changes,andlessonslearnedfromin-houseandindustryoperating experiences.

Thentheteamsbreakoutintotheirrespective facilities andareaskedtointroduce themselves, explaintheirresponsibilities inthecenter,describetheirprimaryinterfaces, andidentifythesupporttheyexpectfromothermembersoftheteam.Duringinterviews withEROmembers,theauditteamreceivedoverwhelming positivefeedbackofrecentrefresher training.

Theauditteamconsidered theformatfortheannualteamrequalification classroom trainingtobeapositiveprogramelement,EPmakesaconcerted efforttohaveeachnewEROmemberobservehis/herpositionfunction"duringtheperformance ofadrill.Thenwhenappropriate, thenewmemberwillperformthepositionfunctions duringadrillundertheobservation ofanincumbent "coach".Then,inmostcases,newmembersarereadytoperformtheirpositiondutiesontheirown.'Basedondiscussions withpersonnel, theteamconcluded theinitialtrainingprovidedbyEPdoesanadequatejobofpresenting thebackground information andthetoolsnecessary toaidnewmembersinperforming theirduties.However,mostmembersdidn'tfeelcompletely comfortable intheir'positions untiltheywereabletoactuallyparticipate ontheirowninadrill.Thisisreasonable andexpected.

-TrainingsubjectsforEROpersonnel arecurrently selectedbasedontheneedsoftheindividual

position, asdocumented intheQualifications Directory andtheEPTrainingCourseCatalog.TheSite-Wide Procedure SWP-EPP-01, "Emergency ResponseQualifications andTraining,"

states,"Theprogramconsistsofacombination ofclassroom, hands-on, andin-the-field

~.trainingbasedonataskanalysiswhichusedthesystematic approachtotraining."

However,theoriginaltaskanalysis/training databasehasnotbeenmaintained.

Therefore, theauditteammakesthefollowing recommendation:

QualityAuditReport299-007CQualityRecommendation AU299-007-D Assignedto:TCMessersmith DueDate:June14,1999ReviseProgramContentDescription asdescribed inprocedure SWP-EPP-Ol toaccurately reflectcurrentbasisforEPTrainingProgram.ThepositionofTrendingForecaster hasrecentlybeenaddedtotheEROroster.Trendingforecasters trainedinSevereAccidentManagement Guidelines (SAMG)areexpectedtomonitorandtrendkeyplantparameters duringsevereaccidentsituations andapplytheGuidelines asconditions warrant.Thetrendingforecaster workswithotherSAMGtrainedindividuals, typically theengineering personnel andthefacilitymanagerwithintheTechnical SupportCenter(TSC).Theauditteamfoundthroughinterviews, thatpersonnel werenotconfident thatthetrainingtheyhadreceivedwouldassuretheirabilitytoperformtheirdutiesifSAMGswererequired, Individuals whohadstudiedSAMGsinOperations trainingexpressed confidence intheirabilities.

Ofthefourassignedtrendingforecasters, onlyonehasparticipated inadrillwheretherehasbeenatransition outofEmergency Operations Procedures intoSAMGs.Asaresulttheteammakesthefollowing recommendation:

QualityRecommendation AV299-007-E Assignedto:TCMessersmith DueDate:June14,1999SurveySAGtrainedindividuals todetermine ifadditional trainingisrequiredSECTION3.0Readiness TestingP)rNObservations)

Theauditteamobservedperformance oftheTeamCandAtrainingdrillsconducted February2,andFebruary23,1999,respectively.

Auditmemberswerestationed attheEmergency OffsiteFacility(EOF),Technical SupportCenter(TSC),Operations SupportCenter(OSC),andtheControlRoom(simulator).

Theauditteamalsoobservedthepost-drill critiqueateachlocation.

Inbothobserveddrills,theparticipants mettheobjectives ofthedrill.Specifically, thePlantwasbroughttoasafecondition, fueldamagewasmitigated, andthepublic'shealthandsafetywasprotected.

Theoverallassessment ofbothdrillswasthatteamperformance wasadequate.

However,theemergency organization hasnotestablished apre-designated organization ofcontrollers andevaluators tosupportdrillperformance.

Currently, individuals assignedasdrillcontrollers andevaluators areobtainedbyrequesting volunteers orlastminutedraftingofpersonnel.

Thisresultsininconsistent set-upandconductofthedrillitself.Thecontrollers areexpectedtocoachplayersandkeeptheprogressofthedrillontrack.Onseveraloccasions duringdrillplay,itwasnotedthecontrollers failedtocontrolthedrill,whichaffectedtheperformance oftheteam.Oneexample,notedduringtheTeam"A"drill,occurredwhenacontroller toldafieldteamthattheStartupTransformer wasbackinservice.Thisinformation wastransferred tothecontrolroom.Sincethedrillscenariohadnotactuallyreturnedthetransformer toservice,therewasconfusion inthecontrolroomanddelaysinthefieldteamactivities.

Themiscommunication wasultimately corrected bytheOSCcontroller.

~QuoitAuditReport299-007Controllers arealsoexpectedtoevaluatedrillplayandplayerperformance.

Theteamnotedthecontrollers experienced difficulty incontrolling whileevaluating.

Theircommentswereinconsistent andinsomecasesincomplete.

'Thishasresultedinlostopportunities forimprovement.

Thisisanissuethatwasidentified inthe1998E-PlanSelf-Assessment.

AlthoughanEPimprovement initiative actionhadbeenestablished, EPrecognized theissuewarranted moreimmediate attention.

TheEPstaffinitiated thefollowing PER:QualityFinding(PER299-0445)

Thelackofapre-designated organization ofcontrollers andevaluators resultsininconsistent drillconductandinconsistent andincomplete evaluations.

DrillReportsareissuedshortlyafterconductofthedrill.Thesereportsareappropriately detailedandcapturemostofthepositiveandnegativeattributes ofdrillperformance.

AfterActionReportcommentsandcorrective actionsaregenerated asaresultofthedrill.Thesereportsaredeveloped basedontheobservations oftheevaluators, inputfromotherobservers, andfeedbackfromdrillparticipants.

ThedrillreportsissuedfortheTeamCandTeamBdrillswerereviewed.

Theauditteamnotedsimilarareasforimprovement duringobservations ofTeamAandCperformance.

ManyoftheissuesdetailedintheDrillReportsforTeamsBandCwerediscussed inthetrainingsessionforTeamA.However,thesameproblemswereevidentduringtheconductofthedrill.Thefollowing havebeenrecurring areasforimprovement:

~Three-way communication

~DispatchofOSCrepairteams~ReleaseofEquipment Operators totheOSC~CommandandControl~Establishment ofrepairteampriorities Thelackofimprovement fromdrilltodrillisaconcern.Asaresult,theEPstaffinitiated thefollowing PER:QualityHnding(PER299-0517)

Areasforimprovement identified duringEROtrainingdrillsarenotshowingimproving trends.TheEmergency Preparedness ManageristheleaderofWNP-2'sContingency PlanforYear2000(Y2K).Currently, aRemediation Committee isidentifying internalequipment andexternaleventsthatrequiresometypeofovertaction(e.g.,reboot,andreset)tocontinueitsfunction.

TheContingency Managerhasstatedthatadesignated EROteamwillbeoncall,asusual,shouldsomeunexpected planteventtakeplace.However,atthispoint,thereisnointention toactivateanyemergency centerspecifically forthepurposeofaddressing Y2Kissues.Thenotification systemandpagershavebeenidentified as"Y2Kinert."Thismeansthatthe2000rolloverwillhavenoeffectonthesystem.Interviews withEPpersonnel about QualityAuditReport299-007Y2Kconcernsforthedoseprotection computersystemsfoundthatoneproblemwaspreviously identified.

Thisissuehasbeenaddressed andacontingency planisinplace.SECTION4.0Equipment andFacilities Theauditteamassessedwhetheremergency facilities andequipment identified byNUREG0696,"Functional CriteriaforEmergency ResponseFacilities" described intheFinalSafetyAnalysisReport(FSAR)havebeenadequately providedandmaintained.

Thisassessment determined thatsufficient equipment andfacilities areinplace'osupportemergency response.

TheteamvisitedallEROcentersanddetermined thatemergency responsefacilities arewellequippedforemergencies.

However,oneconcernregarding thevariouscomputers usedtosupportEROfunctions wasidentified.

Problemswithcomputers becameevidentduringthedrillheldFebruary23,1999.Whileallofthecomputers hadbeensuccessfully testedjusttheweekbefore,atleastthreeinvariouscentershadsomedifficulty inbootinguportransmitting information.

Themajorityofcomputers areolderandextremely slow.Inafollow-up bytheauditteamtothisconcern,EPexplained thatthecomputers areslatedforreplacement whenthePRIMEcomputersystemisreplaced.

Theseactionsarescheduled forlaterthisyear.Nofurtheractioniswarranted.

EPIP13.14.4,"Emergency Equipment,"

listsalloftheequipment usedinthevariousEROcenters,requirements forpreventive maintenance orverification ofequipment operability andavailable forms.Theseactivities reference PASSPORTworktasks.However,manyofthosetaskshavebeendeletedandthePASSPORTscreendoesnotexplainhowthetask'sperformance isbeingtracked.Examplesofsuchtasksarethosethatcheckemergency kitsatthelocalareahospitals.

Thesetaskswereinitially assignedPASSPORTactivitycodesKADLECEMERG.KlT, KENNEWICK EMERG.KIT andLOURDESEMERG.KIT.

Thesesameactivities arecurrently beingtrackedonPTLas153967,153968and153969respectively.

Asaresultofthisdisparity, thefollowing PERwasissued:QualityFinding(PER299-0393)

PPM14.14.4,Rev.26,Attachments 5.3,5.5,and5.7containreferences toobsoletePASSPORTactivities anddonotprovideappropriate references toPTL.SECTION5.0Interfaces withStateandLocalGovernments TheWNP-2E-PlanSection4.3andPlantProcedure Manual13.1.1,"Classifying TheEmergency,"

requiresthatagreements withoff-siteagenciesbereviewedannually, withthelatestrevisionreviewedbystateandlocalgovernment representatives.

Theauditincorporated areviewoftheestablished agreements betweentheSupplySystemandoutsideorganizations

'forsupportofradiological emergencies atWNP-2.Lettersofagreement werereviewedtoevaluatetheircompleteness andconsistency withtheWNP-2E-Plan.Eachoftheagreements wasfoundtobeconsistent withtheWNP-2E-Planandgenerally complete.

Afewminor QualityAuditReport299-007~discrepancies werebroughttotheattention oftheemergency preparedness group.Alloftheagreements werefoundtobecurrent.TheBentonandFranklinCountyEmergency Directors wereinterviewed toobtainanunderstanding oftheworkingrelationship betweentheSupplySystemandcounties'mergency preparedness organizations.

Fromthesediscussions, itwasconcluded thattheSupplySystememergency preparedness groupmaintains aneffective relationship insupporting theseoff-siteorganizations.

TheBentonCountyEmergency Directornotedthatpositivefeedbackwasreceivedfromthelocalhospitals regarding thequalityoftrainingprovidedbytheWNP-2Emergency Preparedness group'sOffsiteCoordinator.

TheSupplySystemprovidesacalendaronanannualbasistoresidents livingwithintenmilesofWNP-2.Itincludesinformation aboutemergency notifications andinstructions fortakingappropriate protective actions.TheSupplySystemalsoprovidesaquarterly newsletter called,"OPENLINES,"toresidents withinthesametenmiledistancefromthePlant.TheSupplySystemmakesemergency preparedness materials available attheBentonFranklinCountyFair.Inadditiontothewrittenmaterial, theSupplySystemconductsanannualworkshoptoeducatethenewsmediaabouttheWNP-2Emergency Preparedness Program.TheteamfoundEP'seffortsinproviding information andeducation tothepublictobesatisfactory.,

Asanenhancement tothecurrentmethodsemployed, theteammakesthefollowing recommendation.

QualityRecommendation AU299-007-F Assignedto:TCMessersmith DueDate:June14,1999IncludeWXP-2Emergency Preparedness Programinformation ontheSupplySystem,'s website.SECTION6.0ProblemIdenttfication andResolution ThePERsandrecommendations resulting fromthe1998Emergency Preparedness Programauditwerereviewedforeffectiveness.

ThreePERsresultedfromthe1998audit.TwoofthePERshavebeencompleted andclosed(PER298-0191andPER298-0194).

Areviewofthecorrective actionsassociated withthesePERswereimplemented effectively andclosuredocumentation satisfied theinstructions ontheCorrective ActionPlans.TherewerenoconcernswiththesePERs.PER297-0205, initiated asaresultoftheEmergency Preparedness Auditconducted during1997remainsopen.ThisPERdocumented "Instruction/Procedures donotexistwhichmaintaintheLicenseBasisRequirements fornon-power blockfacilities."

Theteamfoundthat"fouroftheoriginalfiveCAPsremainopenwithtwoadditional CAPsdeveloped toexpandactionsoriginally documented.

Theoriginalactionshaveallbeenextended, somemorethanonce..InJanuary1998,bothQualityandFacilities personnel agreedthatextensions oftheCAPswerewarranted toensurefullandeffective implementation.

Potential effectsoftheextendedduedatesaremitigated byCAP5whichisaninterimactionfortheManager,Facilities andSupportServices, (ordesignee) toreviewallFacilityServiceRequests(FSRs)10 QualiAuditReport299-007issueduntilCAPs1through4arecompleted.

Assuchthisactionwillbeinplaceandongoinguntiltheotheractions(original) havebeencompleted.

Follow-up tothisPERduringthe1999auditfoundthatallCAPsarescheduled forcompletion inthesecondquarterof1999.However,duetotheoveralltimeframeassociated withtheimplementation ofthescheduled corrective actions,theteamrecommends thatQualitytakethefollowing action:QualityRecommendation AU299-007-6 Assignedto:JWMasseyDueDate:June14,1999Includeareviewofeffectiveness ofcorrective actionsforPER297-0205inthenextCorrective ActionsProgramAudit.Twelverecommendations wereissuedduringthepreviousEmergency Preparedness ProgramAudit.Atthistime,onlyoneoftherecommendations remainsopen..-QualityRecommendation AU298-008-B states,"Annotate Regulatory requirements andcommitments intheEmergency Procedures inaccordance withSite-wide Procedures (SWP)PRO-03,WNP-2Procedures Writers'anual."

Thisactionwillbeimplemented aspartofthebiennialreview,whichisscheduled tobecompleted byDecember30,2000.AsearchofthePlantTrackingLog(PTL)databasewasperformed toidentifyPERsthatwereassignedtoEPsinceJanuary1,1998.ResultsfoundthatPERresolutions andcorrective actionswereadequate, withnoindications ofrepeatissuesduring1998.TheEPorganization performed twoself-assessments during1998.Self-Assessment 98-024wasperformed inMay1998toreviewimplementation oftheWNP-2E-Plan.Thisassessment resultedinonePERand56recommendations..

Currently, onlyoneoftherecommendations isopen,withacompletion dateofMarch31,1999.ThesecondEPself-assessment wasperformed todetailtheemergency responseactionstakenduringtheUnusualEvent(RuptureofFP-V-29D) atWNP-2onJune17,1998.Allcorrective actionsresulting fromthisassessment havebeenimplemented.

TheauditteamfoundbothEPself-assessments tobecomprehensive andself-critical.

SECTION7.0DoseAssessment CapabiMes AreviewoftheWNP-2'sDoseAssessment Programwasperformed toassesswhetherkeycomponents wereinplacetoensurereliableandaccuratedoseprojections.

Additionally, theteamobservedtheMeteorological UnifiedDoseAssessment Center(MUDAC)staffduringtheconductoftheEROTeam"A"Drilltoassessdoseprojection personnel performance.

Theteamfoundthatalthoughtherewereinitialminorproblemsindoseprojection systemsoperability, thesystemsfunctioned adequately andresponsible personnel satisfactorily produceddoseprojection datausingthesesystems.Theteamconcluded thatasatisfactory doseassessment programisinplace,withindividuals demonstrating theircapability toprovideaccuratedoseprojections.

11

~QuelitAuditReport299-007~TheWNP-2meteorology toweranditsbackupsystemsprovide-.real-time localm'eteorological dataandareanintegralpartofproviding accuratedoseprojections.

AreviewofWNP-2'slicensebasisdocuments foundthattheyarenotclearorconsistent inaddressing commitments tothebackupsystemsfortheprimaryMetTower.Theseinconsistencies werediscussed withLicensing, SystemEngineering, andEmergency Preparedness personnel.

Thesediscussions ledtotheinitiation ofaPERtodocumentthisproblem.QualityFinding(PER299-0461)

Clariftcation ofcommitments intheareaofmeteorological-monitoring asdescribed intheFSARandE-Planisrequired.

WNP-2computer-based doseprojection programsconsistoftheEmergency DoseProjection System(EDPS),QuickEmergency DoseProjection System(QEDPS),andtheBackupEmergency DoseProjection System(BEDPS).Thesearestand-alone systems,whichhavealternate powersuppliesandallowfordataacquisition intheeventofapowerlossduringanemergency.

Theauditteamverifiedthatthesesystemswereinplace,available, andcapableofproviding sufficient doseprojections inatimelymanner.Itwasalsonotedthatthesesystemsweresimilartooff-sitedoseprojection systemswithnoobviousdifferences indoseprojection data.Theauditteamrevieweddoseprojections procedures 13.8.1,"Emergency DoseProjection Procedure,"

and13.8.2"Back-upEmergency DoseProjection Procedure" andtheircorresponding lessonplanstoensureconsistency ofdoseprojection trainingcontent.Resultsfoundthatbothprocedures andlessonplanssupplythenecessary dataforindividuals tosuccessfully operatedoseprojection programs.

However,inconsistencies werenotedinthesedocuments primarily relatedtothestandardcharacterization ofstability classifications.

Otherlesssignificant discrepancies werealsonoted.Theteammakesthefollowing recommendation:

QualityRecommendation AU299-007-H Assignedto:TCMessersmith DueDate:June14,1999ReviseLessonPlansandDoseProjection Procedures toensureconsistency withcurrentEROprogramandprocedures.

SECTIONS.OPersonnel Qualifications Per'NUREG 0654,theWNP-2E-PlanandSWP-EPP-01, refresher trainingisrequiredonanannualbasisforallEROpersonnel.

Thisisassuredbyentriesforrecurring traininginthePersonnel Qualification Directory (PQD)database, whichispartofthePASSPORTsystem.Theteamfoundrefresher trainingistrackedinthedatabaseandstatusisadequately monitored byPlanners.

AlthoughtheQualification Directory showsalistofcoursesrequiredtogaininitialqualification toanyEROposition, itdoesnotcontaininformation orcoursenumbersfor12

~QualityAuditReport299-007Irefresher training.

Therefresher trainingcoursesare,however,listedinPQDandintheEmergency Preparedness TrainingCourseCatalog.TheE-PlanlistsboththeEmergency Preparedness CourseCatalogandtheQualification Directory assourcesfortrainingcourserequirements.

Maintaining andupdatingboththecataloganddirectories tostatusqualifications hasbeentimeconsuming andinefficient forEPpersonnel.

Forthisreason,theteamoffersthefollowing recommendation:

QualityRecommendation AU299-007-I Assignedto:TCMessersmith DueDate:June14,1999Incorporate annualrefresher trainingrequirements intotheSupplySystemgualigcation Directories.

OntheLocalAreaNetwork(LAN),in"GeneralInformation andHelp"isalistofalltheEPpositions andthepeopleassignedthosepositions, ListsareontheLANforinformation only,andtheyareupdatedeverycalendarquarter.AlthoughEPkeepstheup-to-date listofEPpersonnel assignments onaMicrosoft Accessdatabase, thestaffusesPQDexclusively fortrackingEPteamqualifications.

EP'sabilitytotrackandstatusteamqualifications hasimprovedfromlastyearduetotheirtransition fromalocaldatabasetoPQD.SpotchecksofthePQDdatabasewereperformed bytheteamandcomparedwiththeSWP-EPP-01 todetermine thenumberofcurrently qualified EROpersonnel.

Individual qualification requirements wereevaluated bynameandbyqualification group.Baseduponthisreview,theteamconcluded qualifications arebeingadequately maintained.

Thisisanotedimprovement fromlastyear'sEPauditfindingsrelatedtopersonnel qualifications.

SECTION9.0StqffingLevelsEmergency ResponseOrganization TheWNP-2EROPersonnel List,PQD,andPPM1.3.1,"WNP-2Operating.,Policies, ProgramsandPractices,"

werereviewedtodetermine ifEROstaffingwasadequatetorespondtoanemergency.

Theauditteamconcluded thatadequatepersonnel areavailable tostafftheWNP-2EROwithintherequired60-minute limit.Thosepersonnel trackedviathePQDareassignedtooneoffourEROTeamswhorotatethroughatwo-weekon-callperiod.Intheeventofanemergency orduringtheconductofaNotification Drill,theEPstaffinitiates thealertusingtheDialogicAutomated Notification System(DANS).EROteammembersrespondusingatelephonic codetoindicatewhethertheyareabletoreportforemergency duties.Shortages areidentified andreplacements arecalledin.Bymaintaining thefour-team rotationnowineffect,theemergency responseiscapableofbeingmaintained foranextendedperiodoftime.PER298-0169waswrittenduringthe1998Emergency Preparedness audittodocumentthestation's problemsinmeetingminimumon-shiftEROstaffingrequirements.

Theimplementation oftheassociated corrective actions,inconjunction withotherEPinitiatives thispastyear,havebeeneffective incorrecting on-shiftstaffinglevelproblems.

Additionally, 13 IQualityAuditReport299-007~EPhasbeeneffective inproviding adequatedepthofstaffingforallpositions (fourperposition).

Withfewexceptions, theEPstaffhasbeensuccessful inidentifying andqualifying personnel tomaintaintheEROrostercomplete.

Greaterdepthinstaffingpositions providesformoreflexibility duringemergency responsesituations.

SECT1ON10.0FSARandResponseto50.54@ReviewTheEmergency Planisanattachment totheFSARandwasreviewedextensively throughout thisaudit.TherearenoFSARissuesotherthantheoneassociated withthestation's commitment totheback-upmeteorological systems.TheWNP-2responsetoNRC50.54(f)letterwasreviewedregarding Licensing BasisImpactDeterminations andtheFSARrevisionprocess.Nodiscrepancies werenoted.'4 0QualityAuditReport299-007~eAPPENDIXA-Personnel Contacted duringtheAuditSAckleyTWAlbertJDArbuckleSSAtkinsonASBarberSABoyntonBCalvertLLCollinsMSCollinsDJDixonJWEngbarthCAFuREFullerSRGoodwinKMGunter'RGrindelMHenryTHobbsDBHolmesJPIttnerREJorgenson AFKlaussJMKohlAALangdonDCLemiereMJLaudisioRDMaddenSJMartinJWMasseyHLMcMurdoKPMeehanTMessersmith CMMooreEBNortonDLOvermanBPenwellMAPetersonJScheerBShermanCVanHoffLAWalliDLWhitcomb JWoodJEWyrickSpecialist TrainingVManager,Maintenance SupportLicensing, Technical Specialist VIEngineering, Technical Specialist VSupervisor Maintenance/Plant Support,QualityServices=Manager,Quality=WNP-2ProgramManager/Benton andFranklinCountiesTechnical SupportSpecialist Technical Specialist VI,QualityServices=+Technical SupportSpecialist ActingSupervisor NDE/Corrective ActionProgram,Quality=+TSCTrendingForcaster TSCTrendingForcaster Technical, Specialist VI,QualityServicesTechnical Specialist VI,QualityServices=+Principal EngineerWNP-2ProgramManagerWashington Department ofHealth(WAHealth)BentonCountyEmergency DirectorEmergency Planner=+Emergency Planner=+LeadEmergency Planner=+Emergency Preparedness

=+Technical SupportSpecialist AttendedEntranceMeeting=AttendedExitMeeting+TSCManager=Spec.SF/Hlth Sr.Technical Specialist V,QualityServices==-Technical Specialist VI,QualityServicesAdminAssistant IIITechnical Specialist IV,QualityServices+Technical Specialist Emergency Planner=+Corporate EPSafetyOfficer=+TSCMechanical EngineerSystemEngineerEngineering, Technical Specialist VII/TSCComputerEngineerCoordinator FieldSSCExerciseandTrainingCoordinator Washington Emergency Management FranklinCountyEmergency DirectorPlantNRCLiaisonJICManagerAdminAssistant IIIEOFEngineering ManagerEmergency Management Coordinator Washington Department ofAgriculture (WAAgriculture)

Supervisor, QualityServices15

~QualityAuditReport299-007~APPENDIXB-References WAEMD'sIntegrated FixedFacilityRadiological andChemicalProtection PlanWAHealth'sResponseProcedures forRadiation Emergencies WAAgriculture's Radiological andChemicalEmergency Procedures BentonandFranklinCountiesFixedNuclearFacilityEmergency ResponsePlanOREnergy'sWNP-2/Hanford Emergency Preparedness ProgramManualWNP-2Emergency PlanRevision15through21SWP-PRO-01 (Rev2),"Description andUseofProcedures andInstructions" PPM1.4.1"PlantModifications" EPI-13,(Rev1)"Dialogic Automated Notification System"EPI-01(7/15/98),

"Emergency Preparedness GroupOperations" SWP-TQS-01, "Training, Qualification andSimulators" SWP-EPP-OI, "Emergency ResponseQualifications andTraining" SWP-CAP-01 "ProblemEvaluation Requests(PERs)"SWP-EPP-01, "Emergency ResponseOrganization andTraining" WPPSS,DRILLANDEXERCISEMANUALFORWNP-2NUREG0654-Revision1,CriteriaforPreparation andEvaluation ofRadiologicalEmergency ResponseplansandPreparedness inSupportofNuclearPowerPlants10CFR50.47, Emergency Plans10CFR50.54, Conditions ofLicenses10CFR50,AppendixE,Emergency PlanningandPreparedness forProduction andUtilization Facilities NUREG0654,FEMAREP-1,Rev.1;CriteriaforPreparation andEvaluation ofRadiological Emergency ResponseplansandPreparedness inSupportofNuclearPowerPlantsWNP-2Emergency Plan,Section8Qualification Directory Manual,Section2.8,Emergency ResponseIOMdatedMarch1,1999toOffsiteEmergency Management Organizations,

Subject:

AnnualTrainingforOffsiteAgenciesQualityDepartment AuditReportAU298-008, WNP-2Training, Performance, andQualification QualityDepartment AuditReportAU298-008, WNP-2Emergency Preparedness ProgramPQDScheduled MonthlyReport,02/3/991999TEAMCTRAININGDRILLREPORT1999TEAMBTRAININGDRILLREPORTEmergency PhoneDirectory, Emergency ResponseOrganization ListEmergency Preparedness TrainingPlayerTrainingHandout(s)Emergency Preparedness TrainingProgram,LessonPlan82-EDP-0200-LP-RO, Emergency Preparedness TrainingProgram,LessonPlanEP000222, QuickEmergency Emergency Preparedness TrainingCourseCatalog,Revision5,dated5/98Self-Assessments98-024,Self-Assessments98-0 WNP-2Qualification Directory, Section2.8,LEPRevision11(Vol.I)PQDReport"DDIXON.BL EPQGCNTQLCNT"dated2/25/99PTLDatabase16 QuoitAuditReport299-007~Volume13seriesofEmergency PlanImplementing Procedures PASSPORTPredefined DatabasePPM1.3.43Revision12"Licensing BasisImpactDetermination" PERs298-0169, 298-0179, 298-0191, 298-0194, 298-0374, 298-0377PERs298-0454, 298-0558, 298-0712, 298-0729, 298-0751, 298-0804PERs298-0864, 298-0909, 298-0920, 298-0921, 298-0933, 298-1064PERs298-1173, 298-1281, 298-1280, 298-1296, 298-1302, 298-1439PERs298-1599, 298-1776, 298-2015PERs298-0772, 298-0955, 298-1149, 298-1165, 298-1361FinalSafetyAnalysisReport52and53NRCInspection Manual,Inspection Procedure 82207,DoseCalculation andAssessment NRCInspection Manual,Chapter2515/134, LicenseeOn-ShiftDoseAssessment Capabilities 10CFR50,47, Emergency PlansINPO86-008,DoseAssessment ManualforEmergency Preparedness Coordinators toAssessPlantEnvironsConditions DuringandFollowing anAccident" LCDN97-109,Reformatted Section2.3PerFSARUpgradeProjectStyleGuideRegulatory Guide1.97,"Instrumentation forLight-Water CooledNuclearPowerPlantsRegulatory Guide1.23,Revision0,On-SiteMeteorological ProgramsRegulatory Guide,FirstDraftofProposedRevision1ofRegGuide1.23,1980,On-SiteMeteorological ProgramsRegulatory Guide,2ndProposedRevision1ofRegGuide1.23,1986,On-SiteMeteorological ProgramsMemorandum ofUnderstanding withKadlecMedicalCenterMemorandum ofUnderstanding withKennewick GeneralHospitalMemorandum ofUnderstanding withOurLadyofLourdesMedicalCenterMemorandum ofUnderstanding withSiemensPowerCorporation Memorandum ofUnderstanding withDepartment ofEnergy,RichlandOperations OfficeAgreement forUseofHanfordEnvironmental HealthFoundation's Emergency Decontamination FacilityContractwiththeStateofOregonNRCCorrespondence dated:October7,1983andJuly5,1985SupplySystemCorrespondence dated:June6,1983andJanuary19,1984Emergency ResponsePlansanPreparedness inSupportofNuclearPowerPlantsANSI/AN2.5"Standard forDetermining Meteorological Information atNuclearPowerPlantsEPA-520/1-95-001-A "ManualofProtective ActionGuidesandProtective ActionsforNuclearPowerIncidents,"

1990NUREG696,Functional CriteriaforEmergency ResponseFacilities.

17

~QualityAuditReport299-0070APPENDIXC-SummaryofQualityRecommendations, andFindingsQualityRecommendation AU299-007-A Assignedto:T.Messersmith DueDate:June14,1999AddwordstotheE-Planonactivation topreventapossiblereduction ofeffectiveness.

QualityRecommendation AU299-007-B Assignedto:T.Messersmith DueDate:June14,1999ReviewthedutiesoftheEquipment Operators andensuretheassigneddutiescoincidewithE-Planrequirements.

QualityRecommendation AU299-007-C Assignedto:T.Messersmith DueDate:June14,1999RevisetheE-PlanandPPMsasnecessary toprovideaconsistent reference tothepositionofCorporate EPO'erQualityRecommendation AU299-007-D Assignedto:T.Messersmith DueDate:June14,1999ReviseProgramContentDescription asdescribed inprocedure SWP-EP-01 toaccurately reflectcurrentbasisforEPtrainingprogramQualityRecommendation AU299-007-E Assignedto:T.Messersmith DueDate:June14,1999SurveySAMGtrainedindividuals todetermine ifadditional trainingisrequiredQualityRecommendation AU299-007-F Assignedto:T.Messersmith DueDate:June14,1999IncludeWNP-2Emergency Preparedness Programinformation ontheSupplySystem'swebsite.QualityRecommendation AU299-007-G Assignedto:JWMasseyDueDate:June14,1999Includeareviewofeffectiveness ofcorrective actionsforPER297-0205inthenextCorrective ActionsProgramAuditQualityRecommendation AU299-007-8 Assignedto:T.Messersmith DueDate:June14,1999ReviseLessonPlansandDoseProjection Procedures toensureconsistency withcurrentEROprogramandprocedures QualityRecommendation AU299-007-I Assignedto:T.Messersmith DueDate:June14,1999Incorporate annualrefresher trainingrequirements intotheSupplySystem*Qualification Directories.

18 0QualityAuditReport299-007QualityFinding(PER299-0517)

Currentprocessforsubmitting revisedE-PlantotheNRCisnotbeingfollowed.

UnablerolocateRevision18submittal letterinPlantftles.QualityFinding(PER299-0442)

Emergency PlanImplementing Procedure 13.14.8doesnotaccurately reflectrequirements identified intheEmergency PlanQualityFinding(PER299-0443)

Procedural requirements inPPM13.14.9relatingtoEmergency Planreviewhavenotbeenmet.QualityFinding(PER299-0445)

Thelackofapre-designated organization ofcontrollers andevaluators resultsininconsistent drillconductandinconsistent andincomplete evaluations.

QualityFinding(PER299-0517)

Areasforimprovement identifted duringEROtrainingdrillsarenotshowingimproving trends.QualityFinding(PER299-0393)

PPM14.14.4,Rev,26,Attachments 5.3,5.5,and5.7containreferences toobsoletePASSPORTactivities anddonotprovideappropriate references toPTI.QualityFinding(PER299-0461)

Clariftcation ofcommitments intheareaofmeteorological monitoring asdescribed intheFSARandEmergency Planisrequired19

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